Lab & pathology prices at Speare Memorial Hospital
Plymouth, NH · every code in this section with a posted price and a Medicare benchmark.
659 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $215.14 | $347 | 5.6× |
| 5 Nucleotidase (83915) | $62.62 | $101 | 5.6× |
| Acetaminophen level (80143) | $86.80 | $140 | 4.7× |
| Acetone serum qual (82009) | $25.42 | $41 | 5.6× |
| Acetylcholine receptor binding antibody (86041) | $93.62 | $151 | 5.1× |
| Acetylcholine receptor blocking antibody (86042) | $102.92 | $166 | 5.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $67.58 | $109 | 5.6× |
| Activated protein c resistance (85307) | $85.56 | $138 | 5.6× |
| Acute hepatitis panel (80074) | $265.98 | $429 | 5.6× |
| Acylcarnitine Plasma (82017) | $94.24 | $152 | 5.6× |
| Adenovirus Ag Ia (87301) | $63.86 | $103 | 5.3× |
| Adrenocorticotropic hormone (82024) | $215.76 | $348 | 5.6× |
| Afp maternal serum (82105) | $93.62 | $151 | 5.6× |
| Albumin body fluid (82042) | $44.02 | $71 | 5.7× |
| Albumin serum (82040) | $27.90 | $45 | 5.6× |
| Aldolase (82085) | $54.56 | $88 | 5.6× |
| Aldosterone urine (82088) | $227.54 | $367 | 5.6× |
| Alkaline phosphatase isoenzymes (84080) | $83.08 | $134 | 5.6× |
| Allergen peanut (86003) | $29.14 | $47 | 5.6× |
| Allergen spec ige qual multiallergen screen (86005) | $44.64 | $72 | 5.6× |
| Allg Spec Ige Recomb Ea (86008) | $84.94 | $137 | 4.7× |
| Alpha-1-antitrypsin phenotype (82104) | $81.22 | $131 | 5.6× |
| Alpha-1-antitrypsin, total (82103) | $65.72 | $106 | 4.9× |
| Alt (sgpt) (84460) | $29.76 | $48 | 5.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $108.50 | $175 | 4.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $94.24 | $152 | 5.6× |
| Amylase urine (82150) | $36.58 | $59 | 5.6× |
| Ana titer (86039) | $62.62 | $101 | 5.6× |
| Androstanediol glucuronide (82154) | $161.20 | $260 | 5.6× |
| Angiotensin i enzyme test (82164) | $81.84 | $132 | 5.6× |
| Anti-phosphatidylserine antibody (86148) | $89.90 | $145 | 5.6× |
| Antibody aspergillus (86606) | $71.30 | $115 | 4.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $86.80 | $140 | 5.6× |
| Antibody cytomegalovirus cmv (86644) | $80.60 | $130 | 5.6× |
| Antibody Encephalitis Eastern Equine (86652) | $62.62 | $101 | 4.7× |
| Antibody encephalitis st. louis (86653) | $56.60 | $91.30 | 4.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $73.78 | $119 | 5.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $63.24 | $102 | 5.2× |
| Antibody helicobacter pylori (86677) | $94.24 | $152 | 5.6× |
| Antibody HIV-2 (86702) | $75.64 | $122 | 5.6× |
| Antibody identification (86870) | $221.96 | $358 | 0.6× |
| Antibody john cunningham virus (86711) | $94.86 | $153 | 5.6× |
| Antibody mumps (86735) | $73.16 | $118 | 5.6× |
| Antibody Protozoa Nes (86753) | $69.44 | $112 | 5.6× |
| Antibody screen (86850) | $54.56 | $88 | 5.6× |
| Antibody treponema pallidum (86780) | $74.40 | $120 | 5.6× |
| Antibody; Coccidioides (86635) | $64.48 | $104 | 5.6× |
| Antigen typing (86905) | $21.70 | $35 | 5.7× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $29.14 | $47 | 5.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $67.58 | $109 | 5.6× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $67.58 | $109 | 5.6× |
| Antinomyces antibody (86602) | $57.04 | $92 | 5.6× |
| Antinuclear antibodies (86038) | $67.58 | $109 | 5.6× |
| Antistreptolysin o titer (86060) | $40.92 | $66 | 5.6× |
| Antithrombin iii activity (85300) | $66.34 | $107 | 5.6× |
| Antithrombin iii antigen (85301) | $53.94 | $87 | 5.0× |
| Apolipoprotein each (82172) | $99.82 | $161 | 4.7× |
| Aquaporin-4 Antb Elisa (86051) | $64.48 | $104 | 5.6× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $67.58 | $109 | 5.6× |
| Arsenic Urine (82175) | $106.02 | $171 | 5.6× |
| Aspergillus ag eia (87305) | $66.96 | $108 | 5.6× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $71.92 | $116 | 5.6× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $286.44 | $462 | 5.6× |
| Assay direct measurement free estradiol (82681) | $156.24 | $252 | 5.6× |
| Assay Lipoprotein Pla2 (83698) | $218.24 | $352 | 4.7× |
| Assay myeloperoxidase (83876) | $239.94 | $387 | 4.7× |
| Assay Nephelometry Not Spec (83883) | $76.26 | $123 | 5.6× |
| Assay of 5-hiaa (83497) | $72.54 | $117 | 5.6× |
| Assay of ammonia (82140) | $81.84 | $132 | 5.6× |
| Assay of androstenedione (82157) | $163.68 | $264 | 5.6× |
| Assay of anti-mullerian hormone (82166) | $182.28 | $294 | 4.7× |
| Assay of c-peptide (84681) | $116.56 | $188 | 5.6× |
| Assay of ceruloplasmin (82390) | $60.14 | $97 | 5.6× |
| Assay of citrate (82507) | $131.44 | $212 | 4.7× |
| Assay of cpk in blood (82552) | $75.02 | $121 | 5.6× |
| Assay of creatine (82540) | $26.04 | $42 | 5.6× |
| Assay of cyclosporine (80158) | $101.06 | $163 | 5.6× |
| Assay of erythropoietin (82668) | $105.40 | $170 | 5.6× |
| Assay of estrone (82679) | $139.50 | $225 | 5.6× |
| Assay of ethosuximide (80168) | $84.32 | $136 | 5.2× |
| Assay of ferritin (82728) | $76.26 | $123 | 5.6× |
| Assay of g6pd enzyme (82955) | $54.56 | $88 | 5.6× |
| Assay of gammaglobulin igm (82784) | $52.08 | $84 | 5.6× |
| Assay of gastrin (82941) | $98.58 | $159 | 5.6× |
| Assay of gentamicin (80170) | $91.76 | $148 | 5.6× |
| Assay of homocystine (83090) | $100.44 | $162 | 5.6× |
| Assay of lactic acid (83605) | $65.10 | $105 | 5.6× |
| Assay of lipoprotein(a) (83695) | $79.98 | $129 | 5.6× |
| Assay of manganese (83785) | $125.86 | $203 | 4.7× |
| Assay of metanephrines (83835) | $94.86 | $153 | 5.6× |
| Assay of osteocalcin (83937) | $164.92 | $266 | 5.5× |
| Assay of phenobarbital (80184) | $84.32 | $136 | 5.5× |
| Assay of prealbumin (84134) | $81.84 | $132 | 5.6× |
| Assay of proinsulin (84206) | $125.86 | $203 | 4.7× |
| Assay of prolactin (84146) | $108.50 | $175 | 5.6× |
| Assay of prostate specific antigen complexed (84152) | $86.80 | $140 | 4.7× |
| Assay of serotonin (84260) | $146.32 | $236 | 4.7× |
| Assay of tacrolimus (80197) | $65.10 | $105 | 4.7× |
| Assay of topiramate (80201) | $66.96 | $108 | 5.6× |
| Assay of transcortin (84449) | $100.44 | $162 | 5.6× |
| Assay of urine vma (84585) | $29.14 | $47 | 1.9× |
| Assay of vasopressin anti-diuretic hormone (84588) | $189.72 | $306 | 5.6× |
| Assay of vitamin k (84597) | $76.88 | $124 | 5.6× |
| Ast (sgot) (84450) | $29.14 | $47 | 5.6× |
| B cells total count (86355) | $207.70 | $335 | 5.5× |
| B-hexosaminidase ea assay (83080) | $79.98 | $129 | 4.7× |
| Bartonella antibody (86611) | $57.04 | $92 | 5.6× |
| Bartonella PCR (87471) | $195.92 | $316 | 5.6× |
| Bcr/abl1 gene major bp (81206) | $915.12 | $1,476 | 5.6× |
| Bcr/abl1 gene minor bp (81207) | $775 | $1,250 | 5.4× |
| Beta 2 glycoprotein 1 igm (86146) | $134.54 | $217 | 5.3× |
| Beta hydroxybutyrate (82010) | $72.85 | $117.50 | 8.9× |
| Beta lactamase (87185) | $26.66 | $43 | 5.6× |
| Beta-2 microglobulin (82232) | $90.52 | $146 | 5.6× |
| Bile acids, total (82239) | $84.94 | $137 | 5.0× |
| Bilirubin direct (82248) | $28.52 | $46 | 5.7× |
| Bilirubin total (82247) | $28.52 | $46 | 5.7× |
| Bilirubin total transcutaneous (88720) | $21.08 | $34 | 4.2× |
| Bld Typing Serologic Rh Phnt (86906) | $43.40 | $70 | 5.6× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $31.62 | $51 | 5.7× |
| Blood gas (82803) | $145.70 | $235 | 5.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24.80 | $40 | 5.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $35.96 | $58 | 5.7× |
| Blood typing abo (86900) | $85.56 | $138 | 28.6× |
| Blood typing serologic rh (d) (86901) | $77.50 | $125 | 25.9× |
| Body fluid cell count (89051) | $31.62 | $51 | 5.6× |
| Bordetella antibody (86615) | $73.78 | $119 | 5.6× |
| Braf gene (81210) | $825.84 | $1,332 | 4.7× |
| Brca1&2 seq & full dup/del (81162) | $3,534 | $5,700 | 1.9× |
| C diff amplified probe (87493) | $208.32 | $336 | 5.6× |
| C-reactive protein (86140) | $101.06 | $163 | 19.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $72.54 | $117 | 5.6× |
| C1q binding assay (86332) | $117.18 | $189 | 4.8× |
| Ca 125 (86304) | $116.56 | $188 | 5.6× |
| Ca 19-9 (86301) | $116.56 | $188 | 5.6× |
| Ca 27 29 (86300) | $116.56 | $188 | 5.6× |
| Cadmium level (82300) | $111.60 | $180 | 4.7× |
| Calcitonin (82308) | $150.04 | $242 | 5.6× |
| Calcium ionized (82330) | $76.88 | $124 | 5.6× |
| Calcium total (82310) | $29.14 | $47 | 5.6× |
| Calcium urine (82340) | $34.10 | $55 | 5.7× |
| Calculus spectroscopy (82365) | $72.54 | $117 | 5.6× |
| California encephalitis ab (86651) | $51.02 | $82.30 | 3.9× |
| Calprotectin, fecal (83993) | $109.74 | $177 | 5.6× |
| Calr gene com variants (81219) | $654.10 | $1,055 | 5.4× |
| Candida antibody (86628) | $63.86 | $103 | 5.3× |
| Carb deficient transferrin (82373) | $101.06 | $163 | 5.6× |
| Carbamazepine total (80156) | $81.84 | $132 | 5.6× |
| Carbon dioxide (82374) | $27.28 | $44 | 5.6× |
| Carboxyhemoglobin (82375) | $68.82 | $111 | 5.6× |
| Carcinoembryonic antigen (82378) | $163.68 | $264 | 8.6× |
| Cardiolipin ab igg (86147) | $120.28 | $194 | 4.7× |
| Carotene (82380) | $51.46 | $83 | 5.6× |
| Catecholamines fraction plasma (82384) | $119.04 | $192 | 4.7× |
| Cell marker study (88182) | $540.64 | $872 | 9.7× |
| Cftr gene com variants (81220) | $1,178 | $1,900 | 2.1× |
| Cftr gene dup/delet variants (81222) | $827.08 | $1,334 | 1.9× |
| Cftr gene full sequence (81223) | $1,559.30 | $2,515 | 3.1× |
| Chemiluminescent assay (82397) | $79.36 | $128 | 5.6× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $1,228.22 | $1,981 | 4.7× |
| Chloride blood (82435) | $26.04 | $42 | 5.7× |
| Chloride urine (82436) | $32.24 | $52 | 5.6× |
| Cholesterol HDL (83718) | $45.88 | $74 | 5.6× |
| Cholesterol total (82465) | $24.80 | $40 | 5.7× |
| Chorionic Gonadotropin, Free Beta Chain (84704) | $85.56 | $138 | 5.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $158.10 | $255 | 4.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $590.86 | $953 | 4.7× |
| Chromium urine (82495) | $95.48 | $154 | 4.7× |
| Chromogranin a (86316) | $116.56 | $188 | 5.6× |
| Chromosome analysis 20-25 cells (88264) | $680.76 | $1,098 | 4.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $166.78 | $269 | 4.8× |
| Ckmb (82553) | $64.48 | $104 | 5.6× |
| Clot factor viii vw antigen (85246) | $128.34 | $207 | 5.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $100.44 | $162 | 5.6× |
| Clotting Inhibitors Protein S Free (85306) | $85.56 | $138 | 5.6× |
| Clozapine level (80159) | $112.84 | $182 | 5.6× |
| Cmv ab igm (86645) | $94.24 | $152 | 5.6× |
| Cmv PCR (87496) | $195.92 | $316 | 5.6× |
| Cns DNA amp probe type 12-25 (87483) | $851.88 | $1,374 | 2.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $134.54 | $217 | 5.6× |
| Cold agglutinin titer (86157) | $45.26 | $73 | 5.6× |
| Collagen cross links (82523) | $104.78 | $169 | 5.6× |
| Compatibility test antiglob (86922) | $191.58 | $309 | 1.1× |
| Compatibility Test Incubate (86921) | $161.82 | $261 | 0.9× |
| Complement c3 (86160) | $66.96 | $108 | 5.6× |
| Complement total (ch50) (86162) | $113.46 | $183 | 5.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $66.96 | $108 | 5.6× |
| Concentration Infectious Agent (87015) | $37.82 | $61 | 5.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $466.86 | $753 | 11.7× |
| Coombs direct (86880) | $30.38 | $49 | 5.6× |
| Copper urine (82525) | $68.20 | $110 | 5.5× |
| Cortisol free (82530) | $93.62 | $151 | 5.6× |
| Cortisol total (82533) | $91.14 | $147 | 5.6× |
| Creatine kinase total (82550) | $36.58 | $59 | 5.6× |
| Creatinine blood (82565) | $29.14 | $47 | 5.7× |
| Creatinine clearance (82575) | $53.32 | $86 | 5.6× |
| Creatinine other source (82570) | $29.14 | $47 | 5.6× |
| Crossmatch immediate spin (86920) | $179.18 | $289 | 1.0× |
| Cryofibrinogen (82585) | $66.96 | $108 | 4.7× |
| Cryoglobulin (82595) | $36.58 | $59 | 5.7× |
| Crystals body fluid (89060) | $40.92 | $66 | 5.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $97.03 | $156.50 | 12.0× |
| Culture Aerobic Identify (87077) | $164.30 | $265 | 20.3× |
| Culture afb (87116) | $60.76 | $98 | 5.6× |
| Culture anaerobic (87075) | $53.32 | $86 | 5.6× |
| Culture blood (87040) | $57.66 | $93 | 5.6× |
| Culture chlamydia (87110) | $109.74 | $177 | 5.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $43.40 | $70 | 5.6× |
| Culture fungus id yeast (87106) | $57.66 | $93 | 5.6× |
| Culture genital (87070) | $48.36 | $78 | 5.6× |
| Culture screen only (87081) | $37.20 | $60 | 5.6× |
| Culture stool (87045) | $52.70 | $85 | 5.6× |
| Culture typing if ea antiserum (87140) | $31.62 | $51 | 5.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $29.14 | $47 | 5.6× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $165.54 | $267 | 4.7× |
| Culture urine (87086) | $45.26 | $73 | 5.6× |
| Culture virus (87252) | $145.70 | $235 | 5.6× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $232.50 | $375 | 2.0× |
| Cyclic Citrullinated Peptide (86200) | $72.54 | $117 | 5.6× |
| Cyp2c19 gene com variants (81225) | $1,372.06 | $2,213 | 4.7× |
| Cyp2d6 gene com variants (81226) | $1,263.56 | $2,038 | 2.8× |
| Cystatin c (82610) | $87.42 | $141 | 4.7× |
| Cysticercosis Antibody (86682) | $73.16 | $118 | 5.6× |
| Cytog genom-wid alys hem mal (81195) | $2,170 | $3,500 | 1.2× |
| Cytogenetics 100-300 (88275) | $241.18 | $389 | 4.7× |
| Cytogenetics DNA probe (88271) | $119.66 | $193 | 5.6× |
| Cytogenom const microarray copy number&snp var (81229) | $1,240 | $2,000 | 1.1× |
| Cytogenomic neo microra alys (81277) | $2,480 | $4,000 | 2.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $239.32 | $386 | 5.6× |
| Cytopath cell enhance tech (88112) | $162.44 | $262 | 2.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $199.64 | $322 | 5.0× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $63.24 | $102 | 3.4× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) | $89.28 | $144 | 3.9× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $131.44 | $212 | 4.9× |
| Cytp concentration smears & interpretation (88108) | $162.13 | $261.50 | 4.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $292.64 | $472 | 5.3× |
| Cytp fna eval dx 1st each site (88172) | $113.46 | $183 | 0.6× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $83.08 | $134 | 4.5× |
| Deoxyribonuclease antibody (86215) | $74.40 | $120 | 5.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $78.12 | $126 | 4.7× |
| Dgp antibody each ig class (86258) | $67.58 | $109 | 5.6× |
| Dhea (82626) | $141.36 | $228 | 5.6× |
| Dhea-sulfate (82627) | $124.62 | $201 | 5.6× |
| Digoxin (80162) | $74.40 | $120 | 5.6× |
| Dihydrotestosterone (82642) | $163.68 | $264 | 5.6× |
| Dilantin (80185) | $74.40 | $120 | 5.6× |
| Dna Antibody Single Stranded (86226) | $67.58 | $109 | 5.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $76.88 | $124 | 5.6× |
| Dpyd gene common variants (81232) | $823.36 | $1,328 | 4.7× |
| Drug assay adalimumab (80145) | $215.76 | $348 | 5.6× |
| Drug Assay Infliximab (80230) | $215.76 | $348 | 5.6× |
| Drug Assay Lacosamide (80235) | $151.28 | $244 | 5.6× |
| Drug assay vedolizumab (80280) | $215.76 | $348 | 5.6× |
| Drug quant nes (80299) | $104.16 | $168 | 5.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $74.40 | $120 | 5.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $74.40 | $120 | 5.6× |
| Drug Scrn Quan Levetiracetam (80177) | $74.40 | $120 | 5.6× |
| Drug test prsmv chem anlyzr (80307) | $292.64 | $472 | 4.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $59.52 | $96 | 4.7× |
| Ebv viral capsid (86665) | $101.68 | $164 | 5.6× |
| Ehrlichia antibody (86666) | $57.04 | $92 | 5.6× |
| Elastase pancreatic fecal quantitative (82653) | $128.34 | $207 | 5.6× |
| Electrolyte panel (80051) | $39.68 | $64 | 5.7× |
| Encephalitis Western Equine (86654) | $56.60 | $91.30 | 4.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $67.58 | $109 | 5.6× |
| Entamoeba histolytica antigen (87337) | $66.96 | $108 | 5.6× |
| Enterovirus antibody (86658) | $61.38 | $99 | 4.7× |
| Enterovirus Pcr (87498) | $195.92 | $316 | 5.6× |
| Enzyme cell activity (82657) | $124 | $200 | 5.6× |
| Enzyme histochemistry (88319) | $562.96 | $908 | 0.7× |
| Eosinophil count (85048) | $14.26 | $23 | 5.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $85.56 | $138 | 5.6× |
| Estradiol (82670) | $156.24 | $252 | 5.6× |
| Estriol serum (82677) | $121.52 | $196 | 5.0× |
| Estrogens total (82672) | $121.52 | $196 | 5.6× |
| Ethylene glycol (82693) | $70.68 | $114 | 4.7× |
| Everolimus (80169) | $76.88 | $124 | 5.6× |
| F2 gene analysis 20210g >a variant (81240) | $367.04 | $592 | 5.6× |
| F5 gene analysis, leiden variant (81241) | $345.96 | $558 | 4.7× |
| Factor ii activity (85210) | $72.54 | $117 | 5.6× |
| Factor inhibitor test (85335) | $71.92 | $116 | 5.6× |
| Factor ix activity (85250) | $106.64 | $172 | 5.6× |
| Factor v activity (85220) | $98.58 | $159 | 5.6× |
| Factor vii assay (85230) | $100.44 | $162 | 5.6× |
| Factor viii ahg (85240) | $100.44 | $162 | 5.6× |
| Factor xi assay (85270) | $100.44 | $162 | 5.6× |
| Factor xii assay (85280) | $108.50 | $175 | 5.6× |
| Factor xiii solubility screen (85291) | $50.84 | $82 | 5.6× |
| Fatty acids free (82725) | $96.72 | $156 | 5.2× |
| Fecal fat qual (82705) | $28.52 | $46 | 5.6× |
| Fecal fat quant (82710) | $94.24 | $152 | 5.6× |
| Fetal bleed screen (85461) | $52.70 | $85 | 5.6× |
| Fibrin degradation products (85362) | $14.26 | $23 | 2.1× |
| Fibrin Degradation Quant (85379) | $57.04 | $92 | 5.6× |
| Fibrinogen activity (85384) | $54.56 | $88 | 5.6× |
| Flow cytometry first marker (88184) | $337.90 | $545 | 0.9× |
| Flt3 gene analysis (81245) | $779.34 | $1,257 | 4.7× |
| Fluorescent Antibody Screen (86255) | $67.58 | $109 | 5.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $67.58 | $109 | 5.6× |
| Fmr1 gene charac alleles (81244) | $211.42 | $341 | 4.7× |
| Fmr1 gene detection (81243) | $306.28 | $494 | 5.4× |
| Folate serum (82746) | $82.46 | $133 | 5.6× |
| Folic acid rbc (82747) | $98.58 | $159 | 5.6× |
| Follicle Stimulating Hormone (83001) | $104.16 | $168 | 5.6× |
| Francisella tularensis (86668) | $79.36 | $128 | 5.6× |
| Fructosamine (82985) | $85.56 | $138 | 5.1× |
| Gammaglobulin ige (82785) | $92.38 | $149 | 5.6× |
| Gardner vag DNA dir probe (87510) | $112.22 | $181 | 5.6× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $356.50 | $575 | 4.5× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,922 | $3,100 | 2.5× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $3,100 | $5,000 | 1.1× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $1,550 | $2,500 | 2.6× |
| Ggt (82977) | $40.30 | $65 | 5.6× |
| Giardia antigen eia stool (87329) | $66.96 | $108 | 5.6× |
| Glucose (82947) | $22.32 | $36 | 5.7× |
| Glucose body fluid (82945) | $22.32 | $36 | 5.7× |
| Glucose post dose (82950) | $26.66 | $43 | 5.6× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $22.32 | $36 | 5.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $71.92 | $116 | 5.6× |
| Growth hormone (83003) | $90.52 | $146 | 5.4× |
| H pylori breath test (83013) | $317.44 | $512 | 4.7× |
| Haloperidol (haldol) (80173) | $88.66 | $143 | 5.6× |
| Haptoglobin (83010) | $70.68 | $114 | 5.6× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) | $536.92 | $866 | 5.3× |
| Hcg qualitative (84703) | $101.06 | $163 | 13.4× |
| Hcg quant (84702) | $84.32 | $136 | 5.6× |
| Heavy metal quant each (83018) | $120.28 | $194 | 5.5× |
| Hematocrit (85014) | $13.64 | $22 | 5.8× |
| Hemoglobin (85018) | $13.64 | $22 | 5.8× |
| Hemoglobin a1c (83036) | $54.56 | $88 | 5.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $85.56 | $138 | 4.7× |
| Hemoglobin electrophoresis (83020) | $71.92 | $116 | 5.6× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $43.40 | $70 | 5.6× |
| Hemosiderin urine (83070) | $26.66 | $43 | 5.6× |
| Hepatitis a antibody total (86708) | $69.44 | $112 | 5.6× |
| Hepatitis a igm (86709) | $63.24 | $102 | 5.6× |
| Hepatitis b core ab igm (86705) | $65.72 | $106 | 5.6× |
| Hepatitis b core antibody total (86704) | $67.58 | $109 | 5.6× |
| Hepatitis B Surface Ab (86706) | $60.14 | $97 | 5.6× |
| Hepatitis B Surface Antigen (87340) | $57.66 | $93 | 5.6× |
| Hepatitis b virus genotyping (87912) | $1,212.10 | $1,955 | 4.7× |
| Hepatitis be antibody (86707) | $65.10 | $105 | 5.6× |
| Hepatitis Be Antigen (87350) | $64.48 | $104 | 5.6× |
| Hepatitis c antibody (86803) | $79.98 | $129 | 5.6× |
| Hepatitis C Genotype (87902) | $1,353.46 | $2,183 | 5.3× |
| Hepatitis delta ab (86692) | $96.10 | $155 | 5.6× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,480.56 | $2,388 | 1.1× |
| Herpes simplex type i (86695) | $73.78 | $119 | 5.6× |
| Herpes simplex type ii (86696) | $108.50 | $175 | 5.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $29.14 | $47 | 5.6× |
| Hexa gene analysis common variants (81255) | $787.40 | $1,270 | 15.3× |
| Hexagonal phospholipid (85598) | $100.44 | $162 | 5.6× |
| Hfe gene (81256) | $365.18 | $589 | 5.6× |
| Histamine plasma (83088) | $164.92 | $266 | 5.6× |
| Histoplasma antigen urine (87385) | $81.84 | $132 | 6.2× |
| HIV-1 antibody (86701) | $50.22 | $81 | 5.6× |
| HIV-2 probe&revrse trnscripj (87538) | $195.92 | $316 | 5.6× |
| Hla class i typing high resolution one allele or allele group (81381) | $799.80 | $1,290 | 4.7× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $600.16 | $968 | 4.7× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $527.62 | $851 | 5.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $357.74 | $577 | 4.8× |
| Hla ii typing 1 locus lr (81376) | $575.36 | $928 | 4.7× |
| Hpv low-risk types (87623) | $154.69 | $249.50 | 4.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $195.92 | $316 | 5.6× |
| Human epididymis protein 4 (86305) | $116.56 | $188 | 5.6× |
| Hydroxyprogesterone 17-d (83498) | $151.90 | $245 | 5.6× |
| Iaad ia clostridium difficile toxin (87324) | $66.96 | $108 | 5.6× |
| Iaad ia cryptosporidium (87328) | $77.50 | $125 | 5.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $134.54 | $217 | 5.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $80.60 | $130 | 5.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $94.55 | $152.50 | 2.7× |
| Iaad ia shiga-like toxin (87427) | $66.96 | $108 | 5.6× |
| Iaadi Legionella Pneumophila (87278) | $87.42 | $141 | 5.6× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $182.90 | $295 | 5.6× |
| Iaadiadoo not otherwise specified (87899) | $76.26 | $123 | 4.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $184.14 | $297 | 5.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $195.92 | $316 | 5.6× |
| Iadna candida species amplified probe tq (87481) | $165.54 | $267 | 4.7× |
| Iadna Candida Species Direct Probe Tq (87480) | $112.22 | $181 | 5.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $195.92 | $316 | 5.6× |
| Iadna hepatitis b virus quantification (87517) | $239.32 | $386 | 5.6× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $195.92 | $316 | 5.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $239.32 | $386 | 5.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $195.92 | $316 | 5.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $474.92 | $766 | 5.6× |
| Iadna human papillomavirus high-risk types (87624) | $170.50 | $275 | 4.9× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $190.96 | $308 | 4.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $195.92 | $316 | 5.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $195.92 | $316 | 5.6× |
| Iadna nos amplified probe tq each organism (87798) | $195.92 | $316 | 5.6× |
| Iadna nos quantification each organism (87799) | $239.32 | $386 | 5.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $165.54 | $267 | 4.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $839.79 | $1,354.50 | 2.0× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $489.18 | $789 | 1.9× |
| Igg subclasses (82787) | $45.26 | $73 | 5.6× |
| Igh gene rearrange amp meth (81261) | $810.96 | $1,308 | 4.1× |
| Igvh somatic hypermutation (81263) | $1,386.94 | $2,237 | 4.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $83.70 | $135 | 5.6× |
| Immunoassay nonantibody (83516) | $64.48 | $104 | 5.6× |
| Immunodiffusion Ouchterlony (86331) | $60.14 | $97 | 5.0× |
| Immunofixation (86334) | $125.24 | $202 | 5.6× |
| Immunofixation urine (86335) | $164.30 | $265 | 5.6× |
| Immunoglobulin light chains free each (83521) | $96.72 | $156 | 5.6× |
| Immunohistochemistry (88342) | $218.86 | $353 | 1.2× |
| In situ hybridization (88365) | $679.52 | $1,096 | 3.7× |
| Indirect coombs (86885) | $32.24 | $52 | 5.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $107.88 | $174 | 1.5× |
| Influenza DNA amp probe (87502) | $451.36 | $728 | 4.7× |
| Inhibin a (86336) | $87.42 | $141 | 5.6× |
| Inhibin b (83520) | $96.72 | $156 | 5.6× |
| Insitu hybridization manual (88368) | $473.68 | $764 | 1.2× |
| Insulin antibodies (86337) | $119.66 | $193 | 5.6× |
| Insulin free (83527) | $61.38 | $99 | 4.7× |
| Insulin total (83525) | $63.86 | $103 | 5.6× |
| Intrinsic factor antibody (86340) | $84.32 | $136 | 5.6× |
| Iron (83540) | $36.58 | $59 | 5.7× |
| Iron binding capacity (83550) | $48.98 | $79 | 5.6× |
| Islet cell antibody (86341) | $110.98 | $179 | 4.7× |
| Jak2 gene analysis (81270) | $470.58 | $759 | 5.1× |
| Lactoferrin Fecal Quantitative (83631) | $109.74 | $177 | 5.6× |
| Ldh body fluid (83615) | $34.10 | $55 | 5.6× |
| Ldh isoenzymes (83625) | $71.92 | $116 | 5.6× |
| LDL cholesterol direct (83721) | $58.90 | $95 | 5.6× |
| Lead (83655) | $57.04 | $92 | 4.7× |
| Legionella antigen urine (87449) | $66.96 | $108 | 5.6× |
| Leptospira antibody (86720) | $90.52 | $146 | 5.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $24.18 | $39 | 5.7× |
| Level ii surg pathology grossµscopic exam (88302) | $110.98 | $179 | 2.8× |
| Level v surg pathology grossµscopic exam (88307) | $659.37 | $1,063.50 | 1.7× |
| Level vi surg pathology grossµscopic exam (88309) | $999.13 | $1,611.50 | 1.2× |
| Lh (83002) | $103.54 | $167 | 5.6× |
| Lipase (83690) | $75.02 | $121 | 10.9× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $161.20 | $260 | 4.7× |
| Listeria ab (86609) | $60.76 | $98 | 4.7× |
| Lithium (80178) | $37.20 | $60 | 5.6× |
| Liver ds alys 3 bmrk srm alg (81517) | $1,218.30 | $1,965 | 6.9× |
| Lyme disease antibody (86618) | $95.48 | $154 | 5.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $267.22 | $431 | 1.5× |
| Macroscopic exam arthropod (87168) | $24.18 | $39 | 5.7× |
| Macroscopic exam parasite (87169) | $24.18 | $39 | 5.6× |
| Magnesium (83735) | $31 | $50 | 4.6× |
| Malaria smear (87207) | $33.48 | $54 | 5.6× |
| Manual Diff Wbc Count B-Coat (85009) | $28.52 | $46 | 5.6× |
| Mass spectrometry qual/quan (83789) | $114.08 | $184 | 4.7× |
| Mercury urine (83825) | $79.36 | $128 | 4.9× |
| Metabolic Panel Ionized Ca (80047) | $76.88 | $124 | 5.6× |
| Methylmalonic acid serum (83921) | $115.32 | $186 | 5.4× |
| Microalbumin urine (82043) | $32.86 | $53 | 5.7× |
| Microsomal antibodies (86376) | $81.22 | $131 | 5.6× |
| Mitochondrial antibody each (86381) | $120.28 | $194 | 4.7× |
| Mlh1 gene analysis duplication/deletion variants (81294) | $952.94 | $1,537 | 4.7× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,244.96 | $2,008 | 1.8× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $1,073.22 | $1,731 | 5.6× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $67.58 | $109 | 5.6× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $206.77 | $333.50 | 4.9× |
| Molecular pathology procedure level 2 (81401) | $645.42 | $1,041 | 4.7× |
| Mononuclear cell antigen (86356) | $126.48 | $204 | 4.7× |
| Mopath procedure level 4 (81403) | $872.34 | $1,407 | 4.7× |
| Mopath procedure level 5 (81404) | $1,293.94 | $2,087 | 4.7× |
| Mopath procedure level 9 (81408) | $2,170 | $3,500 | 1.1× |
| Mrsa PCR (87641) | $181.66 | $293 | 5.2× |
| Msh2 gene analysis duplication/deletion variants (81297) | $1,004.40 | $1,620 | 4.7× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,797.38 | $2,899 | 4.7× |
| Msh6 gene analysis duplication/deletion varia (81300) | $1,120.96 | $1,808 | 4.7× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,183.58 | $1,909 | 1.8× |
| Mtb PCR (87556) | $216.38 | $349 | 5.2× |
| Mthfr Gene Analysis Common Variants (81291) | $358.98 | $579 | 5.5× |
| Muramidase (85549) | $104.78 | $169 | 5.6× |
| Muscle-specific kinase (musk) antibody (86366) | $102.92 | $166 | 5.6× |
| Mycophenolic acid (80180) | $101.06 | $163 | 5.6× |
| Mycoplasma antibody (86738) | $68.20 | $110 | 5.2× |
| Mycoplasma culture (87109) | $58.90 | $95 | 3.8× |
| Mycoplasma genitalium PCR (87563) | $195.92 | $316 | 5.6× |
| Myelin basic protein csf (83873) | $86.18 | $139 | 5.0× |
| Myoglobin urine (83874) | $72.54 | $117 | 5.6× |
| Nasal smear for eosinophils (89190) | $32.86 | $53 | 5.7× |
| Natriuretic peptide (83880) | $179.80 | $290 | 4.6× |
| Neutralization Test Viral (86382) | $94.86 | $153 | 5.6× |
| Nickel level (83885) | $137.02 | $221 | 5.6× |
| Nk cells total count (86357) | $177.94 | $287 | 4.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,160.64 | $1,872 | 4.7× |
| Nras gene variants exon 2&3 (81311) | $1,392.52 | $2,246 | 4.7× |
| Nuclear antigen antibody (86235) | $100.44 | $162 | 5.6× |
| Nudt15 Gene Analysis Common Variants (81306) | $1,372.06 | $2,213 | 4.7× |
| Obstetric panel (80081) | $417.88 | $674 | 5.6× |
| Occult blood gastric (82271) | $29.76 | $48 | 5.6× |
| Occult blood stool (82272) | $24.18 | $39 | 5.7× |
| Oligoclonal bands (83916) | $143.84 | $232 | 5.3× |
| Onco (ovarian) biochemical assay two proteins (81500) | $894.66 | $1,443 | 3.4× |
| Oncology prostate biochemical assay 4 proteins (81539) | $1,541.32 | $2,486 | 2.0× |
| Organic Acids Qualitative Each Specimen (83919) | $91.76 | $148 | 5.6× |
| Orthopoxvirus Amp Prb Each (87593) | $153.76 | $248 | 3.0× |
| Osmolality serum (83930) | $37.20 | $60 | 5.6× |
| Osmolality urine (83935) | $38.44 | $62 | 5.6× |
| Ova and parasite direct-id lca (87177) | $50.22 | $81 | 5.6× |
| Oxalate urine (83945) | $81.22 | $131 | 5.6× |
| Pancreatic elastase, fecal (82656) | $64.48 | $104 | 5.6× |
| Pancreatic polypeptide (83519) | $102.92 | $166 | 5.6× |
| Parvovirus antibody (86747) | $84.32 | $136 | 5.6× |
| Ph body fluid (83986) | $20.46 | $33 | 5.7× |
| Ph urine (81003) | $13.02 | $21 | 5.8× |
| Phenotype Infect Agent Drug (87900) | $613.80 | $990 | 4.7× |
| Phenylalanine (84030) | $31 | $50 | 5.6× |
| Phenytoin free (80186) | $76.88 | $124 | 5.6× |
| Phosphatase alkaline (84075) | $29.14 | $47 | 5.6× |
| Phosphorus blood (84100) | $26.66 | $43 | 5.6× |
| Phosphorus urine (84105) | $32.86 | $53 | 5.7× |
| Pinworm exam (87172) | $24.18 | $39 | 5.7× |
| Platelet count automated (85049) | $25.42 | $41 | 5.7× |
| Platelet neutralization (85597) | $100.44 | $162 | 5.6× |
| Pml/raralpha com breakpoints (81315) | $976.50 | $1,575 | 4.7× |
| Pms2 gene analysis duplication/deletion variants (81319) | $958.52 | $1,546 | 4.7× |
| Pms2 gene analysis full sequence (81317) | $1,372.06 | $2,213 | 2.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $82.46 | $133 | 5.6× |
| Potassium (84132) | $29.76 | $48 | 6.3× |
| Potassium urine (84133) | $26.66 | $43 | 5.6× |
| Pregnenolone (84140) | $111.60 | $180 | 5.4× |
| Pretx serum rbc antibody identification dilution (86976) | $179.18 | $289 | 5.8× |
| Primidone (80188) | $84.94 | $137 | 5.1× |
| Procalcitonin (pct) (84145) | $151.90 | $245 | 5.6× |
| Progesterone (84144) | $116.56 | $188 | 5.6× |
| Protein body fluid (84157) | $22.32 | $36 | 5.6× |
| Protein c activity (85303) | $77.50 | $125 | 5.6× |
| Protein c antigen (85302) | $67.58 | $109 | 5.6× |
| Protein electrophoresis serum (84165) | $60.14 | $97 | 5.6× |
| Protein Electrophoresis Urine (84166) | $99.82 | $161 | 5.6× |
| Protein s total (85305) | $75.33 | $121.50 | 6.5× |
| Protein total serum (84155) | $21.08 | $34 | 5.7× |
| Protein urine (84156) | $21.08 | $34 | 5.7× |
| Protein westrn blot i&r blood/other fluid (84181) | $95.48 | $154 | 5.6× |
| Protoporphyrin rbc quantitative (84202) | $80.60 | $130 | 5.6× |
| PSA free (84154) | $89.90 | $145 | 4.9× |
| Pth intact (83970) | $230.64 | $372 | 5.6× |
| Quinine (84228) | $65.10 | $105 | 5.6× |
| Rbc (85041) | $17.36 | $28 | 5.7× |
| Rbc antibody elution (86860) | $161.82 | $261 | 0.9× |
| Rbc pretreatment serum (86978) | $179.18 | $289 | 2.8× |
| Rbc pretx incubatj w/chemicl (86970) | $151.28 | $244 | 2.4× |
| Reagent strip/blood glucose (82948) | $24.18 | $39 | 4.8× |
| Renin activity plasma (84244) | $122.76 | $198 | 5.6× |
| Resp virus 12-25 targets (87633) | $843.82 | $1,361 | 2.0× |
| Resp virus 3-5 targets (87631) | $496.93 | $801.50 | 3.5× |
| Reticulocyte count auto (85045) | $22.32 | $36 | 5.6× |
| Reticulocyte separation (86972) | $209.56 | $338 | 1.2× |
| Rheumatoid factor quant (86431) | $32.24 | $52 | 5.7× |
| Rickettsia antibody (86757) | $108.50 | $175 | 5.6× |
| Ristocetin cofactor (85245) | $128.34 | $207 | 5.6× |
| Rotavirus ag eia (87425) | $66.96 | $108 | 5.6× |
| Rpr Titer (86593) | $24.80 | $40 | 5.6× |
| Rsv (87807) | $73.16 | $118 | 5.6× |
| Rubella antibody (86762) | $76.26 | $123 | 5.3× |
| Rubeola Antibody Igg (86765) | $71.92 | $116 | 5.6× |
| Russell viper venom time diluted (85613) | $53.94 | $87 | 5.6× |
| Salicylate Level (80179) | $91.14 | $147 | 4.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $241.80 | $390 | 4.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $213.90 | $345 | 5.1× |
| Sars-cov-2 covid19 w/optic (87811) | $127.72 | $206 | 3.1× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $37.20 | $60 | 5.6× |
| Sedimentation rate auto (85652) | $15.50 | $25 | 5.7× |
| Selenium (84255) | $142.60 | $230 | 5.6× |
| Semen analysis complete (89322) | $67.58 | $109 | 4.4× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $67.58 | $109 | 5.6× |
| Sensitivity mic (87186) | $48.36 | $78 | 5.6× |
| Serotonin Release Assay (86022) | $102.92 | $166 | 5.6× |
| Serpina1 gene (81332) | $225.99 | $364.50 | 5.2× |
| Sex hormone binding globulin (84270) | $106.02 | $171 | 4.9× |
| Sickling of rbc reduction (85660) | $31 | $50 | 5.6× |
| Sirolimus (rapamycin) (80195) | $76.88 | $124 | 5.6× |
| Smear acid fast (87206) | $30.38 | $49 | 5.6× |
| Smear complex stain (87209) | $97.96 | $158 | 5.4× |
| Smear gram stain (87205) | $24.18 | $39 | 5.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $27.90 | $45 | 4.8× |
| So neo gsap DNA/DNA&RNA (81459) | $1,576.66 | $2,543 | 0.5× |
| Sodium (84295) | $27.28 | $44 | 5.7× |
| Sodium urine (84300) | $28.52 | $46 | 5.6× |
| Somatomedin (84305) | $119.04 | $192 | 5.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $220.72 | $356 | 1.6× |
| Special stains group 1 (88312) | $268.15 | $432.50 | 4.8× |
| Specific gravity body fluid (84315) | $15.50 | $25 | 4.7× |
| Spectrophotometry (84311) | $45.26 | $73 | 5.6× |
| Staph a DNA amp probe (87640) | $165.54 | $267 | 4.7× |
| Stool Culture, Addl Pathogens (87046) | $52.70 | $85 | 5.6× |
| Strep a assay w/optic (87880) | $57.97 | $93.50 | 3.5× |
| Strep a DNA amp probe (87651) | $136.09 | $219.50 | 3.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $596.44 | $962 | 6.5× |
| Sugars Single Qualitative, Each Specimen (84376) | $31 | $50 | 5.6× |
| Sulfate urine (84392) | $31 | $50 | 5.6× |
| Surg path level 1 (88300) | $55.49 | $89.50 | 1.8× |
| Surg path level iii (88304) | $132.06 | $213 | 2.4× |
| Surgical pathology level IV (88305) | $167.71 | $270.50 | 3.0× |
| T Cell Absolute Count (86361) | $150.04 | $242 | 5.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $221.34 | $357 | 4.7× |
| T cells total count (86359) | $177.94 | $287 | 4.7× |
| T3 free (84481) | $94.86 | $153 | 5.6× |
| T3 reverse (84482) | $88.04 | $142 | 5.6× |
| T3 total (84480) | $79.36 | $128 | 5.6× |
| T3 uptake (84479) | $36.58 | $59 | 5.7× |
| T4 free (84439) | $50.84 | $82 | 5.6× |
| T4 total (84436) | $38.44 | $62 | 5.6× |
| Tb intradermal test (86580) | $52.70 | $85 | 1.7× |
| Tb test, cell immun measure (86480) | $323.64 | $522 | 5.2× |
| Testosterone free (84402) | $130.82 | $211 | 5.1× |
| Testosterone total (84403) | $144.46 | $233 | 5.6× |
| Theophylline (80198) | $79.36 | $128 | 5.6× |
| Thin prep pap (88142) | $95.17 | $153.50 | 4.7× |
| Thrombin time plasma (85670) | $32.24 | $52 | 5.6× |
| Thromboplastin Inhibition Tissue (85705) | $53.94 | $87 | 5.6× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $36.58 | $59 | 5.7× |
| Thyroglobulin (84432) | $89.90 | $145 | 5.6× |
| Thyroglobulin antibody (86800) | $89.28 | $144 | 5.6× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $283.96 | $458 | 5.6× |
| Thyroxine binding globulin (84442) | $82.46 | $133 | 5.6× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $1,076.32 | $1,736 | 7.6× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $24.18 | $39 | 5.7× |
| Tissue culture bone marrow (88237) | $677.04 | $1,092 | 4.7× |
| Tissue culture lymphocyte (88230) | $548.70 | $885 | 4.7× |
| Tissue transglutaminase ab iga (86364) | $64.48 | $104 | 5.6× |
| Toxoplasma ab igm (86778) | $80.60 | $130 | 5.6× |
| Toxoplasma antibody igg (86777) | $76.26 | $123 | 5.3× |
| Tpmt gene com variants (81335) | $823.36 | $1,328 | 4.7× |
| Transferrin (84466) | $71.30 | $115 | 5.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $581.56 | $938 | 2.8× |
| Trg gene rearrangement analysis (81342) | $581.56 | $938 | 2.9× |
| Trichinella antibody (86784) | $163.06 | $263 | 13.0× |
| Trichomonas vagin dir probe (87660) | $112.22 | $181 | 5.6× |
| Triglycerides (84478) | $32.24 | $52 | 5.6× |
| Troponin (84484) | $70.06 | $113 | 5.6× |
| Ugt1a1 gene analysis common variants (81350) | $1,101.74 | $1,777 | 4.7× |
| Urea nitrogen (84520) | $22.32 | $36 | 5.7× |
| Urea nitrogen urine (84540) | $59.52 | $96 | 10.7× |
| Uric acid blood (84550) | $25.42 | $41 | 5.6× |
| Uric acid other source (84560) | $28.52 | $46 | 5.6× |
| Urinalysis (81005) | $12.40 | $20 | 5.7× |
| Urinalysis auto w/scope (81001) | $17.98 | $29 | 5.7× |
| Urine Bacteria Culture (87088) | $31 | $50 | 3.8× |
| Urine pregnancy test (81025) | $107.88 | $174 | 12.5× |
| Urine volume measurement (81050) | $28.52 | $46 | 7.8× |
| Valproic acid (80164) | $75.64 | $122 | 5.6× |
| Vancomycin trough (80202) | $75.64 | $122 | 5.6× |
| Varicella-zoster antibody (86787) | $71.92 | $116 | 5.6× |
| Vasoactive intestinal peptide (vip) (84586) | $197.16 | $318 | 5.6× |
| Vdrl csf (86592) | $24.18 | $39 | 5.7× |
| Virus antibody nos (86790) | $60.76 | $98 | 4.7× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $177.94 | $287 | 5.3× |
| Virus inoculation, shell via (87254) | $109.74 | $177 | 5.6× |
| Viscosity serum (85810) | $65.72 | $106 | 5.6× |
| Vitamin A (84590) | $65.10 | $105 | 5.6× |
| Vitamin b-12 (82607) | $84.32 | $136 | 5.6× |
| Vitamin b1 (thiamine) (84425) | $108.50 | $175 | 5.1× |
| Vitamin b2 (84252) | $113.46 | $183 | 5.6× |
| Vitamin b3 niacin (84591) | $95.48 | $154 | 5.6× |
| Vitamin b6 (84207) | $156.86 | $253 | 5.6× |
| Vitamin c (82180) | $55.80 | $90 | 5.6× |
| Vitamin D 25-Hydroxy (82306) | $165.54 | $267 | 5.6× |
| Vitamin e serum (84446) | $79.36 | $128 | 5.6× |
| Voltage-gated calcium channel antibody each (86596) | $86.80 | $140 | 7.2× |
| West nile virus antibody (86789) | $68.20 | $110 | 4.7× |
| West nile virus igm (86788) | $79.36 | $128 | 4.7× |
| Zinc (84630) | $63.86 | $103 | 5.6× |