| 5-Hiaa (83497) |
$28.79 |
$71.97 |
2.2× |
| Acetaminophen (80143) |
$98.40 |
$246 |
5.3× |
| Acetone, quantitative (82010) |
$43.60 |
$108.99 |
5.3× |
| Acetylcholine receptor binding antibody (86041) |
$22.08 |
$55.20 |
1.2× |
| Acetylcholn rcptr blckg antb (86042) |
$22.08 |
$55.20 |
1.2× |
| Acetylcholn rcptr modlg antb (86043) |
$14.46 |
$36.15 |
1.2× |
| Activated protein c resistance (85307) |
$81.74 |
$204.35 |
5.3× |
| Acute hepatitis panel (80074) |
$254.14 |
$635.33 |
5.3× |
| Afb concentration (87015) |
$42.48 |
$106.20 |
6.4× |
| Afb culture (87116) |
$57.64 |
$144.10 |
5.3× |
| Afb smear (87206) |
$34.21 |
$85.51 |
6.3× |
| Albumin body fluid (82042) |
$24.61 |
$61.52 |
3.2× |
| Albumin serum (82040) |
$26.40 |
$66 |
5.3× |
| Alcohol (82077) |
$75.70 |
$189.24 |
4.4× |
| Alkaline phosphatase (84075) |
$27.61 |
$69.01 |
5.3× |
| Alpha-fetoprotein serum (82105) |
$88.21 |
$220.51 |
5.3× |
| Alt (84460) |
$18.87 |
$47.17 |
3.6× |
| Amikacin level (80150) |
$37.52 |
$93.80 |
2.5× |
| Ammonia (82140) |
$77.76 |
$194.38 |
5.3× |
| Amylase (82150) |
$36.24 |
$90.59 |
5.6× |
| Ana (86038) |
$66.47 |
$166.16 |
5.5× |
| Ana titer (86039) |
$61.37 |
$153.42 |
5.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$18.14 |
$45.35 |
1.0× |
| Anti-mitochondrial antibody (86255) |
$118.96 |
$297.39 |
9.9× |
| Antibody identification platelet antibodies (86022) |
$139.29 |
$348.22 |
7.6× |
| Antibody; Helicobacter pylori (86677) |
$93.36 |
$233.40 |
5.5× |
| Antistreptolysin o screen (86063) |
$24.90 |
$62.23 |
4.3× |
| Antistreptolysin o titer (86060) |
$15.40 |
$38.48 |
2.1× |
| Antithrombin iii activity (85300) |
$65.18 |
$162.94 |
5.5× |
| Apolipoprotein each (82172) |
$82.69 |
$206.71 |
3.9× |
| Assay anti-mullerian horm (82166) |
$46.35 |
$115.86 |
1.2× |
| Ast (84450) |
$18.87 |
$47.17 |
3.6× |
| Autologous blood or component, collection processing and storage; predeposited (86890) |
$326.60 |
$816.49 |
1.8× |
| B cells total count (86355) |
$94.76 |
$236.88 |
2.5× |
| Basic metabolic panel calcium ionized (80047) |
$79.26 |
$198.13 |
5.8× |
| Bcr/abl1 gene major bp (81206) |
$154.98 |
$387.45 |
0.9× |
| Bcr/abl1 gene minor bp (81207) |
$154.98 |
$387.45 |
1.1× |
| Beta 2 glycoprotein i antibody (86146) |
$16.77 |
$41.91 |
0.7× |
| Beta lactamase (87185) |
$38.64 |
$96.60 |
8.1× |
| Bilirubin direct (82248) |
$15.98 |
$39.94 |
3.2× |
| Bilirubin total (82247) |
$15.98 |
$39.94 |
3.2× |
| Bleeding time (85002) |
$24.04 |
$60.08 |
5.0× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
$147.15 |
$367.86 |
4.8× |
| Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease,… (86078) |
$312.70 |
$781.74 |
1.7× |
| Blood count leukocyte wbc automated (85048) |
$13.98 |
$34.93 |
5.5× |
| Blood count reticulocyte automated (85045) |
$23.39 |
$58.46 |
5.9× |
| Blood gases any combination (82803) |
$103.25 |
$258.11 |
4.0× |
| Blood gases ph only (82800) |
$49.47 |
$123.66 |
4.5× |
| Blood gases w/o2 saturation (82805) |
$160.82 |
$402.04 |
2.0× |
| Blood typing rbc antigens (86905) |
$162.53 |
$406.31 |
42.4× |
| Blood typing serologic abo (86900) |
$82.35 |
$205.86 |
27.5× |
| Blood typing serologic rh (d) (86901) |
$82.35 |
$205.86 |
27.5× |
| Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient (86904) |
$35.70 |
$89.23 |
2.2× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$152.93 |
$382.32 |
24.1× |
| Bone marrow smear interpretation (85097) |
$1,644.22 |
$4,110.53 |
1.9× |
| Breath alcohol test (82075) |
$17.79 |
$44.46 |
0.6× |
| C diff amplified probe (87493) |
$194.74 |
$486.84 |
5.2× |
| C-peptide (84681) |
$12.97 |
$32.41 |
0.6× |
| C-reactive protein (86140) |
$28.80 |
$71.99 |
5.6× |
| C-reactive protein high sensitivity (86141) |
$69.10 |
$172.75 |
5.3× |
| Ca 125 (86304) |
$138.86 |
$347.14 |
6.7× |
| Ca 15-3 (86300) |
$114.44 |
$286.09 |
5.5× |
| Calcium ionized (82330) |
$91.39 |
$228.47 |
6.7× |
| Calcium total (82310) |
$27.52 |
$68.80 |
5.3× |
| Calcium, random urine (82340) |
$33.15 |
$82.87 |
5.5× |
| Calculus; quantitative analysis, chemical Other Outpatient (82360) |
$75.26 |
$188.14 |
5.8× |
| Cancer antigen 19-9 (86301) |
$114.44 |
$286.09 |
5.5× |
| Candida DNA amp probe (87481) |
$23.11 |
$57.77 |
0.7× |
| Carbamazepine total (80156) |
$77.71 |
$194.27 |
5.3× |
| Carbon dioxide (82374) |
$15.18 |
$37.93 |
3.1× |
| Carbon monoxide (82375) |
$65.77 |
$164.42 |
5.3× |
| Cardiolipin antibody ea ig class (86147) |
$81.56 |
$203.89 |
3.2× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$189.47 |
$473.66 |
4.0× |
| Cea (82378) |
$115.60 |
$289 |
6.1× |
| Cell count body fluid (89050) |
$22.65 |
$56.61 |
4.8× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$30.15 |
$75.37 |
5.4× |
| Cell function assay w/stim (86352) |
$128.22 |
$320.55 |
0.9× |
| Cftr gene com variants (81220) |
$329.90 |
$824.73 |
0.6× |
| Chg fresh frozen plasma thawing each unit (86927) |
$326.60 |
$816.49 |
1.8× |
| Chlamydia culture (87110) |
$114.51 |
$286.27 |
5.8× |
| Chloride blood (82435) |
$14.88 |
$37.18 |
3.2× |
| Chloride other source (82438) |
$28.12 |
$70.28 |
5.6× |
| Chloride urine (82436) |
$26.84 |
$67.08 |
4.7× |
| Cholesterol total (82465) |
$23.22 |
$58.04 |
5.3× |
| Cholinesterase serum (82480) |
$17.60 |
$44 |
2.2× |
| Chorionic gonadotropin test (84702) |
$80.36 |
$200.88 |
5.3× |
| Chromosome analysis 15-20 cells (88262) |
$685.27 |
$1,713.17 |
5.5× |
| Chromosome analysis 20-25 cells (88264) |
$685.27 |
$1,713.17 |
4.7× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$104.46 |
$261.15 |
3.9× |
| Chromosome analysis for genetic defects, additional high resolution study (88289) |
$189.31 |
$473.27 |
5.5× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$138 |
$345 |
4.1× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) |
$988.35 |
$2,470.87 |
5.2× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$971.67 |
$2,429.16 |
3.7× |
| Ck mb fraction (82553) |
$61.60 |
$154 |
5.3× |
| Clostridium ag eia (87324) |
$76.22 |
$190.55 |
6.4× |
| Clotting funct activity (85397) |
$122.84 |
$307.08 |
4.0× |
| Cmv antibody (86644) |
$76.82 |
$192.04 |
5.3× |
| Coagulation time activated (85347) |
$22.71 |
$56.77 |
5.3× |
| Compatibility each unit electronic (86923) |
$117.64 |
$294.10 |
0.7× |
| Complement antigen ea component (86160) |
$65.04 |
$162.60 |
5.4× |
| Coombs test indirect titer (86886) |
$82.35 |
$205.86 |
15.9× |
| Cortisol saliva (82533) |
$95.82 |
$239.53 |
5.9× |
| COVID-19 antibody (86769) |
$49.76 |
$124.40 |
1.2× |
| Creatine kinase isoenzymes (82552) |
$71.50 |
$178.75 |
5.3× |
| Creatine kinase total (82550) |
$38.24 |
$95.59 |
5.9× |
| Creatinine (82565) |
$27.34 |
$68.33 |
5.3× |
| Creatinine clearance (82575) |
$50.43 |
$126.07 |
5.3× |
| Creatinine other source (82570) |
$27.61 |
$69.01 |
5.3× |
| Crossmatch ahg (86922) |
$212.81 |
$532.02 |
1.2× |
| Cryptococcal antigen (87327) |
$70.10 |
$175.25 |
5.2× |
| Cryptosporidium ag eia (87328) |
$77.42 |
$193.53 |
5.6× |
| Cryptosporidium ag if (87272) |
$65.96 |
$164.88 |
5.5× |
| Crystals fluid (89060) |
$38.17 |
$95.41 |
5.2× |
| Culture anaerobic (87075) |
$58.29 |
$145.72 |
6.2× |
| Culture blood (87040) |
$78.03 |
$195.06 |
7.6× |
| Culture fungus blood (87103) |
$52.71 |
$131.76 |
2.6× |
| Culture fungus skin hair nail (87101) |
$42.57 |
$106.42 |
5.5× |
| Culture stool (87045) |
$52.02 |
$130.03 |
5.5× |
| Culture urine (87086) |
$46.78 |
$116.95 |
5.8× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$60.31 |
$150.76 |
7.5× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$41.42 |
$103.53 |
5.1× |
| Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) |
$51.87 |
$129.67 |
5.2× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$52.44 |
$131.08 |
5.6× |
| Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) |
$60.18 |
$150.43 |
4.1× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$11.38 |
$28.44 |
2.2× |
| Cyclosporine (80158) |
$99.27 |
$248.16 |
5.5× |
| Cytogenetics 25-99 (88274) |
$191.40 |
$478.50 |
4.5× |
| Cytomeg DNA amp probe (87496) |
$171.47 |
$428.67 |
4.9× |
| Cytopath cell enhance tech (88112) |
$142.84 |
$357.08 |
2.6× |
| Cytopath tbs c/v manual (88164) |
$61.78 |
$154.44 |
3.3× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$114.88 |
$287.20 |
5.7× |
| Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) |
$157.01 |
$392.51 |
0.9× |
| Cytp eval fine needle aspirate interp & report (88173) |
$185.43 |
$463.57 |
3.4× |
| Cytp urine 3-5 probes cmptr (88121) |
$286.97 |
$717.41 |
1.6× |
| Cytp urne 3-5 probes ea spec (88120) |
$326.60 |
$816.49 |
1.8× |
| D-dimer quantitative (85379) |
$47.30 |
$118.23 |
4.6× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$75.50 |
$188.75 |
5.5× |
| Digoxin (80162) |
$70.84 |
$177.09 |
5.3× |
| Direct antiglobulin test (86880) |
$82.35 |
$205.86 |
15.3× |
| DNA/RNA amplified probe (87150) |
$75.19 |
$187.96 |
2.1× |
| Drug assay infliximab (80230) |
$95.97 |
$239.91 |
2.5× |
| Drug assay methotrexate (80204) |
$73.10 |
$182.74 |
1.9× |
| Drug assay salicylate (80179) |
$98.40 |
$246 |
5.3× |
| Drug screen quant levetiracetam (80177) |
$16.82 |
$42.05 |
1.3× |
| Drug screen quantitative oxcarbazepine (80183) |
$90.84 |
$227.09 |
6.9× |
| Drug test prsmv chem anlyzr (80307) |
$49.44 |
$123.58 |
0.8× |
| Drug test prsmv dir opt obs (80305) |
$73.46 |
$183.65 |
5.8× |
| Ear culture (87070) |
$53.44 |
$133.59 |
6.2× |
| Electrolytes panel (80051) |
$37.43 |
$93.57 |
5.3× |
| Electron microscopy diagnostic (88348) |
$1,374.04 |
$3,435.09 |
1.6× |
| Enterovirus by PCR (87498) |
$192.96 |
$482.38 |
5.5× |
| Enzyme histochemistry (88319) |
$687.03 |
$1,717.56 |
0.8× |
| Eosinophils urine (87205) |
$26.52 |
$66.29 |
6.2× |
| Estradiol (82670) |
$169.89 |
$424.72 |
6.1× |
| Ethylene glycol (82693) |
$81.90 |
$204.75 |
5.5× |
| Eval amniotic fluid protein (84112) |
$343.69 |
$859.22 |
3.5× |
| Extractable nuclear antigen antibody any method (86235) |
$82.10 |
$205.25 |
4.6× |
| F2 gene analysis (81240) |
$91.29 |
$228.21 |
1.4× |
| F5 gene (81241) |
$80.36 |
$200.90 |
1.1× |
| Factor ii activity (85210) |
$61.42 |
$153.55 |
4.7× |
| Factor ix activity (85250) |
$61.42 |
$153.55 |
3.2× |
| Factor v activity (85220) |
$97.05 |
$242.62 |
5.5× |
| Factor vii activity (85230) |
$98.45 |
$246.11 |
5.5× |
| Factor viii activity (85240) |
$98.45 |
$246.11 |
5.5× |
| Factor xi activity (85270) |
$50.90 |
$127.23 |
2.8× |
| Fat stain (89125) |
$23.03 |
$57.57 |
3.9× |
| Ferritin (82728) |
$80.04 |
$200.08 |
5.9× |
| Fetal fibronectin (82731) |
$343.69 |
$859.22 |
5.3× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$41.32 |
$103.28 |
5.3× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$35.41 |
$88.51 |
3.8× |
| Fetal lung maturity assessment; lamellar body density Other Outpatient (83664) |
$45.95 |
$114.87 |
2.4× |
| Fibrinogen, activity (85384) |
$98.24 |
$245.58 |
10.1× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$18.17 |
$45.42 |
1.2× |
| Flow cytometry first marker (88184) |
$297.54 |
$743.83 |
0.8× |
| Folate serum (82746) |
$86.22 |
$215.55 |
5.9× |
| Folic acid rbc (82747) |
$94.64 |
$236.59 |
5.4× |
| Follicle stimulating hormone (fsh) (83001) |
$108.92 |
$272.30 |
5.9× |
| Frozen blood thaw (86931) |
$326.60 |
$816.49 |
1.8× |
| Frozen blood, each unit; freezing (includes preparation) and thawing (86932) |
$118.83 |
$297.06 |
3.0× |
| Fungus isolation culture (87102) |
$49.14 |
$122.85 |
5.8× |
| Gamma glutamyl transferase (82977) |
$15.98 |
$39.94 |
2.2× |
| Gammaglobulin ige (82785) |
$90.53 |
$226.32 |
5.5× |
| Gardnerella vaginalis amp probe (87511) |
$23.11 |
$57.77 |
0.7× |
| Genet virus isolate hsv (87255) |
$188.98 |
$472.45 |
5.6× |
| Gentamicin (80170) |
$87.47 |
$218.66 |
5.3× |
| Giardia antigen (87329) |
$65.61 |
$164.01 |
5.5× |
| Glucose Fasting (82947) |
$20.94 |
$52.33 |
5.3× |
| Glucose other fluid (82945) |
$20.94 |
$52.33 |
5.3× |
| Glucose post glucose dose (82950) |
$25.36 |
$63.39 |
5.3× |
| Glucose tolerance test (gtt) (82951) |
$41.79 |
$104.46 |
3.2× |
| Glycated hemoglobin (83036) |
$51.78 |
$129.44 |
5.3× |
| Gtt-added samples (82952) |
$20.94 |
$52.33 |
5.3× |
| Haptoglobin (83010) |
$49.04 |
$122.60 |
3.9× |
| Hcg ql (84703) |
$38.21 |
$95.52 |
5.1× |
| HDL cholesterol (83718) |
$43.71 |
$109.26 |
5.3× |
| Hematocrit (hct) (85014) |
$12.67 |
$31.66 |
5.3× |
| Hematocrit spun (85013) |
$12.67 |
$31.66 |
1.8× |
| Hemoglobin (85018) |
$12.67 |
$31.66 |
5.3× |
| Hemoglobin electrophoresis (83020) |
$62 |
$154.99 |
4.8× |
| Hemoglobin fetal ql (83033) |
$32.78 |
$81.93 |
4.1× |
| Hemoglobin plasma (83051) |
$25.32 |
$63.28 |
3.5× |
| Hemosiderin qual (83070) |
$25.36 |
$63.39 |
5.3× |
| Hep a ab total (86708) |
$68.12 |
$170.30 |
5.5× |
| Heparin assay (85520) |
$154.23 |
$385.57 |
11.8× |
| Heparin-protamine tolerance test Other Outpatient (85530) |
$97.34 |
$243.35 |
7.4× |
| Hepatitis a antibody igm (86709) |
$62.16 |
$155.40 |
5.5× |
| Hepatitis b core antibody igm (86705) |
$62.80 |
$157 |
5.3× |
| Hepatitis b core antibody total (86704) |
$13.10 |
$32.75 |
1.1× |
| Hepatitis b surface ab (86706) |
$69.14 |
$172.85 |
6.4× |
| Hepatitis b surface antigen (87340) |
$66.57 |
$166.42 |
6.4× |
| Hepatitis c antibody (86803) |
$76.16 |
$190.40 |
5.3× |
| Hepatitis c RNA quantitative (87522) |
$69.37 |
$173.42 |
1.6× |
| Hepatitis d quantification (87523) |
$51.41 |
$128.52 |
1.2× |
| Herpes simplex virus by PCR (87529) |
$187.26 |
$468.13 |
5.3× |
| Heterophile antibody screen (86308) |
$28.80 |
$71.99 |
5.6× |
| Hfe gene (81256) |
$79.48 |
$198.70 |
1.2× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$127.56 |
$318.88 |
5.3× |
| HIV-1 antibody (86701) |
$47.41 |
$118.51 |
5.3× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$53.22 |
$133.04 |
3.9× |
| Hla b27 (86812) |
$141.91 |
$354.76 |
5.5× |
| Homocysteine level (83090) |
$92.74 |
$231.84 |
5.2× |
| Homogenization tissue (87176) |
$32.14 |
$80.35 |
5.5× |
| Hpv high-risk types (87624) |
$37.01 |
$92.52 |
1.1× |
| Hpv low-risk types (87623) |
$55.77 |
$139.41 |
1.6× |
| Hpv types 16 & 18 only (87625) |
$37.01 |
$92.52 |
0.9× |
| Iaadi herpes smplx virus type 1 (87274) |
$65.96 |
$164.88 |
5.5× |
| Iaadi herpes smplx virus type 2 (87273) |
$65.96 |
$164.88 |
5.5× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$61.95 |
$154.86 |
1.2× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$229.68 |
$574.19 |
1.6× |
| Igh gene rearrange amp meth (81261) |
$409.03 |
$1,022.56 |
2.1× |
| Immunoassay analyte quantitative nos (83520) |
$27.01 |
$67.52 |
1.6× |
| Immunoassay infectious agent antibody quan nos (86317) |
$32.21 |
$80.51 |
2.1× |
| Immunofixation electrophoresis (86334) |
$99.78 |
$249.45 |
4.5× |
| Immunofixation urine (86335) |
$139.36 |
$348.38 |
4.7× |
| Immunofluor antb 1st stain (88346) |
$653.18 |
$1,632.95 |
3.6× |
| Immunoglobulin d (82784) |
$31.37 |
$78.42 |
3.4× |
| Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) |
$302.78 |
$756.94 |
0.8× |
| Immunoperoxidase (88342) |
$121.37 |
$303.41 |
0.7× |
| In situ hybridization 1st probe stain (88365) |
$362.52 |
$906.30 |
2.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$81.13 |
$202.82 |
5.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
$76.45 |
$191.11 |
5.8× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$65.67 |
$164.17 |
4.1× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$63.51 |
$158.77 |
4.8× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) |
$40.20 |
$100.48 |
1.0× |
| Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other… (87299) |
$65.96 |
$164.88 |
4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$52.24 |
$130.59 |
0.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$116.36 |
$290.88 |
3.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$235.51 |
$588.76 |
5.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) |
$251.02 |
$627.54 |
8.6× |
| Influenza a ag eia (87400) |
$83.88 |
$209.70 |
5.9× |
| Influenza assay w/optic (87804) |
$82.23 |
$205.57 |
5.0× |
| Influenza DNA amp probe (87502) |
$298.05 |
$745.11 |
3.1× |
| Inhibin a (86336) |
$69.10 |
$172.75 |
4.4× |
| Insulin total (83525) |
$60.98 |
$152.44 |
5.3× |
| Iron (83540) |
$34.55 |
$86.36 |
5.3× |
| Iron binding capacity (83550) |
$46.67 |
$116.66 |
5.3× |
| Irradiation of blood product, each unit (86945) |
$118.83 |
$297.06 |
3.0× |
| Jak2 gene (81270) |
$142.58 |
$356.45 |
1.6× |
| Koh prep (87220) |
$23.49 |
$58.71 |
5.5× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$127.75 |
$319.36 |
3.2× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$144.32 |
$360.80 |
3.7× |
| Lactate (83605) |
$38.86 |
$97.15 |
3.4× |
| Lactate dehydrogenase (83615) |
$33.77 |
$84.42 |
5.6× |
| Lamotrigine (80175) |
$13.32 |
$33.30 |
1.0× |
| LDL direct (83721) |
$50.90 |
$127.23 |
4.8× |
| Legionella culture (87081) |
$44.69 |
$111.71 |
6.7× |
| Legionella urine antigen (87449) |
$65.96 |
$164.88 |
5.5× |
| Leukocyte assessment fecal (89055) |
$22.84 |
$57.10 |
5.3× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$147.72 |
$369.28 |
3.7× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$166.55 |
$416.37 |
3.0× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$197.80 |
$494.48 |
3.6× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$371.86 |
$929.63 |
1.0× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$426 |
$1,064.98 |
0.5× |
| Lidocaine (80176) |
$80.74 |
$201.83 |
5.5× |
| Lipase (83690) |
$37.71 |
$94.26 |
5.5× |
| Lithium (80178) |
$35.29 |
$88.21 |
5.3× |
| Liver ds alys 3 bmrk srm alg (81517) |
$604.08 |
$1,510.20 |
3.4× |
| Luteinizing hormone (lh) (83002) |
$101.82 |
$254.55 |
5.5× |
| M/phmtrc alys ishquant/semiq (88377) |
$328.76 |
$821.89 |
1.8× |
| Macroscopic exam parasite (87169) |
$9.07 |
$22.67 |
2.1× |
| Magnesium (83735) |
$38.64 |
$96.60 |
5.8× |
| Malaria smear (87207) |
$31.37 |
$78.42 |
5.2× |
| Manual differential (85007) |
$20.10 |
$50.24 |
5.3× |
| Metanephrines (83835) |
$126.86 |
$317.14 |
7.5× |
| Methemoglobin quant (83050) |
$39.10 |
$97.75 |
4.8× |
| Microalbumin urine (82043) |
$30.87 |
$77.16 |
5.3× |
| Mold id (87107) |
$60.35 |
$150.87 |
5.8× |
| Molecular cytogenetics DNA probe each (88271) |
$117.74 |
$294.33 |
5.5× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) |
$176.66 |
$441.63 |
5.1× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$220.80 |
$551.98 |
4.3× |
| Mopath procedure level 2 (81401) |
$81.20 |
$203 |
0.6× |
| Mopath procedure level 4 (81403) |
$171.45 |
$428.62 |
0.9× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$155.41 |
$388.52 |
0.9× |
| Mrsa PCR (87641) |
$192.96 |
$482.38 |
5.5× |
| Mthfr gene (81291) |
$150.88 |
$377.19 |
2.3× |
| Muscle-specific kinase antb (86366) |
$22.08 |
$55.20 |
1.2× |
| Mycoplasma antibody (86738) |
$72.83 |
$182.07 |
5.5× |
| Myoglobin (83874) |
$71 |
$177.50 |
5.5× |
| N.gonorrhoeae DNA amp prob (87591) |
$116.36 |
$290.88 |
3.3× |
| Nasal smear for eosinophils (89190) |
$19.03 |
$47.57 |
3.3× |
| Natriuretic peptide (83880) |
$196.81 |
$492.02 |
5.0× |
| Nk cells total count (86357) |
$94.76 |
$236.88 |
2.5× |
| Occult bld feces 1-3 tests (82272) |
$20.07 |
$50.16 |
4.7× |
| Occult blood screening (82270) |
$19.03 |
$47.57 |
4.3× |
| Osmolality serum (83930) |
$35.29 |
$88.21 |
5.3× |
| Osmolality urine (83935) |
$36.38 |
$90.95 |
5.3× |
| Ova and parasite exam (87177) |
$47.48 |
$118.70 |
5.3× |
| Parathyroid hormone (83970) |
$260.08 |
$650.18 |
6.3× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$247.44 |
$618.58 |
0.7× |
| Pathology clinical consultation hi mdm 41-60 min (80505) |
$291.54 |
$728.84 |
1.6× |
| Pathology clinical consultation mod mdm 21-40min (80504) |
$218.66 |
$546.63 |
1.2× |
| Pathology clinical consultation sf mdm 5-20 min (80503) |
$72.86 |
$182.13 |
1.3× |
| Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) |
$1,570.19 |
$3,925.47 |
1.8× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$277.93 |
$694.81 |
1.5× |
| Pathology examination of specimen during surgery (88329) |
$47.58 |
$118.95 |
0.8× |
| Pertussis by PCR (87798) |
$187.26 |
$468.13 |
5.3× |
| Ph body fluid (83986) |
$19.11 |
$47.77 |
5.3× |
| Phenobarbital (80184) |
$61.10 |
$152.75 |
4.0× |
| Phenytoin (dilantin) free (80186) |
$75.70 |
$189.24 |
5.5× |
| Phenytoin level total (80185) |
$70.73 |
$176.81 |
5.3× |
| Phosphatidylglycerol (84081) |
$101.77 |
$254.41 |
6.2× |
| Phosphorus (84100) |
$30.20 |
$75.49 |
6.4× |
| Phosphorus urine (84105) |
$28.46 |
$71.14 |
4.9× |
| Pinworm exam (87172) |
$32.59 |
$81.47 |
7.6× |
| Platelet aggregation ea agent (85576) |
$118.12 |
$295.30 |
4.7× |
| Platelet count automated (85049) |
$23.88 |
$59.70 |
5.3× |
| Pooling of platelets or other blood products (86965) |
$214.49 |
$536.21 |
1.2× |
| Porphobilinogen urine (84110) |
$18.95 |
$47.36 |
2.2× |
| Potassium (84132) |
$25.67 |
$64.16 |
5.4× |
| Potassium urine (84133) |
$22.94 |
$57.35 |
4.8× |
| Prealbumin (84134) |
$56.99 |
$142.46 |
3.9× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) |
$84.65 |
$211.61 |
1.4× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$127.38 |
$318.43 |
2.0× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with inhibitors (86977) |
$160.66 |
$401.65 |
0.9× |
| Procalcitonin (pct) (84145) |
$147.24 |
$368.09 |
5.4× |
| Progesterone (84144) |
$94.91 |
$237.26 |
4.5× |
| Prolactin (84146) |
$106.56 |
$266.38 |
5.5× |
| Protein c activity (85303) |
$76.04 |
$190.10 |
5.5× |
| Protein electrophoresis serum (84165) |
$54.78 |
$136.94 |
5.1× |
| Protein electrophoresis urine (84166) |
$98.05 |
$245.11 |
5.5× |
| Protein s antigen, free (85306) |
$81.74 |
$204.35 |
5.3× |
| Protein total other source (84157) |
$19.57 |
$48.92 |
4.9× |
| Protein total serum (84155) |
$19.57 |
$48.92 |
5.3× |
| Protein total urine (84156) |
$24.49 |
$61.21 |
6.7× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$21.67 |
$54.17 |
5.5× |
| Rbc antibody elution (86860) |
$105.27 |
$263.17 |
0.6× |
| Rbc antibody identification (86870) |
$224.68 |
$561.68 |
0.6× |
| Rbc antibody screen (86850) |
$117.64 |
$294.10 |
12.0× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$79.31 |
$198.27 |
6.6× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$70.38 |
$175.94 |
5.3× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$103.25 |
$258.11 |
5.3× |
| Resp virus 12-25 targets (87633) |
$297.61 |
$744.02 |
0.7× |
| Resp virus 6-11 targets (87632) |
$997.12 |
$2,492.79 |
4.6× |
| Rheumatoid factor quant (86431) |
$30.29 |
$75.72 |
5.3× |
| Ristocetin cofactor (85245) |
$126.16 |
$315.38 |
5.5× |
| Rl immediate spin crossmatch (86920) |
$171.70 |
$429.23 |
1.0× |
| Rotavirus ag eia (87425) |
$65.96 |
$164.88 |
5.5× |
| Rpr qual (86592) |
$5.79 |
$14.47 |
1.4× |
| Rsv DNA/RNA amp probe (87634) |
$213.87 |
$534.67 |
3.0× |
| Rubella antibody (86762) |
$76.82 |
$192.04 |
5.3× |
| Rubeola antibody (86765) |
$70.84 |
$177.09 |
5.5× |
| Russell viper venom diluted (85613) |
$67.74 |
$169.34 |
7.1× |
| Sedimentation rate rbc automated (85652) |
$18.94 |
$47.35 |
7.0× |
| Sedimentation rate rbc non-automated (85651) |
$18.94 |
$47.35 |
4.4× |
| Shiga-like toxin ag eia (87427) |
$72.44 |
$181.09 |
6.0× |
| Sialidase enzyme assay (87905) |
$27.76 |
$69.40 |
2.3× |
| Sickle cell screen (85660) |
$32.24 |
$80.59 |
5.9× |
| Smear wet mount (87210) |
$22.85 |
$57.12 |
3.9× |
| So gsap cl fr cpy nmbr&mcrst (81463) |
$823.20 |
$2,058 |
0.6× |
| So gsap cll fr DNA/DNA&RNA (81462) |
$823.20 |
$2,058 |
0.7× |
| So gsap cll fr mcrstl ins (81464) |
$823.20 |
$2,058 |
0.3× |
| So gsap DNA cpy nmbr&mcrstl (81458) |
$823.20 |
$2,058 |
0.8× |
| So neo gsap DNA mcrstl ins (81457) |
$823.20 |
$2,058 |
0.9× |
| So neo gsap DNA/DNA&RNA (81459) |
$823.20 |
$2,058 |
0.3× |
| Sodium (84295) |
$25.71 |
$64.26 |
5.3× |
| Sodium other source (84302) |
$25.98 |
$64.93 |
5.3× |
| Sodium urine (84300) |
$25.98 |
$64.93 |
5.1× |
| Special stains group i (88312) |
$180.97 |
$452.41 |
3.3× |
| Special stains group ii (88313) |
$134.49 |
$336.21 |
1.0× |
| Specific gravity except urine (84315) |
$13.40 |
$33.49 |
4.1× |
| Splitting of blood or blood products, each unit (86985) |
$195.45 |
$488.62 |
1.1× |
| Staph a DNA amp probe (87640) |
$198.94 |
$497.35 |
5.7× |
| Strep a ag ia (87430) |
$68.01 |
$170.01 |
4.0× |
| Strep a assay w/optic (87880) |
$65.84 |
$164.59 |
4.0× |
| Strep a DNA amp probe (87651) |
$106.90 |
$267.24 |
3.0× |
| Surg path level 1 (88300) |
$98.26 |
$245.63 |
3.2× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$145.98 |
$364.93 |
2.7× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$66.17 |
$165.41 |
1.7× |
| Susceptibility mic per plate (87186) |
$47.82 |
$119.55 |
5.5× |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
$27.32 |
$68.29 |
5.8× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$39.44 |
$98.58 |
5.3× |
| T cells cd4 count (86361) |
$102.55 |
$256.37 |
3.8× |
| T3 free (84481) |
$90.41 |
$226.01 |
5.3× |
| T3 uptake (84479) |
$34.52 |
$86.28 |
5.3× |
| T4 (thyroxine) total (84436) |
$36.65 |
$91.62 |
5.3× |
| Tacrolimus (80197) |
$75.50 |
$188.75 |
5.5× |
| Tb test cell immun measure (86480) |
$340.78 |
$851.94 |
5.5× |
| Testosterone total (84403) |
$145.70 |
$364.25 |
5.6× |
| Theophylline (80198) |
$75.50 |
$188.75 |
5.3× |
| Thiopurine metabolites (80299) |
$73.10 |
$182.74 |
3.9× |
| Thrombin time plasma (85670) |
$30.78 |
$76.95 |
5.3× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$35.61 |
$89.01 |
5.5× |
| Thyroglobulin antibody (86800) |
$84.86 |
$212.14 |
5.3× |
| Thyroid peroxidase antibody (86376) |
$10.86 |
$27.13 |
0.7× |
| Thyroxine free (ft4) (84439) |
$43.48 |
$108.70 |
4.8× |
| Tissue culture bone marrow (88237) |
$694.44 |
$1,736.09 |
4.8× |
| Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) |
$405.36 |
$1,013.39 |
2.7× |
| Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) |
$164.58 |
$411.45 |
1.2× |
| Tissue culture lymphocyte (88230) |
$202.76 |
$506.88 |
1.7× |
| Tissue culture solid tumor (88239) |
$811.08 |
$2,027.69 |
5.5× |
| Tobramycin (80200) |
$86.02 |
$215.04 |
5.3× |
| Toxoplasma antibody igg (86777) |
$60.94 |
$152.34 |
4.2× |
| Transferrin (84466) |
$74.64 |
$186.59 |
5.8× |
| Treponema pallidum antibody (86780) |
$72.78 |
$181.94 |
5.5× |
| Trg gene rearrangement anal (81342) |
$300.86 |
$752.13 |
1.5× |
| Trichomonas vaginalis amplif (87661) |
$149.05 |
$372.61 |
4.2× |
| Trichrome stain (87209) |
$111.26 |
$278.15 |
6.2× |
| Triglycerides (84478) |
$30.67 |
$76.67 |
5.3× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$75.66 |
$189.15 |
5.3× |
| Troponin t (84484) |
$49.89 |
$124.72 |
4.0× |
| Urea nitrogen quantitative (84520) |
$21.08 |
$52.70 |
5.3× |
| Urea nitrogen urine (84540) |
$25.36 |
$63.39 |
4.6× |
| Uric acid blood (84550) |
$24.11 |
$60.27 |
5.3× |
| Uric acid other source (84560) |
$26.14 |
$65.35 |
5.1× |
| Urinalysis auto w/micro (81001) |
$16.90 |
$42.23 |
5.3× |
| Urinalysis microscopic only (81015) |
$16.22 |
$40.55 |
5.3× |
| Urine bacteria culture (87088) |
$45.89 |
$114.72 |
5.7× |
| Urine Pregnancy Test POC (81025) |
$36.10 |
$90.24 |
4.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$12.04 |
$30.10 |
5.4× |
| Valproic acid (80164) |
$72.32 |
$180.79 |
5.3× |
| Vancomycin (80202) |
$72.32 |
$180.79 |
5.3× |
| Varicella zoster antibody igg (86787) |
$70.84 |
$177.09 |
5.5× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$114.32 |
$285.79 |
5.8× |
| Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) |
$111.07 |
$277.67 |
5.5× |
| Vitamin b-12 (82607) |
$88.46 |
$221.13 |
5.9× |
| Vitamin d 25 hydroxy (82306) |
$157.98 |
$394.95 |
5.3× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$28.67 |
$71.67 |
0.7× |
| Volatiles (84600) |
$92.21 |
$230.51 |
5.4× |
| West nile virus antibody (86789) |
$27.30 |
$68.25 |
1.9× |
| Xm archive tissue molec anal (88363) |
$45.68 |
$114.18 |
1.5× |
| Yeast id (87106) |
$56.75 |
$141.87 |
5.5× |
| Z t cells total count (86359) |
$94.76 |
$236.88 |
2.5× |