| 17 Hydroxyprogesterone (83498) |
$75 |
$75 |
2.8× |
| Acetone, quantitative (82010) |
$49 |
$49 |
6.0× |
| Acth (82024) |
$64 |
$64 |
1.7× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) |
$271 |
$271 |
3.1× |
| Activated protein c resistance (85307) |
$39 |
$39 |
2.5× |
| Acute hepatitis panel (80074) |
$289 |
$289 |
6.1× |
| Afb concentration (87015) |
$47 |
$47 |
7.0× |
| Afb culture (87116) |
$71 |
$71 |
6.6× |
| Afb smear (87206) |
$100 |
$100 |
18.6× |
| Albumin serum (82040) |
$96 |
$96 |
19.4× |
| Aldolase (82085) |
$37 |
$37 |
3.8× |
| Aldosterone (82088) |
$105 |
$105 |
2.6× |
| Alkaline phosphatase (84075) |
$84 |
$84 |
16.2× |
| Alkaline phosphatase isoenzymes (84080) |
$33 |
$33 |
2.2× |
| Allergen profile perennial allergen (86003) |
$15 |
$15 |
2.9× |
| Alpha-1-antitrypsin (82103) |
$45 |
$45 |
3.3× |
| Alpha-fetoprotein serum (82105) |
$84 |
$84 |
5.0× |
| Alt (84460) |
$96 |
$96 |
18.1× |
| Aluminum (82108) |
$46 |
$46 |
1.8× |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
$28 |
$28 |
1.2× |
| Ammonia (82140) |
$125 |
$125 |
8.6× |
| Amylase (82150) |
$110 |
$110 |
17.0× |
| Ana (86038) |
$33 |
$33 |
2.7× |
| Ana titer (86039) |
$84 |
$84 |
7.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$33 |
$33 |
2.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$33 |
$33 |
2.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$33 |
$33 |
1.8× |
| Angiotensin converting enzyme (82164) |
$47 |
$47 |
3.2× |
| Anti-mitochondrial antibody (86255) |
$147 |
$147 |
12.2× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$54 |
$54 |
4.5× |
| Antistreptolysin o titer (86060) |
$80 |
$80 |
11.0× |
| Antithrombin iii activity (85300) |
$58 |
$58 |
4.9× |
| Antithrombin iii antigen (85301) |
$64 |
$64 |
5.9× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$225 |
$225 |
18.7× |
| Arsenic (82175) |
$60 |
$60 |
3.2× |
| Aspergillus antibody (86606) |
$33 |
$33 |
2.2× |
| Aspergillus antigen (87305) |
$119 |
$119 |
9.9× |
| Ast (84450) |
$77.50 |
$77.50 |
15.0× |
| Bartonella antibody (86611) |
$47 |
$47 |
4.6× |
| Bcr/abl 1 gene other bp (81208) |
$667 |
$667 |
3.1× |
| Bcr/abl1 gene major bp (81206) |
$367 |
$367 |
2.2× |
| Beta 2 glycoprotein i antibody (86146) |
$88 |
$88 |
3.5× |
| Beta lactamase (87185) |
$93 |
$93 |
19.6× |
| Beta-2 microglobulin (82232) |
$46 |
$46 |
2.8× |
| Bile acids total (82239) |
$46 |
$46 |
2.7× |
| Bilirubin direct (82248) |
$114 |
$114 |
22.7× |
| Bilirubin total (82247) |
$96 |
$96 |
19.1× |
| Blood count leukocyte wbc automated (85048) |
$67 |
$67 |
26.4× |
| Blood count reticulocyte automated (85045) |
$89 |
$89 |
22.3× |
| Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Other Outpatient (85032) |
$107 |
$107 |
24.8× |
| Blood gases any combination (82803) |
$506 |
$506 |
19.4× |
| Blood gases ph only (82800) |
$217 |
$217 |
19.7× |
| Blood gases w/o2 saturation (82805) |
$524 |
$524 |
6.7× |
| Blood typing rbc antigens (86905) |
$104 |
$104 |
27.2× |
| Blood typing serologic abo (86900) |
$103 |
$103 |
34.4× |
| Blood typing serologic rh (d) (86901) |
$45 |
$45 |
15.1× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$192 |
$192 |
30.2× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$77.50 |
$77.50 |
4.9× |
| Breath alcohol test (82075) |
$49 |
$49 |
1.6× |
| C diff amplified probe (87493) |
$233 |
$233 |
6.3× |
| C-peptide (84681) |
$43 |
$43 |
2.1× |
| C-reactive protein (86140) |
$186 |
$186 |
35.9× |
| C-reactive protein high sensitivity (86141) |
$56 |
$56 |
4.3× |
| Ca 125 (86304) |
$48 |
$48 |
2.3× |
| Ca 15-3 (86300) |
$48.50 |
$48.50 |
2.3× |
| Cadmium (82300) |
$74 |
$74 |
3.1× |
| Calcium ionized (82330) |
$85 |
$85 |
6.2× |
| Calcium total (82310) |
$106 |
$106 |
20.5× |
| Calcium, random urine (82340) |
$37 |
$37 |
6.1× |
| Calprotectin fecal (83993) |
$251 |
$251 |
12.8× |
| Cancer antigen 19-9 (86301) |
$48 |
$48 |
2.3× |
| Candida antibody (86628) |
$76 |
$76 |
6.3× |
| Carbamazepine total (80156) |
$217 |
$217 |
14.9× |
| Carbon dioxide (82374) |
$76 |
$76 |
15.6× |
| Carbon monoxide (82375) |
$232 |
$232 |
18.8× |
| Cardiolipin antibody ea ig class (86147) |
$88 |
$88 |
3.5× |
| Cea (82378) |
$98 |
$98 |
5.2× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$192 |
$192 |
34.3× |
| Ceruloplasmin (82390) |
$37 |
$37 |
3.4× |
| Chg fresh frozen plasma thawing each unit (86927) |
$515 |
$515 |
3.0× |
| Chlamydia antibody (86631) |
$24 |
$24 |
2.0× |
| Chlamydia antibody igm (86632) |
$24 |
$24 |
1.9× |
| Chloride blood (82435) |
$88 |
$88 |
19.1× |
| Chloride urine (82436) |
$76 |
$76 |
13.2× |
| Cholesterol total (82465) |
$92 |
$92 |
21.1× |
| Chorionic gonadotropin test (84702) |
$278 |
$278 |
18.5× |
| Chromogranin a (86316) |
$61 |
$61 |
2.9× |
| Chromosome analysis 20-25 cells (88264) |
$278 |
$278 |
1.9× |
| Ck mb fraction (82553) |
$174 |
$174 |
15.1× |
| Clot inhibit prot s total (85305) |
$39 |
$39 |
3.4× |
| Cmv antibody (86644) |
$125.50 |
$125.50 |
8.7× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$1,883 |
$1,883 |
4.5× |
| Coccidioides antibody (86635) |
$52 |
$52 |
4.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$314 |
$314 |
13.0× |
| Cold agglutinins titer (86157) |
$46 |
$46 |
5.7× |
| Compatibility each unit electronic (86923) |
$175 |
$175 |
1.0× |
| Complement antigen ea component (86160) |
$34 |
$34 |
2.8× |
| Coombs test indirect titer (86886) |
$127 |
$127 |
24.5× |
| Copper (82525) |
$120 |
$120 |
9.7× |
| Cortisol free (82530) |
$53 |
$53 |
3.2× |
| Cortisol saliva (82533) |
$130 |
$130 |
8.0× |
| COVID-19 antibody (86769) |
$72 |
$72 |
1.7× |
| Coxsackie a9 virus antibody (86658) |
$87 |
$87 |
6.7× |
| Creatine kinase total (82550) |
$129 |
$129 |
19.8× |
| Creatinine (82565) |
$122 |
$122 |
23.8× |
| Creatinine clearance (82575) |
$164 |
$164 |
17.3× |
| Creatinine other source (82570) |
$122 |
$122 |
23.6× |
| Crossmatch ahg (86922) |
$175 |
$175 |
1.0× |
| Cryoglobulins (82595) |
$36 |
$36 |
5.6× |
| Crystals fluid (89060) |
$101 |
$101 |
13.8× |
| Culture anaerobic (87075) |
$120 |
$120 |
12.7× |
| Culture blood (87040) |
$167 |
$167 |
16.2× |
| Culture mycoplasma (87109) |
$88 |
$88 |
5.7× |
| Culture stool (87045) |
$40.50 |
$40.50 |
4.3× |
| Culture typing if ea antiserum (87140) |
$39 |
$39 |
7.0× |
| Culture urine (87086) |
$126 |
$126 |
15.6× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$186 |
$186 |
23.0× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) |
$111 |
$111 |
0.5× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$108 |
$108 |
20.8× |
| Cyclic citrullinated peptide ab (86200) |
$61 |
$61 |
4.7× |
| Cyclosporine (80158) |
$64 |
$64 |
3.5× |
| Cystatin c (82610) |
$87 |
$87 |
4.7× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$36 |
$36 |
2.8× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$1,906 |
$1,906 |
1.6× |
| Cytomeg DNA amp probe (87496) |
$149 |
$149 |
4.2× |
| Cytomegalovirus antibody igm (86645) |
$35.50 |
$35.50 |
2.1× |
| Cytopath cell enhance tech (88112) |
$144 |
$144 |
2.7× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$122 |
$122 |
6.0× |
| D-dimer quantitative (85379) |
$265 |
$265 |
26.0× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$92 |
$92 |
6.7× |
| Dhea sulfate (82627) |
$46 |
$46 |
2.1× |
| Digoxin (80162) |
$164 |
$164 |
12.3× |
| Dihydrotestosterone (82642) |
$82 |
$82 |
2.8× |
| Direct antiglobulin test (86880) |
$103 |
$103 |
19.1× |
| DNA/RNA amplified probe (87150) |
$98 |
$98 |
2.8× |
| Drug assay flecainide (80181) |
$68 |
$68 |
3.6× |
| Drug screen quant everolimus (80169) |
$135 |
$135 |
9.8× |
| Drug screen quant levetiracetam (80177) |
$69 |
$69 |
5.2× |
| Drug screen quantitative oxcarbazepine (80183) |
$65 |
$65 |
4.9× |
| Drug test prsmv chem anlyzr (80307) |
$172 |
$172 |
2.8× |
| Ear culture (87070) |
$139 |
$139 |
16.1× |
| Elastase pancreatic fecal quantitative (82653) |
$195 |
$195 |
8.5× |
| Electrolytes panel (80051) |
$156 |
$156 |
22.3× |
| Endomysial antibody each immunoglobulin class (86231) |
$40.50 |
$40.50 |
3.3× |
| Eosinophils urine (87205) |
$37 |
$37 |
8.7× |
| Erythropoietin (82668) |
$63 |
$63 |
3.4× |
| Estradiol (82670) |
$69 |
$69 |
2.5× |
| Estrogen fractionated (82671) |
$103 |
$103 |
3.2× |
| Ethosuximide (80168) |
$49 |
$49 |
3.0× |
| Eval amniotic fluid protein (84112) |
$306 |
$306 |
3.1× |
| Extractable nuclear antigen antibody any method (86235) |
$191 |
$191 |
10.7× |
| F2 gene analysis (81240) |
$205 |
$205 |
3.1× |
| F5 gene (81241) |
$106 |
$106 |
1.4× |
| Factor viii activity (85240) |
$68 |
$68 |
3.8× |
| Factor viii vw antigen (85246) |
$64 |
$64 |
2.8× |
| Factor xi activity (85270) |
$76 |
$76 |
4.2× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$102 |
$102 |
6.1× |
| Fecal fat qualitative (82705) |
$51 |
$51 |
10.0× |
| Ferritin (82728) |
$186 |
$186 |
13.6× |
| Fetal fibronectin (82731) |
$596 |
$596 |
9.3× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$78 |
$78 |
8.3× |
| Fibrinogen, activity (85384) |
$171 |
$171 |
17.6× |
| Folate serum (82746) |
$135 |
$135 |
9.2× |
| Follicle stimulating hormone (fsh) (83001) |
$70 |
$70 |
3.8× |
| Fungus isolation culture (87102) |
$64 |
$64 |
7.6× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$54 |
$54 |
4.4× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$42 |
$42 |
3.6× |
| Gamma glutamyl transferase (82977) |
$91 |
$91 |
12.6× |
| Gammaglobulin ige (82785) |
$29 |
$29 |
1.8× |
| Gastrin (82941) |
$48 |
$48 |
2.7× |
| Gentamicin (80170) |
$269 |
$269 |
16.4× |
| Gliadin antibody each immunoglobulin class (86258) |
$42 |
$42 |
3.5× |
| Glucose Fasting (82947) |
$102 |
$102 |
26.0× |
| Glucose other fluid (82945) |
$101 |
$101 |
25.7× |
| Glucose post glucose dose (82950) |
$241 |
$241 |
50.7× |
| Glucose-6-pd (82955) |
$45 |
$45 |
4.6× |
| Glycated hemoglobin (83036) |
$191 |
$191 |
19.7× |
| Growth hormone (hgh) (83003) |
$49 |
$49 |
2.9× |
| H pylori breath test (83013) |
$120 |
$120 |
1.8× |
| H pylori stool (87338) |
$88 |
$88 |
6.1× |
| Haptoglobin (83010) |
$42 |
$42 |
3.3× |
| Hba1/hba2 full gene sequence (81259) |
$1,753 |
$1,753 |
2.9× |
| Hba1/hba2 gene analysis dup/del variants (81269) |
$593 |
$593 |
2.9× |
| Hcg ql (84703) |
$129 |
$129 |
17.2× |
| HDL cholesterol (83718) |
$122 |
$122 |
14.9× |
| Hematocrit (hct) (85014) |
$80 |
$80 |
33.8× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) |
$2,094 |
$2,094 |
2.8× |
| Hemoglobin (85018) |
$71.50 |
$71.50 |
30.2× |
| Hep a ab total (86708) |
$45 |
$45 |
3.6× |
| Heparin assay (85520) |
$186 |
$186 |
14.2× |
| Heparin neutralization (85525) |
$83 |
$83 |
7.0× |
| Hepatitis a antibody igm (86709) |
$105 |
$105 |
9.3× |
| Hepatitis b core antibody igm (86705) |
$98 |
$98 |
8.3× |
| Hepatitis b core antibody total (86704) |
$39 |
$39 |
3.2× |
| Hepatitis b DNA quant (87517) |
$156 |
$156 |
3.6× |
| Hepatitis b surface ab (86706) |
$105 |
$105 |
9.8× |
| Hepatitis b surface antigen (87340) |
$98 |
$98 |
9.5× |
| Hepatitis c antibody (86803) |
$123 |
$123 |
8.6× |
| Hepatitis c genotype (87902) |
$405 |
$405 |
1.6× |
| Hepatitis c RNA quantitative (87522) |
$167 |
$167 |
3.9× |
| Hepatitis d quantification (87523) |
$119 |
$119 |
2.8× |
| Hepatitis delta antibody (86692) |
$48 |
$48 |
2.8× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$42 |
$42 |
2.9× |
| Herpes simplex virus by PCR (87529) |
$158 |
$158 |
4.5× |
| Heterophile antibody screen (86308) |
$96 |
$96 |
18.5× |
| Hexagonal phospholipid neutralization (85598) |
$139.50 |
$139.50 |
7.8× |
| Hfe gene (81256) |
$148 |
$148 |
2.3× |
| Histoplasma antibody (86698) |
$33 |
$33 |
2.4× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$164 |
$164 |
6.8× |
| HIV-1 antibody (86701) |
$172.50 |
$172.50 |
19.4× |
| HIV-2 antibody (86702) |
$140 |
$140 |
10.4× |
| Hla b27 (86812) |
$69 |
$69 |
2.7× |
| Homocysteine level (83090) |
$91 |
$91 |
5.1× |
| Hpv high-risk types (87624) |
$122 |
$122 |
3.5× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$267 |
$267 |
5.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$937 |
$937 |
2.2× |
| Igh vari regional mutation (81263) |
$812 |
$812 |
2.8× |
| Immunoassay analyte quantitative nos (83520) |
$119 |
$119 |
6.9× |
| Immunoassay infectious agent antibody quan nos (86317) |
$98 |
$98 |
6.5× |
| Immunofixation electrophoresis (86334) |
$77 |
$77 |
3.4× |
| Immunofixation urine (86335) |
$51 |
$51 |
1.7× |
| Immunoglobulin d (82784) |
$34 |
$34 |
3.7× |
| Immunoglobulin light chains free each (83521) |
$33 |
$33 |
1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$421 |
$421 |
6.0× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Other Outpatient (87800) |
$254 |
$254 |
5.8× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$178 |
$178 |
4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$187.50 |
$187.50 |
5.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$149 |
$149 |
3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) |
$360 |
$360 |
2.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$186 |
$186 |
5.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$189 |
$189 |
2.2× |
| Influenza DNA amp probe (87502) |
$229 |
$229 |
2.4× |
| Insulin total (83525) |
$39 |
$39 |
3.4× |
| Iron (83540) |
$143 |
$143 |
22.1× |
| Iron binding capacity (83550) |
$142 |
$142 |
16.2× |
| Irradiation of blood product, each unit (86945) |
$287 |
$287 |
7.5× |
| Islet cell antibody (86341) |
$74 |
$74 |
3.1× |
| Jak2 gene (81270) |
$269 |
$269 |
2.9× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$199 |
$199 |
5.2× |
| Lacosamide (80235) |
$156 |
$156 |
5.8× |
| Lactate (83605) |
$103 |
$103 |
8.9× |
| Lactate dehydrogenase (83615) |
$122 |
$122 |
20.2× |
| Lactoferrin fecal (qual) (83630) |
$93 |
$93 |
4.7× |
| Lamotrigine (80175) |
$77 |
$77 |
5.8× |
| LDL direct (83721) |
$111 |
$111 |
10.6× |
| Lead (83655) |
$77 |
$77 |
6.4× |
| Legionella culture (87081) |
$122 |
$122 |
18.4× |
| Legionella urine antigen (87449) |
$77 |
$77 |
6.4× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$360 |
$360 |
6.8× |
| Lidocaine (80176) |
$225 |
$225 |
15.3× |
| Lipase (83690) |
$139 |
$139 |
20.2× |
| Lithium (80178) |
$156 |
$156 |
23.6× |
| Luteinizing hormone (lh) (83002) |
$51 |
$51 |
2.8× |
| Lyme disease antibody (86617) |
$98.50 |
$98.50 |
6.4× |
| Lyme disease antibody (86618) |
$180 |
$180 |
10.6× |
| Magnesium (83735) |
$125 |
$125 |
18.7× |
| Malaria smear (87207) |
$154 |
$154 |
25.7× |
| Manual differential (85007) |
$126 |
$126 |
33.2× |
| Metanephrines (83835) |
$122 |
$122 |
7.2× |
| Methemoglobin quant (83050) |
$232 |
$232 |
28.3× |
| Methylmalonic acid serum (83921) |
$58 |
$58 |
2.7× |
| Microalbumin urine (82043) |
$107 |
$107 |
18.5× |
| Molecular cytogenetics DNA probe each (88271) |
$147 |
$147 |
6.9× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$142 |
$142 |
2.8× |
| Monocyte monolayer assay (mma) - oneblood (86999) |
$111 |
$111 |
3.8× |
| Mononuclear cell antigen (86356) |
$217 |
$217 |
8.1× |
| Mrsa PCR (87641) |
$232 |
$232 |
6.6× |
| Mumps antibody (86735) |
$39 |
$39 |
3.0× |
| Mycoplasma antibody (86738) |
$42 |
$42 |
3.2× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$147 |
$147 |
12.7× |
| N.gonorrhoeae DNA amp prob (87591) |
$125 |
$125 |
3.6× |
| Nasal smear for eosinophils (89190) |
$77 |
$77 |
13.3× |
| Natriuretic peptide (83880) |
$149 |
$149 |
3.8× |
| Nephelometry ea analyte (83883) |
$37 |
$37 |
2.7× |
| Obstetric panel includes HIV testing (80081) |
$770 |
$770 |
10.3× |
| Occult blood other sources (82271) |
$73 |
$73 |
13.7× |
| Occult blood screening (82270) |
$71 |
$71 |
16.2× |
| Oligoclonal bands (83916) |
$39 |
$39 |
1.4× |
| Osmolality serum (83930) |
$73 |
$73 |
11.0× |
| Osmolality urine (83935) |
$73 |
$73 |
10.7× |
| Ova and parasite exam (87177) |
$154 |
$154 |
17.3× |
| Pancreatic polypeptide (83519) |
$58 |
$58 |
3.2× |
| Parathyroid hormone (83970) |
$106 |
$106 |
2.6× |
| Pertussis by PCR (87798) |
$236 |
$236 |
6.7× |
| Phenobarbital (80184) |
$65 |
$65 |
4.2× |
| Phenytoin level total (80185) |
$241 |
$241 |
18.2× |
| Phosphorus (84100) |
$106 |
$106 |
22.4× |
| Pinworm exam (87172) |
$51 |
$51 |
11.9× |
| Plasminogen activity (85420) |
$59 |
$59 |
9.0× |
| Platelet count automated (85049) |
$56 |
$56 |
12.5× |
| Platelet neutralization (85597) |
$107 |
$107 |
6.0× |
| Porphobilinogen urine (84110) |
$37 |
$37 |
4.4× |
| Porphyrins urine quantitation & fractionation (84120) |
$64 |
$64 |
4.4× |
| Potassium (84132) |
$88 |
$88 |
18.5× |
| Potassium urine (84133) |
$107 |
$107 |
22.6× |
| Prealbumin (84134) |
$42 |
$42 |
2.9× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86971) |
$269 |
$269 |
1.5× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) |
$286 |
$286 |
4.7× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$215 |
$215 |
3.6× |
| Primidone (80188) |
$65 |
$65 |
3.9× |
| Procalcitonin (pct) (84145) |
$103 |
$103 |
3.8× |
| Progesterone (84144) |
$65 |
$65 |
3.1× |
| Prolactin (84146) |
$50 |
$50 |
2.6× |
| Protein c activity (85303) |
$109.50 |
$109.50 |
7.9× |
| Protein c antigen (85302) |
$108 |
$108 |
9.0× |
| Protein electrophoresis serum (84165) |
$96 |
$96 |
8.9× |
| Protein electrophoresis urine (84166) |
$63 |
$63 |
3.5× |
| Protein s antigen, free (85306) |
$77 |
$77 |
5.0× |
| Protein total other source (84157) |
$142 |
$142 |
35.5× |
| Protein total serum (84155) |
$69.50 |
$69.50 |
18.9× |
| Protein total urine (84156) |
$107 |
$107 |
29.2× |
| Protein, total, by refractometry, any source Other Outpatient (84160) |
$63 |
$63 |
11.2× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$79 |
$79 |
2.7× |
| PSA free (84154) |
$233 |
$233 |
12.7× |
| Q fever antibody (86638) |
$34 |
$34 |
2.8× |
| Rbc antibody elution (86860) |
$239 |
$239 |
1.4× |
| Rbc antibody identification (86870) |
$165 |
$165 |
0.5× |
| Rbc antibody screen (86850) |
$137 |
$137 |
14.0× |
| Reagent strip/blood glucose (82948) |
$102 |
$102 |
20.2× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$253.50 |
$253.50 |
21.0× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$63 |
$63 |
4.8× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$66 |
$66 |
3.4× |
| Renin (84244) |
$124 |
$124 |
5.6× |
| Reptilase test (85635) |
$112 |
$112 |
11.4× |
| Resp virus 12-25 targets (87633) |
$1,624 |
$1,624 |
3.9× |
| Rh phenotyping complete (86906) |
$146 |
$146 |
18.8× |
| Rheumatoid factor quant (86431) |
$119 |
$119 |
21.0× |
| Ristocetin cofactor (85245) |
$64 |
$64 |
2.8× |
| Rl immediate spin crossmatch (86920) |
$175 |
$175 |
1.0× |
| Rpr qual (86592) |
$35 |
$35 |
8.2× |
| Rpr titer (86593) |
$96 |
$96 |
21.8× |
| Rubella antibody (86762) |
$64 |
$64 |
4.4× |
| Rubeola antibody (86765) |
$81 |
$81 |
6.3× |
| Russell viper venom diluted (85613) |
$85.50 |
$85.50 |
8.9× |
| Sedimentation rate rbc automated (85652) |
$91 |
$91 |
33.7× |
| Selenium (84255) |
$48 |
$48 |
1.9× |
| Semen analysis post vasectomy (89321) |
$155 |
$155 |
12.9× |
| Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) Other… (89322) |
$381 |
$381 |
24.6× |
| Sex hormone binding globulin (84270) |
$51 |
$51 |
2.3× |
| Shiga-like toxin ag eia (87427) |
$42 |
$42 |
3.5× |
| Sirolimus (80195) |
$82 |
$82 |
6.0× |
| Skin test tuberculosis intradermal (86580) |
$48 |
$48 |
1.6× |
| Smear wet mount (87210) |
$84 |
$84 |
14.4× |
| Sodium (84295) |
$88 |
$88 |
18.3× |
| Sodium urine (84300) |
$88 |
$88 |
17.4× |
| Somatomedin (84305) |
$50 |
$50 |
2.4× |
| Stone analysis (82365) |
$56 |
$56 |
4.3× |
| Strep a DNA amp probe (87651) |
$224 |
$224 |
6.4× |
| Susceptibility mic per plate (87186) |
$130 |
$130 |
15.0× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$80 |
$80 |
10.7× |
| T cells cd4 count (86361) |
$77.50 |
$77.50 |
2.9× |
| T3 free (84481) |
$195 |
$195 |
11.5× |
| T3 reverse (84482) |
$59 |
$59 |
3.7× |
| T3 uptake (84479) |
$36 |
$36 |
5.6× |
| T4 (thyroxine) total (84436) |
$37 |
$37 |
5.4× |
| Tacrolimus (80197) |
$64 |
$64 |
4.7× |
| Tb test cell immun measure (86480) |
$100 |
$100 |
1.6× |
| Testosterone free (84402) |
$46 |
$46 |
1.8× |
| Testosterone total (84403) |
$53 |
$53 |
2.1× |
| Thiopurine drug metabolites (83789) |
$40 |
$40 |
1.7× |
| Thiopurine metabolites (80299) |
$191 |
$191 |
10.2× |
| Thrombin time plasma (85670) |
$80 |
$80 |
13.9× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$85 |
$85 |
13.1× |
| Thyroglobulin antibody (86800) |
$67 |
$67 |
4.2× |
| Thyroid peroxidase antibody (86376) |
$48 |
$48 |
3.3× |
| Thyroxine free (ft4) (84439) |
$204 |
$204 |
22.6× |
| Tissue culture bone marrow (88237) |
$278 |
$278 |
1.9× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$46.50 |
$46.50 |
4.0× |
| Topiramate (80201) |
$65 |
$65 |
5.5× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$55 |
$55 |
2.8× |
| Transferrin (84466) |
$42 |
$42 |
3.3× |
| Treponema pallidum antibody (86780) |
$85 |
$85 |
6.4× |
| Trichomonas vaginalis amplif (87661) |
$92 |
$92 |
2.6× |
| Triglycerides (84478) |
$88 |
$88 |
15.3× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$195 |
$195 |
13.8× |
| Troponin t (84484) |
$209 |
$209 |
16.8× |
| Urea nitrogen quantitative (84520) |
$106 |
$106 |
26.8× |
| Urea nitrogen urine (84540) |
$145 |
$145 |
26.1× |
| Uric acid blood (84550) |
$114 |
$114 |
25.2× |
| Uric acid other source (84560) |
$76 |
$76 |
15.0× |
| Urinalysis auto w/micro (81001) |
$88 |
$88 |
27.8× |
| Urine Pregnancy Test POC (81025) |
$137 |
$137 |
15.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$48 |
$48 |
21.3× |
| Valproic acid (80164) |
$269 |
$269 |
19.9× |
| Vancomycin (80202) |
$254 |
$254 |
18.8× |
| Varicella zoster antibody igg (86787) |
$68 |
$68 |
5.3× |
| Viral culture non-respiratory (87252) |
$39 |
$39 |
1.5× |
| Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) |
$39 |
$39 |
1.9× |
| Viscosity (85810) |
$42 |
$42 |
3.6× |
| Vitamin a (84590) |
$46 |
$46 |
4.0× |
| Vitamin b-12 (82607) |
$116 |
$116 |
7.7× |
| Vitamin b1 whole blood (84425) |
$61 |
$61 |
2.9× |
| Vitamin b6 (84207) |
$51 |
$51 |
1.8× |
| Vitamin d 25 hydroxy (82306) |
$143 |
$143 |
4.8× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$143 |
$143 |
3.7× |
| Vitamin e (84446) |
$49 |
$49 |
3.5× |
| Vitamin k1 (84597) |
$87 |
$87 |
6.3× |
| Voltage-gated calcium channel antibody each (86596) |
$207 |
$207 |
17.2× |
| Zinc (84630) |
$54 |
$54 |
4.7× |