Lab & pathology prices at Star Valley Medical Center
Afton, WY · every code in this section with a posted price and a Medicare benchmark.
629 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $191.10 | $273 | 5.0× |
| 17-Hydroxycorticosteroids (83491) | $107.80 | $154 | 6.0× |
| 5 Hiaa (83497) | $119 | $170 | 9.2× |
| Acetaminophen level (80143) | $203.70 | $291 | 10.9× |
| Actin smooth muscle antibody each (86015) | $25.20 | $36 | 2.1× |
| Activated protein c resistance (85307) | $86.80 | $124 | 5.7× |
| Acute hepatitis panel (80074) | $270.20 | $386 | 5.7× |
| Acylcarnitine Plasma (82017) | $270.90 | $387 | 16.1× |
| Adenovirus Ag Ia (87301) | $72.10 | $103 | 6.0× |
| Adenovirus antibody (86603) | $77 | $110 | 6.0× |
| Afb culture (87116) | $102.90 | $147 | 9.5× |
| Albumin Fluid (82042) | $79.80 | $114 | 10.3× |
| Albumin serum (82040) | $33.60 | $48 | 6.8× |
| Aldolase (82085) | $42.70 | $61 | 4.4× |
| Aldosterone urine (82088) | $176.40 | $252 | 4.3× |
| Alkaline phosphatase isoenzymes (84080) | $78.40 | $112 | 5.3× |
| Allerg sp igg quan or semiquan (86001) | $66.50 | $95 | 8.5× |
| Allergen specific ige (86003) | $81.20 | $116 | 15.6× |
| Allg Spec Ige Recomb Ea (86008) | $109.20 | $156 | 6.1× |
| Alpha-1-antitrypsin phenotype (82104) | $133 | $190 | 9.2× |
| Alpha-1-antitrypsin, total (82103) | $82.25 | $117.50 | 6.1× |
| Alpha-Fetoprotein L3 (82107) | $362.60 | $518 | 5.6× |
| Alpha-fetoprotein, serum (82105) | $114.10 | $163 | 6.8× |
| Alt (sgpt) (84460) | $35 | $50 | 6.6× |
| Aluminum (82108) | $154.70 | $221 | 6.1× |
| Amikacin trough (80150) | $91 | $130 | 6.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $159.60 | $228 | 9.5× |
| Amino Acids, Single Quantitation (82131) | $139.30 | $199 | 6.1× |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) | $85.40 | $122 | 6.0× |
| Ammonia (82140) | $121.80 | $174 | 8.4× |
| Amylase urine (82150) | $87.15 | $124.50 | 13.4× |
| Ana Titer (86039) | $76.30 | $109 | 6.8× |
| Angiotensin i enzyme test (82164) | $106.40 | $152 | 7.3× |
| Anti-phosphatidylserine antibody (86148) | $114.10 | $163 | 7.1× |
| Antibody Absorption (86978) | $320.60 | $458 | 5.3× |
| Antibody aspergillus (86606) | $142.10 | $203 | 9.4× |
| Antibody coxiella burnetii q fever (86638) | $53.90 | $77 | 4.4× |
| Antibody cytomegalovirus cmv (86644) | $109.20 | $156 | 7.6× |
| Antibody cytomegalovirus cmv igm (86645) | $135.10 | $193 | 8.0× |
| Antibody Encephalitis St. Louis (86653) | $79.80 | $114 | 6.1× |
| Antibody haemophilus influenza (86684) | $95.90 | $137 | 6.1× |
| Antibody helicobacter pylori (86677) | $74.20 | $106 | 4.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $71.40 | $102 | 5.0× |
| Antibody herpes smplx type 1 (86695) | $58.10 | $83 | 4.4× |
| Antibody identification (86870) | $260.40 | $372 | 0.7× |
| Antibody identification leukocyte antibodies (86021) | $156.80 | $224 | 10.4× |
| Antibody mumps (86735) | $50.75 | $72.50 | 3.9× |
| Antibody Protozoa Nes (86753) | $96.60 | $138 | 7.8× |
| Antibody rubeola (86765) | $92.05 | $131.50 | 7.1× |
| Antibody screen (86850) | $172.20 | $246 | 17.6× |
| Antibody treponema pallidum (86780) | $137.90 | $197 | 10.4× |
| Antibody; Coccidioides (86635) | $167.65 | $239.50 | 14.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $658 | $940 | 127.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $28 | $40 | 2.3× |
| Antinuclear antibodies (86038) | $76.30 | $109 | 6.3× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $104.30 | $149 | 18.1× |
| Antistreptolysin o titer (86060) | $89.60 | $128 | 12.3× |
| Antithrombin iii activity (85300) | $204.40 | $292 | 17.2× |
| Antithrombin iii antigen (85301) | $128.80 | $184 | 11.9× |
| Apolipoprotein b (82172) | $84 | $120 | 4.0× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $25.20 | $36 | 2.1× |
| Arsenic Urine (82175) | $74.90 | $107 | 3.9× |
| Aspergillus ag eia (87305) | $113.40 | $162 | 9.5× |
| Assay Lipoprotein Pla2 (83698) | $280.70 | $401 | 6.1× |
| Assay myeloperoxidase (83876) | $219.10 | $313 | 4.3× |
| Assay Nephelometry Not Spec (83883) | $229.60 | $328 | 16.9× |
| Assay of 17-hydroxypregnenolone (84143) | $212.80 | $304 | 9.3× |
| Assay of acth (82024) | $189 | $270 | 4.9× |
| Assay of androstenedione (82157) | $142.10 | $203 | 4.9× |
| Assay of blood chloride (82435) | $30.10 | $43 | 6.5× |
| Assay of blood fatty acids (82725) | $144.20 | $206 | 7.7× |
| Assay of c-peptide (84681) | $151.20 | $216 | 7.3× |
| Assay of calcitonin (82308) | $118.30 | $169 | 4.4× |
| Assay of ceruloplasmin (82390) | $95.90 | $137 | 8.9× |
| Assay of cyclosporine (80158) | $88.90 | $127 | 4.9× |
| Assay of dibucaine number (82638) | $74.90 | $107 | 6.1× |
| Assay of erythropoietin (82668) | $155.40 | $222 | 8.3× |
| Assay of ethosuximide (80168) | $84 | $120 | 5.1× |
| Assay of ferritin (82728) | $102.90 | $147 | 7.5× |
| Assay of g6pd enzyme (82955) | $105 | $150 | 10.8× |
| Assay of gammaglobulin igm (82784) | $128.10 | $183 | 13.8× |
| Assay of gastrin (82941) | $77.70 | $111 | 4.4× |
| Assay of gentamicin (80170) | $109.20 | $156 | 6.7× |
| Assay of homocystine (83090) | $105 | $150 | 5.9× |
| Assay of homovanillic acid (83150) | $135.10 | $193 | 6.0× |
| Assay of lipoprotein(a) (83695) | $114.10 | $163 | 8.0× |
| Assay of manganese (83785) | $161 | $230 | 6.0× |
| Assay of metanephrines (83835) | $165.20 | $236 | 9.8× |
| Assay of osteocalcin (83937) | $180.60 | $258 | 6.1× |
| Assay of parathormone (83970) | $182.70 | $261 | 4.4× |
| Assay of phenobarbital (80184) | $74.20 | $106 | 4.8× |
| Assay of prealbumin (84134) | $86.80 | $124 | 5.9× |
| Assay of procainamide (80190) | $362.60 | $518 | 6.0× |
| Assay of proinsulin (84206) | $161 | $230 | 6.0× |
| Assay of pyruvate (84210) | $63.70 | $91 | 4.4× |
| Assay of selenium (84255) | $123.20 | $176 | 4.8× |
| Assay of serotonin (84260) | $187.60 | $268 | 6.1× |
| Assay of somatomedin (84305) | $194.60 | $278 | 9.2× |
| Assay of tacrolimus (80197) | $134.40 | $192 | 9.8× |
| Assay of urine vma (84585) | $93.80 | $134 | 6.1× |
| Assay of vitamin k (84597) | $116.90 | $167 | 8.5× |
| Assay of volatiles (84600) | $104.30 | $149 | 6.1× |
| Assay Ph Body Fluid Nos (83986) | $45.50 | $65 | 12.7× |
| Ast (sgot) (84450) | $37.10 | $53 | 7.2× |
| B cells total count (86355) | $224 | $320 | 5.9× |
| Bartonella antibody (86611) | $114.80 | $164 | 11.3× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $108.50 | $155 | 4.3× |
| Beta hydroxybutyrate (82010) | $81.20 | $116 | 9.9× |
| Beta-2 microglobulin (82232) | $89.95 | $128.50 | 5.6× |
| Bile acids, total (82239) | $83.30 | $119 | 4.9× |
| Bilirubin direct (82248) | $81.90 | $117 | 16.3× |
| Bilirubin total (82247) | $74.90 | $107 | 14.9× |
| Biotinidase ea specimen (82261) | $101.50 | $145 | 6.0× |
| Bl Smear W/Diff Wbc Count (85007) | $37.10 | $53 | 9.8× |
| Blastomyces antibody (86612) | $140 | $200 | 10.9× |
| Bleeding time (85002) | $29.40 | $42 | 6.1× |
| Blood count reticulocyte automated (85045) | $126.70 | $181 | 31.8× |
| Blood gases (82803) | $209.65 | $299.50 | 8.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $77.70 | $111 | 4.9× |
| Blood Ph - Ph Venous (82800) | $115.50 | $165 | 10.5× |
| Blood typing abo (86900) | $71.40 | $102 | 23.9× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $205.10 | $293 | 12.6× |
| Blood typing serologic rh (d) (86901) | $65.10 | $93 | 21.8× |
| Blood typing serologic rh phenotyping complete (86906) | $161 | $230 | 20.8× |
| Body fluid cell count (89051) | $121.10 | $173 | 21.6× |
| Body fluid cell count (89050) | $70.70 | $101 | 15.0× |
| Bordetella antibody (86615) | $125.30 | $179 | 9.5× |
| Brca1&2 seq & full dup/del (81162) | $2,662.10 | $3,803 | 1.5× |
| Brucella antibody (86622) | $85.40 | $122 | 9.6× |
| C diff amplified probe (87493) | $193.55 | $276.50 | 5.2× |
| C-reactive protein (86140) | $88.90 | $127 | 17.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $107.10 | $153 | 8.3× |
| C1q binding assay (86332) | $147 | $210 | 6.0× |
| Ca 125 (86304) | $133.70 | $191 | 6.4× |
| Ca 19-9 (86301) | $88.20 | $126 | 4.2× |
| Ca 27 29 (86300) | $107.80 | $154 | 5.2× |
| Cadmium level (82300) | $93.80 | $134 | 4.0× |
| Calcium ionized (82330) | $91 | $130 | 6.7× |
| Calcium total (82310) | $62.30 | $89 | 12.1× |
| Calcium urine (82340) | $53.20 | $76 | 8.8× |
| Calculus Spectroscopy (82365) | $73.15 | $104.50 | 5.7× |
| California encephalitis ab (86651) | $79.80 | $114 | 6.1× |
| Calprotectin, fecal (83993) | $225.40 | $322 | 11.5× |
| Candida antibody (86628) | $79.80 | $114 | 6.6× |
| Candida DNA dir probe (87480) | $95.90 | $137 | 4.8× |
| Carb deficient transferrin (82373) | $109.20 | $156 | 6.0× |
| Carbamazepine (tegretol) total (80156) | $133 | $190 | 9.1× |
| Carbon dioxide (82374) | $32.20 | $46 | 6.6× |
| Carboxyhemoglobin Quantitative (82375) | $159.60 | $228 | 13.0× |
| Carcinoembryonic antigen (82378) | $125.30 | $179 | 6.6× |
| Cardiolipin ab igg (86147) | $172.20 | $246 | 6.8× |
| Carnitine (82379) | $147.70 | $211 | 8.8× |
| Carotene (82380) | $40.60 | $58 | 4.4× |
| Catecholamines fraction plasma (82384) | $123.90 | $177 | 4.9× |
| Catecholamines organic nitrogen blood level (82383) | $193.20 | $276 | 6.6× |
| Cd4 absolute count (86361) | $130.90 | $187 | 4.9× |
| Cftr gene com variants (81220) | $3,367 | $4,810 | 6.0× |
| Chemiluminescent assay (82397) | $67.90 | $97 | 4.8× |
| Chlamydia antibody (86631) | $71.40 | $102 | 6.0× |
| Chlamydia Igm Antibody (86632) | $119.70 | $171 | 9.4× |
| Chloride urine (82436) | $35.70 | $51 | 6.2× |
| Cholesterol total (82465) | $37.10 | $53 | 8.5× |
| Cholinesterase serum (82480) | $46.90 | $67 | 6.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $553.70 | $791 | 4.4× |
| Chromium urine (82495) | $89.60 | $128 | 4.4× |
| Chromogranin a (86316) | $169.05 | $241.50 | 8.1× |
| Chromosome analysis 20-25 cells (88264) | $637.70 | $911 | 4.4× |
| Chromosome analysis 45 cells (88263) | $662.90 | $947 | 4.4× |
| Chromosome karyotype study (88280) | $147.70 | $211 | 4.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $100.10 | $143 | 2.9× |
| Citrate (82507) | $191.10 | $273 | 6.9× |
| Ck isoenzymes (82552) | $72.10 | $103 | 5.4× |
| Ckmb (82553) | $154.70 | $221 | 13.4× |
| Clot factor viii vw antigen (85246) | $134.40 | $192 | 5.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $78.40 | $112 | 4.4× |
| Clozapine level (80159) | $121.80 | $174 | 6.0× |
| Cmv PCR (87496) | $739.20 | $1,056 | 21.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $152.60 | $218 | 6.3× |
| Cold agglutinin titer (86157) | $75.60 | $108 | 9.4× |
| Collagen cross links (82523) | $82.60 | $118 | 4.4× |
| Compatibility test antiglob (86922) | $399 | $570 | 2.3× |
| Complement c3 (86160) | $98 | $140 | 8.2× |
| Complement total ch50 (86162) | $204.40 | $292 | 10.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $70.70 | $101 | 5.9× |
| Concentration Infectious Agent (87015) | $63 | $90 | 9.4× |
| Coombs direct (86880) | $110.60 | $158 | 20.5× |
| Copper urine (82525) | $94.50 | $135 | 7.6× |
| Cortisol free (82530) | $91.70 | $131 | 5.5× |
| Cortisol total (82533) | $111.30 | $159 | 6.8× |
| Creatine kinase total (82550) | $135.80 | $194 | 20.9× |
| Creatinine blood (82565) | $49 | $70 | 9.6× |
| Creatinine clearance (82575) | $240.10 | $343 | 25.4× |
| Creatinine other source (82570) | $75.60 | $108 | 14.6× |
| Crossmatch immediate spin (86920) | $279.30 | $399 | 1.6× |
| Cryofibrinogen (82585) | $85.40 | $122 | 6.0× |
| Cryoglobulin (82595) | $56 | $80 | 8.7× |
| Culture anaerobic (87075) | $203.70 | $291 | 21.5× |
| Culture blood (87040) | $257.60 | $368 | 25.0× |
| Culture chlamydia (87110) | $119 | $170 | 6.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $46.20 | $66 | 6.0× |
| Culture fungus other (87102) | $104.30 | $149 | 12.4× |
| Culture genital (87070) | $108.50 | $155 | 12.6× |
| Culture screen only (87081) | $63 | $90 | 9.5× |
| Culture stool (87045) | $112 | $160 | 11.9× |
| Culture typing if ea antiserum (87140) | $33.60 | $48 | 6.0× |
| Culture urine (87086) | $107.10 | $153 | 13.3× |
| Culture urine id ea isolate (87088) | $77 | $110 | 9.5× |
| Cyclic amp (82030) | $156.10 | $223 | 6.1× |
| Cyclic Citrullinated Peptide (86200) | $101.50 | $145 | 7.8× |
| Cyp2c19 gene com variants (81225) | $1,762.60 | $2,518 | 6.0× |
| Cyp2d6 gene com variants (81226) | $2,726.50 | $3,895 | 6.0× |
| Cystatin c (82610) | $162.40 | $232 | 8.8× |
| Cytogenetics 10-30 (88273) | $153.30 | $219 | 4.4× |
| Cytogenetics DNA probe (88271) | $32.20 | $46 | 1.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $7,015.40 | $10,022 | 6.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $270.20 | $386 | 6.3× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $205.10 | $293 | 5.4× |
| Cytopath Smear Other Source (88160) | $149.80 | $214 | 5.1× |
| Cytp concentration smears & interpretation (88108) | $63 | $90 | 1.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $207.90 | $297 | 3.9× |
| Cytp fna eval dx 1st each site (88172) | $658 | $940 | 3.8× |
| D-Dimer (85379) | $194.60 | $278 | 19.1× |
| Deoxycortisol (82634) | $177.10 | $253 | 6.0× |
| Deoxyribonuclease antibody (86215) | $80.50 | $115 | 6.1× |
| Detect agent nos DNA dir (87797) | $229.60 | $328 | 7.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $72.80 | $104 | 4.4× |
| Detect agnt mult DNA ampli (87801) | $293.30 | $419 | 4.2× |
| Dhea (82626) | $224 | $320 | 8.9× |
| Dhea sulfate (82627) | $143.50 | $205 | 6.5× |
| Digoxin (80162) | $86.80 | $124 | 6.5× |
| Dilantin (80185) | $93.10 | $133 | 7.0× |
| Dipropylacetic acid free (80165) | $115.50 | $165 | 8.5× |
| Dna Antibody Single Stranded (86226) | $172.20 | $246 | 14.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $76.30 | $109 | 5.6× |
| Dpyd gene common variants (81232) | $745.50 | $1,065 | 4.3× |
| Drug assay adalimumab (80145) | $232.40 | $332 | 6.0× |
| Drug Assay Infliximab (80230) | $364.70 | $521 | 9.5× |
| Drug Assay Lacosamide (80235) | $245 | $350 | 9.0× |
| Drug assay vedolizumab (80280) | $469 | $670 | 12.2× |
| Drug Screen Quant Gabapentin (80171) | $130.90 | $187 | 6.0× |
| Drug screen quant zonisamide (80203) | $90.30 | $129 | 6.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $125.30 | $179 | 9.5× |
| Drug Scrn Quan Levetiracetam (80177) | $149.80 | $214 | 11.3× |
| Drug scrn quant oxcarbazepin (80183) | $58.80 | $84 | 4.4× |
| Drug test prsmv chem anlyzr (80307) | $274.40 | $392 | 4.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $137.55 | $196.50 | 10.9× |
| Ebv viral capsid (86665) | $137.20 | $196 | 7.6× |
| Echinococcus ab igg (86682) | $123.20 | $176 | 9.5× |
| Ehrlichia antibody (86666) | $164.50 | $235 | 16.2× |
| Elastase pancreatic fecal quantitative (82653) | $48.30 | $69 | 2.1× |
| Electrolyte panel (80051) | $44.10 | $63 | 6.3× |
| Electronic crossmatch (86923) | $356.30 | $509 | 2.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $270.90 | $387 | 4.4× |
| Endomysial antibody iga (86255) | $126 | $180 | 10.5× |
| Enterovirus antibody (86658) | $191.45 | $273.50 | 14.7× |
| Enterovirus Pcr (87498) | $155.40 | $222 | 4.4× |
| Enzyme cell activity (82657) | $206.50 | $295 | 9.3× |
| Enzyme histochemistry (88319) | $2,893.80 | $4,134 | 3.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $128.80 | $184 | 8.4× |
| Estradiol (82670) | $163.10 | $233 | 5.8× |
| Estriol (82677) | $67.90 | $97 | 2.8× |
| Estrone (82679) | $221.90 | $317 | 8.9× |
| Ethylene glycol (82693) | $89.60 | $128 | 6.0× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $593.60 | $848 | 6.1× |
| Everolimus (80169) | $368.90 | $527 | 26.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $77 | $110 | 10.5× |
| F2 gene analysis 20210g >a variant (81240) | $231.70 | $331 | 3.5× |
| F5 gene (81241) | $551.60 | $788 | 7.5× |
| Factor ii activity (85210) | $57.40 | $82 | 4.4× |
| Factor ix activity (85250) | $179.90 | $257 | 9.4× |
| Factor v activity (85220) | $102.90 | $147 | 5.8× |
| Factor vii assay (85230) | $107.10 | $153 | 6.0× |
| Factor viii ahg (85240) | $153.30 | $219 | 8.6× |
| Fecal fat qual (82705) | $49.70 | $71 | 9.7× |
| Fecal fat quant (82710) | $74.90 | $107 | 4.5× |
| Fetal chrmoml aneuploidy (81420) | $4,590.60 | $6,558 | 6.0× |
| Fetal fibronectin (82731) | $428.40 | $612 | 6.7× |
| Fibrinogen activity (85384) | $91.70 | $131 | 9.4× |
| Flow cytometry first marker (88184) | $1,223.60 | $1,748 | 3.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $126 | $180 | 10.5× |
| Folate serum (82746) | $100.10 | $143 | 6.8× |
| Follicle Stimulating Hormone (83001) | $158.90 | $227 | 8.6× |
| Francisella Tularensis (86668) | $85.40 | $122 | 6.0× |
| Fresh frozen plasma thawing each unit (86927) | $991.90 | $1,417 | 5.7× |
| Frozen Section (88331) | $658 | $940 | 3.8× |
| Fructosamine (82985) | $140.70 | $201 | 8.4× |
| Ftl cgen abnor four anal (81511) | $389.90 | $557 | 2.5× |
| Gammaglobulin ige (82785) | $104.30 | $149 | 6.3× |
| Gardner vag DNA dir probe (87510) | $88.20 | $126 | 4.4× |
| Gastric Occult Blood (82271) | $32.20 | $46 | 6.1× |
| Genotype cytomegalovirus (87910) | $1,557.50 | $2,225 | 6.0× |
| Ggt (82977) | $56.70 | $81 | 7.9× |
| Giardia ag by if (87269) | $82.60 | $118 | 6.1× |
| Giardia lamblia antibody (86674) | $88.90 | $127 | 6.0× |
| Gliadin antibody each immunoglobulin class (86258) | $25.20 | $36 | 2.1× |
| Glucose (82947) | $37.80 | $54 | 9.6× |
| Glucose Blood Test (82962) | $65.10 | $93 | 19.8× |
| Glucose body fluid (82945) | $46.90 | $67 | 11.9× |
| Glucose post dose (82950) | $23.10 | $33 | 4.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $66.50 | $95 | 17.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $76.65 | $109.50 | 6.0× |
| Growth hormone (83003) | $66.50 | $95 | 4.0× |
| Haptoglobin (83010) | $94.50 | $135 | 7.5× |
| Hcg qualitative (84703) | $85.40 | $122 | 11.4× |
| Hcg quant (84702) | $113.40 | $162 | 7.5× |
| Hdl Cholesterol (83718) | $117.60 | $168 | 14.4× |
| Heavy metal quant each (83018) | $158.90 | $227 | 7.2× |
| Hemagglutination inhibition (86280) | $49.70 | $71 | 6.1× |
| Hematocrit (85014) | $58.80 | $84 | 24.8× |
| Hemoglobin (85018) | $51.10 | $73 | 21.6× |
| Hemoglobin a1c (83036) | $67.55 | $96.50 | 7.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $79.10 | $113 | 4.4× |
| Hemoglobin electrophoresis (83020) | $109.20 | $156 | 8.5× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $46.20 | $66 | 6.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $49.70 | $71 | 6.1× |
| Hemolysins And Agglutinins Incubated (86941) | $107.80 | $154 | 8.9× |
| Heparin assay (85520) | $99.75 | $142.50 | 7.6× |
| Hepatitis a antibody total (86708) | $44.10 | $63 | 3.6× |
| Hepatitis a igm (86709) | $94.50 | $135 | 8.4× |
| Hepatitis b core ab igm (86705) | $102.90 | $147 | 8.7× |
| Hepatitis b core antibody total (86704) | $109.20 | $156 | 9.1× |
| Hepatitis B Surface Ab (86706) | $109.90 | $157 | 10.2× |
| Hepatitis B Surface Antigen (87340) | $68.60 | $98 | 6.6× |
| Hepatitis be antibody (86707) | $60.90 | $87 | 5.3× |
| Hepatitis Be Antigen (87350) | $61.60 | $88 | 5.3× |
| Hepatitis c ab confirm (86804) | $93.80 | $134 | 6.1× |
| Hepatitis c antibody (86803) | $130.90 | $187 | 9.2× |
| Hepatitis C Genotype (87902) | $1,248.80 | $1,784 | 4.9× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $3,537.10 | $5,053 | 2.7× |
| Herpes culture (87252) | $126.70 | $181 | 4.9× |
| Herpes simplex type 2 (86696) | $79.10 | $113 | 4.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $55.30 | $79 | 10.7× |
| Heterophile antibody titer (86309) | $62.30 | $89 | 9.6× |
| Hfe gene (81256) | $450.45 | $643.50 | 6.9× |
| Histamine plasma (83088) | $143.50 | $205 | 4.9× |
| Histoplasma antibody (86698) | $84 | $120 | 6.1× |
| HIV confirmation (86689) | $116.90 | $167 | 6.0× |
| HIV-1 antibody (86701) | $84 | $120 | 9.4× |
| Hla b 27 disease association lc (81374) | $327.60 | $468 | 4.4× |
| Hla ii typing 1 allele hr (81383) | $1,032.50 | $1,475 | 9.5× |
| Hla ii typing ag equiv lr (81375) | $1,334.90 | $1,907 | 6.0× |
| Hla-b27 (86812) | $116.90 | $167 | 4.5× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $207.90 | $297 | 3.1× |
| Hsv Dna Quant (87530) | $406 | $580 | 9.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $148.40 | $212 | 4.2× |
| Htlv-i antibody (86687) | $87.50 | $125 | 9.6× |
| Htlv-ii antibody (86688) | $84.70 | $121 | 6.1× |
| Hydroxyprogesterone 17-d (83498) | $131.60 | $188 | 4.8× |
| Iaad ia clostridium difficile toxin (87324) | $229.60 | $328 | 19.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $104.30 | $149 | 4.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $108.50 | $155 | 7.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $196.70 | $281 | 14.1× |
| Iaad ia rotavirus (87425) | $53.20 | $76 | 4.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $110.60 | $158 | 3.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $113.40 | $162 | 9.5× |
| Iaadi inffluenza a virus (87276) | $96.60 | $138 | 6.0× |
| Iaadi influenza b virus (87275) | $74.90 | $107 | 6.1× |
| Iaadi respiratory synctial virus (87280) | $81.20 | $116 | 6.1× |
| Iaadiadoo not otherwise specified (87899) | $151.20 | $216 | 9.4× |
| Iadna candida species amplified probe tq (87481) | $155.40 | $222 | 4.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $155.40 | $222 | 4.4× |
| Iadna hepatitis b virus quantification (87517) | $376.60 | $538 | 8.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $308 | $440 | 7.2× |
| Iadna herpes virus-6 quantification (87533) | $309.40 | $442 | 7.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $291.90 | $417 | 3.4× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $252 | $360 | 6.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $155.40 | $222 | 4.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $100.10 | $143 | 2.9× |
| Iadna nos amplified probe tq each organism (87798) | $170.80 | $244 | 4.9× |
| Iadna nos quantification each organism (87799) | $351.40 | $502 | 8.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $170.80 | $244 | 4.9× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,838.20 | $2,626 | 4.4× |
| If varicella-zoster antigen (87290) | $128.10 | $183 | 9.5× |
| Igg subclasses (82787) | $75.60 | $108 | 9.4× |
| Igvh somatic hypermutation (81263) | $1,298.50 | $1,855 | 4.4× |
| Immunfix e-phorsis/urine/csf (86335) | $121.80 | $174 | 4.1× |
| Immunoassay analyte qual/semiqual single step (83518) | $154 | $220 | 16.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $156.80 | $224 | 10.5× |
| Immunoassay nonantibody (83516) | $119.70 | $171 | 10.4× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) | $76.30 | $109 | 6.0× |
| Immunoassay tumor antigen qual/semiquantitative (86294) | $76.30 | $109 | 3.0× |
| Immunoassay with direct visual observation for clostridium (87803) | $106.40 | $152 | 6.7× |
| Immunoassay with direct visual observation for streptococcus (87802) | $76.30 | $109 | 6.0× |
| Immunodiffusion not elsewhere specified (86329) | $132.30 | $189 | 9.4× |
| Immunoelectrophoresis serum (86320) | $255.50 | $365 | 8.5× |
| Immunofixj Electrophoresis Serum (86334) | $147.70 | $211 | 6.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $1,284.50 | $1,835 | 7.4× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $53.20 | $76 | 4.4× |
| Immunoglobulin assay (86023) | $228.90 | $327 | 18.4× |
| Immunoglobulin light chains free each (83521) | $52.50 | $75 | 3.0× |
| Immunohisto Antibody Slide (88344) | $1,156.40 | $1,652 | 3.2× |
| Immunohistochemistry (88342) | $866.60 | $1,238 | 5.0× |
| India ink prep (87210) | $47.95 | $68.50 | 8.2× |
| Influenza DNA amp prob 1+ (87501) | $310.80 | $444 | 6.1× |
| Influenza DNA amp probe (87502) | $84 | $120 | 0.9× |
| Inhibin a (86336) | $112.70 | $161 | 7.2× |
| Inhibin b (83520) | $169.40 | $242 | 9.8× |
| Insitu hybridization (fish) (88365) | $272.30 | $389 | 1.6× |
| Insulin antibodies (86337) | $129.50 | $185 | 6.0× |
| Insulin free (83527) | $57.40 | $82 | 4.4× |
| Insulin total (83525) | $87.50 | $125 | 7.7× |
| Interleukin 6 (83529) | $428.40 | $612 | 24.8× |
| Intraop cyto path consult 1 (88333) | $2,893.80 | $4,134 | 3.5× |
| Intrinsic factor antibody (86340) | $88.20 | $126 | 5.8× |
| Iron (83540) | $63.70 | $91 | 9.8× |
| Iron binding capacity (83550) | $64.40 | $92 | 7.4× |
| Islet cell antibody (86341) | $103.60 | $148 | 4.4× |
| Jak2 gene analysis (81270) | $406.70 | $581 | 4.4× |
| Ketosteroids 17; total (83586) | $77 | $110 | 6.0× |
| L/s ratio, fetal lung (83661) | $133 | $190 | 6.0× |
| Lactic acid (83605) | $101.50 | $145 | 8.8× |
| Lactoferrin fecal qualitative (83630) | $118.30 | $169 | 6.0× |
| Ldh (83615) | $55.30 | $79 | 9.2× |
| Ldh isoenzymes (83625) | $77 | $110 | 6.0× |
| LDL cholesterol direct (83721) | $46.20 | $66 | 4.4× |
| Lead (83655) | $115.50 | $165 | 9.5× |
| Legion pneumo, DNA, amp prob (87541) | $155.40 | $222 | 4.4× |
| Legionella antibody (86713) | $92.40 | $132 | 6.0× |
| Legionella antigen urine (87449) | $137.90 | $197 | 11.5× |
| Level ii surg pathology grossµscopic exam (88302) | $246.05 | $351.50 | 6.4× |
| Level v surg pathology grossµscopic exam (88307) | $412.30 | $589 | 1.1× |
| Level vi surg pathology grossµscopic exam (88309) | $1,404.90 | $2,007 | 1.7× |
| Lh (83002) | $112.70 | $161 | 6.1× |
| Lipase (83690) | $111.30 | $159 | 16.2× |
| Lipoprotein Bld Hr Fraction (83701) | $205.10 | $293 | 6.1× |
| Listeria ab (86609) | $199.15 | $284.50 | 15.5× |
| Lithium (80178) | $59.50 | $85 | 9.0× |
| Lyme disease antibody (86618) | $133.70 | $191 | 7.9× |
| Lyme disease antibody confirm (86617) | $68.60 | $98 | 4.4× |
| Lymph Choriomeningitis Ab (86727) | $77 | $110 | 6.0× |
| Lymphocyte transformation (86353) | $463.40 | $662 | 9.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $658 | $940 | 3.8× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $434.70 | $621 | 2.5× |
| Magnesium (83735) | $64.40 | $92 | 9.6× |
| Malaria smear (87207) | $56.70 | $81 | 9.5× |
| Manual cell count each (85032) | $25.90 | $37 | 6.0× |
| Manual reticulocyte count (85044) | $56 | $80 | 13.0× |
| Mass spectrometry qual/quan (83789) | $116.90 | $167 | 4.8× |
| Mercury (83825) | $92.05 | $131.50 | 5.7× |
| Methotrexate (80299) | $107.10 | $153 | 5.7× |
| Methylmalonic acid serum (83921) | $270.90 | $387 | 12.8× |
| Microalbumin urine (82043) | $142.80 | $204 | 24.7× |
| Microsomal antibodies (86376) | $115.50 | $165 | 7.9× |
| Mitochondrial antibody each (86381) | $52.50 | $75 | 2.1× |
| Mlh1 gene analysis duplication/deletion variants (81294) | $1,223.60 | $1,748 | 6.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $4,083.80 | $5,834 | 6.0× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $25.20 | $36 | 2.1× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $387.10 | $553 | 7.6× |
| Molecular pathology procedure level 7 (81406) | $1,710.10 | $2,443 | 6.0× |
| Mononuclear cell antigen (86356) | $301.70 | $431 | 11.3× |
| Mopath procedure level 1 (81400) | $387.10 | $553 | 6.1× |
| Mopath procedure level 4 (81403) | $816.90 | $1,167 | 4.4× |
| Mopath procedure level 5 (81404) | $1,662.50 | $2,375 | 6.0× |
| Mopath procedure level 6 (81405) | $1,822.80 | $2,604 | 6.0× |
| Mrsa amp probe (87641) | $161 | $230 | 4.6× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $2,308.60 | $3,298 | 6.0× |
| Msh2 gene dup/delete variant (81297) | $1,290.10 | $1,843 | 6.0× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $3,881.50 | $5,545 | 6.0× |
| Msh6 gene dup/delete variant (81300) | $1,439.90 | $2,057 | 6.1× |
| Mthfr Gene Analysis Common Variants (81291) | $285.60 | $408 | 4.4× |
| Mucopolysaccharides acid quantitative (83864) | $126 | $180 | 4.4× |
| Muramidase (85549) | $145.60 | $208 | 7.8× |
| Mycophenolic acid (80180) | $70.70 | $101 | 3.9× |
| Mycoplasma antibody (86738) | $219.80 | $314 | 16.6× |
| Mycoplasma genitalium PCR (87563) | $155.40 | $222 | 4.4× |
| Myelin basic protein csf (83873) | $104.30 | $149 | 6.1× |
| Myoglobin urine (83874) | $60.20 | $86 | 4.7× |
| Nasal smear for eosinophils (89190) | $25.90 | $37 | 4.5× |
| Natriuretic peptide (83880) | $192.50 | $275 | 4.9× |
| Nickel level (83885) | $147.70 | $211 | 6.0× |
| Nk cells total count (86357) | $263.90 | $377 | 7.0× |
| Nmr Lipoprofile (83704) | $216.30 | $309 | 6.3× |
| Nuclear antigen antibody (86235) | $191.10 | $273 | 10.7× |
| Oligoclonal bands (83916) | $109.20 | $156 | 4.0× |
| Oncology prostate biochemical assay 4 proteins (81539) | $2,642.50 | $3,775 | 3.5× |
| Organic Acids Total Quantitative Each Specimen (83918) | $142.80 | $204 | 6.1× |
| Osmolality serum (83930) | $65.10 | $93 | 9.8× |
| Osmolality urine (83935) | $96.60 | $138 | 14.2× |
| Ova 1 (81503) | $5,425 | $7,750 | 6.0× |
| Ova and parasite direct-id lca (87177) | $110.60 | $158 | 12.4× |
| Oxalate urine (83945) | $179.90 | $257 | 12.4× |
| Pancreatic polypeptide (83519) | $156.80 | $224 | 8.5× |
| Pappa, serum (84163) | $91 | $130 | 6.0× |
| Parainfluenza ag if (87279) | $100.10 | $143 | 6.1× |
| Particle Agglutination Screen Each Antibody (86403) | $50.40 | $72 | 4.4× |
| Parvovirus antibody (86747) | $100.80 | $144 | 6.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $74.20 | $106 | 1.4× |
| Phenylalanine (84030) | $36.40 | $52 | 6.6× |
| Phenytoin free (80186) | $84 | $120 | 6.1× |
| Phosphatase acid prostatic (84066) | $58.80 | $84 | 6.1× |
| Phosphatase alkaline (84075) | $32.90 | $47 | 6.4× |
| Phosphorus blood (84100) | $81.90 | $117 | 17.3× |
| Phosphorus urine (84105) | $60.20 | $86 | 10.4× |
| Pinworm exam (87172) | $25.90 | $37 | 6.1× |
| Platelet count (85049) | $43.40 | $62 | 9.7× |
| Pms2 gene analysis duplication/deletion variants (81319) | $1,230.60 | $1,758 | 6.0× |
| Pms2 gene analysis full sequence (81317) | $4,091.50 | $5,845 | 6.0× |
| Porphobilinogen urine quant (84110) | $72.80 | $104 | 8.6× |
| Porphyrins feces qn (84126) | $236.60 | $338 | 6.0× |
| Porphyrins qn & fraction urine (84120) | $138.60 | $198 | 9.4× |
| Potassium (84132) | $64.40 | $92 | 13.5× |
| Potassium urine (84133) | $37.80 | $54 | 8.0× |
| Pregnenolone (84140) | $165.20 | $236 | 8.0× |
| Primidone (80188) | $91 | $130 | 5.5× |
| Procainamide napa (80192) | $101.50 | $145 | 6.1× |
| Procalcitonin (pct) (84145) | $263.20 | $376 | 9.7× |
| Progesterone (84144) | $170.80 | $244 | 8.2× |
| Prolactin (84146) | $82.60 | $118 | 4.3× |
| Prostaglandin Ea (84150) | $252.70 | $361 | 6.0× |
| Protein body fluid (84157) | $135.10 | $193 | 33.8× |
| Protein c activity (85303) | $191.10 | $273 | 13.8× |
| Protein electrophoresis serum (84165) | $84.70 | $121 | 7.9× |
| Protein Electrophoresis Urine (84166) | $149.80 | $214 | 8.4× |
| Protein S Functional (85306) | $182 | $260 | 11.9× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $105 | $150 | 4.8× |
| Protein Total Serum (84155) | $31.50 | $45 | 8.6× |
| Protein urine (84156) | $100.10 | $143 | 27.3× |
| Protein Western Blot (84182) | $66.50 | $95 | 2.3× |
| Protoporphyrin rbc quantitative (84202) | $63 | $90 | 4.4× |
| PSA free (84154) | $130.90 | $187 | 7.1× |
| Quantiferon tb gold (86480) | $345.10 | $493 | 5.6× |
| Quinidine (80194) | $88.90 | $127 | 6.1× |
| Rbc osmotic fragility (85555) | $172.90 | $247 | 23.1× |
| Rbc pretx incubatj w/chemicl (86970) | $320.60 | $458 | 5.3× |
| Reagent strip/blood glucose (82948) | $18.90 | $27 | 3.7× |
| Reducing substances, stool (84376) | $33.60 | $48 | 6.1× |
| Renin activity plasma (84244) | $156.10 | $223 | 7.1× |
| Respiratory viral panel PCR (87633) | $469 | $670 | 1.1× |
| Rheumatoid Factor Qual (86430) | $81.20 | $116 | 13.2× |
| Rheumatoid factor quant (86431) | $53.90 | $77 | 9.5× |
| Rickettsia antibody (86757) | $93.80 | $134 | 4.8× |
| Rotavirus (86759) | $109.90 | $157 | 6.0× |
| Rsv (87807) | $113.40 | $162 | 8.7× |
| Rubella antibody (86762) | $70 | $100 | 4.9× |
| Russell viper venom time diluted (85613) | $79.10 | $113 | 8.3× |
| Saccharomyces ab iga (86671) | $116.90 | $167 | 9.5× |
| Salicylate (80179) | $59.50 | $85 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $110.60 | $158 | 2.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $55.30 | $79 | 1.3× |
| Sars-cov-2 covid19 w/optic (87811) | $108.50 | $155 | 2.6× |
| Sed rate automated (85652) | $34.30 | $49 | 12.7× |
| Semen analysis complete (89320) | $81.20 | $116 | 6.6× |
| Semen analysis sperm presence&/motility sprm (89321) | $112.70 | $161 | 9.4× |
| Sensitivity mic (87186) | $134.40 | $192 | 15.5× |
| Serotonin Release Assay (86022) | $110.60 | $158 | 6.0× |
| Sex hormone binding globulin (84270) | $83.30 | $119 | 3.8× |
| Sickle cell screen (85660) | $36.40 | $52 | 6.6× |
| Sirolimus (rapamycin) (80195) | $131.60 | $188 | 9.6× |
| Smear acid fast (87206) | $50.40 | $72 | 9.4× |
| Smear complex stain (87209) | $150.50 | $215 | 8.4× |
| Smear gram stain (87205) | $74.90 | $107 | 17.5× |
| Sodium (84295) | $58.80 | $84 | 12.2× |
| Sodium urine (84300) | $51.10 | $73 | 10.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $140.70 | $201 | 1.0× |
| Special stains group 1 (88312) | $126 | $180 | 2.4× |
| Spectrophotometry (84311) | $77.70 | $111 | 9.6× |
| Sperm antibody measurement (89325) | $46.90 | $67 | 4.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $658 | $940 | 3.8× |
| Strep a assay w/optic (87880) | $34.30 | $49 | 2.1× |
| Strep a DNA amp probe (87651) | $106.40 | $152 | 3.0× |
| Strep b DNA amp probe (87653) | $74.20 | $106 | 2.1× |
| Sulfate urine (84392) | $38.50 | $55 | 7.0× |
| Surg path level iii (88304) | $137.20 | $196 | 2.6× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $121.10 | $173 | 4.1× |
| Surgical pathology level IV (88305) | $219.80 | $314 | 4.1× |
| Susceptibility study antimicrobial disk method (87184) | $71.40 | $102 | 9.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $207.20 | $296 | 4.4× |
| T cells, total count (86359) | $256.90 | $367 | 6.8× |
| T3 free (84481) | $74.90 | $107 | 4.4× |
| T3 reverse (84482) | $144.20 | $206 | 9.1× |
| T3 total (84480) | $116.90 | $167 | 8.2× |
| T3 uptake (84479) | $31.50 | $45 | 4.9× |
| T4 Free (84439) | $106.40 | $152 | 11.8× |
| T4 total (84436) | $54.60 | $78 | 7.9× |
| Tb intradermal test (86580) | $79.80 | $114 | 2.7× |
| Testosterone free (84402) | $112.70 | $161 | 4.4× |
| Testosterone total (84403) | $82.60 | $118 | 3.2× |
| Tetanus antibody (86774) | $89.60 | $128 | 6.1× |
| Theophylline (80198) | $85.40 | $122 | 6.0× |
| Thiocyanate (84430) | $70.70 | $101 | 6.1× |
| Thyroglobulin (84432) | $143.50 | $205 | 8.9× |
| Thyroglobulin Ab (86800) | $116.20 | $166 | 7.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $224 | $320 | 4.4× |
| Thyroxine binding globulin (84442) | $201.60 | $288 | 13.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $73.50 | $105 | 6.4× |
| Tobramycin peak (80200) | $97.30 | $139 | 6.0× |
| Topiramate (80201) | $113.40 | $162 | 9.5× |
| Touch prep (88161) | $192.50 | $275 | 6.5× |
| Toxin or antitoxin assay (87230) | $86.80 | $124 | 4.4× |
| Toxoplasma ab igm (86778) | $79.10 | $113 | 5.5× |
| Toxoplasma antibody igg (86777) | $45.50 | $65 | 3.2× |
| Transferrin (84466) | $53.90 | $77 | 4.2× |
| Triglycerides (84478) | $31.15 | $44.50 | 5.4× |
| Troponin (84484) | $201.60 | $288 | 16.2× |
| Tyrosine (84510) | $64.40 | $92 | 6.1× |
| Ugt1a1 gene analysis common variants (81350) | $1,456 | $2,080 | 6.2× |
| Urea nitrogen (84520) | $41.30 | $59 | 10.5× |
| Urea nitrogen urine (84540) | $24.50 | $35 | 4.4× |
| Uric acid blood (84550) | $44.10 | $63 | 9.8× |
| Uric acid other source (84560) | $40.25 | $57.50 | 7.9× |
| Urinalysis microscopic only (81015) | $31.50 | $45 | 10.3× |
| Urinalysis w/microscopic (81001) | $85.40 | $122 | 26.9× |
| Urine microalbumin (protein) analysis (82044) | $37.10 | $53 | 6.0× |
| Urine pregnancy test (81025) | $57.40 | $82 | 6.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $47.60 | $68 | 21.2× |
| Valproic acid level (80164) | $135.10 | $193 | 10.0× |
| Vancomycin trough (80202) | $198.10 | $283 | 14.6× |
| Varicella-zoster antibody (86787) | $99.40 | $142 | 7.7× |
| Vasoactive intestinal peptide (vip) (84586) | $156.10 | $223 | 4.4× |
| Vasopressin (84588) | $226.10 | $323 | 6.7× |
| Vdrl csf (86592) | $74.90 | $107 | 17.5× |
| Very long chain fatty acids (82726) | $120.40 | $172 | 6.1× |
| Virus antibody nos (86790) | $110.60 | $158 | 8.6× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $119 | $170 | 3.5× |
| Virus inoculate tissue addl (87253) | $88.90 | $127 | 4.4× |
| Viscosity serum (85810) | $77.70 | $111 | 6.7× |
| Vitamin A (84590) | $119.70 | $171 | 10.3× |
| Vitamin b-12 (82607) | $97.30 | $139 | 6.5× |
| Vitamin b-2 (riboflavin) (84252) | $254.80 | $364 | 12.6× |
| Vitamin b1 (thiamine) (84425) | $155.75 | $222.50 | 7.3× |
| Vitamin b6 (84207) | $170.10 | $243 | 6.1× |
| Vitamin C (82180) | $93.80 | $134 | 9.5× |
| Vitamin D 25-Hydroxy (82306) | $144.20 | $206 | 4.9× |
| Vitamin e serum (84446) | $101.50 | $145 | 7.2× |
| Von willebrand factor activity (85245) | $217.70 | $311 | 9.5× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $51.80 | $74 | 6.0× |
| West nile virus ab, igm (86788) | $101.50 | $145 | 6.0× |
| West nile virus antibody (86789) | $86.80 | $124 | 6.0× |
| Zinc (84630) | $100.80 | $144 | 8.8× |