Lab & pathology prices at Stevens Community Medical Center Inc
Morris, MN · every code in this section with a posted price and a Medicare benchmark.
590 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) | $216.75 | $289 | 5.6× |
| 5 Nucleotidase (83915) | $78 | $104 | 7.0× |
| Acetaminophen level (80143) | $254.25 | $339 | 13.6× |
| Acetone serum qual (82009) | $54.75 | $73 | 12.1× |
| Acetylcholine receptor binding antibody (86041) | $60 | $80 | 3.3× |
| Actin smooth muscle antibody each (86015) | $27.75 | $37 | 2.3× |
| Activated protein c resistance (85307) | $239.25 | $319 | 15.6× |
| Acute hepatitis panel (80074) | $114.75 | $153 | 2.4× |
| Acylcarnitine Plasma (82017) | $81.75 | $109 | 4.8× |
| Adamts13 activity (85397) | $138.75 | $185 | 4.5× |
| Adrenocorticotropic hormone (82024) | $131.25 | $175 | 3.4× |
| Afp maternal serum (82105) | $80.25 | $107 | 4.8× |
| Albumin body fluid (82042) | $24.38 | $32.50 | 3.1× |
| Albumin serum (82040) | $24.75 | $33 | 5.0× |
| Aldolase (82085) | $123 | $164 | 12.7× |
| Aldosterone urine (82088) | $490.50 | $654 | 12.0× |
| Alkaline phosphatase isoenzymes (84080) | $93 | $124 | 6.3× |
| Allergen peanut (86003) | $13.50 | $18 | 2.6× |
| Allergen specific igg (86001) | $28.88 | $38.50 | 3.7× |
| Allg Spec Ige Recomb Ea (86008) | $43.50 | $58 | 2.4× |
| Alpha-1-antitrypsin phenotype (82104) | $111 | $148 | 7.7× |
| Alpha-1-antitrypsin, total (82103) | $46.88 | $62.50 | 3.5× |
| Alt (sgpt) (84460) | $62.62 | $83.50 | 11.8× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $119.25 | $159 | 7.1× |
| Amylase urine (82150) | $93.75 | $125 | 14.5× |
| Ana titer (86039) | $27 | $36 | 2.4× |
| Angiotensin i enzyme test (82164) | $126 | $168 | 8.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $104.25 | $139 | 6.7× |
| Antibody coxiella burnetii q fever (86638) | $46.50 | $62 | 3.8× |
| Antibody cytomegalovirus cmv (86644) | $69.75 | $93 | 4.8× |
| Antibody Encephalitis Eastern Equine (86652) | $111 | $148 | 8.4× |
| Antibody encephalitis st. louis (86653) | $157.50 | $210 | 11.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $202.50 | $270 | 15.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $28.50 | $38 | 2.3× |
| Antibody helicobacter pylori (86677) | $135.75 | $181 | 8.1× |
| Antibody HIV-2 (86702) | $117.75 | $157 | 8.7× |
| Antibody identification (86870) | $114.75 | $153 | 0.3× |
| Antibody mumps (86735) | $32.25 | $43 | 2.5× |
| Antibody Protozoa Nes (86753) | $94.12 | $125.50 | 7.6× |
| Antibody screen (86850) | $103.12 | $137.50 | 10.6× |
| Antibody treponema pallidum (86780) | $43.50 | $58 | 3.3× |
| Antibody; Coccidioides (86635) | $27.75 | $37 | 2.4× |
| Antigen typing (86905) | $46.50 | $62 | 12.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $133.50 | $178 | 25.8× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $55.12 | $73.50 | 4.6× |
| Antinuclear antibodies (86038) | $93 | $124 | 7.7× |
| Antistreptolysin o titer (86060) | $68.62 | $91.50 | 9.4× |
| Antithrombin iii activity (85300) | $87 | $116 | 7.3× |
| Antithrombin iii antigen (85301) | $55.50 | $74 | 5.1× |
| Apolipoprotein each (82172) | $80.25 | $107 | 3.8× |
| Aquaporin-4 antibody flow cytometry each (86053) | $224.25 | $299 | 5.9× |
| Arsenic Urine (82175) | $45.75 | $61 | 2.4× |
| Aspergillus ag eia (87305) | $70.50 | $94 | 5.9× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $13.50 | $18 | 0.3× |
| Assay Nephelometry Not Spec (83883) | $33 | $44 | 2.4× |
| Assay of 17-hydroxypregnenolone (84143) | $51 | $68 | 2.2× |
| Assay of 5-hiaa (83497) | $202.50 | $270 | 15.7× |
| Assay of ammonia (82140) | $91.12 | $121.50 | 6.3× |
| Assay of androstenedione (82157) | $364.50 | $486 | 12.4× |
| Assay of anti-mullerian hormone (82166) | $94.50 | $126 | 2.4× |
| Assay of biotinidase (82261) | $66 | $88 | 3.9× |
| Assay of c-peptide (84681) | $239.25 | $319 | 11.5× |
| Assay of ceruloplasmin (82390) | $114.75 | $153 | 10.7× |
| Assay of citrate (82507) | $519.75 | $693 | 18.7× |
| Assay of cyclosporine (80158) | $43.50 | $58 | 2.4× |
| Assay of erythropoietin (82668) | $110.25 | $147 | 5.9× |
| Assay of estrone (82679) | $143.25 | $191 | 5.7× |
| Assay of ferritin (82728) | $181.50 | $242 | 13.3× |
| Assay of g6pd enzyme (82955) | $239.25 | $319 | 24.7× |
| Assay of gammaglobulin igm (82784) | $68.25 | $91 | 7.3× |
| Assay of gastrin (82941) | $216.75 | $289 | 12.3× |
| Assay of gentamicin (80170) | $108 | $144 | 6.6× |
| Assay of homocystine (83090) | $54.75 | $73 | 3.1× |
| Assay of lactic acid (83605) | $154.50 | $206 | 13.4× |
| Assay of lipoprotein(a) (83695) | $18.75 | $25 | 1.3× |
| Assay of manganese (83785) | $46.50 | $62 | 1.7× |
| Assay of metanephrines (83835) | $76.50 | $102 | 4.5× |
| Assay of phenobarbital (80184) | $93.75 | $125 | 6.1× |
| Assay of prealbumin (84134) | $141 | $188 | 9.7× |
| Assay of proinsulin (84206) | $102.75 | $137 | 3.8× |
| Assay of prolactin (84146) | $94.12 | $125.50 | 4.9× |
| Assay of serotonin (84260) | $30.75 | $41 | 1.0× |
| Assay of tacrolimus (80197) | $201.75 | $269 | 14.7× |
| Assay of topiramate (80201) | $125.25 | $167 | 10.5× |
| Assay of Tyrosine (84510) | $239.25 | $319 | 22.5× |
| Assay of urine vma (84585) | $93.75 | $125 | 6.0× |
| Assay of vasopressin anti-diuretic hormone (84588) | $269.25 | $359 | 7.9× |
| Assay of vitamin k (84597) | $151.50 | $202 | 11.0× |
| Assay of volatiles (84600) | $41.25 | $55 | 2.4× |
| Assay spec xcp ur&breath ia (82077) | $189 | $252 | 10.9× |
| Ast (sgot) (84450) | $62.62 | $83.50 | 12.1× |
| Asy carbamazepin 10,11-epxid (80161) | $123.75 | $165 | 6.6× |
| B cells total count (86355) | $195.75 | $261 | 5.2× |
| Bartonella antibody (86611) | $24.75 | $33 | 2.4× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) | $329.62 | $439.50 | 1.5× |
| Bcr/abl1 gene major bp (81206) | $382.50 | $510 | 2.3× |
| Bcr/abl1 gene minor bp (81207) | $222.75 | $297 | 1.5× |
| Beta 2 glycoprotein 1 igm (86146) | $84.75 | $113 | 3.3× |
| Beta hydroxybutyrate (82010) | $88.50 | $118 | 10.8× |
| Beta lactamase (87185) | $12.75 | $17 | 2.7× |
| Beta-2 microglobulin (82232) | $78.75 | $105 | 4.9× |
| Bile acids, total (82239) | $78.75 | $105 | 4.6× |
| Bilirubin direct (82248) | $69.75 | $93 | 13.9× |
| Bilirubin total (82247) | $69.75 | $93 | 13.9× |
| Bilirubin total transcutaneous (88720) | $71.25 | $95 | 14.2× |
| Bl Smear W/Diff Wbc Count (85007) | $48.38 | $64.50 | 12.7× |
| Blastomyces antibody (86612) | $93.75 | $125 | 7.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $132.75 | $177 | 0.8× |
| Bleeding time (85002) | $68.25 | $91 | 14.2× |
| Blood Count Automated Differential Wbc Count (85004) | $33.75 | $45 | 5.2× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $56.25 | $75 | 10.1× |
| Blood gas (82803) | $210.75 | $281 | 8.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $54.75 | $73 | 3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $67.50 | $90 | 15.4× |
| Blood Ph (82800) | $101.25 | $135 | 9.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $106.88 | $142.50 | 16.8× |
| Blood typing abo (86900) | $85.12 | $113.50 | 28.5× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $105 | $140 | 6.4× |
| Blood typing serologic rh (d) (86901) | $64.12 | $85.50 | 21.4× |
| Body fluid cell count (89051) | $49.50 | $66 | 8.8× |
| Body fluid cell count (89050) | $82.50 | $110 | 17.5× |
| Bordetella antibody (86615) | $107.25 | $143 | 8.1× |
| Borrelia miyamotoi amp prb (87478) | $6 | $8 | 0.2× |
| Brucella antibody (86622) | $31.50 | $42 | 3.5× |
| C diff amplified probe (87493) | $166.12 | $221.50 | 4.5× |
| C-reactive protein (86140) | $104.25 | $139 | 20.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $84.75 | $113 | 6.5× |
| Ca 125 (86304) | $176.25 | $235 | 8.5× |
| Ca 19-9 (86301) | $186.75 | $249 | 9.0× |
| Ca 27 29 (86300) | $181.50 | $242 | 8.7× |
| Cadmium level (82300) | $57 | $76 | 2.4× |
| Calcitonin (82308) | $63.75 | $85 | 2.4× |
| Calcium ionized (82330) | $144.75 | $193 | 10.6× |
| Calcium total (82310) | $62.62 | $83.50 | 12.1× |
| Calcium urine (82340) | $57 | $76 | 9.5× |
| Calculus spectroscopy (82365) | $118.50 | $158 | 9.2× |
| California encephalitis ab (86651) | $540.75 | $721 | 41.0× |
| Calprotectin, fecal (83993) | $274.50 | $366 | 14.0× |
| Calr gene com variants (81219) | $273 | $364 | 2.2× |
| Carbamazepine free (80157) | $40.50 | $54 | 3.1× |
| Carbamazepine total (80156) | $112.50 | $150 | 7.7× |
| Carbon dioxide (82374) | $67.50 | $90 | 13.8× |
| Carboxyhemoglobin (82375) | $140.25 | $187 | 11.4× |
| Carcinoembryonic antigen (82378) | $233.25 | $311 | 12.3× |
| Cardiolipin ab igg (86147) | $144.75 | $193 | 5.7× |
| Carnitine (82379) | $93 | $124 | 5.5× |
| Catecholamines fraction plasma (82384) | $300 | $400 | 11.9× |
| Cell marker study (88182) | $153 | $204 | 2.8× |
| Chemiluminescent assay (82397) | $114 | $152 | 8.1× |
| Chlamydia antibody (86631) | $15.75 | $21 | 1.3× |
| Chlamydia Igm Antibody (86632) | $15.75 | $21 | 1.2× |
| Chloride blood (82435) | $81.38 | $108.50 | 17.7× |
| Chloride urine (82436) | $17.25 | $23 | 3.0× |
| Cholesterol HDL (83718) | $70.12 | $93.50 | 8.6× |
| Cholesterol total (82465) | $58.12 | $77.50 | 13.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $507.75 | $677 | 4.0× |
| Chromium urine (82495) | $54 | $72 | 2.7× |
| Chromogranin a (86316) | $21 | $28 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $112.88 | $150.50 | 3.2× |
| Ckmb (82553) | $59.62 | $79.50 | 5.2× |
| Clot Factor VIII Multimetric (85247) | $76.50 | $102 | 3.3× |
| Clot factor viii vw antigen (85246) | $105.75 | $141 | 4.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $95.25 | $127 | 5.3× |
| Clotting Inhibitors Protein S Free (85306) | $75.38 | $100.50 | 4.9× |
| Clozapine level (80159) | $313.50 | $418 | 15.6× |
| Cmv ab igm (86645) | $138.75 | $185 | 8.2× |
| Cmv PCR (87496) | $254.25 | $339 | 7.2× |
| Cns DNA amp probe type 12-25 (87483) | $488.25 | $651 | 1.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $94.50 | $126 | 3.9× |
| Cold agglutinin titer (86157) | $150.75 | $201 | 18.7× |
| Compatibility test antiglob (86922) | $87.75 | $117 | 0.5× |
| Compatibility Test Incubate (86921) | $91.50 | $122 | 0.5× |
| Complement c3 (86160) | $43.50 | $58 | 3.6× |
| Complement total (ch50) (86162) | $114 | $152 | 5.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $73.50 | $98 | 6.1× |
| Concentration Infectious Agent (87015) | $46.50 | $62 | 7.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $258 | $344 | 6.7× |
| Coombs direct (86880) | $76.50 | $102 | 14.2× |
| Copper urine (82525) | $107.25 | $143 | 8.6× |
| Cortisol free (82530) | $192 | $256 | 11.5× |
| Cortisol total (82533) | $105 | $140 | 6.4× |
| Creatine kinase total (82550) | $85.50 | $114 | 13.1× |
| Creatinine blood (82565) | $70.12 | $93.50 | 13.7× |
| Creatinine clearance (82575) | $69.75 | $93 | 7.4× |
| Creatinine other source (82570) | $68.25 | $91 | 13.2× |
| Crossmatch immediate spin (86920) | $135 | $180 | 0.8× |
| Cryofibrinogen (82585) | $15 | $20 | 1.1× |
| Cryoglobulin (82595) | $19.50 | $26 | 3.0× |
| Crystals body fluid (89060) | $91.50 | $122 | 12.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $82.50 | $110 | 10.2× |
| Culture Aerobic Identify (87077) | $81.38 | $108.50 | 10.1× |
| Culture afb (87116) | $69.75 | $93 | 6.5× |
| Culture anaerobic (87075) | $126 | $168 | 13.3× |
| Culture blood (87040) | $151.50 | $202 | 14.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $79.50 | $106 | 10.3× |
| Culture fungus blood (87103) | $186.75 | $249 | 9.1× |
| Culture fungus id yeast (87106) | $99.75 | $133 | 9.7× |
| Culture fungus other (87102) | $147 | $196 | 17.5× |
| Culture genital (87070) | $110.62 | $147.50 | 12.8× |
| Culture stool (87045) | $165.75 | $221 | 17.6× |
| Culture urine (87086) | $93 | $124 | 11.5× |
| Cyclic Citrullinated Peptide (86200) | $114 | $152 | 8.8× |
| Cystatin c (82610) | $110.25 | $147 | 6.0× |
| Cysticercosis Antibody (86682) | $74.25 | $99 | 5.7× |
| Cytogenetics 100-300 (88275) | $120 | $160 | 2.3× |
| Cytogenetics DNA probe (88271) | $99.38 | $132.50 | 4.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $168 | $224 | 3.9× |
| Cytopath cell enhance tech (88112) | $192 | $256 | 3.6× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $159 | $212 | 4.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $117 | $156 | 2.2× |
| Cytp fna eval dx 1st each site (88172) | $47.25 | $63 | 0.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $453 | $604 | 2.6× |
| Deoxyribonuclease antibody (86215) | $165.75 | $221 | 12.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $90 | $120 | 5.4× |
| Dgp antibody each ig class (86258) | $114 | $152 | 9.5× |
| Dhea (82626) | $280.50 | $374 | 11.1× |
| Dhea-sulfate (82627) | $111.38 | $148.50 | 5.0× |
| Digoxin (80162) | $135 | $180 | 10.2× |
| Dihydrotestosterone (82642) | $134.25 | $179 | 4.6× |
| Dilantin (80185) | $147 | $196 | 11.1× |
| Dipropylacetic acid free (80165) | $98.25 | $131 | 7.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $82.50 | $110 | 6.0× |
| Drug assay adalimumab (80145) | $278.25 | $371 | 7.2× |
| Drug assay felbamate (80167) | $222 | $296 | 11.9× |
| Drug Assay Infliximab (80230) | $275.25 | $367 | 7.1× |
| Drug assay itraconazole (80189) | $65.25 | $87 | 2.4× |
| Drug Assay Lacosamide (80235) | $123 | $164 | 4.5× |
| Drug assay posaconazole (80187) | $65.25 | $87 | 2.4× |
| Drug assay vedolizumab (80280) | $201 | $268 | 5.2× |
| Drug quant nes (80299) | $211.50 | $282 | 11.3× |
| Drug screen quant zonisamide (80203) | $246.75 | $329 | 18.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $193.50 | $258 | 14.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $69.75 | $93 | 5.3× |
| Drug Scrn Quan Levetiracetam (80177) | $156.75 | $209 | 11.8× |
| Drug test prsmv chem anlyzr (80307) | $113.25 | $151 | 1.8× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $220.12 | $293.50 | 12.8× |
| Ebv viral capsid (86665) | $102.75 | $137 | 5.7× |
| Egfr Gene Analysis Common Variants (81235) | $1,156.50 | $1,542 | 3.6× |
| Ehrlichia antibody (86666) | $118.12 | $157.50 | 11.6× |
| Elastase pancreatic fecal quantitative (82653) | $96 | $128 | 4.2× |
| Electrolyte panel (80051) | $119.62 | $159.50 | 17.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $26.25 | $35 | 0.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $96 | $128 | 7.9× |
| Enterovirus Pcr (87498) | $157.50 | $210 | 4.5× |
| Eosinophil count (85048) | $43.88 | $58.50 | 17.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $143.25 | $191 | 9.4× |
| Estradiol (82670) | $78 | $104 | 2.8× |
| Estrogens fractionated (82671) | $108 | $144 | 3.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $239.25 | $319 | 2.4× |
| Everolimus (80169) | $51 | $68 | 3.7× |
| F2 gene analysis 20210g >a variant (81240) | $108 | $144 | 1.6× |
| F5 gene analysis, leiden variant (81241) | $63.75 | $85 | 0.9× |
| Factor ii activity (85210) | $111.75 | $149 | 8.6× |
| Factor ix activity (85250) | $237.75 | $317 | 12.5× |
| Factor v activity (85220) | $72.75 | $97 | 4.1× |
| Factor vii assay (85230) | $114.75 | $153 | 6.4× |
| Factor viii ahg (85240) | $187.12 | $249.50 | 10.5× |
| Factor xi assay (85270) | $62.25 | $83 | 3.5× |
| Factor xii assay (85280) | $240.75 | $321 | 12.4× |
| Factor xiii solubility screen (85291) | $75.75 | $101 | 8.3× |
| Fecal fat quant (82710) | $239.25 | $319 | 14.2× |
| Fetal bleed screen (85461) | $58.50 | $78 | 6.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $45.75 | $61 | 0.3× |
| Fetal fibronectin (82731) | $648.75 | $865 | 10.1× |
| Fibrin Degradation Quant (85379) | $139.12 | $185.50 | 13.7× |
| Fibrinogen activity (85384) | $87 | $116 | 9.0× |
| Fibrinogen Test (85366) | $87 | $116 | 1.1× |
| Flow cytometry first marker (88184) | $216 | $288 | 0.6× |
| Fluorescent Antibody Screen (86255) | $81 | $108 | 6.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $96.75 | $129 | 8.0× |
| Fmr1 gene detection (81243) | $367.50 | $490 | 6.4× |
| Folate serum (82746) | $136.50 | $182 | 9.3× |
| Follicle Stimulating Hormone (83001) | $95.25 | $127 | 5.1× |
| Fresh frozen plasma thawing each unit (86927) | $70.50 | $94 | 0.4× |
| Frozen blood each unit thawing (86931) | $21.75 | $29 | 0.1× |
| Frozen Section (88331) | $29.25 | $39 | 0.2× |
| Fructosamine (82985) | $40.50 | $54 | 2.4× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $27 | $36 | 2.6× |
| Gabapentin (80171) | $245.25 | $327 | 11.3× |
| Galactose (82760) | $119.25 | $159 | 10.6× |
| Galactose transferase test (82776) | $239.25 | $319 | 20.4× |
| Gammaglobulin ige (82785) | $79.12 | $105.50 | 4.8× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $213 | $284 | 2.7× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $2,736.75 | $3,649 | 3.6× |
| Ggt (82977) | $63 | $84 | 8.8× |
| Giardia antigen eia stool (87329) | $90.75 | $121 | 7.6× |
| Glucose (82947) | $82.50 | $110 | 21.0× |
| Glucose Blood Test (82962) | $18.38 | $24.50 | 5.6× |
| Glucose body fluid (82945) | $82.50 | $110 | 21.0× |
| Glucose post dose (82950) | $60.38 | $80.50 | 12.7× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $61.88 | $82.50 | 15.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $111.38 | $148.50 | 8.7× |
| Growth hormone (83003) | $39 | $52 | 2.3× |
| H pylori breath test (83013) | $429 | $572 | 6.4× |
| Haloperidol (haldol) (80173) | $38.25 | $51 | 2.4× |
| Haptoglobin (83010) | $127.50 | $170 | 10.1× |
| Hba1/hba2 gene dup/del vrnts (81269) | $458.25 | $611 | 2.3× |
| Hcg qualitative (84703) | $95.25 | $127 | 12.7× |
| Hcg quant (84702) | $80.62 | $107.50 | 5.4× |
| Heavy metal quant each (83018) | $57 | $76 | 2.6× |
| Hematocrit (85014) | $67.50 | $90 | 28.5× |
| Hemoglobin (85018) | $69.75 | $93 | 29.4× |
| Hemoglobin a1c (83036) | $80.62 | $107.50 | 8.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $196.50 | $262 | 10.9× |
| Hemoglobin electrophoresis (83020) | $77.25 | $103 | 6.0× |
| Hemoglobin stability screen (83068) | $26.25 | $35 | 2.8× |
| Heparin assay (85520) | $84.75 | $113 | 6.5× |
| Hepatitis a antibody total (86708) | $132.75 | $177 | 10.7× |
| Hepatitis a igm (86709) | $132.75 | $177 | 11.8× |
| Hepatitis b core ab igm (86705) | $57.75 | $77 | 4.9× |
| Hepatitis b core antibody total (86704) | $76.88 | $102.50 | 6.4× |
| Hepatitis B Surface Ab (86706) | $110.62 | $147.50 | 10.3× |
| Hepatitis B Surface Antigen (87340) | $56.25 | $75 | 5.4× |
| Hepatitis be antibody (86707) | $63 | $84 | 5.4× |
| Hepatitis Be Antigen (87350) | $118.50 | $158 | 10.3× |
| Hepatitis c antibody (86803) | $109.12 | $145.50 | 7.6× |
| Hepatitis C Genotype (87902) | $618.75 | $825 | 2.4× |
| Hepatitis delta ab (86692) | $155.25 | $207 | 9.0× |
| Herpes simplex type i (86695) | $143.25 | $191 | 10.9× |
| Herpes simplex type ii (86696) | $46.50 | $62 | 2.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $112.88 | $150.50 | 21.8× |
| Hexagonal phospholipid (85598) | $75.75 | $101 | 4.2× |
| Hfe gene (81256) | $198.75 | $265 | 3.0× |
| Histamine plasma (83088) | $126.75 | $169 | 4.3× |
| Histoplasma antibody (86698) | $140.25 | $187 | 10.2× |
| HIV confirmation (86689) | $265.50 | $354 | 13.7× |
| HIV-1 antibody (86701) | $117.75 | $157 | 13.2× |
| HIV-2 probe&revrse trnscripj (87538) | $202.50 | $270 | 5.8× |
| Hla ii typing 1 locus lr (81376) | $233.25 | $311 | 1.9× |
| Hla-b27 (86812) | $279 | $372 | 10.8× |
| Homovanillic acid urine (83150) | $56.25 | $75 | 2.5× |
| Hpylori Drug Administration (83014) | $20.25 | $27 | 2.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $231.75 | $309 | 6.6× |
| Hydroxyprogesterone 17-d (83498) | $228.38 | $304.50 | 8.4× |
| Iaad ia clostridium difficile toxin (87324) | $108 | $144 | 9.0× |
| Iaad ia cryptosporidium (87328) | $114 | $152 | 8.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $23.25 | $31 | 1.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $44.25 | $59 | 3.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $146.62 | $195.50 | 10.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $82.88 | $110.50 | 2.3× |
| Iaad ia shiga-like toxin (87427) | $63 | $84 | 5.3× |
| Iaad Ia Streptococcus Group A (87430) | $61.50 | $82 | 3.7× |
| Iaadiadoo not otherwise specified (87899) | $51 | $68 | 3.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $38.62 | $51.50 | 1.1× |
| Iadna babesia microti amplified probe technique (87469) | $7.50 | $10 | 0.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $137.25 | $183 | 3.9× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $68.25 | $91 | 1.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $35.25 | $47 | 1.0× |
| Iadna hepatitis b virus quantification (87517) | $245.25 | $327 | 5.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $179.25 | $239 | 4.2× |
| Iadna herpes virus-6 amplified probe tq (87532) | $136.50 | $182 | 3.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $202.50 | $270 | 5.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $478.50 | $638 | 5.6× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $216.75 | $289 | 3.1× |
| Iadna human papillomavirus high-risk types (87624) | $130.88 | $174.50 | 3.7× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $111.75 | $149 | 2.8× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $118.12 | $157.50 | 3.4× |
| Iadna nos amplified probe tq each organism (87798) | $130.50 | $174 | 3.7× |
| Iadna nos quantification each organism (87799) | $102.75 | $137 | 2.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $110.62 | $147.50 | 3.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,104.38 | $1,472.50 | 2.6× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $628.88 | $838.50 | 2.4× |
| Igg subclasses (82787) | $31.12 | $41.50 | 3.9× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $319.50 | $426 | 0.9× |
| Immunoassay nonantibody (83516) | $112.88 | $150.50 | 9.8× |
| Immunodiffusion Ouchterlony (86331) | $186.75 | $249 | 15.6× |
| Immunofixation (86334) | $174.75 | $233 | 7.8× |
| Immunofixation urine (86335) | $133.50 | $178 | 4.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $200.25 | $267 | 1.1× |
| Immunoglobulin light chains free each (83521) | $42 | $56 | 2.4× |
| Immunohistochemistry (88342) | $206.25 | $275 | 1.2× |
| Indirect coombs (86885) | $71.25 | $95 | 12.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $241.12 | $321.50 | 3.4× |
| Influenza a/b ag eia (87400) | $75.75 | $101 | 5.4× |
| Influenza DNA amp probe (87502) | $102.75 | $137 | 1.1× |
| Inhibin b (83520) | $117.75 | $157 | 6.8× |
| Insulin antibodies (86337) | $63.75 | $85 | 3.0× |
| Insulin total (83525) | $44.25 | $59 | 3.9× |
| Intrinsic factor antibody (86340) | $176.25 | $235 | 11.7× |
| Iron (83540) | $69.75 | $93 | 10.8× |
| Iron binding capacity (83550) | $56.62 | $75.50 | 6.5× |
| Irradiation Blood Product Each Unit (86945) | $63.75 | $85 | 1.7× |
| Islet cell antibody (86341) | $82.50 | $110 | 3.5× |
| Jak2 gene analysis (81270) | $260.25 | $347 | 2.8× |
| Lactoferrin fecal qual (83630) | $138.75 | $185 | 7.0× |
| Lactoferrin Fecal Quantitative (83631) | $94.50 | $126 | 4.8× |
| Ldh body fluid (83615) | $82.50 | $110 | 13.7× |
| LDL cholesterol direct (83721) | $100.50 | $134 | 9.6× |
| Lead (83655) | $171 | $228 | 14.1× |
| Legionella antigen urine (87449) | $129.75 | $173 | 10.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $54.75 | $73 | 12.8× |
| Level ii surg pathology grossµscopic exam (88302) | $118.50 | $158 | 3.1× |
| Level v surg pathology grossµscopic exam (88307) | $432.75 | $577 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $339 | $452 | 0.4× |
| Lh (83002) | $144.75 | $193 | 7.8× |
| Lipase (83690) | $69.75 | $93 | 10.1× |
| Lipopro bld electrophoretic (83700) | $18.75 | $25 | 1.7× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $81.75 | $109 | 2.4× |
| Lithium (80178) | $112.50 | $150 | 17.0× |
| Lyme disease antibody (86618) | $109.50 | $146 | 6.4× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $442.50 | $590 | 2.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $232.50 | $310 | 1.3× |
| Macroscopic exam arthropod (87168) | $56.25 | $75 | 13.2× |
| Magnesium (83735) | $67.12 | $89.50 | 10.0× |
| Mass spectrometry qual/quan (83789) | $81 | $108 | 3.4× |
| Mercury urine (83825) | $82.12 | $109.50 | 5.1× |
| Metabolic Panel Ionized Ca (80047) | $32.25 | $43 | 2.3× |
| Methemoglobin (83050) | $33.75 | $45 | 4.1× |
| Methylmalonic acid serum (83921) | $147 | $196 | 6.9× |
| Microalbumin urine (82043) | $72.75 | $97 | 12.6× |
| Microsatellite instability (81301) | $996.75 | $1,329 | 2.9× |
| Microsomal antibodies (86376) | $58.50 | $78 | 4.0× |
| Mitochondrial antibody each (86381) | $114 | $152 | 4.5× |
| Mog-igg1 antibody flow cytometry each (86363) | $447.75 | $597 | 11.9× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $245.25 | $327 | 5.8× |
| Mononuclear cell antigen (86356) | $138.75 | $185 | 5.2× |
| Mopath procedure level 4 (81403) | $336 | $448 | 1.8× |
| Muramidase (85549) | $143.25 | $191 | 7.6× |
| Muscle-specific kinase (musk) antibody (86366) | $573.75 | $765 | 31.2× |
| Mycobacteric identification (87118) | $132 | $176 | 9.0× |
| Mycophenolic acid (80180) | $52.50 | $70 | 2.9× |
| Mycoplasma antibody (86738) | $110.62 | $147.50 | 8.4× |
| Myoglobin urine (83874) | $239.25 | $319 | 18.5× |
| Nasal smear for eosinophils (89190) | $159 | $212 | 27.5× |
| Natriuretic peptide (83880) | $185.62 | $247.50 | 4.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $307.50 | $410 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $51.75 | $69 | 0.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $288 | $384 | 4.0× |
| Nk cells total count (86357) | $135 | $180 | 3.6× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $551.25 | $735 | 2.2× |
| Nuclear antigen antibody (86235) | $91.50 | $122 | 5.1× |
| Occult blood gastric (82271) | $18 | $24 | 3.4× |
| Occult blood stool (82272) | $58.50 | $78 | 13.8× |
| Oligoclonal bands (83916) | $110.25 | $147 | 4.0× |
| Osmolality serum (83930) | $84.75 | $113 | 12.8× |
| Osmolality urine (83935) | $84.75 | $113 | 12.4× |
| Ova and parasite direct-id lca (87177) | $65.25 | $87 | 7.3× |
| Oxalate urine (83945) | $82.50 | $110 | 5.7× |
| Parvovirus antibody (86747) | $35.25 | $47 | 2.3× |
| Ph body fluid (83986) | $11.25 | $15 | 3.1× |
| Ph urine (81003) | $22.50 | $30 | 10.0× |
| Phenylalanine (84030) | $71.25 | $95 | 13.0× |
| Phenytoin free (80186) | $123 | $164 | 8.9× |
| Phosphatase alkaline (84075) | $49.88 | $66.50 | 9.6× |
| Phosphorus blood (84100) | $62.62 | $83.50 | 13.2× |
| Phosphorus urine (84105) | $17.25 | $23 | 3.0× |
| Pinworm exam (87172) | $19.50 | $26 | 4.6× |
| Platelet aggregation (85576) | $59.25 | $79 | 2.4× |
| Platelet count automated (85049) | $66.75 | $89 | 14.9× |
| Platelet neutralization (85597) | $93.75 | $125 | 5.2× |
| Pooling blood platelets (86965) | $70.50 | $94 | 0.4× |
| Porphobilinogen urine quant (84110) | $42 | $56 | 5.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $72.75 | $97 | 4.9× |
| Potassium (84132) | $62.62 | $83.50 | 13.2× |
| Potassium urine (84133) | $57.75 | $77 | 12.2× |
| Pregnenolone (84140) | $78.75 | $105 | 3.8× |
| Pretx serum rbc antibody identification dilution (86976) | $48 | $64 | 1.6× |
| Primidone (80188) | $208.50 | $278 | 12.6× |
| Procalcitonin (pct) (84145) | $181.50 | $242 | 6.7× |
| Progesterone (84144) | $181.50 | $242 | 8.7× |
| Protein body fluid (84157) | $45 | $60 | 11.3× |
| Protein c activity (85303) | $183.75 | $245 | 13.3× |
| Protein c antigen (85302) | $57.75 | $77 | 4.8× |
| Protein electrophoresis serum (84165) | $86.25 | $115 | 8.0× |
| Protein Electrophoresis Urine (84166) | $42 | $56 | 2.4× |
| Protein s total (85305) | $122.25 | $163 | 10.5× |
| Protein total serum (84155) | $61.50 | $82 | 16.8× |
| Protein urine (84156) | $71.25 | $95 | 19.4× |
| Protein Western Blot (84182) | $191.25 | $255 | 6.5× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $80.25 | $107 | 20.4× |
| PSA free (84154) | $77.25 | $103 | 4.2× |
| Pth intact (83970) | $136.50 | $182 | 3.3× |
| Rbc antibody elution (86860) | $280.50 | $374 | 1.6× |
| Rbc pretx incubatj w/chemicl (86970) | $48 | $64 | 0.8× |
| Renin activity plasma (84244) | $237 | $316 | 10.8× |
| Reptilase test (85635) | $52.50 | $70 | 5.3× |
| Resp virus 3-5 targets (87631) | $265.50 | $354 | 1.9× |
| Respiratory Virus (86756) | $160.50 | $214 | 10.1× |
| Reticulocyte count auto (85045) | $67.50 | $90 | 16.9× |
| Rheumatoid factor quant (86431) | $64.50 | $86 | 11.4× |
| Rickettsia antibody (86757) | $99 | $132 | 5.1× |
| Ristocetin cofactor (85245) | $194.25 | $259 | 8.5× |
| Rotavirus ag eia (87425) | $114 | $152 | 9.5× |
| Rubella antibody (86762) | $74.62 | $99.50 | 5.2× |
| Rubeola Antibody Igg (86765) | $94.50 | $126 | 7.3× |
| Rufinamide (80210) | $80.25 | $107 | 3.0× |
| Russell viper venom time diluted (85613) | $93 | $124 | 9.7× |
| Salicylate Level (80179) | $112.50 | $150 | 6.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $118.50 | $158 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $98.25 | $131 | 2.3× |
| Sarscov2 & inf a&b amp prb (87636) | $166.88 | $222.50 | 1.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $318 | $424 | 2.2× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $138.75 | $185 | 20.9× |
| Sedimentation rate (85651) | $42 | $56 | 9.8× |
| Sedimentation rate auto (85652) | $66.75 | $89 | 24.7× |
| Selenium (84255) | $75 | $100 | 2.9× |
| Semen analysis complete (89320) | $142.50 | $190 | 11.6× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $156.38 | $208.50 | 13.0× |
| Sensitivity mic (87186) | $138.75 | $185 | 16.0× |
| Serotonin Release Assay (86022) | $356.25 | $475 | 19.4× |
| Sex hormone binding globulin (84270) | $84.38 | $112.50 | 3.9× |
| Sickling of rbc reduction (85660) | $80.25 | $107 | 14.6× |
| Sirolimus (rapamycin) (80195) | $72.75 | $97 | 5.3× |
| Smear acid fast (87206) | $13.50 | $18 | 2.5× |
| Smear complex stain (87209) | $30 | $40 | 1.7× |
| Smear gram stain (87205) | $62.62 | $83.50 | 14.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $62.62 | $83.50 | 10.8× |
| Snrpn/ube3a gene (81331) | $387.75 | $517 | 7.6× |
| So neo gsap DNA mcrstl ins (81457) | $1,860.75 | $2,481 | 2.1× |
| Sodium (84295) | $62.62 | $83.50 | 13.0× |
| Sodium urine (84300) | $16.50 | $22 | 3.3× |
| Soluble transferrin receptor (84238) | $87 | $116 | 2.4× |
| Somatomedin (84305) | $98.25 | $131 | 4.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $148.50 | $198 | 1.1× |
| Special stains group 1 (88312) | $181.50 | $242 | 3.4× |
| Spectrophotometry (84311) | $84 | $112 | 10.4× |
| Sputum specimen collection (89220) | $61.50 | $82 | 0.3× |
| Stool Culture, Addl Pathogens (87046) | $52.50 | $70 | 5.6× |
| Strep a assay w/optic (87880) | $63 | $84 | 3.8× |
| Strep a DNA amp probe (87651) | $45.38 | $60.50 | 1.3× |
| Strep b DNA amp probe (87653) | $134.25 | $179 | 3.8× |
| Sugars Single Qualitative, Each Specimen (84376) | $120 | $160 | 21.8× |
| Sulfate urine (84392) | $16.50 | $22 | 3.0× |
| Surg path level 1 (88300) | $78 | $104 | 2.6× |
| Surg path level iii (88304) | $147 | $196 | 2.7× |
| Surgical pathology level IV (88305) | $238.50 | $318 | 4.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $242.25 | $323 | 5.2× |
| T cells total count (86359) | $226.50 | $302 | 6.0× |
| T3 free (84481) | $117.38 | $156.50 | 6.9× |
| T3 reverse (84482) | $136.50 | $182 | 8.7× |
| T3 total (84480) | $122.25 | $163 | 8.6× |
| T3 uptake (84479) | $28.50 | $38 | 4.4× |
| T4 free (84439) | $80.62 | $107.50 | 8.9× |
| T4 total (84436) | $81.75 | $109 | 11.9× |
| Tau phosphorylated each (84393) | $482.25 | $643 | 3.7× |
| Tb intradermal test (86580) | $108.75 | $145 | 3.6× |
| Tb test, cell immun measure (86480) | $135 | $180 | 2.2× |
| Testosterone free (84402) | $78.75 | $105 | 3.1× |
| Testosterone total (84403) | $64.12 | $85.50 | 2.5× |
| Theophylline (80198) | $57.75 | $77 | 4.1× |
| Thin prep pap (88142) | $129.75 | $173 | 6.4× |
| Thiopurine methyltransferase (84433) | $312.75 | $417 | 14.1× |
| Thrombin time plasma (85670) | $104.25 | $139 | 18.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $57.75 | $77 | 8.9× |
| Thyroglobulin (84432) | $138.75 | $185 | 8.6× |
| Thyroglobulin antibody (86800) | $56.62 | $75.50 | 3.6× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $375 | $500 | 7.4× |
| Tiagabine (80199) | $183.75 | $245 | 6.8× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $62.62 | $83.50 | 14.7× |
| Tissue culture bone marrow (88237) | $335.25 | $447 | 2.3× |
| Tissue culture lymphocyte (88230) | $474 | $632 | 4.1× |
| Tissue transglutaminase ab iga (86364) | $114 | $152 | 9.9× |
| Touch prep (88161) | $21 | $28 | 0.7× |
| Toxoplasma ab igm (86778) | $33.75 | $45 | 2.3× |
| Toxoplasma antibody igg (86777) | $181.50 | $242 | 12.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $760.50 | $1,014 | 2.3× |
| Transferrin (84466) | $143.25 | $191 | 11.2× |
| Trichinella antibody (86784) | $97.50 | $130 | 7.8× |
| Triglycerides (84478) | $37.50 | $50 | 6.5× |
| Troponin (84484) | $235.88 | $314.50 | 18.9× |
| Unlisted Transfusion Medicine Procedure (86999) | $352.50 | $470 | 11.8× |
| Urea nitrogen (84520) | $62.62 | $83.50 | 15.9× |
| Urea nitrogen urine (84540) | $16.50 | $22 | 3.0× |
| Uric acid blood (84550) | $62.62 | $83.50 | 13.9× |
| Uric acid other source (84560) | $14.25 | $19 | 2.8× |
| Urinalysis auto w/scope (81001) | $53.25 | $71 | 16.8× |
| Urinalysis Microscopic Only (81015) | $90 | $120 | 29.5× |
| Urine Albumin Semiquantitative (82044) | $27.75 | $37 | 4.5× |
| Urine pregnancy test (81025) | $88.50 | $118 | 10.3× |
| Urine volume measurement (81050) | $51 | $68 | 14.0× |
| Valproic acid (80164) | $61.50 | $82 | 4.5× |
| Vancomycin trough (80202) | $141.75 | $189 | 10.5× |
| Varicella-zoster antibody (86787) | $126 | $168 | 9.8× |
| Vasoactive intestinal peptide (vip) (84586) | $390 | $520 | 11.0× |
| Vdrl csf (86592) | $69.75 | $93 | 16.3× |
| Virus antibody nos (86790) | $39 | $52 | 3.0× |
| Viscosity serum (85810) | $27 | $36 | 2.3× |
| Vitamin A (84590) | $69.75 | $93 | 6.0× |
| Vitamin b-12 (82607) | $80.62 | $107.50 | 5.3× |
| Vitamin b1 (thiamine) (84425) | $281.25 | $375 | 13.2× |
| Vitamin b2 (84252) | $162 | $216 | 8.0× |
| Vitamin b3 niacin (84591) | $156.75 | $209 | 9.2× |
| Vitamin b6 (84207) | $92.25 | $123 | 3.3× |
| Vitamin c (82180) | $33.75 | $45 | 3.4× |
| Vitamin D 25-Hydroxy (82306) | $151.88 | $202.50 | 5.1× |
| Vitamin e serum (84446) | $208.50 | $278 | 14.7× |
| West nile virus antibody (86789) | $98.25 | $131 | 6.8× |
| West nile virus igm (86788) | $98.25 | $131 | 5.8× |
| Zika Virus Igm Antibody (86794) | $176.25 | $235 | 10.5× |
| Zinc (84630) | $114.75 | $153 | 10.1× |