Lab & pathology prices at Torrance Memorial Medical Center

Torrance, CA · every code in this section with a posted price and a Medicare benchmark.

1473 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
17-Hydroxypregnenolone (84143) $27.06 $33 1.2×
5 Nucleotidase (83915) $63.55 $77.50 5.7×
Abl1 gene analysis kinase domain variants (81170)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Acetylcholinesterase Assay (82013) $83.18 $101.44 6.8×
Acetylcholn Rcptr Modlg Antb (86043) $31.98 $39 2.7×
Acth (82024) $18.04 $22 0.5×
Acth Stimulation Panel Adrenal Insufficiency (80400)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Actin smooth muscle antibody each (86015)
range across 7 matching MRF lines		 $10.08–$13.04 $12.29–$15.90 varies
Acute hepatitis panel (80074) $499.38 $609 10.5×
Acylcarnitines Quant (82017)
range across 5 matching MRF lines		 $14.11–$170.23 $17.21–$207.60 varies
Acylcarnitines; qualitative, each specimen Facility (82016)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Adenovirus antibody (86603)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81171)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81172)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Afp-l3 fraction isoform & total afp w/ratio (82107) $85.25 $103.96 1.3×
Agglutinins Febrile Each Antigen (86000)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Albumin Fluid (82042)
range across 13 matching MRF lines		 $5.74–$315.70 $7–$385 varies
Albumin ischemia modified (82045)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Albumin serum (82040)
range across 7 matching MRF lines		 $5.49–$315.70 $6.69–$385 varies
Aldolase (82085)
range across 5 matching MRF lines		 $5.80–$6.67 $7.07–$8.14 varies
Aldosterone Suppression Evaluation Panel (80408)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Aldosterone urine (82088)
range across 7 matching MRF lines		 $15.81–$31.36 $19.28–$38.24 varies
Alkaline phosphatase isoenzymes (84080)
range across 7 matching MRF lines		 $16.94–$28.59 $20.66–$34.87 varies
Allergen spec ige qual multiallergen screen (86005) $3.18 $3.88 0.4×
Allergen specific ige (86003)
range across 195 matching MRF lines		 $3.89–$54.94 $4.75–$67 varies
Allergen specific igg (86001)
range across 17 matching MRF lines		 $4.10–$15.73 $5–$19.18 varies
Allg Spec Ige Recomb Ea (86008)
range across 9 matching MRF lines		 $33.95–$76.26 $41.40–$93 varies
Alpha-1-antitrypsin phenotype (82104) $9.86 $12.03 0.7×
Alpha-1-antitrypsin total (82103)
range across 9 matching MRF lines		 $7.60–$28.73 $9.27–$35.04 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $20.08 $24.49 1.2×
Alpha-Fetoprotein Serum (82105) $283.72 $346 16.9×
Alt (sgpt) (84460) $315.70 $385 59.6×
Aluminum (82108) $18.26 $22.27 0.7×
Amikacin trough (80150) $28.70 $35 1.9×
Amines vaginal fluid qualitative (82120)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Amino Acids 1 Quantitative Each Specimen (82131)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $19.68 $24 1.2×
Amino Acids Multiple Qualitative Each Specimen (82128)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Amino Acids Quant 2-5 (82136)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Amino acids; single, qualitative, each specimen Facility (82127)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Aminolevulinic acid (ala) (82135) $57.60 $70.24 3.5×
Ammonia (82140)
range across 7 matching MRF lines		 $13.53–$417.38 $16.50–$509 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $410.82 $501 4.2×
Amniotic fluid scan (82143)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Amylase urine (82150)
range across 10 matching MRF lines		 $14.57–$417.38 $17.77–$509 varies
Ana Titer (86039)
range across 5 matching MRF lines		 $12.28–$21.09 $14.97–$25.72 varies
Analysis skeletal muscle (88355)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Anca screen each antibody (86036)
range across 11 matching MRF lines		 $9.49–$51.66 $11.57–$63 varies
Anca Titer Each Antibody (86037)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Androstanediol Glucuronide (82154)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Androstenedione (82157) $24.49 $29.86 0.8×
Androsterone (hormone) level (82160)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Angiotensin converting enzyme csf (82164)
range across 7 matching MRF lines		 $8.20–$56.17 $10–$68.50 varies
Angiotensin II (82163)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Animal inoculation, small animal, with observation and dissection Facility (87003)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Anti-Phospholipid Antibody (86148)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody aspergillus (86606)
range across 9 matching MRF lines		 $3.18–$7.60 $3.88–$9.27 varies
Antibody Bacterium Not Elsewhere Specified (86609) $6.14 $7.49 0.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 6 matching MRF lines		 $10.77–$11.86 $13.14–$14.47 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 7 matching MRF lines		 $9.68–$14.96 $11.81–$18.24 varies
Antibody Encephalitis California La Crosse (86651) $13.42 $16.37 1.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $6.08 $7.41 0.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $7.21 $8.80 0.4×
Antibody Fungus Not Elsewhere Specified (86671)
range across 7 matching MRF lines		 $10.64 $12.97–$12.98 0.9×
Antibody haemophilus influenza (86684) $18.45 $22.50 1.2×
Antibody helicobacter pylori (86677)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $10.66 $13 0.7×
Antibody Herpes Smplx Type 1 (86695)
range across 7 matching MRF lines		 $8.84–$46.15 $10.79–$56.28 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody HIV-2 (86702)
range across 5 matching MRF lines		 $42.89–$45.61 $52.31–$55.62 varies
Antibody Hla Class I High Definition Panel Qual (86832)
range across 24 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody Hla Class I Phenotype Panel Qualitative (86830)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody Hla Class II Phenotype Panel Qual (86831)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody hla class ii semiquantitative panel (86835)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody htlv/HIV antibody confirmatory test (86689)
range across 5 matching MRF lines		 $83.90–$116.23 $102.32–$141.74 varies
Antibody identification leukocyte antibodies (86021)
range across 5 matching MRF lines		 $17.36–$271.42 $21.17–$331 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody john cunningham virus (86711) $12.30 $15.01 0.7×
Antibody leishmania (86717)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody Lymphocytic Choriomeningitis (86727)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody neisseria meningitidis (86741)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody nocardia (86744)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody plasmodium malaria (86750)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody Protozoa Nes (86753)
range across 5 matching MRF lines		 $14.35–$102.50 $17.50–$125 varies
Antibody rotavirus (86759)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody Titer (86886)
range across 5 matching MRF lines		 $73.80–$77.08 $90–$94 varies
Antibody Treponema Pallidum (86780)
range across 7 matching MRF lines		 $30.76–$73.80 $37.51–$90 varies
Antibody yersinia (86793)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody; campylobacter (86625)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody; encephalitis, st. louis (86653) $13.42 $16.37 1.0×
Antibody; influenza virus (86710)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antibody; mucormycosis Facility (86732)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antigen typing (86905)
range across 11 matching MRF lines		 $27.06–$185.32 $33–$226 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 5 matching MRF lines		 $13.94–$16.40 $17–$20 varies
Antinomyces antibody (86602)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antinuclear antibodies (86038) $51.66 $63 4.3×
Antistreptolysin O Screen (86063)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Antistreptolysin o titer (86060)
range across 7 matching MRF lines		 $4.32–$10.54 $5.27–$12.85 varies
Antithrombin iii activity (85300)
range across 5 matching MRF lines		 $263.56–$508.40 $321.42–$620 varies
Antithrombin iii antigen (85301) $29.27 $35.69 2.7×
Aortic dysfunction/dilation dup/del analysis (81411)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Apc Gene Analysis Known Familial Variants (81202)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Apc gene dup/delet variants (81203)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Apc gene full sequence (81201)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Apolipoprotein a1 (82172)
range across 10 matching MRF lines		 $14.45–$22.30 $17.62–$27.19 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $132.35 $161.40 3.5×
Aquaporin-4 Antb Cba Each (86052)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Arsenic (82175)
range across 9 matching MRF lines		 $8.96–$198.85 $10.93–$242.50 varies
Ashkenazi Jewish Assoc Dis (81412)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Aspa gene analysis common variants (81200)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Aspergillus ag eia (87305) $13.94 $17 1.2×
Assay activated protein c (85307)
range across 5 matching MRF lines		 $12.82–$18.51 $15.63–$22.57 varies
Assay Blood Carbon Dioxide (82374) $184.50 $225 37.8×
Assay Blood Catecholamines (82383)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay Dir Meas Fr Estradiol (82681) $100.86 $123 3.6×
Assay Duodenal Fluid Trypsin (84485)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay myeloperoxidase (83876)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay Nephelometry Not Spec (83883) $10.83 $13.21 0.8×
Assay of 5-hiaa (83497) $12.34 $15.05 1.0×
Assay of b-hexosaminidase each assay (83080)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of blood/uric acid (84550) $311.60 $380 68.9×
Assay of calcium in urine (82340)
range across 7 matching MRF lines		 $5.60–$21.14 $6.83–$25.78 varies
Assay of corticosterone (82528)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of cpk in blood (82552) $10.43 $12.72 0.8×
Assay of estrone (82679) $16.40 $20 0.7×
Assay of feces for trypsin (84490)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of g6pd enzyme (82955) $11.48 $14 1.2×
Assay of gammaglobulin igm (82784)
range across 23 matching MRF lines		 $4.46–$168.92 $5.44–$206 varies
Assay of lactic acid (83605)
range across 5 matching MRF lines		 $261.65–$421.48 $319.09–$514 varies
Assay of manganese (83785)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of metanephrines (83835)
range across 9 matching MRF lines		 $14.13–$19.27 $17.23–$23.50 varies
Assay of phosphatase acid total (84060)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of phosphatase alkaline heat stable (84078)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of procainamide (80190)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of proinsulin (84206) $14.90 $18.17 0.6×
Assay of prostate specific antigen complexed (84152)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of pyruvate (84210)
range across 5 matching MRF lines		 $9.09–$98.56 $11.08–$120.19 varies
Assay of semen fructose (82757)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of serotonin (84260) $28.75 $35.06 0.9×
Assay of serum potassium (84132)
range across 7 matching MRF lines		 $129.56–$283.72 $158–$346 varies
Assay of Sialic Acid (84275)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of sweat sodium (84302) $21.12 $25.76 4.3×
Assay of transcortin (84449)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of Tyrosine (84510)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay of urea nitrogen (84520)
range across 7 matching MRF lines		 $12.14–$315.70 $14.81–$385 varies
Assay of urine vma (84585) $16.78 $20.46 1.1×
Assay of vasoactive intestinal peptide (84586) $29.56 $36.05 0.8×
Assay of vitamin b-1 (84425) $16.32 $19.90 0.8×
Assay Ph Body Fluid Nos (83986)
range across 9 matching MRF lines		 $3.32–$98.40 $4.05–$120 varies
Assay Phosphohexose Enzymes (84087)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Assay spec xcp ur&breath ia (82077) $417.38 $509 24.2×
Asstd Fertilization Microtq > 10 Oocytes (89281)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Asstd oocyte fert 10 or less (89280)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Asxl1 gene analysis full gene sequence (81175)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Asy carbamazepin 10,11-epxid (80161) $509.22 $621 27.3×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Atomic Absorption (82190)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Autol Bld/Component Collj Storage Predeposited (86890) $273.88 $334 1.2×
Autol bld/component collj storage salvage (86891)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Automated Leukocyte Count (85048)
range across 5 matching MRF lines		 $191.06–$393.60 $233–$480 varies
B cells total count (86355)
range across 7 matching MRF lines		 $14.65–$28.45 $17.86–$34.69 varies
Babesia microti amp prb (87469) $88.23 $107.60 2.5×
Bacterial antigens 87802 (87802)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Bartonella antibody (86611)
range across 8 matching MRF lines		 $8.06–$18.75 $9.83–$22.87 varies
Bckdhb Gene Analysis Common Variants (81205)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Bcr/abl1 gene major bp (81206) $103.32 $126 0.6×
Bcr/abl1 gene minor bp (81207) $82 $100 0.6×
Bcr/Abl1 Gene Other Bp (81208)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Beta 2 glycoprotein i antibody each (86146) $108.24 $132 4.3×
Beta hydroxybutyrate (82010) $56.58 $69 6.9×
Beta Lactamase (87185)
range across 8 matching MRF lines		 $4.10–$66.42 $5–$81 varies
Beta-2 Microglobulin (82232)
range across 5 matching MRF lines		 $8.28–$27.74 $10.10–$33.83 varies
Bile acids total (82239) $20.50 $25 1.2×
Bile acids, cholylglycine (82240)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Bilirubin direct (82248) $315.70 $385 62.9×
Bilirubin total (82247)
range across 7 matching MRF lines		 $79.55–$315.70 $97.01–$385 varies
Bilirubin total transcutaneous (88720) $48.38 $59 9.6×
Bilirubin; feces, qualitative Facility (82252)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Biotinidase (82261) $14.96 $18.25 0.9×
Bl Smear W/O Diff Wbc Count (85008)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blastomyces antibody (86612) $37.15 $45.30 2.9×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078)
range across 7 matching MRF lines		 $131.20–$317.34 $160–$387 varies
Bld Typing Serologic Rh Phnt (86906)
range across 5 matching MRF lines		 $50.84–$54.43 $62–$66.38 varies
Bleeding time test (85002)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blm Gene (81209)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blood Count Automated Differential Wbc Count (85004)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blood Count Red Blood Cell Automated (85041)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blood count reticulocyte automated (85045) $230.42 $281 57.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $248.46 $303 65.4×
Blood count spun microhematocrit (85013)
range across 7 matching MRF lines		 $115.62–$212.38 $141–$259 varies
Blood gas (82803)
range across 11 matching MRF lines		 $1,272.64–$2,060.66 $1,552–$2,513 varies
Blood gases w/02 saturation (82805)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $111.52 $136 7.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Blood Sulfhemoglobin Assay (83060) $24.68 $30.10 2.8×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 9 matching MRF lines		 $65.60–$185.32 $80–$226 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $67.65 $82.50 4.1×
Blood typing serologic abo (86900) $191.88 $234 64.2×
Body fluid cell count (89050) $477.24 $582 101.1×
Bone marrow smear interpretation (85097) $195.98 $239 0.2×
Bordetella antibody (86615) $101.84 $124.20 7.7×
Borrelia Antibody (86619)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Braf gene analysis (81210)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Brca1 brca2 gene analysis full dup/del analysis (81164)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Brca1 gene analysis full dup/del analysis (81166)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Brca1 gene analysis full sequence analysis (81165)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Brca1 Gene Analysis Known Familial Variant (81215)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Brca1&2 gen full seq dup/del (81162) $1,150.54 $1,403.10 0.6×
Brca2 gene analysis full dup/del analysis (81167)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Brca2 gene analysis full sequence analysis (81216)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Brca2 Gene Analysis Known Familial Variant (81217)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Breath Alcohol Test (82075) $80.36 $98 2.7×
Brucella antibody (86622)
range across 6 matching MRF lines		 $7.29–$12.03 $8.89–$14.67 varies
Btk Gene Analysis Common Variants (81233)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
C diff amplified probe (87493)
range across 5 matching MRF lines		 $130.38–$141.04 $159–$172 varies
C-Peptide (84681) $115.62 $141 5.6×
C-reactive protein (86140)
range across 10 matching MRF lines		 $6.83–$244.36 $8.33–$298 varies
Ca 19-9 (86301)
range across 7 matching MRF lines		 $14.93–$300.94 $18.21–$367 varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cadmium (82300)
range across 9 matching MRF lines		 $11.17–$178.24 $13.62–$217.37 varies
Caffeine (80155) $21.32 $26 0.6×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Calcitonin (82308) $20.10 $24.51 0.8×
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Calcium ionized (82330)
range across 9 matching MRF lines		 $10.66–$410.82 $13–$501 varies
Calcium total (82310)
range across 7 matching MRF lines		 $10.55–$308.32 $12.87–$376 varies
Calcium; after calcium infusion test (82331)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Calculus assay quant (82360)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Calculus Spectroscopy (82365) $13.86 $16.90 1.1×
Calculus Xray Diffraction (82370)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Calprotectin Fecal (83993) $73.80 $90 3.8×
Calr gene com variants (81219) $229.60 $280 1.9×
Cancer Antigen 125 (86304)
range across 7 matching MRF lines		 $166.30–$300.94 $202.80–$367 varies
Cancer Antigen 27.29 (86300)
range across 7 matching MRF lines		 $13.19–$355.06 $16.08–$433 varies
Candida antibody (86628)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Candida Dna Dir Probe (87480) $25.95 $31.65 1.3×
Car Ion Chnnlpath Inc 10 Gns (81413)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Car Ion Chnnlpath Inc 2 Gns (81414)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Carbamazepine free (80157)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Carbamazepine total (80156)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Carbohydrate Deficient Transferrin (82373)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Carbon monoxide, (carboxyhemoglobin); qualitative (82376)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Carboxyhemoglobin (82375) $90.20 $110 7.3×
Carcinoembryonic antigen (82378)
range across 7 matching MRF lines		 $132.82–$408.36 $161.98–$498 varies
Cardiolipin ab iga (86147) $108.24 $132 4.3×
Cardiology Hrt Trnspl Mrna (81595)
range across 20 matching MRF lines		 $215.66–$7,209.44 $162.74–$8,792 varies
Carnitine Quantitative Each Specimen (82379) $19.68 $24 1.2×
Carotene (82380)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Catecholamines fractionated (82384)
range across 7 matching MRF lines		 $18.72–$22.96 $22.83–$28 varies
Catecholamines total urine (82382)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cathepsin-d (82387)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ccp antibody (86200) $54.94 $67 4.2×
Cebpa Gene Analysis Full Gene Sequence (81218)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cell count csf (89051)
range across 12 matching MRF lines		 $428.04–$477.24 $522–$582 varies
Cell enumeration & id (86152)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cell marker study (88182)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $84.68 $103.27 0.6×
Ceruloplasmin (82390) $8.18 $9.98 0.8×
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cftr Gene Analysis Known Familial Variants (81221)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cftr gene com variants (81220)
range across 5 matching MRF lines		 $141.57–$257.81 $172.65–$314.41 varies
Cftr gene dup/delet variants (81222)
range across 5 matching MRF lines		 $110.66–$201.52 $134.95–$245.76 varies
Cftr gene full sequence (81223) $1,116 $1,360.97 2.2×
Chemiluminescent assay (82397)
range across 11 matching MRF lines		 $11.82–$114.80 $14.41–$140 varies
Chemotaxis Assay (86155)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chg cryopreservation mature oocyte(s) (89337)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chimerism w/comp to baseline w/o cell selection (81267)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chlamydia antibody (86631)
range across 12 matching MRF lines		 $8.19–$123 $9.99–$150 varies
Chlamydia Igm Antibody (86632)
range across 8 matching MRF lines		 $7.63–$7.64 $9.31–$9.32 varies
Chlamydia trachomatis ag if (87270)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chloramphenicol level (82415)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chloride other source (82438) $21.21 $25.87 4.2×
Chloride Serum (82435)
range across 7 matching MRF lines		 $275.52–$283.72 $336–$346 varies
Chloride urine (82436)
range across 7 matching MRF lines		 $5.34–$275.52 $6.51–$336 varies
Chlorinated Hydrocarbons Screen (82441)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cholesterol total (82465)
range across 9 matching MRF lines		 $4.17–$211.56 $5.09–$258 varies
Cholinesterase rbc (82482)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cholinesterase Serum (82480)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chondroitin B sulfate, quantitative Facility (82485)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chorionic gonadotropin test (84702)
range across 7 matching MRF lines		 $15.01–$683.06 $18.31–$833 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chrmsm Analysis Addl High Resolution Study (88289)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280) $12.30 $15 0.4×
Chrmsm Analysis Addl Specialized Banding (88283)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chrmsm Breakage Baseline Sister 20-25 Cll (88245)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chrmsm Breakage Synds Score 100 Cll (88249)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chromium serum (82495) $16.97 $20.69 0.8×
Chromogenic Substrate Assay (85130) $224.93 $274.30 18.9×
Chromogranin a (86316)
range across 7 matching MRF lines		 $14.47–$154.16 $17.65–$188 varies
Chromosome analys amniotic (88269)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chromosome Analysis 15-20 (88262)
range across 5 matching MRF lines		 $117.74–$142.79 $143.58–$174.14 varies
Chromosome Analysis 20-25 (88264) $147.60 $180 1.0×
Chromosome analysis 45 cells (88263)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chromosome analysis, 5 (88261)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 18 matching MRF lines		 $15.02–$118.90 $18.32–$145 varies
Citric acid urine (82507)
range across 7 matching MRF lines		 $20.50–$25.82 $25–$31.49 varies
Ckmb (82553) $596.96 $728 51.7×
Clostridium Difficile (87324) $48.38 $59 4.0×
Clot Factor VIII Multimetric (85247) $27.06 $33 1.2×
Clot factor xiii fibrin stab (85290) $134.39 $163.89 8.2×
Clot lysis time, whole blood dilution Facility (85175)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Clot retraction (85170)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Clotting factor viii related antigen (85244) $47.56 $58 2.3×
Clotting factor xii hageman (85280) $22.96 $28 1.2×
Clotting Funct Activity (85397)
range across 9 matching MRF lines		 $26.13–$143.88 $31.86–$175.46 varies
Clotting hi molec weight kininogen assay (85293)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Clotting prekallikrein assay fletcher fact assay (85292)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cns DNA amp probe type 12-25 (87483) $1,122.58 $1,369 2.7×
Coagulation time activated (85347)
range across 5 matching MRF lines		 $50.61–$89.38 $61.73–$109 varies
Coagulation time other methods (85348)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Coagulation time; Lee and White Facility (85345)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Coccidioides antibody (86635)
range across 12 matching MRF lines		 $8.96–$18.70 $10.93–$22.80 varies
Cold agglutinin screen (86156) $49.20 $60 6.1×
Cold agglutinin titer (86157) $15.99 $19.50 2.0×
Collagen crosslinks (82523)
range across 7 matching MRF lines		 $12.30–$15.17 $15–$18.50 varies
Column Chromotography Quant (82542)
range across 11 matching MRF lines		 $20.80–$61.75 $25.37–$75.30 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Compatibility Each Unit Incubation (86921) $27.88 $34 0.1×
Compatibility test antiglob (86922) $470.68 $574 2.1×
Complement Antigen Each Component (86160)
range across 10 matching MRF lines		 $10.04–$218.12 $12.25–$266 varies
Complement Fixation Tests Each Antigen (86171)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Complement Total (Ch50) (86162) $11.39 $13.89 0.6×
Complement/Function Activity (86161) $188.76 $230.19 15.7×
Consltj Compre Review Reprt Referred Matrl (88325)
range across 5 matching MRF lines		 $61.50–$123 $75–$150 varies
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 7 matching MRF lines		 $45.10–$123 $55–$150 varies
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 5 matching MRF lines		 $61.50–$123 $75–$150 varies
Coombs direct (86880)
range across 12 matching MRF lines		 $13.94–$221.40 $17–$270 varies
Copper urine (82525)
range across 7 matching MRF lines		 $10.38–$11.74 $12.66–$14.32 varies
Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral… (81493)
range across 22 matching MRF lines		 $133.45–$7,209.44 $53–$8,792 varies
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cortisol free (82530)
range across 9 matching MRF lines		 $14.43–$81.28 $17.60–$99.12 varies
Cortisol saliva (82533)
range across 13 matching MRF lines		 $43.85–$523.16 $53.47–$638 varies
Creatine (82540)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Creatine kinase (CK), (CPK); isoforms Facility (82554)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Creatine kinase total (82550)
range across 8 matching MRF lines		 $200.90–$206.64 $245–$252 varies
Creatinine blood (82565) $315.70 $385 61.7×
Creatinine clearance (82575)
range across 7 matching MRF lines		 $652.72–$678.96 $796–$828 varies
Creatinine Urine (82570)
range across 27 matching MRF lines		 $3.04–$315.70 $3.71–$385 varies
Crossmatch electronic (86923)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Crossmatch immediate spin (86920)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Crp High Sensitivity (86141)
range across 5 matching MRF lines		 $47.83–$244.36 $58.33–$298 varies
Cryofibrinogen (82585) $8.63 $10.52 0.6×
Cryoglobulin (82595) $3.95 $4.82 0.6×
Cryopreservation, reproductive tissue, testicular (89335)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cryopreservation; embryo(s) (89258)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cryopreservation; sperm (89259)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $63.70 $77.68 4.9×
Cryptococcal Antigen (87327)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cryptococcus ab (86641)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cryptococcus ag titer (87899)
range across 13 matching MRF lines		 $11.29–$78.72 $13.77–$96 varies
Cryptosporidium (87272)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cryptosporidium ag eia (87328) $145.96 $178 10.6×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 7 matching MRF lines		 $34.44–$172.20 $42–$210 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 7 matching MRF lines		 $125.34–$158.26 $152.85–$193 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $466.58 $569 60.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Culture aerobic quant other (87071)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Culture afb (87116)
range across 5 matching MRF lines		 $46.95–$338.66 $57.25–$413 varies
Culture Anaerobic (87075)
range across 7 matching MRF lines		 $441.98–$464.12 $539–$566 varies
Culture bacteria anaerobic (87073)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Culture blood (87040) $683.06 $833 66.2×
Culture chlamydia (87110) $66.34 $80.90 3.4×
Culture csf (87070)
range across 11 matching MRF lines		 $377.20–$483.80 $460–$590 varies
Culture fungus (87102) $508.40 $620 60.5×
Culture fungus blood (87103)
range across 5 matching MRF lines		 $15.60–$29.30 $19.02–$35.74 varies
Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Culture oocyte/embryos<4day (89250)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Culture screen only (87081)
range across 10 matching MRF lines		 $319.80–$346.04 $390–$422 varies
Culture stool (87045)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Culture typing if ea antiserum (87140) $14.76 $18 2.6×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 9 matching MRF lines		 $26.24–$123.82 $32–$151 varies
Culture typing other methods (87158) $101.68 $124 13.1×
Culture urine (87086) $388.68 $474 48.2×
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Culture, typing; identification by pulse field gel typing Facility (87152)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cyanide (82600)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cyclic amp (82030)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cyclosporine (80158) $16.36 $19.95 0.9×
Cyp2c19 gene analysis common variants (81225) $575.56 $701.90 2.0×
Cyp2c9 gene com variants (81227)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cyp2d6 gene com variants (81226)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cyp3a4 gene common variants (81230)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cyp3a5 gene common variants (81231)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cystatin C (82610) $34 $41.46 1.8×
Cytogenetics 10-30 (88273) $57.40 $70 1.6×
Cytogenetics 100-300 (88275) $112.14 $136.76 2.2×
Cytogenom Const Microarray Copy Number Variants (81228)
range across 22 matching MRF lines		 $45.97–$7,209.44 $53–$8,792 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 5 matching MRF lines		 $943–$1,074.20 $1,150–$1,310 varies
Cytogenomic neo microra alys (81277)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Cytomegalovirus igg (86644)
range across 5 matching MRF lines		 $7.22–$8.27 $8.80–$10.09 varies
Cytopath C/V Index Add-On (88155)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopath Cell Enhance Tech (88112)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopath Fl Nongyn Filter (88106)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopath unlstd proc (88199)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytotoxic Antibody Screen Std (86807)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytotoxic pra quick (86808)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $29.59 $36.09 1.1×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytp Concentration Smears & Interpretation (88108) $173.84 $212 3.6×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $310.78 $379 4.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $240.26 $293 1.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $132.02 $161 2.7×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $195.98 $239 0.9×
Cytp Slides C/V Mnl Scr Under Phys (88150)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytp smrs any oth src extnd std > 5 slides (88162)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160) $131.20 $160 3.5×
Cytp Urine 3-5 Probes Cmptr (88121)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Deoxycortisol (82634) $31.88 $38.88 1.1×
Deoxyribonuclease antibody (86215)
range across 7 matching MRF lines		 $7.85–$10.54 $9.57–$12.85 varies
Desoxycorticosterone (82633)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Detect Agent Nos Dna Amp (87798)
range across 45 matching MRF lines		 $9.78–$281.18 $11.93–$342.90 varies
Detect Agent Nos Dna Quant (87799)
range across 7 matching MRF lines		 $54.94–$68.62 $67–$83.68 varies
Detect agnt mult DNA ampli (87801) $39.20 $47.80 0.6×
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dgp Antibody Each Ig Class (86258) $51.66 $63 4.3×
Dhea (82626) $18.35 $22.38 0.7×
Dhea-S (82627) $13.04 $15.90 0.6×
Dibucaine number (82638)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Digoxin (80162) $452.64 $552 34.1×
Digoxin free (80163)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dihydrotestosterone (82642) $21.60 $26.34 0.7×
Diphtheria antitoxoid (86648)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dipropylacetic Acid Free (80165)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dmd Duplication/Deletion Analysis (81161)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dna Antibody Native/Double Stranded (86225)
range across 8 matching MRF lines		 $58.22–$98.40 $71–$120 varies
Dna Antibody Single Stranded (86226)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Dna/Rna Amplified Probe (87150)
range across 11 matching MRF lines		 $40.18–$154.98 $49–$189 varies
DNA/RNA direct probe (87149)
range across 5 matching MRF lines		 $8.63–$23 $10.53–$28.05 varies
Dna/Rna Sequencing (87153) $101.68 $124 0.9×
Dpyd gene common variants (81232) $779 $950 4.5×
Drug assay acetaminophen (80143) $523.16 $638 28.1×
Drug assay adalimumab (80145)
range across 5 matching MRF lines		 $172.20–$256.02 $210–$312.22 varies
Drug Assay Amiodarone (80151) $11.45 $13.96 0.6×
Drug Assay Everolimus (80169)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Drug assay felbamate (80167) $35 $42.68 1.9×
Drug Assay Infliximab (80230) $180.07 $219.60 4.7×
Drug Assay Itraconazole (80189) $35.74 $43.58 1.3×
Drug Assay Lacosamide (80235)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Drug Assay Leflunomide (80193) $25.58 $31.19 0.7×
Drug Assay Posaconazole (80187)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Drug Assay Vedolizumab (80280)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Drug assay voriconazole (80285) $52.52 $64.05 1.9×
Drug Asy Hydroxychloroquine (80220) $206.89 $252.30 11.1×
Drug Screen Quant Clozapine (80159) $21.50 $26.22 1.1×
Drug Screen Quant Zonisamide (80203)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Drug Screen Quantitative Gabapentin (80171) $15.10 $18.42 0.7×
Drug Screen Quantitative Lamotrigine (80175) $12.34 $15.05 0.9×
Drug Screen Quantitative Levetiracetam (80177) $15.99 $19.50 1.2×
Drug Screen Quantitative Oxcarbazepine (80183) $16.40 $20 1.2×
Drug Screen Quantitative Procainamide Metabolite (80192) $44.13 $53.82 2.6×
Drug Screen Quantitative Tiagabine (80199)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Drug Test Prsmv Chem Anlyzr (80307) $56.62 $69.05 0.9×
Drug Test Prsmv Dir Opt Obs (80305)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Drug Test Prsmv Instrmnt (80306)
range across 8 matching MRF lines		 $79.54–$913.48 $97–$1,114 varies
Egfr Gene Analysis Common Variants (81235)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ehrlichia antibody (86666)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
El-1 Fecal Quantitative (82653) $65.60 $80 2.9×
Electrolyte panel (80051) $678.96 $828 96.9×
Electron Microscopy (88348)
range across 7 matching MRF lines		 $397.26–$671.82 $484.46–$819.29 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 5 matching MRF lines		 $29.60–$44.03 $36.10–$53.70 varies
Embryo hatching microtechnique (89253)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Encephaltis East Eqne Anbdy (86652) $13.43 $16.38 1.0×
Encephaltis West Eqne Antbdy (86654) $13.42 $16.37 1.0×
Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 6 matching MRF lines		 $13.81–$114.14 $16.84–$139.20 varies
Enterovirus Antibody (86658)
range across 24 matching MRF lines		 $10.62–$19.79 $12.95–$24.13 varies
Enterovirus PCR (87498)
range across 7 matching MRF lines		 $41–$72.89 $50–$88.89 varies
Enzyme cell activity (82657) $156.21 $190.50 7.0×
Enzyme histochemistry (88319)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Eosinophil Smear (89190)
range across 5 matching MRF lines		 $93.81–$178.76 $114.40–$218 varies
Erythropoietin (82668) $11.99 $14.62 0.6×
Estradiol serum (82670)
range across 8 matching MRF lines		 $16.40–$71.34 $20–$87 varies
Estriol (82677) $16.80 $20.49 0.7×
Estrogen total (82672) $118.82 $144.90 5.5×
Estrogens fractionated (82671) $22.02 $26.85 0.7×
Ethosuximide (80168) $31.77 $38.74 1.9×
Ethylene Glycol (82693)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Euglobulin lysis (85360) $81.76 $99.71 9.7×
Exam Synovial Fluid Crystals (89060) $195.98 $239 26.7×
Exome Re-Evaluation (81417)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Exome Sequence Analysis (81415)
range across 19 matching MRF lines		 $244.36–$7,209.44 $263–$8,792 varies
Exome sequence analysis each comparator exome (81416)
range across 17 matching MRF lines		 $366.54–$7,209.44 $447–$8,792 varies
Extnd Cul Oocyte/Embryo 4-7 Days (89272)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ezh2 Gene Analysis Common Variants (81237)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ezh2 gene analysis full gene sequence (81236)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
F2 Gene (81240)
range across 5 matching MRF lines		 $77.72–$280.44 $94.78–$342 varies
F9 full gene sequence (81238)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Factor ii activity (85210) $15.17 $18.50 1.2×
Factor Inhibitor Test (85335)
range across 5 matching MRF lines		 $175.52–$232.20 $214.05–$283.17 varies
Factor ix activity (85250)
range across 7 matching MRF lines		 $22.14–$30.19 $27–$36.82 varies
Factor v activity (85220) $20.50 $25 1.2×
Factor v leiden mutation (81241)
range across 5 matching MRF lines		 $159.58–$268.96 $194.61–$328 varies
Factor vii assay (85230) $20.91 $25.50 1.2×
Factor viii assay (85240)
range across 13 matching MRF lines		 $11.21–$42.64 $13.67–$52 varies
Factor X (85260) $20.91 $25.50 1.2×
Factor xi activity (85270) $20.91 $25.50 1.2×
Factor xiii screen (85291)
range across 5 matching MRF lines		 $64.53–$78.88 $78.70–$96.20 varies
Fancc Gene (81242)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fat differential, feces, quantitative Facility (82715)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fat stain feces urine/respir secretions (89125)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fat/Lipids Feces Quantitative (82710) $19.68 $24 1.2×
Fatty acids free (82725)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $62.29 $75.96 8.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fecal Fat Qualitative (82705)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ferritin (82728)
range across 7 matching MRF lines		 $35–$611.72 $42.68–$746 varies
Fetal Aneuploidy Trisom Risk (81507)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal Chrmoml Aneuploidy (81420)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal Chrmoml Microdeltj (81422)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal Congenital Abnor Assay Four Anal (81511) $29.68 $36.20 0.2×
Fetal Congenital Abnor Assay Two Proteins (81508)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Fetal Fibronectin (82731) $1,234.92 $1,506 19.2×
Fetal hemoglobin assay qual (83033) $58.39 $71.21 7.3×
Fetal lung maturity assessment; foam stability test Facility (83662)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal Lung Maturity Fluorescence Polarization (83663)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fetal screen rosette (85461) $91.02 $111 9.7×
Fibrin degradation products (85362)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fibrin Degradation Quant (85379) $49.10 $59.88 4.8×
Fibrin dgradj products d-dimer qual/semiquan (85378) $350.14 $427 36.0×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fibrinogen activity (85384)
range across 5 matching MRF lines		 $21.97–$425.58 $26.79–$519 varies
Fibrinogen antigen (85385) $61.50 $75 4.3×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 15 matching MRF lines		 $9.70–$237.80 $11.83–$290 varies
Fibrinolytic factors and inhibitors; plasmin Facility (85400)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Flow cytometry first marker (88184)
range across 11 matching MRF lines		 $25.44–$74.62 $31.02–$91 varies
Flt3 Gene (81245) $123 $150 0.7×
Flt3 gene analysis (81246) $92.25 $112.50 1.1×
Fluorescent antibody screen (86255)
range across 51 matching MRF lines		 $34.23–$303.82 $41.74–$370.51 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 14 matching MRF lines		 $63.77–$77.90 $77.77–$95 varies
Fluoride serum (82735)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fmr1 Gene Charac Alleles (81244)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fmr1 gene detection (81243) $238.61 $290.99 4.2×
Folic acid rbc (82747) $10.66 $13 0.6×
Folic Acid Serum (82746) $596.96 $728 40.6×
Follicle Stimulating Hormone (83001)
range across 5 matching MRF lines		 $56.99–$105.78 $69.50–$129 varies
Forensic Cytopathology (88125)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Francisella tularensis (86668) $64.08 $78.15 4.5×
Fresh Frozen Plasma Thawing Each Unit (86927)
range across 5 matching MRF lines		 $47.97–$86.10 $58.50–$105 varies
Frozen Blood Each Unit Freezing (86930)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Frozen Blood Each Unit Thawing (86931)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Frozen blood freeze/thaw (86932)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Frozen Section (88331) $167.28 $204 0.8×
Fungi Identification Mold (87107)
range across 7 matching MRF lines		 $8.63–$316.52 $10.53–$386 varies
Fungi Identification Yeast (87106)
range across 5 matching MRF lines		 $185.65–$313.24 $226.40–$382 varies
FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fxn Gene Analysis Characterization Alleles (81285)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Fxn Gene Analysis Full Gene Sequence (81286)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
G6pd gene alys cmn variant (81247)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
G6pd gene analysis full gene sequence (81249)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Galactokinase rbc (82759)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Galactose (82760) $55.04 $67.12 4.9×
Galactose transferase test (82776)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Galectin-3 (82777) $84.54 $103.10 1.9×
Gammaglobulin ige (82785)
range across 9 matching MRF lines		 $8.72–$70.52 $10.64–$86 varies
Gardner vag DNA dir probe (87510) $25.95 $31.65 1.3×
Gardner Vag Dna Quant (87512)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $41.82 $51 4.3×
Gases blood ph only (82800) $187.78 $229 17.1×
Gastric Analy W/Ph Ea Spec (82930)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gastrin (82941) $12.87 $15.70 0.7×
Gastrin after secretin stim (82938)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $830.66 $1,013 2.0×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 20 matching MRF lines		 $215.66–$7,209.44 $162.74–$8,792 varies
Genet Virus Isolate Hsv (87255)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Genetic Tstg Severe Inh Cond (81443)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Genome Sequence Analysis (81425)
range across 19 matching MRF lines		 $366.54–$7,209.44 $263–$8,792 varies
Genome sequence analysis each comparator genome (81426)
range across 20 matching MRF lines		 $215.66–$7,209.44 $162.74–$8,792 varies
Gentamicin (80170) $523.16 $638 31.9×
Ggt (82977) $406.72 $496 56.5×
Gh suppression panel (80430)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Giardia antigen (87329)
range across 5 matching MRF lines		 $80.34–$137.76 $97.97–$168 varies
Giardia lamblia antibody (86674)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gjb2 Gene Analysis Full Gene Sequence (81252)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gjb6 Gene Analysis Common Variants (81254)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gluc-6-phosphate dehydrogenase screen (82960)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glucagon (82943) $11.96 $14.58 0.8×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glucagon tolerance test Facility (82946)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glucose 2 hr pp (82950)
range across 9 matching MRF lines		 $68.88–$361.62 $84–$441 varies
Glucose Blood Test (82962)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glucose body fluid (82945) $315.70 $385 80.3×
Glucose Serum (82947)
range across 12 matching MRF lines		 $36.08–$315.70 $44–$385 varies
Glucose tolerance test (gtt) (82951)
range across 7 matching MRF lines		 $400.98–$438.70 $489–$535 varies
Glucosidase beta (82963)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glutamate dehydrogenase Facility (82965)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glutathione (82978) $187.62 $228.80 12.1×
Glutathione reductase, RBC Facility (82979)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Glycated Protein (82985) $12.61 $15.38 0.8×
Gonadotropin Chorionic Hcg Free Beta Chain (84704)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gonadotropin Chorionic Qualitative (84703) $179.58 $219 23.9×
Gonadotropin releasing hormone (83727) $213.20 $260 12.4×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Growth hormone (83003) $10.86 $13.24 0.7×
Growth hormone antibody (86277)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Growth Hormone Stimulation Panel (80428)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Growth Stimulation Gene 2 (83006)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Gtt-added samples (82952)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
H Pylori (C-13) Breath (83013)
range across 7 matching MRF lines		 $52.68–$104.96 $64.24–$128 varies
H Pylori Drug Admin (83014)
range across 7 matching MRF lines		 $9.02–$34.44 $11–$42 varies
Haloperidol (80173)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Haptoglobin (83010) $227.96 $278 18.1×
Haptoglobin; phenotypes Facility (83012)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hba1/hba2 full gene sequence (81259) $292.74 $357 0.5×
Hba1/Hba2 Gene (81257) $208.01 $253.67 2.0×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $318.44 $388.34 1.6×
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hbb duplication/deletion variants (81363) $287 $350 1.4×
Hbb Full Gene Sequence (81364) $292.74 $357 0.9×
Hbb Gene Com Variants (81361)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hdl Cholesterol (83718)
range across 7 matching MRF lines		 $13.12–$417.38 $16–$509 varies
Hearing Loss Dup/Del Analysis (81431)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hearing Loss Genomic Sequence Analysis 60 Genes (81430)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Heavy metal qualitative any analytes (83015)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Heinz Bodies Direct (85441)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Heinz Bodies Induced Acetyl Phenylhydrazine (85445)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Helicobacter Pylori Stool (87338) $145.96 $178 10.2×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Helminth Antibody (86682)
range across 9 matching MRF lines		 $26.12–$112.50 $31.85–$137.20 varies
Hemagglutination Inhibition (86280) $42.23 $51.50 5.2×
Hematocrit (85014)
range across 7 matching MRF lines		 $90.20–$115.62 $110–$141 varies
Hemoglobin (85018)
range across 7 matching MRF lines		 $25.42–$115.62 $31–$141 varies
Hemoglobin a1c (83036)
range across 5 matching MRF lines		 $120.54–$200.08 $147–$244 varies
Hemoglobin Chromotography (83021)
range across 7 matching MRF lines		 $14.37–$46.36 $17.52–$56.54 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin electrophoresis (83020)
range across 10 matching MRF lines		 $10.23–$61.50 $12.48–$75 varies
Hemoglobin F Fetal Chemical (83030)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin Methemoglobin Quantitative (83050) $21.88 $26.68 2.7×
Hemoglobin plasma (83051) $6.12 $7.46 0.8×
Hemoglobin quan tc per day carboxyhemoglobin (88740)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin stability screen (83068) $39.25 $47.87 4.1×
Hemoglobin Thermolabile (83065)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin urine (83069)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin-Oxygen Affinity (82820)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemoglobin; methemoglobin, qualitative Facility (83045)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemolysin Acid (85475)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hemolysins&Agglutinins Auto Screen Each (86940) $90.20 $110 10.3×
Hemolysins&Agglutinins Incubated (86941) $118.08 $144 9.8×
Hemosiderin urine (83070) $3.98 $4.85 0.8×
Hep a ab igm (86709) $374.74 $457 33.3×
Heparin assay (85520) $560.88 $684 42.8×
Heparin Neutralization (85525)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Heparin-Protamine Tolerance Tst (85530)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hepatitis a antibody total (86708)
range across 5 matching MRF lines		 $232.47–$246 $283.50–$300 varies
Hepatitis b core ab igm (86705) $246 $300 20.9×
Hepatitis b core ab total (86704) $246 $300 20.4×
Hepatitis B Surface Antibody (86706) $295.20 $360 27.5×
Hepatitis B Surface Antigen (87340)
range across 7 matching MRF lines		 $12.20–$171.38 $14.88–$209 varies
Hepatitis Be Antibody (86707) $12.34 $15.05 1.1×
Hepatitis Be Antigen (87350) $13.12 $16 1.1×
Hepatitis C Antibody (86803) $411.64 $502 28.8×
Hepatitis c antibody confirmatory test (86804) $123 $150 7.9×
Hepatitis C Genotype (87902) $106.51 $129.90 0.4×
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hepatitis C Revrs Trnscrpj (87522) $92.66 $113 2.2×
Hepatitis delta ag (87380)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hepatitis Delta Agent Antibody (86692)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hepatitis G Dna Quant (87527)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,005.58 $1,226.32 0.8×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Hereditary peripheral neuropathy gen seq pnl (81448)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hereditary Retinal Disorders (81434)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Heredtry Nurondcrn Tum Dsrdr (81437) $2,750.94 $3,354.80 2.1×
Herpes simplex type 2 (86696)
range across 7 matching MRF lines		 $10.39–$43.93 $12.67–$53.57 varies
Heterophile antibodies titer (86309)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Heterophile Antibody Screen (86308) $205 $250 39.6×
Hexa gene analysis common variants (81255)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hfe Gene (81256)
range across 5 matching MRF lines		 $10.32–$57.40 $12.59–$70 varies
Hgb Quantitative Transcutaneous (88738)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 5 matching MRF lines		 $8.20–$8.41 $10–$10.26 varies
Histamine urine (83088) $137.91 $168.18 4.7×
Histoplasma antibody (86698)
range across 9 matching MRF lines		 $11–$12.96 $13.42–$15.80 varies
Histoplasma antigen urine (87385)
range across 7 matching MRF lines		 $97.58–$134.48 $119–$164 varies
Hiv Antigen W/Hiv Antibodies (87806)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hiv Genotype (87901) $251.50 $306.71 1.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 7 matching MRF lines		 $29.99–$129.56 $36.57–$158 varies
Hiv-1 Antibody (86701) $26.24 $32 3.0×
HIV-1 p24 antigen (87390)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $71.09 $86.70 0.8×
HIV-2 probe&revrse trnscripj (87538) $133.09 $162.31 3.8×
Hla class i semiquant panel (86834)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla Class I Typing High Resolution Complete (81379)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla Class I Typing High Resolution One Locus Ea (81380)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla Class I Typing Low Resolution Complete (81372)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 24 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla class i&ii antibody qual (86828)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla class i/ii antibody qual (86829)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla class ii high defin qual (86833)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla class ii typing high resolution one locus ea (81382)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla I Typing 1 Allele Hr (81381)
range across 5 matching MRF lines		 $161.27–$170.31 $196.67–$207.70 varies
Hla i&ii high resolution hla-a -b -c and -drb1 (81378)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla i&li low resolution hla-a -b&-drb1 (81371)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla ii type 1 ag equiv lr (81377)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla ii typing 1 allele hr (81383)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla ii typing 1 locus lr (81376)
range across 10 matching MRF lines		 $58.65–$88.51 $71.53–$107.94 varies
Hla Typing a/B/C Multiple Antigens (86813) $265.68 $324 4.6×
Hla Typing Dr/Dq Multiple Antigens (86817)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla Typing Dr/Dq Single Antigen (86816)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hla-b27 (86812)
range across 7 matching MRF lines		 $19.97–$127.10 $24.35–$155 varies
Homocysteine (83090) $17.14 $20.90 1.0×
Homogenization Tissue (87176)
range across 5 matching MRF lines		 $20.91–$30.34 $25.50–$37 varies
Homovanillic acid urine (83150) $36.73 $44.79 1.6×
Hpa-1 genotyping gene analysis common variant (81105)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpa-15 genotyping gene analysis common variant (81112)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpa-2 genotyping gene analysis common variant (81106)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpa-3 genotyping gene analysis common variant (81107)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpa-4 genotyping gene analysis common variant (81108)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpa-5 genotyping gene analysis common variant (81109)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpa-6 genotyping gene analysis common variant (81110)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpa-9 Genotyping (81111)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpv High-Risk Types (87624) $39.20 $47.80 1.1×
Hpv low-risk types (87623)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hpv Types 16 & 18 Only (87625) $39.20 $47.80 1.0×
Hsv Dna Amp Probe (87529)
range across 12 matching MRF lines		 $18.90–$133.66 $23.05–$163 varies
Hsv Dna Quant (87530)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Htlv-I Antibody (86687)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Htlv-ii antibody (86688)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Htt Gene Analysis Characterization Alleles (81274)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Htt Gene Detc Abnor Alleles (81271)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Human Epididymis Protein 4 (86305)
range across 7 matching MRF lines		 $34.38–$166.30 $41.93–$202.80 varies
Hydroxycorticosteroids 17 (83491)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hydroxyprogesterone 17-d (83498)
range across 5 matching MRF lines		 $16.31–$17.66 $19.90–$21.54 varies
Hydroxyproline free (83500)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Hydroxyproline total (83505)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ia infectious agt antibody sars-cov-2 COVID-19 (86328)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaad Ia Adenovirus Enteric Typ 40/41 (87301)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaad Ia Cytomegalovirus (87332)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaad Ia Entamoeba Histolytica Grp (87337)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaad Ia Escherichia Coli 0157 (87335)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $81.18 $99 7.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $154.98 $189 4.4×
Iaad ia shiga-like toxin (87427)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaad Ia Streptococcus Group A (87430)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi giardia (87269)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi herpes smplx virus type 1 (87274)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi herpes smplx virus type 2 (87273)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi inffluenza a virus (87276)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi not otherwise specified each organism (87299)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi parainfluenza virus each type (87279)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi pneumocustis carinii (87281)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi respiratory synctial virus (87280)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadi Varicella Zoster Virus (87290)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iaadiadoo trichomonas vaginalis (87808)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Bartonella Amplified Probe Technique (87471)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $9.78 $11.93 0.3×
Iadna Candida Species Amplified Probe Tq (87481) $44.28 $54 1.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $66.42 $81 1.9×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $41 $50 1.2×
Iadna Cytomegalovirus Direct Probe Tq (87495)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Cytomegalovirus Quantification (87497) $50.02 $61 1.2×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $178.76 $218 2.5×
Iadna hepatitis b virus amplified probe tq (87516)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Hepatitis B Virus Quantification (87517) $82 $100 1.9×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $65.60 $80 1.9×
Iadna Herpes Virus-6 Quantification (87533)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $199.97 $243.86 5.7×
Iadna Hiv-2 Quant & Reverse Transcription (87539)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Multiple Organisms Direct Probe Tq (87800)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Mycobacteria Species Amplified Probe Tq (87551)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Mycobacteria Species Direct Probe Tq (87550)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 5 matching MRF lines		 $139.71–$141.04 $170.38–$172 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 5 matching MRF lines		 $117.70–$168.98 $143.54–$206.07 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 14 matching MRF lines		 $15.03–$118.90 $18.33–$145 varies
Iadna Nos Direct Probe Tq Each Organism (87797)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593)
range across 7 matching MRF lines		 $49.20–$78.60 $60–$95.85 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $569.08 $694 4.0×
Iadna-Dna/Rna Probe Tq 6-11 (87506)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Idh1 common variants (81120)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Idh2 common variants (81121)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ifnl3 gene analysis rs12979860 variant (81283)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ig Light Chains Free Each (83521)
range across 11 matching MRF lines		 $16.40–$60.68 $20–$74 varies
Igg subclasses (82787)
range across 9 matching MRF lines		 $5.16–$5.17 $6.29–$6.30 varies
Igh gene rearrange amp meth (81261) $89.38 $109 0.5×
IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Igh@ Variable Region Somatic Mutation Analysis (81263)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Igk rearrangeabn clonal pop (81264) $185.32 $226 1.1×
Ikbkap Gene Analysis Common Variants (81260)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $401.23 $489.31 0.9×
Immune Complex Assay (86332)
range across 5 matching MRF lines		 $70.52–$88.56 $86–$108 varies
Immunfix e-phorsis/urine/csf (86335)
range across 11 matching MRF lines		 $72.68–$94.22 $88.64–$114.90 varies
Immunoassay analyte qual/semiqual single step (83518)
range across 5 matching MRF lines		 $410.82–$1,711.34 $501–$2,087 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 27 matching MRF lines		 $11.30–$492 $13.78–$600 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Immunoassay infectious agent (86318)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 27 matching MRF lines		 $1.85–$42.43 $2.25–$51.75 varies
Immunoassay nonantibody (83516)
range across 37 matching MRF lines		 $7.77–$105.16 $9.47–$128.25 varies
Immunodiffusion not elsewhere specified (86329)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Immunodiffusion Ouchterlony (86331)
range across 13 matching MRF lines		 $12.78–$24.02 $15.58–$29.29 varies
Immunoelectrophoresis Other Fluids Concentration (86325)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Immunoelectrophoresis Serum (86320)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Immunofixation electrophoresis (86334)
range across 5 matching MRF lines		 $54.38–$143.17 $66.32–$174.60 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 7 matching MRF lines		 $133.45–$271.36 $162.74–$330.93 varies
Immunohistochemistry (88342)
range across 11 matching MRF lines		 $36.90–$571.54 $45–$697 varies
In situ hybridization 1st probe stain (88365) $90.20 $110 0.4×
In situ hybridization ea multiplex probe stain (88366)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious Agent Dna/Rna Influenza Ea Type (87501)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious Agent Dna/Rna Vancomycin Resistance (87500)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Influenza a/b ag eia (87400)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Influenza assay w/optic (87804)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Influenza DNA amp probe (87502)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Inherited Cardmypthy 5 Gns (81439)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Inhibin A (86336) $36.40 $44.39 2.3×
Inhibin b (83520)
range across 56 matching MRF lines		 $10.04–$246 $12.25–$300 varies
Insemination of oocytes (89268)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Insitu hybridization auto (88367)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Insitu hybridization manual (88368)
range across 5 matching MRF lines		 $98.40–$414.10 $120–$505 varies
Insulin antibodies (86337)
range across 5 matching MRF lines		 $14.27–$17.92 $17.41–$21.85 varies
Insulin free (83527)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Insulin tolerance panel growth horm defncy (80435)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Insulin total (83525) $80.36 $98 7.0×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Interleukin-6 (83529) $134.97 $164.60 7.8×
Intrinsic factor (stomach protein) level (83528)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Intrinsic factor antibody (86340) $16.56 $20.19 1.1×
Iron (83540)
range across 7 matching MRF lines		 $54.65–$417.38 $66.65–$509 varies
Iron Binding Capacity (83550) $611.72 $746 70.0×
Iron stain peripheral blood (85536)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Irradiation Blood Product Each Unit (86945) $211.56 $258 4.4×
Islet cell antibody (86341)
range across 9 matching MRF lines		 $21.16–$76.54 $25.81–$93.34 varies
Isocitric dehydrogenase (IDH) Facility (83570)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 5 matching MRF lines		 $84.46–$164.82 $103–$201 varies
Jak2 Gene Trgt Sequence Alys (81279) $241.90 $295 1.3×
Ketosteroids 17 total (83586)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Kit Gene Analysis D816 Variant(S) (81273)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Kit Gene Analysis Targeted Sequence Analysis (81272)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Koh Prep (87220) $175.48 $214 41.1×
Kras Gene Analysis Additional Variant(S) (81276)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Kras Gene Variants Exon 2 (81275)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
L/s ratio (83661) $41 $50 1.9×
Lactate (ld) (ldh) enzyme (83615)
range across 12 matching MRF lines		 $4.99–$315.70 $6.08–$385 varies
Lactoferrin fecal qualitative (83630) $114.80 $140 5.8×
Lactoferrin Fecal Quantitative (83631)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lactogen Hpl Human Chorionic Somatomammotropin (83632)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lactose urine qual (83633)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lamellar Body Count (83664)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ldh Isoenzymes (83625) $10.54 $12.85 0.8×
LDL direct (83721) $417.38 $509 39.8×
Lead (83655)
range across 9 matching MRF lines		 $5.72–$7.84 $6.98–$9.56 varies
Legionella antibody (86713) $12.80 $15.61 0.8×
Legionella antigen urine (87449)
range across 11 matching MRF lines		 $45.92–$484.62 $56–$591 varies
Legionella DNA probe (87540)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Legionella pneumophila dfa (87278)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Leptospira antibody (86720) $97.09 $118.40 6.0×
Leucine Aminopeptidase Lap (83670)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Leukocyte Assessment Fecal (89055)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Leukocyte Histamine Release (86343) $131.20 $160 10.5×
Leukocyte phagocytosis (86344)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Leukocyte transfusion (86950)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Level I Surg Pathology Gross Examination Only (88300) $191.06 $233 5.1×
Level ii surg pathology gross&microscopic exam (88302) $170.56 $208 3.6×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 5 matching MRF lines		 $524.57–$757.68 $639.73–$924 varies
Lidocaine (80176)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lipase (83690)
range across 7 matching MRF lines		 $8.36–$417.38 $10.19–$509 varies
Lipoprotein A (83695)
range across 5 matching MRF lines		 $12.01–$17.32 $14.65–$21.13 varies
Lipoprotein Bld Quan Part (83704)
range across 5 matching MRF lines		 $32.80–$39.25 $40–$47.87 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $18.02 $21.98 1.6×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lipoprotein-Associated Phospholipase A2 (83698) $54.78 $66.81 1.2×
Listeria Monocytogenes (86723)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lithium (80178) $318.98 $389 48.3×
Luteinizing Hormone (Lh) (83002)
range across 5 matching MRF lines		 $75.44–$105.78 $92–$129 varies
Lyme disease antibody (86618)
range across 5 matching MRF lines		 $11.23–$35.12 $13.70–$42.83 varies
Lymphocyte Culture Mixed (86821)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lymphocyte transformation (86353)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lymphocytotoxicity Assay (86805)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Lysozyme serum (85549) $15.45 $18.84 0.8×
M. Genitalium Amp Probe (87563) $94.50 $115.25 2.7×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 9 matching MRF lines		 $213.20–$569.08 $260–$694 varies
M/phmtrc alys ishquant/semiq (88374)
range across 9 matching MRF lines		 $213.20–$219.35 $260–$267.50 varies
Macroscopic exam arthropod (87168) $22.14 $27 5.2×
Macroscopic Exam Parasite (87169) $22.14 $27 5.1×
Magnesium Urine (83735)
range across 10 matching MRF lines		 $6.22–$417.38 $7.59–$509 varies
Malate dehydrogenase Facility (83775)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mass Spectrometry Quant (83789)
range across 9 matching MRF lines		 $15.10–$114.80 $18.42–$140 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Meat fibers, feces (89160)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mechanical fragility rbc (85547)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mecp2 gene dup/delet variant (81304)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mecp2 gene full seq (81302)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mercury urine (83825)
range across 9 matching MRF lines		 $7.68–$13.60 $9.37–$16.59 varies
Metabolic panel ionized ca (80047) $1,111.10 $1,355 80.9×
Methemalbumin (83857)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Methotrexate (80204) $45.10 $55 1.2×
Methylmalonic acid serum (83921) $18.04 $22 0.9×
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mgmt methylation analysis (81287)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Microalbumin, quantitative (82043)
range across 7 matching MRF lines		 $152.52–$160.72 $186–$196 varies
Microbe Suscept Macrobroth (87188) $79.38 $96.81 12.0×
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Microsatellite instability (81301)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Microsomal Antibodies Each (86376)
range across 7 matching MRF lines		 $12.17–$353.42 $14.84–$431 varies
Mitochondrial Antibody Each (86381) $9.02 $11 0.4×
Mlh1 Gene (81288)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mlh1 Gene Analysis Duplication/Deletion Variants (81294)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mlh1 Gene Analysis Full Sequence Analysis (81292) $182.46 $222.51 0.3×
Mlh1 Gene Analysis Known Familial Variants (81293)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mog-Igg1 Antb Cba Each (86362)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $451 $550 12.0×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Molecular Cytogenetics Dna Probe Each (88271) $46.92 $57.22 2.2×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Molecular Pathology Procedure Level 3 (81402)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Molecular Pathology Procedure Level 6 (81405) $413.78 $504.61 1.4×
Mononuclear cell antigen (86356)
range across 12 matching MRF lines		 $53.83–$53.84 $65.65–$65.66 varies
Mopath procedure level 1 (81400) $299.96 $365.80 4.7×
Mopath procedure level 2 (81401) $179.27 $218.62 1.3×
Mopath procedure level 4 (81403)
range across 5 matching MRF lines		 $280.63–$410 $342.23–$500 varies
Mopath procedure level 5 (81404)
range across 5 matching MRF lines		 $614.64–$852.80 $749.56–$1,040 varies
Mopath procedure level 7 (81406)
range across 5 matching MRF lines		 $391.98–$1,640 $478.02–$2,000 varies
Mopath procedure level 8 (81407) $1,172.62 $1,430.03 1.4×
Mopath procedure level 9 (81408) $1,174.85 $1,432.74 0.6×
Morphometric analysis nerve (88356)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Morphometric Analysis Tumor (88358)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mpl gene analysis sequence analysis exon 10 (81339) $181.22 $221 1.0×
Mrsa Pcr (87641)
range across 5 matching MRF lines		 $355.06–$397.70 $433–$485 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Msh2 Gene Analysis Full Sequence Analysis (81295) $103.11 $125.74 0.3×
Msh2 Gene Analysis Known Familial Variants (81296)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Msh6 Gene Analysis Duplication/Deletion Varia (81300)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Msh6 Gene Analysis Full Sequence Analysis (81298) $173.40 $211.46 0.3×
Msh6 Gene Known Variants (81299)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mthfr Gene Analysis Common Variants (81291)
range across 5 matching MRF lines		 $9.21–$45.10 $11.23–$55 varies
Mucin Clot Body Fluid (83872)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mucopolysaccharides acid quantitative (83864)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Mumps antibody (86735)
range across 7 matching MRF lines		 $9.82–$29.52 $11.98–$36 varies
Muscle-Specific Kinase Antb (86366) $492 $600 26.7×
Mycobacteric Identification (87118)
range across 7 matching MRF lines		 $89.38–$97.60 $109–$119.02 varies
Mycophenolic Acid (80180) $16.40 $20 0.9×
Mycoplasma antibody (86738)
range across 9 matching MRF lines		 $7.10–$45.08 $8.66–$54.97 varies
Mycoplasma culture (87109)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Myd88 Gene P.Leu265pro Vrnt (81305)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Myelin basic protein csf (83873) $22.78 $27.78 1.3×
Myoglobin urine (83874) $10.80 $13.17 0.8×
Natriuretic peptide (83880)
range across 8 matching MRF lines		 $82–$234.52 $100–$286 varies
Neisseria Dir Na Probe (87590)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nerve teasing preparations (88362)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Neutralization Test Viral (86382)
range across 7 matching MRF lines		 $29.99–$30 $36.57–$36.58 varies
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $466.58 $569 3.6×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $61.50 $75 2.1×
Nfct Agent Genotype Hepatitis B Virus (87912)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nfct Ds Bv&Vaginitis Dna Alg (81514) $271.42 $331 1.0×
Nfct ds chrnc hcv 6 assays (81596) $224.93 $274.30 3.1×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $378.84 $462 2.9×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $34.31 $41.84 1.3×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $631.79 $770.48 1.3×
Niacin (84591) $49.20 $60 2.9×
Nickel level (83885)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nitroblue Tetrazolium Dye (86384)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nk cells total count (86357)
range across 7 matching MRF lines		 $14.65–$28.45 $17.86–$34.69 varies
Noonan Spectrum Disorders (81442)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nras gene variants exon 2&3 (81311)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nuclear antigen antibody (86235)
range across 27 matching MRF lines		 $21.66–$82.09 $26.41–$100.11 varies
Nuclear Mitochondrial 100 Gene Genomic Seq (81440) $2,050 $2,500 0.6×
Nudt15 Gene Common Variants (81306)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Nzym actv blood cells/tiss radact substrate ea (82658)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Obstetric panel (80081)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Occult blood feces (82272)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Occult Blood Other Sources (82271) $67.24 $82 12.6×
Oligoclonal bands (83916)
range across 9 matching MRF lines		 $18.86–$21.11 $23–$25.74 varies
Onc breast mrna 12 genes (81522)
range across 19 matching MRF lines		 $215.66–$7,209.44 $263–$8,792 varies
Onco (Ovarian) Biochemical Assay Two Proteins (81500)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping),… (81518)
range across 19 matching MRF lines		 $215.66–$7,209.44 $263–$8,792 varies
Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521)
range across 19 matching MRF lines		 $215.66–$7,209.44 $263–$8,792 varies
Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping),… (81525)
range across 20 matching MRF lines		 $215.66–$7,209.44 $162.74–$8,792 varies
Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81536)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81535)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and… (81538)
range across 20 matching MRF lines		 $215.66–$7,209.44 $162.74–$8,792 varies
Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541)
range across 19 matching MRF lines		 $215.66–$7,209.44 $263–$8,792 varies
Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed… (81542)
range across 19 matching MRF lines		 $215.66–$7,209.44 $263–$8,792 varies
Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551)
range across 20 matching MRF lines		 $133.45–$7,209.44 $162.74–$8,792 varies
Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540)
range across 19 matching MRF lines		 $215.66–$7,209.44 $263–$8,792 varies
Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3… (81552)
range across 17 matching MRF lines		 $366.54–$7,209.44 $447–$8,792 varies
Oncology breast mrna gene expression 21 genes (81519)
range across 19 matching MRF lines		 $215.66–$7,209.44 $263–$8,792 varies
Oncology Prostate Prob Score (81539)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oncoprotein dcp (83951) $125.26 $152.76 1.9×
Oncoprotein Her-2/Neu (83950)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oocyte identification from follicular fluid (89254)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Organic Acids Qualitative Each Specimen (83919) $19.68 $24 1.2×
Organic acids urine (83918)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Osmolality serum (83930)
range across 5 matching MRF lines		 $182.86–$348.50 $223–$425 varies
Osmolality Urine (83935)
range across 8 matching MRF lines		 $6.33–$348.50 $7.72–$425 varies
Osmotic fragility rbc incubated (85557) $11.18 $13.63 0.8×
Osmotic Fragility RBC Unincubated (85555)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Osteocalcin (83937) $20.04 $24.44 0.7×
Outpatient Global Laboratory, Radiology and Diagnostic Services (89346)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ova and parasites smears (87177)
range across 7 matching MRF lines		 $7.30–$10.50 $8.90–$12.80 varies
Ova1 (81503)
range across 22 matching MRF lines		 $45.97–$7,209.44 $53–$8,792 varies
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Oxalate urine (83945)
range across 7 matching MRF lines		 $10.77–$13.42 $13.13–$16.37 varies
PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Palb2 gene analysis known familial variant (81308)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Palb2 gene full gene seq (81307) $182.75 $222.86 0.3×
Pancreatic Elastase Fecal (82656)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Particle Agglut Antbdy Titr (86406) $44.32 $54.05 4.2×
Particle Agglutination Screen Each Antibody (86403)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Parvovirus antibody (86747)
range across 7 matching MRF lines		 $8.27 $10.08–$10.09 0.6×
Path Consltj Surg Cytologic Exam Initial Site (88333) $131.20 $160 0.1×
Pathology Consultation During Surgery (88329)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pca3/Klk3 Prostate Specific Antigen Ratio (81313)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pdgfra Gene Analys Targeted Sequence Analys (81314)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ph urine (81003) $54.94 $67 24.4×
pH; exhaled breath condensate Facility (83987)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Phenobarbital Level (80184) $523.16 $638 34.2×
Phenotype Infect Agent Drug (87900) $127.34 $155.29 1.0×
Phenylalanine (84030)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Phenylketones qual (84035)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Phenytoin (Dilantin) (80185)
range across 5 matching MRF lines		 $267.09–$523.16 $325.72–$638 varies
Phenytoin free (80186) $11.43 $13.94 0.8×
Phosphatase acid prostatic (84066) $17.88 $21.80 1.9×
Phosphatase alkaline (84075)
range across 7 matching MRF lines		 $5.94–$301.76 $7.24–$368 varies
Phosphatidylglycerol (84081)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Phospholipid Neutralization Hexagonal (85598)
range across 5 matching MRF lines		 $41.41–$61.50 $50.50–$75 varies
Phosphorus Serum (84100)
range across 5 matching MRF lines		 $168.14–$315.70 $205.05–$385 varies
Phosphorus urine (84105)
range across 7 matching MRF lines		 $5.37–$29.59 $6.55–$36.09 varies
Pik3ca gene analysis targeted sequence analysis (81309)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pinworm exam (87172) $197.62 $241 46.3×
Platelet Aggregation (85576)
range across 10 matching MRF lines		 $126.28–$298.48 $154–$364 varies
Platelet Antibodies (86022)
range across 9 matching MRF lines		 $21.32–$206.64 $26–$252 varies
Platelet count automated (85049) $259.12 $316 57.8×
Platelet neutralization (85597) $59.86 $73 3.3×
PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pmp22 Gene Anal Duplication/Deletion Analysis (81324)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pmp22 Gene Analysis Full Sequence Analysis (81325)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $178.17 $217.28 0.9×
Pms2 gene analysis known familial variants (81318)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pms2 gene full seq analysis (81317) $1,001.80 $1,221.71 1.5×
Pooling blood platelets (86965) $164 $200 0.7×
Porphobilinogen Urine Qualitative (84106)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Porphobilinogen, urine; quantitative (84110)
range across 7 matching MRF lines		 $7.06–$17.39 $8.61–$21.21 varies
Porphyrins Feces Quantitative (84126) $136.56 $166.54 3.5×
Porphyrins Urine Quantitation & Fractionation (84120) $30.34 $37 2.1×
Porphyrins, urine; qualitative (84119)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Potassium Urine (84133)
range across 8 matching MRF lines		 $4.40–$283.72 $5.36–$346 varies
PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pr assay of bradykinin (82286)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pr assay of etiocholanolone (82696)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Prealbumin (84134) $523.16 $638 35.9×
Pregnancy-Associated Plasma Protein-A (84163)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pregnanediol (84135)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pregnanetriol (84138)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pregnenolone (84140) $36.90 $45 1.8×
Preparation of embryo for transfer (89255)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $45.61 $55.63 0.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 7 matching MRF lines		 $61.50–$129.56 $75–$158 varies
Pretx serum rbc antibody identification dilution (86976) $26.85 $32.75 0.7×
Primidone (80188)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Procalcitonin (Pct) (84145) $200.90 $245 7.4×
Progesterone (84144) $115.62 $141 5.5×
Prolactin (84146)
range across 11 matching MRF lines		 $26.23–$108.24 $31.99–$132 varies
Prostaglandin (84150)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Protein Alys Wstrn Blot I&R Immunological Ea (88372)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Protein body fluid (84157) $315.70 $385 78.9×
Protein C Activity (85303)
range across 5 matching MRF lines		 $16.40–$19.13 $20–$23.33 varies
Protein c antigen (85302) $25.88 $31.56 2.2×
Protein Electrophoresis Urine (84166)
range across 13 matching MRF lines		 $10.48–$20.40 $12.78–$24.88 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 8 matching MRF lines		 $9.20–$9.54 $11.22–$11.64 varies
Protein S Free (85306)
range across 7 matching MRF lines		 $18.04–$19.64 $22–$23.95 varies
Protein s total (85305) $18.09 $22.06 1.6×
Protein test for diagnosis and monitoring of bladder cancer (86386)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Protein Total Refractometry Any Src (84160)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Protein total serum (84155)
range across 10 matching MRF lines		 $3.26–$315.70 $3.98–$385 varies
Protein Total Urine (84156)
range across 17 matching MRF lines		 $2.16–$315.70 $2.63–$385 varies
Protein Western Blot Test (84182) $164 $200 5.6×
Protein, western blot tissue (88371)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 7 matching MRF lines		 $12.30–$524.80 $15–$640 varies
Protoporphyrin rbc quantitative (84202)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Protoporphyrin, RBC; screen Facility (84203)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
PSA free (84154) $75.44 $92 4.1×
Pten Gene Analysis Duplication/Deletion Variant (81323)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pten Gene Analysis Full Sequence Analysis (81321)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pten gene analysis known familial variant (81322)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Pth Intact (83970)
range across 14 matching MRF lines		 $325.54–$2,016.38 $397–$2,459 varies
Pyruvate kinase (84220)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Q Fever Antibody (86638) $13.75 $16.77 1.1×
Quantiferon tb gold plus (86480) $28.70 $35 0.5×
Quantitative assay drug (80299)
range across 9 matching MRF lines		 $227.96–$576.46 $278–$703 varies
Quantitative Screen Metals (83018) $50.25 $61.28 2.3×
Quinidine (80194) $34.05 $41.52 2.3×
Quinine (84228)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Rbc antibody elution (86860)
range across 8 matching MRF lines		 $82–$532.18 $100–$649 varies
Rbc antibody identification (86870)
range across 7 matching MRF lines		 $68.06–$326.36 $83–$398 varies
Rbc antibody screen (86850)
range across 9 matching MRF lines		 $41–$251.74 $50–$307 varies
Rbc pretreatment serum (86978) $56.58 $69 0.7×
Rbc pretx incubatj w/enzymes (86971)
range across 7 matching MRF lines		 $61.50–$519.06 $75–$633 varies
Rbc serum pretx incubj drugs (86975) $170.97 $208.50 0.3×
Reagent Strip/Blood Glucose (82948)
range across 7 matching MRF lines		 $233.70–$244.36 $285–$298 varies
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Receptor assay estrogen (84233)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Receptor assay progesterone (84234)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Renin activity plasma (84244)
range across 5 matching MRF lines		 $9.64–$11.25 $11.76–$13.72 varies
Reptilase test (85635) $39.69 $48.40 4.0×
Resp virus 12-25 targets (87633)
range across 24 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Resp Virus 6-11 Targets (87632)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Reticulated Platelet Assay (85055)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Reticulocyte Count (85046)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Reticulocyte Count Manual (85044)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Reticulocyte separation (86972)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Rh (86901)
range across 5 matching MRF lines		 $17.43–$147.60 $21.25–$180 varies
Rheumatoid Factor Qualitative (86430)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Rheumatoid factor quant (86431)
range across 5 matching MRF lines		 $7.38–$23.78 $9–$29 varies
Rickettsia antibody (86757)
range across 6 matching MRF lines		 $17.22–$73.21 $21–$89.28 varies
Ristocetin cofactor (85245) $27.06 $33 1.2×
Rotavirus ag eia (87425)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Rpr qualitative (86592)
range across 8 matching MRF lines		 $4.92–$25.89 $6–$31.58 varies
Rsv ab (86756)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Rsv Assay W/Optic (87807)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Rubella Antibody (86762)
range across 7 matching MRF lines		 $7.38–$29.52 $9–$36 varies
Rubeola antibody (86765)
range across 5 matching MRF lines		 $18.56–$26.24 $22.63–$32 varies
Runx1 gene analysis targeted sequence analysis (81334)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Russell Viper Venom Time Diluted (85613)
range across 14 matching MRF lines		 $8.11–$32.80 $9.89–$40 varies
Russell Viper Venon Time Undiluted (85612)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Salicylate Level (80179) $417.38 $509 22.4×
Salmonella antibody (86768)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sars-Cov-2 Covid-19 Amp Prb (87635) $429.68 $524 8.4×
Sars-cov-2 COVID-19 antibody (86769) $35.26 $43 0.8×
Sarscov2 & inf a&b amp prb (87636) $45.97 $56.06 0.3×
Sarscov2&inf a&b&rsv amp prb (87637) $353.42 $431 2.5×
Sedimentation rate (85651) $240.26 $293 56.3×
Sedimentation Rate, Automated (85652) $240.26 $293 89.0×
Selenium (84255) $21.36 $26.05 0.8×
Semen Anal Sperm Detection (89321)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Semen analysis complete (89322)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Semen analysis complete (89320)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Semen analysis motility and count (89310) $96.29 $117.43 11.2×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sensitivity mic (87186)
range across 22 matching MRF lines		 $388.68–$429.68 $474–$524 varies
Sept9 Methylation Analysis (81327)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Serpina 1 gene (81332)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Serum Bactericidal Titer (87197)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sex Chromatin Identification Barr Bodies (88130)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sex Hormone Binding Globulin (84270)
range across 7 matching MRF lines		 $6–$26.35 $7.32–$32.14 varies
Shigella Antibody (86771)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sickling of rbc reduction (85660)
range across 7 matching MRF lines		 $4.62–$37.72 $5.63–$46 varies
Silica (84285)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sirolimus (80195) $16.38 $19.98 1.2×
Skin Test Candida (86485) $67.24 $82 1.8×
Skin test tuberculosis intradermal (86580) $67.24 $82 1.8×
Skin test unlisted antigen each (86486)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Skin test; histoplasmosis (86510)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $386.34 $471.15 2.2×
Smear acid fast (87206) $118.08 $144 21.9×
Smear complex stain (87209)
range across 7 matching MRF lines		 $17.95–$21.16 $21.89–$25.80 varies
Smear gram stain (87205) $175.48 $214 41.1×
Smear Special Stain (87207)
range across 7 matching MRF lines		 $13.01–$353.42 $15.87–$431 varies
Smn1 Gen Nown Famil Seq Vrnt (81337)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Smn1 Gene Analysis Full Gene Sequence (81336)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Smn1 Gene Dos/Deletion Alys (81329) $289.98 $353.64 2.1×
Smpd1 Gene Analysis Common Variants (81330)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $175.48 $214 30.2×
Snrpn/Ube3a Methylation Analysis (81331)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sodium Serum (84295) $283.72 $346 59.0×
Sodium Urine (84300)
range across 8 matching MRF lines		 $4.70–$283.72 $5.73–$346 varies
Soluble fibrin monomer (85366)
range across 7 matching MRF lines		 $115.82–$116.91 $141.25–$142.57 varies
Soluble Transferrin Receptor (84238) $27.31 $33.31 0.7×
Somatomedin (84305)
range across 5 matching MRF lines		 $43.72–$51.25 $53.32–$62.50 varies
Somatostatin (84307) $168.10 $205 9.2×
Special Stains Group 1 (88312)
range across 5 matching MRF lines		 $74.06–$105.78 $90.32–$129 varies
Special Stains Group 2 (88313)
range across 9 matching MRF lines		 $36.90–$105.78 $45–$129 varies
Specific gravity body fluid (84315)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Specimen infect agnt concntj (87015)
range across 7 matching MRF lines		 $29.56–$32.80 $36.05–$40 varies
Spectrophotometry (84311)
range across 9 matching MRF lines		 $5.31–$98.40 $6.48–$120 varies
Sperm Antibodies (89325)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sperm evaluation; hamster penetration test Facility (89329)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sperm identification from aspiration (89257)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Splitting Blood/Blood Products Each Unit (86985) $86.10 $105 0.4×
Sprm id from tstis tiss frsh/cryoprsrvd (89264)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Staph a DNA amp probe (87640) $372.28 $454 10.6×
Stem cells total count (86367)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Stone Analysis (82355)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Stool cultr aerobic bact ea (87046) $49.20 $60 5.2×
Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Storage per Year Embryo (89342)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Storage per year sperm/semen (89343)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Strep a assay w/optic (87880)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Strep a DNA amp probe (87651) $234.52 $286 6.7×
Strep b DNA amp probe (87653) $470.68 $574 13.4×
Streptokinase, antibody Facility (86590)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $42.43 $51.75 0.5×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $97.73 $119.18 8.5×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sugars Multiple Quant (84379) $42.99 $52.43 3.7×
Sugars Single Qual (84376) $33.05 $40.31 6.0×
Sugars, chromatographic, TLC or paper chromatography Facility (84375)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Sulfate urine (84392) $5.09 $6.21 0.9×
Surg path level iii (88304) $221.40 $270 3.3×
Surgical pathology level IV (88305)
range across 7 matching MRF lines		 $42.34–$315.70 $51.63–$385 varies
Surgical pathology level vi (88309) $1,061.90 $1,295 1.0×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $100.86 $123 21.2×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 6 matching MRF lines		 $41–$429.68 $50–$524 varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $9.72 $11.85 1.3×
Sweat Collection Iontophoresis (89230)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Syphilis Test Non-Trep Quant (86593)
range across 5 matching MRF lines		 $14.43–$25.51 $17.60–$31.11 varies
T cells absolute cd4 count (86361)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 9 matching MRF lines		 $15.63–$35.42 $19.06–$43.19 varies
T cells total count (86359)
range across 9 matching MRF lines		 $14.65–$28.45 $17.87–$34.69 varies
T3 Free (84481)
range across 7 matching MRF lines		 $6.56–$541.20 $8–$660 varies
T3 reverse (84482) $22.14 $27 1.4×
T3 Total (84480)
range across 5 matching MRF lines		 $195.99–$387.04 $239.02–$472 varies
T3 Uptake (84479) $3.98 $4.85 0.6×
T4 Free (84439)
range across 11 matching MRF lines		 $8.34–$407.54 $10.17–$497 varies
T4 total (84436)
range across 7 matching MRF lines		 $4.22–$307.50 $5.15–$375 varies
T4-neonatal (84437)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Tacrolimus (80197) $29.12 $35.51 2.1×
Tau phosphorylated each (84393) $307.50 $375 2.4×
Tb ag response t-cell susp (86481)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Tbp Gene Analysis Eval Detect Abnormal Alleles (81344)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Tert gene targeted seq alys (81345)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Test for acetone/ketones (82009) $75.44 $92 16.7×
Test for urine cystines (82615)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Testosterone Bioavailable (84410) $16.85 $20.55 0.3×
Testosterone total (84403)
range across 15 matching MRF lines		 $5.97–$17.24 $7.28–$21.03 varies
Testosterone, Free (84402)
range across 10 matching MRF lines		 $7.33–$12.30 $8.94–$15 varies
Tetanus antibody (86774)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H,… (81333)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Tgsap so/hl 51/< RNA alys (81456)
range across 20 matching MRF lines		 $215.66–$7,209.44 $162.74–$8,792 varies
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thaw cryoprsvrd reprod tiss (89354)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thawing and expansion of frozen cells, each aliquot Facility (88241)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thawing Cryopreserved Oocytes Each Aliquot (89356)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thawing Cryopresrved Sperm (89353)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thawing of cryopreserved embryos (89352)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Theophylline (80198) $30.34 $37 2.1×
Thiocyanate (84430)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thrombin Time (85670)
range across 5 matching MRF lines		 $27.84–$399.34 $33.96–$487 varies
Thrombin time titer (85675)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thrombomodulin Facility (85337)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thromboplastin Inhibition Tissue (85705)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 5 matching MRF lines		 $47.75–$51.34 $58.23–$62.62 varies
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thyroglobulin (84432)
range across 11 matching MRF lines		 $8.79–$122.92 $10.72–$149.90 varies
Thyroglobulin Antibody (86800)
range across 9 matching MRF lines		 $8.70–$68.06 $10.61–$83 varies
Thyroid Stimulating Immunoglobulin (84445) $38.83 $47.35 0.8×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Thyroxine binding globulin (84442) $12.37 $15.09 0.8×
Tiss cul neo disorders solid tumor (88239)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Tiss Trnsgltmnase Ea Ig Clas (86364) $49.20 $60 4.3×
Tissue Culture (88233) $148.83 $181.50 1.1×
Tissue Culture Amniotic Fluid (88235) $732.52 $893.32 4.9×
Tissue culture bone marrow (88237)
range across 7 matching MRF lines		 $144.71–$147.60 $176.47–$180 varies
Tissue Culture Lymphocyte (88230) $117.74 $143.58 1.0×
Tobramycin peak (80200)
range across 5 matching MRF lines		 $494.46–$514.14 $603–$627 varies
Topiramate (80201) $25.70 $31.34 2.2×
Touch prep (88161)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Toxin/Antitoxin Assay Tissue Culture (87230)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Toxoplasma ab igm (86778)
range across 5 matching MRF lines		 $10.10–$13.52 $12.32–$16.49 varies
Toxoplasma antibody (86777) $10.09 $12.31 0.7×
Tp53 gene analysis full gene sequence (81351) $173.39 $211.45 0.3×
Tpmt gene com variants (81335)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Transferase Aspartate Amino Ast Sgot (84450) $315.70 $385 60.9×
Transferrin (84466) $14.10 $17.20 1.1×
Trb@ gene rearrange dirprobe (81341)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Trb@ Rearrangement Anal Amplification Method (81340) $205 $250 1.0×
Trg gene rearrangement anal (81342) $205 $250 1.0×
Trichinella Antibody (86784) $38.78 $47.29 3.1×
Trichomonas vagin dir probe (87660) $25.95 $31.65 1.3×
Trichomonas Vaginalis Amplif (87661)
range across 9 matching MRF lines		 $42.64–$96.76 $52–$118 varies
Triglycerides (84478)
range across 10 matching MRF lines		 $4.17–$311.60 $5.09–$380 varies
Troponin Quant (84484) $456.74 $557 36.6×
Troponin, qualitative (84512)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Trypsin feces qual (84488)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Tumor immunohistochem/comput (88361)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Tumor Immunohistochem/Manual (88360)
range across 9 matching MRF lines		 $39.36–$583.84 $48–$712 varies
Tyms Gene Analysis Common Variants (81346)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Ugt1a1 gene analysis common variants (81350)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Unlisted Cytogenetic Study (88299)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Unlisted miscellaneous pathology test (89240)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Unlisted reproductive medicine lab procedure (89398)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Unlisted Surgical Pathology Procedure (88399)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Unlisted Transfusion Medicine Procedure (86999)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urea Nitrogen Clearance (84545)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urea nitrogen urine (84540)
range across 7 matching MRF lines		 $5.17–$315.70 $6.30–$385 varies
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Uric acid other source (84560)
range across 9 matching MRF lines		 $4.72–$38.82 $5.76–$47.34 varies
Urinalysis Microscopic Only (81015)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urinalysis Volume Measure (81050)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urinalysis; 2 or 3 glass test Facility (81020)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urine Albumin Semiquantitative (82044)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urine Bacteria Culture (87088)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urine Pregnancy Test (81025) $125.46 $153 14.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $262.40 $320 82.8×
Urobilinogen urine qual (84578)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urobilinogen, feces, quantitative Facility (84577)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urobilinogen, urine; quantitative, timed specimen Facility (84580)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Urobilinogen, urine; semiquantitative Facility (84583)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Valproic acid (80164) $494.46 $603 36.5×
Vancomycin (80202) $514.14 $627 38.0×
Varicella-zoster antibody (86787)
range across 7 matching MRF lines		 $8.20–$26.24 $10–$32 varies
Vasopressin (84588) $98.40 $120 2.9×
Very Long Chain Fatty Acids (82726)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Viral Culture (87252) $33.19 $40.48 1.3×
Virus antibody nos (86790)
range across 13 matching MRF lines		 $9.84–$82 $12–$100 varies
Virus inoculate tissue addl (87253) $39.69 $48.40 2.0×
Virus inoculation, shell via (87254)
range across 7 matching MRF lines		 $32.68–$32.69 $39.85–$39.86 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Viscosity serum (85810) $13.53 $16.50 1.2×
Vit D 1 25-Dihydroxy (82652) $17.59 $21.45 0.5×
Vitamin A (84590) $11.52 $14.05 1.0×
Vitamin b-12 (82607)
range across 5 matching MRF lines		 $271.01–$442.80 $330.50–$540 varies
Vitamin B2 (Riboflavin) (84252)
range across 5 matching MRF lines		 $32.55–$38.76 $39.69–$47.27 varies
Vitamin B6 (84207)
range across 5 matching MRF lines		 $51.13–$56.88 $62.35–$69.37 varies
Vitamin c (82180) $8.27 $10.08 0.8×
Vitamin D 25-Hydroxy (82306)
range across 7 matching MRF lines		 $14.55–$200.08 $17.75–$244 varies
Vitamin E (84446) $16.05 $19.57 1.1×
Vitamin K (84597) $62.32 $76 4.5×
Vkorc1 gene (81355)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Volatiles (84600)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Voltage-Gated Calcium Channel Antibody Each (86596) $16.64 $20.29 1.4×
Volume Reduction Blood/Blood Product Each Unit (86960)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Von willebrand factor ag (85246)
range across 7 matching MRF lines		 $19.42–$21.84 $23.68–$26.63 varies
Wbc Alkaline Phosphatase Count (85540) $73.80 $90 8.6×
West nile virus ab igm (86788) $14.10 $17.19 0.8×
West Nile Virus Antibody (86789) $12.04 $14.68 0.8×
Western Blot Test (84181)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Whole Mitochondrial Genome (81460) $1,804 $2,200 1.4×
Whole mitochondrial genome analysis panel (81465)
range across 22 matching MRF lines		 $133.45–$7,209.44 $53–$8,792 varies
X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis,… (81471)
range across 22 matching MRF lines		 $45.97–$7,209.44 $53–$8,792 varies
X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470)
range across 22 matching MRF lines		 $45.97–$7,209.44 $53–$8,792 varies
Xm Archive Tissue Molec Anal (88363)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Xylose Absorption Test (84620)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Zika Virus Dna/Rna Amp Probe (87662) $248.95 $303.60 4.9×
Zika Virus Igm Antibody (86794)
range across 22 matching MRF lines		 $43.46–$7,209.44 $53–$8,792 varies
Zinc (84630)
range across 5 matching MRF lines		 $9.84–$32.55 $12–$39.69 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.