| 17 Hydroxyprogesterone (83498) |
$115 |
$115 |
4.2× |
| 5-Hiaa (83497) |
$70 |
$70 |
5.4× |
| Abl1 gene (81170) |
$1,110 |
$1,110 |
3.7× |
| Acetaminophen (80143) |
$220 |
$220 |
11.8× |
| Acetone, quantitative (82010) |
$109 |
$109 |
13.3× |
| Acetylcholine receptor binding antibody (86041) |
$145 |
$145 |
7.9× |
| Acetylcholn rcptr blckg antb (86042) |
$125 |
$125 |
6.8× |
| Acetylcholn rcptr modlg antb (86043) |
$125 |
$125 |
10.4× |
| Acth (82024) |
$125 |
$125 |
3.2× |
| Actin smooth muscle antibody each (86015) |
$60 |
$60 |
5.0× |
| Activated protein c resistance (85307) |
$120 |
$120 |
7.8× |
| Acute hepatitis panel (80074) |
$200 |
$200 |
4.2× |
| Afb concentration (87015) |
$62 |
$62 |
9.3× |
| Afb culture (87116) |
$151 |
$151 |
14.0× |
| Afb smear (87206) |
$85 |
$85 |
15.8× |
| Albumin body fluid (82042) |
$68 |
$68 |
8.7× |
| Albumin serum (82040) |
$61 |
$61 |
12.3× |
| Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) |
$15 |
$15 |
2.4× |
| Alcohol (82077) |
$111 |
$111 |
6.4× |
| Aldolase (82085) |
$55 |
$55 |
5.7× |
| Aldosterone (82088) |
$155 |
$155 |
3.8× |
| Alkaline phosphatase (84075) |
$57 |
$57 |
11.0× |
| Alkaline phosphatase isoenzymes (84080) |
$136.50 |
$136.50 |
9.2× |
| Allergen profile perennial allergen (86003) |
$34 |
$34 |
6.5× |
| Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient (86005) |
$36 |
$36 |
4.5× |
| Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) |
$103 |
$103 |
5.7× |
| Alpha-1-antitrypsin (82103) |
$64.50 |
$64.50 |
4.8× |
| Alpha-1-antitrypsin phenotype (82104) |
$165 |
$165 |
11.4× |
| Alpha-fetoprotein serum (82105) |
$67.50 |
$67.50 |
4.0× |
| Alt (84460) |
$85 |
$85 |
16.0× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$300 |
$300 |
17.8× |
| Aminolevulinic acid delta (82135) |
$135 |
$135 |
8.2× |
| Ammonia (82140) |
$192 |
$192 |
13.2× |
| Amylase (82150) |
$75.50 |
$75.50 |
11.7× |
| Ana (86038) |
$41 |
$41 |
3.4× |
| Ana titer (86039) |
$50 |
$50 |
4.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$110 |
$110 |
8.4× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$101 |
$101 |
6.6× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$82.50 |
$82.50 |
4.5× |
| Analysis skeletal muscle (88355) |
$458 |
$458 |
2.6× |
| Angiotensin converting enzyme (82164) |
$65 |
$65 |
4.5× |
| Anti-mitochondrial antibody (86255) |
$167.50 |
$167.50 |
13.9× |
| Antibody identification platelet antibodies (86022) |
$415.50 |
$415.50 |
22.6× |
| Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) |
$110 |
$110 |
8.8× |
| Antibody west nile virus igm (86788) |
$87 |
$87 |
5.2× |
| Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) |
$169 |
$169 |
29.5× |
| Antistreptolysin o titer (86060) |
$41 |
$41 |
5.6× |
| Antithrombin iii activity (85300) |
$105 |
$105 |
8.9× |
| Antithrombin iii antigen (85301) |
$111.50 |
$111.50 |
10.3× |
| Apolipoprotein each (82172) |
$77.50 |
$77.50 |
3.7× |
| Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Other Outpatient (86051) |
$483 |
$483 |
41.9× |
| Arsenic (82175) |
$110 |
$110 |
5.8× |
| Aspergillus antibody (86606) |
$55.50 |
$55.50 |
3.7× |
| Aspergillus antigen (87305) |
$216.50 |
$216.50 |
18.1× |
| Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) |
$82 |
$82 |
6.4× |
| Assay anti-mullerian horm (82166) |
$336 |
$336 |
8.7× |
| Assay of interleukin-6 (il-6) (83529) |
$108 |
$108 |
6.3× |
| Assay of vitamin b-2 (84252) |
$335 |
$335 |
16.6× |
| Assay of vitamin not otherwise specified (84591) |
$160 |
$160 |
9.4× |
| Ast (84450) |
$78 |
$78 |
15.1× |
| B cells total count (86355) |
$126 |
$126 |
3.3× |
| Bartonella antibody (86611) |
$51.50 |
$51.50 |
5.1× |
| Bcr/abl1 gene major bp (81206) |
$475 |
$475 |
2.9× |
| Bcr/abl1 gene minor bp (81207) |
$455 |
$455 |
3.1× |
| Beta 2 glycoprotein i antibody (86146) |
$84.50 |
$84.50 |
3.3× |
| Beta lactamase (87185) |
$104 |
$104 |
21.9× |
| Beta-2 microglobulin (82232) |
$65 |
$65 |
4.0× |
| Bile acids total (82239) |
$60 |
$60 |
3.5× |
| Bilirubin direct (82248) |
$82 |
$82 |
16.3× |
| Bilirubin total (82247) |
$75 |
$75 |
14.9× |
| Blastomyces antibody (86612) |
$82.50 |
$82.50 |
6.4× |
| Blood count leukocyte wbc automated (85048) |
$76 |
$76 |
29.9× |
| Blood count reticulocyte automated (85045) |
$130 |
$130 |
32.6× |
| Blood gases w/o2 saturation (82805) |
$377 |
$377 |
4.8× |
| Blood typing rbc antigens (86905) |
$279.50 |
$279.50 |
73.0× |
| Blood typing serologic abo (86900) |
$111 |
$111 |
37.1× |
| Blood typing serologic rh (d) (86901) |
$81 |
$81 |
27.1× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$99 |
$99 |
6.2× |
| Bone marrow smear interpretation (85097) |
$730 |
$730 |
0.9× |
| Bordetella pertussis igm (86615) |
$107.50 |
$107.50 |
8.2× |
| Breath alcohol test (82075) |
$237.50 |
$237.50 |
7.9× |
| Brucella antibody (86622) |
$60 |
$60 |
6.7× |
| C diff amplified probe (87493) |
$274.50 |
$274.50 |
7.4× |
| C-peptide (84681) |
$48 |
$48 |
2.3× |
| C-reactive protein (86140) |
$75.50 |
$75.50 |
14.6× |
| C-reactive protein high sensitivity (86141) |
$90.50 |
$90.50 |
7.0× |
| C2 complement functional (86161) |
$132 |
$132 |
11.0× |
| Ca 125 (86304) |
$174 |
$174 |
8.4× |
| Ca 15-3 (86300) |
$57.50 |
$57.50 |
2.8× |
| Cadmium (82300) |
$110 |
$110 |
4.7× |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) |
$693 |
$693 |
4.0× |
| Calcitonin (82308) |
$100 |
$100 |
3.7× |
| Calcium ionized (82330) |
$113.50 |
$113.50 |
8.3× |
| Calcium total (82310) |
$84 |
$84 |
16.3× |
| Calcium, random urine (82340) |
$30.50 |
$30.50 |
5.1× |
| Calprotectin fecal (83993) |
$323 |
$323 |
16.5× |
| Calr gene com variants (81219) |
$475 |
$475 |
3.9× |
| Cancer antigen 19-9 (86301) |
$75 |
$75 |
3.6× |
| Candida DNA amp probe (87481) |
$113 |
$113 |
3.2× |
| Carbamazepine; -10,11-epoxide Other Outpatient (80161) |
$242 |
$242 |
13.0× |
| Carbohydrate deficient transferrin (82373) |
$443 |
$443 |
24.5× |
| Carbon dioxide (82374) |
$69 |
$69 |
14.1× |
| Carbon monoxide (82375) |
$198 |
$198 |
16.1× |
| Cardiolipin antibody ea ig class (86147) |
$65 |
$65 |
2.6× |
| Carotene (82380) |
$55 |
$55 |
6.0× |
| Casein igg (86001) |
$47 |
$47 |
6.0× |
| Catecholamines fractionated (82384) |
$130 |
$130 |
5.1× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$128 |
$128 |
2.7× |
| Cea (82378) |
$156 |
$156 |
8.2× |
| Cell count body fluid (89050) |
$125 |
$125 |
26.5× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$208 |
$208 |
37.1× |
| Cell function assay w/stim (86352) |
$427.50 |
$427.50 |
3.1× |
| Ceruloplasmin (82390) |
$42 |
$42 |
3.9× |
| Cftr gene com variants (81220) |
$413 |
$413 |
0.7× |
| Chemiluminescent assay (82397) |
$278.50 |
$278.50 |
19.7× |
| Chg skin test unlisted antigen each (86486) |
$15 |
$15 |
0.5× |
| Chlamydia antibody (86631) |
$42 |
$42 |
3.6× |
| Chlamydia antibody igm (86632) |
$39 |
$39 |
3.1× |
| Chlamydia culture (87110) |
$95 |
$95 |
4.8× |
| Chlamydia pneumoniae PCR (87486) |
$158 |
$158 |
4.5× |
| Chloride blood (82435) |
$73 |
$73 |
15.9× |
| Chloride urine (82436) |
$60 |
$60 |
10.4× |
| Cholesterol total (82465) |
$65 |
$65 |
14.9× |
| Chorionic gonadotropin test (84702) |
$80 |
$80 |
5.3× |
| Chromium (82495) |
$90 |
$90 |
4.4× |
| Chromogranin a (86316) |
$185 |
$185 |
8.9× |
| Chromosome analysis 20-25 cells (88264) |
$338 |
$338 |
2.3× |
| Citrate (82507) |
$95 |
$95 |
3.4× |
| Ck mb fraction (82553) |
$233 |
$233 |
20.2× |
| Clostridium ag eia (87324) |
$186 |
$186 |
15.5× |
| Clot factor xiii fibrin stab (85290) |
$325 |
$325 |
19.9× |
| Clot inhibit prot s total (85305) |
$94 |
$94 |
8.1× |
| Clotting funct activity (85397) |
$232 |
$232 |
7.5× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$270 |
$270 |
11.8× |
| Cmv antibody (86644) |
$75 |
$75 |
5.2× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$626 |
$626 |
1.5× |
| Coccidioides antibody (86635) |
$64.50 |
$64.50 |
5.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$401 |
$401 |
16.6× |
| Cold agglutinins titer (86157) |
$60 |
$60 |
7.4× |
| Collagen cross links (82523) |
$255 |
$255 |
13.7× |
| Collect sweat for test (89230) |
$6 |
$6 |
0.1× |
| Compatibility each unit electronic (86923) |
$189 |
$189 |
1.1× |
| Complement antigen ea component (86160) |
$90 |
$90 |
7.5× |
| Complement total (ch50) (86162) |
$110 |
$110 |
5.4× |
| Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) |
$528 |
$528 |
3.0× |
| Copper (82525) |
$65 |
$65 |
5.2× |
| Cortisol free (82530) |
$70 |
$70 |
4.2× |
| Cortisol saliva (82533) |
$155 |
$155 |
9.5× |
| COVID-19 antibody (86769) |
$74 |
$74 |
1.8× |
| Coxsackie a9 virus antibody (86658) |
$90 |
$90 |
6.9× |
| Creatine kinase isoenzymes (82552) |
$70 |
$70 |
5.2× |
| Creatine kinase total (82550) |
$108 |
$108 |
16.6× |
| Creatinine (82565) |
$112 |
$112 |
21.9× |
| Creatinine clearance (82575) |
$200 |
$200 |
21.1× |
| Creatinine other source (82570) |
$79.50 |
$79.50 |
15.3× |
| Crossmatch ahg (86922) |
$377 |
$377 |
2.2× |
| Cryoglobulins (82595) |
$44 |
$44 |
6.8× |
| Cryptosporidium ag eia (87328) |
$115 |
$115 |
8.3× |
| Crystals fluid (89060) |
$154 |
$154 |
21.0× |
| Culture anaerobic (87075) |
$271 |
$271 |
28.6× |
| Culture blood (87040) |
$225 |
$225 |
21.8× |
| Culture fungus blood (87103) |
$91 |
$91 |
4.4× |
| Culture stool (87045) |
$150 |
$150 |
15.9× |
| Culture typing if ea antiserum (87140) |
$84.50 |
$84.50 |
15.2× |
| Culture urine (87086) |
$109 |
$109 |
13.5× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$127 |
$127 |
15.7× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$172 |
$172 |
21.3× |
| Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) |
$239 |
$239 |
24.2× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$112 |
$112 |
11.9× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) |
$1,090 |
$1,090 |
5.0× |
| Cyclic citrullinated peptide ab (86200) |
$60 |
$60 |
4.6× |
| Cyclosporine (80158) |
$95 |
$95 |
5.3× |
| Cystatin c (82610) |
$74 |
$74 |
4.0× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$112 |
$112 |
8.6× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$1,795 |
$1,795 |
1.5× |
| Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for… (81228) |
$900 |
$900 |
1.0× |
| Cytomeg DNA amp probe (87496) |
$340 |
$340 |
9.7× |
| Cytomegalovirus antibody igm (86645) |
$109 |
$109 |
6.5× |
| Cytopath tbs c/v manual (88164) |
$75 |
$75 |
4.0× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$125 |
$125 |
4.7× |
| Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) |
$295 |
$295 |
1.7× |
| Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation (88106) |
$110 |
$110 |
3.7× |
| Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (88162) |
$311 |
$311 |
5.8× |
| Cytp eval fine needle aspirate interp & report (88173) |
$70 |
$70 |
1.3× |
| Cytp urine 3-5 probes cmptr (88121) |
$1,027 |
$1,027 |
5.9× |
| Cytp urne 3-5 probes ea spec (88120) |
$1,554 |
$1,554 |
8.9× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Other Outpatient (87164) |
$48 |
$48 |
4.5× |
| Deoxyribonuclease antibody (86215) |
$65 |
$65 |
4.9× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$60 |
$60 |
4.4× |
| Dhea (82626) |
$120 |
$120 |
4.7× |
| Dhea sulfate (82627) |
$103.50 |
$103.50 |
4.7× |
| Digoxin (80162) |
$220 |
$220 |
16.6× |
| Direct antiglobulin test (86880) |
$150 |
$150 |
27.8× |
| Drug assay adalimumab (80145) |
$341.50 |
$341.50 |
8.9× |
| Drug assay flecainide (80181) |
$76 |
$76 |
4.1× |
| Drug assay infliximab (80230) |
$305 |
$305 |
7.9× |
| Drug assay salicylate (80179) |
$195 |
$195 |
10.5× |
| Drug screen quant clozapine (80159) |
$75 |
$75 |
3.7× |
| Drug screen quant everolimus (80169) |
$310 |
$310 |
22.6× |
| Drug screen quant gabapentin (80171) |
$119 |
$119 |
5.5× |
| Drug screen quant levetiracetam (80177) |
$215 |
$215 |
16.2× |
| Drug screen quantitative oxcarbazepine (80183) |
$120 |
$120 |
9.1× |
| Drug test prsmv chem anlyzr (80307) |
$48 |
$48 |
0.8× |
| Drug test prsmv dir opt obs (80305) |
$79.50 |
$79.50 |
6.3× |
| Drug test prsmv instrmnt (80306) |
$171.50 |
$171.50 |
10.0× |
| Ear culture (87070) |
$172.50 |
$172.50 |
20.0× |
| Ehrlichia antibody (86666) |
$115 |
$115 |
11.3× |
| Elastase pancreatic fecal quantitative (82653) |
$316 |
$316 |
13.8× |
| Electrolytes panel (80051) |
$153 |
$153 |
21.8× |
| Electron microscopy diagnostic (88348) |
$1,816 |
$1,816 |
2.2× |
| Endomysial antibody each immunoglobulin class (86231) |
$170 |
$170 |
14.1× |
| Enterovirus by PCR (87498) |
$438 |
$438 |
12.5× |
| Enzyme histochemistry (88319) |
$219 |
$219 |
0.3× |
| Eosinophils urine (87205) |
$96 |
$96 |
22.5× |
| Erythropoietin (82668) |
$100 |
$100 |
5.3× |
| Estradiol (82670) |
$174 |
$174 |
6.2× |
| Estriol (82677) |
$55 |
$55 |
2.3× |
| Estrogen fractionated (82671) |
$125 |
$125 |
3.9× |
| Estrone (82679) |
$120 |
$120 |
4.8× |
| Ethosuximide (80168) |
$48 |
$48 |
2.9× |
| Eval amniotic fluid protein (84112) |
$228 |
$228 |
2.3× |
| Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Other Outpatient (81415) |
$2,700 |
$2,700 |
0.6× |
Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg,… (81416)
likely a partial charge — not the full procedure |
$2,700 |
$2,700 |
0.2× |
| Extractable nuclear antigen antibody any method (86235) |
$65.50 |
$65.50 |
3.7× |
| F2 gene analysis (81240) |
$300 |
$300 |
4.6× |
| F5 gene (81241) |
$193 |
$193 |
2.6× |
| Factor ii activity (85210) |
$140 |
$140 |
10.8× |
| Factor inhibitor test (85335) |
$360 |
$360 |
28.0× |
| Factor ix activity (85250) |
$145 |
$145 |
7.6× |
| Factor vii activity (85230) |
$150 |
$150 |
8.4× |
| Factor viii activity (85240) |
$135 |
$135 |
7.5× |
| Factor viii vw antigen (85246) |
$268.50 |
$268.50 |
11.7× |
| Factor x (stuart-prower) (85260) |
$150 |
$150 |
8.4× |
| Factor xi activity (85270) |
$191 |
$191 |
10.7× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$116 |
$116 |
6.9× |
| Fecal fat qualitative (82705) |
$65 |
$65 |
12.7× |
| Ferritin (82728) |
$143.50 |
$143.50 |
10.5× |
| Fetal fibronectin (82731) |
$673 |
$673 |
10.4× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$319 |
$319 |
41.3× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$220 |
$220 |
23.5× |
| Fetal lung maturity assessment; lamellar body density Other Outpatient (83664) |
$155 |
$155 |
8.0× |
| Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) |
$142 |
$142 |
14.6× |
| Fibrin split products (85362) |
$104 |
$104 |
15.1× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) |
$43 |
$43 |
3.5× |
| Fibrinogen, activity (85384) |
$105 |
$105 |
10.8× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$51 |
$51 |
3.3× |
| Flow cytometry first marker (88184) |
$100 |
$100 |
0.3× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$300 |
$300 |
5.3× |
| Folate serum (82746) |
$74 |
$74 |
5.0× |
| Folic acid rbc (82747) |
$70 |
$70 |
4.0× |
| Follicle stimulating hormone (fsh) (83001) |
$150 |
$150 |
8.1× |
| Forensic (investigation) examination of specimen (88125) |
$57 |
$57 |
1.1× |
| Francisella tularensis ab (86668) |
$95 |
$95 |
6.7× |
| Fructosamine (82985) |
$75 |
$75 |
4.5× |
| Ftl cgen abnor four anal (81511) |
$375 |
$375 |
2.4× |
| Fungus isolation culture (87102) |
$216 |
$216 |
25.7× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$45 |
$45 |
3.7× |
| Gamma glutamyl transferase (82977) |
$99 |
$99 |
13.8× |
| Gammaglobulin ige (82785) |
$70.50 |
$70.50 |
4.3× |
| Gastrin (82941) |
$65 |
$65 |
3.7× |
| Genotype DNA hepatitis b (87912) |
$511 |
$511 |
2.0× |
| Genotype DNA HIV reverse t (87901) |
$260 |
$260 |
1.0× |
| Genotype DNA/RNA HIV (87906) |
$252 |
$252 |
2.0× |
| Gentamicin (80170) |
$223 |
$223 |
13.6× |
| Giardia antigen (87329) |
$135 |
$135 |
11.3× |
| Giardia lamblia antibody (86674) |
$114 |
$114 |
7.7× |
| Gliadin antibody each immunoglobulin class (86258) |
$85 |
$85 |
7.1× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$37 |
$37 |
11.3× |
| Glucose Fasting (82947) |
$49.50 |
$49.50 |
12.6× |
| Glucose other fluid (82945) |
$67 |
$67 |
17.0× |
| Glucose post glucose dose (82950) |
$90 |
$90 |
18.9× |
| Glucose tolerance test (gtt) (82951) |
$159 |
$159 |
12.4× |
| Glucose-6-pd (82955) |
$80 |
$80 |
8.2× |
| Glycated hemoglobin (83036) |
$84.50 |
$84.50 |
8.7× |
| Growth hormone (hgh) (83003) |
$60 |
$60 |
3.6× |
| Gtt-added samples (82952) |
$79.50 |
$79.50 |
20.3× |
| H pylori breath test (83013) |
$180 |
$180 |
2.7× |
| H pylori stool (87338) |
$173 |
$173 |
12.0× |
| Haptoglobin (83010) |
$45 |
$45 |
3.6× |
| Hba1/hba2 full gene sequence (81259) |
$678 |
$678 |
1.1× |
| Hba1/hba2 gene analysis dup/del variants (81269) |
$650 |
$650 |
3.2× |
| Hbb full gene sequence (81364) |
$690 |
$690 |
2.1× |
| Hbb gene dup/del variants (81363) |
$728 |
$728 |
3.6× |
| Hbsag neutralization (87341) |
$88 |
$88 |
8.5× |
| Hcg ql (84703) |
$100 |
$100 |
13.3× |
| HDL cholesterol (83718) |
$100 |
$100 |
12.2× |
| Heavy metal quan each nes (83018) |
$250.50 |
$250.50 |
11.4× |
| Hematocrit (hct) (85014) |
$57 |
$57 |
24.1× |
| Hemoglobin (85018) |
$65 |
$65 |
27.4× |
| Hemoglobin electrophoresis (83020) |
$65.50 |
$65.50 |
5.1× |
| Hemoglobin fractj/quantj chromotography (83021) |
$130 |
$130 |
7.2× |
| Hemoglobin plasma (83051) |
$75 |
$75 |
10.3× |
| Hep a ab total (86708) |
$48 |
$48 |
3.9× |
| Heparin assay (85520) |
$180 |
$180 |
13.8× |
| Heparin neutralization (85525) |
$68 |
$68 |
5.7× |
| Hepatitis a antibody igm (86709) |
$56.50 |
$56.50 |
5.0× |
| Hepatitis b core antibody igm (86705) |
$105 |
$105 |
8.9× |
| Hepatitis b core antibody total (86704) |
$95 |
$95 |
7.9× |
| Hepatitis b DNA quant (87517) |
$405 |
$405 |
9.5× |
| Hepatitis b surface ab (86706) |
$90 |
$90 |
8.4× |
| Hepatitis b surface antigen (87340) |
$105 |
$105 |
10.2× |
| Hepatitis be antibody (86707) |
$60 |
$60 |
5.2× |
| Hepatitis be antigen (87350) |
$60 |
$60 |
5.2× |
| Hepatitis c antibody (86803) |
$102.50 |
$102.50 |
7.2× |
| Hepatitis c genotype (87902) |
$545 |
$545 |
2.1× |
| Hepatitis c RNA quantitative (87522) |
$140 |
$140 |
3.3× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$80 |
$80 |
5.6× |
| Herpes simplex virus by PCR (87529) |
$200 |
$200 |
5.7× |
| Heterophile antibody screen (86308) |
$63 |
$63 |
12.2× |
| Hexagonal phospholipid neutralization (85598) |
$181 |
$181 |
10.1× |
| Hfe gene (81256) |
$200 |
$200 |
3.1× |
| Histamine (83088) |
$105 |
$105 |
3.6× |
| Histoplasma antibody (86698) |
$59 |
$59 |
4.3× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$110 |
$110 |
4.6× |
| HIV-1 antibody (86701) |
$94 |
$94 |
10.6× |
| HIV-2 antibody (86702) |
$154 |
$154 |
11.4× |
| Hla b27 (86812) |
$165 |
$165 |
6.4× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$280 |
$280 |
3.8× |
| Hla i typing 1 locus hr (81380) |
$555 |
$555 |
3.1× |
| Hla ii typing 1 allele hr (81383) |
$200 |
$200 |
1.8× |
| Hla ii typing 1 loc hr (81382) |
$655 |
$655 |
5.3× |
| Hla ii typing 1 locus lr (81376) |
$200 |
$200 |
1.6× |
| Homocysteine level (83090) |
$155 |
$155 |
8.6× |
| Homogenization tissue (87176) |
$63 |
$63 |
10.7× |
| Homovanillic acid urine (83150) |
$67 |
$67 |
3.0× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$210 |
$210 |
10.9× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$76.50 |
$76.50 |
1.1× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$68 |
$68 |
1.9× |
| Iaadi herpes smplx virus type 1 (87274) |
$129 |
$129 |
10.8× |
| Iaadi herpes smplx virus type 2 (87273) |
$129 |
$129 |
10.8× |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
$141 |
$141 |
4.0× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$170 |
$170 |
3.3× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$455 |
$455 |
3.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$787.50 |
$787.50 |
1.9× |
| Igg subclass 1 (82787) |
$70.50 |
$70.50 |
8.8× |
| Igh vari regional mutation (81263) |
$675 |
$675 |
2.3× |
| Immune complex assay (86332) |
$120 |
$120 |
4.9× |
| Immunoassay analyte quantitative nos (83520) |
$192.50 |
$192.50 |
11.1× |
| Immunoassay infectious agent antibody quan nos (86317) |
$55 |
$55 |
3.7× |
| Immunodiffusion ouchterlony (86331) |
$46.50 |
$46.50 |
3.9× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient (86325) |
$47 |
$47 |
2.0× |
| Immunofixation electrophoresis (86334) |
$110 |
$110 |
4.9× |
| Immunofixation urine (86335) |
$97 |
$97 |
3.3× |
| Immunofluor antb 1st stain (88346) |
$128 |
$128 |
0.7× |
| Immunoglobulin d (82784) |
$40 |
$40 |
4.3× |
| Immunoglobulin light chains free each (83521) |
$136 |
$136 |
7.9× |
| Immunoperoxidase (88342) |
$295 |
$295 |
1.7× |
| In situ hybridization 1st probe stain (88365) |
$580 |
$580 |
3.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87337) |
$88 |
$88 |
7.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$68 |
$68 |
4.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
$281.50 |
$281.50 |
21.2× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$142.50 |
$142.50 |
8.9× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$40 |
$40 |
3.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$460 |
$460 |
10.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$385 |
$385 |
11.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) |
$165 |
$165 |
2.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$116.50 |
$116.50 |
3.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$317.50 |
$317.50 |
7.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) |
$547.50 |
$547.50 |
2.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) |
$326.50 |
$326.50 |
2.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$141 |
$141 |
4.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$400 |
$400 |
4.7× |
| Influenza a ag eia (87400) |
$20 |
$20 |
1.4× |
| Influenza antibody (86710) |
$58 |
$58 |
4.3× |
| Influenza assay w/optic (87804) |
$46.50 |
$46.50 |
2.8× |
| Influenza DNA amp probe (87502) |
$272 |
$272 |
2.8× |
| Inhibin a (86336) |
$134 |
$134 |
8.6× |
| Insulin antibody (86337) |
$195 |
$195 |
9.1× |
| Insulin total (83525) |
$98 |
$98 |
8.6× |
| Intrinsic factor antibody (86340) |
$110 |
$110 |
7.3× |
| Iron (83540) |
$102 |
$102 |
15.8× |
| Iron binding capacity (83550) |
$85 |
$85 |
9.7× |
| Islet cell antibody (86341) |
$325 |
$325 |
13.8× |
| Jak2 gene (81270) |
$398 |
$398 |
4.3× |
| Jak2 gene trgt sequence alys (81279) |
$527 |
$527 |
2.8× |
| Koh prep (87220) |
$86 |
$86 |
20.1× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$100 |
$100 |
2.6× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$95 |
$95 |
2.5× |
| Lactate (83605) |
$156 |
$156 |
13.5× |
| Lactate dehydrogenase (83615) |
$74 |
$74 |
12.3× |
| Lactoferrin fecal (qual) (83630) |
$150 |
$150 |
7.6× |
| Lactogen, human placental (HPL) human chorionic somatomammotropin Other Outpatient (83632) |
$292 |
$292 |
14.4× |
| Lamotrigine (80175) |
$90 |
$90 |
6.8× |
| Ldh isoenzymes (83625) |
$48 |
$48 |
3.8× |
| LDL direct (83721) |
$90 |
$90 |
8.6× |
| Lead (83655) |
$81 |
$81 |
6.7× |
| Legionella culture (87081) |
$135.50 |
$135.50 |
20.4× |
| Legionella urine antigen (87449) |
$181 |
$181 |
15.1× |
| Leukocyte assessment fecal (89055) |
$132 |
$132 |
30.9× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$100 |
$100 |
2.6× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$115 |
$115 |
2.2× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$145 |
$145 |
2.7× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$315 |
$315 |
0.9× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$730 |
$730 |
0.9× |
| Lipase (83690) |
$106 |
$106 |
15.4× |
| Lipoprotein (a) (83695) |
$80 |
$80 |
5.6× |
| Lipoprotein bld by nmr (83704) |
$68 |
$68 |
2.0× |
| Lipoprotein bld hr fraction (83701) |
$107 |
$107 |
3.2× |
| Lithium (80178) |
$91 |
$91 |
13.8× |
| Luteinizing hormone (lh) (83002) |
$157 |
$157 |
8.5× |
| Lyme disease antibody (86617) |
$72.50 |
$72.50 |
4.7× |
| Lyme disease antibody (86618) |
$114 |
$114 |
6.7× |
| Lymphocyte transformation (86353) |
$201.50 |
$201.50 |
4.1× |
| M genitalium amp probe (87563) |
$172 |
$172 |
4.9× |
| Macroscopic exam arthropod (87168) |
$100 |
$100 |
23.4× |
| Macroscopic exam parasite (87169) |
$83 |
$83 |
19.3× |
| Magnesium (83735) |
$83 |
$83 |
12.4× |
| Malaria smear (87207) |
$168.50 |
$168.50 |
28.1× |
| Manganese (83785) |
$124 |
$124 |
4.7× |
| Manual differential (85007) |
$110 |
$110 |
28.9× |
| Mercury (83825) |
$81 |
$81 |
5.0× |
| Metanephrines (83835) |
$170 |
$170 |
10.0× |
| Methylmalonic acid serum (83921) |
$145 |
$145 |
6.8× |
| Microalbumin urine (82043) |
$60 |
$60 |
10.4× |
| Microscopic genetic analysis of nerve tissue (88356) |
$698 |
$698 |
13.1× |
| Mitochondrial antibody each (86381) |
$55 |
$55 |
2.2× |
| Molecular cytogenetics DNA probe each (88271) |
$129.50 |
$129.50 |
6.0× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$243 |
$243 |
4.7× |
| Mononuclear cell antigen (86356) |
$192 |
$192 |
7.2× |
| Mopath procedure level 2 (81401) |
$370 |
$370 |
2.7× |
| Mopath procedure level 5 (81404) |
$1,215 |
$1,215 |
4.4× |
| Mopath procedure level 6 (81405) |
$408 |
$408 |
1.4× |
| Mopath procedure level 7 (81406) |
$459 |
$459 |
1.6× |
| Mopath procedure level 9 (81408) |
$1,100 |
$1,100 |
0.6× |
| Morphometric analysis tumor (88358) |
$206 |
$206 |
1.2× |
| Mpl gene analysis common variants (81338) |
$589 |
$589 |
3.9× |
| Mrsa PCR (87641) |
$260 |
$260 |
7.4× |
| Mthfr gene (81291) |
$405 |
$405 |
6.2× |
| Mumps antibody (86735) |
$28 |
$28 |
2.1× |
| Mycoplasma antibody (86738) |
$100 |
$100 |
7.6× |
| Mycoplasma pneumoniae by PCR (87581) |
$198.50 |
$198.50 |
5.7× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$118 |
$118 |
10.2× |
| Myelin basic protein (83873) |
$125 |
$125 |
7.3× |
| Myoglobin (83874) |
$75 |
$75 |
5.8× |
| N.gonorrhoeae DNA amp prob (87591) |
$129 |
$129 |
3.7× |
| Nasal smear for eosinophils (89190) |
$86 |
$86 |
14.9× |
| Natriuretic peptide (83880) |
$219.50 |
$219.50 |
5.6× |
| Nephelometry ea analyte (83883) |
$137.50 |
$137.50 |
10.1× |
| Nerve teasing preparations (88362) |
$783 |
$783 |
1.0× |
| Neutralization test viral (86382) |
$154 |
$154 |
9.1× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$275 |
$275 |
1.0× |
| Nk cells total count (86357) |
$81 |
$81 |
2.1× |
| Nucleotidase 5 (83915) |
$50 |
$50 |
4.5× |
| Occult bld feces 1-3 tests (82272) |
$63 |
$63 |
14.9× |
| Occult blood other sources (82271) |
$88 |
$88 |
16.5× |
| Occult blood screening (82270) |
$40 |
$40 |
9.1× |
| Oligoclonal bands (83916) |
$175 |
$175 |
6.4× |
| Organic acids total quant (83918) |
$400 |
$400 |
16.9× |
| Orthopoxvirus amp prb each (87593) |
$170 |
$170 |
3.3× |
| Osmolality serum (83930) |
$65 |
$65 |
9.8× |
| Osmolality urine (83935) |
$70 |
$70 |
10.3× |
| Osteocalcin (83937) |
$185 |
$185 |
6.2× |
| Ova and parasite exam (87177) |
$67 |
$67 |
7.5× |
| Oxalate urine (83945) |
$100 |
$100 |
6.9× |
| Pancreatic polypeptide (83519) |
$220 |
$220 |
12.0× |
| Parathyroid hormone (83970) |
$183.50 |
$183.50 |
4.4× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$147 |
$147 |
12.7× |
| Parvovirus antibody (86747) |
$82.50 |
$82.50 |
5.5× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$165 |
$165 |
0.9× |
| Pertussis by PCR (87798) |
$250 |
$250 |
7.1× |
| Ph body fluid (83986) |
$68 |
$68 |
19.0× |
| Phenobarbital (80184) |
$120 |
$120 |
7.8× |
| Phenotype infect agent drug (87900) |
$254 |
$254 |
1.9× |
| Phenylalanine (84030) |
$125 |
$125 |
22.7× |
| Phenytoin (dilantin) free (80186) |
$142 |
$142 |
10.3× |
| Phenytoin level total (80185) |
$160 |
$160 |
12.1× |
| Phosphorus (84100) |
$96 |
$96 |
20.3× |
| Phosphorus urine (84105) |
$48 |
$48 |
8.3× |
| Pinworm exam (87172) |
$145 |
$145 |
34.0× |
| Platelet aggregation ea agent (85576) |
$51 |
$51 |
2.0× |
| Platelet count automated (85049) |
$88 |
$88 |
19.6× |
| Platelet neutralization (85597) |
$80 |
$80 |
4.4× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) |
$292 |
$292 |
1.0× |
| Porphyrins total plasma (84311) |
$62 |
$62 |
7.7× |
| Posaconazole (80187) |
$260 |
$260 |
9.6× |
| Potassium (84132) |
$79 |
$79 |
16.6× |
| Potassium urine (84133) |
$66 |
$66 |
14.0× |
| Prealbumin (84134) |
$55 |
$55 |
3.8× |
| Pregnenolone (84140) |
$170 |
$170 |
8.2× |
| Primidone (80188) |
$60 |
$60 |
3.6× |
| Procalcitonin (pct) (84145) |
$306 |
$306 |
11.2× |
| Progesterone (84144) |
$151 |
$151 |
7.2× |
| Proinsulin (84206) |
$165 |
$165 |
6.2× |
| Prolactin (84146) |
$109 |
$109 |
5.6× |
| Prostatic acid phosphatase (84066) |
$80 |
$80 |
8.3× |
| Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band… (88372) |
$41 |
$41 |
1.6× |
| Protein analysis of tissue by Western Blot, with interpretation and report; Other Outpatient (88371) |
$49 |
$49 |
2.2× |
| Protein c activity (85303) |
$100 |
$100 |
7.2× |
| Protein c antigen (85302) |
$85 |
$85 |
7.1× |
| Protein electrophoresis serum (84165) |
$39.50 |
$39.50 |
3.7× |
| Protein electrophoresis urine (84166) |
$122.50 |
$122.50 |
6.9× |
| Protein s antigen, free (85306) |
$160 |
$160 |
10.4× |
| Protein total other source (84157) |
$80.50 |
$80.50 |
20.1× |
| Protein total serum (84155) |
$63 |
$63 |
17.2× |
| Protein total urine (84156) |
$45.50 |
$45.50 |
12.4× |
| Protein western blot (84181) |
$51 |
$51 |
3.0× |
| Protein, total, by refractometry, any source Other Outpatient (84160) |
$31 |
$31 |
5.5× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$39 |
$39 |
1.3× |
| Protozoa antibody nos (86753) |
$70.50 |
$70.50 |
5.7× |
| PSA free (84154) |
$128 |
$128 |
7.0× |
| Pyruvate (84210) |
$125 |
$125 |
8.6× |
| Q fever antibody (86638) |
$64.50 |
$64.50 |
5.3× |
| Rbc antibody identification (86870) |
$458 |
$458 |
1.3× |
| Rbc antibody screen (86850) |
$170 |
$170 |
17.4× |
| Reagent strip/blood glucose (82948) |
$23 |
$23 |
4.6× |
| Reducing substances fecal (84376) |
$48 |
$48 |
8.7× |
| Ref john hopkins telomere length measurement flow cytometry and fish (88182) |
$274 |
$274 |
5.1× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$165 |
$165 |
13.7× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$90 |
$90 |
6.8× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$101.50 |
$101.50 |
5.2× |
| Renin (84244) |
$180 |
$180 |
8.2× |
| Reptilase test (85635) |
$56 |
$56 |
5.7× |
| Resp virus 12-25 targets (87633) |
$1,012 |
$1,012 |
2.4× |
| Resp virus 3-5 targets (87631) |
$582 |
$582 |
4.1× |
| Resp virus 6-11 targets (87632) |
$939 |
$939 |
4.3× |
| Reticyte/hgb concentrate (85046) |
$159 |
$159 |
28.5× |
| Rheumatoid factor quant (86431) |
$44 |
$44 |
7.8× |
| Rickettsia antibody (86757) |
$109.50 |
$109.50 |
5.7× |
| Ristocetin cofactor (85245) |
$225 |
$225 |
9.8× |
| Rl immediate spin crossmatch (86920) |
$342 |
$342 |
2.0× |
| Rotavirus ag eia (87425) |
$76 |
$76 |
6.3× |
| Rpr qual (86592) |
$46 |
$46 |
10.8× |
| Rpr titer (86593) |
$67.50 |
$67.50 |
15.3× |
| Rubella antibody (86762) |
$21 |
$21 |
1.5× |
| Rubeola antibody (86765) |
$36.50 |
$36.50 |
2.8× |
| Russell viper venom diluted (85613) |
$51 |
$51 |
5.3× |
| Sedimentation rate rbc automated (85652) |
$56 |
$56 |
20.7× |
| Selenium (84255) |
$60 |
$60 |
2.4× |
| Semen analysis complete (89320) |
$280 |
$280 |
22.7× |
| Semen analysis post vasectomy (89321) |
$155 |
$155 |
12.9× |
| Serotonin (84260) |
$191 |
$191 |
6.2× |
| Serum immunoelectrophoresis (86320) |
$46 |
$46 |
1.5× |
| Sex hormone binding globulin (84270) |
$88 |
$88 |
4.0× |
| Shiga-like toxin ag eia (87427) |
$89.50 |
$89.50 |
7.5× |
| Sickle cell screen (85660) |
$54 |
$54 |
9.8× |
| Sirolimus (80195) |
$200 |
$200 |
14.6× |
| Skin test histoplasmosis (parasite infection) (86510) |
$16 |
$16 |
0.4× |
| Skin test tuberculosis intradermal (86580) |
$58.50 |
$58.50 |
2.0× |
| Smear wet mount (87210) |
$116 |
$116 |
19.9× |
| Sodium (84295) |
$112 |
$112 |
23.3× |
| Sodium other source (84302) |
$80 |
$80 |
16.5× |
| Sodium urine (84300) |
$100 |
$100 |
19.8× |
| Somatomedin (84305) |
$75 |
$75 |
3.5× |
| Somatostatin (84307) |
$363 |
$363 |
19.9× |
| Special stains group i (88312) |
$125 |
$125 |
2.3× |
| Special stains group ii (88313) |
$110 |
$110 |
0.8× |
| Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis (89261) |
$115 |
$115 |
2.2× |
| Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) |
$44 |
$44 |
0.3× |
| Stone analysis (82365) |
$105 |
$105 |
8.1× |
| Strep a assay w/optic (87880) |
$70 |
$70 |
4.2× |
| Strep a DNA amp probe (87651) |
$180 |
$180 |
5.1× |
| Strep b DNA amp probe (87653) |
$285 |
$285 |
8.1× |
| Surg path level 1 (88300) |
$60 |
$60 |
2.0× |
| Susceptibility mic per plate (87186) |
$148.50 |
$148.50 |
17.2× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$115 |
$115 |
15.4× |
| T cells cd4 count (86361) |
$127 |
$127 |
4.7× |
| T3 free (84481) |
$136 |
$136 |
8.0× |
| T3 reverse (84482) |
$90 |
$90 |
5.7× |
| T3 uptake (84479) |
$40 |
$40 |
6.2× |
| T4 (thyroxine) total (84436) |
$64.50 |
$64.50 |
9.4× |
| Tacrolimus (80197) |
$200 |
$200 |
14.6× |
| Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) |
$575 |
$575 |
4.5× |
| Tb test cell immun measure (86480) |
$197.50 |
$197.50 |
3.2× |
| Testosterone free (84402) |
$143 |
$143 |
5.6× |
| Testosterone total (84403) |
$145 |
$145 |
5.6× |
| Theophylline (80198) |
$120 |
$120 |
8.5× |
| Thiopurine drug metabolites (83789) |
$405 |
$405 |
16.8× |
| Thiopurine metabolites (80299) |
$260 |
$260 |
13.9× |
| Thiopurine methyltransferase, rbc (82657) |
$510 |
$510 |
23.0× |
| Thrombin time plasma (85670) |
$49.50 |
$49.50 |
8.6× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$35.50 |
$35.50 |
5.5× |
| Thyroglobulin (84432) |
$100 |
$100 |
6.2× |
| Thyroglobulin antibody (86800) |
$49.50 |
$49.50 |
3.1× |
| Thyroid peroxidase antibody (86376) |
$80 |
$80 |
5.5× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$240 |
$240 |
4.7× |
| Thyroxine free (ft4) (84439) |
$128 |
$128 |
14.2× |
| Tissue culture bone marrow (88237) |
$250 |
$250 |
1.7× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$75 |
$75 |
6.5× |
| Tobramycin (80200) |
$137.50 |
$137.50 |
8.5× |
| Topiramate (80201) |
$135 |
$135 |
11.3× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$130 |
$130 |
6.6× |
| Toxoplasma antibody igg (86777) |
$80 |
$80 |
5.6× |
| Toxoplasma antibody igm (86778) |
$76 |
$76 |
5.3× |
| Tpmt gene com variants (81335) |
$705 |
$705 |
4.0× |
| Transferrin (84466) |
$75 |
$75 |
5.9× |
| Treponema pallidum antibody (86780) |
$42 |
$42 |
3.2× |
| Trichomonas vaginalis amplif (87661) |
$180 |
$180 |
5.1× |
| Trichrome stain (87209) |
$78 |
$78 |
4.3× |
| Triglycerides (84478) |
$61 |
$61 |
10.6× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$80 |
$80 |
5.6× |
| Troponin t (84484) |
$216.50 |
$216.50 |
17.4× |
| Unlisted molecular pathology (81479) |
$349.50 |
$349.50 |
— |
| Urea nitrogen quantitative (84520) |
$113 |
$113 |
28.6× |
| Urea nitrogen urine (84540) |
$55 |
$55 |
9.9× |
| Uric acid blood (84550) |
$73 |
$73 |
16.2× |
| Uric acid other source (84560) |
$36 |
$36 |
7.1× |
| Urinalysis auto w/micro (81001) |
$85 |
$85 |
26.8× |
| Urinalysis volume measure (81050) |
$33 |
$33 |
9.1× |
| Urine Pregnancy Test POC (81025) |
$47 |
$47 |
5.5× |
| Valproic acid (80164) |
$235 |
$235 |
17.4× |
| Vancomycin (80202) |
$240 |
$240 |
17.7× |
| Varicella zoster ag if (87290) |
$106 |
$106 |
7.9× |
| Varicella zoster antibody igg (86787) |
$72.50 |
$72.50 |
5.6× |
| Vasoactive intestinal peptide (vip) (84586) |
$115 |
$115 |
3.3× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$185 |
$185 |
5.5× |
| Viral culture non-respiratory (87252) |
$150 |
$150 |
5.8× |
| Virus antibody nos (86790) |
$162 |
$162 |
12.6× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$120 |
$120 |
6.1× |
| Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) |
$117 |
$117 |
5.8× |
| Vitamin a (84590) |
$110 |
$110 |
9.5× |
| Vitamin b-12 (82607) |
$48 |
$48 |
3.2× |
| Vitamin b1 whole blood (84425) |
$135 |
$135 |
6.4× |
| Vitamin b6 (84207) |
$90 |
$90 |
3.2× |
| Vitamin c (82180) |
$46 |
$46 |
4.7× |
| Vitamin d 25 hydroxy (82306) |
$181 |
$181 |
6.1× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$120 |
$120 |
3.1× |
| Vitamin e (84446) |
$105 |
$105 |
7.4× |
| Vitamin k1 (84597) |
$249 |
$249 |
18.1× |
| Vma (84585) |
$122 |
$122 |
7.9× |
| West nile virus antibody (86789) |
$82.50 |
$82.50 |
5.7× |
| Xm archive tissue molec anal (88363) |
$143 |
$143 |
4.8× |
| Z t cells total count (86359) |
$70.50 |
$70.50 |
1.9× |
| Zika virus DNA/RNA amp probe (87662) |
$370 |
$370 |
7.2× |
| Zika virus igm antibody (86794) |
$210 |
$210 |
12.5× |
| Zinc (84630) |
$120 |
$120 |
10.5× |