| 17 Ketogenic steroids (83582) |
$20.11 |
— |
1.3× |
| 17-Hydroxypregnenolone (84143) |
$29.65 |
— |
1.3× |
| 5 Nucleotidase (83915) |
$14.50 |
— |
1.3× |
| Acetylcholinesterase Assay (82013) |
$15.98 |
— |
1.3× |
| Acth (82024) |
$50.21 |
— |
1.3× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) |
$42.41 |
— |
1.3× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) |
$113.05 |
— |
1.3× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) |
$101.74 |
— |
1.3× |
| Acute hepatitis panel (80074) |
$61.92 |
— |
1.3× |
| Acylcarnitines Quant (82017) |
$21.93 |
— |
1.3× |
| Acylcarnitines; qualitative, each specimen Facility (82016) |
$21.44 |
— |
1.3× |
| Adenovirus antibody (86603) |
$16.73 |
— |
1.3× |
| Agglutinins Febrile Each Antigen (86000) |
$9.07 |
— |
1.3× |
| Albumin Fluid (82042) |
$10.11 |
— |
1.3× |
| Albumin serum (82040) |
$6.44 |
— |
1.3× |
| Aldolase (82085) |
$12.62 |
— |
1.3× |
| Aldosterone Suppression Evaluation Panel (80408) |
$163.15 |
— |
1.3× |
| Aldosterone urine (82088) |
$52.98 |
— |
1.3× |
| Alkaline phosphatase isoenzymes (84080) |
$19.21 |
— |
1.3× |
| Allergen spec ige qual multiallergen screen (86005) |
$10.36 |
— |
1.3× |
| Allergen specific ige (86003) |
$6.79 |
— |
1.3× |
| Allergen specific igg (86001) |
$10.17 |
— |
1.3× |
| Alpha-1-antitrypsin phenotype (82104) |
$18.80 |
— |
1.3× |
| Alpha-1-antitrypsin total (82103) |
$17.47 |
— |
1.3× |
| Alpha-Fetoprotein Amniotic Fluid (82106) |
$22.10 |
— |
1.3× |
| Alpha-Fetoprotein Serum (82105) |
$21.80 |
— |
1.3× |
| Alt (sgpt) (84460) |
$6.89 |
— |
1.3× |
| Aluminum (82108) |
$33.12 |
— |
1.3× |
| Amikacin trough (80150) |
$19.60 |
— |
1.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$29.87 |
— |
1.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) |
$21.93 |
— |
1.3× |
| Amino Acids Multiple Qualitative Each Specimen (82128) |
$18.03 |
— |
1.3× |
| Amino Acids Quant 2-5 (82136) |
$25.49 |
— |
1.3× |
| Amino acids; single, qualitative, each specimen Facility (82127) |
$18.43 |
— |
1.3× |
| Aminolevulinic acid (ala) (82135) |
$21.39 |
— |
1.3× |
| Ammonia (82140) |
$18.94 |
— |
1.3× |
| Amniotic fluid scan (82143) |
$12.16 |
— |
1.3× |
| Amylase urine (82150) |
$8.42 |
— |
1.3× |
| Ana Titer (86039) |
$14.51 |
— |
1.3× |
| Analysis skeletal muscle (88355) |
$197.71 |
— |
1.2× |
| Androstanediol Glucuronide (82154) |
$37.48 |
— |
1.3× |
| Androstenedione (82157) |
$38.06 |
— |
1.3× |
| Androsterone (hormone) level (82160) |
$33.22 |
— |
1.3× |
| Angiotensin converting enzyme csf (82164) |
$18.98 |
— |
1.3× |
| Angiotensin II (82163) |
$26.68 |
— |
1.3× |
| Animal inoculation, small animal, with observation and dissection Facility (87003) |
$21.89 |
— |
1.3× |
| Antibody aspergillus (86606) |
$19.57 |
— |
1.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) |
$16.74 |
— |
1.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$20.14 |
— |
1.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) |
$21.91 |
— |
1.3× |
| Antibody Encephalitis California La Crosse (86651) |
$17.15 |
— |
1.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
$17.06 |
— |
1.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
$19.88 |
— |
1.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
$23.58 |
— |
1.3× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$15.93 |
— |
1.3× |
| Antibody haemophilus influenza (86684) |
$20.59 |
— |
1.3× |
| Antibody helicobacter pylori (86677) |
$21.91 |
— |
1.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$18.71 |
— |
1.3× |
| Antibody Herpes Smplx Type 1 (86695) |
$17.15 |
— |
1.3× |
| Antibody HIV-1&HIV-2 single result (86703) |
$17.82 |
— |
1.3× |
| Antibody HIV-2 (86702) |
$17.58 |
— |
1.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) |
$25.16 |
— |
1.3× |
| Antibody identification leukocyte antibodies (86021) |
$19.57 |
— |
1.3× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$16.20 |
— |
1.3× |
| Antibody leishmania (86717) |
$15.93 |
— |
1.3× |
| Antibody Lymphocytic Choriomeningitis (86727) |
$16.73 |
— |
1.3× |
| Antibody neisseria meningitidis (86741) |
$17.15 |
— |
1.3× |
| Antibody nocardia (86744) |
$20.79 |
— |
1.3× |
| Antibody plasmodium malaria (86750) |
$17.15 |
— |
1.3× |
| Antibody Protozoa Nes (86753) |
$16.11 |
— |
1.3× |
| Antibody rotavirus (86759) |
$23.70 |
— |
1.3× |
| Antibody Titer (86886) |
$6.73 |
— |
1.3× |
| Antibody Treponema Pallidum (86780) |
$17.21 |
— |
1.3× |
| Antibody yersinia (86793) |
$17.15 |
— |
1.3× |
| Antibody; campylobacter (86625) |
$17.06 |
— |
1.3× |
| Antibody; encephalitis, st. louis (86653) |
$17.15 |
— |
1.3× |
| Antibody; influenza virus (86710) |
$17.62 |
— |
1.3× |
| Antibody; mucormycosis Facility (86732) |
$19.50 |
— |
1.3× |
| Antigen typing (86905) |
$4.98 |
— |
1.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
$7.44 |
— |
1.3× |
| Antinomyces antibody (86602) |
$13.23 |
— |
1.3× |
| Antinuclear antibodies (86038) |
$15.72 |
— |
1.3× |
| Antistreptolysin O Screen (86063) |
$7.50 |
— |
1.3× |
| Antistreptolysin o titer (86060) |
$9.49 |
— |
1.3× |
| Antithrombin iii activity (85300) |
$15.41 |
— |
1.3× |
| Antithrombin iii antigen (85301) |
$14.05 |
— |
1.3× |
| Apolipoprotein a1 (82172) |
$27.42 |
— |
1.3× |
| Arsenic (82175) |
$24.66 |
— |
1.3× |
| Assay activated protein c (85307) |
$19.92 |
— |
1.3× |
| Assay Blood Carbon Dioxide (82374) |
$6.34 |
— |
1.3× |
| Assay Blood Catecholamines (82383) |
$37.80 |
— |
1.3× |
| Assay Duodenal Fluid Trypsin (84485) |
$9.36 |
— |
1.3× |
| Assay myeloperoxidase (83876) |
$66.12 |
— |
1.3× |
| Assay Nephelometry Not Spec (83883) |
$17.68 |
— |
1.3× |
| Assay of 5-hiaa (83497) |
$16.77 |
— |
1.3× |
| Assay of b-hexosaminidase each assay (83080) |
$21.93 |
— |
1.3× |
| Assay of blood/uric acid (84550) |
$5.88 |
— |
1.3× |
| Assay of calcium in urine (82340) |
$7.84 |
— |
1.3× |
| Assay of corticosterone (82528) |
$29.28 |
— |
1.3× |
| Assay of cpk in blood (82552) |
$17.41 |
— |
1.3× |
| Assay of estrone (82679) |
$32.44 |
— |
1.3× |
| Assay of feces for trypsin (84490) |
$12.91 |
— |
1.3× |
| Assay of g6pd enzyme (82955) |
$12.61 |
— |
1.3× |
| Assay of gammaglobulin igm (82784) |
$12.09 |
— |
1.3× |
| Assay of lactic acid (83605) |
$15.04 |
— |
1.3× |
| Assay of manganese (83785) |
$34.65 |
— |
1.3× |
| Assay of metanephrines (83835) |
$22.02 |
— |
1.3× |
| Assay of phosphatase acid total (84060) |
$9.93 |
— |
1.3× |
| Assay of phosphatase alkaline heat stable (84078) |
$10.74 |
— |
1.3× |
| Assay of procainamide (80190) |
$78 |
— |
1.3× |
| Assay of proinsulin (84206) |
$34.70 |
— |
1.3× |
| Assay of prostate specific antigen complexed (84152) |
$23.91 |
— |
1.3× |
| Assay of pyruvate (84210) |
$18.82 |
— |
1.3× |
| Assay of semen fructose (82757) |
$22.54 |
— |
1.3× |
| Assay of serotonin (84260) |
$40.27 |
— |
1.3× |
| Assay of serum potassium (84132) |
$6.19 |
— |
1.3× |
| Assay of Sialic Acid (84275) |
$17.47 |
— |
1.3× |
| Assay of sweat sodium (84302) |
$6.32 |
— |
1.3× |
| Assay of transcortin (84449) |
$23.40 |
— |
1.3× |
| Assay of Tyrosine (84510) |
$13.82 |
— |
1.3× |
| Assay of urea nitrogen (84520) |
$5.14 |
— |
1.3× |
| Assay of urine vma (84585) |
$20.15 |
— |
1.3× |
| Assay of vasoactive intestinal peptide (84586) |
$45.93 |
— |
1.3× |
| Assay of vitamin b-1 (84425) |
$27.60 |
— |
1.3× |
| Assay Ph Body Fluid Nos (83986) |
$4.65 |
— |
1.3× |
| Assay Phosphohexose Enzymes (84087) |
$13.95 |
— |
1.3× |
| Atomic Absorption (82190) |
$20.67 |
— |
1.3× |
| Autol Bld/Component Collj Storage Predeposited (86890) |
$197.71 |
— |
1.2× |
| Autol bld/component collj storage salvage (86891) |
$995.36 |
— |
1.3× |
| Automated Leukocyte Count (85048) |
$3.30 |
— |
1.3× |
| Bacterial antigens 87802 (87802) |
$16.55 |
— |
1.3× |
| Bartonella antibody (86611) |
$13.23 |
— |
1.3× |
| Beta 2 glycoprotein i antibody each (86146) |
$33.09 |
— |
1.3× |
| Beta hydroxybutyrate (82010) |
$10.62 |
— |
1.3× |
| Beta Lactamase (87185) |
$6.18 |
— |
1.3× |
| Beta-2 Microglobulin (82232) |
$21.03 |
— |
1.3× |
| Bile acids total (82239) |
$22.26 |
— |
1.3× |
| Bile acids, cholylglycine (82240) |
$34.55 |
— |
1.3× |
| Bilirubin direct (82248) |
$6.53 |
— |
1.3× |
| Bilirubin total (82247) |
$6.53 |
— |
1.3× |
| Bilirubin; feces, qualitative Facility (82252) |
$5.93 |
— |
1.3× |
| Biotinidase (82261) |
$21.93 |
— |
1.3× |
| Bl Smear W/O Diff Wbc Count (85008) |
$4.46 |
— |
1.3× |
| Blastomyces antibody (86612) |
$16.77 |
— |
1.3× |
| Bld Typing Serologic Rh Phnt (86906) |
$10.08 |
— |
1.3× |
| Bleeding time test (85002) |
$6.27 |
— |
1.3× |
| Blood Count Automated Differential Wbc Count (85004) |
$8.41 |
— |
1.3× |
| Blood Count Manual Cell Count Each (85032) |
$5.60 |
— |
1.3× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) |
$6.59 |
— |
1.3× |
| Blood Count Red Blood Cell Automated (85041) |
$3.93 |
— |
1.3× |
| Blood count reticulocyte automated (85045) |
$5.19 |
— |
1.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
$4.94 |
— |
1.3× |
| Blood count spun microhematocrit (85013) |
$9.10 |
— |
1.3× |
| Blood gas (82803) |
$33.89 |
— |
1.3× |
| Blood gases w/02 saturation (82805) |
$102.40 |
— |
1.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$20.70 |
— |
1.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$5.69 |
— |
1.3× |
| Blood Sulfhemoglobin Assay (83060) |
$11.44 |
— |
1.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$21.24 |
— |
1.3× |
| Blood typing serologic abo (86900) |
$3.89 |
— |
1.3× |
| Body fluid cell count (89050) |
$6.14 |
— |
1.3× |
| Bone marrow smear interpretation (85097) |
$995.36 |
— |
1.3× |
| Bordetella antibody (86615) |
$17.15 |
— |
1.3× |
| Borrelia Antibody (86619) |
$17.39 |
— |
1.3× |
| Breath Alcohol Test (82075) |
$39 |
— |
1.3× |
| Brucella antibody (86622) |
$11.61 |
— |
1.3× |
| C diff amplified probe (87493) |
$48.45 |
— |
1.3× |
| C-Peptide (84681) |
$27.05 |
— |
1.3× |
| C-reactive protein (86140) |
$6.73 |
— |
1.3× |
| Ca 19-9 (86301) |
$27.05 |
— |
1.3× |
| Cadmium (82300) |
$30.73 |
— |
1.3× |
| Calcitonin (82308) |
$34.83 |
— |
1.3× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) |
$104.48 |
— |
1.3× |
| Calcium ionized (82330) |
$17.78 |
— |
1.3× |
| Calcium total (82310) |
$6.71 |
— |
1.3× |
| Calcium; after calcium infusion test (82331) |
$17.34 |
— |
1.3× |
| Calculus assay quant (82360) |
$16.73 |
— |
1.3× |
| Calculus Spectroscopy (82365) |
$16.77 |
— |
1.3× |
| Calculus Xray Diffraction (82370) |
$16.28 |
— |
1.3× |
| Cancer Antigen 125 (86304) |
$27.05 |
— |
1.3× |
| Cancer Antigen 27.29 (86300) |
$27.05 |
— |
1.3× |
| Candida antibody (86628) |
$15.61 |
— |
1.3× |
| Candida Dna Dir Probe (87480) |
$26.07 |
— |
1.3× |
| Carbamazepine free (80157) |
$17.23 |
— |
1.3× |
| Carbamazepine total (80156) |
$18.94 |
— |
1.3× |
| Carbohydrate Deficient Transferrin (82373) |
$23.48 |
— |
1.3× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) |
$18.29 |
— |
1.3× |
| Carboxyhemoglobin (82375) |
$16.02 |
— |
1.3× |
| Carcinoembryonic antigen (82378) |
$24.65 |
— |
1.3× |
| Cardiolipin ab iga (86147) |
$33.09 |
— |
1.3× |
| Carnitine Quantitative Each Specimen (82379) |
$21.93 |
— |
1.3× |
| Carotene (82380) |
$11.99 |
— |
1.3× |
| Catecholamines fractionated (82384) |
$32.83 |
— |
1.3× |
| Catecholamines total urine (82382) |
$35.49 |
— |
1.3× |
| Cathepsin-d (82387) |
$23.48 |
— |
1.3× |
| Ccp antibody (86200) |
$16.84 |
— |
1.3× |
| Cell count csf (89051) |
$7.28 |
— |
1.3× |
| Cell marker study (88182) |
$62.73 |
— |
1.3× |
| Ceruloplasmin (82390) |
$13.96 |
— |
1.3× |
| Cftr gene com variants (81220) |
$723.58 |
— |
1.3× |
| Chemiluminescent assay (82397) |
$18.36 |
— |
1.3× |
| Chemotaxis Assay (86155) |
$20.79 |
— |
1.3× |
| Chlamydia antibody (86631) |
$15.37 |
— |
1.3× |
| Chlamydia Igm Antibody (86632) |
$16.48 |
— |
1.3× |
| Chlamydia trachomatis ag if (87270) |
$15.57 |
— |
1.3× |
| Chloramphenicol level (82415) |
$16.47 |
— |
1.3× |
| Chloride other source (82438) |
$6.50 |
— |
1.3× |
| Chloride Serum (82435) |
$5.98 |
— |
1.3× |
| Chloride urine (82436) |
$7.48 |
— |
1.3× |
| Chlorinated Hydrocarbons Screen (82441) |
$7.81 |
— |
1.3× |
| Cholesterol total (82465) |
$5.66 |
— |
1.3× |
| Cholinesterase rbc (82482) |
$12.75 |
— |
1.3× |
| Cholinesterase Serum (82480) |
$10.23 |
— |
1.3× |
| Chondroitin B sulfate, quantitative Facility (82485) |
$26.85 |
— |
1.3× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) |
$72.66 |
— |
1.3× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) |
$67.13 |
— |
1.3× |
| Chorionic gonadotropin test (84702) |
$19.57 |
— |
1.3× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) |
$245.14 |
— |
1.3× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) |
$34.98 |
— |
1.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) |
$44.76 |
— |
1.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$43.51 |
— |
1.3× |
| Chrmsm Analysis Addl Specialized Banding (88283) |
$89.18 |
— |
1.3× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) |
$225.12 |
— |
1.3× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) |
$225.12 |
— |
1.3× |
| Chrmsm Breakage Synds Score 100 Cll (88249) |
$225.12 |
— |
1.3× |
| Chromium serum (82495) |
$26.36 |
— |
1.3× |
| Chromogenic Substrate Assay (85130) |
$15.46 |
— |
1.3× |
| Chromogranin a (86316) |
$27.05 |
— |
1.3× |
| Chromosome analys amniotic (88269) |
$225.76 |
— |
1.3× |
| Chromosome Analysis 15-20 (88262) |
$163.14 |
— |
1.3× |
| Chromosome analysis 45 cells (88263) |
$195.38 |
— |
1.3× |
| Chromosome analysis, 5 (88261) |
$343.64 |
— |
1.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$45.62 |
— |
1.3× |
| Citric acid urine (82507) |
$36.14 |
— |
1.3× |
| Ckmb (82553) |
$15.02 |
— |
1.3× |
| Clostridium Difficile (87324) |
$15.57 |
— |
1.3× |
| Clot Factor VIII Multimetric (85247) |
$29.82 |
— |
1.3× |
| Clot factor xiii fibrin stab (85290) |
$21.24 |
— |
1.3× |
| Clot lysis time, whole blood dilution Facility (85175) |
$26.48 |
— |
1.3× |
| Clot retraction (85170) |
$21.19 |
— |
1.3× |
| Clotting factor viii related antigen (85244) |
$26.55 |
— |
1.3× |
| Clotting factor xii hageman (85280) |
$25.16 |
— |
1.3× |
| Clotting hi molec weight kininogen assay (85293) |
$24.61 |
— |
1.3× |
| Clotting prekallikrein assay fletcher fact assay (85292) |
$24.61 |
— |
1.3× |
| Coagulation time activated (85347) |
$5.56 |
— |
1.3× |
| Coagulation time other methods (85348) |
$5.84 |
— |
1.3× |
| Coagulation time; Lee and White Facility (85345) |
$6.10 |
— |
1.3× |
| Coccidioides antibody (86635) |
$14.91 |
— |
1.3× |
| Cold agglutinin screen (86156) |
$10.49 |
— |
1.3× |
| Cold agglutinin titer (86157) |
$10.48 |
— |
1.3× |
| Column Chromotography Quant (82542) |
$31.32 |
— |
1.3× |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) |
$753.32 |
— |
1.3× |
| Compatibility Each Unit Incubation (86921) |
$197.71 |
— |
1.2× |
| Compatibility test antiglob (86922) |
$197.71 |
— |
1.2× |
| Complement Antigen Each Component (86160) |
$15.60 |
— |
1.3× |
| Complement Fixation Tests Each Antigen (86171) |
$13.01 |
— |
1.3× |
| Complement Total (Ch50) (86162) |
$26.42 |
— |
1.3× |
| Complement/Function Activity (86161) |
$15.60 |
— |
1.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) |
$62.73 |
— |
1.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
$46.42 |
— |
1.3× |
| Coombs direct (86880) |
$7.01 |
— |
1.3× |
| Copper urine (82525) |
$16.13 |
— |
1.3× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) |
$1,042.11 |
— |
1.3× |
| Cortisol free (82530) |
$21.72 |
— |
1.3× |
| Cortisol saliva (82533) |
$21.19 |
— |
1.3× |
| Creatine (82540) |
$6.03 |
— |
1.3× |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) |
$15.43 |
— |
1.3× |
| Creatine kinase total (82550) |
$8.46 |
— |
1.3× |
| Creatinine blood (82565) |
$6.66 |
— |
1.3× |
| Creatinine clearance (82575) |
$12.30 |
— |
1.3× |
| Creatinine Urine (82570) |
$6.73 |
— |
1.3× |
| Crossmatch immediate spin (86920) |
$197.71 |
— |
1.2× |
| Crp High Sensitivity (86141) |
$16.84 |
— |
1.3× |
| Cryofibrinogen (82585) |
$18.38 |
— |
1.3× |
| Cryoglobulin (82595) |
$8.41 |
— |
1.3× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) |
$16.99 |
— |
1.3× |
| Cryptococcal Antigen (87327) |
$17.45 |
— |
1.3× |
| Cryptococcus ab (86641) |
$18.73 |
— |
1.3× |
| Cryptococcus ag titer (87899) |
$20.89 |
— |
1.3× |
| Cryptosporidium (87272) |
$15.57 |
— |
1.3× |
| Cryptosporidium ag eia (87328) |
$17.97 |
— |
1.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
$10.50 |
— |
1.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$10.50 |
— |
1.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
$10.02 |
— |
1.3× |
| Culture aerobic quant other (87071) |
$12.86 |
— |
1.3× |
| Culture afb (87116) |
$14.04 |
— |
1.3× |
| Culture Anaerobic (87075) |
$12.31 |
— |
1.3× |
| Culture bacteria anaerobic (87073) |
$12.56 |
— |
1.3× |
| Culture blood (87040) |
$13.42 |
— |
1.3× |
| Culture chlamydia (87110) |
$25.48 |
— |
1.3× |
| Culture csf (87070) |
$11.21 |
— |
1.3× |
| Culture fungus (87102) |
$10.93 |
— |
1.3× |
| Culture fungus blood (87103) |
$26.60 |
— |
1.3× |
| Culture oocyte/embryos<4day (89250) |
$197.71 |
— |
1.2× |
| Culture screen only (87081) |
$8.62 |
— |
1.3× |
| Culture stool (87045) |
$12.27 |
— |
1.3× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) |
$16.28 |
— |
1.3× |
| Culture typing if ea antiserum (87140) |
$7.24 |
— |
1.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$6.73 |
— |
1.3× |
| Culture typing other methods (87158) |
$10.06 |
— |
1.3× |
| Culture urine (87086) |
$10.49 |
— |
1.3× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) |
$35.19 |
— |
1.3× |
| Cyanide (82600) |
$25.22 |
— |
1.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
$18.62 |
— |
1.3× |
| Cyclic amp (82030) |
$33.54 |
— |
1.3× |
| Cyclosporine (80158) |
$23.47 |
— |
1.3× |
| Cyp2c19 gene analysis common variants (81225) |
$378.77 |
— |
1.3× |
| Cyp2c9 gene com variants (81227) |
$227.25 |
— |
1.3× |
| Cyp2d6 gene com variants (81226) |
$586.18 |
— |
1.3× |
| Cyp3a4 gene common variants (81230) |
$227.25 |
— |
1.3× |
| Cyp3a5 gene common variants (81231) |
$227.25 |
— |
1.3× |
| Cystatin C (82610) |
$24.08 |
— |
1.3× |
| Cytogenetics 100-300 (88275) |
$66.55 |
— |
1.3× |
| Cytomegalovirus igg (86644) |
$18.71 |
— |
1.3× |
| Cytopath C/V Index Add-On (88155) |
$19.05 |
— |
1.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) |
$26.34 |
— |
1.3× |
| Cytopath Cell Enhance Tech (88112) |
$62.73 |
— |
1.3× |
| Cytopath Fl Nongyn Filter (88106) |
$34.47 |
— |
1.2× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) |
$65.73 |
— |
1.3× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) |
$23.09 |
— |
1.2× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) |
$32.98 |
— |
1.3× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) |
$23.09 |
— |
1.2× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) |
$23.09 |
— |
1.2× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) |
$54.89 |
— |
1.3× |
| Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) |
$35.93 |
— |
1.3× |
| Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) |
$31.24 |
— |
1.3× |
| Cytotoxic Antibody Screen Std (86807) |
$102.25 |
— |
1.3× |
| Cytotoxic pra quick (86808) |
$38.58 |
— |
1.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) |
$34.59 |
— |
1.3× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) |
$29.95 |
— |
1.3× |
| Cytp Concentration Smears & Interpretation (88108) |
$46.42 |
— |
1.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$62.73 |
— |
1.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) |
$197.71 |
— |
1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
$46.42 |
— |
1.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
$23.09 |
— |
1.2× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) |
$23.09 |
— |
1.2× |
| Cytp smrs any oth src extnd std > 5 slides (88162) |
$62.73 |
— |
1.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) |
$34.47 |
— |
1.2× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) |
$13.96 |
— |
1.3× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) |
$14.69 |
— |
1.3× |
| Deoxycortisol (82634) |
$38.06 |
— |
1.3× |
| Deoxyribonuclease antibody (86215) |
$17.23 |
— |
1.3× |
| Desoxycorticosterone (82633) |
$40.27 |
— |
1.3× |
| Detect Agent Nos Dna Amp (87798) |
$45.62 |
— |
1.3× |
| Detect Agent Nos Dna Quant (87799) |
$55.69 |
— |
1.3× |
| Detect agnt mult DNA ampli (87801) |
$91.26 |
— |
1.3× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) |
$210.44 |
— |
1.3× |
| Dhea (82626) |
$32.85 |
— |
1.3× |
| Dhea-S (82627) |
$28.90 |
— |
1.3× |
| Dibucaine number (82638) |
$15.93 |
— |
1.3× |
| Digoxin (80162) |
$17.26 |
— |
1.3× |
| Dihydrotestosterone (82642) |
$38.06 |
— |
1.3× |
| Diphtheria antitoxoid (86648) |
$19.77 |
— |
1.3× |
| Dna Antibody Native/Double Stranded (86225) |
$17.86 |
— |
1.3× |
| Dna Antibody Single Stranded (86226) |
$15.74 |
— |
1.3× |
| DNA/RNA direct probe (87149) |
$26.07 |
— |
1.3× |
| Dpyd gene common variants (81232) |
$227.25 |
— |
1.3× |
| Drug Screen Quantitative Lamotrigine (80175) |
$17.23 |
— |
1.3× |
| Drug Screen Quantitative Levetiracetam (80177) |
$17.23 |
— |
1.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$17.23 |
— |
1.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) |
$21.78 |
— |
1.3× |
| Drug Test Prsmv Chem Anlyzr (80307) |
$80.78 |
— |
1.3× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$16.38 |
— |
1.3× |
| Ehrlichia antibody (86666) |
$13.23 |
— |
1.3× |
| Electrolyte panel (80051) |
$9.11 |
— |
1.3× |
| Electron Microscopy (88348) |
$995.36 |
— |
1.3× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$79.95 |
— |
1.3× |
| Encephaltis East Eqne Anbdy (86652) |
$17.15 |
— |
1.3× |
| Encephaltis West Eqne Antbdy (86654) |
$17.15 |
— |
1.3× |
| Enterovirus Antibody (86658) |
$16.94 |
— |
1.3× |
| Enzyme cell activity (82657) |
$28.82 |
— |
1.3× |
| Enzyme histochemistry (88319) |
$995.36 |
— |
1.3× |
| Eosinophil Smear (89190) |
$7.53 |
— |
1.3× |
| Erythropoietin (82668) |
$24.43 |
— |
1.3× |
| Estradiol serum (82670) |
$36.32 |
— |
1.3× |
| Estriol (82677) |
$31.43 |
— |
1.3× |
| Estrogen total (82672) |
$28.21 |
— |
1.3× |
| Estrogens fractionated (82671) |
$41.99 |
— |
1.3× |
| Ethosuximide (80168) |
$21.24 |
— |
1.3× |
| Ethylene Glycol (82693) |
$19.37 |
— |
1.3× |
| Euglobulin lysis (85360) |
$10.93 |
— |
1.3× |
| Exam Synovial Fluid Crystals (89060) |
$9.53 |
— |
1.3× |
| F2 Gene (81240) |
$85.40 |
— |
1.3× |
| Factor ii activity (85210) |
$16.87 |
— |
1.3× |
| Factor Inhibitor Test (85335) |
$16.73 |
— |
1.3× |
| Factor ix activity (85250) |
$24.75 |
— |
1.3× |
| Factor v activity (85220) |
$22.95 |
— |
1.3× |
| Factor v leiden mutation (81241) |
$95.38 |
— |
1.3× |
| Factor vii assay (85230) |
$23.27 |
— |
1.3× |
| Factor viii assay (85240) |
$23.27 |
— |
1.3× |
| Factor X (85260) |
$23.27 |
— |
1.3× |
| Factor xi activity (85270) |
$23.27 |
— |
1.3× |
| Factor xiii screen (85291) |
$11.84 |
— |
1.3× |
| Fat differential, feces, quantitative Facility (82715) |
$29.86 |
— |
1.3× |
| Fat stain feces urine/respir secretions (89125) |
$7.64 |
— |
1.3× |
| Fat/Lipids Feces Quantitative (82710) |
$21.84 |
— |
1.3× |
| Fatty acids free (82725) |
$24.40 |
— |
1.3× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) |
$10.02 |
— |
1.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$22.35 |
— |
1.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) |
$13.23 |
— |
1.3× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) |
$8.49 |
— |
1.3× |
| Fecal Fat Qualitative (82705) |
$6.63 |
— |
1.3× |
| Ferritin (82728) |
$17.72 |
— |
1.3× |
| Fetal Fibronectin (82731) |
$83.73 |
— |
1.3× |
| Fetal hemoglobin assay qual (83033) |
$10.40 |
— |
1.3× |
| Fetal lung maturity assessment; foam stability test Facility (83662) |
$24.58 |
— |
1.3× |
| Fetal Lung Maturity Fluorescence Polarization (83663) |
$24.58 |
— |
1.3× |
| Fetal screen rosette (85461) |
$12.17 |
— |
1.3× |
| Fibrin degradation products (85362) |
$8.96 |
— |
1.3× |
| Fibrin Degradation Quant (85379) |
$13.23 |
— |
1.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) |
$12.64 |
— |
1.3× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) |
$13.23 |
— |
1.3× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) |
$16.16 |
— |
1.3× |
| Fibrinogen activity (85384) |
$12.64 |
— |
1.3× |
| Fibrinogen antigen (85385) |
$18.80 |
— |
1.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$20.12 |
— |
1.3× |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) |
$10.02 |
— |
1.3× |
| Flow cytometry first marker (88184) |
$416.08 |
— |
1.2× |
| Fluorescent antibody screen (86255) |
$15.67 |
— |
1.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$15.67 |
— |
1.3× |
| Fluoride serum (82735) |
$24.10 |
— |
1.3× |
| Folic acid rbc (82747) |
$22.95 |
— |
1.3× |
| Folic Acid Serum (82746) |
$19.11 |
— |
1.3× |
| Follicle Stimulating Hormone (83001) |
$24.15 |
— |
1.3× |
| Forensic Cytopathology (88125) |
$62.73 |
— |
1.3× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) |
$37.05 |
— |
1.3× |
| Francisella tularensis (86668) |
$18.41 |
— |
1.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) |
$197.71 |
— |
1.2× |
| Frozen Blood Each Unit Freezing (86930) |
$197.71 |
— |
1.2× |
| Frozen Blood Each Unit Thawing (86931) |
$197.71 |
— |
1.2× |
| Frozen blood freeze/thaw (86932) |
$46.42 |
— |
1.3× |
| Frozen Section (88331) |
$197.71 |
— |
1.2× |
| Fungi Identification Mold (87107) |
$13.42 |
— |
1.3× |
| Fungi Identification Yeast (87106) |
$13.42 |
— |
1.3× |
| G6pd gene alys cmn variant (81247) |
$227.25 |
— |
1.3× |
| Galactokinase rbc (82759) |
$27.92 |
— |
1.3× |
| Galactose (82760) |
$14.56 |
— |
1.3× |
| Galactose transferase test (82776) |
$15.26 |
— |
1.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) |
$27.39 |
— |
1.3× |
| Gammaglobulin ige (82785) |
$21.40 |
— |
1.3× |
| Gardner vag DNA dir probe (87510) |
$26.07 |
— |
1.3× |
| Gardner Vag Dna Quant (87512) |
$54.29 |
— |
1.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$12.70 |
— |
1.3× |
| Gases blood ph only (82800) |
$14.30 |
— |
1.3× |
| Gastrin (82941) |
$22.92 |
— |
1.3× |
| Gastrin after secretin stim (82938) |
$23 |
— |
1.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) |
$541.81 |
— |
1.3× |
| Genet Virus Isolate Hsv (87255) |
$44.02 |
— |
1.3× |
| Gentamicin (80170) |
$21.29 |
— |
1.3× |
| Ggt (82977) |
$9.36 |
— |
1.3× |
| Gh suppression panel (80430) |
$168.13 |
— |
1.3× |
| Giardia antigen (87329) |
$15.57 |
— |
1.3× |
| Giardia lamblia antibody (86674) |
$19.14 |
— |
1.3× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) |
$131.46 |
— |
1.3× |
| Gluc-6-phosphate dehydrogenase screen (82960) |
$7.87 |
— |
1.3× |
| Glucagon (82943) |
$18.58 |
— |
1.3× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) |
$59.89 |
— |
1.3× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) |
$65.65 |
— |
1.3× |
| Glucagon tolerance test Facility (82946) |
$23.10 |
— |
1.3× |
| Glucose 2 hr pp (82950) |
$6.18 |
— |
1.3× |
| Glucose Blood Test (82962) |
$4.26 |
— |
1.3× |
| Glucose body fluid (82945) |
$5.11 |
— |
1.3× |
| Glucose Serum (82947) |
$5.11 |
— |
1.3× |
| Glucose tolerance test (gtt) (82951) |
$16.73 |
— |
1.3× |
| Glucosidase beta (82963) |
$27.92 |
— |
1.3× |
| Glutamate dehydrogenase Facility (82965) |
$17.10 |
— |
1.3× |
| Glutathione (82978) |
$20.09 |
— |
1.3× |
| Glutathione reductase, RBC Facility (82979) |
$12.27 |
— |
1.3× |
| Glycated Protein (82985) |
$21.79 |
— |
1.3× |
| Gonadotropin Chorionic Qualitative (84703) |
$9.78 |
— |
1.3× |
| Gonadotropin releasing hormone (83727) |
$22.35 |
— |
1.3× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) |
$192.93 |
— |
1.3× |
| Growth hormone (83003) |
$21.67 |
— |
1.3× |
| Growth hormone antibody (86277) |
$20.46 |
— |
1.3× |
| Growth Hormone Stimulation Panel (80428) |
$86.71 |
— |
1.3× |
| Gtt-added samples (82952) |
$5.10 |
— |
1.3× |
| H Pylori (C-13) Breath (83013) |
$87.57 |
— |
1.3× |
| H Pylori Drug Admin (83014) |
$10.22 |
— |
1.3× |
| Haloperidol (80173) |
$20.51 |
— |
1.3× |
| Haptoglobin (83010) |
$16.35 |
— |
1.3× |
| Haptoglobin; phenotypes Facility (83012) |
$34.96 |
— |
1.3× |
| Hdl Cholesterol (83718) |
$10.65 |
— |
1.3× |
| Heavy metal qualitative any analytes (83015) |
$27.22 |
— |
1.3× |
| Heinz Bodies Direct (85441) |
$5.46 |
— |
1.3× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) |
$8.87 |
— |
1.3× |
| Helicobacter Pylori Stool (87338) |
$18.69 |
— |
1.3× |
| Helminth Antibody (86682) |
$16.91 |
— |
1.3× |
| Hemagglutination Inhibition (86280) |
$10.65 |
— |
1.3× |
| Hematocrit (85014) |
$3.08 |
— |
1.3× |
| Hemoglobin (85018) |
$3.08 |
— |
1.3× |
| Hemoglobin a1c (83036) |
$12.62 |
— |
1.3× |
| Hemoglobin Chromotography (83021) |
$23.48 |
— |
1.3× |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) |
$5.21 |
— |
1.3× |
| Hemoglobin electrophoresis (83020) |
$16.73 |
— |
1.3× |
| Hemoglobin F Fetal Chemical (83030) |
$13.96 |
— |
1.3× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$10.66 |
— |
1.3× |
| Hemoglobin plasma (83051) |
$9.50 |
— |
1.3× |
| Hemoglobin stability screen (83068) |
$12.31 |
— |
1.3× |
| Hemoglobin Thermolabile (83065) |
$11.70 |
— |
1.3× |
| Hemoglobin urine (83069) |
$5.14 |
— |
1.3× |
| Hemoglobin-Oxygen Affinity (82820) |
$17.34 |
— |
1.3× |
| Hemoglobin; methemoglobin, qualitative Facility (83045) |
$8.44 |
— |
1.3× |
| Hemolysin Acid (85475) |
$11.53 |
— |
1.3× |
| Hemolysins&Agglutinins Auto Screen Each (86940) |
$11.40 |
— |
1.3× |
| Hemolysins&Agglutinins Incubated (86941) |
$15.74 |
— |
1.3× |
| Hemosiderin urine (83070) |
$6.18 |
— |
1.3× |
| Hep a ab igm (86709) |
$14.64 |
— |
1.3× |
| Heparin assay (85520) |
$17.02 |
— |
1.3× |
| Heparin Neutralization (85525) |
$15.39 |
— |
1.3× |
| Heparin-Protamine Tolerance Tst (85530) |
$17.02 |
— |
1.3× |
| Hepatitis a antibody total (86708) |
$16.11 |
— |
1.3× |
| Hepatitis b core ab igm (86705) |
$15.30 |
— |
1.3× |
| Hepatitis b core ab total (86704) |
$15.67 |
— |
1.3× |
| Hepatitis B Surface Antibody (86706) |
$13.96 |
— |
1.3× |
| Hepatitis B Surface Antigen (87340) |
$13.43 |
— |
1.3× |
| Hepatitis Be Antibody (86707) |
$15.04 |
— |
1.3× |
| Hepatitis Be Antigen (87350) |
$14.99 |
— |
1.3× |
| Hepatitis C Antibody (86803) |
$18.55 |
— |
1.3× |
| Hepatitis c antibody confirmatory test (86804) |
$20.14 |
— |
1.3× |
| Hepatitis C Genotype (87902) |
$334.69 |
— |
1.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
$45.62 |
— |
1.3× |
| Hepatitis C Revrs Trnscrpj (87522) |
$55.69 |
— |
1.3× |
| Hepatitis delta ag (87380) |
$23.87 |
— |
1.3× |
| Hepatitis Delta Agent Antibody (86692) |
$22.31 |
— |
1.3× |
| Hepatitis G Dna Quant (87527) |
$54.29 |
— |
1.3× |
| Herpes simplex type 2 (86696) |
$25.16 |
— |
1.3× |
| Heterophile antibodies titer (86309) |
$8.41 |
— |
1.3× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) |
$9.58 |
— |
1.3× |
| Heterophile Antibody Screen (86308) |
$6.73 |
— |
1.3× |
| Hfe Gene (81256) |
$84.97 |
— |
1.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) |
$10.05 |
— |
1.3× |
| Histamine urine (83088) |
$38.39 |
— |
1.3× |
| Histoplasma antibody (86698) |
$17.93 |
— |
1.3× |
| Histoplasma antigen urine (87385) |
$17.23 |
— |
1.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
$31.30 |
— |
1.3× |
| Hiv-1 Antibody (86701) |
$11.56 |
— |
1.3× |
| HIV-1 p24 antigen (87390) |
$31.28 |
— |
1.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
$110.63 |
— |
1.3× |
| HIV-2 probe&revrse trnscripj (87538) |
$45.62 |
— |
1.3× |
| Hla Class I Typing Low Resolution Complete (81372) |
$524.67 |
— |
1.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$96.63 |
— |
1.3× |
| Hla I Typing 1 Allele Hr (81381) |
$220.87 |
— |
1.3× |
| Hla ii typing 1 locus lr (81376) |
$158.89 |
— |
1.3× |
| Hla Typing a/B/C Multiple Antigens (86813) |
$75.40 |
— |
1.3× |
| Hla Typing Dr/Dq Multiple Antigens (86817) |
$137.98 |
— |
1.3× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$39.22 |
— |
1.3× |
| Hla-b27 (86812) |
$33.55 |
— |
1.3× |
| Homocysteine (83090) |
$23.30 |
— |
1.3× |
| Homogenization Tissue (87176) |
$7.64 |
— |
1.3× |
| Homovanillic acid urine (83150) |
$29.13 |
— |
1.3× |
| Hpv High-Risk Types (87624) |
$45.62 |
— |
1.3× |
| Hsv Dna Amp Probe (87529) |
$45.62 |
— |
1.3× |
| Hsv Dna Quant (87530) |
$55.69 |
— |
1.3× |
| Htlv-I Antibody (86687) |
$11.82 |
— |
1.3× |
| Htlv-ii antibody (86688) |
$18.20 |
— |
1.3× |
| Hydroxycorticosteroids 17 (83491) |
$23.27 |
— |
1.3× |
| Hydroxyprogesterone 17-d (83498) |
$35.32 |
— |
1.3× |
| Hydroxyproline free (83500) |
$29.45 |
— |
1.3× |
| Hydroxyproline total (83505) |
$31.59 |
— |
1.3× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) |
$15.57 |
— |
1.3× |
| Iaad Ia Cytomegalovirus (87332) |
$15.57 |
— |
1.3× |
| Iaad Ia Entamoeba Histolytica Grp (87337) |
$15.57 |
— |
1.3× |
| Iaad Ia Escherichia Coli 0157 (87335) |
$16.46 |
— |
1.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$13.43 |
— |
1.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$18.08 |
— |
1.3× |
| Iaad ia shiga-like toxin (87427) |
$15.57 |
— |
1.3× |
| Iaad Ia Streptococcus Group A (87430) |
$21.85 |
— |
1.3× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) |
$15.57 |
— |
1.3× |
| Iaadi giardia (87269) |
$17.69 |
— |
1.3× |
| Iaadi herpes smplx virus type 1 (87274) |
$15.57 |
— |
1.3× |
| Iaadi herpes smplx virus type 2 (87273) |
$15.57 |
— |
1.3× |
| Iaadi inffluenza a virus (87276) |
$20.89 |
— |
1.3× |
| Iaadi not otherwise specified each organism (87299) |
$20.93 |
— |
1.3× |
| Iaadi parainfluenza virus each type (87279) |
$21.36 |
— |
1.3× |
| Iaadi pneumocustis carinii (87281) |
$15.57 |
— |
1.3× |
| Iaadi respiratory synctial virus (87280) |
$17.45 |
— |
1.3× |
| Iaadi Varicella Zoster Virus (87290) |
$17.45 |
— |
1.3× |
| Iadna Bartonella Amplified Probe Technique (87471) |
$45.62 |
— |
1.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) |
$45.62 |
— |
1.3× |
| Iadna Candida Species Amplified Probe Tq (87481) |
$45.62 |
— |
1.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$45.62 |
— |
1.3× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
$29.58 |
— |
1.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) |
$45.62 |
— |
1.3× |
| Iadna Cytomegalovirus Direct Probe Tq (87495) |
$39.04 |
— |
1.3× |
| Iadna Cytomegalovirus Quantification (87497) |
$55.69 |
— |
1.3× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$45.62 |
— |
1.3× |
| Iadna Hepatitis B Virus Quantification (87517) |
$55.69 |
— |
1.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) |
$45.62 |
— |
1.3× |
| Iadna Herpes Virus-6 Quantification (87533) |
$54.29 |
— |
1.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$45.62 |
— |
1.3× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) |
$76.21 |
— |
1.3× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) |
$45.62 |
— |
1.3× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) |
$35.48 |
— |
1.3× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
$62.71 |
— |
1.3× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) |
$26.07 |
— |
1.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) |
$54.18 |
— |
1.3× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) |
$34.94 |
— |
1.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$45.62 |
— |
1.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
$45.62 |
— |
1.3× |
| Iadna Nos Direct Probe Tq Each Organism (87797) |
$39.04 |
— |
1.3× |
| Ifnl3 gene analysis rs12979860 variant (81283) |
$95.38 |
— |
1.3× |
| Igg subclasses (82787) |
$10.43 |
— |
1.3× |
| Immune Complex Assay (86332) |
$31.68 |
— |
1.3× |
| Immunfix e-phorsis/urine/csf (86335) |
$38.16 |
— |
1.3× |
| Immunoassay analyte qual/semiqual single step (83518) |
$12.53 |
— |
1.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
$23.92 |
— |
1.3× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) |
$33.24 |
— |
1.3× |
| Immunoassay infectious agent (86318) |
$23.52 |
— |
1.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
$19.49 |
— |
1.3× |
| Immunoassay nonantibody (83516) |
$14.99 |
— |
1.3× |
| Immunodiffusion not elsewhere specified (86329) |
$18.27 |
— |
1.3× |
| Immunodiffusion Ouchterlony (86331) |
$15.57 |
— |
1.3× |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
$30.07 |
— |
1.3× |
| Immunoelectrophoresis Serum (86320) |
$38.90 |
— |
1.3× |
| Immunofixation electrophoresis (86334) |
$29.04 |
— |
1.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$197.71 |
— |
1.2× |
| Immunohistochemistry (88342) |
$197.71 |
— |
1.2× |
| In situ hybridization 1st probe stain (88365) |
$197.71 |
— |
1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) |
$28.47 |
— |
1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) |
$20.80 |
— |
1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) |
$19.50 |
— |
1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) |
$20.80 |
— |
1.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) |
$45.88 |
— |
1.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) |
$20.80 |
— |
1.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) |
$31.93 |
— |
1.3× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) |
$18.76 |
— |
1.3× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
$17.45 |
— |
1.3× |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) |
$17.45 |
— |
1.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) |
$15.93 |
— |
1.3× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) |
$79.04 |
— |
1.3× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) |
$15.83 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) |
$55.69 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) |
$26.07 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) |
$72.46 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) |
$26.07 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) |
$55.69 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) |
$69.51 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) |
$45.62 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) |
$40.59 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) |
$51.04 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) |
$38.74 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) |
$26.07 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) |
$75.40 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) |
$28.50 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) |
$28.50 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) |
$54.29 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) |
$55.69 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) |
$55.69 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) |
$55.69 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) |
$26.07 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) |
$393.41 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) |
$55.69 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) |
$26.07 |
— |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) |
$54.29 |
— |
1.3× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) |
$45.62 |
— |
1.3× |
| Influenza a/b ag eia (87400) |
$18.37 |
— |
1.3× |
| Influenza assay w/optic (87804) |
$21.52 |
— |
1.3× |
| Inhibin A (86336) |
$20.27 |
— |
1.3× |
| Inhibin b (83520) |
$22.45 |
— |
1.3× |
| Insitu hybridization auto (88367) |
$416.08 |
— |
1.2× |
| Insitu hybridization manual (88368) |
$416.08 |
— |
1.2× |
| Insulin antibodies (86337) |
$27.83 |
— |
1.3× |
| Insulin free (83527) |
$16.84 |
— |
1.3× |
| Insulin tolerance panel growth horm defncy (80435) |
$133.90 |
— |
1.3× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) |
$370.54 |
— |
1.3× |
| Insulin total (83525) |
$14.86 |
— |
1.3× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) |
$215.29 |
— |
1.3× |
| Intrinsic factor (stomach protein) level (83528) |
$25.77 |
— |
1.3× |
| Intrinsic factor antibody (86340) |
$19.60 |
— |
1.3× |
| Iron (83540) |
$8.41 |
— |
1.3× |
| Iron Binding Capacity (83550) |
$11.36 |
— |
1.3× |
| Iron stain peripheral blood (85536) |
$8.94 |
— |
1.3× |
| Irradiation Blood Product Each Unit (86945) |
$46.42 |
— |
1.3× |
| Islet cell antibody (86341) |
$30.64 |
— |
1.3× |
| Isocitric dehydrogenase (IDH) Facility (83570) |
$11.51 |
— |
1.3× |
| Jak2 gene analysis p.val617phe variant (81270) |
$119.16 |
— |
1.3× |
| Ketosteroids 17 total (83586) |
$16.64 |
— |
1.3× |
| Koh Prep (87220) |
$5.55 |
— |
1.3× |
| L/s ratio (83661) |
$28.59 |
— |
1.3× |
| Lactate (ld) (ldh) enzyme (83615) |
$7.85 |
— |
1.3× |
| Lactoferrin Fecal Quantitative (83631) |
$25.52 |
— |
1.3× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) |
$26.29 |
— |
1.3× |
| Lactose urine qual (83633) |
$14.63 |
— |
1.3× |
| Lamellar Body Count (83664) |
$25.12 |
— |
1.3× |
| Ldh Isoenzymes (83625) |
$16.63 |
— |
1.3× |
| LDL direct (83721) |
$13.65 |
— |
1.3× |
| Lead (83655) |
$15.74 |
— |
1.3× |
| Legionella antibody (86713) |
$19.89 |
— |
1.3× |
| Legionella antigen urine (87449) |
$15.57 |
— |
1.3× |
| Legionella DNA probe (87540) |
$26.07 |
— |
1.3× |
| Legionella pneumophila dfa (87278) |
$20.28 |
— |
1.3× |
| Leptospira antibody (86720) |
$21.06 |
— |
1.3× |
| Leucine Aminopeptidase Lap (83670) |
$12.75 |
— |
1.3× |
| Leukocyte Assessment Fecal (89055) |
$5.55 |
— |
1.3× |
| Leukocyte Histamine Release (86343) |
$16.20 |
— |
1.3× |
| Leukocyte phagocytosis (86344) |
$13.51 |
— |
1.3× |
| Leukocyte transfusion (86950) |
$197.71 |
— |
1.2× |
| Level I Surg Pathology Gross Examination Only (88300) |
$34.47 |
— |
1.2× |
| Level ii surg pathology grossµscopic exam (88302) |
$34.47 |
— |
1.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) |
$416.08 |
— |
1.2× |
| Lidocaine (80176) |
$19.10 |
— |
1.3× |
| Lipase (83690) |
$8.96 |
— |
1.3× |
| Lipoprotein A (83695) |
$18.62 |
— |
1.3× |
| Lipoprotein Bld Quan Part (83704) |
$44.45 |
— |
1.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) |
$44.02 |
— |
1.3× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) |
$16.58 |
— |
1.3× |
| Listeria Monocytogenes (86723) |
$17.15 |
— |
1.3× |
| Lithium (80178) |
$8.59 |
— |
1.3× |
| Luteinizing Hormone (Lh) (83002) |
$24.08 |
— |
1.3× |
| Lyme disease antibody (86618) |
$22.14 |
— |
1.3× |
| Lymphocyte Culture Mixed (86821) |
$47.53 |
— |
1.3× |
| Lymphocyte transformation (86353) |
$63.74 |
— |
1.3× |
| Lymphocytotoxicity Assay (86805) |
$246.36 |
— |
1.3× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) |
$61.87 |
— |
1.3× |
| Lysozyme serum (85549) |
$24.38 |
— |
1.3× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) |
$45.62 |
— |
1.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) |
$197.71 |
— |
1.2× |
| Macroscopic exam arthropod (87168) |
$5.55 |
— |
1.3× |
| Macroscopic Exam Parasite (87169) |
$5.60 |
— |
1.3× |
| Magnesium Urine (83735) |
$8.71 |
— |
1.3× |
| Malate dehydrogenase Facility (83775) |
$9.58 |
— |
1.3× |
| Mass Spectrometry Quant (83789) |
$31.34 |
— |
1.3× |
| Meat fibers, feces (89160) |
$6.31 |
— |
1.3× |
| Mechanical fragility rbc (85547) |
$11.18 |
— |
1.3× |
| Mercury urine (83825) |
$21.14 |
— |
1.3× |
| Metabolic panel ionized ca (80047) |
$17.85 |
— |
1.3× |
| Methemalbumin (83857) |
$13.96 |
— |
1.3× |
| Methylmalonic acid serum (83921) |
$27.57 |
— |
1.3× |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) |
$118.51 |
— |
1.3× |
| Microalbumin, quantitative (82043) |
$7.51 |
— |
1.3× |
| Microbe Suscept Macrobroth (87188) |
$8.63 |
— |
1.3× |
| Microsomal Antibodies Each (86376) |
$18.92 |
— |
1.3× |
| Molecular Cytogenetics Dna Probe Each (88271) |
$27.85 |
— |
1.3× |
| Mononuclear cell antigen (86356) |
$34.81 |
— |
1.3× |
| Mopath procedure level 1 (81400) |
$83.15 |
— |
1.3× |
| Mopath procedure level 4 (81403) |
$240.76 |
— |
1.3× |
| Morphometric analysis nerve (88356) |
$62.73 |
— |
1.3× |
| Morphometric Analysis Tumor (88358) |
$197.71 |
— |
1.2× |
| Mrsa Pcr (87641) |
$45.62 |
— |
1.3× |
| Mthfr Gene Analysis Common Variants (81291) |
$84.94 |
— |
1.3× |
| Mucin Clot Body Fluid (83872) |
$7.62 |
— |
1.3× |
| Mucopolysaccharides acid quantitative (83864) |
$37.05 |
— |
1.3× |
| Mumps antibody (86735) |
$16.97 |
— |
1.3× |
| Mycobacteric Identification (87118) |
$18.99 |
— |
1.3× |
| Mycoplasma antibody (86738) |
$17.21 |
— |
1.3× |
| Mycoplasma culture (87109) |
$20.01 |
— |
1.3× |
| Myelin basic protein csf (83873) |
$22.36 |
— |
1.3× |
| Myoglobin urine (83874) |
$16.80 |
— |
1.3× |
| Natriuretic peptide (83880) |
$51.04 |
— |
1.3× |
| Neisseria Dir Na Probe (87590) |
$34.94 |
— |
1.3× |
| Nerve teasing preparations (88362) |
$995.36 |
— |
1.3× |
| Neutralization Test Viral (86382) |
$21.98 |
— |
1.3× |
| Niacin (84591) |
$22.18 |
— |
1.3× |
| Nickel level (83885) |
$31.86 |
— |
1.3× |
| Nitroblue Tetrazolium Dye (86384) |
$17.69 |
— |
1.3× |
| Nuclear antigen antibody (86235) |
$23.31 |
— |
1.3× |
| Nudt15 Gene Common Variants (81306) |
$378.77 |
— |
1.3× |
| Nzym actv blood cells/tiss radact substrate ea (82658) |
$57.24 |
— |
1.3× |
| Occult blood feces (82272) |
$5.50 |
— |
1.3× |
| Occult Blood Other Sources (82271) |
$6.92 |
— |
1.3× |
| Oligoclonal bands (83916) |
$35.61 |
— |
1.3× |
| Oncoprotein Her-2/Neu (83950) |
$83.73 |
— |
1.3× |
| Organic Acids Qualitative Each Specimen (83919) |
$21.39 |
— |
1.3× |
| Organic acids urine (83918) |
$30.68 |
— |
1.3× |
| Osmolality serum (83930) |
$8.59 |
— |
1.3× |
| Osmolality Urine (83935) |
$8.87 |
— |
1.3× |
| Osmotic fragility rbc incubated (85557) |
$17.37 |
— |
1.3× |
| Osmotic Fragility RBC Unincubated (85555) |
$9.71 |
— |
1.3× |
| Osteocalcin (83937) |
$38.81 |
— |
1.3× |
| Ova and parasites smears (87177) |
$11.57 |
— |
1.3× |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) |
$16.51 |
— |
1.3× |
| Oxalate urine (83945) |
$18.79 |
— |
1.3× |
| Particle Agglut Antbdy Titr (86406) |
$13.83 |
— |
1.3× |
| Particle Agglutination Screen Each Antibody (86403) |
$15 |
— |
1.3× |
| Parvovirus antibody (86747) |
$19.54 |
— |
1.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$995.36 |
— |
1.3× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) |
$57.19 |
— |
1.3× |
| Ph urine (81003) |
$2.93 |
— |
1.3× |
| Phenobarbital Level (80184) |
$19.89 |
— |
1.3× |
| Phenylalanine (84030) |
$7.15 |
— |
1.3× |
| Phenylketones qual (84035) |
$5.17 |
— |
1.3× |
| Phenytoin (Dilantin) (80185) |
$17.23 |
— |
1.3× |
| Phenytoin free (80186) |
$17.89 |
— |
1.3× |
| Phosphatase acid prostatic (84066) |
$12.56 |
— |
1.3× |
| Phosphatase alkaline (84075) |
$6.73 |
— |
1.3× |
| Phosphatidylglycerol (84081) |
$21.48 |
— |
1.3× |
| Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) |
$12.27 |
— |
1.3× |
| Phosphorus Serum (84100) |
$6.16 |
— |
1.3× |
| Phosphorus urine (84105) |
$7.51 |
— |
1.3× |
| Pinworm exam (87172) |
$5.55 |
— |
1.3× |
| Platelet Aggregation (85576) |
$32.38 |
— |
1.3× |
| Platelet Antibodies (86022) |
$23.88 |
— |
1.3× |
| Platelet count automated (85049) |
$5.82 |
— |
1.3× |
| Platelet neutralization (85597) |
$23.37 |
— |
1.3× |
| Pooling blood platelets (86965) |
$197.71 |
— |
1.2× |
| Porphobilinogen Urine Qualitative (84106) |
$7.57 |
— |
1.3× |
| Porphobilinogen, urine; quantitative (84110) |
$10.97 |
— |
1.3× |
| Porphyrins Feces Quantitative (84126) |
$50.84 |
— |
1.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$19.12 |
— |
1.3× |
| Porphyrins, urine; qualitative (84119) |
$17.37 |
— |
1.3× |
| Potassium Urine (84133) |
$6.15 |
— |
1.3× |
| Pr assay of bradykinin (82286) |
$6.71 |
— |
1.3× |
| Pr assay of etiocholanolone (82696) |
$34.11 |
— |
1.3× |
| Prealbumin (84134) |
$18.97 |
— |
1.3× |
| Pregnanediol (84135) |
$27.65 |
— |
1.3× |
| Pregnanetriol (84138) |
$27.37 |
— |
1.3× |
| Pregnenolone (84140) |
$26.87 |
— |
1.3× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) |
$197.71 |
— |
1.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) |
$70.80 |
— |
1.2× |
| Pretx serum rbc antibody identification dilution (86976) |
$34.47 |
— |
1.2× |
| Primidone (80188) |
$21.57 |
— |
1.3× |
| Progesterone (84144) |
$27.12 |
— |
1.3× |
| Prolactin (84146) |
$25.19 |
— |
1.3× |
| Prostaglandin (84150) |
$54.30 |
— |
1.3× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) |
$34.09 |
— |
1.3× |
| Protein body fluid (84157) |
$5.20 |
— |
1.3× |
| Protein C Activity (85303) |
$17.99 |
— |
1.3× |
| Protein c antigen (85302) |
$15.61 |
— |
1.3× |
| Protein Electrophoresis Urine (84166) |
$23.18 |
— |
1.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
$13.96 |
— |
1.3× |
| Protein S Free (85306) |
$19.92 |
— |
1.3× |
| Protein s total (85305) |
$15.09 |
— |
1.3× |
| Protein Total Refractometry Any Src (84160) |
$7.29 |
— |
1.3× |
| Protein total serum (84155) |
$4.77 |
— |
1.3× |
| Protein Total Urine (84156) |
$4.77 |
— |
1.3× |
| Protein Western Blot Test (84182) |
$37.97 |
— |
1.3× |
| Protein, western blot tissue (88371) |
$28.90 |
— |
1.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$5.12 |
— |
1.3× |
| Protoporphyrin rbc quantitative (84202) |
$18.66 |
— |
1.3× |
| Protoporphyrin, RBC; screen Facility (84203) |
$12.66 |
— |
1.3× |
| PSA free (84154) |
$23.91 |
— |
1.3× |
| Pth Intact (83970) |
$53.66 |
— |
1.3× |
| Pyruvate kinase (84220) |
$12.27 |
— |
1.3× |
| Q Fever Antibody (86638) |
$15.76 |
— |
1.3× |
| Quantiferon tb gold plus (86480) |
$80.57 |
— |
1.3× |
| Quantitative assay drug (80299) |
$24.23 |
— |
1.3× |
| Quantitative Screen Metals (83018) |
$28.55 |
— |
1.3× |
| Quinidine (80194) |
$18.98 |
— |
1.3× |
| Quinine (84228) |
$15.12 |
— |
1.3× |
| Rbc antibody elution (86860) |
$197.71 |
— |
1.2× |
| Rbc antibody identification (86870) |
$416.08 |
— |
1.2× |
| Rbc antibody screen (86850) |
$12.70 |
— |
1.3× |
| Rbc pretreatment serum (86978) |
$70.80 |
— |
1.2× |
| Rbc pretx incubatj w/enzymes (86971) |
$197.71 |
— |
1.2× |
| Rbc serum pretx incubj drugs (86975) |
$461.21 |
— |
1.1× |
| Reagent Strip/Blood Glucose (82948) |
$6.55 |
— |
1.3× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) |
$92.60 |
— |
1.3× |
| Receptor assay estrogen (84233) |
$114.24 |
— |
1.3× |
| Receptor assay progesterone (84234) |
$84.34 |
— |
1.3× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) |
$272.12 |
— |
1.3× |
| Renin activity plasma (84244) |
$28.59 |
— |
1.3× |
| Reptilase test (85635) |
$12.81 |
— |
1.3× |
| Reticulocyte Count Manual (85044) |
$5.60 |
— |
1.3× |
| Reticulocyte separation (86972) |
$197.71 |
— |
1.2× |
| Rh (86901) |
$3.89 |
— |
1.3× |
| Rheumatoid Factor Qualitative (86430) |
$7.98 |
— |
1.3× |
| Rheumatoid factor quant (86431) |
$7.37 |
— |
1.3× |
| Rickettsia antibody (86757) |
$25.16 |
— |
1.3× |
| Ristocetin cofactor (85245) |
$29.82 |
— |
1.3× |
| Rotavirus ag eia (87425) |
$15.57 |
— |
1.3× |
| Rpr qualitative (86592) |
$5.55 |
— |
1.3× |
| Rsv ab (86756) |
$20.66 |
— |
1.3× |
| Rsv Assay W/Optic (87807) |
$17.03 |
— |
1.3× |
| Rubella Antibody (86762) |
$18.71 |
— |
1.3× |
| Rubeola antibody (86765) |
$16.74 |
— |
1.3× |
| Russell Viper Venom Time Diluted (85613) |
$12.45 |
— |
1.3× |
| Russell Viper Venon Time Undiluted (85612) |
$22.74 |
— |
1.3× |
| Salmonella antibody (86768) |
$17.15 |
— |
1.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$66.70 |
— |
1.3× |
| Sedimentation rate (85651) |
$5.55 |
— |
1.3× |
| Sedimentation Rate, Automated (85652) |
$3.51 |
— |
1.3× |
| Selenium (84255) |
$33.19 |
— |
1.3× |
| Semen Anal Sperm Detection (89321) |
$15.67 |
— |
1.3× |
| Semen analysis complete (89320) |
$16 |
— |
1.3× |
| Semen analysis motility and count (89310) |
$11.19 |
— |
1.3× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) |
$12.79 |
— |
1.3× |
| Sensitivity mic (87186) |
$11.25 |
— |
1.3× |
| Serpina 1 gene (81332) |
$56.75 |
— |
1.3× |
| Serum Bactericidal Titer (87197) |
$19.53 |
— |
1.3× |
| Sex Chromatin Identification Barr Bodies (88130) |
$23.37 |
— |
1.3× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) |
$10.39 |
— |
1.3× |
| Sex Hormone Binding Globulin (84270) |
$28.25 |
— |
1.3× |
| Shigella Antibody (86771) |
$31.82 |
— |
1.3× |
| Sickling of rbc reduction (85660) |
$7.16 |
— |
1.3× |
| Silica (84285) |
$32.77 |
— |
1.3× |
| Skin Test Candida (86485) |
$34.47 |
— |
1.2× |
| Skin test tuberculosis intradermal (86580) |
$34.47 |
— |
1.2× |
| Skin test; histoplasmosis (86510) |
$46.42 |
— |
1.3× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) |
$227.25 |
— |
1.3× |
| Smear acid fast (87206) |
$7.01 |
— |
1.3× |
| Smear complex stain (87209) |
$23.37 |
— |
1.3× |
| Smear gram stain (87205) |
$5.55 |
— |
1.3× |
| Smear Special Stain (87207) |
$7.79 |
— |
1.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$7.57 |
— |
1.3× |
| Sodium Serum (84295) |
$6.25 |
— |
1.3× |
| Sodium Urine (84300) |
$6.58 |
— |
1.3× |
| Soluble fibrin monomer (85366) |
$104.60 |
— |
1.3× |
| Soluble Transferrin Receptor (84238) |
$47.54 |
— |
1.3× |
| Somatomedin (84305) |
$27.64 |
— |
1.3× |
| Somatostatin (84307) |
$23.76 |
— |
1.3× |
| Special Stains Group 1 (88312) |
$62.73 |
— |
1.3× |
| Special Stains Group 2 (88313) |
$70.80 |
— |
0.6× |
| Specific gravity body fluid (84315) |
$4.26 |
— |
1.3× |
| Specimen infect agnt concntj (87015) |
$8.68 |
— |
1.3× |
| Spectrophotometry (84311) |
$10.53 |
— |
1.3× |
| Sperm Antibodies (89325) |
$13.87 |
— |
1.3× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) |
$13.49 |
— |
1.3× |
| Sperm evaluation; hamster penetration test Facility (89329) |
$25.47 |
— |
1.3× |
| Splitting Blood/Blood Products Each Unit (86985) |
$197.71 |
— |
1.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
$197.71 |
— |
1.2× |
| Staph a DNA amp probe (87640) |
$45.62 |
— |
1.3× |
| Stone Analysis (82355) |
$15.05 |
— |
1.3× |
| Stool cultr aerobic bact ea (87046) |
$12.27 |
— |
1.3× |
| Strep a assay w/optic (87880) |
$21.49 |
— |
1.3× |
| Strep a DNA amp probe (87651) |
$45.62 |
— |
1.3× |
| Strep b DNA amp probe (87653) |
$45.62 |
— |
1.3× |
| Streptokinase, antibody Facility (86590) |
$16.46 |
— |
1.3× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) |
$50.70 |
— |
1.3× |
| Surg path level iii (88304) |
$62.73 |
— |
1.3× |
| Surgical pathology level IV (88305) |
$62.73 |
— |
1.3× |
| Surgical pathology level vi (88309) |
$995.36 |
— |
1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) |
$6.18 |
— |
1.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) |
$9.72 |
— |
1.3× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) |
$52.22 |
— |
1.3× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
$9.50 |
— |
1.3× |
| Sweat Collection Iontophoresis (89230) |
$62.73 |
— |
1.3× |
| Syphilis Test Non-Trep Quant (86593) |
$5.72 |
— |
1.3× |
| T cells absolute cd4 count (86361) |
$34.81 |
— |
1.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$61.07 |
— |
1.3× |
| T cells total count (86359) |
$49.05 |
— |
1.3× |
| T3 Free (84481) |
$22.02 |
— |
1.3× |
| T3 reverse (84482) |
$20.49 |
— |
1.3× |
| T3 Total (84480) |
$18.43 |
— |
1.3× |
| T3 Uptake (84479) |
$8.41 |
— |
1.3× |
| T4 Free (84439) |
$11.73 |
— |
1.3× |
| T4 total (84436) |
$8.93 |
— |
1.3× |
| T4-neonatal (84437) |
$8.41 |
— |
1.3× |
| Tacrolimus (80197) |
$17.85 |
— |
1.3× |
| Test for acetone/ketones (82009) |
$5.88 |
— |
1.3× |
| Test for urine cystines (82615) |
$12.42 |
— |
1.3× |
| Testosterone total (84403) |
$33.55 |
— |
1.3× |
| Testosterone, Free (84402) |
$33.11 |
— |
1.3× |
| Tetanus antibody (86774) |
$19.24 |
— |
1.3× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) |
$15.72 |
— |
1.3× |
| Theophylline (80198) |
$18.38 |
— |
1.3× |
| Thiocyanate (84430) |
$15.12 |
— |
1.3× |
| Thrombin Time (85670) |
$7.50 |
— |
1.3× |
| Thrombin time titer (85675) |
$8.91 |
— |
1.3× |
| Thrombomodulin Facility (85337) |
$22.45 |
— |
1.3× |
| Thromboplastin Inhibition Tissue (85705) |
$12.52 |
— |
1.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
$8.41 |
— |
1.3× |
| Thyroglobulin (84432) |
$20.88 |
— |
1.3× |
| Thyroglobulin Antibody (86800) |
$20.68 |
— |
1.3× |
| Thyroid Stimulating Immunoglobulin (84445) |
$66.12 |
— |
1.3× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) |
$65.53 |
— |
1.3× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) |
$87.37 |
— |
1.3× |
| Thyroxine binding globulin (84442) |
$19.21 |
— |
1.3× |
| Tiss cul neo disorders solid tumor (88239) |
$191.78 |
— |
1.3× |
| Tissue Culture (88233) |
$182.95 |
— |
1.3× |
| Tissue Culture Amniotic Fluid (88235) |
$195.39 |
— |
1.3× |
| Tissue culture bone marrow (88237) |
$186.88 |
— |
1.3× |
| Tissue Culture Lymphocyte (88230) |
$151.44 |
— |
1.3× |
| Tobramycin peak (80200) |
$20.97 |
— |
1.3× |
| Topiramate (80201) |
$15.50 |
— |
1.3× |
| Touch prep (88161) |
$34.47 |
— |
1.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
$25.66 |
— |
1.3× |
| Toxoplasma ab igm (86778) |
$18.73 |
— |
1.3× |
| Toxoplasma antibody (86777) |
$18.71 |
— |
1.3× |
| Tpmt gene com variants (81335) |
$227.25 |
— |
1.3× |
| Transferase Aspartate Amino Ast Sgot (84450) |
$6.73 |
— |
1.3× |
| Transferrin (84466) |
$16.59 |
— |
1.3× |
| Trichinella Antibody (86784) |
$16.33 |
— |
1.3× |
| Trichomonas vagin dir probe (87660) |
$26.07 |
— |
1.3× |
| Trichomonas Vaginalis Amplif (87661) |
$45.62 |
— |
1.3× |
| Triglycerides (84478) |
$7.46 |
— |
1.3× |
| Troponin Quant (84484) |
$16.21 |
— |
1.3× |
| Trypsin feces qual (84488) |
$9.49 |
— |
1.3× |
| Tumor immunohistochem/comput (88361) |
$416.08 |
— |
1.2× |
| Tumor Immunohistochem/Manual (88360) |
$197.71 |
— |
1.2× |
| Ugt1a1 gene analysis common variants (81350) |
$304.20 |
— |
1.3× |
| Urea Nitrogen Clearance (84545) |
$9.36 |
— |
1.3× |
| Urea nitrogen urine (84540) |
$7.23 |
— |
1.3× |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) |
$6.67 |
— |
1.3× |
| Uric acid other source (84560) |
$6.60 |
— |
1.3× |
| Urinalysis Microscopic Only (81015) |
$3.97 |
— |
1.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) |
$2.82 |
— |
1.3× |
| Urinalysis Volume Measure (81050) |
$4.73 |
— |
1.3× |
| Urinalysis; 2 or 3 glass test Facility (81020) |
$6.11 |
— |
1.3× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) |
$38.97 |
— |
1.3× |
| Urine Albumin Semiquantitative (82044) |
$8.10 |
— |
1.3× |
| Urine Bacteria Culture (87088) |
$10.52 |
— |
1.3× |
| Urine Pregnancy Test (81025) |
$11.19 |
— |
1.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) |
$4.12 |
— |
1.3× |
| Urobilinogen urine qual (84578) |
$5.81 |
— |
1.3× |
| Urobilinogen, feces, quantitative Facility (84577) |
$21.84 |
— |
1.3× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
$12.42 |
— |
1.3× |
| Urobilinogen, urine; semiquantitative Facility (84583) |
$7.87 |
— |
1.3× |
| Valproic acid (80164) |
$17.60 |
— |
1.3× |
| Vancomycin (80202) |
$17.60 |
— |
1.3× |
| Varicella-zoster antibody (86787) |
$16.74 |
— |
1.3× |
| Vasopressin (84588) |
$44.12 |
— |
1.3× |
| Viral Culture (87252) |
$33.89 |
— |
1.3× |
| Virus antibody nos (86790) |
$16.74 |
— |
1.3× |
| Virus inoculate tissue addl (87253) |
$26.26 |
— |
1.3× |
| Virus inoculation, shell via (87254) |
$25.43 |
— |
1.3× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) |
$25.43 |
— |
1.3× |
| Viscosity serum (85810) |
$15.17 |
— |
1.3× |
| Vit D 1 25-Dihydroxy (82652) |
$50.05 |
— |
1.3× |
| Vitamin A (84590) |
$15.09 |
— |
1.3× |
| Vitamin b-12 (82607) |
$19.60 |
— |
1.3× |
| Vitamin B2 (Riboflavin) (84252) |
$26.31 |
— |
1.3× |
| Vitamin B6 (84207) |
$36.53 |
— |
1.3× |
| Vitamin c (82180) |
$12.86 |
— |
1.3× |
| Vitamin D 25-Hydroxy (82306) |
$38.48 |
— |
1.3× |
| Vitamin E (84446) |
$18.43 |
— |
1.3× |
| Vitamin K (84597) |
$17.84 |
— |
1.3× |
| Vkorc1 gene (81355) |
$114.66 |
— |
1.3× |
| Volatiles (84600) |
$22.24 |
— |
1.3× |
| Von willebrand factor ag (85246) |
$29.82 |
— |
1.3× |
| Wbc Alkaline Phosphatase Count (85540) |
$11.18 |
— |
1.3× |
| West nile virus ab igm (86788) |
$21.91 |
— |
1.3× |
| West Nile Virus Antibody (86789) |
$18.71 |
— |
1.3× |
| Western Blot Test (84181) |
$22.14 |
— |
1.3× |
| Xylose Absorption Test (84620) |
$16.78 |
— |
1.3× |
| Zinc (84630) |
$14.81 |
— |
1.3× |