| 17 Hydroxypregnenolone (84143) |
$49.80 |
$83 |
2.2× |
| 17-Ohcs (83491) |
$72 |
$120 |
4.0× |
| 5' Nucleotidase (83915) |
$78.60 |
$131 |
7.0× |
| 5-Hiaa (83497) |
$25.80 |
$43 |
2.0× |
| Ab; coxiella brunetii (86638) |
$22.20 |
$37 |
1.8× |
| Ab; encephalitis calif (86651) |
$41.40 |
$69 |
3.1× |
| Ab; encephalitis e equine (86652) |
$41.40 |
$69 |
3.1× |
| Ab; encephalitis w equine (86654) |
$41.40 |
$69 |
3.1× |
| Acetaminophen (80143) |
$218.10 |
$363.50 |
11.7× |
| Acetylcholine receptor binding antibody (86041) |
$24.60 |
$41 |
1.3× |
| Acetylcholine receptor blocking antibody (86042) |
$39 |
$65 |
2.1× |
| Acetylcholine receptor modulating antibody (86043) |
$42 |
$70 |
3.5× |
| Acid fast smear only (87206) |
$44.40 |
$74 |
8.2× |
| Actin smooth muscle antibody each (86015) |
$18.60 |
$31 |
1.5× |
| Activated protein c resistance (85307) |
$170.10 |
$283.50 |
11.1× |
| Acute hepatitis panel (80074) |
$168.30 |
$280.50 |
3.5× |
| Acylcarnitines quantitative (82017) |
$25.80 |
$43 |
1.5× |
| Adamts13 activity (85397) |
$150 |
$250 |
4.9× |
| Adenovirus ag if (87260) |
$32.40 |
$54 |
2.2× |
| Adenovirus antibody (86603) |
$19.20 |
$32 |
1.5× |
| Adrenocorticotropic hormone (82024) |
$56.40 |
$94 |
1.5× |
| Afb culture (87116) |
$38.40 |
$64 |
3.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$34.20 |
$57 |
0.5× |
| Albumin csf (82042) |
$11.40 |
$19 |
1.5× |
| Albumin serum (82040) |
$13.50 |
$22.50 |
2.7× |
| Aldolase (82085) |
$16.20 |
$27 |
1.7× |
| Aldosterone urine (82088) |
$19.20 |
$32 |
0.5× |
| Alkaline phosphatase (84075) |
$28.20 |
$47 |
5.4× |
| Alkaline phosphatase isoenzymes (84080) |
$18.60 |
$31 |
1.3× |
| Allerg sp igg quan or semiquan (86001) |
$4.20 |
$7 |
0.5× |
| Allergen specific ige (86003) |
$10.20 |
$17 |
2.0× |
| Alpha 2 antiplasmin (85410) |
$34.80 |
$58 |
4.5× |
| Alpha fetoprotein serum (82105) |
$51.60 |
$86 |
3.1× |
| Alpha-1 antitrypsin total (82103) |
$27.30 |
$45.50 |
2.0× |
| Alpha-1-antitrypsin phenotype (82104) |
$52.80 |
$88 |
3.7× |
| Alpha-fetoprotein amniotic (82106) |
$29.70 |
$49.50 |
1.7× |
| Alt/sgpt (84460) |
$20.40 |
$34 |
3.8× |
| Aluminum (82108) |
$22.20 |
$37 |
0.9× |
| Amikacin level (80150) |
$35.70 |
$59.50 |
2.4× |
| Amino acids quan 6 or more (82139) |
$86.10 |
$143.50 |
5.1× |
| Amino acids; sgl quan ea (82131) |
$43.20 |
$72 |
1.9× |
| Aminolevulinic acid delta (82135) |
$27 |
$45 |
1.6× |
| Ammonia (82140) |
$28.80 |
$48 |
2.0× |
| Amylase (82150) |
$28.80 |
$48 |
4.4× |
| Ana titer (86039) |
$37.20 |
$62 |
3.3× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$28.80 |
$48 |
1.8× |
| Analysis skeletal muscle (88355) |
$374.10 |
$623.50 |
2.1× |
| Androstenedione (82157) |
$33.90 |
$56.50 |
1.2× |
| Angiotensin converting enzyme (82164) |
$25.20 |
$42 |
1.7× |
| Anti-mitochondrial antibody (86255) |
$21 |
$35 |
1.7× |
| Anti-phosphatidylserine antibody (86148) |
$11.40 |
$19 |
0.7× |
| Antibody bacterium nos (86609) |
$3 |
$5 |
0.2× |
| Antibody elution (86860) |
$79.50 |
$132.50 |
0.4× |
| Antibody identification (86870) |
$152.40 |
$254 |
0.4× |
| Antibody screen rbc each (86850) |
$75 |
$125 |
7.7× |
| Antibody toxoplasma (86777) |
$52.20 |
$87 |
3.6× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$22.50 |
$37.50 |
1.9× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$21.90 |
$36.50 |
1.8× |
| Antinuclear antibodies (86038) |
$39 |
$65 |
3.2× |
| Antistreptolysin o screen (86063) |
$33.30 |
$55.50 |
5.8× |
| Antithrombin iii activity (85300) |
$36.60 |
$61 |
3.1× |
| Antithrombin iii antigen (85301) |
$20.40 |
$34 |
1.9× |
| Apolipoprotein b (82172) |
$18.30 |
$30.50 |
0.9× |
| Aquaporin-4 antibody elisa (86051) |
$351 |
$585 |
30.4× |
| Arsenic (82175) |
$9 |
$15 |
0.5× |
| Aspergillus antibody (86606) |
$7.80 |
$13 |
0.5× |
| Aspergillus antigen (87305) |
$72.60 |
$121 |
6.1× |
| Assay dir meas fr estradiol (82681) |
$99 |
$165 |
3.5× |
| Assay of anti-mullerian hormone (82166) |
$33 |
$55 |
0.9× |
| Assay of g6pd enzyme (82955) |
$19.80 |
$33 |
2.0× |
| Assay of procainamide (80192) |
$19.80 |
$33 |
1.2× |
| Assay of vitamin b-2 (84252) |
$23.40 |
$39 |
1.2× |
| Assay spec xcp ur&breath ia (82077) |
$218.10 |
$363.50 |
12.6× |
| Ast/sgot (84450) |
$20.40 |
$34 |
3.9× |
| Autoimmune rheumatoid arthr (81490) |
$608.40 |
$1,014 |
0.7× |
| Autolog blood predeposited (86890) |
$83.10 |
$138.50 |
0.5× |
| Automated rbc count (85041) |
$31.20 |
$52 |
10.3× |
| B cells total count (86355) |
$96 |
$160 |
2.5× |
| Bartonella DNA amp probe (87471) |
$67.50 |
$112.50 |
1.9× |
| Bartonella henselae igm (86611) |
$14.40 |
$24 |
1.4× |
| Basic metabolic panel calcium ionized (80047) |
$155.10 |
$258.50 |
11.3× |
| Bc - anaerobe - addtl id (87076) |
$46.20 |
$77 |
5.7× |
| Bcr/abl1 gene major bp (81206) |
$303 |
$505 |
1.8× |
| Bcr/abl1 gene minor bp (81207) |
$278.70 |
$464.50 |
1.9× |
| Beta 2 glycoprotein i ab ea (86146) |
$17.40 |
$29 |
0.7× |
| Beta hydroxybutyrate (82010) |
$60 |
$100 |
7.3× |
| Beta-2 microglobulin (82232) |
$18.60 |
$31 |
1.1× |
| Beta-amyloid 1-42 (abeta 42) (82234) |
$108 |
$180 |
0.8× |
| Beta-amyloid; 1-40 (Abeta 40) Other Outpatient (82233) |
$90 |
$150 |
0.7× |
| Bile acids total (82239) |
$14.40 |
$24 |
0.8× |
| Bilirubin direct (82248) |
$54.90 |
$91.50 |
10.9× |
| Bilirubin total (82247) |
$42 |
$70 |
8.4× |
| Bilirubin total transcutaneous (88720) |
$16.20 |
$27 |
3.2× |
| Biotinidase (82261) |
$41.40 |
$69 |
2.5× |
| Blastomyces antibody (86612) |
$15 |
$25 |
1.2× |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
$12.90 |
$21.50 |
3.8× |
| Bleeding time (85002) |
$69 |
$115 |
14.3× |
| Blood gas ph only (82800) |
$54.60 |
$91 |
5.0× |
| Blood gases w/o2 saturation (82805) |
$277.20 |
$462 |
3.5× |
| Blood type antigen donor ea (86902) |
$72 |
$120 |
11.3× |
| Blood typing abo (86900) |
$45.30 |
$75.50 |
15.2× |
| Blood typing serologic rh (d) (86901) |
$45.60 |
$76 |
15.3× |
| Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff (89051) |
$87.90 |
$146.50 |
15.7× |
| Bone marrow smear interpretation (85097) |
$56.40 |
$94 |
0.1× |
| Bordetella pertussis igm (86615) |
$22.80 |
$38 |
1.7× |
| Braf gene analysis (81210) |
$138 |
$230 |
0.8× |
| Brucella antibody (86622) |
$13.20 |
$22 |
1.5× |
| C diff amplified probe (87493) |
$89.70 |
$149.50 |
2.4× |
| C-peptide (84681) |
$51 |
$85 |
2.5× |
| C-reactive protein (86140) |
$24 |
$40 |
4.6× |
| C1 esterase inhibitor functional (86161) |
$42.90 |
$71.50 |
3.6× |
| Ca 125 (86304) |
$65.40 |
$109 |
3.1× |
| Ca 15-3 (86300) |
$47.40 |
$79 |
2.3× |
| Cadmium blood (82300) |
$22.80 |
$38 |
1.0× |
| Caffeine level (80155) |
$22.20 |
$37 |
0.6× |
| Calcitonin (82308) |
$19.20 |
$32 |
0.7× |
| Calcium ionized (82330) |
$127.20 |
$212 |
9.3× |
| Calcium total (82310) |
$34.80 |
$58 |
6.7× |
| Calcium urine (82340) |
$19.20 |
$32 |
3.2× |
| Calprotectin, stool (83993) |
$48 |
$80 |
2.4× |
| Calr gene com variants (81219) |
$177 |
$295 |
1.5× |
| Campylobacter antibody (86625) |
$114 |
$190 |
8.7× |
| Cancer antigen 19-9 (86301) |
$39.60 |
$66 |
1.9× |
| Candida antibody (86628) |
$13.80 |
$23 |
1.1× |
| Candida DNA dir probe (87480) |
$52.50 |
$87.50 |
2.6× |
| Candida na amplified probe (87481) |
$18.30 |
$30.50 |
0.5× |
| Carbamazepine free (80157) |
$39 |
$65 |
2.9× |
| Carbamazepine total (80156) |
$141.60 |
$236 |
9.7× |
| Carbohydrate def transferrin (82373) |
$150 |
$250 |
8.3× |
| Carbon dioxide (82374) |
$47.40 |
$79 |
9.7× |
| Carboxyhemoglobin quant (82375) |
$54 |
$90 |
4.4× |
| Carcinoembryonic antigen (cea) (82378) |
$44.40 |
$74 |
2.3× |
| Cardiolipin ab ea ig class (86147) |
$17.40 |
$29 |
0.7× |
| Carnitine quant ea specimen (82379) |
$39 |
$65 |
2.3× |
| Carotene (82380) |
$15.90 |
$26.50 |
1.7× |
| Catecholamines fraction plasma (82384) |
$18.60 |
$31 |
0.7× |
| Ccp antibody (86200) |
$54 |
$90 |
4.2× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$31.50 |
$52.50 |
0.7× |
| Cell Count,Misc Body Fluids - Body Fluid Cell Count (89050) |
$45.90 |
$76.50 |
9.7× |
| Cell enumeration & id (86152) |
$214.80 |
$358 |
0.9× |
| Ceruloplasmin (82390) |
$19.80 |
$33 |
1.8× |
| Cftr gene com variants (81220) |
$334.20 |
$557 |
0.6× |
| Chemiluminescent assay (82397) |
$26.40 |
$44 |
1.9× |
| Chlamydia antibody (86631) |
$6.90 |
$11.50 |
0.6× |
| Chlamydia trachomatis igm (86632) |
$7.80 |
$13 |
0.6× |
| Chloride blood (82435) |
$56.40 |
$94 |
12.3× |
| Chloride fluid (82438) |
$23.40 |
$39 |
4.7× |
| Chloride urine (82436) |
$43.50 |
$72.50 |
7.6× |
| Cholesterol total (82465) |
$25.80 |
$43 |
5.9× |
| Cholinesterase rbc (82482) |
$19.20 |
$32 |
2.0× |
| Cholinesterase serum (82480) |
$27.60 |
$46 |
3.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$239.40 |
$399 |
1.9× |
| Chromium (82495) |
$21.60 |
$36 |
1.1× |
| Chromogranin a (86316) |
$25.80 |
$43 |
1.2× |
| Chromosome analysis 20-25 cells (88264) |
$120 |
$200 |
0.8× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$41.40 |
$69 |
1.5× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$51.30 |
$85.50 |
1.5× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) |
$75 |
$125 |
0.4× |
| Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Other Outpatient (88283) |
$119.70 |
$199.50 |
1.7× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$327.60 |
$546 |
1.2× |
| Chylmd Pneum, Dna, Amp Probe - Chlamydia Pneumoniae Dna Probe, Amp (87486) |
$65.10 |
$108.50 |
1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$40.80 |
$68 |
1.2× |
| Citrate (82507) |
$16.50 |
$27.50 |
0.6× |
| Ck isoenzymes (82552) |
$18 |
$30 |
1.3× |
| Clot factor xiii fibrin stab (85290) |
$176.70 |
$294.50 |
10.8× |
| Clotting factor viii multimetric analysis (85247) |
$33 |
$55 |
1.4× |
| Cmv Antibody - Cmv Igg (86644) |
$68.10 |
$113.50 |
4.7× |
| Cmv PCR quant (87497) |
$112.50 |
$187.50 |
2.6× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$750.30 |
$1,250.50 |
1.8× |
| Coagulation time activated (85347) |
$43.80 |
$73 |
10.2× |
| Coccidioides antibody (86635) |
$18 |
$30 |
1.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$43.80 |
$73 |
1.8× |
| Cold agglutinin screen (86156) |
$24 |
$40 |
3.0× |
| Collagen cross links (82523) |
$48.60 |
$81 |
2.6× |
| Collect sweat for test (89230) |
$65.40 |
$109 |
1.2× |
| Compatibility each unit immediate spin technique (86920) |
$145.50 |
$242.50 |
0.8× |
| Compatibility test antiglob (86922) |
$116.40 |
$194 |
0.7× |
| Complement c3 (86160) |
$22.80 |
$38 |
1.9× |
| Complement total (ch50) (86162) |
$25.50 |
$42.50 |
1.3× |
| Comprehensive consult (88325) |
$309 |
$515 |
1.7× |
| Concentration infectious agents (87015) |
$24.60 |
$41 |
3.7× |
| Coombs test indirect qual (86885) |
$69.30 |
$115.50 |
12.1× |
| Coombs test indirect titer (86886) |
$137.10 |
$228.50 |
26.5× |
| Copper liver tissue (82525) |
$20.70 |
$34.50 |
1.7× |
| Cortisol free (82530) |
$46.80 |
$78 |
2.8× |
| Cortisol serum (82533) |
$48.60 |
$81 |
3.0× |
| Coxsackie a9 virus antibodies (86658) |
$22.20 |
$37 |
1.7× |
| Cp cerv/vag; atl; manual scrn (88142) |
$77.40 |
$129 |
3.8× |
| Cp concentr tech smear (88108) |
$94.80 |
$158 |
2.4× |
| Cp smr othr; > 5 slides (88162) |
$46.50 |
$77.50 |
0.9× |
| Cp smr othr; prep scrn int (88161) |
$50.10 |
$83.50 |
1.7× |
| Creatine kinase mb fraction only (82553) |
$138 |
$230 |
11.9× |
| Creatine kinase total (82550) |
$71.10 |
$118.50 |
10.9× |
| Creatinine clearance (82575) |
$96.30 |
$160.50 |
10.2× |
| Creatinine other source (82570) |
$17.40 |
$29 |
3.4× |
| Creatinine serum (82565) |
$73.20 |
$122 |
14.3× |
| Crp-high sensitivity (86141) |
$38.40 |
$64 |
3.0× |
| Cryofibrinogen (82585) |
$20.70 |
$34.50 |
1.5× |
| Cryoglobulins (82595) |
$18 |
$30 |
2.8× |
| Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) |
$177.60 |
$296 |
13.6× |
| Cryptococcal Antigen (87899) |
$38.40 |
$64 |
2.4× |
| Cryptosporidium antigen (87328) |
$41.40 |
$69 |
3.0× |
| Cul typ id bld pthgn 6+ trgt (87154) |
$311.70 |
$519.50 |
1.4× |
| Cult aerobic defin id ea isol (87077) |
$46.20 |
$77 |
5.7× |
| Culture aerobic quant other (87071) |
$26.40 |
$44 |
2.7× |
| Culture anaerobic (87075) |
$119.10 |
$198.50 |
12.6× |
| Culture blood (87040) |
$177 |
$295 |
17.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$31.20 |
$52 |
4.0× |
| Culture fungus blood (87103) |
$165.90 |
$276.50 |
8.1× |
| Culture fungus id (87106) |
$48.90 |
$81.50 |
4.7× |
| Culture fungus other (87102) |
$122.70 |
$204.50 |
14.6× |
| Culture genital (87070) |
$74.40 |
$124 |
8.6× |
| Culture mycobacterial definitive id ea isol (87118) |
$48.90 |
$81.50 |
3.3× |
| Culture mycoplasma (87109) |
$19.80 |
$33 |
1.3× |
| Culture stool (87045) |
$95.70 |
$159.50 |
10.1× |
| Culture typing nucleic acid probe dir ea organsm (87149) |
$36.60 |
$61 |
1.8× |
| Culture typing serologic (87147) |
$59.70 |
$99.50 |
11.5× |
| Culture urine (87086) |
$110.70 |
$184.50 |
13.7× |
| Cyanide (82600) |
$33 |
$55 |
1.7× |
| Cyclosporine (80158) |
$75.60 |
$126 |
4.2× |
| Cyp2c19 gene analysis common variants (81225) |
$24.60 |
$41 |
0.1× |
| Cyp2c9 gene com variants (81227) |
$28.20 |
$47 |
0.2× |
| Cyp2d6 gene analysis common variants (81226) |
$24.60 |
$41 |
0.1× |
| Cystatin c (82610) |
$33 |
$55 |
1.8× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$886.50 |
$1,477.50 |
0.8× |
| Cytomegalov amplif na probe (87496) |
$103.20 |
$172 |
2.9× |
| Cytomegalovirus antibody igm (86645) |
$60 |
$100 |
3.6× |
| Cytopath c/v index add-on (88155) |
$46.80 |
$78 |
3.2× |
| Cytopath cell enhance technique (88112) |
$73.50 |
$122.50 |
1.4× |
| Cytopath fl nongyn smears (88104) |
$117 |
$195 |
3.0× |
| Cytopath tbs c/v manual (88164) |
$39.60 |
$66 |
2.1× |
| Cytp dx eval fna 1st ea site (88172) |
$85.50 |
$142.50 |
0.5× |
| Cytp eval fine needle aspirate interp & report (88173) |
$184.80 |
$308 |
3.4× |
| Cytp urne 3-5 probes ea spec (88120) |
$241.50 |
$402.50 |
1.4× |
| D-dimer quant (85379) |
$179.10 |
$298.50 |
17.6× |
| D-dimer quantitative (85380) |
$125.70 |
$209.50 |
12.3× |
| Deoxycortisol (82634) |
$117 |
$195 |
4.0× |
| Deoxyribonuclease antibody (86215) |
$18.60 |
$31 |
1.4× |
| Detect agent nos DNA amp (87798) |
$94.20 |
$157 |
2.7× |
| Detect agent nos DNA quant (87799) |
$101.70 |
$169.50 |
2.4× |
| Dhea (82626) |
$38.70 |
$64.50 |
1.5× |
| Dhea-s (82627) |
$27.90 |
$46.50 |
1.3× |
| Dibucaine number (82638) |
$12 |
$20 |
1.0× |
| Digoxin (80162) |
$67.50 |
$112.50 |
5.1× |
| Dihydrotestosterone (82642) |
$27 |
$45 |
0.9× |
| Diphtheria antibody (86648) |
$24 |
$40 |
1.6× |
| Direct antiglobulin test (86880) |
$49.50 |
$82.50 |
9.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$30.90 |
$51.50 |
2.2× |
| DNA/RNA amplified probe (87150) |
$61.20 |
$102 |
1.7× |
| DNA/RNA sequencing (87153) |
$197.40 |
$329 |
1.7× |
| Dpyd gene analysis common variants (81232) |
$417 |
$695 |
2.4× |
| Drug assay felbamate (80167) |
$30 |
$50 |
1.6× |
| Drug assay infliximab (80230) |
$135 |
$225 |
3.5× |
| Drug assay methotrexate (80204) |
$33 |
$55 |
0.9× |
| Drug assay salicylate (80179) |
$218.10 |
$363.50 |
11.7× |
| Drug screen quant clozapine (80159) |
$19.80 |
$33 |
1.0× |
| Drug screen quant gabapentin (80171) |
$24 |
$40 |
1.1× |
| Drug screen quant tiagabine (80199) |
$42 |
$70 |
1.5× |
| Drug screen quant zonisamide (80203) |
$19.80 |
$33 |
1.5× |
| Drug screen quantitative oxcarbazepine (80183) |
$29.40 |
$49 |
2.2× |
| Drug test prsmv chem anlyzr (80307) |
$157.20 |
$262 |
2.5× |
| E coli 0157 ag eia (87335) |
$29.10 |
$48.50 |
2.3× |
| Echinococcus ab igg (86682) |
$49.20 |
$82 |
3.8× |
| Egfr gene analysis common variants (81235) |
$433.20 |
$722 |
1.3× |
| Ehrlichia antibody (86666) |
$13.20 |
$22 |
1.3× |
| Elastase pancreatic fecal quantitative (82653) |
$48 |
$80 |
2.1× |
| Electrolytes panel (80051) |
$161.40 |
$269 |
23.0× |
| Electron microscopy diagnostic (88348) |
$303 |
$505 |
0.4× |
| Electronic crossmatch (86923) |
$81.30 |
$135.50 |
0.5× |
| Electrophoretic test (82664) |
$39 |
$65 |
0.6× |
| Encephalitis st louis ab (86653) |
$41.40 |
$69 |
3.1× |
| Endomysial antibody each immunoglobulin class (86231) |
$19.80 |
$33 |
1.6× |
| Entamoeba histolytica antigen (87337) |
$43.20 |
$72 |
3.6× |
| Enterovirus by PCR (87498) |
$109.50 |
$182.50 |
3.1× |
| Enzyme cell activity (82657) |
$75.90 |
$126.50 |
3.4× |
| Enzyme histochemistry (88319) |
$43.20 |
$72 |
0.1× |
| Eosinophil smear (89190) |
$53.70 |
$89.50 |
9.3× |
| Epstein-Barr Antibody - Epstein-Barr Virus Early Igg (86663) |
$29.10 |
$48.50 |
2.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$24.90 |
$41.50 |
1.6× |
| Erythropoietin (82668) |
$22.20 |
$37 |
1.2× |
| Estradiol (82670) |
$41.40 |
$69 |
1.5× |
| Estriol serum (82677) |
$78 |
$130 |
3.2× |
| Estrogens total (82672) |
$19.80 |
$33 |
0.9× |
| Estrone (82679) |
$19.80 |
$33 |
0.8× |
| Ethosuximide (80168) |
$19.80 |
$33 |
1.2× |
| Ethylene glycol (82693) |
$22.80 |
$38 |
1.5× |
| Euglobulin lysis (85360) |
$72 |
$120 |
8.6× |
| Eval amniotic fluid protein (84112) |
$230.40 |
$384 |
2.3× |
| Everolimus (80169) |
$104.40 |
$174 |
7.6× |
| Exam archive tissue molec anal (88363) |
$28.80 |
$48 |
1.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$45.60 |
$76 |
6.2× |
| F2 gene (81240) |
$67.80 |
$113 |
1.0× |
| Factor ii activity (85210) |
$141.60 |
$236 |
10.9× |
| Factor ix assay (85250) |
$76.50 |
$127.50 |
4.0× |
| Factor v activity (85220) |
$66.30 |
$110.50 |
3.8× |
| Factor v leiden (81241) |
$48.30 |
$80.50 |
0.7× |
| Factor vii activity (85230) |
$115.50 |
$192.50 |
6.5× |
| Factor viii assay (85240) |
$78.90 |
$131.50 |
4.4× |
| Factor viii inhibitor (85335) |
$103.80 |
$173 |
8.1× |
| Factor viii vw antigen (85246) |
$95.70 |
$159.50 |
4.2× |
| Factor x (stuart-prower) (85260) |
$197.10 |
$328.50 |
11.0× |
| Factor xi activity (85270) |
$53.40 |
$89 |
3.0× |
| Factor xii (hageman) (85280) |
$207.60 |
$346 |
10.7× |
| Fancc gene analysis common variant (81242) |
$162 |
$270 |
4.4× |
| Fatty acids nonesterified (82725) |
$143.40 |
$239 |
7.6× |
| Fatty acids very long chain (82726) |
$126 |
$210 |
6.4× |
| Fecal fat (82710) |
$32.40 |
$54 |
1.9× |
| Fecal fat qual (82705) |
$13.80 |
$23 |
2.7× |
| Fecal occult blood immunochemical (82274) |
$54 |
$90 |
3.4× |
| Ferritin (82728) |
$78.30 |
$130.50 |
5.7× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$366 |
$610 |
0.5× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) |
$51 |
$85 |
0.7× |
| Fetal fibronectin (82731) |
$288.30 |
$480.50 |
4.5× |
| Fetal lung maturity assessment; fluorescence polarization Other Outpatient (83663) |
$95.70 |
$159.50 |
5.1× |
| Fibrin split products (85362) |
$118.80 |
$198 |
17.2× |
| Fibrinogen activity (85384) |
$91.20 |
$152 |
9.4× |
| Fibrinolysins or coag screen (85390) |
$45 |
$75 |
2.9× |
| Flecainide (80181) |
$22.20 |
$37 |
1.2× |
| Flow cytometry first marker (88184) |
$62.70 |
$104.50 |
0.2× |
| Flt3 gene analysis (81246) |
$232.80 |
$388 |
2.8× |
| Flt3 gene analysis (81245) |
$232.80 |
$388 |
1.4× |
| Fluorescent antibody titer (86256) |
$23.65 |
$39.42 |
2.0× |
| Fmr1 gene detection (81243) |
$62.40 |
$104 |
1.1× |
| Folate rbc (82747) |
$18.60 |
$31 |
1.1× |
| Folate serum (82746) |
$92.10 |
$153.50 |
6.3× |
| Francisella tularensis ab (86668) |
$39 |
$65 |
2.8× |
| Free t4 (84439) |
$51.60 |
$86 |
5.7× |
| Fructosamine (82985) |
$31.20 |
$52 |
1.9× |
| Fsh (83001) |
$37.80 |
$63 |
2.0× |
| Ftl cgen abnor four anal (81511) |
$33 |
$55 |
0.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$53.70 |
$89.50 |
5.2× |
| Galactose (82760) |
$19.80 |
$33 |
1.8× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$19.80 |
$33 |
1.7× |
| Galectin-3 (82777) |
$105 |
$175 |
2.4× |
| Gamma glutamyl transferase (82977) |
$21.30 |
$35.50 |
3.0× |
| Gammaglobulin ige (82785) |
$23.10 |
$38.50 |
1.4× |
| Gardner vag DNA dir probe (87510) |
$52.50 |
$87.50 |
2.6× |
| Gases blood (82803) |
$222.60 |
$371 |
8.5× |
| Gastric analy w/ph ea spec (82930) |
$36.90 |
$61.50 |
5.5× |
| Gastric occult blood (82271) |
$27.30 |
$45.50 |
5.1× |
| Gastrin (82941) |
$22.20 |
$37 |
1.3× |
| Genotype DNA hepatitis b (87912) |
$153 |
$255 |
0.6× |
| Genotype DNA HIV other region (87906) |
$180.30 |
$300.50 |
1.4× |
| Gentamicin (80170) |
$155.70 |
$259.50 |
9.5× |
| Giardia antigen eia stool (87329) |
$45.90 |
$76.50 |
3.8× |
| Giardia lamblia antibody (86674) |
$19.20 |
$32 |
1.3× |
| Gliadin antibody each immunoglobulin class (86258) |
$34.20 |
$57 |
2.8× |
| Glucagon (82943) |
$25.80 |
$43 |
1.8× |
| Glucose (82947) |
$25.80 |
$43 |
6.6× |
| Glucose body fluid (82945) |
$21 |
$35 |
5.3× |
| Glucose post glucose dose (82950) |
$25.20 |
$42 |
5.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$78.60 |
$131 |
6.1× |
| Glutathione (82978) |
$33 |
$55 |
2.1× |
| Glycomark (84378) |
$176.70 |
$294.50 |
15.3× |
| Gram stain smear (87205) |
$57.60 |
$96 |
13.5× |
| Gross & micro level ii (88302) |
$58.80 |
$98 |
1.5× |
| Gross & micro level iii (88304) |
$89.40 |
$149 |
1.6× |
| Group a strep PCR (87651) |
$74.40 |
$124 |
2.1× |
| Growth hormone (83003) |
$19.80 |
$33 |
1.2× |
| Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following:… (80428) |
$213.60 |
$356 |
3.2× |
| Gtt-added samples (82952) |
$32.40 |
$54 |
8.3× |
| H pylori (c-13) breath test (83013) |
$111 |
$185 |
1.6× |
| Haptoglobin (83010) |
$28.20 |
$47 |
2.2× |
| Hba1/hba2 gene (81257) |
$183 |
$305 |
1.8× |
| Hcg quant (84702) |
$55.80 |
$93 |
3.7× |
| Heavy metal quan each nes (83018) |
$42 |
$70 |
1.9× |
| Helicobacter pylori; drug administration Other Outpatient (83014) |
$6.60 |
$11 |
0.8× |
| Hemagglutination inhibition (86280) |
$24 |
$40 |
2.9× |
| Hematocrit (85014) |
$52.20 |
$87 |
22.0× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) |
$1,245 |
$2,075 |
1.6× |
| Hemoglobin (85018) |
$34.80 |
$58 |
14.7× |
| Hemoglobin a1c (83036) |
$25.20 |
$42 |
2.6× |
| Hemoglobin electrophoresis (83020) |
$41.70 |
$69.50 |
3.2× |
| Hemoglobin fetal ql (83033) |
$33.30 |
$55.50 |
4.2× |
| Hemoglobin fractj/quantj chromotography (83021) |
$42 |
$70 |
2.3× |
| Hemoglobin plasma (83051) |
$24 |
$40 |
3.3× |
| Hemosiderin urine (83070) |
$42 |
$70 |
8.8× |
| Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm (86705) |
$85.20 |
$142 |
7.2× |
| Heparin assay (85520) |
$71.10 |
$118.50 |
5.4× |
| Heparin induced platelet ab (86022) |
$102.60 |
$171 |
5.6× |
| Hepatitis a antibody (haab) total (86708) |
$48 |
$80 |
3.9× |
| Hepatitis a igm (86709) |
$72.30 |
$120.50 |
6.4× |
| Hepatitis b core antibody total (86704) |
$44.70 |
$74.50 |
3.7× |
| Hepatitis b surface antibody (86706) |
$107.10 |
$178.50 |
10.0× |
| Hepatitis B Surface Antigen (87340) |
$68.40 |
$114 |
6.6× |
| Hepatitis b virus DNA, quantitative, real-time PCR (87517) |
$76.50 |
$127.50 |
1.8× |
| Hepatitis be antibody (86707) |
$18 |
$30 |
1.6× |
| Hepatitis be antigen (87350) |
$18 |
$30 |
1.6× |
| Hepatitis c antibody (86803) |
$82.50 |
$137.50 |
5.8× |
| Hepatitis c RNA quantitative (87522) |
$113.40 |
$189 |
2.6× |
| Hepatitis c virus genotype (87902) |
$113.40 |
$189 |
0.4× |
| Hepatitis delta antibody (86692) |
$49.50 |
$82.50 |
2.9× |
| Herpes 6 amplif na probe (87532) |
$120 |
$200 |
3.4× |
| Herpes simplex type 1 ab (86695) |
$32.40 |
$54 |
2.5× |
| Herpes simplex type 2 antibody (86696) |
$35.10 |
$58.50 |
1.8× |
| Herpes simplex virus igm ab (86694) |
$16.50 |
$27.50 |
1.1× |
| Heterophile ab screen (86308) |
$87.30 |
$145.50 |
16.9× |
| Hexa gene analysis common variants (81255) |
$291.60 |
$486 |
5.7× |
| Hexagnal phosph pltlt neutrl (85598) |
$34.80 |
$58 |
1.9× |
| Hfe gene (81256) |
$49.80 |
$83 |
0.8× |
| High density lipoprotein (83718) |
$163.20 |
$272 |
19.9× |
| Histamine plasma (83088) |
$34.20 |
$57 |
1.2× |
| Histoplasma antibody (86698) |
$8.40 |
$14 |
0.6× |
| Histoplasma antigen by eia (87385) |
$54.60 |
$91 |
4.1× |
| HIV genotype (87901) |
$78.30 |
$130.50 |
0.3× |
| HIV-1 antibody (86701) |
$31.50 |
$52.50 |
3.5× |
| HIV-1 DNA by PCR (87535) |
$128.70 |
$214.50 |
3.7× |
| HIV-1 quant&revrse trnscrpj (87536) |
$140.40 |
$234 |
1.6× |
| HIV-1/HIV-2 single result (86703) |
$111.30 |
$185.50 |
8.1× |
| HIV-2 antibody (86702) |
$37.20 |
$62 |
2.8× |
| Hla b27 (86812) |
$22.20 |
$37 |
0.9× |
| Hla b5701 (81381) |
$81 |
$135 |
0.5× |
| HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing)… (81371) |
$728.19 |
$1,213.65 |
1.8× |
| Hla class i typing low resolution complete (81372) |
$237 |
$395 |
0.6× |
| Hla i typing 1 antigen lr (81374) |
$105 |
$175 |
1.4× |
| Hla ii typing 1 allele hr (81383) |
$129 |
$215 |
1.2× |
| Hla ii typing 1 loc hr (81382) |
$52.80 |
$88 |
0.4× |
| Hla ii typing 1 locus lr (81376) |
$78.90 |
$131.50 |
0.6× |
| Hla typing a/b/c multiple antigens (86813) |
$18.60 |
$31 |
0.3× |
| Homocystine (83090) |
$66.90 |
$111.50 |
3.7× |
| Homogenization tissue (87176) |
$26.70 |
$44.50 |
4.5× |
| Homovanillic acid (83150) |
$23.40 |
$39 |
1.0× |
| Hpa-1 genotyping gene analysis common variant (81105) |
$285 |
$475 |
2.3× |
| Hpa-15 genotyping gene analysis common variant (81112) |
$285 |
$475 |
2.3× |
| Hpa-2 genotyping gene analysis common variant (81106) |
$285 |
$475 |
2.3× |
| Hpa-3 genotyping gene analysis common variant (81107) |
$285 |
$475 |
2.3× |
| Hpa-4 genotyping gene analysis common variant (81108) |
$285 |
$475 |
2.3× |
| Hpa-5 genotyping gene analysis common variant (81109) |
$285 |
$475 |
2.3× |
| Hpa-6 genotyping gene analysis common variant (81110) |
$285 |
$475 |
2.3× |
| Hpa-9 genotyping gene analysis common variant (81111) |
$285 |
$475 |
2.3× |
| Hpv high-risk types (87624) |
$99.60 |
$166 |
2.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$59.40 |
$99 |
1.7× |
| Htt gene analysis detect abnormal alleles (81271) |
$156.60 |
$261 |
1.1× |
| Human epididymis protein 4 (86305) |
$69 |
$115 |
3.3× |
| Hydroxyprogesterone 17-d (83498) |
$26.10 |
$43.50 |
1.0× |
| Iaad ia clostridium difficile toxin (87324) |
$70.20 |
$117 |
5.9× |
| Iaad ia HIV-1 ag w/HIV-1 & HIV-2 antbdy single (87389) |
$46.20 |
$77 |
1.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$39.90 |
$66.50 |
2.8× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$54.60 |
$91 |
1.5× |
| Iaadi herpes smplx virus type 1 (87274) |
$46.50 |
$77.50 |
3.9× |
| Iaadi herpes smplx virus type 2 (87273) |
$46.80 |
$78 |
3.9× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
$31.20 |
$52 |
2.6× |
| Iadna legionella pneumophila amplified probe tq (87541) |
$88.80 |
$148 |
2.5× |
| Iadna multiple organisms amplified probe tq (87801) |
$96 |
$160 |
1.4× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$101.70 |
$169.50 |
2.0× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$256.80 |
$428 |
1.8× |
| Iadna sarscov2& inf a&b mult amplified probe tq (87636) |
$256.80 |
$428 |
1.8× |
| Igg subclass 4 (82787) |
$6.60 |
$11 |
0.8× |
| Igh gene rearrange amp meth (81261) |
$366 |
$610 |
1.8× |
| Igh vari regional mutation (81263) |
$201 |
$335 |
0.7× |
| Igk rearrangeabn clonal pop (81264) |
$296.40 |
$494 |
1.7× |
| Immune complex assay (86332) |
$6 |
$10 |
0.2× |
| Immunoassay infectious agent antibody quan nos (86317) |
$2.10 |
$3.50 |
0.1× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient (86325) |
$88.80 |
$148 |
3.8× |
| Immunofixation Electrophoresis Serum (86334) |
$123.20 |
$205.34 |
5.5× |
| Immunofixation urine (86335) |
$104.40 |
$174 |
3.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$70.80 |
$118 |
0.4× |
| Immunoglobulin d (82784) |
$12.90 |
$21.50 |
1.4× |
| Immunoglobulin light chains free each (83521) |
$24.30 |
$40.50 |
1.4× |
| Immunohisto antibody slide (88344) |
$221.40 |
$369 |
0.6× |
| Immunoperoxidase (88342) |
$77.40 |
$129 |
0.4× |
| In situ hybridization 1st probe stain (88365) |
$188.40 |
$314 |
1.1× |
| In situ hybridization ea multiplex probe stain (88366) |
$248.40 |
$414 |
1.4× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
$45.60 |
$76 |
3.4× |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Other… (87267) |
$45 |
$75 |
3.4× |
| Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other… (87299) |
$94.50 |
$157.50 |
5.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient (87512) |
$18.30 |
$30.50 |
0.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) |
$315.60 |
$526 |
1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$117.30 |
$195.50 |
3.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique… (87561) |
$52.80 |
$88 |
1.5× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87904) |
$69 |
$115 |
2.6× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) |
$630 |
$1,050 |
1.3× |
| Influenza a ag if (87276) |
$33.90 |
$56.50 |
2.1× |
| Influenza a/b ag eia (87400) |
$78.60 |
$131 |
5.6× |
| Influenza b ag if (87275) |
$33.90 |
$56.50 |
2.8× |
| Influenza DNA amp probe (87502) |
$194.70 |
$324.50 |
2.0× |
| Influenza virus antibody (86710) |
$15 |
$25 |
1.1× |
| Inhibin a (86336) |
$78 |
$130 |
5.0× |
| Inhibin b (83520) |
$49.20 |
$82 |
2.8× |
| Insitu hybridization auto (88367) |
$137.70 |
$229.50 |
0.4× |
| Insitu hybridization manual (88368) |
$186.30 |
$310.50 |
0.5× |
| Insulin antibody (86337) |
$21 |
$35 |
1.0× |
| Insulin free (83527) |
$12.60 |
$21 |
1.0× |
| Insulin total (83525) |
$21 |
$35 |
1.8× |
| Interleukin 6 (83529) |
$53.40 |
$89 |
3.1× |
| Intraop cyto path consult 1 (88333) |
$223.80 |
$373 |
0.3× |
| Intrinsic factor ab (86340) |
$28.20 |
$47 |
1.9× |
| Iron (83540) |
$60.60 |
$101 |
9.4× |
| Iron binding capacity total (83550) |
$45.90 |
$76.50 |
5.3× |
| Irradiate bld product ea unit (86945) |
$53.40 |
$89 |
1.4× |
| Islet cell antibody (86341) |
$47.40 |
$79 |
2.0× |
| Itraconazole (80189) |
$62.40 |
$104 |
2.3× |
| Jak2 gene (81270) |
$140.10 |
$233.50 |
1.5× |
| Jak2 targeted sequence analysis (81279) |
$323.40 |
$539 |
1.7× |
| John cunningham antibody (86711) |
$832.80 |
$1,388 |
49.3× |
| Ketosteroids 17 total (83586) |
$46.20 |
$77 |
3.6× |
| Kit gene analys d816 variant (81273) |
$175.50 |
$292.50 |
1.4× |
| Kleihauer betke stain (85460) |
$84 |
$140 |
10.9× |
| Koh for fungi/parasites/mites (87220) |
$21.30 |
$35.50 |
5.0× |
| Kras gene (81275) |
$419.10 |
$698.50 |
2.2× |
| Kras gene addl variants (81276) |
$170.40 |
$284 |
0.9× |
| L117054ptt substitut (85732) |
$26.40 |
$44 |
4.1× |
| L164657fungus ab nos (86671) |
$39 |
$65 |
3.2× |
| L216655epst-barr vca (86665) |
$42 |
$70 |
2.3× |
| Lactate dehydrogenase (83615) |
$21 |
$35 |
3.5× |
| Lactic acid (83605) |
$96.90 |
$161.50 |
8.4× |
| Lactoferrin fecal qual (83630) |
$44.10 |
$73.50 |
2.2× |
| Lactoferrin fecal quantitative (83631) |
$135.60 |
$226 |
6.9× |
| Lamellar body count (83664) |
$44.70 |
$74.50 |
2.3× |
| Lamotrigine (80175) |
$19.20 |
$32 |
1.4× |
| Ldh isoenzymes (83625) |
$19.20 |
$32 |
1.5× |
| LDL direct (83721) |
$40.80 |
$68 |
3.9× |
| Lead (83655) |
$17.40 |
$29 |
1.4× |
| Leflunomide (80193) |
$84 |
$140 |
2.2× |
| Legionella antibody (86713) |
$2.40 |
$4 |
0.2× |
| Legionella antigen urine (87449) |
$35.40 |
$59 |
3.0× |
| Legionella culture (87081) |
$41.40 |
$69 |
6.2× |
| Leishmania antibody (86717) |
$4.20 |
$7 |
0.3× |
| Leptospira antibody (86720) |
$43.80 |
$73 |
2.7× |
| Leukocyte (Wbc) Count - White Blood Count (85048) |
$29.40 |
$49 |
11.6× |
| Leukocyte Count,Fecal - Fecal Leukocytes (89055) |
$57.60 |
$96 |
13.5× |
| Leukocyte histamine release test (86343) |
$69.60 |
$116 |
5.6× |
| Levetiracetam (keppra) (80177) |
$25.80 |
$43 |
1.9× |
| Lidocaine (80176) |
$41.40 |
$69 |
2.8× |
| Lipase (83690) |
$89.40 |
$149 |
13.0× |
| Lipoprotein (a) (83695) |
$25.80 |
$43 |
1.8× |
| Lipoprotein blood by nmr spect - lipoprotein (83704) |
$35.40 |
$59 |
1.0× |
| Lipoprotein electrophoresis (83700) |
$7.80 |
$13 |
0.7× |
| Lipoprotein-associated phospholipase a2 (83698) |
$26.40 |
$44 |
0.6× |
| Listeria antibody (86723) |
$106.20 |
$177 |
8.1× |
| Lithium (80178) |
$80.70 |
$134.50 |
12.2× |
| Luteinizing hormone (lh) (83002) |
$39 |
$65 |
2.1× |
| Lyme ab igm western blot (86617) |
$10.80 |
$18 |
0.7× |
| Lyme disease antibody (86618) |
$9.60 |
$16 |
0.6× |
| Lymphocyte transformation (86353) |
$149.40 |
$249 |
3.0× |
| M genitalium amp probe (87563) |
$57.75 |
$96.25 |
1.6× |
| M.Pneumon, Dna, Amp Probe - Mycoplasma Pneumoniae Pcr (87581) |
$74.70 |
$124.50 |
2.1× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$360.60 |
$601 |
2.0× |
| M/phmtrc alys tumor imhchem ea antbdy cmptr asst (88361) |
$347.10 |
$578.50 |
0.9× |
| Magnesium urine (83735) |
$17.70 |
$29.50 |
2.6× |
| Malaria smear (87207) |
$9.60 |
$16 |
1.6× |
| Manganese (83785) |
$27 |
$45 |
1.0× |
| Manual tumor im histochem ea ab (88360) |
$135 |
$225 |
0.8× |
| Mcg; ip situ 100-300 cells (88275) |
$153.60 |
$256 |
3.0× |
| Mcg; ip situ 25-99 cells (88274) |
$150 |
$250 |
3.5× |
| Meat fibers feces (89160) |
$24 |
$40 |
4.9× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Other Outpatient (81302) |
$375 |
$625 |
0.7× |
| Mercury urine (83825) |
$9 |
$15 |
0.6× |
| Metanephrines (83835) |
$22.80 |
$38 |
1.3× |
| Methemoglobin quant (83050) |
$21.60 |
$36 |
2.6× |
| Methylmalonic acid serum (83921) |
$21 |
$35 |
1.0× |
| Mgmt methylation analysis (81287) |
$96 |
$160 |
0.8× |
| Microalbumin urine (82043) |
$36.30 |
$60.50 |
6.3× |
| Microsatellite instability (81301) |
$504 |
$840 |
1.4× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$149.40 |
$249 |
2.7× |
| Microsomal Antibody - Thyroid Peroxidase Antibody (86376) |
$31.50 |
$52.50 |
2.2× |
| Mitochondrial antibody each (86381) |
$19.80 |
$33 |
0.8× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$189.60 |
$316 |
1.0× |
| Molecular cytogenetics DNA probe each (88271) |
$150 |
$250 |
7.0× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) |
$150 |
$250 |
4.3× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other… (88272) |
$199.20 |
$332 |
4.9× |
| Mononuclear cell antigen (86356) |
$15 |
$25 |
0.6× |
| Mopath procedure level 1 (81400) |
$180.60 |
$301 |
2.8× |
| Mopath procedure level 2 (81401) |
$150.60 |
$251 |
1.1× |
| Mopath procedure level 5 (81404) |
$199.80 |
$333 |
0.7× |
| Mopath procedure level 6 (81405) |
$91.20 |
$152 |
0.3× |
| Morphometric analysis tumor (88358) |
$61.20 |
$102 |
0.3× |
| Morphometric Analysis: Nerve Arkana (Technical Only) (88356) |
$123.60 |
$206 |
2.3× |
| Mpl gene analysis common variants (81338) |
$228.90 |
$381.50 |
1.5× |
| Mpl gene seq alys exon 10 (81339) |
$306 |
$510 |
1.7× |
| Mrsa PCR (87641) |
$99.60 |
$166 |
2.8× |
| Mthfr gene analysis (81291) |
$123.90 |
$206.50 |
1.9× |
| Mucin synovial fluid 301 (83872) |
$28.20 |
$47 |
4.8× |
| Mucopolysaccharides (83864) |
$186 |
$310 |
6.5× |
| Mumps igg antibody (86735) |
$32.70 |
$54.50 |
2.5× |
| Muramidase (85549) |
$25.80 |
$43 |
1.4× |
| Muscle-specific kinase antibody (86366) |
$639 |
$1,065 |
34.7× |
| Mycobacteria DNA amp probe (87551) |
$52.80 |
$88 |
1.1× |
| Mycobacteria t amplif na probe (87556) |
$88.20 |
$147 |
2.1× |
| Mycophenolic Acid (80180) |
$21 |
$35 |
1.2× |
| Mycoplasma antibody (86738) |
$19.50 |
$32.50 |
1.5× |
| Myelin basic protein csf (83873) |
$15 |
$25 |
0.9× |
| Myeloperoxidase antibody (86021) |
$28.80 |
$48 |
1.9× |
| Myoglobin (83874) |
$106.20 |
$177 |
8.2× |
| N.gonorrhoeae DNA amp prob (87591) |
$40.80 |
$68 |
1.2× |
| Natriuretic peptide (83880) |
$132 |
$220 |
3.4× |
| Nerve teasing preparations (88362) |
$186.30 |
$310.50 |
0.2× |
| Nfct agt drug suscept phenotype prediction (87900) |
$81.60 |
$136 |
0.6× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$327.80 |
$546.32 |
1.2× |
| Nfct ds chrnc hcv 6 assays (81596) |
$141 |
$235 |
2.0× |
| Nk cells total count (86357) |
$51.90 |
$86.50 |
1.4× |
| Nocardia antibody (86744) |
$4.20 |
$7 |
0.3× |
| Non gyn sputum nipple d/c (88160) |
$36.60 |
$61 |
1.2× |
| Nras gene variants exon 2&3 (81311) |
$145.50 |
$242.50 |
0.5× |
| Occult bld feces 1-3 tests (82272) |
$39.60 |
$66 |
9.4× |
| Occult blood stool (82270) |
$16.80 |
$28 |
3.8× |
| Oligoclonal bands (83916) |
$15.90 |
$26.50 |
0.6× |
| Oncology breast mrna (81519) |
$2,589 |
$4,315 |
0.7× |
| Organic acids total quant (83918) |
$151.80 |
$253 |
6.4× |
| Orthopoxvirus amp prb each (87593) |
$150 |
$250 |
2.9× |
| Osmolality serum (83930) |
$63.30 |
$105.50 |
9.6× |
| Osmolality urine (83935) |
$27 |
$45 |
4.0× |
| Osmotic fragility rbc incubated (85557) |
$155.40 |
$259 |
11.6× |
| Osteocalcin (83937) |
$28.20 |
$47 |
0.9× |
| Ova and parasite exam (87177) |
$14.40 |
$24 |
1.6× |
| Oxalate urine (83945) |
$19.20 |
$32 |
1.3× |
| Pa; screen ea ab (86403) |
$61.80 |
$103 |
5.4× |
| Pancreatic polypeptide (83519) |
$54.60 |
$91 |
3.0× |
| Pappa serum (84163) |
$67.20 |
$112 |
4.5× |
| Parainfluenza ag if (87279) |
$33.90 |
$56.50 |
2.1× |
| Parathyroid hormone (83970) |
$93.60 |
$156 |
2.3× |
| Parietal cell antibody (83516) |
$32.16 |
$53.60 |
2.8× |
| Parvovirus antibody (86747) |
$19.20 |
$32 |
1.3× |
| Path consult during surgery (88329) |
$111.90 |
$186.50 |
1.8× |
| Ph body fluid (83986) |
$31.20 |
$52 |
8.7× |
| Phenobarbital (80184) |
$103.80 |
$173 |
6.8× |
| Phenylalanine (84030) |
$51.60 |
$86 |
9.4× |
| Phenytoin free (80186) |
$15 |
$25 |
1.1× |
| Phenytoin total (80185) |
$22.20 |
$37 |
1.7× |
| Phosphorus blood (84100) |
$54.30 |
$90.50 |
11.5× |
| Phosphorus urine (84105) |
$16.80 |
$28 |
2.9× |
| Pinworm exam (87172) |
$131.10 |
$218.50 |
30.7× |
| Plasma renin activity (84244) |
$17.40 |
$29 |
0.8× |
| Plasminogen activity (85420) |
$56.40 |
$94 |
8.6× |
| Platelet Aggregation (85576) |
$112.50 |
$187.50 |
4.5× |
| Platelet count automated (85049) |
$56.40 |
$94 |
12.6× |
| Pml/raralpha com breakpoints (81315) |
$199.80 |
$333 |
1.0× |
| Pneumocystis c ag by if (87281) |
$46.20 |
$77 |
3.9× |
| Pneumocystis jirovecii amp probe (87594) |
$84.30 |
$140.50 |
2.4× |
| Pooling platelets/other blood products (86965) |
$34.80 |
$58 |
0.2× |
| Porphobilinogen urine quant (84110) |
$23.40 |
$39 |
2.8× |
| Porphyrins total plasma (84311) |
$25.80 |
$43 |
3.2× |
| Porphyrins urine quantitation & fractionation (84120) |
$60 |
$100 |
4.1× |
| Potassium serum (84132) |
$55.50 |
$92.50 |
11.7× |
| Potassium urine (84133) |
$18 |
$30 |
3.8× |
| Prealbumin (84134) |
$83.40 |
$139 |
5.7× |
| Pregnancy test serum (84703) |
$100.80 |
$168 |
13.4× |
| Pregnancy test urine (81025) |
$85.50 |
$142.50 |
9.9× |
| Pregnenolone (84140) |
$45 |
$75 |
2.2× |
| Procalcitonin (pct) (84145) |
$95.70 |
$159.50 |
3.5× |
| Progesterone (84144) |
$62.40 |
$104 |
3.0× |
| Proinsulin (84206) |
$25.80 |
$43 |
1.0× |
| Prolactin (84146) |
$49.80 |
$83 |
2.6× |
| Prostatic acid phosphatase (84066) |
$18.60 |
$31 |
1.9× |
| Protein c antigen (85302) |
$19.20 |
$32 |
1.6× |
| Protein c functional (85303) |
$69.90 |
$116.50 |
5.1× |
| Protein electrophoresis serum (84165) |
$27.60 |
$46 |
2.6× |
| Protein electrophoresis urine (84166) |
$42.90 |
$71.50 |
2.4× |
| Protein s free (85306) |
$34.80 |
$58 |
2.3× |
| Protein s total (85305) |
$24 |
$40 |
2.1× |
| Protein total other source (84157) |
$20.10 |
$33.50 |
5.0× |
| Protein total serum (84155) |
$48.90 |
$81.50 |
13.3× |
| Protein total urine (84156) |
$56.40 |
$94 |
15.4× |
| Protein western blot (84181) |
$28.20 |
$47 |
1.7× |
| Protein western blot test (84182) |
$342 |
$570 |
11.7× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$29.40 |
$49 |
7.5× |
| PSA free (84154) |
$30.60 |
$51 |
1.7× |
| Pyruvate (84210) |
$33 |
$55 |
2.3× |
| Quinidine (80194) |
$73.20 |
$122 |
5.0× |
| Reagent strip/blood glucose (82948) |
$11.25 |
$18.75 |
2.2× |
| Ref consult prep elsewhere (88321) |
$276.60 |
$461 |
7.1× |
| Reptilase test (85635) |
$55.20 |
$92 |
5.6× |
| Respiratory syncytial vi (87280) |
$33.90 |
$56.50 |
2.5× |
| Reticulocyte count auto (85045) |
$50.70 |
$84.50 |
12.7× |
| Retinol binding protein (83883) |
$22.80 |
$38 |
1.7× |
| Rheumatoid factor quant (86431) |
$56.10 |
$93.50 |
9.9× |
| Rickettsia antibody (86757) |
$20.70 |
$34.50 |
1.1× |
| Rnp antibody (86235) |
$12 |
$20 |
0.7× |
| Rotavirus antigen (87425) |
$78 |
$130 |
6.5× |
| Rpr (86592) |
$25.20 |
$42 |
5.9× |
| Rpr titer (86593) |
$32.40 |
$54 |
7.4× |
| Rsv ag eia (87420) |
$66 |
$110 |
4.7× |
| Rsv DNA/RNA amp probe (87634) |
$130.20 |
$217 |
1.9× |
| Rubella antibody (86762) |
$36.60 |
$61 |
2.5× |
| Rubeola antibody (86765) |
$38.40 |
$64 |
3.0× |
| Russell viper venom diluted (85613) |
$21 |
$35 |
2.2× |
| Russell viper venom time (includes venom); undiluted Other Outpatient (85612) |
$118.20 |
$197 |
6.8× |
| Salmonella typhi and paratyphi antibodies (86768) |
$7.20 |
$12 |
0.5× |
| Sars-cov-2 COVID-19 antibody (86769) |
$102 |
$170 |
2.4× |
| Sed rate (85651) |
$64.20 |
$107 |
15.0× |
| Sed rate automated (85652) |
$68.10 |
$113.50 |
25.2× |
| Selenium serum (84255) |
$48 |
$80 |
1.9× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Other Outpatient (89300) |
$79.80 |
$133 |
8.1× |
| Senstitivity - enzyme detect (87185) |
$24 |
$40 |
5.1× |
| Sept9 methylation analysis (81327) |
$228 |
$380 |
1.2× |
| Serotonin (84260) |
$20.40 |
$34 |
0.7× |
| Serpina1 gene (81332) |
$81 |
$135 |
1.9× |
| Sex chromatin id barr bodies (88130) |
$87.30 |
$145.50 |
4.9× |
| Sex hormone binding globulin (84270) |
$38.10 |
$63.50 |
1.8× |
| Shiga-like toxin ag eia (87427) |
$55.80 |
$93 |
4.7× |
| Sickle cell screen (85660) |
$69.30 |
$115.50 |
12.6× |
| Sirolimus (rapamycin) (80195) |
$51 |
$85 |
3.7× |
| Smear wet mount (87210) |
$99 |
$165 |
17.0× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$285 |
$475 |
2.1× |
| Snrpn/ube3a methylation analysis (81331) |
$120 |
$200 |
2.3× |
| Sodium feces (84302) |
$15.60 |
$26 |
3.2× |
| Sodium serum (84295) |
$77.40 |
$129 |
16.1× |
| Sodium urine (84300) |
$12.60 |
$21 |
2.5× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) |
$4,116 |
$6,860 |
1.4× |
| Soluble transferrin receptor (84238) |
$60.30 |
$100.50 |
1.6× |
| Somatomedin-c (84305) |
$37.80 |
$63 |
1.8× |
| Sp consult; 1st tb w fs sgl sp (88331) |
$219 |
$365 |
1.2× |
| Special stains group i (88312) |
$119.10 |
$198.50 |
2.2× |
| Special stains group ii (88313) |
$40.80 |
$68 |
0.3× |
| Specific gravity except urine (84315) |
$17.40 |
$29 |
5.3× |
| Splitting blood/blood products each unit (86985) |
$34.50 |
$57.50 |
0.2× |
| Staph aureus amplified probe (87640) |
$77.70 |
$129.50 |
2.2× |
| Stone analysis (82365) |
$22.80 |
$38 |
1.8× |
| Stool cultr aerobic bact ea (87046) |
$48 |
$80 |
5.1× |
| Strep a ag eia (87430) |
$94.20 |
$157 |
5.6× |
| Strep b DNA amp probe (87653) |
$97.20 |
$162 |
2.8× |
| Sugars; single qual ea specimen (84376) |
$48 |
$80 |
8.7× |
| Sulfate urine (84392) |
$6 |
$10 |
1.1× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$36.60 |
$61 |
1.2× |
| Surg Path,Level V - Lab Surg Path,Level V (88307) |
$377.70 |
$629.50 |
1.0× |
| Surgical path level vi (88309) |
$623.70 |
$1,039.50 |
0.7× |
| Surgical pathology level IV (88305) |
$57.60 |
$96 |
1.1× |
| Susceptbilty stdy antimicrbial agnt agar dilutj (87181) |
$51 |
$85 |
10.7× |
| Susceptibility broth dilution panel (87186) |
$39 |
$65 |
4.5× |
| Susceptiblty stdy antmcrb mycobact proporj mthd (87190) |
$21.30 |
$35.50 |
2.9× |
| T cells total count (86359) |
$99.30 |
$165.50 |
2.6× |
| T3 free (84481) |
$87.60 |
$146 |
5.2× |
| T3 reverse (84482) |
$35.40 |
$59 |
2.2× |
| T3 total (84480) |
$73.80 |
$123 |
5.2× |
| T3 uptake (84479) |
$48.90 |
$81.50 |
7.6× |
| Tacrolimus (80197) |
$47.10 |
$78.50 |
3.4× |
| Targeted genomic seq analys (81445) |
$992.10 |
$1,653.50 |
1.7× |
| Tau phosphorylated ea (84393) |
$122.40 |
$204 |
0.9× |
| Tb test cell immun measure (86480) |
$76.50 |
$127.50 |
1.2× |
| Telomere length testing (88182) |
$124.20 |
$207 |
2.3× |
| Testosterone bioavailable (84410) |
$10.20 |
$17 |
0.2× |
| Testosterone free (84402) |
$25.20 |
$42 |
1.0× |
| Testosterone total (84403) |
$32.40 |
$54 |
1.3× |
| Tetanus antibody (86774) |
$24 |
$40 |
1.6× |
| Thawing and expansion of frozen cells, each aliquot Other Outpatient (88241) |
$31.50 |
$52.50 |
2.6× |
| Theophylline (80198) |
$90.90 |
$151.50 |
6.4× |
| Thiamine (84425) |
$19.80 |
$33 |
0.9× |
| Thiocyanate level (84430) |
$46.20 |
$77 |
4.0× |
| Thiopurine drug metabolites (83789) |
$39.90 |
$66.50 |
1.7× |
| Thiopurine metabolites (80299) |
$46.20 |
$77 |
2.5× |
| Thrombin time plasma (85670) |
$14.40 |
$24 |
2.5× |
| Thromboxane urine (84431) |
$45 |
$75 |
1.3× |
| Thyroglobulin (84432) |
$40.80 |
$68 |
2.5× |
| Thyroglobulin antibody (86800) |
$32.70 |
$54.50 |
2.1× |
| Thyroid stimulating immunoglob (84445) |
$43.20 |
$72 |
0.8× |
| Thyroxine binding globulin (84442) |
$27.60 |
$46 |
1.9× |
| Thyroxine t4 total (84436) |
$54 |
$90 |
7.9× |
| Tissue culture bone marrow (88237) |
$177 |
$295 |
1.2× |
| Tissue culture lymphocyte (88230) |
$127.50 |
$212.50 |
1.1× |
| Tissue culture placenta (88235) |
$75 |
$125 |
0.5× |
| Tissue culture skin/biopsy (88233) |
$402.60 |
$671 |
2.9× |
| Tissue culture solid tumor (88239) |
$519.60 |
$866 |
3.5× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$34.20 |
$57 |
3.0× |
| Tobramycin (80200) |
$107.40 |
$179 |
6.7× |
| Topiramate (80201) |
$20.40 |
$34 |
1.7× |
| Total tau (84394) |
$253.20 |
$422 |
2.0× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$166.20 |
$277 |
8.4× |
| Toxoplasma antibody igm (86778) |
$16.80 |
$28 |
1.2× |
| Transferrin (84466) |
$60.30 |
$100.50 |
4.7× |
| Trb gene rearrange amplify (81340) |
$384.30 |
$640.50 |
1.8× |
| Treponema pallidum antibody (86780) |
$48.90 |
$81.50 |
3.7× |
| Trg gene rearrangement anal (81342) |
$370.80 |
$618 |
1.8× |
| Trichinella antibody (86784) |
$43.80 |
$73 |
3.5× |
| Trichomonas vagin dir probe (87660) |
$52.50 |
$87.50 |
2.6× |
| Trichomonas vaginalis amplif (87661) |
$42 |
$70 |
1.2× |
| Trichrome stain (87209) |
$29.40 |
$49 |
1.6× |
| Triglycerides (84478) |
$13.80 |
$23 |
2.4× |
| Troponin i (84484) |
$148.80 |
$248 |
11.9× |
| Trypanosoma cruzi igg (86753) |
$18.30 |
$30.50 |
1.5× |
| Uf hb allergen food alpha gal ige (86008) |
$26.40 |
$44 |
1.5× |
| Urea nitrogen quantitative (84520) |
$66.60 |
$111 |
16.9× |
| Urea nitrogen urine (84540) |
$39.90 |
$66.50 |
7.2× |
| Uric acid blood (84550) |
$69.60 |
$116 |
15.4× |
| Uric acid other source (84560) |
$19.20 |
$32 |
3.8× |
| Urinalysis auto w/micro (81001) |
$42.30 |
$70.50 |
13.3× |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
$36.60 |
$61 |
16.9× |
| Urine bacteria culture (87088) |
$78 |
$130 |
9.6× |
| Urine volume measurement (81050) |
$7.50 |
$12.50 |
2.1× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$100.80 |
$168 |
44.8× |
| Valproic acid (80164) |
$125.40 |
$209 |
9.3× |
| Valproic acid free (80165) |
$19.80 |
$33 |
1.5× |
| Vancomycin (80202) |
$99.90 |
$166.50 |
7.4× |
| Vanomycin DNA amp probe (87500) |
$65.10 |
$108.50 |
1.9× |
| Varicella zoster ag if (87290) |
$39.30 |
$65.50 |
2.9× |
| Varicella zoster antibody igg (86787) |
$22.20 |
$37 |
1.7× |
| Vasoactive intestinal polypeptide (84586) |
$19.80 |
$33 |
0.6× |
| Vasopressin (84588) |
$25.20 |
$42 |
0.7× |
| Viral culture non-respiratory (87252) |
$57.60 |
$96 |
2.2× |
| Virus antibody nos (86790) |
$38.40 |
$64 |
3.0× |
| Virus isol shell vial techn (87254) |
$114.60 |
$191 |
5.9× |
| Viscosity serum (85810) |
$18 |
$30 |
1.5× |
| Vitamin a (84590) |
$20.40 |
$34 |
1.8× |
| Vitamin b12 (82607) |
$78.60 |
$131 |
5.2× |
| Vitamin b12 binding capacity (82608) |
$18 |
$30 |
1.3× |
| Vitamin b5 (84591) |
$25.20 |
$42 |
1.5× |
| Vitamin b6 (84207) |
$20.40 |
$34 |
0.7× |
| Vitamin c (82180) |
$30 |
$50 |
3.0× |
| Vitamin d 1 25 dihydroxy (82652) |
$56.40 |
$94 |
1.5× |
| Vitamin d, 25-hydroxy, labcorp (82306) |
$56.40 |
$94 |
1.9× |
| Vitamin e (84446) |
$20.40 |
$34 |
1.4× |
| Vitamin k1 (84597) |
$21.60 |
$36 |
1.6× |
| Vkorc1 gene (81355) |
$31.80 |
$53 |
0.4× |
| Vma (84585) |
$22.20 |
$37 |
1.4× |
| Vol reduction of blood/prod (86960) |
$46.80 |
$78 |
0.3× |
| Volatiles (84600) |
$29.40 |
$49 |
1.7× |
| Voltage-gated calcium channel antibody each (86596) |
$43.80 |
$73 |
3.6× |
| Von willebrand factor activity (85245) |
$149.40 |
$249 |
6.5× |
| Wbc w auto diff (85004) |
$26.70 |
$44.50 |
4.1× |
| West nile virus ab igm (86788) |
$17.10 |
$28.50 |
1.0× |
| West nile virus antibody (86789) |
$17.40 |
$29 |
1.2× |
| Yersinia antibody (86793) |
$19.20 |
$32 |
1.5× |
| Zika virus DNA/RNA amp probe (87662) |
$112.80 |
$188 |
2.2× |
| Zika virus igm (86794) |
$174 |
$290 |
10.3× |
| Zinc (84630) |
$18 |
$30 |
1.6× |
| Zinc protoporphyrin blood (84202) |
$18.30 |
$30.50 |
1.3× |