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.

1019 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $300.18
17-Hydroxycorticosteroids (83491) $302.92
5 Hiaa (83497) $167.15
5 Nucleotidase (83915) $193.75
Abl1 gene (81170) $1,184.06
Acetaminophen level (80143) $74.56
Acetylcholine receptor (achr); blocking antibody (86042) $75
Acetylcholine receptor binding antibody (86041) $55.20
Acetylcholn Rcptr Modlg Antb (86043) $117
Acth stimulation panel adrenal (80400) $135.06
Actin smooth muscle antibody each (86015) $36.92
Activated protein c resistance (85307) $193.48
Acute hepatitis panel (80074) $312.72
Acylcarnitine Plasma (82017) $194.90
Adamts13 activity (85397) $129.78
Additional high resolution study (88289) $565.43
Adenovirus Ag Ia (87301) $357.73
Adenovirus antibody (86603) $122.67
Afb culture (87116) $113.18
Agglutinins febrile (86000) $104.96
Albumin Fluid (82042) $42.45
Albumin serum (82040) $42.73
Aldolase (82085) $119.06
Aldosterone urine (82088) $340.26
Alkaline phosphatase isoenzymes (84080) $177.89
Allerg sp igg quan or semiquan (86001) $36.78
Allergen specific ige (86003) $29.26
Allergen specific ige; qualitative, multiallergen screen (86005) $35.19
Allg Spec Ige Recomb Ea (86008) $60.62
Alpha-1-antitrypsin phenotype (82104) $49.02
Alpha-1-antitrypsin, total (82103) $170.14
Alpha-fetoprotein amniotic (82106) $300
Alpha-fetoprotein, serum (82105) $125.82
Alt (sgpt) (84460) $57.52
Aluminum (82108) $420.22
Amikacin trough (80150) $83.44
Amino acid screen urine (82128) $230.58
Amino acids 6/> amino acids quantitative ea spe (82139) $298.94
Amino Acids, Single Quantitation (82131) $298.90
Aminolevulinic acid (ala) (82135) $100.41
Ammonia (82140) $104.74
Amniotic fluid enzyme test (84081) $287.22
Amniotic fluid scan (82143) $115.61
Amylase urine (82150) $59.83
Ana Titer (86039) $123.54
Angiotensin i enzyme test (82164) $176.23
Anti-phosphatidylserine antibody (86148) $41.05
Antibody Absorption (86978) $184.72
Antibody aspergillus (86606) $160.62
Antibody coxiella burnetii q fever (86638) $122.31
Antibody cytomegalovirus cmv (86644) $211.11
Antibody cytomegalovirus cmv igm (86645) $198.69
Antibody Encephalitis Eastern Equine (86652) $128.35
Antibody Encephalitis St. Louis (86653) $128.35
Antibody epstein-barr eb virus early antigen ea (86663) $196.55
Antibody haemophilus influenza (86684) $76.38
Antibody helicobacter pylori (86677) $221.10
Antibody Herpes Smplx Non-Specific Type Test (86694) $145.44
Antibody herpes smplx type 1 (86695) $145.44
Antibody HIV-2 (86702) $148.13
Antibody hla class ii semiquantitative panel (86835) $2,139.21
Antibody identification (86870) $833.40
Antibody identification leukocyte antibodies (86021) $218.22
Antibody influenza virus (86710) $192
Antibody john cunningham virus (86711) $96.26
Antibody mumps (86735) $128.74
Antibody neisseria meningitidis (86741) $241.49
Antibody Protozoa Nes (86753) $167.31
Antibody rubeola (86765) $134.43
Antibody screen (86850) $130.88
Antibody treponema pallidum (86780) $109.24
Antibody; campylobacter (86625) $509.75
Antibody; Coccidioides (86635) $171.97
Antigen typing (86905) $353.48
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $589.53
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $38.05
Antinuclear antibodies (86038) $116.12
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $135.43
Antistreptolysin o titer (86060) $23.29
Antithrombin iii activity (85300) $231.86
Antithrombin iii antigen (85301) $176.74
Aortic dysfunction/dilation dup/del analysis (81411) $4,263.22
Aortic dysfunction/dilation genomic seq analysis (81410) $1,591.38
Apc gene analysis known familial variants (81202) $700
Apc gene dup/delet variants (81203) $500
Apc gene full sequence (81201) $1,950
Apolipoprotein b (82172) $68.48
Aquaporin-4 Antb Elisa (86051) $236.82
Aquaporin-4 antibody cell-based imfluor assay ea (86052) $239.78
Aquaporin-4 antibody flow cytometry each (86053) $231.92
Arsenic Urine (82175) $151.12
Aspergillus ag eia (87305) $119.45
Assay direct measurement free estradiol (82681) $369
Assay galactose transferase (82775) $269.68
Assay Lipoprotein Pla2 (83698) $124.53
Assay myeloperoxidase (83876) $158.88
Assay Nephelometry Not Spec (83883) $90.70
Assay of 17-hydroxypregnenolone (84143) $211.83
Assay of acth (82024) $223.35
Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) $125
Assay of androstenedione (82157) $162.06
Assay of anti-mullerian hormone (82166) $150
Assay of blood chloride (82435) $36.25
Assay of blood fatty acids (82725) $211.83
Assay of c-peptide (84681) $277.36
Assay of calcitonin (82308) $247.11
Assay of ceruloplasmin (82390) $156
Assay of cyclosporine (80158) $153.13
Assay of dibucaine number (82638) $109.13
Assay of erythropoietin (82668) $298.88
Assay of ethosuximide (80168) $92.16
Assay of ferritin (82728) $146.32
Assay of g6pd enzyme (82955) $97.45
Assay of gammaglobulin igm (82784) $119.56
Assay of gastrin (82941) $127.29
Assay of gentamicin (80170) $195.05
Assay of glucagon (82943) $167.86
Assay of homocystine (83090) $266.06
Assay of homovanillic acid (83150) $303.51
Assay of ketogenic steroids (83582) $386.44
Assay of lipoprotein(a) (83695) $86.93
Assay of manganese (83785) $100.14
Assay of metanephrines (83835) $168.76
Assay of osteocalcin (83937) $197.34
Assay of parathormone (83970) $280.30
Assay of phenobarbital (80184) $115.25
Assay of phosphatase acid total (84060) $128.59
Assay of prealbumin (84134) $86.53
Assay of procainamide (80190) $375.30
Assay of proinsulin (84206) $244.66
Assay of pyruvate (84210) $86.79
Assay of selenium (84255) $440
Assay of semen fructose (82757) $387.13
Assay of serotonin (84260) $305.14
Assay of somatomedin (84305) $250.27
Assay of tacrolimus (80197) $161.51
Assay of urine vma (84585) $154.72
Assay of vitamin k (84597) $202.12
Assay of volatiles (84600) $108.18
Assay Ph Body Fluid Nos (83986) $36.86
Assay Thiopurine S-Methyltransferase (84433) $140
Ast (sgot) (84450) $48.94
Asxl1 gene analysis full gene sequence (81175) $2,536.88
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $3,068.25
B cells total count (86355) $94.33
Bartonella antibody (86611) $157.56
Bcr/abl1 gene major bp (81206) $409.90
Bcr/abl1 gene minor bp (81207) $528.24
Beta 2 Glycoprotein I Antibody,Ea (86146) $245.74
Beta hydroxybutyrate (82010) $60.44
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
Biotinidase ea specimen (82261) $61.16
Bl Smear W/Diff Wbc Count (85007) $20.04
Blastomyces antibody (86612) $141.66
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $386.85
Blood clot lysis time (85175) $68.20
Blood count reticulocyte automated (85045) $50.30
Blood gases (82803) $196.60
Blood gases w/02 saturation (82805) $340.25
Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) $178.38
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $61.14
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $59.60
Blood Ph - Ph Venous (82800) $145.50
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $335.76
Blood typing abo (86900) $162.49
Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) $228.32
Blood typing serologic rh (d) (86901) $68.54
Blood typing serologic rh phenotyping complete (86906) $100.80
Body fluid cell count (89051) $99.75
Body fluid cell count (89050) $23.52
Bone Marrow Smear Interpretation (85097) $1,770.80
Bordetella antibody (86615) $175.16
Braf gene (81210) $715.32
Brca1&2 seq & full dup/del (81162) $5,407.02
Breath Alcohol Test (82075) $172.90
Brucella antibody (86622) $96.62
C diff amplified probe (87493) $213.94
C-reactive protein (86140) $100.52
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $153.44
C1q binding assay (86332) $140.40
Ca 125 (86304) $299.70
Ca 19-9 (86301) $206.95
Ca 27 29 (86300) $243.08
Cadmium level (82300) $148.36
Caffeine (80155) $96.43
Calcium ionized (82330) $117.90
Calcium total (82310) $67.42
Calcium urine (82340) $73.85
Calculus Quantitative Chemical (82360) $225.17
Calculus Spectroscopy (82365) $181.54
California encephalitis ab (86651) $128.35
Calprotectin, fecal (83993) $128.20
Calr gene com variants (81219) $389.36
Candida antibody (86628) $52.22
Candida DNA dir probe (87480) $151.50
Car Ion Chnnlpath Inc 2 Gns (81414) $1,754.70
Carb deficient transferrin (82373) $438.92
Carbamazepine (tegretol) total (80156) $138.32
Carbon dioxide (82374) $43.25
Carboxyhemoglobin Quantitative (82375) $90
Carcinoembryonic antigen (82378) $228.08
Cardiolipin ab igg (86147) $245.74
Carnitine (82379) $183.61
Carotene (82380) $50.24
Catecholamines fraction plasma (82384) $321.12
Catecholamines Total Urine (82382) $496.65
Ccnd1/igh translocation alys (81168) $497.54
Cd4 absolute count (86361) $209.90
Cebpa gene full sequence (81218) $810.05
Cell Cryopreserve/Storage (88240) $442.50
Cell enumeration & id (86152) $830.26
Cell marker study (88182) $365.65
Cell saver (86891) $2,042.10
Cellular Function Assay Stimul&Detect Biomarker (86352) $339.65
Cftr gene analysis known familial variants (81221) $164.04
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 Intron Poly T (81224) $199.07
Chemical analysis for genetic disorder (82016) $480
Chemiluminescent assay (82397) $425.94
Chimerism w/comp to baseline w/o cell selection (81267) $925.20
Chlamydia antibody (86631) $180.45
Chlamydia Igm Antibody (86632) $195.26
Chlamydia trachomatis ag if (87270) $307.58
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
Chrmsm analysis addl cells counted each study (88285) $176.40
Chrmsm count 15-20 cll 2karyotyp banding (88262) $680.31
Chromium urine (82495) $165.97
Chromogenic substrate assay (85130) $710.15
Chromogranin a (86316) $284.11
Chromosome analys amniotic (88269) $531.32
Chromosome analysis 20-25 cells (88264) $1,828.02
Chromosome analysis 45 cells (88263) $790.10
Chromosome Analysis 5 (88261) $660.85
Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) $529.22
Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) $2,474.10
Chromosome banding study (88283) $209.65
Chromosome karyotype study (88280) $590.65
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $184.74
Citrate (82507) $415.14
Ck isoenzymes (82552) $135.06
Ckmb (82553) $57.65
Clot factor viii vw antigen (85246) $344.45
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $210.92
Clot factor xiii fibrin stab (85290) $489.52
Clozapine level (80159) $123
Cmv PCR (87496) $96.86
Cns DNA amp probe type 12-25 (87483) $1,393.25
Coagulation time activated (85347) $81.10
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $207.69
Cold agglutinin screen (86156) $314.57
Cold agglutinin titer (86157) $75.98
Collagen cross links (82523) $143.59
Comparative anal str markers patient&comp spec (81265) $1,659
Compatibility test antiglob (86922) $879.20
Complement c3 (86160) $191
Complement total ch50 (86162) $281.02
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $175.20
Comprehensive review of data (88325) $699.54
Concentration Infectious Agent (87015) $81.15
Coombs direct (86880) $118.56
Coombs Test Indirect Qual (86885) $306.35
Copper urine (82525) $132.43
Cortisol free (82530) $199.40
Cortisol total (82533) $164.91
Creatine kinase total (82550) $52.14
Creatinine blood (82565) $43
Creatinine clearance (82575) $114.45
Creatinine other source (82570) $87.83
Crossmatch immediate spin (86920) $382.90
Cryofibrinogen (82585) $47.44
Cryoglobulin (82595) $49.18
Cryptococcal Antigen (87327) $85.45
Cryptococcus antibody (86641) $104.98
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $120.78
Culture Aerobic Identify (87077) $90.90
Culture aerobic quant other (87071) $41.05
Culture anaerobic (87075) $79.08
Culture Bacteria Anaerobic (87073) $507.40
Culture blood (87040) $215.66
Culture chlamydia (87110) $49
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $117
Culture fungus blood (87103) $161.92
Culture fungus id yeast (87106) $153.95
Culture fungus other (87102) $114.56
Culture genital (87070) $107.25
Culture screen only (87081) $62.75
Culture stool (87045) $105.90
Culture typing if ea antiserum (87140) $40.97
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $51.36
Culture typing other methods (87158) $182.29
Culture Typing, Glc Method (87143) $76.16
Culture urine (87086) $53.06
Culture urine id ea isolate (87088) $78.85
Culture, typing; identification by pulse field gel typing Other Outpatient (87152) $315.46
Cultyp nucleic acid sequencing meth ea isolate (87153) $288.40
Cyanide (82600) $150.10
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $64.14
Cyclic Citrullinated Peptide (86200) $193.50
Cyp2c19 gene com variants (81225) $924.88
Cyp2c9 gene com variants (81227) $648.07
Cyp2d6 gene com variants (81226) $1,352.75
Cyp3a4 (81230) $524.45
Cyp3a5 (81231) $524.45
Cystatin c (82610) $60.20
Cytogen micrarray copy nmbr (81228) $2,486.54
Cytogenetics 10-30 (88273) $527.62
Cytogenetics DNA probe (88271) $757.13
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,117.37
Cytogenomic neoplasia microarray analysis (81277) $2,900
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $294.43
Cytopath cell enhance tech (88112) $343.94
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $341.44
Cytopath Smear Other Source (88160) $148.26
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… (88143) $200.30
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $175.02
Cytp concentration smears & interpretation (88108) $399.62
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $284.52
Cytp fna eval dx 1st each site (88172) $452.15
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $659.82
Cytp Slides C/V Mnl Scr Under Phys (88150) $41.02
Cytp slides cerv/vag mnl scrn physician supv (88164) $205.49
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $177.06
Cytp urine 3-5 probes cmptr (88121) $728.15
D-Dimer (85379) $113.40
D-Dimer (85378) $104.35
Deoxycortisol (82634) $296.02
Deoxyribonuclease antibody (86215) $128.74
Desoxycorticosterone (82633) $264.52
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $63.75
Detect agnt mult DNA ampli (87801) $318.94
Dhea (82626) $300.48
Dhea sulfate (82627) $259.29
Digoxin (80162) $116.08
Dihydrotestosterone (82642) $79.22
Dilantin (80185) $129.66
Diphtheria antitoxoid (86648) $73.31
Dipropylacetic acid free (80165) $102.42
Dna Antibody Single Stranded (86226) $191.62
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $183.01
Dna/Rna Amplified Probe (87150) $299.64
DNA/RNA direct probe (87149) $96.26
Dpyd gene common variants (81232) $551.97
Drug assay adalimumab (80145) $549.29
Drug Assay Amiodarone (80151) $75.66
Drug assay carbamazepine -10,11-epoxide (80161) $60.94
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 Lacosamide (80235) $227.38
Drug assay leflunomide (80193) $180.31
Drug assay methotrexate (80204) $164.02
Drug assay posaconazole (80187) $145.60
Drug assay vedolizumab (80280) $456.70
Drug assay voriconazole (80285) $135.42
Drug Screen Quant Gabapentin (80171) $63.78
Drug screen quant zonisamide (80203) $97.96
Drug Screen Quantitative Lamotrigine (80175) $48.39
Drug Scrn Quan Levetiracetam (80177) $119.45
Drug scrn quant oxcarbazepin (80183) $58.73
Drug test prsmv chem anlyzr (80307) $155.35
Drug Test Prsmv Dir Opt Obs (80305) $483.93
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $243.43
Ebv viral capsid (86665) $229.01
Echinococcus ab igg (86682) $164.94
Egfr Gene Analysis Common Variants (81235) $1,021.75
Ehrlichia antibody (86666) $161.54
Elastase pancreatic fecal quantitative (82653) $147
Electrolyte panel (80051) $47.05
Electron microscopy diagnostic (88348) $1,640.38
Electronic crossmatch (86923) $464.20
Electrophoretic Test - Immunofixation Electrophoresis (82664) $160.56
Encephalitis Western Equine (86654) $128.35
Endomysial Antibody Each Immunoglobulin Class (86231) $99.18
Endomysial antibody iga (86255) $244.53
Enterovirus antibody (86658) $139.21
Enterovirus Pcr (87498) $219.17
Enzyme activity radioactive (82658) $850.08
Enzyme cell activity (82657) $313.10
Enzyme histochemistry (88319) $1,640.38
Eosinophil count (85048) $23.40
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $129.92
Estradiol (82670) $196.48
Estriol (82677) $132.70
Estrogen fractionated (82671) $388.85
Estrogen receptor analysis (84233) $224.54
Estrogens total (82672) $241.85
Estrone (82679) $410.59
Ethylene glycol (82693) $145.01
Euglobulin lysis (85360) $375.30
Eval c/v amniotic fluid protein qual ea specimen (84112) $328.65
Everolimus (80169) $146.35
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $152.30
Examination of archival tissue for genetic analysis (88363) $61.68
Exhaled breath condensate (83987) $135.25
F2 gene analysis 20210g >a variant (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 assay (85230) $281.85
Factor viii ahg (85240) $256.66
Factor viii related antigen (85244) $70.53
Factor viii vw multimetric (85247) $266.06
Factor xi assay (85270) $287.22
Factor xii assay (85280) $310.06
Factor xiii solubility screen (85291) $141.42
Fat stain (89125) $81.28
Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) $112.36
Fecal fat qual (82705) $82.37
Fecal fat quant (82710) $151.21
Fetal aneuploidy trisom risk (81507) $1,987.50
Fetal bleed screen (85461) $118.50
Fetal chrmoml aneuploidy (81420) $1,897.63
Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) $1,897.63
Fetal congenital abnor assay three anal (81510) $199.95
Fetal fibronectin (82731) $229.74
Fetal lung maturity fluorescence polarization (83663) $707.56
Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) $241.40
Fibrin degradation products (85362) $112.36
Fibrinogen activity (85384) $78.26
Fibrinogen antigen (85385) $129.30
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $49.44
Fibrinolytic Plasminogen (85415) $156.98
Flow cytometry first marker (88184) $545.54
Flt3 gene analysis (81245) $413.78
Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) $290.07
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $196.47
Fmr1 gene charac alleles (81244) $570
Fmr1 gene detection (81243) $488.78
Folate serum (82746) $178.16
Folic acid rbc (82747) $151.21
Follicle Stimulating Hormone (83001) $164.18
Forensic (investigation) examination of specimen (88125) $144.36
Francisella Tularensis (86668) $126.54
Fresh frozen plasma thawing each unit (86927) $464.20
Frozen blood each unit thawing (86931) $906.45
Frozen Section (88331) $1,054.80
Fructosamine (82985) $54.15
Ftl cgen abnor four anal (81511) $383.75
Fungus Identification, Mold - Fungal Identification, Mold (87107) $100.34
Galactose transferase test (82776) $37.50
Galectin-3 serum (82777) $110.63
Gammaglobulin ige (82785) $154.09
Gardner vag DNA dir probe (87510) $160.01
Gastric Occult Blood (82271) $34.42
Gba Gene (81251) $1,301.59
Gen seq analys hematolymphoid neo 5-50 gene (81450) $2,309.91
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $7,346.12
Gene rearrangement analysis immunoglobulin heavy chain locus (81262) $204.75
Genetic testing for severe inherited conditions (81443) $7,345.70
Genotype cytomegalovirus (87910) $643.63
Ggt (82977) $51.10
Giardia ag by if (87269) $95.40
Giardia antigen eia stool (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 analysis common vari (81254) $376.22
Gliadin antibody each immunoglobulin class (86258) $36.43
Glucose (82947) $39.15
Glucose body fluid (82945) $89.19
Glucose post dose (82950) $43.80
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $36.25
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $91.20
Glutathione (82978) $140.19
Growth hormone (83003) $138.01
Haloperidol (haldol) (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 dup/del vrnts (81269) $639.08
Hbb duplication/deletion variants (81363) $639.08
Hbb Full Gene Sequence (81364) $1,024.85
Hcg free betachain test (84704) $38.23
Hcg qualitative (84703) $59.10
Hcg quant (84702) $135.22
Hdl Cholesterol (83718) $48.54
Heavy metal quant each (83018) $220.35
Hematocrit (85014) $15.40
Hematocrit spun (85013) $23.45
Hemoglobin (85018) $15.40
Hemoglobin a1c (83036) $112.81
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $170.94
Hemoglobin electrophoresis (83020) $276.44
Hemoglobin fetal ql (83033) $109
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $108.10
Hemoglobin Methemoglobin Quantitative (83050) $69.54
Hemoglobin plasma (83051) $47.96
Hemoglobin stability screen (83068) $29.23
Hemolysins And Agglutinins Incubated (86941) $148.54
Hemosiderin urine (83070) $82.37
Heparin assay (85520) $160.95
Heparin neutralization (85525) $124.33
Heparin-protamine tolerance test (85530) $101.50
Hepatitis a antibody total (86708) $109.68
Hepatitis a igm (86709) $166.92
Hepatitis b core ab igm (86705) $189.16
Hepatitis b core antibody total (86704) $154.34
Hepatitis B Surface Ab (86706) $132.07
Hepatitis B Surface Antigen (87340) $178.63
Hepatitis b virus genotyping (87912) $643.63
Hepatitis be antibody (86707) $109.57
Hepatitis Be Antigen (87350) $85.45
Hepatitis c ab confirm (86804) $250.31
Hepatitis c antibody (86803) $173.22
Hepatitis C Genotype (87902) $1,185.01
Hepatitis C Probe&Rvrs Trnsc (87521) $603.99
Hepatitis delta ab (86692) $170.70
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,697.63
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $1,731.30
Hereditary peripheral neuropathy gen seq pnl (81448) $4,312.50
Heredtry nurondcrn tum dsrdr (81437) $1,477.97
Herpes culture (87252) $229.27
Herpes simplex type 2 (86696) $133.72
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $61.92
Hfe gene (81256) $263.26
Histamine plasma (83088) $238.74
Histoplasma antibody (86698) $177.34
Histoplasma antigen urine (87385) $59.09
HIV confirmation (86689) $303.51
HIV-1 antibody (86701) $150.05
HIV-1 genotype (87901) $838.67
HIV-1 integrase genotype (87906) $406.45
Hiv-1/Hiv-2 1 Result Antbdy (86703) $199.43
HIV-2 probe&revrse trnscripj (87538) $193.91
Hla b 27 disease association lc (81374) $261.68
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 high resolution one allele or allele group (81381) $424.75
Hla class i&ii antibody qual (86828) $264.13
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 typing high resolution one locus ea (81382) $390.54
Hla i typing 1 locus hr (81380) $1,065
Hla ii low resolution one antigen equivalent ea (81377) $1,112.91
Hla ii typing 1 allele hr (81383) $278.81
Hla ii typing 1 locus lr (81376) $312.24
Hla typing a/b/c multiple antigens (86813) $384.94
Hla x-match, non-cyt add-on (86826) $448.21
Hla x-match, non-cytotoxic (86825) $1,356.41
Hla-b27 (86812) $196.18
Homogenization tissue (87176) $281.37
Hpv low-risk types (87623) $99.26
Hpv types 16 & 18 only (87625) $177.48
Hpylori Breath Anal Urease Act Non-Radact Istope (83013) $194.34
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $246.42
Htt gene analysis detect abnormal alleles (81271) $642.75
Human epididymis protein 4 (86305) $251.72
Hydroxychloroquine (80220) $756.90
Hydroxyprogesterone 17-d (83498) $214.63
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $117.63
Iaad ia clostridium difficile toxin (87324) $119.67
Iaad ia cryptosporidium (87328) $51.83
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $85.45
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $202.52
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $89.63
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $64.72
Iaad ia rotavirus (87425) $64.72
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $111.75
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $78.10
Iaadi herpes smplx virus type 2 (87273) $65.90
Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) $109.75
Iaadiadoo not otherwise specified (87899) $71
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $140.36
Iadna babesia microti amplified probe technique (87469) $140.36
Iadna borrelia burgdorferi amplified probe tq (87476) $213.33
Iadna candida species amplified probe tq (87481) $270.48
Iadna chlamydia pneumoniae amplified probe tq (87486) $218.12
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $88.74
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $182.05
Iadna DNA/RNA zika virus amplified probe tq (87662) $283.50
Iadna ehrlichia chaffeensis amplified probe tq (87484) $140.36
Iadna gardnerella vaginalis amplified probe tq (87511) $87.73
Iadna hepatitis b virus quantification (87517) $207.08
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $253.64
Iadna herpes virus-6 amplified probe tq (87532) $153.17
Iadna herpes virus-6 quantification (87533) $625.50
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $193.91
Iadna HIV-1 quant & reverse transcription (87536) $290.86
Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) $210.60
Iadna human papillomavirus high-risk types (87624) $213.18
Iadna mtb rifampin resistance amp prb tq (87564) $480
Iadna mycobacteria tuberculosis amp prb (87556) $146.03
Iadna mycoplsm pneumoniae amplified probe tq (87581) $147.73
Iadna neisseria gonorrhoeae amplified probe tq (87591) $203.27
Iadna nos amplified probe tq each organism (87798) $147.15
Iadna nos quantification each organism (87799) $390
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $732.65
Iadna trichomonas vaginalis amplified probe tech (87661) $126.98
Iadna-DNA/RNA probe tq 12-25 (87507) $1,756.98
Iadna-DNA/RNA probe tq 6-11 (87506) $933.06
Idh1 common variants (81120) $483.13
Idh2 common variants (81121) $739.48
If cryptosporidium antigen (87272) $95.40
If varicella-zoster antigen (87290) $132.50
Igg subclasses (82787) $86.99
Igh gene rearrange amp meth (81261) $570.56
Igk rearrangeabn clonal pop (81264) $694.02
Igvh somatic hypermutation (81263) $1,106.51
Ikbkap gene analysis (81260) $1,301.59
Immunfix e-phorsis/urine/csf (86335) $217.70
Immunoassay infectious agent antibody quan nos (86317) $242.93
Immunoassay nonantibody (83516) $226.03
Immunoassay technique for helicobacter pylori gi tract bacteria (87339) $131.40
Immunodiffusion Ouchterlony (86331) $162.77
Immunoelectrophoresis Other Fluids Concentration (86325) $175.10
Immunoelectrophoresis serum (86320) $390.41
Immunofixj Electrophoresis Serum (86334) $236.01
Immunofluorescence per spec 1st singl antb stain (88346) $728.15
Immunofluorescent technique for herpes simplex virus type 1 (87274) $65.90
Immunofluorescent technique for pneumocystis carinii (87281) $198.28
Immunoglobulin assay (86023) $196
Immunoglobulin light chains free each (83521) $47.72
Immunohisto Antibody Slide (88344) $817.30
Immunohistochemistry (88342) $455.65
In situ hybridization ea multiplex probe stain (88366) $1,316.80
India ink prep (87210) $58.85
Infectious agent enzymatic activity to detect organism (87905) $105.63
Influenza a/b ag eia (87400) $61.10
Influenza DNA amp prob 1+ (87501) $243.01
Influenza DNA amp probe (87502) $305
Inhibin a (86336) $166.64
Inhibin b (83520) $209.18
Insitu hybridization (fish) (88365) $547.09
Insitu hybridization auto (88367) $728.15
Insitu hybridization manual (88368) $728.15
Insulin antibodies (86337) $336.12
Insulin free (83527) $51.78
Insulin total (83525) $162.92
Interleukin 6 (83529) $210
Intraop cyto path consult 1 (88333) $1,611.55
Intrinsic factor antibody (86340) $136.68
Iron (83540) $59.86
Iron binding capacity (83550) $152.26
Irradiation of blood product (86945) $230.25
Islet cell antibody (86341) $100.02
Jak2 gene analysis (81270) $761.40
Jak2 Targeted Sequence Analysis (81279) $639.59
Ketosteroids 17; total (83586) $223.39
Kit gene analys d816 variant (81273) $896
Kit gene targeted seq analys (81272) $1,120.35
Kras gene addl variants (81276) $567.38
Kras gene analysis (81275) $655.21
L/s ratio, fetal lung (83661) $826.73
Lactic acid (83605) $84.25
Lactoferrin fecal qualitative (83630) $119.03
Lamellar Body Count (83664) $108.68
Ldh (83615) $54.21
Ldh isoenzymes (83625) $131.67
LDL cholesterol direct (83721) $70.76
Lead (83655) $89
Legion pneumo, DNA, amp prob (87541) $308.53
Legionella antibody (86713) $132.14
Legionella antigen urine (87449) $66.65
Legionella pneumophila dfa (87278) $208.39
Leptospira antibody (86720) $115.33
Leucine aminopeptidase (lap) (83670) $127.72
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $21.14
Level ii surg pathology gross&microscopic exam (88302) $297.22
Level v surg pathology gross&microscopic exam (88307) $1,754.20
Level vi surg pathology gross&microscopic exam (88309) $2,336
Lh (83002) $189.58
Lidocaine level (80176) $77.75
Lipase (83690) $95.68
Lipopro bld electrophoretic (83700) $117.30
Lipoprotein Bld Hr Fraction (83701) $229.75
Listeria ab (86609) $210.90
Lithium (80178) $91.38
Lyme disease antibody (86618) $215.90
Lyme disease antibody confirm (86617) $182.94
Lymph Choriomeningitis Ab (86727) $117.94
Lymphocyte transformation (86353) $224
M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) $372.90
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $1,425.06
M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) $728.15
M/phmtrc alys tumor imhchem ea antibody manual (88360) $459.70
Macroscopic exam arthropod (87168) $67.95
Macroscopic exam parasite (87169) $67
Magnesium (83735) $65.50
Malaria smear (87207) $97.15
Mass spectrometry qual/quan (83789) $134.50
Mcg chrom insitu 3-5 (88272) $462.01
Mcg interphase insitu 25 (88274) $629.09
Measurement of hemolysin (red blood cell destructive substance) (85475) $95.51
Meat fibers, feces (89160) $60.72
Mercury (83825) $174.65
Metabolic Panel Ionized Ca (80047) $53.20
Methotrexate (80299) $75.66
Methylmalonic acid serum (83921) $176.85
Mgmt methylation analysis (81287) $417.40
Microalbumin urine (82043) $79.66
Microbe suscept macrobroth (87188) $29.68
Microbe Suscept Mycobacteri (87190) $46.31
Microbe susceptible diffuse (87181) $161.14
Microsatellite instability (81301) $890.50
Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) $454.90
Microsomal antibodies (86376) $127.78
Mitochondrial antibody each (86381) $81.44
Mlh1 gene analysis duplication/deletion variants (81294) $559.19
Mlh1 Gene Analysis Full Sequence Analysis (81292) $1,866.01
Mlh1 gene analysis known familial variants (81293) $593.89
Mlh1 gene analysis promoter methylation analysis (81288) $704.16
Mog-igg1 antibody cell-based imfluor assay each (86362) $290
Mog-igg1 antibody flow cytometry each (86363) $231.92
Molec cytg interphase ish analyze 100-300 cll (88275) $709.16
Molecular pathology procedure level 2 (81401) $526.63
Molecular pathology procedure level 7 (81406) $1,383.58
Mononuclear cell antigen (86356) $187.41
Mopath procedure level 1 (81400) $163.40
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 8 (81407) $2,115.68
Mopath procedure level 9 (81408) $5,000
Morphometric analysis tumor (88358) $776.50
Mpl gene analysis common variants (81338) $910
Mpl gene analysis sequence analysis exon 10 (81339) $1,112.59
Mrsa amp probe (87641) $317.12
Msh2 Gene Analysis Full Sequence Analysis (81295) $1,054.57
Msh2 gene analysis known familial variants (81296) $499.42
Msh2 gene dup/delete variant (81297) $589.31
Msh6 Gene Analysis Full Sequence Analysis (81298) $1,773.32
Msh6 gene dup/delete variant (81300) $657.55
Mthfr Gene Analysis Common Variants (81291) $242.16
Mucopolysaccharides acid quantitative (83864) $308.33
Muramidase (85549) $55.56
Muscle-specific kinase (musk) antibody (86366) $885
Mycobacteria Dna Amp Probe (87551) $794.08
Mycobacteric Identification (87118) $328.78
Mycophenolic acid (80180) $328.78
Mycoplasma antibody (86738) $172.75
Mycoplasma culture (87109) $147.14
Mycoplasma genitalium PCR (87563) $157.87
Myd88 mutation analysis (81305) $875.65
Myelin basic protein csf (83873) $208
Myoglobin urine (83874) $149.70
N.gonorrhoeae, DNA, dir prob (87590) $98.91
Nasal smear for eosinophils (89190) $53.62
Natriuretic peptide (83880) $206.55
Neutralization test, viral (86382) $166.05
Nfct agent DNA/RNA gastrointestinal pathogen (87505) $425.90
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $450.34
Nfct ds bv&vaginitis DNA alg (81515) $620.88
Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) $584.73
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,705.72
Niacin (84591) $51.82
Nickel level (83885) $114.10
Nk cells total count (86357) $94.33
Nmr Lipoprofile (83704) $87.34
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $1,590.65
Nras gene variants exon 2&3 (81311) $1,146.74
Ntrk translocation analysis (81194) $1,968
Nuclear antigen antibody (86235) $137.05
Nudt15 Gene Analysis Common Variants (81306) $919.98
Obstetric panel (80081) $713.89
Occult blood stool (82272) $57.90
Oligoclonal bands (83916) $214.20
Oncology breast mrna (81519) $9,682.50
Oncology prostate biochemical assay 4 proteins (81539) $2,269
Oncoprotein dcp (83951) $300
Organic Acids Qual Each (83919) $273.24
Organic Acids Total Quantitative Each Specimen (83918) $180.45
Orthopoxvirus Amp Prb Each (87593) $440.08
Osmolality serum (83930) $77.68
Osmolality urine (83935) $87.90
Ova and parasite direct-id lca (87177) $121.15
Ovulation tests (84830) $38.80
Oxalate urine (83945) $78.94
Pancreatic elastase fecal (82656) $37.87
Pancreatic polypeptide (83519) $216.66
Pappa, serum (84163) $90.92
Particle Agglutination Screen Each Antibody (86403) $53.36
Particle agglutination titer each antibody (86406) $67.78
Parvovirus antibody (86747) $228.64
Path Consult During Surgery (88329) $452.94
Pca3/klk3 antigen (81313) $761.32
Pdgfra gene (81314) $883.94
Phenotype Infect Agent Drug (87900) $411.58
Phenytoin free (80186) $85.26
Phosphatase acid prostatic (84066) $152.58
Phosphatase alkaline (84075) $28.36
Phospholipid Neutralization Hexagonal (85598) $175.16
Phosphorus blood (84100) $19.10
Phosphorus urine (84105) $50.05
Pik3ca gene trgt seq alys (81309) $687.08
Pinworm exam (87172) $55.24
Plasminogen (85420) $110.55
Plasminogen (85421) $762.74
Platelet aggregation (85576) $510.79
Platelet count (85049) $33.50
Platelet neutralization (85597) $136.29
Pml/raralpha com breakpoints (81315) $564.13
Pmp22 gene analysis known familial variant (81326) $376.22
Pmp22 gene dup/delet (81324) $1,895.90
Pmp22 gene full sequence (81325) $1,923.95
Pms2 gene analysis duplication/deletion variants (81319) $562.23
Pms2 gene analysis full sequence (81317) $1,869.05
Pneumcysts jirovecii amp prb (87594) $600
Pooling blood platelets (86965) $625.80
Porphobilinogen urine quant (84110) $76.26
Porphyrins feces qn (84126) $365.85
Porphyrins qn & fraction urine (84120) $123.66
Porphyrins urine qual (84119) $37.39
Potassium (84132) $33.25
Potassium urine (84133) $47.99
Pregnenolone (84140) $206.38
Pretx serum rbc antb id incubation inhibitors ea (86977) $372.90
Primidone (80188) $52.02
Procainamide napa (80192) $62.05
Procalcitonin (pct) (84145) $265.06
Progesterone (84144) $214.14
Progesterone (reproductive hormone) receptor analysis (84234) $165.77
Prolactin (84146) $194.44
Prostaglandin Ea (84150) $748.92
Protein body fluid (84157) $57.27
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 Functional (85306) $198.77
Protein s total (85305) $262.70
Protein total by refractometry any source (84160) $26.41
Protein Total Serum (84155) $58.42
Protein urine (84156) $51.64
Protein Western Blot (84182) $327.22
Protein westrn blot i&r blood/other fluid (84181) $263.26
Prothrombin time substitution (85611) $49.04
Protoporphyrin rbc quantitative (84202) $92.08
PSA free (84154) $141.08
Pten gene analysis known familial variant (81322) $376.22
Pten Gene Dup/Delet Variant (81323) $750
Pten Gene Full Sequence (81321) $1,500
Pyruvate kinase (84220) $105
Quantiferon tb gold (86480) $160.54
Quinidine (80194) $205.36
Rbc antibody elution (86860) $418.55
Rbc osmotic fragility (85555) $110.55
Rbc pretx incubatj w/chemicl (86970) $220.15
Reducing substances, stool (84376) $34.58
Ref consult prep elsewhere (88321) $319.04
Renin activity plasma (84244) $268.70
Reptilase test (85635) $103.88
Resp virus 3-5 targets (87631) $500.50
Respiratory viral panel PCR (87633) $1,483.30
Reticulated platelet assay (85055) $154.37
Reticulocyte Count (85046) $19.05
Rheumatoid Factor Qual (86430) $69.65
Rheumatoid factor quant (86431) $73.02
Rickettsia antibody (86757) $307.86
Rpr Titer (86593) $73.53
Rsv (87807) $208.39
Rubella antibody (86762) $74.63
Russell viper venom time diluted (85613) $137.34
Russell Viper Venom Time Undiluted (85612) $191.47
Rx metab gen seq alys pnl 6 (81418) $3,898.12
Saccharomyces ab iga (86671) $178.63
Salicylate (80179) $74.56
Salmonella antibody (86768) $63.58
Sars-Cov-2 Covid-19 Antibody (86769) $107.29
Sarscov2&inf a&b&rsv amp prb (87637) $484.95
Sed rate automated (85652) $50.15
Semen analysis complete (89320) $194.62
Semen Analysis Presence and/or Motility of Sperm (89300) $30.65
Semen analysis sperm presence&/motility sprm (89321) $111.40
Sensitivity - mlc ea plate (87187) $396.46
Sensitivity mic (87186) $132.31
Serotonin Release Assay (86022) $224
Serpina1 gene (81332) $111.50
Serum bactericidal titer (87197) $258.88
Sex hormone binding globulin (84270) $118.62
Sickle cell screen (85660) $92.03
Sirolimus (rapamycin) (80195) $171.85
Smear acid fast (87206) $87.75
Smear complex stain (87209) $145.44
Smear gram stain (87205) $86.70
Smn1 Gene Dos/Deletion Alys (81329) $687
Snrpn/ube3a gene (81331) $153.20
Sodium (84295) $30.80
Sodium other source (84302) $49.10
Sodium urine (84300) $54.42
Soluble transferrin receptor (84238) $637.76
Somatostatin (84307) $329.53
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $234.11
Special stains group 1 (88312) $277.78
Specific gravity body fluid (84315) $40.90
Spectrophotometry (84311) $69.58
Sperm antibody measurement (89325) $92.64
Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $178.10
Splitting blood/blood products each unit (86985) $464.20
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $470.15
Staph aureus amplified probe (87640) $219.77
Stool Cultr Aerobic Bact Ea (87046) $76.30
Strep a assay w/optic (87880) $70.85
Strep a DNA amp probe (87651) $146.90
Strep b DNA amp probe (87653) $166.68
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $211.05
Sugars single quant (84378) $114
Sulfate urine (84392) $42.66
Surg path level iii (88304) $449.28
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $194.04
Surgical pathology level IV (88305) $398.62
Susceptibility study antimicrobial disk method (87184) $111.90
Sweat collection (89230) $183.50
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $246.84
T cells, total count (86359) $216.86
T3 free (84481) $196.62
T3 reverse (84482) $189.73
T3 total (84480) $138.51
T3 uptake (84479) $68.98
T4 Free (84439) $83.17
T4 total (84436) $62.70
T4-neonatal (84437) $23.46
Targeted genomic seq analysis (81445) $3,000
Tau phosphorylated each (84393) $995
Tert gene targeted seq alys (81345) $592.64
Test for acetone/ketones (82009) $53.65
Test for detecting genes associated with inherited disease of heart muscle (81439) $2,770.24
Test rbc protoporphyrin (84203) $38.46
Testosterone bioavailable (84410) $168.49
Testosterone free (84402) $156.31
Testosterone total (84403) $231.64
Tetanus antibody (86774) $71.33
Tgsap so/hl 51/< RNA alys (81456) $8,758.80
Theophylline (80198) $135.48
Thin prep pap (88142) $163.23
Thiocyanate (84430) $181.48
Thrombin time plasma (85670) $64.51
Thromboplastin Inhibition Tissue (85705) $210.37
Thromboplastin time prtl substit plasma frctj ea (85732) $67.60
Thyroglobulin (84432) $245.74
Thyroglobulin Ab (86800) $162.44
Thyroid Stimulating Immunoglobulin (84445) $482.46
Thyroxine binding globulin (84442) $127.52
Tiss cul non-neo disorders skn/oth solid tiss bx (88233) $659.52
Tiss Trnsgltmnase Ea Ig Clas (86364) $54.62
Tissue culture bone marrow (88237) $1,096.87
Tissue Culture Lymphocyte (88230) $606.75
Tissue culture placenta (88235) $459.85
Tissue culture solid tumor (88239) $801.50
Tobramycin peak (80200) $294.98
Topiramate (80201) $85.26
Total tau (ttau) (84394) $995
Touch prep (88161) $270
Toxin or antitoxin assay (87230) $84.15
Toxoplasma ab igm (86778) $185.74
Toxoplasma antibody igg (86777) $95.79
Tp53 gene analysis full gene sequence (81351) $1,773.32
Tp53 gene analysis targeted sequence analysis (81352) $2,341.25
Tpmt gene com variants (81335) $543.80
Transferrin (84466) $121.88
Translocation analysis (bcr/abl1) other breakpoint (81208) $582.57
Trb@ Rearrangement Anal Amplification Method (81340) $2,390.40
Trg gene rearrangement analysis (81342) $639.16
Trichomonas vagin dir probe (87660) $160.01
Triglycerides (84478) $54.50
Troponin (84484) $112.45
Troponin i qualitative (84512) $257.38
Trypsin feces qual (84488) $76.06
Tyrosine (84510) $68.71
Urea nitrogen (84520) $38.46
Urea Nitrogen Clearance (84545) $40.15
Urea nitrogen urine (84540) $46
Uric acid blood (84550) $54.55
Uric acid other source (84560) $52.13
Urinalysis 2/3 glass test (81020) $14.38
Urinalysis microscopic only (81015) $26.68
Urinalysis qual/semiquant except immunoassays (81005) $26.28
Urinalysis w/microscopic (81001) $40.75
Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) $91.62
Urine pregnancy test (81025) $74.90
Urine volume measurement (81050) $42.20
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $24.10
Valproic acid level (80164) $155.77
Vancomycin trough (80202) $143.72
Varicella-zoster antibody (86787) $123.41
Vasoactive intestinal peptide (vip) (84586) $225.41
Vasopressin (84588) $486.81
Vdrl csf (86592) $56.36
Very long chain fatty acids (82726) $363.60
Virus antibody nos (86790) $172.75
Virus id non-immunologic oth/thn cytopathic (87255) $94.80
Virus inoculate tissue addl (87253) $229.27
Virus inoculation, shell via (87254) $217.08
Viscosity serum (85810) $81.11
Vitamin A (84590) $154.72
Vitamin b-12 (82607) $153.46
Vitamin b-2 (riboflavin) (84252) $302.18
Vitamin b1 (thiamine) (84425) $314.60
Vitamin b6 (84207) $209.68
Vitamin C (82180) $66.34
Vitamin D 25-Hydroxy (82306) $314.82
Vitamin e serum (84446) $185.78
Vkorc1 gene (81355) $672.30
Voltage-gated calcium channel antibody each (86596) $116.20
Von willebrand factor activity (85245) $225.21
Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) $87.58
West nile virus ab, igm (86788) $138.42
West nile virus antibody (86789) $138.42
Yersinia antibody (86793) $156.18
Zika Virus Igm Antibody (86794) $43.06
Zinc (84630) $138.81