Lab & pathology prices at T.J. Samson Community Hospital
Glasgow, KY · every code in this section with a posted price and a Medicare benchmark.
660 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) | $63.05 | $97 | 1.6× |
| 5 Hiaa (83497) | $71.82 | $110.50 | 5.6× |
| Acetaminophen level (80143) | $60.45 | $93 | 3.2× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $202.80 | $312 | 11.0× |
| Acetylcholine receptor binding antibody (86041) | $39.65 | $61 | 2.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $280.80 | $432 | 23.3× |
| Actin smooth muscle antibody each (86015) | $20.15 | $31 | 1.7× |
| Actinomyces antibody (86602) | $29.90 | $46 | 2.9× |
| Activated protein c resistance (85307) | $186.55 | $287 | 12.2× |
| Acute hepatitis panel (80074) | $78 | $120 | 1.6× |
| Acylcarnitine Plasma (82017) | $27.95 | $43 | 1.7× |
| Adamts13 activity (85397) | $237.90 | $366 | 7.7× |
| Additional high resolution study (88289) | $71.82 | $110.50 | 2.1× |
| Adenovirus Ag Ia (87301) | $31.85 | $49 | 2.7× |
| Afb culture (87116) | $35.10 | $54 | 3.3× |
| Albumin Fluid (82042) | $15.60 | $24 | 2.0× |
| Albumin serum (82040) | $16.90 | $26 | 3.4× |
| Aldolase (82085) | $16.25 | $25 | 1.7× |
| Aldosterone urine (82088) | $66.30 | $102 | 1.6× |
| Alkaline phosphatase isoenzymes (84080) | $35.42 | $54.50 | 2.4× |
| Allerg sp igg quan or semiquan (86001) | $61.10 | $94 | 7.8× |
| Allergen specific ige (86003) | $44.85 | $69 | 8.6× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $48.10 | $74 | 6.0× |
| Allg Spec Ige Recomb Ea (86008) | $71.50 | $110 | 4.0× |
| Alpha-1-antitrypsin phenotype (82104) | $24.05 | $37 | 1.7× |
| Alpha-1-antitrypsin, total (82103) | $81.58 | $125.50 | 6.1× |
| Alpha-Fetoprotein L3 (82107) | $263.90 | $406 | 4.1× |
| Alpha-fetoprotein, serum (82105) | $32.82 | $50.50 | 2.0× |
| Alt (sgpt) (84460) | $19.50 | $30 | 3.7× |
| Aluminum (82108) | $41.60 | $64 | 1.6× |
| Amikacin trough (80150) | $24.70 | $38 | 1.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $162.82 | $250.50 | 9.7× |
| Amino Acids, Single Quantitation (82131) | $91.65 | $141 | 4.0× |
| Aminolevulinic acid (ala) (82135) | $169.65 | $261 | 10.3× |
| Ammonia (82140) | $78.65 | $121 | 5.4× |
| Amylase urine (82150) | $14.95 | $23 | 2.3× |
| Angiotensin i enzyme test (82164) | $52.32 | $80.50 | 3.6× |
| Anti-phosphatidylserine antibody (86148) | $166.40 | $256 | 10.4× |
| Antibody Absorption (86978) | $208 | $320 | 3.7× |
| Antibody aspergillus (86606) | $46.48 | $71.50 | 3.1× |
| Antibody cytomegalovirus cmv (86644) | $40.30 | $62 | 2.8× |
| Antibody cytomegalovirus cmv igm (86645) | $27.95 | $43 | 1.7× |
| Antibody Encephalitis Eastern Equine (86652) | $44.20 | $68 | 3.4× |
| Antibody Encephalitis St. Louis (86653) | $44.20 | $68 | 3.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $21.45 | $33 | 1.6× |
| Antibody helicobacter pylori (86677) | $27.95 | $43 | 1.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $44.20 | $68 | 3.1× |
| Antibody herpes smplx type 1 (86695) | $21.45 | $33 | 1.6× |
| Antibody HIV-2 (86702) | $34.45 | $53 | 2.5× |
| Antibody identification (86870) | $590.20 | $908 | 1.7× |
| Antibody Listeria Monocytogenes (86723) | $247 | $380 | 18.7× |
| Antibody mumps (86735) | $32.82 | $50.50 | 2.5× |
| Antibody neisseria meningitidis (86741) | $139.10 | $214 | 10.5× |
| Antibody Protozoa Nes (86753) | $92.95 | $143 | 7.5× |
| Antibody rubeola (86765) | $44.20 | $68 | 3.4× |
| Antibody screen (86850) | $81.90 | $126 | 8.4× |
| Antibody treponema pallidum (86780) | $22.10 | $34 | 1.7× |
| Antibody; Coccidioides (86635) | $42.25 | $65 | 3.7× |
| Antigen typing (86905) | $527.15 | $811 | 137.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $256.10 | $394 | 49.4× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $146.25 | $225 | 12.1× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $29.90 | $46 | 2.5× |
| Antinuclear antibodies (86038) | $146.25 | $225 | 12.1× |
| Antistreptolysin o titer (86060) | $30.55 | $47 | 4.2× |
| Antithrombin iii activity (85300) | $176.48 | $271.50 | 14.9× |
| Antithrombin iii antigen (85301) | $23.40 | $36 | 2.2× |
| Apc gene dup/delet variants (81203) | $780 | $1,200 | 3.9× |
| Apc gene full sequence (81201) | $1,267.50 | $1,950 | 1.6× |
| Apolipoprotein b (82172) | $55.25 | $85 | 2.6× |
| Aquaporin-4 Antb Elisa (86051) | $273 | $420 | 23.7× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $993.52 | $1,528.50 | 82.5× |
| Arsenic Urine (82175) | $40.95 | $63 | 2.2× |
| Aspergillus ag eia (87305) | $60.45 | $93 | 5.0× |
| Assay myeloperoxidase (83876) | $86.45 | $133 | 1.7× |
| Assay Nephelometry Not Spec (83883) | $27.30 | $42 | 2.0× |
| Assay of acth (82024) | $63.05 | $97 | 1.6× |
| Assay of androstenedione (82157) | $48.10 | $74 | 1.6× |
| Assay of anti-mullerian hormone (82166) | $66.95 | $103 | 1.7× |
| Assay of blood chloride (82435) | $10.40 | $16 | 2.3× |
| Assay of c-peptide (84681) | $34.45 | $53 | 1.7× |
| Assay of calcitonin (82308) | $43.55 | $67 | 1.6× |
| Assay of ceruloplasmin (82390) | $17.55 | $27 | 1.6× |
| Assay of cyclosporine (80158) | $29.90 | $46 | 1.7× |
| Assay of erythropoietin (82668) | $30.55 | $47 | 1.6× |
| Assay of ethosuximide (80168) | $26.65 | $41 | 1.6× |
| Assay of ferritin (82728) | $106.28 | $163.50 | 7.8× |
| Assay of fluoride (82735) | $89.70 | $138 | 4.8× |
| Assay of g6pd enzyme (82955) | $16.25 | $25 | 1.7× |
| Assay of gammaglobulin igm (82784) | $27.30 | $42 | 2.9× |
| Assay of gastrin (82941) | $29.25 | $45 | 1.7× |
| Assay of gentamicin (80170) | $66.95 | $103 | 4.1× |
| Assay of homocystine (83090) | $97.82 | $150.50 | 5.5× |
| Assay of lipoprotein(a) (83695) | $23.40 | $36 | 1.6× |
| Assay of manganese (83785) | $43.55 | $67 | 1.6× |
| Assay of metanephrines (83835) | $31.20 | $48 | 1.8× |
| Assay of osteocalcin (83937) | $48.75 | $75 | 1.6× |
| Assay of parathormone (83970) | $67.60 | $104 | 1.6× |
| Assay of phenobarbital (80184) | $25.35 | $39 | 1.7× |
| Assay of prealbumin (84134) | $24.05 | $37 | 1.6× |
| Assay of proinsulin (84206) | $60.12 | $92.50 | 2.3× |
| Assay of pyruvate (84210) | $24.05 | $37 | 1.7× |
| Assay of selenium (84255) | $41.60 | $64 | 1.6× |
| Assay of serotonin (84260) | $50.70 | $78 | 1.6× |
| Assay of somatomedin (84305) | $35.10 | $54 | 1.7× |
| Assay of tacrolimus (80197) | $29.25 | $45 | 2.1× |
| Assay of transcortin (84449) | $65.65 | $101 | 3.6× |
| Assay of urine vma (84585) | $25.35 | $39 | 1.6× |
| Assay of vitamin k (84597) | $22.75 | $35 | 1.7× |
| Assay Ph Body Fluid Nos (83986) | $15.92 | $24.50 | 4.4× |
| Assay Thiopurine S-Methyltransferase (84433) | $243.75 | $375 | 11.0× |
| Ast (sgot) (84450) | $35.75 | $55 | 6.9× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,607.45 | $2,473 | 1.9× |
| B cells total count (86355) | $63.05 | $97 | 1.7× |
| Bartonella antibody (86611) | $16.90 | $26 | 1.7× |
| Bartonella DNA amp probe (87471) | $313.95 | $483 | 8.9× |
| Bcr/abl1 gene major bp (81206) | $399.75 | $615 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $323.70 | $498 | 2.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $158.28 | $243.50 | 6.2× |
| Beta hydroxybutyrate (82010) | $56.55 | $87 | 6.9× |
| Beta Lactamase (87185) | $11.05 | $17 | 2.3× |
| Beta-2 microglobulin (82232) | $32.82 | $50.50 | 2.0× |
| Bilirubin direct (82248) | $11.70 | $18 | 2.3× |
| Bilirubin total (82247) | $11.70 | $18 | 2.3× |
| Bl Smear W/Diff Wbc Count (85007) | $26.65 | $41 | 7.0× |
| Blastomyces antibody (86612) | $21.45 | $33 | 1.7× |
| Blood count reticulocyte automated (85045) | $11.05 | $17 | 2.8× |
| Blood gases (82803) | $96.20 | $148 | 3.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $35.75 | $55 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $7.80 | $12 | 1.8× |
| Blood Ph - Ph Venous (82800) | $18.20 | $28 | 1.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $527.15 | $811 | 83.0× |
| Blood typing abo (86900) | $179.40 | $276 | 60.0× |
| Blood typing serologic rh (d) (86901) | $86.78 | $133.50 | 29.0× |
| Blood typing serologic rh phenotyping complete (86906) | $122.85 | $189 | 15.9× |
| Body fluid cell count (89051) | $37.05 | $57 | 6.6× |
| Body fluid cell count (89050) | $25.35 | $39 | 5.4× |
| Bordetella antibody (86615) | $91.65 | $141 | 6.9× |
| Braf gene (81210) | $293.15 | $451 | 1.7× |
| Brca1&2 seq & full dup/del (81162) | $3,919.50 | $6,030 | 2.1× |
| Breath Alcohol Test (82075) | $26 | $40 | 0.9× |
| Brucella antibody (86622) | $19.50 | $30 | 2.2× |
| C diff amplified probe (87493) | $137.80 | $212 | 3.7× |
| C-reactive protein (86140) | $31.20 | $48 | 6.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $21.45 | $33 | 1.7× |
| Ca 125 (86304) | $34.45 | $53 | 1.7× |
| Ca 19-9 (86301) | $34.45 | $53 | 1.7× |
| Ca 27 29 (86300) | $34.45 | $53 | 1.7× |
| Cadmium level (82300) | $50.70 | $78 | 2.1× |
| Calcium ionized (82330) | $22.75 | $35 | 1.7× |
| Calcium total (82310) | $24.70 | $38 | 4.8× |
| Calcium urine (82340) | $10.40 | $16 | 1.7× |
| Calculus Spectroscopy (82365) | $22.42 | $34.50 | 1.7× |
| California encephalitis ab (86651) | $44.20 | $68 | 3.4× |
| Calprotectin, fecal (83993) | $122.20 | $188 | 6.2× |
| Calr gene com variants (81219) | $525.52 | $808.50 | 4.3× |
| Candida antibody (86628) | $122.20 | $188 | 10.2× |
| Carbamazepine (tegretol) total (80156) | $42.25 | $65 | 2.9× |
| Carbamazepine free (80157) | $63.05 | $97 | 4.8× |
| Carbon dioxide (82374) | $11.05 | $17 | 2.3× |
| Carboxyhemoglobin Quantitative (82375) | $46.15 | $71 | 3.7× |
| Carcinoembryonic antigen (82378) | $31.20 | $48 | 1.6× |
| Cardiolipin ab igg (86147) | $158.28 | $243.50 | 6.2× |
| Carnitine (82379) | $73.45 | $113 | 4.4× |
| Carotene (82380) | $20.15 | $31 | 2.2× |
| Catecholamines fraction plasma (82384) | $41.60 | $64 | 1.6× |
| Cd4 absolute count (86361) | $43.55 | $67 | 1.6× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $221 | $340 | 1.6× |
| Cftr gene com variants (81220) | $904.80 | $1,392 | 1.6× |
| Chemiluminescent assay (82397) | $130.65 | $201 | 9.3× |
| Chlamydia antibody (86631) | $109.85 | $169 | 9.3× |
| Chloride urine (82436) | $9.75 | $15 | 1.7× |
| Cholesterol total (82465) | $50.70 | $78 | 11.7× |
| Cholinesterase serum (82480) | $18.20 | $28 | 2.3× |
| Chrmsm analysis addl cells counted each study (88285) | $45.50 | $70 | 1.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $367.25 | $565 | 2.9× |
| Chromium urine (82495) | $57.20 | $88 | 2.8× |
| Chromogranin a (86316) | $52.65 | $81 | 2.5× |
| Chromosome analysis 20-25 cells (88264) | $278.20 | $428 | 1.9× |
| Chromosome karyotype study (88280) | $76.38 | $117.50 | 2.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $120.90 | $186 | 3.4× |
| Citrate (82507) | $45.50 | $70 | 1.6× |
| Ck isoenzymes (82552) | $22.10 | $34 | 1.7× |
| Ckmb (82553) | $98.15 | $151 | 8.5× |
| Clot factor viii vw antigen (85246) | $81.25 | $125 | 3.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $98.15 | $151 | 5.5× |
| Clot factor xiii fibrin stab (85290) | $221 | $340 | 13.5× |
| Clozapine level (80159) | $33.15 | $51 | 1.6× |
| Cmv PCR (87496) | $228.80 | $352 | 6.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,365 | $2,100 | 3.3× |
| Coagulation time activated (85347) | $9.75 | $15 | 2.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $320.78 | $493.50 | 13.3× |
| Collagen cross links (82523) | $84.82 | $130.50 | 4.5× |
| Compatibility test antiglob (86922) | $283.40 | $436 | 1.8× |
| Compatibility Test Incubate (86921) | $283.40 | $436 | 1.8× |
| Complement c3 (86160) | $145.28 | $223.50 | 12.1× |
| Complement total ch50 (86162) | $33.15 | $51 | 1.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $19.50 | $30 | 1.6× |
| Coombs direct (86880) | $124.15 | $191 | 23.0× |
| Coombs Test Indirect Qual (86885) | $256.10 | $394 | 44.8× |
| Copper urine (82525) | $20.80 | $32 | 1.7× |
| Cortisol free (82530) | $73.45 | $113 | 4.4× |
| Cortisol total (82533) | $96.85 | $149 | 5.9× |
| Creatine kinase total (82550) | $12.68 | $19.50 | 1.9× |
| Creatinine blood (82565) | $18.85 | $29 | 3.7× |
| Creatinine clearance (82575) | $87.75 | $135 | 9.3× |
| Creatinine other source (82570) | $99.45 | $153 | 19.2× |
| Crossmatch immediate spin (86920) | $283.40 | $436 | 1.8× |
| Cryoglobulin (82595) | $11.05 | $17 | 1.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $27.95 | $43 | 3.5× |
| Culture Aerobic Identify (87077) | $32.82 | $50.50 | 4.1× |
| Culture anaerobic (87075) | $105.30 | $162 | 11.1× |
| Culture blood (87040) | $65 | $100 | 6.3× |
| Culture chlamydia (87110) | $31.85 | $49 | 1.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $35.75 | $55 | 4.6× |
| Culture fungus id yeast (87106) | $38.35 | $59 | 3.7× |
| Culture fungus other (87102) | $137.15 | $211 | 16.3× |
| Culture genital (87070) | $24.05 | $37 | 2.8× |
| Culture screen only (87081) | $29.25 | $45 | 4.4× |
| Culture stool (87045) | $50.05 | $77 | 5.3× |
| Culture typing if ea antiserum (87140) | $9.10 | $14 | 1.6× |
| Culture typing other methods (87158) | $122.20 | $188 | 15.8× |
| Culture urine (87086) | $27.30 | $42 | 3.4× |
| Culture urine id ea isolate (87088) | $26.65 | $41 | 3.3× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $187.85 | $289 | 1.6× |
| Cyanide (82600) | $113.75 | $175 | 5.9× |
| Cyclic Citrullinated Peptide (86200) | $96.20 | $148 | 7.4× |
| Cystatin c (82610) | $191.75 | $295 | 10.4× |
| Cytogenetics 10-30 (88273) | $387.40 | $596 | 11.1× |
| Cytogenetics DNA probe (88271) | $354.90 | $546 | 16.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,774.85 | $4,269 | 2.4× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $146.25 | $225 | 3.4× |
| Cytopath cell enhance tech (88112) | $87.10 | $134 | 1.8× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $64.35 | $99 | 1.8× |
| Cytp concentration smears & interpretation (88108) | $185.90 | $286 | 5.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $87.10 | $134 | 1.8× |
| Cytp fna eval dx 1st each site (88172) | $283.40 | $436 | 1.8× |
| D-Dimer (85379) | $66.95 | $103 | 6.6× |
| Deoxyribonuclease antibody (86215) | $22.10 | $34 | 1.7× |
| Desoxycorticosterone (82633) | $169 | $260 | 5.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $27.30 | $42 | 1.6× |
| Detect agnt mult DNA ampli (87801) | $268.45 | $413 | 3.8× |
| Dhea (82626) | $183.30 | $282 | 7.3× |
| Dhea sulfate (82627) | $36.40 | $56 | 1.6× |
| Digoxin (80162) | $65.65 | $101 | 4.9× |
| Dihydrotestosterone (82642) | $107.90 | $166 | 3.7× |
| Dilantin (80185) | $78.65 | $121 | 5.9× |
| Dipropylacetic acid free (80165) | $38.35 | $59 | 2.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $100.10 | $154 | 7.3× |
| Dna/Rna Amplified Probe (87150) | $78.65 | $121 | 2.2× |
| DNA/RNA direct probe (87149) | $34.45 | $53 | 1.7× |
| Drug assay adalimumab (80145) | $223.60 | $344 | 5.8× |
| Drug Assay Amiodarone (80151) | $30.55 | $47 | 1.6× |
| Drug Assay Infliximab (80230) | $223.60 | $344 | 5.8× |
| Drug assay itraconazole (80189) | $674.70 | $1,038 | 24.9× |
| Drug Assay Lacosamide (80235) | $286 | $440 | 10.5× |
| Drug assay posaconazole (80187) | $636.35 | $979 | 23.5× |
| Drug assay vedolizumab (80280) | $223.60 | $344 | 5.8× |
| Drug assay voriconazole (80285) | $97.50 | $150 | 3.6× |
| Drug Screen Quant Gabapentin (80171) | $42.25 | $65 | 1.9× |
| Drug screen quant zonisamide (80203) | $22.10 | $34 | 1.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $22.10 | $34 | 1.7× |
| Drug Scrn Quan Levetiracetam (80177) | $24.70 | $38 | 1.9× |
| Drug scrn quant oxcarbazepin (80183) | $22.10 | $34 | 1.7× |
| Drug test prsmv chem anlyzr (80307) | $242.45 | $373 | 3.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $35.75 | $55 | 2.8× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $78.65 | $121 | 4.6× |
| Ebv viral capsid (86665) | $29.90 | $46 | 1.6× |
| Echinococcus ab igg (86682) | $117.98 | $181.50 | 9.1× |
| Egfr Gene Analysis Common Variants (81235) | $539.50 | $830 | 1.7× |
| Ehrlichia antibody (86666) | $30.55 | $47 | 3.0× |
| Elastase pancreatic fecal quantitative (82653) | $341.25 | $525 | 14.9× |
| Electrolyte panel (80051) | $34.45 | $53 | 4.9× |
| Encephalitis Western Equine (86654) | $44.20 | $68 | 3.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $20.15 | $31 | 1.7× |
| Endomysial antibody iga (86255) | $141.70 | $218 | 11.8× |
| Enterovirus antibody (86658) | $66.62 | $102.50 | 5.1× |
| Enterovirus Pcr (87498) | $138.45 | $213 | 3.9× |
| Eosinophil count (85048) | $23.40 | $36 | 9.2× |
| Epilepsy genomic sequence analysis panel (81419) | $4,257.50 | $6,550 | 1.7× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $27.62 | $42.50 | 1.8× |
| Estradiol (82670) | $45.50 | $70 | 1.6× |
| Estriol (82677) | $39.65 | $61 | 1.6× |
| Estrogens total (82672) | $35.75 | $55 | 1.6× |
| Estrone (82679) | $44.85 | $69 | 1.8× |
| Ethylene glycol (82693) | $128.70 | $198 | 8.6× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $159.90 | $246 | 1.6× |
| Everolimus (80169) | $72.15 | $111 | 5.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $14.95 | $23 | 2.0× |
| F2 gene analysis 20210g >a variant (81240) | $187.85 | $289 | 2.9× |
| F5 gene (81241) | $166.40 | $256 | 2.3× |
| Factor inhibitor test (85335) | $59.15 | $91 | 4.6× |
| Factor ix activity (85250) | $31.20 | $48 | 1.6× |
| Factor v activity (85220) | $59.15 | $91 | 3.4× |
| Factor vii assay (85230) | $29.25 | $45 | 1.6× |
| Factor viii ahg (85240) | $81.25 | $125 | 4.5× |
| Factor viii vw multimetric (85247) | $81.25 | $125 | 3.5× |
| Factor xi assay (85270) | $98.15 | $151 | 5.5× |
| Factor xii assay (85280) | $31.85 | $49 | 1.6× |
| Fecal fat qual (82705) | $8.45 | $13 | 1.7× |
| Fetal bleed screen (85461) | $35.10 | $54 | 3.8× |
| Fibrin degradation products (85362) | $16.90 | $26 | 2.5× |
| Fibrinogen activity (85384) | $32.50 | $50 | 3.3× |
| Fibrinolytic Plasminogen (85415) | $100.10 | $154 | 5.8× |
| Flow cytometry first marker (88184) | $693.88 | $1,067.50 | 2.0× |
| Flt3 gene analysis (81245) | $271.70 | $418 | 1.6× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) | $136.50 | $210 | 1.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $77.68 | $119.50 | 6.4× |
| Fmr1 gene detection (81243) | $203.45 | $313 | 3.6× |
| Folate serum (82746) | $81.25 | $125 | 5.5× |
| Follicle Stimulating Hormone (83001) | $38.02 | $58.50 | 2.0× |
| Francisella Tularensis (86668) | $64.35 | $99 | 4.5× |
| Fresh frozen plasma thawing each unit (86927) | $335.40 | $516 | 2.1× |
| Frozen Section (88331) | $283.40 | $436 | 1.8× |
| Fructosamine (82985) | $27.30 | $42 | 1.6× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $113.75 | $175 | 11.0× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) | $479.70 | $738 | 3.5× |
| Gammaglobulin ige (82785) | $36.08 | $55.50 | 2.2× |
| Gastric Occult Blood (82271) | $18.52 | $28.50 | 3.5× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $7,416.50 | $11,410 | 2.5× |
| Ggt (82977) | $16.25 | $25 | 2.3× |
| Giardia antigen eia stool (87329) | $64.02 | $98.50 | 5.3× |
| Gliadin antibody each immunoglobulin class (86258) | $99.12 | $152.50 | 8.2× |
| Glucose (82947) | $9.75 | $15 | 2.5× |
| Glucose Blood Test (82962) | $8.45 | $13 | 2.6× |
| Glucose body fluid (82945) | $9.75 | $15 | 2.5× |
| Glucose post dose (82950) | $13.65 | $21 | 2.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $7.80 | $12 | 2.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $25.35 | $39 | 2.0× |
| Growth hormone (83003) | $27.30 | $42 | 1.6× |
| Haloperidol (haldol) (80173) | $26 | $40 | 1.6× |
| Haptoglobin (83010) | $20.80 | $32 | 1.7× |
| Hcg qualitative (84703) | $77.35 | $119 | 10.3× |
| Hcg quant (84702) | $32.18 | $49.50 | 2.1× |
| Hdl Cholesterol (83718) | $18.85 | $29 | 2.3× |
| Heavy metal quant each (83018) | $69.22 | $106.50 | 3.2× |
| Hematocrit (85014) | $17.88 | $27.50 | 7.5× |
| Hemoglobin (85018) | $11.05 | $17 | 4.7× |
| Hemoglobin a1c (83036) | $22.75 | $35 | 2.3× |
| Hemoglobin electrophoresis (83020) | $64.02 | $98.50 | 5.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $43.55 | $67 | 5.6× |
| Heparin assay (85520) | $133.90 | $206 | 10.2× |
| Hepatitis a antibody total (86708) | $20.15 | $31 | 1.6× |
| Hepatitis a igm (86709) | $18.85 | $29 | 1.7× |
| Hepatitis b core ab igm (86705) | $19.50 | $30 | 1.7× |
| Hepatitis b core antibody total (86704) | $140.40 | $216 | 11.7× |
| Hepatitis B Surface Ab (86706) | $78.98 | $121.50 | 7.4× |
| Hepatitis b surface ag quan (87467) | $753.35 | $1,159 | 29.8× |
| Hepatitis B Surface Antigen (87340) | $24.05 | $37 | 2.3× |
| Hepatitis Be Antigen (87350) | $18.85 | $29 | 1.6× |
| Hepatitis c antibody (86803) | $140.40 | $216 | 9.8× |
| Hepatitis C Genotype (87902) | $418.60 | $644 | 1.6× |
| Hepatitis delta ab (86692) | $93.60 | $144 | 5.5× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $4,117.75 | $6,335 | 3.2× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $950.95 | $1,463 | 1.6× |
| Herpes culture (87252) | $52.32 | $80.50 | 2.0× |
| Herpes simplex type 2 (86696) | $31.85 | $49 | 1.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $18.20 | $28 | 3.5× |
| Hfe gene (81256) | $106.60 | $164 | 1.6× |
| Hgb quant transcutaneous (88738) | $8.45 | $13 | 1.7× |
| Histamine plasma (83088) | $48.10 | $74 | 1.6× |
| Histoplasma antibody (86698) | $31.20 | $48 | 2.3× |
| Histoplasma antigen urine (87385) | $168.35 | $259 | 12.7× |
| HIV confirmation (86689) | $243.75 | $375 | 12.6× |
| HIV-1 antibody (86701) | $49.72 | $76.50 | 5.6× |
| HIV-2 probe&revrse trnscripj (87538) | $57.20 | $88 | 1.6× |
| Hla b 27 disease association lc (81374) | $120.90 | $186 | 1.6× |
| Hla class i typing high resolution one allele or allele group (81381) | $551.20 | $848 | 3.2× |
| Hla I Typing 1 Locus Lr (81373) | $315.25 | $485 | 2.5× |
| Homogenization tissue (87176) | $9.75 | $15 | 1.7× |
| Hpv types 16 & 18 only (87625) | $66.30 | $102 | 1.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $109.85 | $169 | 1.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $57.20 | $88 | 1.6× |
| Htt gene analysis detect abnormal alleles (81271) | $479.70 | $738 | 3.5× |
| Hydroxychloroquine (80220) | $427.05 | $657 | 22.9× |
| Hydroxyprogesterone 17-d (83498) | $44.20 | $68 | 1.6× |
| Iaad ia clostridium difficile toxin (87324) | $33.15 | $51 | 2.8× |
| Iaad ia cryptosporidium (87328) | $65.65 | $101 | 4.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $53.95 | $83 | 2.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $47.45 | $73 | 3.3× |
| Iaad ia rotavirus (87425) | $65.65 | $101 | 5.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $61.10 | $94 | 1.7× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $50.70 | $78 | 4.2× |
| Iaadiadoo not otherwise specified (87899) | $39.32 | $60.50 | 2.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $181.35 | $279 | 5.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $117 | $180 | 3.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $156.65 | $241 | 2.2× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $187.20 | $288 | 5.3× |
| Iadna hepatitis b virus quantification (87517) | $819.65 | $1,261 | 19.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $131.30 | $202 | 3.1× |
| Iadna herpes virus-6 amplified probe tq (87532) | $187.20 | $288 | 5.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $57.20 | $88 | 1.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $391.30 | $602 | 4.6× |
| Iadna human papillomavirus high-risk types (87624) | $71.50 | $110 | 2.0× |
| Iadna mtb rifampin resistance amp prb tq (87564) | $242.45 | $373 | 3.2× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $121.88 | $187.50 | 2.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $326.95 | $503 | 9.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $109.52 | $168.50 | 3.1× |
| Iadna nos amplified probe tq each organism (87798) | $208.98 | $321.50 | 6.0× |
| Iadna nos quantification each organism (87799) | $277.22 | $426.50 | 6.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $137.15 | $211 | 3.9× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $677.30 | $1,042 | 1.6× |
| Igg subclasses (82787) | $20.80 | $32 | 2.6× |
| Igvh somatic hypermutation (81263) | $591.50 | $910 | 2.0× |
| Immunfix e-phorsis/urine/csf (86335) | $125.78 | $193.50 | 4.3× |
| Immunoassay infectious agent antibody quan nos (86317) | $142.35 | $219 | 9.5× |
| Immunoassay nonantibody (83516) | $162.50 | $250 | 14.1× |
| Immunodiffusion Ouchterlony (86331) | $29.90 | $46 | 2.5× |
| Immunofixj Electrophoresis Serum (86334) | $36.40 | $56 | 1.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $315.25 | $485 | 1.9× |
| Immunoglobulin light chains free each (83521) | $30.55 | $47 | 1.8× |
| Immunohisto Antibody Slide (88344) | $595.40 | $916 | 1.7× |
| Immunohistochemistry (88342) | $315.25 | $485 | 1.9× |
| India ink prep (87210) | $15.28 | $23.50 | 2.6× |
| Infectious agent enzymatic activity to detect organism (87905) | $144.95 | $223 | 11.9× |
| Influenza DNA amp probe (87502) | $189.80 | $292 | 2.0× |
| Inhibin a (86336) | $183.95 | $283 | 11.8× |
| Inhibin b (83520) | $154.38 | $237.50 | 8.9× |
| Insitu hybridization (fish) (88365) | $283.40 | $436 | 1.8× |
| Insulin antibodies (86337) | $35.10 | $54 | 1.6× |
| Insulin total (83525) | $47.78 | $73.50 | 4.2× |
| Interleukin 6 (83529) | $126.10 | $194 | 7.3× |
| Intraop cyto path consult 1 (88333) | $1,333.15 | $2,051 | 1.7× |
| Intrinsic factor antibody (86340) | $25.35 | $39 | 1.7× |
| Iron (83540) | $53.95 | $83 | 8.3× |
| Iron binding capacity (83550) | $35.42 | $54.50 | 4.1× |
| Islet cell antibody (86341) | $96.20 | $148 | 4.1× |
| Jak2 gene analysis (81270) | $234 | $360 | 2.6× |
| Jak2 Targeted Sequence Analysis (81279) | $383.50 | $590 | 2.1× |
| Kit gene analys d816 variant (81273) | $716.95 | $1,103 | 5.7× |
| Kit gene targeted seq analys (81272) | $1,141.40 | $1,756 | 3.5× |
| Kras gene addl variants (81276) | $323.05 | $497 | 1.7× |
| Kras gene analysis (81275) | $487.50 | $750 | 2.5× |
| Lactic acid (83605) | $108.55 | $167 | 9.4× |
| Lactoferrin fecal qualitative (83630) | $32.50 | $50 | 1.6× |
| Lactoferrin Fecal Quantitative (83631) | $40.95 | $63 | 2.1× |
| Ldh (83615) | $18.20 | $28 | 3.0× |
| Ldh isoenzymes (83625) | $20.80 | $32 | 1.6× |
| LDL cholesterol direct (83721) | $17.55 | $27 | 1.7× |
| Lead (83655) | $39.65 | $61 | 3.3× |
| Legionella antigen urine (87449) | $134.22 | $206.50 | 11.2× |
| Legionella pneumophila dfa (87278) | $78 | $120 | 5.0× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $24.70 | $38 | 5.8× |
| Level ii surg pathology grossµscopic exam (88302) | $64.35 | $99 | 1.8× |
| Level v surg pathology grossµscopic exam (88307) | $595.40 | $916 | 1.7× |
| Level vi surg pathology grossµscopic exam (88309) | $1,337.70 | $2,058 | 1.7× |
| Lh (83002) | $30.55 | $47 | 1.6× |
| Lidocaine level (80176) | $26.65 | $41 | 1.8× |
| Lipase (83690) | $27.30 | $42 | 4.0× |
| Lipopro bld electrophoretic (83700) | $18.85 | $29 | 1.7× |
| Listeria ab (86609) | $29.90 | $46 | 2.3× |
| Lithium (80178) | $43.55 | $67 | 6.6× |
| Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) | $651.30 | $1,002 | 3.7× |
| Lyme disease antibody (86618) | $83.85 | $129 | 4.9× |
| Lyme disease antibody confirm (86617) | $30.55 | $47 | 2.0× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $396.50 | $610 | 2.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $490.75 | $755 | 3.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $315.25 | $485 | 1.9× |
| Macroscopic exam parasite (87169) | $43.22 | $66.50 | 10.0× |
| Magnesium (83735) | $28.60 | $44 | 4.3× |
| Malaria smear (87207) | $27.95 | $43 | 4.7× |
| Mass spectrometry qual/quan (83789) | $96.85 | $149 | 4.0× |
| Mercury (83825) | $33.48 | $51.50 | 2.1× |
| Methotrexate (80299) | $215.48 | $331.50 | 11.6× |
| Methylmalonic acid serum (83921) | $92.30 | $142 | 4.4× |
| Microalbumin urine (82043) | $9.75 | $15 | 1.7× |
| Microsatellite instability (81301) | $606.12 | $932.50 | 1.7× |
| Microsomal antibodies (86376) | $122.20 | $188 | 8.4× |
| Mitochondrial antibody each (86381) | $104.65 | $161 | 4.1× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $312.65 | $481 | 1.6× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $964.92 | $1,484.50 | 80.1× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $165.75 | $255 | 3.2× |
| Molecular pathology procedure level 2 (81401) | $271.70 | $418 | 2.0× |
| Mononuclear cell antigen (86356) | $127.40 | $196 | 4.8× |
| Mopath procedure level 9 (81408) | $4,785.95 | $7,363 | 2.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $300.95 | $463 | 1.6× |
| Mrsa amp probe (87641) | $78.65 | $121 | 2.2× |
| Mthfr Gene Analysis Common Variants (81291) | $106.60 | $164 | 1.6× |
| Muramidase (85549) | $30.55 | $47 | 1.6× |
| Muscle-specific kinase (musk) antibody (86366) | $812.50 | $1,250 | 44.2× |
| Mycobacteria Dna Amp Probe (87551) | $348.72 | $536.50 | 7.2× |
| Mycophenolic acid (80180) | $130 | $200 | 7.2× |
| Mycoplasma antibody (86738) | $77.68 | $119.50 | 5.9× |
| Mycoplasma culture (87109) | $36.40 | $56 | 2.4× |
| Mycoplasma genitalium PCR (87563) | $119.60 | $184 | 3.4× |
| Myelin basic protein csf (83873) | $64.02 | $98.50 | 3.7× |
| Myoglobin urine (83874) | $26 | $40 | 2.0× |
| Nasal smear for eosinophils (89190) | $26.65 | $41 | 4.6× |
| Natriuretic peptide (83880) | $92.95 | $143 | 2.4× |
| Neutralization test, viral (86382) | $118.30 | $182 | 7.0× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $146.25 | $225 | 2.0× |
| Niacin (84591) | $407.22 | $626.50 | 23.9× |
| Nk cells total count (86357) | $144.30 | $222 | 3.8× |
| Nmr Lipoprofile (83704) | $76.70 | $118 | 2.2× |
| Nras gene variants exon 2&3 (81311) | $481 | $740 | 1.6× |
| Nuclear antigen antibody (86235) | $158.92 | $244.50 | 8.9× |
| Occult blood stool (82272) | $13 | $20 | 3.1× |
| Oligoclonal bands (83916) | $72.48 | $111.50 | 2.6× |
| Organic Acids Qual Each (83919) | $139.10 | $214 | 8.5× |
| Osmolality serum (83930) | $11.05 | $17 | 1.7× |
| Osmolality urine (83935) | $11.70 | $18 | 1.7× |
| Ova and parasite direct-id lca (87177) | $18.52 | $28.50 | 2.1× |
| Pancreatic polypeptide (83519) | $106.60 | $164 | 5.8× |
| Particle Agglutination Screen Each Antibody (86403) | $102.70 | $158 | 8.9× |
| Parvovirus antibody (86747) | $24.70 | $38 | 1.6× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $114.40 | $176 | 1.6× |
| Phenylalanine (84030) | $200.20 | $308 | 36.4× |
| Phenytoin free (80186) | $22.75 | $35 | 1.7× |
| Phosphatase alkaline (84075) | $49.72 | $76.50 | 9.6× |
| Phospholipid Neutralization Hexagonal (85598) | $146.25 | $225 | 8.1× |
| Phosphorus blood (84100) | $42.25 | $65 | 8.9× |
| Pik3ca gene trgt seq alys (81309) | $448.50 | $690 | 1.6× |
| Pinworm exam (87172) | $27.95 | $43 | 6.5× |
| Platelet aggregation (85576) | $48.10 | $74 | 1.9× |
| Platelet count (85049) | $11.05 | $17 | 2.5× |
| Pneumcysts jirovecii amp prb (87594) | $315.25 | $485 | 9.0× |
| Pooling blood platelets (86965) | $950.95 | $1,463 | 5.9× |
| Porphobilinogen urine quant (84110) | $68.25 | $105 | 8.1× |
| Porphyrins qn & fraction urine (84120) | $24.05 | $37 | 1.6× |
| Potassium (84132) | $44.20 | $68 | 9.3× |
| Potassium urine (84133) | $8.78 | $13.50 | 1.9× |
| Pregnenolone (84140) | $46.15 | $71 | 2.2× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $527.15 | $811 | 3.3× |
| Pretx serum rbc antibody identification dilution (86976) | $75.40 | $116 | 2.7× |
| Primidone (80188) | $27.30 | $42 | 1.6× |
| Procalcitonin (pct) (84145) | $113.75 | $175 | 4.2× |
| Progesterone (84144) | $34.45 | $53 | 1.7× |
| Prolactin (84146) | $31.85 | $49 | 1.6× |
| Prostaglandin Ea (84150) | $277.55 | $427 | 6.6× |
| Protein body fluid (84157) | $7.80 | $12 | 2.0× |
| Protein c activity (85303) | $186.55 | $287 | 13.5× |
| Protein c antigen (85302) | $20.15 | $31 | 1.7× |
| Protein electrophoresis serum (84165) | $35.75 | $55 | 3.3× |
| Protein Electrophoresis Urine (84166) | $29.25 | $45 | 1.6× |
| Protein S Functional (85306) | $166.40 | $256 | 10.9× |
| Protein s total (85305) | $32.50 | $50 | 2.8× |
| Protein Total Serum (84155) | $17.55 | $27 | 4.8× |
| Protein urine (84156) | $11.05 | $17 | 3.0× |
| Protein Western Blot (84182) | $169.32 | $260.50 | 5.8× |
| Protein westrn blot i&r blood/other fluid (84181) | $284.70 | $438 | 16.7× |
| Prothrombin time substitution (85611) | $26 | $40 | 6.6× |
| PSA free (84154) | $29.90 | $46 | 1.6× |
| Quantiferon tb gold (86480) | $133.25 | $205 | 2.1× |
| Rbc antibody elution (86860) | $278.85 | $429 | 1.7× |
| Rbc pretx incubatj w/chemicl (86970) | $102.70 | $158 | 1.8× |
| Reducing substances, stool (84376) | $72.80 | $112 | 13.2× |
| Renin activity plasma (84244) | $35.75 | $55 | 1.6× |
| Reticulocyte separation (86972) | $278.85 | $429 | 1.7× |
| Rheumatoid Factor Qual (86430) | $28.60 | $44 | 4.7× |
| Rheumatoid factor quant (86431) | $96.20 | $148 | 17.0× |
| Rickettsia antibody (86757) | $205.40 | $316 | 10.6× |
| Rpr Titer (86593) | $7.15 | $11 | 1.6× |
| Rsv (87807) | $42.90 | $66 | 3.3× |
| Rubella antibody (86762) | $27.95 | $43 | 1.9× |
| Russell viper venom time diluted (85613) | $126.10 | $194 | 13.2× |
| Saccharomyces ab iga (86671) | $27.30 | $42 | 2.2× |
| Salicylate (80179) | $48.75 | $75 | 2.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $119.28 | $183.50 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $70.52 | $108.50 | 1.7× |
| Sed rate automated (85652) | $25.35 | $39 | 9.4× |
| Semen analysis complete (89320) | $76.70 | $118 | 6.2× |
| Semen analysis sperm presence&/motility sprm (89321) | $52 | $80 | 4.3× |
| Sensitivity mic (87186) | $910 | $1,400 | 105.2× |
| Serotonin Release Assay (86022) | $80.60 | $124 | 4.4× |
| Serpina1 gene (81332) | $243.75 | $375 | 5.6× |
| Sex hormone binding globulin (84270) | $37.05 | $57 | 1.7× |
| Sickle cell screen (85660) | $9.10 | $14 | 1.7× |
| Sirolimus (rapamycin) (80195) | $33.15 | $51 | 2.4× |
| Smear acid fast (87206) | $32.50 | $50 | 6.0× |
| Smear complex stain (87209) | $29.25 | $45 | 1.6× |
| Smear gram stain (87205) | $23.08 | $35.50 | 5.4× |
| Sodium (84295) | $29.90 | $46 | 6.2× |
| Sodium other source (84302) | $70.85 | $109 | 14.6× |
| Sodium urine (84300) | $24.70 | $38 | 4.9× |
| Soluble transferrin receptor (84238) | $59.80 | $92 | 1.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $221 | $340 | 1.7× |
| Special stains group 1 (88312) | $114.72 | $176.50 | 2.3× |
| Specific gravity body fluid (84315) | $16.90 | $26 | 5.2× |
| Spectrophotometry (84311) | $95.22 | $146.50 | 11.8× |
| Splitting blood/blood products each unit (86985) | $283.40 | $436 | 1.8× |
| Staph aureus amplified probe (87640) | $165.75 | $255 | 4.7× |
| Stool Cultr Aerobic Bact Ea (87046) | $18.20 | $28 | 1.9× |
| Strep a assay w/optic (87880) | $27.30 | $42 | 1.7× |
| Strep a DNA amp probe (87651) | $78.65 | $121 | 2.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $150.15 | $231 | 1.6× |
| Surg path level iii (88304) | $97.50 | $150 | 2.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $48.10 | $74 | 1.8× |
| Surgical pathology level IV (88305) | $195 | $300 | 3.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $144.30 | $222 | 3.1× |
| T cells, total count (86359) | $103.68 | $159.50 | 2.7× |
| T3 free (84481) | $36.72 | $56.50 | 2.2× |
| T3 reverse (84482) | $26 | $40 | 1.6× |
| T3 total (84480) | $23.40 | $36 | 1.7× |
| T3 uptake (84479) | $18.52 | $28.50 | 2.9× |
| T4 Free (84439) | $51.02 | $78.50 | 5.7× |
| T4 total (84436) | $20.15 | $31 | 2.9× |
| T4-neonatal (84437) | $27.30 | $42 | 4.2× |
| Targeted genomic seq analysis (81445) | $1,423.50 | $2,190 | 2.4× |
| Tb ag response t-cell susp (86481) | $167.05 | $257 | 1.7× |
| Tb intradermal test (86580) | $28.60 | $44 | 1.0× |
| Test for acetone/ketones (82009) | $13 | $20 | 2.9× |
| Testosterone bioavailable (84410) | $88.40 | $136 | 1.7× |
| Testosterone free (84402) | $48.10 | $74 | 1.9× |
| Testosterone total (84403) | $45.50 | $70 | 1.8× |
| Theophylline (80198) | $83.85 | $129 | 5.9× |
| Thrombin time plasma (85670) | $156.32 | $240.50 | 27.1× |
| Thromboplastin Inhibition Tissue (85705) | $16.25 | $25 | 1.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $31.85 | $49 | 4.9× |
| Thyroglobulin (84432) | $32.50 | $50 | 2.0× |
| Thyroglobulin Ab (86800) | $26 | $40 | 1.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $84.50 | $130 | 1.7× |
| Thyroxine binding globulin (84442) | $24.05 | $37 | 1.6× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $351 | $540 | 2.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $98.48 | $151.50 | 8.5× |
| Tissue culture bone marrow (88237) | $258.05 | $397 | 1.8× |
| Tissue Culture Lymphocyte (88230) | $354.90 | $546 | 3.0× |
| Tobramycin peak (80200) | $66.95 | $103 | 4.2× |
| Topiramate (80201) | $19.50 | $30 | 1.6× |
| Touch prep (88161) | $48.75 | $75 | 1.8× |
| Toxoplasma ab igm (86778) | $24.05 | $37 | 1.7× |
| Toxoplasma antibody igg (86777) | $23.40 | $36 | 1.6× |
| Transferrin (84466) | $48.10 | $74 | 3.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $466.05 | $717 | 2.2× |
| Trg gene rearrangement analysis (81342) | $449.80 | $692 | 2.2× |
| Triglycerides (84478) | $15.60 | $24 | 2.7× |
| Troponin (84484) | $52.65 | $81 | 4.2× |
| Trypsin feces quantitative 24-hr collection (84490) | $113.75 | $175 | 11.5× |
| Unlisted transfusion medicine procedure (86999) | $80.60 | $124 | 2.9× |
| Urea nitrogen (84520) | $8.45 | $13 | 2.1× |
| Urea nitrogen urine (84540) | $9.42 | $14.50 | 1.7× |
| Uric acid blood (84550) | $57.85 | $89 | 12.8× |
| Uric acid other source (84560) | $8.45 | $13 | 1.7× |
| Urinalysis w/microscopic (81001) | $26.65 | $41 | 8.4× |
| Urine pregnancy test (81025) | $27.95 | $43 | 3.2× |
| Urine volume measurement (81050) | $244.40 | $376 | 67.1× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $18.52 | $28.50 | 8.2× |
| Valproic acid level (80164) | $34.45 | $53 | 2.5× |
| Vancomycin trough (80202) | $66.95 | $103 | 4.9× |
| Varicella-zoster antibody (86787) | $32.82 | $50.50 | 2.5× |
| Vasoactive intestinal peptide (vip) (84586) | $84.50 | $130 | 2.4× |
| Vasopressin (84588) | $55.25 | $85 | 1.6× |
| Vdrl csf (86592) | $73.78 | $113.50 | 17.3× |
| Virus antibody nos (86790) | $105.95 | $163 | 8.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $55.25 | $85 | 1.6× |
| Virus inoculation, shell via (87254) | $31.85 | $49 | 1.6× |
| Vitamin A (84590) | $19.50 | $30 | 1.7× |
| Vitamin b-12 (82607) | $88.40 | $136 | 5.9× |
| Vitamin b-2 (riboflavin) (84252) | $33.15 | $51 | 1.6× |
| Vitamin b1 (thiamine) (84425) | $35.10 | $54 | 1.7× |
| Vitamin b6 (84207) | $46.15 | $71 | 1.6× |
| Vitamin C (82180) | $20.15 | $31 | 2.0× |
| Vitamin D 25-Hydroxy (82306) | $104.32 | $160.50 | 3.5× |
| Vitamin e serum (84446) | $23.40 | $36 | 1.7× |
| Voltage-gated calcium channel antibody each (86596) | $118.95 | $183 | 9.9× |
| Von willebrand factor activity (85245) | $81.25 | $125 | 3.5× |
| West nile virus ab, igm (86788) | $44.20 | $68 | 2.6× |
| West nile virus antibody (86789) | $44.20 | $68 | 3.1× |
| Whole mitochondrial genome (81460) | $2,091.70 | $3,218 | 1.6× |
| Whole mitochondrial genome analysis panel (81465) | $1,521 | $2,340 | 1.6× |
| Zika Virus Igm Antibody (86794) | $122.20 | $188 | 7.3× |
| Zinc (84630) | $98.80 | $152 | 8.7× |