Lab & pathology prices at Ste. Genevieve County Memorial Hospital
Ste. Genevieve, MO · every code in this section with a posted price and a Medicare benchmark.
645 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) | $219 | $438 | 5.7× |
| 5 Hiaa (83497) | $76 | $152 | 5.9× |
| 5 Nucleotidase (83915) | $64.50 | $129 | 5.8× |
| Activated protein c resistance (85307) | $72.50 | $145 | 4.7× |
| Acute hepatitis panel (80074) | $262.25 | $524.50 | 5.5× |
| Additional high resolution study (88289) | $133.75 | $267.50 | 3.9× |
| Adenovirus Ag Ia (87301) | $103.50 | $207 | 8.6× |
| Adenovirus antibody (86603) | $83.25 | $166.50 | 6.5× |
| Afb culture (87116) | $80 | $160 | 7.4× |
| Albumin Fluid (82042) | $67 | $134 | 8.6× |
| Albumin serum (82040) | $49 | $98 | 9.9× |
| Aldolase (82085) | $70.50 | $141 | 7.3× |
| Aldosterone urine (82088) | $208.12 | $416.25 | 5.1× |
| Alkaline phosphatase isoenzymes (84080) | $79.75 | $159.50 | 5.4× |
| Allerg sp igg quan or semiquan (86001) | $61.25 | $122.50 | 7.8× |
| Allergen specific ige (86003) | $51.62 | $103.25 | 9.9× |
| Allg Spec Ige Recomb Ea (86008) | $34.50 | $69 | 1.9× |
| Alpha-1-antitrypsin phenotype (82104) | $107.75 | $215.50 | 7.5× |
| Alpha-1-antitrypsin, total (82103) | $98.50 | $197 | 7.3× |
| Alpha-Fetoprotein L3 (82107) | $147.75 | $295.50 | 2.3× |
| Alpha-fetoprotein, serum (82105) | $109.50 | $219 | 6.5× |
| Alt (sgpt) (84460) | $36.75 | $73.50 | 6.9× |
| Amines vaginal fluid qual (82120) | $20 | $40 | 3.3× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $196.75 | $393.50 | 11.7× |
| Amino Acids, Single Quantitation (82131) | $137.75 | $275.50 | 6.0× |
| Ammonia (82140) | $105.75 | $211.50 | 7.3× |
| Amylase urine (82150) | $75.25 | $150.50 | 11.6× |
| Ana Titer (86039) | $86.50 | $173 | 7.8× |
| Angiotensin i enzyme test (82164) | $95.50 | $191 | 6.5× |
| Anti-phosphatidylserine antibody (86148) | $88.75 | $177.50 | 5.5× |
| Antibody Absorption (86978) | $113.50 | $227 | 1.9× |
| Antibody aspergillus (86606) | $53.25 | $106.50 | 3.5× |
| Antibody coxiella burnetii q fever (86638) | $40.50 | $81 | 3.3× |
| Antibody cytomegalovirus cmv (86644) | $107.75 | $215.50 | 7.5× |
| Antibody cytomegalovirus cmv igm (86645) | $130.50 | $261 | 7.7× |
| Antibody Encephalitis Eastern Equine (86652) | $48.50 | $97 | 3.7× |
| Antibody Encephalitis St. Louis (86653) | $40.25 | $80.50 | 3.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $83.75 | $167.50 | 6.4× |
| Antibody haemophilus influenza (86684) | $86 | $172 | 5.4× |
| Antibody helicobacter pylori (86677) | $123.25 | $246.50 | 7.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $98.75 | $197.50 | 6.9× |
| Antibody herpes smplx type 1 (86695) | $83.75 | $167.50 | 6.3× |
| Antibody identification (86870) | $145.75 | $291.50 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $97.25 | $194.50 | 6.5× |
| Antibody influenza virus (86710) | $63.25 | $126.50 | 4.7× |
| Antibody mumps (86735) | $82.75 | $165.50 | 6.3× |
| Antibody Protozoa Nes (86753) | $171.88 | $343.75 | 13.9× |
| Antibody rubeola (86765) | $98.50 | $197 | 7.6× |
| Antibody screen (86850) | $93.25 | $186.50 | 9.5× |
| Antibody treponema pallidum (86780) | $51.50 | $103 | 3.9× |
| Antibody; Coccidioides (86635) | $39 | $78 | 3.4× |
| Antigen typing (86905) | $98.50 | $197 | 25.7× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $136 | $272 | 26.3× |
| Antinuclear antibodies (86038) | $88.75 | $177.50 | 7.3× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $60.25 | $120.50 | 10.4× |
| Antithrombin iii activity (85300) | $79.50 | $159 | 6.7× |
| Antithrombin iii antigen (85301) | $147 | $294 | 13.6× |
| Apolipoprotein b (82172) | $118.75 | $237.50 | 5.6× |
| Arsenic Urine (82175) | $57.75 | $115.50 | 3.0× |
| Assay galactose transferase (82775) | $26.75 | $53.50 | 1.3× |
| Assay Lipoprotein Pla2 (83698) | $156 | $312 | 3.4× |
| Assay Nephelometry Not Spec (83883) | $110.50 | $221 | 8.1× |
| Assay of acth (82024) | $109.50 | $219 | 2.8× |
| Assay of androstenedione (82157) | $98.50 | $197 | 3.4× |
| Assay of blood chloride (82435) | $45.50 | $91 | 9.9× |
| Assay of c-peptide (84681) | $133.25 | $266.50 | 6.4× |
| Assay of calcitonin (82308) | $89.50 | $179 | 3.3× |
| Assay of ceruloplasmin (82390) | $74.50 | $149 | 6.9× |
| Assay of corticosterone (82528) | $262.25 | $524.50 | 11.6× |
| Assay of cyclosporine (80158) | $107.75 | $215.50 | 6.0× |
| Assay of dibucaine number (82638) | $39.75 | $79.50 | 3.2× |
| Assay of erythropoietin (82668) | $113.25 | $226.50 | 6.0× |
| Assay of ferritin (82728) | $104.75 | $209.50 | 7.7× |
| Assay of g6pd enzyme (82955) | $81.75 | $163.50 | 8.4× |
| Assay of gammaglobulin igm (82784) | $69 | $138 | 7.4× |
| Assay of gastrin (82941) | $74.50 | $149 | 4.2× |
| Assay of gentamicin (80170) | $112.25 | $224.50 | 6.9× |
| Assay of glucagon (82943) | $64 | $128 | 4.5× |
| Assay of homocystine (83090) | $122.38 | $244.75 | 6.8× |
| Assay of homovanillic acid (83150) | $110.50 | $221 | 4.9× |
| Assay of lipoprotein(a) (83695) | $68.50 | $137 | 4.8× |
| Assay of manganese (83785) | $119.75 | $239.50 | 4.5× |
| Assay of metanephrines (83835) | $245.25 | $490.50 | 14.5× |
| Assay of osteocalcin (83937) | $67 | $134 | 2.2× |
| Assay of parathormone (83970) | $219 | $438 | 5.3× |
| Assay of phenobarbital (80184) | $64.75 | $129.50 | 4.2× |
| Assay of prealbumin (84134) | $95.50 | $191 | 6.5× |
| Assay of proinsulin (84206) | $167.25 | $334.50 | 6.3× |
| Assay of pyruvate (84210) | $60 | $120 | 4.1× |
| Assay of selenium (84255) | $145 | $290 | 5.7× |
| Assay of serotonin (84260) | $181 | $362 | 5.8× |
| Assay of somatomedin (84305) | $138.25 | $276.50 | 6.5× |
| Assay of tacrolimus (80197) | $197 | $394 | 14.3× |
| Assay of urine vma (84585) | $100.50 | $201 | 6.5× |
| Assay of vitamin k (84597) | $149.25 | $298.50 | 10.9× |
| Assay Ph Body Fluid Nos (83986) | $50.50 | $101 | 14.1× |
| Ast (sgot) (84450) | $38.25 | $76.50 | 7.4× |
| Autologous Blood Process (86890) | $128.25 | $256.50 | 0.8× |
| Automated rbc count (85041) | $36 | $72 | 11.9× |
| B cells total count (86355) | $86.50 | $173 | 2.3× |
| Bartonella antibody (86611) | $67 | $134 | 6.6× |
| Bcr/abl1 gene major bp (81206) | $297 | $594 | 1.8× |
| Bcr/abl1 gene minor bp (81207) | $297 | $594 | 2.1× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $219 | $438 | 8.6× |
| Beta hydroxybutyrate (82010) | $185.50 | $371 | 22.7× |
| Beta Lactamase (87185) | $46 | $92 | 9.7× |
| Beta-2 microglobulin (82232) | $106.50 | $213 | 6.6× |
| Bile acids, total (82239) | $47 | $94 | 2.7× |
| Bilirubin direct (82248) | $63.25 | $126.50 | 12.6× |
| Bilirubin total (82247) | $38.25 | $76.50 | 7.6× |
| Bl Smear W/Diff Wbc Count (85007) | $29.75 | $59.50 | 7.8× |
| Blastomyces antibody (86612) | $43.50 | $87 | 3.4× |
| Bleeding time (85002) | $49.50 | $99 | 10.3× |
| Blood Count Automated Differential Wbc Count (85004) | $46.25 | $92.50 | 7.1× |
| Blood gases w/02 saturation (82805) | $158 | $316 | 2.0× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $28.50 | $57 | 2.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $55 | $110 | 3.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $21.38 | $42.75 | 4.9× |
| Blood Ph - Ph Venous (82800) | $48.50 | $97 | 4.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $106.25 | $212.50 | 16.7× |
| Blood typing abo (86900) | $61.50 | $123 | 20.6× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $113.50 | $227 | 6.9× |
| Blood typing serologic rh (d) (86901) | $61.50 | $123 | 20.6× |
| Blood typing serologic rh phenotyping complete (86906) | $127.50 | $255 | 16.5× |
| Body fluid cell count (89051) | $67.75 | $135.50 | 12.1× |
| Bordetella antibody (86615) | $80.50 | $161 | 6.1× |
| Breath Alcohol Test (82075) | $42.50 | $85 | 1.4× |
| Brucella antibody (86622) | $83.75 | $167.50 | 9.4× |
| C diff amplified probe (87493) | $170.75 | $341.50 | 4.6× |
| C-reactive protein (86140) | $79 | $158 | 15.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $110.50 | $221 | 8.5× |
| Ca 125 (86304) | $138.25 | $276.50 | 6.6× |
| Ca 19-9 (86301) | $124.25 | $248.50 | 6.0× |
| Ca 27 29 (86300) | $110.50 | $221 | 5.3× |
| Cadmium level (82300) | $107.25 | $214.50 | 4.5× |
| Calcium ionized (82330) | $88.75 | $177.50 | 6.5× |
| Calcium total (82310) | $43.50 | $87 | 8.4× |
| Calcium urine (82340) | $23 | $46 | 3.8× |
| Calculus Spectroscopy (82365) | $88.75 | $177.50 | 6.9× |
| California encephalitis ab (86651) | $44.75 | $89.50 | 3.4× |
| Calprotectin, fecal (83993) | $227.50 | $455 | 11.6× |
| Candida antibody (86628) | $39.50 | $79 | 3.3× |
| Candida DNA dir probe (87480) | $55.50 | $111 | 2.8× |
| Carbamazepine (tegretol) total (80156) | $153.25 | $306.50 | 10.5× |
| Carbamazepine free (80157) | $69.50 | $139 | 5.2× |
| Carbon dioxide (82374) | $39.75 | $79.50 | 8.1× |
| Carboxyhemoglobin Quantitative (82375) | $59.50 | $119 | 4.8× |
| Carcinoembryonic antigen (82378) | $114.75 | $229.50 | 6.1× |
| Cardiolipin ab igg (86147) | $132.50 | $265 | 5.2× |
| Carnitine (82379) | $197 | $394 | 11.7× |
| Carotene (82380) | $64.50 | $129 | 7.0× |
| Catecholamines fraction plasma (82384) | $164.75 | $329.50 | 6.5× |
| Cd4 absolute count (86361) | $93.25 | $186.50 | 3.5× |
| Cftr gene com variants (81220) | $170.75 | $341.50 | 0.3× |
| Chemiluminescent assay (82397) | $98.75 | $197.50 | 7.0× |
| Chlamydia antibody (86631) | $41.25 | $82.50 | 3.5× |
| Chlamydia Igm Antibody (86632) | $45.50 | $91 | 3.6× |
| Chloride other source (82438) | $66 | $132 | 13.2× |
| Chloride urine (82436) | $35.25 | $70.50 | 6.1× |
| Chlorinated hydrocarbons screen (82441) | $109 | $218 | 18.1× |
| Cholesterol total (82465) | $35.25 | $70.50 | 8.1× |
| Cholinesterase serum (82480) | $31.50 | $63 | 4.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $530 | $1,060 | 4.2× |
| Chromium urine (82495) | $79.50 | $159 | 3.9× |
| Chromogranin a (86316) | $228.75 | $457.50 | 11.0× |
| Chromosome analysis 45 cells (88263) | $269.75 | $539.50 | 1.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $35.25 | $70.50 | 1.0× |
| Citrate (82507) | $154.75 | $309.50 | 5.6× |
| Ck isoenzymes (82552) | $51.50 | $103 | 3.8× |
| Ckmb (82553) | $94.75 | $189.50 | 8.2× |
| Clot factor viii vw antigen (85246) | $184.75 | $369.50 | 8.1× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $114.75 | $229.50 | 6.4× |
| Clot factor xiii fibrin stab (85290) | $181 | $362 | 11.1× |
| Clozapine level (80159) | $72 | $144 | 3.6× |
| Cmv PCR (87496) | $195.50 | $391 | 5.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $104 | $208 | 4.3× |
| Cold agglutinin screen (86156) | $83.75 | $167.50 | 10.4× |
| Cold agglutinin titer (86157) | $136 | $272 | 16.9× |
| Collagen cross links (82523) | $122.75 | $245.50 | 6.6× |
| Compatibility test antiglob (86922) | $155.88 | $311.75 | 0.9× |
| Compatibility Test Incubate (86921) | $120.25 | $240.50 | 0.7× |
| Complement c3 (86160) | $96.75 | $193.50 | 8.1× |
| Complement total ch50 (86162) | $130.75 | $261.50 | 6.4× |
| Concentration Infectious Agent (87015) | $47 | $94 | 7.0× |
| Coombs direct (86880) | $68.75 | $137.50 | 12.8× |
| Coombs Test Indirect Qual (86885) | $55.50 | $111 | 9.7× |
| Copper urine (82525) | $80.50 | $161 | 6.5× |
| Cortisol free (82530) | $110.50 | $221 | 6.6× |
| Cortisol total (82533) | $110.50 | $221 | 6.8× |
| Creatine kinase total (82550) | $52.50 | $105 | 8.1× |
| Creatinine blood (82565) | $38.75 | $77.50 | 7.6× |
| Creatinine clearance (82575) | $82.25 | $164.50 | 8.7× |
| Creatinine other source (82570) | $35.25 | $70.50 | 6.8× |
| Crossmatch immediate spin (86920) | $86.75 | $173.50 | 0.5× |
| Cryoglobulin (82595) | $52 | $104 | 8.0× |
| Cryptococcal Antigen (87327) | $102.25 | $204.50 | 7.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $88.75 | $177.50 | 11.0× |
| Culture Aerobic Identify (87077) | $88.75 | $177.50 | 11.0× |
| Culture anaerobic (87075) | $83.75 | $167.50 | 8.8× |
| Culture blood (87040) | $103.50 | $207 | 10.0× |
| Culture chlamydia (87110) | $52.50 | $105 | 2.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $57.25 | $114.50 | 7.4× |
| Culture fungus id yeast (87106) | $69.75 | $139.50 | 6.8× |
| Culture fungus other (87102) | $79 | $158 | 9.4× |
| Culture genital (87070) | $96.75 | $193.50 | 11.2× |
| Culture screen only (87081) | $67 | $134 | 10.1× |
| Culture stool (87045) | $83.75 | $167.50 | 8.9× |
| Culture typing if ea antiserum (87140) | $17.50 | $35 | 3.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $44.75 | $89.50 | 8.6× |
| Culture Typing, Glc Method (87143) | $67 | $134 | 5.4× |
| Culture urine (87086) | $67 | $134 | 8.3× |
| Culture urine id ea isolate (87088) | $44.75 | $89.50 | 5.5× |
| Cyclic Citrullinated Peptide (86200) | $161.50 | $323 | 12.5× |
| Cystatin c (82610) | $224.75 | $449.50 | 12.1× |
| Cytogenetics 10-30 (88273) | $215.50 | $431 | 6.2× |
| Cytogenetics DNA probe (88271) | $129.50 | $259 | 6.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,077.88 | $6,155.75 | 2.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $242.38 | $484.75 | 5.7× |
| Cytopath cell enhance tech (88112) | $65.75 | $131.50 | 1.3× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $115.75 | $231.50 | 3.1× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $98.75 | $197.50 | 3.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $116.50 | $233 | 2.2× |
| Cytp fna eval dx 1st each site (88172) | $44 | $88 | 0.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $20 | $40 | 1.1× |
| D-Dimer (85379) | $145.75 | $291.50 | 14.3× |
| Deoxyribonuclease antibody (86215) | $108.25 | $216.50 | 8.2× |
| Desoxycorticosterone (82633) | $262.25 | $524.50 | 8.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $69.75 | $139.50 | 4.2× |
| Detect agnt mult DNA ampli (87801) | $70.50 | $141 | 1.0× |
| Dhea (82626) | $165.25 | $330.50 | 6.5× |
| Dhea sulfate (82627) | $132.50 | $265 | 6.0× |
| Digoxin (80162) | $109.75 | $219.50 | 8.3× |
| Dihydrotestosterone (82642) | $153.62 | $307.25 | 5.2× |
| Dilantin (80185) | $77.25 | $154.50 | 5.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $102.75 | $205.50 | 7.5× |
| Dna/Rna Amplified Probe (87150) | $33.75 | $67.50 | 1.0× |
| DNA/RNA direct probe (87149) | $88.75 | $177.50 | 4.4× |
| Drug Screen Quant Gabapentin (80171) | $64.50 | $129 | 3.0× |
| Drug screen quant zonisamide (80203) | $102.25 | $204.50 | 7.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $87.25 | $174.50 | 6.6× |
| Drug Scrn Quan Levetiracetam (80177) | $107.25 | $214.50 | 8.1× |
| Drug scrn quant oxcarbazepin (80183) | $124 | $248 | 9.4× |
| Drug test prsmv chem anlyzr (80307) | $30.25 | $60.50 | 0.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $12.28 | $24.55 | 1.0× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $38 | $76 | 2.2× |
| Ebv viral capsid (86665) | $74.50 | $149 | 4.1× |
| Echinococcus ab igg (86682) | $130 | $260 | 10.0× |
| Ehrlichia antibody (86666) | $103.75 | $207.50 | 10.2× |
| Electrolyte panel (80051) | $65.75 | $131.50 | 9.4× |
| Encephalitis Western Equine (86654) | $52.50 | $105 | 4.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $24 | $48 | 2.0× |
| Endomysial antibody iga (86255) | $137.50 | $275 | 11.4× |
| Entamoeba histolytica antigen (87337) | $126.75 | $253.50 | 10.6× |
| Enterovirus antibody (86658) | $30.25 | $60.50 | 2.3× |
| Enterovirus Pcr (87498) | $320.75 | $641.50 | 9.1× |
| Enzyme cell activity (82657) | $209 | $418 | 9.4× |
| Eosinophil count (85048) | $28.50 | $57 | 11.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $50.25 | $100.50 | 3.3× |
| Estradiol (82670) | $153.75 | $307.50 | 5.5× |
| Estriol (82677) | $136 | $272 | 5.6× |
| Estrogens total (82672) | $132.50 | $265 | 6.1× |
| Estrone (82679) | $165.25 | $330.50 | 6.6× |
| Ethylene glycol (82693) | $157.25 | $314.50 | 10.6× |
| Euglobulin lysis (85360) | $170.75 | $341.50 | 20.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $160 | $320 | 1.6× |
| Everolimus (80169) | $153.50 | $307 | 11.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $92.25 | $184.50 | 12.6× |
| F2 gene analysis 20210g >a variant (81240) | $132.75 | $265.50 | 2.0× |
| F5 gene (81241) | $170.75 | $341.50 | 2.3× |
| Factor ii activity (85210) | $232.75 | $465.50 | 17.9× |
| Factor inhibitor test (85335) | $110.50 | $221 | 8.6× |
| Factor ix activity (85250) | $319 | $638 | 16.8× |
| Factor v activity (85220) | $175.25 | $350.50 | 9.9× |
| Factor vii assay (85230) | $114.75 | $229.50 | 6.4× |
| Factor viii ahg (85240) | $131.75 | $263.50 | 7.4× |
| Factor viii vw multimetric (85247) | $147.75 | $295.50 | 6.4× |
| Factor xi assay (85270) | $119.75 | $239.50 | 6.7× |
| Factor xii assay (85280) | $116.50 | $233 | 6.0× |
| Fecal fat qual (82705) | $88.75 | $177.50 | 17.4× |
| Fecal fat quant (82710) | $127.75 | $255.50 | 7.6× |
| Fetal fibronectin (82731) | $458.50 | $917 | 7.1× |
| Fetal hemoglobin, chemical (83030) | $105.50 | $211 | 9.8× |
| Fibrin degradation products (85362) | $70.50 | $141 | 10.2× |
| Fibrinogen activity (85384) | $101.50 | $203 | 10.4× |
| Flow cytometry first marker (88184) | $93.50 | $187 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $93 | $186 | 7.7× |
| Folate serum (82746) | $88.75 | $177.50 | 6.0× |
| Folic acid rbc (82747) | $96.25 | $192.50 | 5.5× |
| Follicle Stimulating Hormone (83001) | $102.75 | $205.50 | 5.5× |
| Fractionation ketosteroids (83593) | $141.75 | $283.50 | 5.0× |
| Francisella Tularensis (86668) | $116.25 | $232.50 | 8.2× |
| Fresh frozen plasma thawing each unit (86927) | $94.50 | $189 | 0.6× |
| Frozen blood each unit thawing (86931) | $146.50 | $293 | 0.9× |
| Frozen Section (88331) | $121.50 | $243 | 0.7× |
| Fructosamine (82985) | $68.50 | $137 | 4.1× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $62.25 | $124.50 | 6.0× |
| Galectin-3 serum (82777) | $88.50 | $177 | 2.0× |
| Gammaglobulin ige (82785) | $73.50 | $147 | 4.5× |
| Gardner vag DNA dir probe (87510) | $55.50 | $111 | 2.8× |
| Gastric Occult Blood (82271) | $60 | $120 | 11.3× |
| Ggt (82977) | $58.25 | $116.50 | 8.1× |
| Giardia antigen eia stool (87329) | $94.25 | $188.50 | 7.9× |
| Giardia lamblia antibody (86674) | $69.50 | $139 | 4.7× |
| Glucose (82947) | $38.75 | $77.50 | 9.9× |
| Glucose Blood Test (82962) | $14.88 | $29.75 | 4.5× |
| Glucose body fluid (82945) | $51.75 | $103.50 | 13.2× |
| Glucose post dose (82950) | $38.75 | $77.50 | 8.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $38.75 | $77.50 | 9.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $112.75 | $225.50 | 8.8× |
| Gonadotropin releasing hormone (83727) | $493.25 | $986.50 | 28.7× |
| Growth hormone (83003) | $88.75 | $177.50 | 5.3× |
| Haloperidol (haldol) (80173) | $86 | $172 | 5.4× |
| Haptoglobin (83010) | $77.50 | $155 | 6.2× |
| Hcg qualitative (84703) | $53.75 | $107.50 | 7.1× |
| Hcg quant (84702) | $108 | $216 | 7.2× |
| Hdl Cholesterol (83718) | $55.25 | $110.50 | 6.7× |
| Heavy metal quant each (83018) | $110.50 | $221 | 5.0× |
| Hematocrit (85014) | $28.50 | $57 | 12.0× |
| Hematocrit spun (85013) | $28.50 | $57 | 4.1× |
| Hemoglobin (85018) | $17.25 | $34.50 | 7.3× |
| Hemoglobin a1c (83036) | $59.50 | $119 | 6.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $110.50 | $221 | 6.1× |
| Hemoglobin electrophoresis (83020) | $23 | $46 | 1.8× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $170.75 | $341.50 | 22.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $36 | $72 | 4.4× |
| Hemolysins And Agglutinins Incubated (86941) | $83.75 | $167.50 | 6.9× |
| Hemolysins/agglutinins auto screen (86940) | $83.75 | $167.50 | 9.5× |
| Heparin assay (85520) | $127.25 | $254.50 | 9.7× |
| Hepatitis a antibody total (86708) | $75 | $150 | 6.1× |
| Hepatitis a igm (86709) | $76.25 | $152.50 | 6.8× |
| Hepatitis b core ab igm (86705) | $64.75 | $129.50 | 5.5× |
| Hepatitis b core antibody total (86704) | $67 | $134 | 5.6× |
| Hepatitis B Surface Ab (86706) | $38.50 | $77 | 3.6× |
| Hepatitis B Surface Antigen (87340) | $67 | $134 | 6.5× |
| Hepatitis be antibody (86707) | $64.50 | $129 | 5.6× |
| Hepatitis Be Antigen (87350) | $88.75 | $177.50 | 7.7× |
| Hepatitis c ab confirm (86804) | $158 | $316 | 10.2× |
| Hepatitis c antibody (86803) | $30.75 | $61.50 | 2.2× |
| Hepatitis C Genotype (87902) | $793.50 | $1,587 | 3.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $230 | $460 | 6.6× |
| Herpes culture (87252) | $140.50 | $281 | 5.4× |
| Herpes simplex type 2 (86696) | $112.75 | $225.50 | 5.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $30.50 | $61 | 5.9× |
| Hfe gene (81256) | $198.75 | $397.50 | 3.0× |
| Histamine plasma (83088) | $128.50 | $257 | 4.4× |
| Histoplasma antibody (86698) | $39.50 | $79 | 2.9× |
| Histoplasma antigen urine (87385) | $201 | $402 | 15.2× |
| HIV confirmation (86689) | $124 | $248 | 6.4× |
| HIV-1 antibody (86701) | $88.75 | $177.50 | 10.0× |
| HIV-1 genotype (87901) | $299.75 | $599.50 | 1.2× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $93.25 | $186.50 | 6.8× |
| Hla-b27 (86812) | $316.50 | $633 | 12.3× |
| Hormone receptor analysis (84235) | $110.50 | $221 | 1.6× |
| Hpv low-risk types (87623) | $28 | $56 | 0.8× |
| Hpv types 16 & 18 only (87625) | $35.25 | $70.50 | 0.9× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $128.25 | $256.50 | 1.9× |
| Hsv Dna Quant (87530) | $89.50 | $179 | 2.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $268.25 | $536.50 | 7.6× |
| Human epididymis protein 4 (86305) | $421.75 | $843.50 | 20.3× |
| Hydroxyprogesterone 17-d (83498) | $157.25 | $314.50 | 5.8× |
| Iaad ia clostridium difficile toxin (87324) | $83.75 | $167.50 | 7.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $49 | $98 | 4.7× |
| Iaad ia HIV-1 (87390) | $106.75 | $213.50 | 4.4× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $90.50 | $181 | 3.8× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $123.75 | $247.50 | 8.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $88.75 | $177.50 | 6.4× |
| Iaad ia rotavirus (87425) | $129.50 | $259 | 10.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $39.75 | $79.50 | 1.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $141.75 | $283.50 | 11.8× |
| Iaad Ia Streptococcus Group A (87430) | $51.25 | $102.50 | 3.0× |
| Iaadi respiratory synctial virus (87280) | $64.50 | $129 | 4.8× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $76 | $152 | 2.3× |
| Iaadiadoo not otherwise specified (87899) | $79.62 | $159.25 | 5.0× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $391.75 | $783.50 | 11.2× |
| Iadna candida species amplified probe tq (87481) | $37 | $74 | 1.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $144.88 | $289.75 | 4.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $140.75 | $281.50 | 2.0× |
| Iadna hepatitis b virus quantification (87517) | $338.75 | $677.50 | 7.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $170.75 | $341.50 | 4.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $776.50 | $1,553 | 22.1× |
| Iadna HIV-1 quant & reverse transcription (87536) | $273.75 | $547.50 | 3.2× |
| Iadna human papillomavirus high-risk types (87624) | $52 | $104 | 1.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $144.88 | $289.75 | 4.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $35.25 | $70.50 | 1.0× |
| Iadna nos amplified probe tq each organism (87798) | $212.50 | $425 | 6.1× |
| Iadna nos quantification each organism (87799) | $279.50 | $559 | 6.5× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $3,517 | $7,034 | 16.1× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $89.50 | $179 | 2.6× |
| If cryptosporidium antigen (87272) | $98.75 | $197.50 | 8.2× |
| Igg subclasses (82787) | $57 | $114 | 7.1× |
| Immunfix e-phorsis/urine/csf (86335) | $79 | $158 | 2.7× |
| Immunoassay analyte qual/semiqual single step (83518) | $48.50 | $97 | 5.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $59.38 | $118.75 | 4.0× |
| Immunoassay nonantibody (83516) | $104 | $208 | 9.0× |
| Immunodiffusion not elsewhere specified (86329) | $41.75 | $83.50 | 3.0× |
| Immunodiffusion Ouchterlony (86331) | $52.50 | $105 | 4.4× |
| Immunofixj Electrophoresis Serum (86334) | $89.50 | $179 | 4.0× |
| Immunoglobulin assay (86023) | $124.50 | $249 | 10.0× |
| Immunohisto Antibody Slide (88344) | $220.25 | $440.50 | 0.6× |
| Immunohistochemistry (88342) | $145.75 | $291.50 | 0.9× |
| India ink prep (87210) | $36.75 | $73.50 | 6.3× |
| Influenza DNA amp probe (87502) | $118 | $236 | 1.2× |
| Inhibin a (86336) | $79.25 | $158.50 | 5.1× |
| Inhibin b (83520) | $110.50 | $221 | 6.4× |
| Insitu hybridization (fish) (88365) | $174.50 | $349 | 1.0× |
| Insulin antibodies (86337) | $77 | $154 | 3.6× |
| Insulin free (83527) | $133.25 | $266.50 | 10.3× |
| Insulin total (83525) | $69.75 | $139.50 | 6.1× |
| Intraop cyto path consult 1 (88333) | $86 | $172 | 0.1× |
| Intrinsic factor antibody (86340) | $145 | $290 | 9.6× |
| Iron (83540) | $51.50 | $103 | 8.0× |
| Iron binding capacity (83550) | $57.25 | $114.50 | 6.6× |
| Irradiation of blood product (86945) | $119.50 | $239 | 3.2× |
| Islet cell antibody (86341) | $252.75 | $505.50 | 10.7× |
| Jak2 gene analysis (81270) | $314 | $628 | 3.4× |
| Ketosteroids 17; total (83586) | $47.25 | $94.50 | 3.7× |
| Koh Prep (87220) | $36 | $72 | 8.4× |
| Lactic acid (83605) | $80.50 | $161 | 7.0× |
| Lactoferrin fecal qualitative (83630) | $66 | $132 | 3.4× |
| Ldh (83615) | $55 | $110 | 9.1× |
| LDL cholesterol direct (83721) | $88.75 | $177.50 | 8.5× |
| Lead (83655) | $28 | $56 | 2.3× |
| Legion pneumo, DNA, amp prob (87541) | $246.75 | $493.50 | 7.0× |
| Legionella antibody (86713) | $64 | $128 | 4.2× |
| Legionella antigen urine (87449) | $227.50 | $455 | 19.0× |
| Legionella pneumophila dfa (87278) | $100.50 | $201 | 6.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $55 | $110 | 12.9× |
| Leukocyte histamine release test (86343) | $274 | $548 | 22.0× |
| Level ii surg pathology grossµscopic exam (88302) | $82.25 | $164.50 | 2.2× |
| Level v surg pathology grossµscopic exam (88307) | $114 | $228 | 0.3× |
| Level vi surg pathology grossµscopic exam (88309) | $158.25 | $316.50 | 0.2× |
| Lh (83002) | $102.75 | $205.50 | 5.5× |
| Lipase (83690) | $93 | $186 | 13.5× |
| Lipoprotein Bld Hr Fraction (83701) | $140.75 | $281.50 | 4.2× |
| Listeria ab (86609) | $43 | $86 | 3.3× |
| Lithium (80178) | $63.25 | $126.50 | 9.6× |
| Lyme disease antibody (86618) | $83.75 | $167.50 | 4.9× |
| Lyme disease antibody confirm (86617) | $56.50 | $113 | 3.6× |
| Lymphocyte transformation (86353) | $312.50 | $625 | 6.4× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $742 | $1,484 | 4.3× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $159 | $318 | 0.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $170.25 | $340.50 | 1.0× |
| Macroscopic exam arthropod (87168) | $67 | $134 | 15.7× |
| Macroscopic exam parasite (87169) | $38.50 | $77 | 8.9× |
| Magnesium (83735) | $49.50 | $99 | 7.4× |
| Malaria smear (87207) | $67.75 | $135.50 | 11.3× |
| Mass spectrometry qual/quan (83789) | $157.50 | $315 | 6.5× |
| Mercury (83825) | $88.75 | $177.50 | 5.5× |
| Methotrexate (80299) | $137 | $274 | 7.3× |
| Methylmalonic acid serum (83921) | $138.25 | $276.50 | 6.5× |
| Microalbumin urine (82043) | $62.25 | $124.50 | 10.8× |
| Microbe Suscept Mycobacteri (87190) | $46.25 | $92.50 | 6.3× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $280 | $560 | 5.4× |
| Microsomal antibodies (86376) | $89.50 | $179 | 6.2× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $338.75 | $677.50 | 6.6× |
| Mopath procedure level 1 (81400) | $956.50 | $1,913 | 15.0× |
| Mopath procedure level 4 (81403) | $419.25 | $838.50 | 2.3× |
| Mrsa amp probe (87641) | $83.25 | $166.50 | 2.4× |
| Mthfr Gene Analysis Common Variants (81291) | $260.25 | $520.50 | 4.0× |
| Muramidase (85549) | $255.50 | $511 | 13.6× |
| Mycobacteric Identification (87118) | $88.75 | $177.50 | 6.1× |
| Mycoplasma antibody (86738) | $89.50 | $179 | 6.8× |
| Myelin basic protein csf (83873) | $101.50 | $203 | 5.9× |
| Myoglobin urine (83874) | $82.75 | $165.50 | 6.4× |
| Natriuretic peptide (83880) | $168 | $336 | 4.3× |
| Nfct agent DNA/RNA influenza >2 types ea addl (87503) | $59 | $118 | 2.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $263 | $526 | 1.0× |
| Niacin (84591) | $147 | $294 | 8.6× |
| Nk cells total count (86357) | $86.50 | $173 | 2.3× |
| Nmr Lipoprofile (83704) | $111.12 | $222.25 | 3.3× |
| Nuclear antigen antibody (86235) | $96 | $192 | 5.4× |
| Occult blood stool (82272) | $28.50 | $57 | 6.7× |
| Oligoclonal bands (83916) | $165.25 | $330.50 | 6.0× |
| Organic Acids Qual Each (83919) | $305.50 | $611 | 18.6× |
| Organic Acids Total Quantitative Each Specimen (83918) | $111.50 | $223 | 4.7× |
| Osmolality serum (83930) | $67 | $134 | 10.1× |
| Osmolality urine (83935) | $67 | $134 | 9.8× |
| Ova and parasite direct-id lca (87177) | $69 | $138 | 7.8× |
| Oxalate urine (83945) | $153.88 | $307.75 | 10.6× |
| Pancreatic elastase fecal (82656) | $630.25 | $1,260.50 | 54.7× |
| Pancreatic polypeptide (83519) | $198.12 | $396.25 | 10.8× |
| Pappa, serum (84163) | $139.75 | $279.50 | 9.3× |
| Particle Agglutination Screen Each Antibody (86403) | $35 | $70 | 3.0× |
| Particle agglutination titer each antibody (86406) | $77 | $154 | 7.2× |
| Parvovirus antibody (86747) | $89.50 | $179 | 6.0× |
| Path Consult During Surgery (88329) | $127.75 | $255.50 | 2.2× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $37.50 | $75 | 0.5× |
| Pca3/klk3 antigen (81313) | $408 | $816 | 1.6× |
| Phenotype Infect Agent Drug (87900) | $122.25 | $244.50 | 0.9× |
| Phenylalanine (84030) | $81.25 | $162.50 | 14.8× |
| Phenytoin free (80186) | $70 | $140 | 5.1× |
| Phosphatase acid prostatic (84066) | $88.75 | $177.50 | 9.2× |
| Phosphatase alkaline (84075) | $50 | $100 | 9.7× |
| Phosphorus blood (84100) | $43.25 | $86.50 | 9.1× |
| Phosphorus urine (84105) | $17.50 | $35 | 3.0× |
| Pinworm exam (87172) | $39.75 | $79.50 | 9.3× |
| Platelet count (85049) | $36.75 | $73.50 | 8.2× |
| Platelet neutralization (85597) | $135.75 | $271.50 | 7.6× |
| Porphyrins feces qn (84126) | $408 | $816 | 10.4× |
| Porphyrins qn & fraction urine (84120) | $56.50 | $113 | 3.8× |
| Potassium (84132) | $38.75 | $77.50 | 8.1× |
| Potassium urine (84133) | $35.25 | $70.50 | 7.5× |
| Pregnenolone (84140) | $198 | $396 | 9.6× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $61.50 | $123 | 0.4× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $106.25 | $212.50 | 0.6× |
| Pretx serum rbc antibody identification dilution (86976) | $68.75 | $137.50 | 2.4× |
| Primidone (80188) | $82.25 | $164.50 | 5.0× |
| Procalcitonin (pct) (84145) | $132.75 | $265.50 | 4.9× |
| Progesterone (84144) | $74.50 | $149 | 3.6× |
| Prolactin (84146) | $86 | $172 | 4.4× |
| Prostaglandin Ea (84150) | $689.75 | $1,379.50 | 16.5× |
| Protein body fluid (84157) | $63.25 | $126.50 | 15.8× |
| Protein c activity (85303) | $118.75 | $237.50 | 8.6× |
| Protein c antigen (85302) | $327 | $654 | 27.2× |
| Protein electrophoresis serum (84165) | $72.50 | $145 | 6.8× |
| Protein Electrophoresis Urine (84166) | $111.75 | $223.50 | 6.3× |
| Protein S Functional (85306) | $177.50 | $355 | 11.6× |
| Protein s total (85305) | $146.25 | $292.50 | 12.6× |
| Protein Total Serum (84155) | $47.25 | $94.50 | 12.9× |
| Protein urine (84156) | $67 | $134 | 18.3× |
| Protein Western Blot (84182) | $344.50 | $689 | 11.8× |
| Protein westrn blot i&r blood/other fluid (84181) | $141.88 | $283.75 | 8.3× |
| Prothrombin time substitution (85611) | $46.25 | $92.50 | 11.7× |
| Protoporphyrin rbc quantitative (84202) | $49 | $98 | 3.4× |
| PSA free (84154) | $138.25 | $276.50 | 7.5× |
| Quantiferon tb gold (86480) | $96.88 | $193.75 | 1.6× |
| Rbc antibody elution (86860) | $113.50 | $227 | 0.7× |
| Rbc pretx incubatj w/chemicl (86970) | $83.62 | $167.25 | 1.4× |
| Rbc serum pretx incubj drugs (86975) | $173.50 | $347 | 0.4× |
| Reagent strip/blood glucose (82948) | $8.50 | $17 | 1.7× |
| Reducing substances, stool (84376) | $67 | $134 | 12.2× |
| Ref consult prep elsewhere (88321) | $267 | $534 | 7.1× |
| Renin activity plasma (84244) | $164.75 | $329.50 | 7.5× |
| Resp virus 3-5 targets (87631) | $274 | $548 | 1.9× |
| Respiratory viral panel PCR (87633) | $377 | $754 | 0.9× |
| Reticulocyte Count (85046) | $46.25 | $92.50 | 8.3× |
| Reticulocyte separation (86972) | $128.25 | $256.50 | 0.8× |
| Rheumatoid Factor Qual (86430) | $51 | $102 | 8.3× |
| Rheumatoid factor quant (86431) | $55 | $110 | 9.7× |
| Rickettsia antibody (86757) | $138 | $276 | 7.1× |
| Rpr Titer (86593) | $41.50 | $83 | 9.4× |
| Rsv (87807) | $47.50 | $95 | 3.6× |
| Rubella antibody (86762) | $102.75 | $205.50 | 7.1× |
| Russell viper venom time diluted (85613) | $132.50 | $265 | 13.8× |
| Saccharomyces ab iga (86671) | $103.75 | $207.50 | 8.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $132 | $264 | 2.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $803.77 | $1,607.54 | 19.1× |
| Sarscov2 & inf a&b amp prb (87636) | $293 | $586 | 2.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $276.75 | $553.50 | 1.9× |
| Sedimentation rate (85651) | $46.25 | $92.50 | 10.8× |
| Semen analysis sperm presence&/motility sprm (89321) | $83.75 | $167.50 | 7.0× |
| Sensitivity mic (87186) | $109.25 | $218.50 | 12.6× |
| Serotonin Release Assay (86022) | $212 | $424 | 11.5× |
| Serpina1 gene (81332) | $137 | $274 | 3.1× |
| Sex hormone binding globulin (84270) | $192.75 | $385.50 | 8.9× |
| Sickle cell screen (85660) | $68.50 | $137 | 12.4× |
| Sirolimus (rapamycin) (80195) | $340 | $680 | 24.8× |
| Smear acid fast (87206) | $47 | $94 | 8.7× |
| Smear complex stain (87209) | $67 | $134 | 3.7× |
| Smear gram stain (87205) | $38.38 | $76.75 | 9.0× |
| Sodium (84295) | $38.75 | $77.50 | 8.1× |
| Sodium other source (84302) | $49.50 | $99 | 10.2× |
| Sodium urine (84300) | $35.25 | $70.50 | 7.0× |
| Soluble transferrin receptor (84238) | $175.25 | $350.50 | 4.8× |
| Somatostatin (84307) | $219.25 | $438.50 | 12.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $97.50 | $195 | 0.7× |
| Special stains group 1 (88312) | $97.50 | $195 | 1.9× |
| Specific gravity body fluid (84315) | $112.25 | $224.50 | 34.2× |
| Spectrophotometry (84311) | $58.50 | $117 | 7.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $66 | $132 | 7.0× |
| Strep a assay w/optic (87880) | $34 | $68 | 2.1× |
| Strep a DNA amp probe (87651) | $75.50 | $151 | 2.2× |
| Sugars single quant (84378) | $85.75 | $171.50 | 7.4× |
| Sulfate urine (84392) | $17.50 | $35 | 3.2× |
| Surg path level iii (88304) | $90.75 | $181.50 | 1.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $21 | $42 | 0.7× |
| Surgical pathology level IV (88305) | $102.75 | $205.50 | 2.0× |
| Susceptibility study antimicrobial disk method (87184) | $103.75 | $207.50 | 13.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $86.50 | $173 | 1.8× |
| T cells, total count (86359) | $86.50 | $173 | 2.3× |
| T3 free (84481) | $70 | $140 | 4.1× |
| T3 reverse (84482) | $110.50 | $221 | 7.0× |
| T3 total (84480) | $70 | $140 | 4.9× |
| T3 uptake (84479) | $65.50 | $131 | 10.1× |
| T4 Free (84439) | $78 | $156 | 8.6× |
| T4 total (84436) | $59.50 | $119 | 8.7× |
| T4-neonatal (84437) | $10 | $20 | 1.5× |
| Tb intradermal test (86580) | $48 | $96 | 1.7× |
| Test for acetone/ketones (82009) | $38.75 | $77.50 | 8.6× |
| Testosterone free (84402) | $132.50 | $265 | 5.2× |
| Testosterone total (84403) | $132.50 | $265 | 5.1× |
| Tetanus antibody (86774) | $141.38 | $282.75 | 9.6× |
| Theophylline (80198) | $132.50 | $265 | 9.4× |
| Thin prep pap (88142) | $45.88 | $91.75 | 2.3× |
| Thrombin time plasma (85670) | $56.25 | $112.50 | 9.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $72.50 | $145 | 11.2× |
| Thyroglobulin (84432) | $88.75 | $177.50 | 5.5× |
| Thyroglobulin Ab (86800) | $123.12 | $246.25 | 7.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $185 | $370 | 3.6× |
| Thyroxine binding globulin (84442) | $98.50 | $197 | 6.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $380 | $760 | 2.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $104 | $208 | 9.0× |
| Tissue Culture Lymphocyte (88230) | $195.75 | $391.50 | 1.7× |
| Tobramycin peak (80200) | $72.50 | $145 | 4.5× |
| Topiramate (80201) | $93 | $186 | 7.8× |
| Toxoplasma ab igm (86778) | $93.25 | $186.50 | 6.5× |
| Toxoplasma antibody igg (86777) | $100.50 | $201 | 7.0× |
| Tpmt gene com variants (81335) | $386.50 | $773 | 2.2× |
| Transferrin (84466) | $89.50 | $179 | 7.0× |
| Trichomonas vagin dir probe (87660) | $55.50 | $111 | 2.8× |
| Triglycerides (84478) | $55.50 | $111 | 9.7× |
| Troponin (84484) | $101.25 | $202.50 | 8.1× |
| Tyrosine (84510) | $141.75 | $283.50 | 13.3× |
| Urea nitrogen (84520) | $38.75 | $77.50 | 9.8× |
| Urea Nitrogen Clearance (84545) | $69.50 | $139 | 9.7× |
| Urea nitrogen urine (84540) | $53.50 | $107 | 9.6× |
| Uric acid blood (84550) | $47.50 | $95 | 10.5× |
| Uric acid other source (84560) | $45 | $90 | 8.9× |
| Urinalysis microscopic only (81015) | $27 | $54 | 8.9× |
| Urinalysis w/microscopic (81001) | $25 | $50 | 7.9× |
| Urine pregnancy test (81025) | $21.50 | $43 | 2.5× |
| Urine volume measurement (81050) | $19.50 | $39 | 5.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $28.50 | $57 | 12.7× |
| Valproic acid level (80164) | $93 | $186 | 6.9× |
| Vancomycin trough (80202) | $109 | $218 | 8.1× |
| Varicella-zoster antibody (86787) | $131 | $262 | 10.2× |
| Vasoactive intestinal peptide (vip) (84586) | $165.25 | $330.50 | 4.7× |
| Vasopressin (84588) | $122.50 | $245 | 3.6× |
| Vdrl csf (86592) | $40.50 | $81 | 9.5× |
| Virus antibody nos (86790) | $98.25 | $196.50 | 7.6× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $31.50 | $63 | 0.9× |
| Virus inoculation, shell via (87254) | $104 | $208 | 5.3× |
| Viscosity serum (85810) | $85.50 | $171 | 7.3× |
| Vitamin A (84590) | $116 | $232 | 10.0× |
| Vitamin b-12 (82607) | $99.50 | $199 | 6.6× |
| Vitamin b1 (thiamine) (84425) | $74.25 | $148.50 | 3.5× |
| Vitamin b6 (84207) | $107.75 | $215.50 | 3.8× |
| Vitamin C (82180) | $31.50 | $63 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $153.75 | $307.50 | 5.2× |
| Vitamin e serum (84446) | $92.75 | $185.50 | 6.5× |
| Von willebrand factor activity (85245) | $133.75 | $267.50 | 5.8× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $83.75 | $167.50 | 9.7× |
| West nile virus ab, igm (86788) | $105.75 | $211.50 | 6.3× |
| West nile virus antibody (86789) | $103.50 | $207 | 7.2× |
| Zinc (84630) | $91.50 | $183 | 8.0× |