Lab & pathology prices at Steele Memorial Medical Center
Salmon, ID · every code in this section with a posted price and a Medicare benchmark.
606 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) | $159.75 | $213 | 4.1× |
| 5 Nucleotidase (83915) | $68.25 | $91 | 6.1× |
| Acetaminophen level (80143) | $127.50 | $170 | 6.8× |
| Acetone serum qual (82009) | $39 | $52 | 8.6× |
| Actin smooth muscle antibody each (86015) | $147 | $196 | 12.2× |
| Activated protein c resistance (85307) | $74.62 | $99.50 | 4.9× |
| Acute hepatitis panel (80074) | $243 | $324 | 5.1× |
| Acylcarnitine Plasma (82017) | $162 | $216 | 9.6× |
| Adamts13 activity (85397) | $182.25 | $243 | 5.9× |
| Adrenocorticotropic hormone (82024) | $160.50 | $214 | 4.2× |
| Afp maternal serum (82105) | $25.50 | $34 | 1.5× |
| Agglutinins febrile ea antigen (86000) | $108 | $144 | 15.5× |
| Albumin body fluid (82042) | $129.75 | $173 | 16.7× |
| Albumin serum (82040) | $43.50 | $58 | 8.8× |
| Aldolase (82085) | $54.75 | $73 | 5.6× |
| Aldosterone urine (82088) | $162.75 | $217 | 4.0× |
| Alk phos heat stable (84078) | $55.88 | $74.50 | 6.8× |
| Alkaline phosphatase isoenzymes (84080) | $69 | $92 | 4.7× |
| Allergen peanut (86003) | $15 | $20 | 2.9× |
| Allergen specific igg (86001) | $31.50 | $42 | 4.0× |
| Allg Spec Ige Recomb Ea (86008) | $21.75 | $29 | 1.2× |
| Alpha-1-antitrypsin phenotype (82104) | $176.25 | $235 | 12.2× |
| Alpha-1-antitrypsin, total (82103) | $93.75 | $125 | 7.0× |
| Alpha-Fetoprotein L3 (82107) | $123.75 | $165 | 1.9× |
| Alt (sgpt) (84460) | $32.25 | $43 | 6.1× |
| Aluminum (82108) | $89.25 | $119 | 3.5× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $236.25 | $315 | 14.0× |
| Aminolevulinic acid (ala) (82135) | $75.75 | $101 | 4.6× |
| Amylase urine (82150) | $66.75 | $89 | 10.3× |
| Ana titer (86039) | $90.75 | $121 | 8.1× |
| Angiotensin i enzyme test (82164) | $84 | $112 | 5.8× |
| Anti-phosphatidylserine antibody (86148) | $106.50 | $142 | 6.6× |
| Antibody aspergillus (86606) | $47.25 | $63 | 3.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $87.75 | $117 | 5.7× |
| Antibody coxiella burnetii q fever (86638) | $63 | $84 | 5.2× |
| Antibody cytomegalovirus cmv (86644) | $54.75 | $73 | 3.8× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $54.75 | $73 | 4.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $84.75 | $113 | 6.9× |
| Antibody haemophilus influenza (86684) | $109.50 | $146 | 6.9× |
| Antibody helicobacter pylori (86677) | $93.75 | $125 | 5.6× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $81.75 | $109 | 6.0× |
| Antibody identification (86870) | $171.75 | $229 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $129.75 | $173 | 8.6× |
| Antibody john cunningham virus (86711) | $1,338.75 | $1,785 | 79.3× |
| Antibody mumps (86735) | $63 | $84 | 4.8× |
| Antibody Protozoa Nes (86753) | $78 | $104 | 6.3× |
| Antibody screen (86850) | $76.12 | $101.50 | 7.8× |
| Antibody treponema pallidum (86780) | $51 | $68 | 3.9× |
| Antibody; Coccidioides (86635) | $50.25 | $67 | 4.4× |
| Antigen typing (86905) | $55.50 | $74 | 14.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $80.25 | $107 | 15.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $129 | $172 | 10.7× |
| Antinuclear antibodies (86038) | $60 | $80 | 5.0× |
| Antistreptolysin o titer (86060) | $54.75 | $73 | 7.5× |
| Antithrombin iii activity (85300) | $69 | $92 | 5.8× |
| Antithrombin iii antigen (85301) | $104.25 | $139 | 9.6× |
| Apolipoprotein each (82172) | $60 | $80 | 2.8× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $18.75 | $25 | 1.6× |
| Arsenic Urine (82175) | $76.50 | $102 | 4.0× |
| Aspergillus ag eia (87305) | $118.50 | $158 | 9.9× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $67.50 | $90 | 5.3× |
| Assay Lipoprotein Pla2 (83698) | $107.25 | $143 | 2.3× |
| Assay Nephelometry Not Spec (83883) | $297 | $396 | 21.8× |
| Assay of 5-hiaa (83497) | $74.25 | $99 | 5.8× |
| Assay of ammonia (82140) | $94.50 | $126 | 6.5× |
| Assay of androstenedione (82157) | $117 | $156 | 4.0× |
| Assay of anti-mullerian hormone (82166) | $89.25 | $119 | 2.3× |
| Assay of c-peptide (84681) | $92.25 | $123 | 4.4× |
| Assay of ceruloplasmin (82390) | $62.25 | $83 | 5.8× |
| Assay of citrate (82507) | $105.75 | $141 | 3.8× |
| Assay of creatine (82540) | $48.75 | $65 | 10.5× |
| Assay of cyclosporine (80158) | $122.25 | $163 | 6.8× |
| Assay of erythropoietin (82668) | $106.50 | $142 | 5.7× |
| Assay of estrone (82679) | $103.50 | $138 | 4.1× |
| Assay of ethosuximide (80168) | $75 | $100 | 4.6× |
| Assay of ferritin (82728) | $70.50 | $94 | 5.2× |
| Assay of g6pd enzyme (82955) | $60 | $80 | 6.2× |
| Assay of gammaglobulin igm (82784) | $43.50 | $58 | 4.7× |
| Assay of gastrin (82941) | $87.75 | $117 | 5.0× |
| Assay of gentamicin (80170) | $123 | $164 | 7.5× |
| Assay of homocystine (83090) | $52.50 | $70 | 2.9× |
| Assay of lactic acid (83605) | $99.75 | $133 | 8.6× |
| Assay of lipoprotein(a) (83695) | $60 | $80 | 4.2× |
| Assay of metanephrines (83835) | $146.25 | $195 | 8.6× |
| Assay of osteocalcin (83937) | $91.50 | $122 | 3.1× |
| Assay of phenobarbital (80184) | $96 | $128 | 6.3× |
| Assay of prealbumin (84134) | $87.75 | $117 | 6.0× |
| Assay of proinsulin (84206) | $120.75 | $161 | 4.5× |
| Assay of prolactin (84146) | $140.25 | $187 | 7.2× |
| Assay of serotonin (84260) | $135.75 | $181 | 4.4× |
| Assay of tacrolimus (80197) | $165 | $220 | 12.0× |
| Assay of topiramate (80201) | $92.25 | $123 | 7.7× |
| Assay of urine vma (84585) | $92.25 | $123 | 6.0× |
| Assay of vasopressin anti-diuretic hormone (84588) | $118.50 | $158 | 3.5× |
| Assay of vitamin k (84597) | $122.25 | $163 | 8.9× |
| Assay spec xcp ur&breath ia (82077) | $127.50 | $170 | 7.4× |
| Ast (sgot) (84450) | $32.25 | $43 | 6.2× |
| Asy carbamazepin 10,11-epxid (80161) | $101.25 | $135 | 5.4× |
| B cells total count (86355) | $89.25 | $119 | 2.4× |
| Bartonella antibody (86611) | $49.50 | $66 | 4.9× |
| Bcr/abl1 gene major bp (81206) | $174 | $232 | 1.1× |
| Bcr/abl1 gene minor bp (81207) | $129.75 | $173 | 0.9× |
| Beta 2 glycoprotein 1 igm (86146) | $75 | $100 | 2.9× |
| Beta hydroxybutyrate (82010) | $74.25 | $99 | 9.1× |
| Beta lactamase (87185) | $27 | $36 | 5.7× |
| Beta-2 microglobulin (82232) | $80.25 | $107 | 5.0× |
| Bile acids, total (82239) | $67.50 | $90 | 3.9× |
| Bilirubin direct (82248) | $39 | $52 | 7.8× |
| Bilirubin total (82247) | $41.25 | $55 | 8.2× |
| Bilirubin total transcutaneous (88720) | $29.25 | $39 | 5.8× |
| Bl Smear W/Diff Wbc Count (85007) | $62.25 | $83 | 16.4× |
| Blastomyces antibody (86612) | $66 | $88 | 5.1× |
| Bld Typing Serologic Rh Phnt (86906) | $66.75 | $89 | 8.6× |
| Blood gas (82803) | $160.50 | $214 | 6.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $52.50 | $70 | 3.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29.25 | $39 | 6.7× |
| Blood Ph (82800) | $57.75 | $77 | 5.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $63 | $84 | 9.9× |
| Blood typing abo (86900) | $33.75 | $45 | 11.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $59.25 | $79 | 3.6× |
| Blood typing serologic rh (d) (86901) | $30 | $40 | 10.0× |
| Body fluid cell count (89051) | $74.25 | $99 | 13.3× |
| Body fluid cell count (89050) | $77.25 | $103 | 16.4× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $369.75 | $493 | 0.8× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $1,481.25 | $1,975 | 3.2× |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $926.25 | $1,235 | 1.6× |
| Brca1 gene analysis full sequence analysis (81165) | $926.25 | $1,235 | 3.3× |
| Brca1&2 seq & full dup/del (81162) | $3,200.25 | $4,267 | 1.8× |
| Breath Alcohol Test (82075) | $52.50 | $70 | 1.8× |
| Brucella antibody (86622) | $54 | $72 | 6.0× |
| C diff amplified probe (87493) | $132.75 | $177 | 3.6× |
| C-reactive protein (86140) | $60 | $80 | 11.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $81.75 | $109 | 6.3× |
| Ca 125 (86304) | $112.50 | $150 | 5.4× |
| Ca 19-9 (86301) | $116.25 | $155 | 5.6× |
| Ca 27 29 (86300) | $100.50 | $134 | 4.8× |
| Cadmium level (82300) | $100.50 | $134 | 4.3× |
| Calcitonin (82308) | $110.25 | $147 | 4.1× |
| Calcium ionized (82330) | $75.75 | $101 | 5.5× |
| Calcium total (82310) | $36.75 | $49 | 7.1× |
| Calcium urine (82340) | $47.25 | $63 | 7.8× |
| Calculus spectroscopy (82365) | $90.75 | $121 | 7.0× |
| Calprotectin, fecal (83993) | $211.50 | $282 | 10.8× |
| Calr gene com variants (81219) | $712.50 | $950 | 5.9× |
| Candida antibody (86628) | $34.50 | $46 | 2.9× |
| Carb deficient transferrin (82373) | $101.25 | $135 | 5.6× |
| Carbamazepine total (80156) | $101.25 | $135 | 6.9× |
| Carbon dioxide (82374) | $30.75 | $41 | 6.3× |
| Carboxyhemoglobin (82375) | $78 | $104 | 6.3× |
| Carcinoembryonic antigen (82378) | $108 | $144 | 5.7× |
| Cardiolipin ab igg (86147) | $18.75 | $25 | 0.7× |
| Carnitine (82379) | $198.75 | $265 | 11.8× |
| Carotene (82380) | $19.50 | $26 | 2.1× |
| Catecholamines fraction plasma (82384) | $135.38 | $180.50 | 5.4× |
| Cftr gene com variants (81220) | $277.50 | $370 | 0.5× |
| Chemiluminescent assay (82397) | $120 | $160 | 8.5× |
| Chlamydia antibody (86631) | $33.75 | $45 | 2.9× |
| Chlamydia Igm Antibody (86632) | $33.75 | $45 | 2.7× |
| Chloride blood (82435) | $30.75 | $41 | 6.7× |
| Chloride feces (82438) | $36.75 | $49 | 7.4× |
| Chloride urine (82436) | $39.75 | $53 | 6.9× |
| Cholesterol HDL (83718) | $51 | $68 | 6.2× |
| Cholesterol total (82465) | $36.75 | $49 | 8.4× |
| Chromogranin a (86316) | $108 | $144 | 5.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $139.50 | $186 | 4.0× |
| Ckmb (82553) | $93 | $124 | 8.1× |
| Clot Factor VIII Multimetric (85247) | $130.50 | $174 | 5.7× |
| Clot factor viii vw antigen (85246) | $136.50 | $182 | 6.0× |
| Clotting Inhibitors Protein S Free (85306) | $130.88 | $174.50 | 8.5× |
| Clozapine level (80159) | $17.25 | $23 | 0.9× |
| Cmv ab igm (86645) | $57 | $76 | 3.4× |
| Cmv PCR (87496) | $204.75 | $273 | 5.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $494.25 | $659 | 20.5× |
| Cold agglutinin titer (86157) | $54.75 | $73 | 6.8× |
| Collagen cross links (82523) | $101.25 | $135 | 5.4× |
| Compatibility test antiglob (86922) | $85.50 | $114 | 0.5× |
| Complement c3 (86160) | $89.62 | $119.50 | 7.5× |
| Complement total (ch50) (86162) | $107.25 | $143 | 5.3× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $86.25 | $115 | 7.2× |
| Concentration Infectious Agent (87015) | $39 | $52 | 5.8× |
| Coombs direct (86880) | $41.25 | $55 | 7.7× |
| Copper urine (82525) | $66.75 | $89 | 5.4× |
| Cortisol free (82530) | $109.88 | $146.50 | 6.6× |
| Cortisol total (82533) | $99 | $132 | 6.1× |
| Creatine kinase total (82550) | $66.75 | $89 | 10.3× |
| Creatinine blood (82565) | $21.75 | $29 | 4.2× |
| Creatinine clearance (82575) | $65.25 | $87 | 6.9× |
| Creatinine other source (82570) | $30 | $40 | 5.8× |
| Cryofibrinogen (82585) | $34.50 | $46 | 2.4× |
| Cryoglobulin (82595) | $34.50 | $46 | 5.3× |
| Cryptococcus antibody (86641) | $66 | $88 | 4.6× |
| Crystals body fluid (89060) | $60 | $80 | 8.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $62.25 | $83 | 7.7× |
| Culture Aerobic Identify (87077) | $59.62 | $79.50 | 7.4× |
| Culture afb (87116) | $96 | $128 | 8.9× |
| Culture anaerobic (87075) | $110.25 | $147 | 11.6× |
| Culture blood (87040) | $113.25 | $151 | 11.0× |
| Culture chlamydia (87110) | $84.75 | $113 | 4.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $47.25 | $63 | 6.1× |
| Culture fungus blood (87103) | $81 | $108 | 4.0× |
| Culture fungus other (87102) | $99 | $132 | 11.8× |
| Culture genital (87070) | $30 | $40 | 3.5× |
| Culture screen only (87081) | $74.25 | $99 | 11.2× |
| Culture stool (87045) | $62.25 | $83 | 6.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $30 | $40 | 5.8× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $107.25 | $143 | 3.1× |
| Culture urine (87086) | $86.25 | $115 | 10.7× |
| Culture virus (87252) | $134.25 | $179 | 5.1× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $6.75 | $9 | 0.1× |
| Cyclic Citrullinated Peptide (86200) | $106.50 | $142 | 8.2× |
| Cystatin c (82610) | $62.25 | $83 | 3.4× |
| Cysticercosis Antibody (86682) | $78.75 | $105 | 6.1× |
| Cytogenetics 100-300 (88275) | $112.50 | $150 | 2.2× |
| Cytogenetics DNA probe (88271) | $120.75 | $161 | 5.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $292.50 | $390 | 6.8× |
| Cytopath cell enhance tech (88112) | $152.25 | $203 | 3.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $131.25 | $175 | 3.6× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $108 | $144 | 4.1× |
| Cytp concentration smears & interpretation (88108) | $131.25 | $175 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $217.50 | $290 | 4.2× |
| D-Dimer (85378) | $108 | $144 | 11.1× |
| Deoxyribonuclease antibody (86215) | $72 | $96 | 5.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $69 | $92 | 4.2× |
| Detect agnt mult DNA ampli (87801) | $213 | $284 | 3.0× |
| Dgp antibody each ig class (86258) | $147 | $196 | 12.2× |
| Dhea (82626) | $119.25 | $159 | 4.7× |
| Dhea-sulfate (82627) | $131.25 | $175 | 5.9× |
| Digoxin (80162) | $91.50 | $122 | 6.9× |
| Dihydrotestosterone (82642) | $84.75 | $113 | 2.9× |
| Dilantin (80185) | $91.12 | $121.50 | 6.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $80.25 | $107 | 5.8× |
| Drug quant nes (80299) | $186 | $248 | 10.0× |
| Drug screen quant zonisamide (80203) | $102.75 | $137 | 7.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $117 | $156 | 8.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $73.50 | $98 | 5.5× |
| Drug Scrn Quan Levetiracetam (80177) | $104.25 | $139 | 7.9× |
| Drug test prsmv chem anlyzr (80307) | $130.50 | $174 | 2.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $77.25 | $103 | 6.1× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $133.50 | $178 | 7.8× |
| E test (87181) | $78 | $104 | 16.4× |
| Ebv viral capsid (86665) | $72 | $96 | 4.0× |
| Ehrlichia antibody (86666) | $98.25 | $131 | 9.7× |
| Elastase pancreatic fecal quantitative (82653) | $133.50 | $178 | 5.8× |
| Electrolyte panel (80051) | $57.75 | $77 | 8.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $92.25 | $123 | 7.6× |
| Enterovirus antibody (86658) | $48.75 | $65 | 3.7× |
| Enterovirus Pcr (87498) | $196.50 | $262 | 5.6× |
| Enzyme cell activity (82657) | $130.50 | $174 | 5.9× |
| Eosinophil count (85048) | $28.50 | $38 | 11.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $59.25 | $79 | 3.9× |
| Estradiol (82670) | $135.75 | $181 | 4.9× |
| Estriol serum (82677) | $50.62 | $67.50 | 2.1× |
| Estrogens total (82672) | $136.50 | $182 | 6.3× |
| Ethylene glycol (82693) | $102.75 | $137 | 6.9× |
| Euglobulin lysis (85360) | $99 | $132 | 11.8× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $251.25 | $335 | 2.6× |
| F2 gene analysis 20210g >a variant (81240) | $77.25 | $103 | 1.2× |
| F5 gene analysis, leiden variant (81241) | $94.50 | $126 | 1.3× |
| Factor ix activity (85250) | $158.25 | $211 | 8.3× |
| Factor v activity (85220) | $158.25 | $211 | 9.0× |
| Factor viii ahg (85240) | $192 | $256 | 10.7× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) | $89.25 | $119 | 11.6× |
| Fecal fat qual (82705) | $39.75 | $53 | 7.8× |
| Fecal fat quant (82710) | $96 | $128 | 5.7× |
| Fetal bleed screen (85461) | $147.75 | $197 | 15.8× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $1,027.50 | $1,370 | 1.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $77.25 | $103 | 0.5× |
| Fetal fibronectin (82731) | $384.75 | $513 | 6.0× |
| Fibrin degradation products (85362) | $50.25 | $67 | 7.3× |
| Fibrin Degradation Quant (85379) | $108 | $144 | 10.6× |
| Fibrinogen activity (85384) | $75 | $100 | 7.7× |
| Flow cytometry first marker (88184) | $128.25 | $171 | 0.4× |
| Fluorescent Antibody Screen (86255) | $102 | $136 | 8.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $85.50 | $114 | 7.1× |
| Fmr1 gene detection (81243) | $99 | $132 | 1.7× |
| Folate serum (82746) | $52.50 | $70 | 3.6× |
| Folic acid rbc (82747) | $91.50 | $122 | 5.2× |
| Follicle Stimulating Hormone (83001) | $126.75 | $169 | 6.8× |
| Fresh frozen plasma thawing each unit (86927) | $57.38 | $76.50 | 0.3× |
| Fructosamine (82985) | $108 | $144 | 6.4× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $51 | $68 | 4.9× |
| Gabapentin (80171) | $99 | $132 | 4.6× |
| Gammaglobulin ige (82785) | $102.38 | $136.50 | 6.2× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $151.50 | $202 | 1.9× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $2,703.75 | $3,605 | 3.6× |
| Ggt (82977) | $36.75 | $49 | 5.1× |
| Giardia antigen eia stool (87329) | $68.25 | $91 | 5.7× |
| Giardia lamblia antibody (86674) | $93.75 | $125 | 6.4× |
| Glucose (82947) | $33.75 | $45 | 8.6× |
| Glucose Blood Test (82962) | $33 | $44 | 10.1× |
| Glucose body fluid (82945) | $45.75 | $61 | 11.6× |
| Glucose post dose (82950) | $45 | $60 | 9.5× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $33.75 | $45 | 8.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $109.50 | $146 | 8.5× |
| Growth hormone (83003) | $102.75 | $137 | 6.2× |
| H pylori breath test (83013) | $216.75 | $289 | 3.2× |
| Haptoglobin (83010) | $76.50 | $102 | 6.1× |
| Hcg qualitative (84703) | $81 | $108 | 10.8× |
| Hcg quant (84702) | $25.50 | $34 | 1.7× |
| Hematocrit (85014) | $24.75 | $33 | 10.4× |
| Hemoglobin (85018) | $24.75 | $33 | 10.4× |
| Hemoglobin a1c (83036) | $58.50 | $78 | 6.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $66.75 | $89 | 3.7× |
| Hemoglobin electrophoresis (83020) | $99.75 | $133 | 7.8× |
| Hemoglobin fetal ql (83033) | $10.50 | $14 | 1.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $101.25 | $135 | 13.1× |
| Hemosiderin urine (83070) | $36.75 | $49 | 7.7× |
| Hepatitis a antibody total (86708) | $68.25 | $91 | 5.5× |
| Hepatitis a igm (86709) | $87 | $116 | 7.7× |
| Hepatitis b core ab igm (86705) | $89.25 | $119 | 7.6× |
| Hepatitis b core antibody total (86704) | $69 | $92 | 5.7× |
| Hepatitis B Surface Ab (86706) | $70.50 | $94 | 6.6× |
| Hepatitis B Surface Antigen (87340) | $66.75 | $89 | 6.5× |
| Hepatitis be antibody (86707) | $55.50 | $74 | 4.8× |
| Hepatitis Be Antigen (87350) | $57 | $76 | 4.9× |
| Hepatitis c antibody (86803) | $108 | $144 | 7.6× |
| Hepatitis C Genotype (87902) | $468 | $624 | 1.8× |
| Herpes simplex type i (86695) | $54.75 | $73 | 4.2× |
| Herpes simplex type ii (86696) | $75.75 | $101 | 3.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $54.75 | $73 | 10.6× |
| Hexagonal phospholipid (85598) | $29.25 | $39 | 1.6× |
| Hfe gene (81256) | $136.50 | $182 | 2.1× |
| Histamine plasma (83088) | $150.75 | $201 | 5.1× |
| Histoplasma antibody (86698) | $59.25 | $79 | 4.3× |
| HIV-1 p24 antigen (87390) | $100.50 | $134 | 4.2× |
| Hla Class I Typing Low Resolution Complete (81372) | $589.50 | $786 | 1.5× |
| Hla class ii typing high resolution one locus ea (81382) | $324.75 | $433 | 2.6× |
| Hla ii typing 1 allele hr (81383) | $253.50 | $338 | 2.3× |
| Hla ii typing 1 locus lr (81376) | $285.75 | $381 | 2.3× |
| Hla Typing Dr/Dq Single Antigen (86816) | $187.50 | $250 | 6.2× |
| Hla-b27 (86812) | $39 | $52 | 1.5× |
| Hsv Dna Quant (87530) | $160.50 | $214 | 3.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $181.50 | $242 | 5.2× |
| Hydroxychloroquine (80220) | $132 | $176 | 7.1× |
| Hydroxyprogesterone 17-d (83498) | $95.25 | $127 | 3.5× |
| Iaad ia clostridium difficile toxin (87324) | $93 | $124 | 7.8× |
| Iaad ia cryptosporidium (87328) | $77.25 | $103 | 5.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $101.25 | $135 | 4.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $110.25 | $147 | 7.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $102.75 | $137 | 7.4× |
| Iaad ia shiga-like toxin (87427) | $54 | $72 | 4.5× |
| Iaad Ia Streptococcus Group A (87430) | $61.50 | $82 | 3.7× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $105.75 | $141 | 3.2× |
| Iaadiadoo not otherwise specified (87899) | $65.25 | $87 | 4.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $93 | $124 | 2.7× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $112.88 | $150.50 | 1.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $93 | $124 | 1.3× |
| Iadna hepatitis b virus quantification (87517) | $258 | $344 | 6.0× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $147.75 | $197 | 4.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $317.25 | $423 | 7.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $289.50 | $386 | 3.4× |
| Iadna human papillomavirus high-risk types (87624) | $143.25 | $191 | 4.1× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $163.50 | $218 | 4.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $338.25 | $451 | 7.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $93 | $124 | 2.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $99.75 | $133 | 2.8× |
| Iadna nos amplified probe tq each organism (87798) | $216 | $288 | 6.2× |
| Iadna nos quantification each organism (87799) | $196.12 | $261.50 | 4.6× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $597 | $796 | 2.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $130.88 | $174.50 | 3.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $898.88 | $1,198.50 | 2.2× |
| Igg subclasses (82787) | $39 | $52 | 4.9× |
| Igh gene rearrange amp meth (81261) | $420.75 | $561 | 2.1× |
| Igk rearrangeabn clonal pop (81264) | $374.25 | $499 | 2.2× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) | $86.25 | $115 | 4.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $57.75 | $77 | 3.9× |
| Immunoassay nonantibody (83516) | $82.50 | $110 | 7.2× |
| Immunofixation (86334) | $102.38 | $136.50 | 4.6× |
| Immunofixation urine (86335) | $109.50 | $146 | 3.7× |
| Immunoglobulin light chains free each (83521) | $112.50 | $150 | 6.5× |
| Immunohistochemistry (88342) | $196.50 | $262 | 1.2× |
| In situ hybridization (88365) | $191.25 | $255 | 1.1× |
| Indirect coombs (86885) | $69 | $92 | 12.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $138 | $184 | 2.0× |
| Influenza a/b ag eia (87400) | $69 | $92 | 4.9× |
| Influenza DNA amp probe (87502) | $111 | $148 | 1.2× |
| Inhibin a (86336) | $73.50 | $98 | 4.7× |
| Inhibin b (83520) | $123 | $164 | 7.1× |
| Insulin antibodies (86337) | $109.50 | $146 | 5.1× |
| Insulin total (83525) | $66.75 | $89 | 5.8× |
| Interleukin 6 (83529) | $243 | $324 | 14.1× |
| Intrinsic factor antibody (86340) | $107.25 | $143 | 7.1× |
| Iron (83540) | $24.75 | $33 | 3.8× |
| Iron binding capacity (83550) | $47.25 | $63 | 5.4× |
| Islet cell antibody (86341) | $59.62 | $79.50 | 2.5× |
| Jak2 gene analysis (81270) | $294.75 | $393 | 3.2× |
| Jak2 targeted sequence analysis (81279) | $506.25 | $675 | 2.7× |
| Kras gene analysis (81275) | $543.75 | $725 | 2.8× |
| Lactoferrin fecal qual (83630) | $90.75 | $121 | 4.6× |
| Ldh body fluid (83615) | $54.75 | $73 | 9.1× |
| LDL cholesterol direct (83721) | $49.50 | $66 | 4.7× |
| Lead (83655) | $55.50 | $74 | 4.6× |
| Legion pneumo, DNA, amp prob (87541) | $107.25 | $143 | 3.1× |
| Legionella antibody (86713) | $78 | $104 | 5.1× |
| Legionella antigen urine (87449) | $87.75 | $117 | 7.3× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $37.50 | $50 | 8.8× |
| Level ii surg pathology grossµscopic exam (88302) | $129.75 | $173 | 3.5× |
| Level v surg pathology grossµscopic exam (88307) | $344.25 | $459 | 1.0× |
| Level vi surg pathology grossµscopic exam (88309) | $440.25 | $587 | 0.6× |
| Lh (83002) | $104.25 | $139 | 5.6× |
| Lipase (83690) | $62.25 | $83 | 9.0× |
| Lipoprotein Bld Hr Fraction (83701) | $92.25 | $123 | 2.7× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $105.75 | $141 | 3.1× |
| Listeria ab (86609) | $66 | $88 | 5.1× |
| Lithium (80178) | $58.50 | $78 | 8.9× |
| Lyme disease antibody (86618) | $99 | $132 | 5.8× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $535.50 | $714 | 3.2× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $560.25 | $747 | 3.3× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $213.75 | $285 | 1.3× |
| Macroscopic exam arthropod (87168) | $39 | $52 | 9.1× |
| Macroscopic exam parasite (87169) | $45 | $60 | 10.4× |
| Magnesium (83735) | $54.75 | $73 | 8.2× |
| Malaria smear (87207) | $74.25 | $99 | 12.4× |
| Manual reticulocyte count (85044) | $50.25 | $67 | 11.7× |
| Mass spectrometry qual/quan (83789) | $133.50 | $178 | 5.5× |
| Mecp2 gene, full gene analysis (81302) | $716.25 | $955 | 1.4× |
| Mercury urine (83825) | $81.75 | $109 | 5.0× |
| Methemoglobin (83050) | $50.25 | $67 | 6.1× |
| Methylmalonic acid serum (83921) | $171.75 | $229 | 8.1× |
| Microalbumin urine (82043) | $54 | $72 | 9.3× |
| Microsomal antibodies (86376) | $67.88 | $90.50 | 4.7× |
| Mitochondrial antibody each (86381) | $92.25 | $123 | 3.6× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $18.75 | $25 | 1.6× |
| Molecular pathology procedure level 2 (81401) | $310.50 | $414 | 2.3× |
| Molecular pathology procedure level 7 (81406) | $261 | $348 | 0.9× |
| Mopath procedure level 3 (81402) | $496.50 | $662 | 3.3× |
| Mopath procedure level 4 (81403) | $297 | $396 | 1.6× |
| Mrsa PCR (87641) | $84.75 | $113 | 2.4× |
| Mtb PCR (87556) | $190.50 | $254 | 4.6× |
| Mthfr Gene Analysis Common Variants (81291) | $249.75 | $333 | 3.8× |
| Mycophenolic acid (80180) | $100.50 | $134 | 5.6× |
| Mycoplasma antibody (86738) | $69 | $92 | 5.2× |
| Mycoplasma genitalium PCR (87563) | $282 | $376 | 8.0× |
| Myelin basic protein csf (83873) | $78 | $104 | 4.5× |
| Myoglobin urine (83874) | $93.75 | $125 | 7.3× |
| Natriuretic peptide (83880) | $134.25 | $179 | 3.4× |
| Neutralization Test Viral (86382) | $139.50 | $186 | 8.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $669 | $892 | 9.3× |
| Nk cells total count (86357) | $120.75 | $161 | 3.2× |
| Nuclear antigen antibody (86235) | $100.50 | $134 | 5.6× |
| Occult blood gastric (82271) | $32.25 | $43 | 6.1× |
| Occult blood stool (82272) | $29.25 | $39 | 6.9× |
| Oligoclonal bands (83916) | $84 | $112 | 3.1× |
| Organic Acids Qualitative Each Specimen (83919) | $181.50 | $242 | 11.0× |
| Osmolality serum (83930) | $45 | $60 | 6.8× |
| Osmolality urine (83935) | $57 | $76 | 8.4× |
| Ova and parasite direct-id lca (87177) | $70.50 | $94 | 7.9× |
| Oxalate urine (83945) | $61.50 | $82 | 4.3× |
| Pancreatic elastase, fecal (82656) | $119.25 | $159 | 10.3× |
| Pancreatic polypeptide (83519) | $261.75 | $349 | 14.2× |
| Particle Agglutination Screen Each Antibody (86403) | $84.75 | $113 | 7.3× |
| Particle agglutination titer each antibody (86406) | $53.25 | $71 | 5.0× |
| Parvovirus antibody (86747) | $53.25 | $71 | 3.5× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $164.25 | $219 | 3.2× |
| Ph body fluid (83986) | $31.50 | $42 | 8.8× |
| Ph urine (81003) | $30.75 | $41 | 13.7× |
| Phenytoin free (80186) | $69 | $92 | 5.0× |
| Phosphatase alkaline (84075) | $37.50 | $50 | 7.2× |
| Phosphorus blood (84100) | $37.50 | $50 | 7.9× |
| Phosphorus urine (84105) | $36.75 | $49 | 6.4× |
| Pinworm exam (87172) | $34.50 | $46 | 8.1× |
| Plasminogen (85420) | $89.25 | $119 | 13.7× |
| Platelet count automated (85049) | $37.50 | $50 | 8.4× |
| Platelet neutralization (85597) | $31.50 | $42 | 1.8× |
| Porphobilinogen urine quant (84110) | $53.25 | $71 | 6.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $90.75 | $121 | 6.2× |
| Potassium (84132) | $97.50 | $130 | 20.5× |
| Potassium urine (84133) | $39.75 | $53 | 8.4× |
| Pregnenolone (84140) | $108.75 | $145 | 5.3× |
| Pretx serum rbc antibody identification dilution (86976) | $33.75 | $45 | 1.2× |
| Primidone (80188) | $72 | $96 | 4.3× |
| Procalcitonin (pct) (84145) | $177.75 | $237 | 6.5× |
| Progesterone (84144) | $120.75 | $161 | 5.8× |
| Prostaglandin Ea (84150) | $334.50 | $446 | 8.0× |
| Protein body fluid (84157) | $51.75 | $69 | 12.9× |
| Protein c activity (85303) | $141 | $188 | 10.2× |
| Protein c antigen (85302) | $150.75 | $201 | 12.6× |
| Protein electrophoresis serum (84165) | $75.75 | $101 | 7.1× |
| Protein Electrophoresis Urine (84166) | $84 | $112 | 4.7× |
| Protein s total (85305) | $146.25 | $195 | 12.6× |
| Protein total serum (84155) | $35.25 | $47 | 9.6× |
| Protein urine (84156) | $36.75 | $49 | 10.0× |
| Protein Western Blot (84182) | $224.25 | $299 | 7.7× |
| Protein westrn blot i&r blood/other fluid (84181) | $154.50 | $206 | 9.1× |
| Protoporphyrin rbc quantitative (84202) | $59.25 | $79 | 4.1× |
| Protoporphyrin, RBC; screen Facility (84203) | $35.25 | $47 | 3.6× |
| PSA free (84154) | $77.25 | $103 | 4.2× |
| Pth intact (83970) | $165.75 | $221 | 4.0× |
| Rbc (85041) | $21.75 | $29 | 7.2× |
| Rbc antibody elution (86860) | $101.25 | $135 | 0.6× |
| Rbc pretx incubatj w/chemicl (86970) | $57.75 | $77 | 1.0× |
| Reagent strip/blood glucose (82948) | $19.50 | $26 | 3.9× |
| Renin activity plasma (84244) | $107.25 | $143 | 4.9× |
| Resp virus 12-25 targets (87633) | $1,103.25 | $1,471 | 2.6× |
| Respiratory Virus (86756) | $72 | $96 | 4.5× |
| Reticulocyte count auto (85045) | $43.50 | $58 | 10.9× |
| Reticulocyte separation (86972) | $138 | $184 | 0.8× |
| Rheumatoid Factor Qual (86430) | $50.25 | $67 | 8.2× |
| Rheumatoid factor quant (86431) | $68.25 | $91 | 12.0× |
| Rickettsia antibody (86757) | $48.75 | $65 | 2.5× |
| Ristocetin cofactor (85245) | $136.50 | $182 | 6.0× |
| Rotavirus ag eia (87425) | $98.25 | $131 | 8.2× |
| Rpr Titer (86593) | $41.25 | $55 | 9.4× |
| Rubella antibody (86762) | $69 | $92 | 4.8× |
| Rubeola Antibody Igg (86765) | $79.88 | $106.50 | 6.2× |
| Russell viper venom time diluted (85613) | $70.88 | $94.50 | 7.4× |
| Salicylate Level (80179) | $127.50 | $170 | 6.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $108 | $144 | 2.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $172.50 | $230 | 4.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $204.75 | $273 | 1.4× |
| Sedimentation rate (85651) | $45.75 | $61 | 10.7× |
| Sedimentation rate auto (85652) | $47.25 | $63 | 17.5× |
| Selenium (84255) | $75.75 | $101 | 3.0× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $78 | $104 | 7.9× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $65.25 | $87 | 5.4× |
| Sensitivity mic (87186) | $29.25 | $39 | 3.4× |
| Serotonin Release Assay (86022) | $178.50 | $238 | 9.7× |
| Serpina1 gene (81332) | $186.75 | $249 | 4.3× |
| Sex hormone binding globulin (84270) | $67.50 | $90 | 3.1× |
| Sickling of rbc reduction (85660) | $43.50 | $58 | 7.9× |
| Sirolimus (rapamycin) (80195) | $119.25 | $159 | 8.7× |
| Smear acid fast (87206) | $42.75 | $57 | 7.9× |
| Smear complex stain (87209) | $54.75 | $73 | 3.0× |
| Smear gram stain (87205) | $39 | $52 | 9.1× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) | $105.75 | $141 | 0.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $50.25 | $67 | 8.6× |
| Snrpn/ube3a gene (81331) | $437.25 | $583 | 8.6× |
| Sodium (84295) | $39.75 | $53 | 8.3× |
| Sodium feces (84302) | $33 | $44 | 6.8× |
| Sodium urine (84300) | $42.75 | $57 | 8.4× |
| Soluble transferrin receptor (84238) | $126.75 | $169 | 3.5× |
| Somatomedin (84305) | $108 | $144 | 5.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $131.25 | $175 | 1.0× |
| Special stains group 1 (88312) | $123.75 | $165 | 2.4× |
| Specific gravity body fluid (84315) | $30.75 | $41 | 9.4× |
| Spectrophotometry (84311) | $61.50 | $82 | 7.6× |
| Stool Culture, Addl Pathogens (87046) | $30.75 | $41 | 3.3× |
| Strep a assay w/optic (87880) | $61.50 | $82 | 3.7× |
| Strep a DNA amp probe (87651) | $102.75 | $137 | 2.9× |
| Strep b DNA amp probe (87653) | $142.50 | $190 | 4.1× |
| Sugars single quant (84378) | $75.75 | $101 | 6.6× |
| Sulfate urine (84392) | $31.50 | $42 | 5.7× |
| Surg path level 1 (88300) | $75 | $100 | 2.6× |
| Surg path level iii (88304) | $228 | $304 | 4.4× |
| Surgical pathology level IV (88305) | $228 | $304 | 4.4× |
| T Cell Absolute Count (86361) | $129 | $172 | 4.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $132.75 | $177 | 2.8× |
| T cells total count (86359) | $129.75 | $173 | 3.4× |
| T3 free (84481) | $42.75 | $57 | 2.5× |
| T3 reverse (84482) | $87 | $116 | 5.5× |
| T3 total (84480) | $87 | $116 | 6.1× |
| T3 uptake (84479) | $49.50 | $66 | 7.7× |
| T4 free (84439) | $37.50 | $50 | 4.2× |
| T4 total (84436) | $45 | $60 | 6.6× |
| Tb intradermal test (86580) | $60 | $80 | 2.1× |
| Tb test, cell immun measure (86480) | $168.75 | $225 | 2.7× |
| Testosterone free (84402) | $128.25 | $171 | 5.0× |
| Testosterone total (84403) | $63.38 | $84.50 | 2.5× |
| Tetanus antibody (86774) | $99 | $132 | 6.7× |
| Theophylline (80198) | $95.25 | $127 | 6.7× |
| Thin prep pap (88142) | $119.25 | $159 | 5.9× |
| Thrombin time plasma (85670) | $47.25 | $63 | 8.2× |
| Thyroglobulin (84432) | $75.75 | $101 | 4.7× |
| Thyroglobulin antibody (86800) | $118.50 | $158 | 7.4× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $195.75 | $261 | 3.8× |
| Thyroxine binding globulin (84442) | $81.75 | $109 | 5.5× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $25.88 | $34.50 | 6.1× |
| Tissue culture bone marrow (88237) | $363.75 | $485 | 2.5× |
| Tissue transglutaminase ab iga (86364) | $147 | $196 | 12.7× |
| Tobramycin peak (80200) | $112.50 | $150 | 7.0× |
| Toxoplasma antibody igg (86777) | $70.50 | $94 | 4.9× |
| Transferrin (84466) | $87.75 | $117 | 6.9× |
| Trg gene rearrangement analysis (81342) | $365.25 | $487 | 1.8× |
| Trichinella antibody (86784) | $87.75 | $117 | 7.0× |
| Triglycerides (84478) | $43.50 | $58 | 7.6× |
| Troponin (84484) | $73.50 | $98 | 5.9× |
| Ugt1a1 gene analysis common variants (81350) | $568.50 | $758 | 2.4× |
| Urea nitrogen (84520) | $41.25 | $55 | 10.4× |
| Urea nitrogen urine (84540) | $52.50 | $70 | 9.4× |
| Uric acid blood (84550) | $49.50 | $66 | 11.0× |
| Uric acid other source (84560) | $39.75 | $53 | 7.8× |
| Urinalysis auto w/scope (81001) | $45.75 | $61 | 14.4× |
| Urinalysis Microscopic Only (81015) | $22.50 | $30 | 7.4× |
| Urine Bacteria Culture (87088) | $54 | $72 | 6.7× |
| Urine pregnancy test (81025) | $81 | $108 | 9.4× |
| Urine volume measurement (81050) | $13.50 | $18 | 3.7× |
| Valproic acid (80164) | $99.75 | $133 | 7.4× |
| Vancomycin trough (80202) | $73.50 | $98 | 5.4× |
| Varicella-zoster antibody (86787) | $71.25 | $95 | 5.5× |
| Vasoactive intestinal peptide (vip) (84586) | $163.50 | $218 | 4.6× |
| Vdrl csf (86592) | $49.50 | $66 | 11.6× |
| Virus antibody nos (86790) | $100.50 | $134 | 7.8× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $161.25 | $215 | 4.8× |
| Virus inoculation, shell via (87254) | $91.12 | $121.50 | 4.7× |
| Viscosity serum (85810) | $59.25 | $79 | 5.1× |
| Vitamin A (84590) | $34.50 | $46 | 3.0× |
| Vitamin b-12 (82607) | $73.50 | $98 | 4.9× |
| Vitamin b1 (thiamine) (84425) | $108 | $144 | 5.1× |
| Vitamin b2 (84252) | $59.25 | $79 | 2.9× |
| Vitamin b3 niacin (84591) | $74.25 | $99 | 4.4× |
| Vitamin b6 (84207) | $142.50 | $190 | 5.1× |
| Vitamin D 25-Hydroxy (82306) | $94.50 | $126 | 3.2× |
| Vitamin e serum (84446) | $67.50 | $90 | 4.8× |
| West nile virus antibody (86789) | $73.50 | $98 | 5.1× |
| West nile virus igm (86788) | $85.50 | $114 | 5.1× |
| Zinc (84630) | $59.25 | $79 | 5.2× |