Lab & pathology prices at Intermountain Health St. Mary's Regional Hospital

Grand Junction, CO · every code in this section with a posted price and a Medicare benchmark.

1021 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $214.63
17-Hydroxypregnenolone (84143) $211.83
5-Hiaa (83497) $167.15
Abl1 gene (81170) $1,184.06
Acetaminophen (80143) $74.56
Acetone serum qual (82009) $53.65
Acetone, quantitative (82010) $60.44
Acetylcholine receptor binding antibody (86041) $55.20
Acetylcholn rcptr blckg antb (86042) $75
Acetylcholn rcptr modlg antb (86043) $117
Acth (82024) $223.35
Acth stim adrenal insuff (80400) $135.06
Actin smooth muscle antibody each (86015) $36.92
Activated protein c resistance (85307) $193.48
Acute hepatitis panel (80074) $312.72
Acylcarnitines quantitative (82017) $194.90
Acylcarnitines; qualitative, each specimen Other Outpatient (82016) $480
Adenovirus antibody (86603) $122.67
Afb concentration (87015) $81.15
Afb culture (87116) $113.18
Afb smear (87206) $87.75
Albumin body fluid (82042) $42.45
Albumin serum (82040) $42.73
Alcohol (82077) $125
Aldolase (82085) $119.06
Aldosterone (82088) $340.26
Alkaline phosphatase (84075) $28.36
Alkaline phosphatase isoenzymes (84080) $177.89
Allergen profile perennial allergen (86003) $29.26
Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient (86005) $35.19
Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) $60.62
Alpha 2 antiplasmin (85410) $112.36
Alpha-1-antitrypsin (82103) $170.14
Alpha-1-antitrypsin phenotype (82104) $49.02
Alpha-fetoprotein amniotic (82106) $300
Alpha-fetoprotein serum (82105) $125.82
Alt (84460) $57.52
Aluminum (82108) $420.22
Alzheimer disease eval tau total csf (84394) $995
Amikacin level (80150) $83.44
Amino acid screen urine (82128) $230.58
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $298.94
Amino acids; single, quantitative, each specimen Other Outpatient (82131) $298.90
Aminolevulinic acid delta (82135) $100.41
Ammonia (82140) $104.74
Amniotic fluid scan (82143) $115.61
Amylase (82150) $59.83
Ana (86038) $116.12
Ana titer (86039) $123.54
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $196.55
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $129.92
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $229.01
Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) $76.38
Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) $128.35
Analysis for antibody to Neisseria meningitidis (bacterial meningitis) (86741) $241.49
Androstenedione (82157) $162.06
Angiotensin converting enzyme (82164) $176.23
Anti-DNA (single-stranded) antibodies, quantitative, igg labcorp slc 161422 (86226) $191.62
Anti-mitochondrial antibody (86255) $244.53
Anti-phosphatidylserine antibody (86148) $41.05
Antibody identification platelet antibodies (86022) $224
Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) $196
Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry);… (86828) $264.13
Antibody west nile virus igm (86788) $138.42
Antibody; Helicobacter pylori (86677) $221.10
Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) $306.35
Antineutrophil cytoplasmic antb screen ea antb (86036) $38.05
Antistreptolysin o screen (86063) $135.43
Antistreptolysin o titer (86060) $23.29
Antithrombin iii activity (85300) $231.86
Antithrombin iii antigen (85301) $176.74
Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial… (81411) $4,263.22
Aortic dysfunction/dilation (81410) $1,591.38
APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis;… (81203) $500
Apc gene full sequence (81201) $1,950
Apc gene known fam variants (81202) $700
Apolipoprotein each (82172) $68.48
Aqaprn-4 antb flo cytmtry ea (86053) $231.92
Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Other Outpatient (86051) $236.82
Aquaporin-4 antibody cell-based imfluor assay ea (86052) $239.78
Arsenic (82175) $151.12
Aspergillus antibody (86606) $160.62
Aspergillus antigen (87305) $119.45
Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) $223.39
Assay anti-mullerian horm (82166) $150
Assay myeloperoxidase (83876) $158.88
Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) $302.92
Assay of feces porphyrins (84126) $365.85
Assay of interleukin-6 (il-6) (83529) $210
Assay of nickel (83885) $114.10
Assay of procainamide (80190) $375.30
Assay of vitamin b-2 (84252) $302.18
Assay of vitamin not otherwise specified (84591) $51.82
Ast (84450) $48.94
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81175) $2,536.88
Autoimmune rheumatoid arthr (81490) $3,068.25
Autologous blood or component, collection processing and storage; intra- or postoperative salvage (86891) $2,042.10
B cells total count (86355) $94.33
Bacterium antibody (86609) $210.90
Bartonella antibody (86611) $157.56
Basic metabolic panel calcium ionized (80047) $53.20
Bcr/abl 1 gene other bp (81208) $582.57
Bcr/abl1 gene major bp (81206) $409.90
Bcr/abl1 gene minor bp (81207) $528.24
Beta 2 glycoprotein i antibody (86146) $245.74
Beta lactamase (87185) $79.60
Beta-2 microglobulin (82232) $95.86
Beta-amyloid 1-42 (abeta 42) (82234) $995
Bile acids total (82239) $81.82
Bilirubin direct (82248) $37.70
Bilirubin total (82247) $24.81
Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) $182.29
Biotinidase (82261) $61.16
Blastomyces antibody (86612) $141.66
Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease,… (86078) $386.85
Blood clot lysis time (85175) $68.20
Blood count leukocyte wbc automated (85048) $23.40
Blood count reticulocyte automated (85045) $50.30
Blood gases any combination (82803) $196.60
Blood gases ph only (82800) $145.50
Blood gases w/o2 saturation (82805) $340.25
Blood typing rbc antigens (86905) $353.48
Blood typing serologic abo (86900) $162.49
Blood typing serologic rh (d) (86901) $68.54
Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient (86904) $228.32
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $335.76
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) $61.14
Bone marrow smear interpretation (85097) $1,770.80
Bordetella pertussis igm (86615) $175.16
Braf gene (81210) $715.32
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $5,407.02
Breath alcohol test (82075) $172.90
Brucella antibody (86622) $96.62
C diff amplified probe (87493) $213.94
C-peptide (84681) $277.36
C-reactive protein (86140) $100.52
C-reactive protein high sensitivity (86141) $153.44
C2 complement functional (86161) $175.20
Ca 125 (86304) $299.70
Ca 15-3 (86300) $243.08
Cadmium (82300) $148.36
Calcitonin (82308) $247.11
Calcium ionized (82330) $117.90
Calcium total (82310) $67.42
Calcium, random urine (82340) $73.85
Calculus; quantitative analysis, chemical Other Outpatient (82360) $225.17
Calprotectin fecal (83993) $128.20
Calr gene com variants (81219) $389.36
Campylobacter antibody (86625) $509.75
Cancer antigen 19-9 (86301) $206.95
Candida antibody (86628) $52.22
Candida DNA amp probe (87481) $270.48
Car ion chnnlpath inc 2 gns (81414) $1,754.70
Carbamazepine total (80156) $138.32
Carbamazepine; -10,11-epoxide Other Outpatient (80161) $60.94
Carbohydrate deficient transferrin (82373) $438.92
Carbon dioxide (82374) $43.25
Carbon monoxide (82375) $90
Cardiolipin antibody ea ig class (86147) $245.74
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $183.61
Carotene (82380) $50.24
Casein igg (86001) $36.78
Catecholamines (organic nitrogen) urine level (82382) $496.65
Catecholamines fractionated (82384) $321.12
CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative,… (81168) $497.54
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $246.84
Cea (82378) $228.08
Cebpa gene full sequence (81218) $810.05
Cell count body fluid (89050) $23.52
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $99.75
Cell enumeration & id (86152) $830.26
Cell function assay w/stim (86352) $339.65
Ceruloplasmin (82390) $156
CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T… (81224) $199.07
Cftr gene com variants (81220) $1,391.50
Cftr gene dup/delet variants (81222) $1,087.68
Cftr gene full sequence (81223) $1,842.44
Cftr gene known fam variants (81221) $164.04
Chemiluminescent assay (82397) $425.94
Chg fresh frozen plasma thawing each unit (86927) $464.20
Chimerism anal no cell selec (81267) $925.20
Chlamydia antibody (86631) $180.45
Chlamydia antibody igm (86632) $195.26
Chlamydia culture (87110) $49
Chlamydia pneumoniae PCR (87486) $218.12
Chlamydia trachomatis ag if (87270) $307.58
Chloride blood (82435) $36.25
Chloride other source (82438) $131.06
Chloride urine (82436) $47.88
Chlorinated hydrocarbons screen (82441) $366
Cholesterol total (82465) $26.41
Cholinesterase rbc (82482) $135.06
Cholinesterase serum (82480) $130.92
Chorionic gonadotropin test (84702) $135.22
Chrmsm count 45 cell mosaicism 2karyotype (88263) $790.10
Chromium (82495) $165.97
Chromogenic substrate assay (85130) $710.15
Chromogranin a (86316) $284.11
Chromosome analys amniotic (88269) $531.32
Chromosome analysis 15-20 cells (88262) $680.31
Chromosome analysis 20-25 cells (88264) $1,828.02
Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) $529.22
Chromosome analysis for genetic defects, additional cells counted, each study (88285) $176.40
Chromosome analysis for genetic defects, additional high resolution study (88289) $565.43
Chromosome analysis for genetic defects, additional karyotypes, each study (88280) $590.65
Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) $2,474.10
Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Other Outpatient (88283) $209.65
Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) $660.85
Citrate (82507) $415.14
Ck mb fraction (82553) $57.65
Clostridium ag eia (87324) $119.67
Clot factor viii reltd antgn - von willebrand multimeric (85244) $70.53
Clot factor xiii fibrin stab (85290) $489.52
Clot inhibit prot s total (85305) $262.70
Clotting funct activity (85397) $129.78
Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) $266.06
Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) $141.42
Cmv antibody (86644) $211.11
Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) $1,393.25
Coagulation time activated (85347) $81.10
Coccidioides antibody (86635) $171.97
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $207.69
Cold agglutinin screen (86156) $314.57
Cold agglutinins titer (86157) $75.98
Collagen cross links (82523) $143.59
Collect sweat for test (89230) $183.50
Compatibility each unit electronic (86923) $464.20
Complement antigen ea component (86160) $191
Complement total (ch50) (86162) $281.02
Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) $699.54
Coombs test indirect titer (86886) $589.53
Copper (82525) $132.43
Cortisol free (82530) $199.40
Cortisol saliva (82533) $164.91
COVID-19 antibody (86769) $107.29
Coxsackie a9 virus antibody (86658) $139.21
Creatine kinase isoenzymes (82552) $135.06
Creatine kinase total (82550) $52.14
Creatinine (82565) $43
Creatinine clearance (82575) $114.45
Creatinine other source (82570) $87.83
Crossmatch ahg (86922) $879.20
Cryofibrinogen (82585) $47.44
Cryoglobulins (82595) $49.18
Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) $442.50
Cryptococcal antigen (87327) $85.45
Cryptococcus antibody (86641) $104.98
Cryptosporidium ag eia (87328) $51.83
Cryptosporidium ag if (87272) $95.40
Crystals fluid (89060) $152.30
Culture anaerobic (87075) $79.08
Culture blood (87040) $215.66
Culture fungus blood (87103) $161.92
Culture fungus skin hair nail (87101) $117
Culture mycoplasma (87109) $147.14
Culture stool (87045) $105.90
Culture typing glc/hplc (87143) $76.16
Culture typing if ea antiserum (87140) $40.97
Culture urine (87086) $53.06
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $90.90
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $120.78
Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) $41.05
Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) $507.40
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $76.30
Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) $328.78
Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate,… (87149) $96.26
Culture, typing; identification by pulse field gel typing Other Outpatient (87152) $315.46
Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) $51.36
Cyanide (82600) $150.10
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Other Outpatient (82608) $64.14
Cyclic citrullinated peptide ab (86200) $193.50
Cyclosporine (80158) $153.13
Cyp2c19 gene analysis common variants (81225) $924.88
Cyp2c9 gene com variants (81227) $648.07
Cyp2d6 gene analysis common variants (81226) $1,352.75
CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2,… (81230) $524.45
Cyp3a5 gene common variants (81231) $524.45
Cystatin c (82610) $60.20
Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) $164.94
Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) $3,117.37
Cytogenetics 25-99 (88274) $629.09
Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for… (81228) $2,486.54
Cytogenomic neoplasia microarray analysis (81277) $2,900
Cytomeg DNA amp probe (87496) $96.86
Cytomegalovirus antibody igm (86645) $198.69
Cytopath cell enhance tech (88112) $343.94
Cytopath tbs c/v manual (88164) $205.49
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $119.75
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) $163.23
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $175.02
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) $200.30
Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) $452.15
Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Other Outpatient (88150) $41.02
Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (88162) $177.06
Cytopathology, smears, any other source; preparation, screening and interpretation (88161) $270
Cytopathology, smears, any other source; screening and interpretation (88160) $148.26
Cytp eval fine needle aspirate interp & report (88173) $284.52
Cytp urine 3-5 probes cmptr (88121) $728.15
Cytp urne 3-5 probes ea spec (88120) $659.82
D-dimer quantitative (85379) $113.40
Deoxycortisol (82634) $296.02
Deoxyribonuclease antibody (86215) $128.74
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $183.01
Desoxycorticosterone (82633) $264.52
Dhea (82626) $300.48
Dhea sulfate (82627) $259.29
Dibucaine number (82638) $109.13
Digoxin (80162) $116.08
Dihydrotestosterone (82642) $79.22
Diphtheria antibody (86648) $73.31
Direct antiglobulin test (86880) $118.56
DNA/RNA amplified probe (87150) $299.64
DNA/RNA sequencing (87153) $288.40
Dpyd gene analysis common variants (81232) $551.97
Drug assay adalimumab (80145) $549.29
Drug assay amiodarone (80151) $75.66
Drug assay felbamate (80167) $53.48
Drug assay flecainide (80181) $79.18
Drug assay infliximab (80230) $549.29
Drug assay itraconazole (80189) $149.78
Drug assay methotrexate (80204) $164.02
Drug assay salicylate (80179) $74.56
Drug assay vedolizumab (80280) $456.70
Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes,… (81418) $3,898.12
Drug screen quant caffeine (80155) $96.43
Drug screen quant clozapine (80159) $123
Drug screen quant everolimus (80169) $146.35
Drug screen quant gabapentin (80171) $63.78
Drug screen quant levetiracetam (80177) $119.45
Drug screen quant mycophenolate (80180) $328.78
Drug screen quant zonisamide (80203) $97.96
Drug screen quantitative oxcarbazepine (80183) $58.73
Drug test prsmv chem anlyzr (80307) $155.35
Drug test prsmv dir opt obs (80305) $483.93
Drug test prsmv instrmnt (80306) $243.43
Ear culture (87070) $107.25
Egfr gene analysis common variants (81235) $1,021.75
Ehrlichia antibody (86666) $161.54
Elastase pancreatic fecal quantitative (82653) $147
Electrolytes panel (80051) $47.05
Electron microscopy diagnostic (88348) $1,640.38
Electrophoretic test (82664) $160.56
Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) $128.35
Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) $128.35
Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) $128.35
Endomysial antibody each immunoglobulin class (86231) $99.18
Enterovirus by PCR (87498) $219.17
Enzyme cell activity ra (82658) $850.08
Enzyme histochemistry (88319) $1,640.38
Eosinophils urine (87205) $86.70
Erythropoietin (82668) $298.88
Estradiol (82670) $196.48
Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient (82681) $369
Estriol (82677) $132.70
Estrogen fractionated (82671) $388.85
Estrogens total (82672) $241.85
Estrone (82679) $410.59
Ethosuximide (80168) $92.16
Ethylene glycol (82693) $145.01
Euglobulin lysis (85360) $375.30
Eval amniotic fluid protein (84112) $328.65
Exhaled breath condensate (83987) $135.25
Extractable nuclear antigen antibody any method (86235) $137.05
F2 gene analysis (81240) $273.18
F5 gene (81241) $331.03
Factor ii activity (85210) $190.40
Factor inhibitor test (85335) $575
Factor ix activity (85250) $210.92
Factor v activity (85220) $61.46
Factor vii activity (85230) $281.85
Factor viii activity (85240) $256.66
Factor viii vw antigen (85246) $344.45
Factor x (stuart-prower) (85260) $210.92
Factor xi activity (85270) $287.22
Factor xii (hageman) (85280) $310.06
Fat stain (89125) $81.28
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $151.21
Fatty acids nonesterified (82725) $211.83
Fbrnlyc factors&inhibitors plsmng activator (85415) $156.98
Fecal fat qualitative (82705) $82.37
Ferritin (82728) $146.32
Fetal aneuploidy trisom risk (81507) $1,987.50
Fetal chrmoml microdeltj (81422) $1,897.63
Fetal chromosomal aneuploidy genomic seq analys (81420) $1,897.63
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $199.95
Fetal fibronectin (82731) $229.74
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) $108.10
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) $118.50
Fetal lung maturity assessment; fluorescence polarization Other Outpatient (83663) $707.56
Fetal lung maturity assessment; lamellar body density Other Outpatient (83664) $108.68
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Other Outpatient (83661) $826.73
Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) $104.35
Fibrin split products (85362) $112.36
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) $241.40
Fibrinogen antigen (85385) $129.30
Fibrinogen, activity (85384) $78.26
Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) $49.44
Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Other Outpatient (85421) $762.74
Flow cytometry first marker (88184) $545.54
Flt3 gene analysis (81246) $290.07
Flt3 gene analysis internal tandem dup variants (81245) $413.78
FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) $570
Fmr1 gene alys eval to detect abnormal alleles (81243) $488.78
Folate serum (82746) $178.16
Folic acid rbc (82747) $151.21
Follicle stimulating hormone (fsh) (83001) $164.18
Forensic (investigation) examination of specimen (88125) $144.36
Francisella tularensis ab (86668) $126.54
Frozen blood thaw (86931) $906.45
Fructosamine (82985) $54.15
Ftl cgen abnor four anal (81511) $383.75
Fungus isolation culture (87102) $114.56
Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) $178.63
Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) $269.68
Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) $37.50
Galectin-3 (82777) $110.63
Gamma glutamyl transferase (82977) $51.10
Gammaglobulin ige (82785) $154.09
Gardnerella vaginalis amp probe (87511) $87.73
Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) $178.38
Gastrin (82941) $127.29
Gba gene (81251) $1,301.59
Genet virus isolate hsv (87255) $94.80
Genetic testing for severe inherited conditions (81443) $7,345.70
Genotype cytomegalovirus (87910) $643.63
Genotype DNA hepatitis b (87912) $643.63
Genotype DNA HIV reverse t (87901) $838.67
Genotype DNA/RNA HIV (87906) $406.45
Gentamicin (80170) $195.05
Giardia antigen (87329) $39.70
Giardia lamblia antibody (86674) $50.85
Gjb2 gene full sequence (81252) $376.22
Gjb2 gene known fam variants (81253) $376.22
Gjb6 gene com variants (81254) $376.22
Gliadin antibody each immunoglobulin class (86258) $36.43
Glucagon (82943) $167.86
Glucose Fasting (82947) $39.15
Glucose other fluid (82945) $89.19
Glucose post glucose dose (82950) $43.80
Glucose tolerance test (gtt) (82951) $91.20
Glucose-6-pd (82955) $97.45
Glutathione (82978) $140.19
Glycated hemoglobin (83036) $112.81
Growth hormone (hgh) (83003) $138.01
Gtt-added samples (82952) $36.25
H pylori breath test (83013) $194.34
H pylori stool (87338) $89.63
Haloperidol (80173) $71.32
Haptoglobin (83010) $83.80
Hba1/hba2 full gene sequence (81259) $1,894.50
Hba1/hba2 gene (81257) $2,340
Hba1/hba2 gene analysis dup/del variants (81269) $639.08
Hbb full gene sequence (81364) $1,024.85
Hbb gene dup/del variants (81363) $639.08
Hbsag neutralization (87341) $85.45
Hcg free betachain test (84704) $38.23
Hcg ql (84703) $59.10
HDL cholesterol (83718) $48.54
Heavy metal quan each nes (83018) $220.35
Hematocrit (hct) (85014) $15.40
Hematocrit spun (85013) $23.45
Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) $2,309.91
Hemoglobin (85018) $15.40
Hemoglobin electrophoresis (83020) $276.44
Hemoglobin fetal ql (83033) $109
Hemoglobin fractj/quantj chromotography (83021) $170.94
Hemoglobin plasma (83051) $47.96
Hemoglobin stability screen (83068) $29.23
Hemolysin acid (85475) $95.51
Hemolysins and agglutinins; incubated Other Outpatient (86941) $148.54
Hemosiderin qual (83070) $82.37
Hep a ab total (86708) $109.68
Heparin assay (85520) $160.95
Heparin neutralization (85525) $124.33
Heparin-protamine tolerance test Other Outpatient (85530) $101.50
Hepatitis a antibody igm (86709) $166.92
Hepatitis b core antibody igm (86705) $189.16
Hepatitis b core antibody total (86704) $154.34
Hepatitis b DNA quant (87517) $207.08
Hepatitis b surface ab (86706) $132.07
Hepatitis b surface antigen (87340) $178.63
Hepatitis be antibody (86707) $109.57
Hepatitis be antigen (87350) $85.45
Hepatitis c antibody (86803) $173.22
Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) $250.31
Hepatitis c genotype (87902) $1,185.01
Hepatitis c RNA quantitative (87522) $253.64
Hepatitis delta antibody (86692) $170.70
Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial… (81435) $1,731.30
Hereditary peripheral neuropathy gen seq pnl (81448) $4,312.50
Heredtry nurondcrn tum dsrdr (81437) $1,477.97
Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) $145.44
Herpes simplex virus by PCR (87529) $246.42
Heterophile antibody screen (86308) $61.92
Hexagonal phospholipid neutralization (85598) $175.16
Hfe gene (81256) $263.26
Hhv-6 DNA amp probe (87532) $153.17
Histamine (83088) $238.74
Histoplasma antibody (86698) $177.34
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $202.52
HIV-1 antibody (86701) $150.05
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $199.43
HIV-2 antibody (86702) $148.13
Hla b27 (86812) $196.18
Hla class i high defin qual (86832) $840.22
Hla class i phenotype qual (86830) $534.88
Hla class i semiquant panel (86834) $2,368.49
HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) $261.68
Hla class i/ii antibody qual (86829) $198.14
Hla class ii high defin qual (86833) $814.50
Hla class ii phenotype qual (86831) $458.15
Hla class ii semiquant panel (86835) $2,139.21
Hla i typing 1 allele hr (81381) $424.75
Hla i typing 1 locus hr (81380) $1,065
Hla ii type 1 ag equiv lr (81377) $1,112.91
Hla ii typing 1 allele hr (81383) $278.81
Hla ii typing 1 loc hr (81382) $390.54
Hla ii typing 1 locus lr (81376) $312.24
Hla typing a/b/c multiple antigens (86813) $384.94
Homocysteine level (83090) $266.06
Homogenization tissue (87176) $281.37
Homovanillic acid urine (83150) $303.51
Hpv high-risk types (87624) $213.18
Hpv low-risk types (87623) $99.26
Hpv sep hi-rsk typ&pool rslt (87626) $210.60
Hpv types 16 & 18 only (87625) $177.48
Hrdtry brst ca-rlatd dsordrs (81432) $1,697.63
Hrdtry cardmypy gene panel (81439) $2,770.24
Htt gene analysis detect abnormal alleles (81271) $642.75
Human epididymis protein 4 (86305) $251.72
Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) $303.51
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) $448.21
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution… (86825) $1,356.41
Hydroxychloroquine (80220) $756.90
Iaad ia severe aqt respir synd coronavirus (87426) $111.75
Iaadi herpes smplx virus type 1 (87274) $65.90
Iaadi herpes smplx virus type 2 (87273) $65.90
Iadna HIV-2 amplified probe & reverse transcripj (87538) $193.91
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $0.01
Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) $484.95
Iadna-DNA/RNA probe tq 12-25 (87507) $1,756.98
Idh1 common variants (81120) $483.13
Idh2 common variants (81121) $739.48
Igg subclass 1 (82787) $86.99
Igh gene rearrang dir probe (81262) $204.75
Igh gene rearrange amp meth (81261) $570.56
Igh vari regional mutation (81263) $1,106.51
IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis,… (81264) $694.02
Ikbkap gene (81260) $1,301.59
Immune complex assay (86332) $140.40
Immunoassay analyte quantitative nos (83520) $209.18
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) $117.63
Immunoassay infectious agent antibody quan nos (86317) $242.93
Immunodiffusion ouchterlony (86331) $162.77
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient (86325) $175.10
Immunofixation electrophoresis (86334) $236.01
Immunofixation urine (86335) $217.70
Immunofluor antb 1st stain (88346) $728.15
Immunoglobulin d (82784) $119.56
Immunoglobulin light chains free each (83521) $47.72
Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) $817.30
Immunoperoxidase (88342) $455.65
In situ hybridization 1st probe stain (88365) $547.09
In situ hybridization ea multiplex probe stain (88366) $1,316.80
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $64.72
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) $59.09
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $131.40
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87301) $357.73
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) $109.75
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $71
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $208.39
Infectious agent antigen detection by immunofluorescent technique; giardia Other Outpatient (87269) $95.40
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient (87278) $208.39
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) $198.28
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $318.94
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $390
Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) $140.36
Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) $140.36
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) $213.33
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) $151.50
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $184.74
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient (87490) $88.74
Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) $294.43
Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) $140.36
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) $160.01
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) $933.06
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) $425.90
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) $603.99
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient (87533) $625.50
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) $193.91
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $290.86
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) $243.01
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) $146.03
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient (87590) $98.91
Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) $1,705.72
Influenza a ag eia (87400) $61.10
Influenza antibody (86710) $192
Influenza assay w/optic (87804) $63.75
Influenza DNA amp probe (87502) $305
Inhibin a (86336) $166.64
Insulin antibody (86337) $336.12
Insulin free (83527) $51.78
Insulin total (83525) $162.92
Intrinsic factor antibody (86340) $136.68
Iron (83540) $59.86
Iron binding capacity (83550) $152.26
Irradiation of blood product, each unit (86945) $230.25
Islet cell antibody (86341) $100.02
Jak2 gene (81270) $761.40
Jak2 gene trgt sequence alys (81279) $639.59
John cunningham antibody (86711) $96.26
Ketogenic steroids, fractionation Other Outpatient (83582) $386.44
Kit gene analys d816 variant (81273) $896
Kit gene targeted seq analys (81272) $1,120.35
Kras gene (81275) $655.21
Kras gene addl variants (81276) $567.38
Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) $399.62
Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) $341.44
Lacosamide (80235) $227.38
Lactate (83605) $84.25
Lactate dehydrogenase (83615) $54.21
Lactoferrin fecal (qual) (83630) $119.03
Lamotrigine (80175) $48.39
Ldh isoenzymes (83625) $131.67
LDL direct (83721) $70.76
Lead (83655) $89
Leflunomide (80193) $180.31
Legion pneumo DNA amp prob (87541) $308.53
Legionella antibody (86713) $132.14
Legionella culture (87081) $62.75
Legionella urine antigen (87449) $66.65
Leptospira antibody (86720) $115.33
Leucine aminopeptidase (83670) $127.72
Leukocyte alkaline phosphatase (85540) $87.58
Leukocyte antibody id (86021) $218.22
Leukocyte assessment fecal (89055) $21.14
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $297.22
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $449.28
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $398.62
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $1,754.20
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $2,336
Lidocaine (80176) $77.75
Lipase (83690) $95.68
Lipopro bld electrophoretic (83700) $117.30
Lipoprotein (a) (83695) $86.93
Lipoprotein bld by nmr (83704) $87.34
Lipoprotein bld hr fraction (83701) $229.75
Lipoprotein-associated phospholipase a2 (83698) $124.53
Lithium (80178) $91.38
Luteinizing hormone (lh) (83002) $189.58
Lyme disease antibody (86617) $182.94
Lyme disease antibody (86618) $215.90
Lymph choriomeningitis ab (86727) $117.94
Lymphocyte transformation (86353) $224
M genitalium amp probe (87563) $157.87
M/phmtrc alys in situ hybridization ea probe mnl (88368) $728.15
M/phmtrc alys ishquant/semiq (88377) $1,425.06
Macroscopic exam arthropod (87168) $67.95
Macroscopic exam parasite (87169) $67
Magnesium (83735) $65.50
Malaria smear (87207) $97.15
Manganese (83785) $100.14
Manual differential (85007) $20.04
Maternal serum screening, integrated, specimen #1, papp-a, nt arup 3000147 (84163) $90.92
Meat fibers, feces Other Outpatient (89160) $60.72
Mercury (83825) $174.65
Metanephrines (83835) $168.76
Methemoglobin quant (83050) $69.54
Methylmalonic acid serum (83921) $176.85
Mgmt methylation analysis (81287) $417.40
Microalbumin urine (82043) $79.66
Microsatellite instability analysis (81301) $890.50
Mitochondrial antibody each (86381) $81.44
Mlh1 gene analysis promoter methylation analysis (81288) $704.16
Mlh1 gene dup/delete variant (81294) $559.19
Mlh1 gene full seq (81292) $1,866.01
Mlh1 gene known variants (81293) $593.89
Mog-igg1 antb flo cytmtry ea (86363) $231.92
Mog-igg1 antibody cell-based imfluor assay each (86362) $290
Mold id (87107) $100.34
Molecular cytogenetics DNA probe each (88271) $757.13
Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) $527.62
Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other… (88272) $462.01
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) $709.16
Mononuclear cell antigen (86356) $187.41
Mopath procedure level 1 (81400) $163.40
Mopath procedure level 2 (81401) $526.63
Mopath procedure level 3 (81402) $966.46
Mopath procedure level 4 (81403) $879.25
Mopath procedure level 5 (81404) $1,021.89
Mopath procedure level 6 (81405) $1,277.37
Mopath procedure level 7 (81406) $1,383.58
Mopath procedure level 8 (81407) $2,115.68
Mopath procedure level 9 (81408) $5,000
Morphometric analysis tumor (88358) $776.50
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) $728.15
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) $372.90
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $459.70
Mpl gene analysis common variants (81338) $910
Mpl gene seq alys exon 10 (81339) $1,112.59
Mrsa PCR (87641) $317.12
Msh2 gene dup/delete variant (81297) $589.31
Msh2 gene full seq (81295) $1,054.57
Msh2 gene known variants (81296) $499.42
Msh6 gene dup/delete variant (81300) $657.55
Msh6 gene full seq (81298) $1,773.32
Mtb rifampin rst amp prb tq (87564) $480
Mthfr gene (81291) $242.16
Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (83864) $308.33
Mumps antibody (86735) $128.74
Muramidase (85549) $55.56
Muscle-specific kinase antb (86366) $885
Mycobacteria DNA amp probe (87551) $794.08
Mycoplasma antibody (86738) $172.75
Mycoplasma pneumoniae by PCR (87581) $147.73
Myd88 gene p.leu265pro vrnt (81305) $875.65
Myelin associated glycoprotein (mag) antibody (83516) $226.03
Myelin basic protein (83873) $208
Myoglobin (83874) $149.70
N.gonorrhoeae DNA amp prob (87591) $203.27
Nasal smear for eosinophils (89190) $53.62
Natriuretic peptide (83880) $206.55
Nephelometry ea analyte (83883) $90.70
Neutralization test viral (86382) $166.05
Nfct ds bv RNA vag flu alg (81513) $450.34
Nfct ds bv&vaginitis DNA alg (81515) $620.88
Nfct ds chrnc hcv 6 assays (81596) $584.73
Nk cells total count (86357) $94.33
Npm1 gene (81310) $1,590.65
Nras gene variants exon 2&3 (81311) $1,146.74
Ntrk translocation analysis (81194) $1,968
Nucleotidase 5 (83915) $193.75
NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Other… (81306) $919.98
Obstetric panel includes HIV testing (80081) $713.89
Occult bld feces 1-3 tests (82272) $57.90
Occult blood other sources (82271) $34.42
Occult blood screening (82270) $59.60
Oligoclonal bands (83916) $214.20
Oncology breast mrna (81519) $9,682.50
Oncology prostate prob score (81539) $2,269
Oncoprotein dcp (83951) $300
Organic acids qual each (83919) $273.24
Organic acids total quant (83918) $180.45
Orthopoxvirus amp prb each (87593) $440.08
Osmolality serum (83930) $77.68
Osmolality urine (83935) $87.90
Osmotic fragility rbc unincubated (85555) $110.55
Osteocalcin (83937) $197.34
Ova and parasite exam (87177) $121.15
Ovulation tests, by visual color comparison methods for human luteinizing hormone Other Outpatient (84830) $38.80
Oxalate urine (83945) $78.94
Pancreatic elastase fecal (82656) $37.87
Pancreatic polypeptide (83519) $216.66
Parathyroid hormone (83970) $280.30
Particle agglut antbdy titr arup to palo alto medical foundation (86406) $67.78
Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) $53.36
Parvovirus antibody (86747) $228.64
Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) $728.15
Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) $1,611.55
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $1,054.80
Pathology examination of specimen during surgery (88329) $452.94
Pca3/klk3 antigen (81313) $761.32
PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene… (81314) $883.94
Pertussis by PCR (87798) $147.15
Ph body fluid (83986) $36.86
Phenobarbital (80184) $115.25
Phenotype infect agent drug (87900) $411.58
Phenytoin (dilantin) free (80186) $85.26
Phenytoin level total (80185) $129.66
Phosphatidylglycerol (84081) $287.22
Phosphorus (84100) $19.10
Phosphorus urine (84105) $50.05
Pik3ca gene trgt seq alys (81309) $687.08
Pinworm exam (87172) $55.24
Plasminogen activity (85420) $110.55
Platelet aggregation ea agent (85576) $510.79
Platelet count automated (85049) $33.50
Platelet neutralization (85597) $136.29
Pml/raralpha com breakpoints (81315) $564.13
Pmp22 gene dup/delet (81324) $1,895.90
Pmp22 gene full sequence (81325) $1,923.95
Pmp22 gene known fam variant (81326) $376.22
Pms2 gene dup/delet variants (81319) $562.23
Pms2 gene full seq analysis (81317) $1,869.05
Pneumcysts jirovecii amp prb (87594) $600
Pooling of platelets or other blood products (86965) $625.80
Porphobilinogen urine (84110) $76.26
Porphyrins total plasma (84311) $69.58
Porphyrins urine quantitation & fractionation (84120) $123.66
Posaconazole (80187) $145.60
Potassium (84132) $33.25
Potassium urine (84133) $47.99
Prealbumin (84134) $86.53
Pregnenolone (84140) $206.38
Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) $220.15
Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) $184.72
Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with inhibitors (86977) $372.90
Primidone (80188) $52.02
Procainamide; with metabolites (eg, n-acetyl procainamide) Other Outpatient (80192) $62.05
Procalcitonin (pct) (84145) $265.06
Progesterone (84144) $214.14
Progesterone (reproductive hormone) receptor analysis (84234) $165.77
Proinsulin (84206) $244.66
Prolactin (84146) $194.44
Prostaglandin (84150) $748.92
Prostatic acid phosphatase (84066) $152.58
Protein c activity (85303) $261.05
Protein c antigen (85302) $229.27
Protein electrophoresis serum (84165) $130.50
Protein electrophoresis urine (84166) $100.83
Protein s antigen, free (85306) $198.77
Protein total other source (84157) $57.27
Protein total serum (84155) $58.42
Protein total urine (84156) $51.64
Protein western blot (84181) $263.26
Protein, total, by refractometry, any source Other Outpatient (84160) $26.41
Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) $327.22
Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) $49.04
Protoporphyrin, RBC; screen Other Outpatient (84203) $38.46
Protozoa antibody nos (86753) $167.31
PSA free (84154) $141.08
Pten gene dup/delet variant (81323) $750
Pten gene full sequence (81321) $1,500
Pten gene known fam variant (81322) $376.22
Pyruvate (84210) $86.79
Pyruvate kinase (84220) $105
Q fever antibody (86638) $122.31
Quinidine (80194) $205.36
Rbc antibody elution (86860) $418.55
Rbc antibody identification (86870) $833.40
Rbc antibody screen (86850) $130.88
Receptor assay non-endocrine specify receptor (84238) $637.76
Receptor assay; estrogen Other Outpatient (84233) $224.54
Reducing substances fecal (84376) $34.58
Ref john hopkins telomere length measurement flow cytometry and fish (88182) $365.65
Ref labcorp, 451840, titrate resistant acid phosphate (trap) (84060) $128.59
Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) $196.47
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $145.44
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $133.72
Renin (84244) $268.70
Reptilase test (85635) $103.88
Resp virus 12-25 targets (87633) $1,483.30
Resp virus 3-5 targets (87631) $500.50
Resp virus 6-11 targets (87632) $732.65
Reticulated platelet assay (85055) $154.37
Reticyte/hgb concentrate (85046) $19.05
Rh phenotyping complete (86906) $100.80
Rheumatoid factor (86430) $69.65
Rheumatoid factor quant (86431) $73.02
Rickettsia antibody (86757) $307.86
Ristocetin cofactor (85245) $225.21
Rl immediate spin crossmatch (86920) $382.90
Rotavirus ag eia (87425) $64.72
Rpr qual (86592) $56.36
Rpr titer (86593) $73.53
Rsv DNA/RNA amp probe (87634) $182.05
Rubella antibody (86762) $74.63
Rubeola antibody (86765) $134.43
Russell viper venom diluted (85613) $137.34
Russell viper venom time (includes venom); undiluted Other Outpatient (85612) $191.47
Salmonella typhi and paratyphi antibodies (86768) $63.58
Sedimentation rate rbc automated (85652) $50.15
Selenium (84255) $440
Semen analysis complete (89320) $194.62
Semen analysis post vasectomy (89321) $111.40
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Other Outpatient (89300) $30.65
Semen fructose (carbohydrate) level (82757) $387.13
Serotonin (84260) $305.14
Serpina1 gene (81332) $111.50
Serum bactericidal titer (87197) $258.88
Serum immunoelectrophoresis (86320) $390.41
Sex hormone binding globulin (84270) $118.62
Shiga-like toxin ag eia (87427) $78.10
Sialidase enzyme assay (87905) $105.63
Sickle cell screen (85660) $92.03
Sirolimus (80195) $171.85
Smear wet mount (87210) $58.85
SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) $687
Snrpn/ube3a methylation analysis (81331) $153.20
Sodium (84295) $30.80
Sodium other source (84302) $49.10
Sodium urine (84300) $54.42
Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number… (81445) $3,000
Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) $8,758.80
Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) $7,346.12
Somatomedin (84305) $250.27
Somatostatin (84307) $329.53
Special stains group i (88312) $277.78
Special stains group ii (88313) $234.11
Specific gravity except urine (84315) $40.90
Sperm antibodies (89325) $92.64
Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $178.10
Splitting of blood or blood products, each unit (86985) $464.20
Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) $470.15
Staph a DNA amp probe (87640) $219.77
Stone analysis (82365) $181.54
Str markers specimen anal (81265) $1,659
Strep a assay w/optic (87880) $70.85
Strep a DNA amp probe (87651) $146.90
Strep b DNA amp probe (87653) $166.68
Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) $211.05
Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Other Outpatient (84378) $114
Sulfate urine (84392) $42.66
Surg path level 1 (88300) $194.04
Surgical pathology consultation and report on referred material requiring preparation of slides (88323) $454.90
Surgical pathology consultation and report on referred slides prepared elsewhere (88321) $319.04
Susceptibility mic per plate (87186) $132.31
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $161.14
Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) $111.90
Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) $29.68
Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) $396.46
Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient (87190) $46.31
T cells cd4 count (86361) $209.90
T3 free (84481) $196.62
T3 reverse (84482) $189.73
T3 uptake (84479) $68.98
T4 (thyroxine) total (84436) $62.70
Tacrolimus (80197) $161.51
Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) $995
Tb test cell immun measure (86480) $160.54
Tert gene targeted seq alys (81345) $592.64
Testosterone bioavailable (84410) $168.49
Testosterone free (84402) $156.31
Testosterone total (84403) $231.64
Tetanus antibody (86774) $71.33
Theophylline (80198) $135.48
Thiocyanate level (84430) $181.48
Thiopurine drug metabolites (83789) $134.50
Thiopurine metabolites (80299) $75.66
Thiopurine methyltransferase, rbc (82657) $313.10
Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) $140
Thrombin time plasma (85670) $64.51
Thromboplastin inhibition (circulating anticoagulant) measurement (85705) $210.37
Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) $67.60
Thyroglobulin (84432) $245.74
Thyroglobulin antibody (86800) $162.44
Thyroid peroxidase antibody (86376) $127.78
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $482.46
Thyroxine binding globulin (84442) $127.52
Thyroxine free (ft4) (84439) $83.17
Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) $23.46
Tissue culture bone marrow (88237) $1,096.87
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) $459.85
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) $659.52
Tissue culture lymphocyte (88230) $606.75
Tissue culture solid tumor (88239) $801.50
Tissue transglutaminase ea immunoglobulin class (86364) $54.62
Tobramycin (80200) $294.98
Topiramate (80201) $85.26
Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) $84.15
Toxoplasma antibody igg (86777) $95.79
Toxoplasma antibody igm (86778) $185.74
Tp53 gene analysis targeted sequence analysis (81352) $2,341.25
Tp53 gene full gene sequence (81351) $1,773.32
Tpmt gene com variants (81335) $543.80
Transferrin (84466) $121.88
TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81340) $2,390.40
Treponema pallidum antibody (86780) $109.24
Trg gene rearrangement anal (81342) $639.16
Trichomonas vagin dir probe (87660) $160.01
Trichomonas vaginalis amplif (87661) $126.98
Trichrome stain (87209) $145.44
Triglycerides (84478) $54.50
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $138.51
Troponin t (84484) $112.45
Troponin, qualitative Other Outpatient (84512) $257.38
Trypsin; feces, qualitative Other Outpatient (84488) $76.06
Tularemia antibody (86000) $104.96
Tyrosine (84510) $68.71
Unlisted molecular pathology (81479) $5,040
Urea nitrogen clearance (84545) $40.15
Urea nitrogen quantitative (84520) $38.46
Urea nitrogen urine (84540) $46
Uric acid blood (84550) $54.55
Uric acid other source (84560) $52.13
Urinalysis auto w/micro (81001) $40.75
Urinalysis microscopic only (81015) $26.68
Urinalysis volume measure (81050) $42.20
Urinalysis; 2 or 3 glass test Other Outpatient (81020) $14.38
Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) $91.62
Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) $26.28
Urine bacteria culture (87088) $78.85
Urine porphyrins (metabolism substance) analysis (84119) $37.39
Urine Pregnancy Test POC (81025) $74.90
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $24.10
Valproic acid (80164) $155.77
Valproic acid (dipropylacetic acid); free (80165) $102.42
Vancomycin (80202) $143.72
Varicella zoster ag if (87290) $132.50
Varicella zoster antibody igg (86787) $123.41
Vasoactive intestinal peptide (vip) (84586) $225.41
Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) $486.81
Very long chain fatty acids (82726) $363.60
Viral culture non-respiratory (87252) $229.27
Virus antibody nos (86790) $172.75
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $217.08
Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) $229.27
Viscosity (85810) $81.11
Vitamin a (84590) $154.72
Vitamin b-12 (82607) $153.46
Vitamin b1 whole blood (84425) $314.60
Vitamin b6 (84207) $209.68
Vitamin c (82180) $66.34
Vitamin d 25 hydroxy (82306) $314.82
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $300.18
Vitamin e (84446) $185.78
Vitamin k1 (84597) $202.12
Vkorc1 gene (81355) $672.30
Vma (84585) $154.72
Volatiles (84600) $108.18
Voltage-gated calcium channel antibody each (86596) $116.20
Voriconazole (80285) $135.42
West nile virus antibody (86789) $138.42
Xm archive tissue molec anal (88363) $61.68
Yeast id (87106) $153.95
Yersinia antibody (86793) $156.18
Z t cells total count (86359) $216.86
Zika virus DNA/RNA amp probe (87662) $283.50
Zika virus igm antibody (86794) $43.06
Zinc (84630) $138.81
Zinc protoporphyrins (84202) $92.08