| 1 25 Dihydroxy includes fractions if performed (82652) |
$34.86 |
$249 |
0.9× |
| 17-Hydroxycorticosteroids (83491) |
$59.22 |
$423 |
3.3× |
| 5 Hiaa (83497) |
$35.28 |
$252 |
2.7× |
| 5 Nucleotidase (83915) |
$21.84 |
$156 |
2.0× |
| Abl1 gene (81170) |
$73.78 |
$527 |
0.2× |
| Acetaminophen level (80143) |
$8.12 |
$58 |
0.4× |
| Acetylcholine receptor (achr); blocking antibody (86042) |
$7.70 |
$55 |
0.4× |
| Acetylcholine receptor binding antibody (86041) |
$7.70 |
$55 |
0.4× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$4.90 |
$35 |
0.4× |
| Acth stimulation panel (80402) |
$114.66 |
$819 |
1.3× |
| Acth stimulation panel adrenal (80400) |
$46.34 |
$331 |
1.4× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) |
$103.18 |
$737 |
1.3× |
| Actin smooth muscle antibody each (86015) |
$4.90 |
$35 |
0.4× |
| Actinomyces antibody (86602) |
$10.22 |
$73 |
1.0× |
| Activated protein c resistance (85307) |
$78.61 |
$561.50 |
5.1× |
| Acute hepatitis panel (80074) |
$169.26 |
$1,209 |
3.6× |
| Acylcarnitine Plasma (82017) |
$128.66 |
$919 |
7.6× |
| Adamts13 activity (85397) |
$103.88 |
$742 |
3.4× |
| Additional high resolution study (88289) |
$45.64 |
$326 |
1.3× |
| Adenovirus Ag Ia (87301) |
$116.90 |
$835 |
9.8× |
| Adenovirus ag, if (87260) |
$88.06 |
$629 |
6.1× |
| Adenovirus antibody (86603) |
$45.08 |
$322 |
3.5× |
| Afb culture (87116) |
$89.04 |
$636 |
8.2× |
| Albumin Fluid (82042) |
$10.15 |
$72.50 |
1.3× |
| Albumin serum (82040) |
$29.96 |
$214 |
6.1× |
| Aldolase (82085) |
$19.46 |
$139 |
2.0× |
| Aldosterone suppression evaluation panel (80408) |
$165.48 |
$1,182 |
1.3× |
| Aldosterone urine (82088) |
$76.30 |
$545 |
1.9× |
| Alkaline phosphatase isoenzymes (84080) |
$29.33 |
$209.50 |
2.0× |
| Allerg sp igg quan or semiquan (86001) |
$3.50 |
$25 |
0.4× |
| Allergen specific ige (86003) |
$8.40 |
$60 |
1.6× |
| Allergen specific ige; qualitative, multiallergen screen (86005) |
$27.72 |
$198 |
3.5× |
| Allg Spec Ige Recomb Ea (86008) |
$6.02 |
$43 |
0.3× |
| Alpha-1-antitrypsin phenotype (82104) |
$18.20 |
$130 |
1.3× |
| Alpha-1-antitrypsin, total (82103) |
$24.99 |
$178.50 |
1.9× |
| Alpha-fetoprotein amniotic (82106) |
$8.12 |
$58 |
0.5× |
| Alpha-Fetoprotein L3 (82107) |
$27.44 |
$196 |
0.4× |
| Alpha-fetoprotein, serum (82105) |
$36.89 |
$263.50 |
2.2× |
| Alt (sgpt) (84460) |
$31.78 |
$227 |
6.0× |
| Aluminum (82108) |
$45.22 |
$323 |
1.8× |
| Amikacin trough (80150) |
$19.74 |
$141 |
1.3× |
| Amines vaginal fluid qual (82120) |
$5.04 |
$36 |
0.8× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$7.70 |
$55 |
0.5× |
| Amino Acids, Single Quantitation (82131) |
$26.60 |
$190 |
1.2× |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) |
$18.34 |
$131 |
1.3× |
| Aminolevulinic acid (ala) (82135) |
$6.72 |
$48 |
0.4× |
| Ammonia (82140) |
$54.04 |
$386 |
3.7× |
| Amylase urine (82150) |
$56.28 |
$402 |
8.7× |
| Ana Titer (86039) |
$15.96 |
$114 |
1.4× |
| Analysis for antibody to borrelia (relapsing fever bacteria) (86619) |
$17.64 |
$126 |
1.3× |
| Analysis for antibody to shigella (intestinal bacteria) (86771) |
$17.36 |
$124 |
0.7× |
| Analysis nerve (88356) |
$36.68 |
$262 |
0.7× |
| Androstanediol glucuronide (82154) |
$40.18 |
$287 |
1.4× |
| Androsterone (hormone) level (82160) |
$32.90 |
$235 |
1.3× |
| Angiotensin i enzyme test (82164) |
$36.89 |
$263.50 |
2.5× |
| Angiotensin ll (protein) level (82163) |
$27.16 |
$194 |
1.3× |
| Anti-phosphatidylserine antibody (86148) |
$58.80 |
$420 |
3.7× |
| Antibody Absorption (86978) |
$32.90 |
$235 |
0.6× |
| Antibody aspergillus (86606) |
$9.80 |
$70 |
0.7× |
| Antibody coxiella burnetii q fever (86638) |
$8.75 |
$62.50 |
0.7× |
| Antibody cytomegalovirus cmv (86644) |
$29.54 |
$211 |
2.1× |
| Antibody cytomegalovirus cmv igm (86645) |
$36.68 |
$262 |
2.2× |
| Antibody Detection Nos If (87299) |
$63.14 |
$451 |
3.9× |
| Antibody Encephalitis Eastern Equine (86652) |
$43.12 |
$308 |
3.3× |
| Antibody Encephalitis St. Louis (86653) |
$49.14 |
$351 |
3.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$51.10 |
$365 |
3.9× |
| Antibody haemophilus influenza (86684) |
$6.16 |
$44 |
0.4× |
| Antibody helicobacter pylori (86677) |
$47.60 |
$340 |
2.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$10.22 |
$73 |
0.7× |
| Antibody herpes smplx type 1 (86695) |
$10.64 |
$76 |
0.8× |
| Antibody HIV-2 (86702) |
$50.82 |
$363 |
3.8× |
| Antibody identification (86870) |
$102.06 |
$729 |
0.3× |
| Antibody identification leukocyte antibodies (86021) |
$75.60 |
$540 |
5.0× |
| Antibody john cunningham virus (86711) |
$20.58 |
$147 |
1.2× |
| Antibody mumps (86735) |
$20.44 |
$146 |
1.6× |
| Antibody neisseria meningitidis (86741) |
$21.70 |
$155 |
1.6× |
| Antibody Protozoa Nes (86753) |
$37.24 |
$266 |
3.0× |
| Antibody rubeola (86765) |
$14.98 |
$107 |
1.2× |
| Antibody screen (86850) |
$37.80 |
$270 |
3.9× |
| Antibody treponema pallidum (86780) |
$13.16 |
$94 |
1.0× |
| Antibody; Coccidioides (86635) |
$11.48 |
$82 |
1.0× |
| Antigen typing (86905) |
$136.43 |
$974.50 |
35.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$83.72 |
$598 |
16.2× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$19.67 |
$140.50 |
1.6× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) |
$4.90 |
$35 |
0.4× |
| Antinuclear antibodies (86038) |
$47.46 |
$339 |
3.9× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$44.24 |
$316 |
7.7× |
| Antistreptolysin o titer (86060) |
$35.14 |
$251 |
4.8× |
| Antithrombin iii activity (85300) |
$62.86 |
$449 |
5.3× |
| Antithrombin iii antigen (85301) |
$40.11 |
$286.50 |
3.7× |
| Apc gene analysis known familial variants (81202) |
$144.76 |
$1,034 |
0.5× |
| Apc gene dup/delet variants (81203) |
$150.22 |
$1,073 |
0.8× |
| Apc gene full sequence (81201) |
$150.22 |
$1,073 |
0.2× |
| Apolipoprotein b (82172) |
$12.32 |
$88 |
0.6× |
| Aquaporin-4 Antb Elisa (86051) |
$4.90 |
$35 |
0.4× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$5.46 |
$39 |
0.5× |
| Arsenic Urine (82175) |
$40.88 |
$292 |
2.2× |
| Aspa gene analysis common variants (81200) |
$49.14 |
$351 |
1.0× |
| Aspergillus ag eia (87305) |
$90.02 |
$643 |
7.5× |
| Assay carboxyhb qual (82376) |
$8.12 |
$58 |
0.6× |
| Assay Duodenal Fluid Trypsin (84485) |
$9.94 |
$71 |
1.4× |
| Assay galactose transferase (82775) |
$150.64 |
$1,076 |
7.1× |
| Assay myeloperoxidase (83876) |
$28.77 |
$205.50 |
0.6× |
| Assay Nephelometry Not Spec (83883) |
$77.70 |
$555 |
5.7× |
| Assay of 17-hydroxypregnenolone (84143) |
$13.44 |
$96 |
0.6× |
| Assay of acth (82024) |
$54.60 |
$390 |
1.4× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
$7.56 |
$54 |
0.4× |
| Assay of androstenedione (82157) |
$46.62 |
$333 |
1.6× |
| Assay of anti-mullerian hormone (82166) |
$15.96 |
$114 |
0.4× |
| Assay of blood chloride (82435) |
$19.88 |
$142 |
4.3× |
| Assay of blood fatty acids (82725) |
$50.12 |
$358 |
2.7× |
| Assay of c-peptide (84681) |
$41.58 |
$297 |
2.0× |
| Assay of calcitonin (82308) |
$38.08 |
$272 |
1.4× |
| Assay of ceruloplasmin (82390) |
$24.08 |
$172 |
2.2× |
| Assay of corticosterone (82528) |
$213.78 |
$1,527 |
9.5× |
| Assay of creatine (82540) |
$6.30 |
$45 |
1.4× |
| Assay of cyclosporine (80158) |
$107.24 |
$766 |
5.9× |
| Assay of dibucaine number (82638) |
$16.24 |
$116 |
1.3× |
| Assay of erythropoietin (82668) |
$34.86 |
$249 |
1.9× |
| Assay of ethosuximide (80168) |
$60.76 |
$434 |
3.7× |
| Assay of etiocholanolone (82696) |
$31.22 |
$223 |
1.2× |
| Assay of ferritin (82728) |
$56.28 |
$402 |
4.1× |
| Assay of fluoride (82735) |
$24.50 |
$175 |
1.3× |
| Assay of g6pd enzyme (82955) |
$10.50 |
$75 |
1.1× |
| Assay of gammaglobulin igm (82784) |
$50.12 |
$358 |
5.4× |
| Assay of gastrin (82941) |
$23.94 |
$171 |
1.4× |
| Assay of gentamicin (80170) |
$32.41 |
$231.50 |
2.0× |
| Assay of glucagon (82943) |
$40.81 |
$291.50 |
2.9× |
| Assay of homocystine (83090) |
$55.86 |
$399 |
3.1× |
| Assay of homovanillic acid (83150) |
$66.92 |
$478 |
3.0× |
| Assay of lipoprotein(a) (83695) |
$23.66 |
$169 |
1.7× |
| Assay of manganese (83785) |
$38.22 |
$273 |
1.4× |
| Assay of metanephrines (83835) |
$153.16 |
$1,094 |
9.0× |
| Assay of osteocalcin (83937) |
$24.08 |
$172 |
0.8× |
| Assay of parathormone (83970) |
$72.52 |
$518 |
1.8× |
| Assay of phenobarbital (80184) |
$20.86 |
$149 |
1.4× |
| Assay of prealbumin (84134) |
$47.18 |
$337 |
3.2× |
| Assay of proinsulin (84206) |
$120.82 |
$863 |
4.5× |
| Assay of prostate specific antigen complexed (84152) |
$24.36 |
$174 |
1.3× |
| Assay of pyruvate (84210) |
$35 |
$250 |
2.4× |
| Assay of selenium (84255) |
$27.16 |
$194 |
1.1× |
| Assay of semen fructose (82757) |
$22.82 |
$163 |
1.3× |
| Assay of serotonin (84260) |
$48.30 |
$345 |
1.6× |
| Assay of sialic acid (84275) |
$42 |
$300 |
3.1× |
| Assay of somatomedin (84305) |
$17.36 |
$124 |
0.8× |
| Assay of tacrolimus (80197) |
$75.74 |
$541 |
5.5× |
| Assay of transcortin (84449) |
$19.32 |
$138 |
1.1× |
| Assay of urine vma (84585) |
$56.84 |
$406 |
3.7× |
| Assay of urobilinogen urine semiquan - urobilinogen semiquant urine (84583) |
$6.86 |
$49 |
1.1× |
| Assay of vitamin k (84597) |
$93.10 |
$665 |
6.8× |
| Assay of volatiles (84600) |
$57.68 |
$412 |
3.4× |
| Assay Ph Body Fluid Nos (83986) |
$20.30 |
$145 |
5.7× |
| Assay Phosphohexose Enzymes (84087) |
$13.72 |
$98 |
1.3× |
| Assay rbc glutathione (82979) |
$9.24 |
$66 |
1.0× |
| Assay Thiopurine S-Methyltransferase (84433) |
$9.66 |
$69 |
0.4× |
| Ast (sgot) (84450) |
$34.02 |
$243 |
6.6× |
| Autologous Blood Process (86890) |
$44.38 |
$317 |
0.3× |
| Automated rbc count (85041) |
$7.49 |
$53.50 |
2.5× |
| B cells total count (86355) |
$42.84 |
$306 |
1.1× |
| Bartonella antibody (86611) |
$13.02 |
$93 |
1.3× |
| Bartonella DNA amp probe (87471) |
$248.92 |
$1,778 |
7.1× |
| Bcr/abl1 gene major bp (81206) |
$242.34 |
$1,731 |
1.5× |
| Bcr/abl1 gene minor bp (81207) |
$251.44 |
$1,796 |
1.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
$66.92 |
$478 |
2.6× |
| Beta hydroxybutyrate (82010) |
$25.83 |
$184.50 |
3.2× |
| Beta Lactamase (87185) |
$6.86 |
$49 |
1.4× |
| Beta-2 microglobulin (82232) |
$40.53 |
$289.50 |
2.5× |
| Bile acids, total (82239) |
$41.58 |
$297 |
2.4× |
| Bile acids; cholylglycine (82240) |
$35 |
$250 |
1.3× |
| Bilirubin direct (82248) |
$30.52 |
$218 |
6.1× |
| Bilirubin total (82247) |
$31.92 |
$228 |
6.4× |
| Bilirubin total transcutaneous (88720) |
$4.48 |
$32 |
0.9× |
| Biotinidase ea specimen (82261) |
$21.98 |
$157 |
1.3× |
| Bl Smear W/Diff Wbc Count (85007) |
$20.16 |
$144 |
5.3× |
| Bl Smear W/O Diff Wbc Count (85008) |
$4.20 |
$30 |
1.2× |
| Blastomyces antibody (86612) |
$18.76 |
$134 |
1.5× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
$31.64 |
$226 |
0.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$101.08 |
$722 |
0.6× |
| Bleeding time (85002) |
$5.46 |
$39 |
1.1× |
| Blood clot lysis time (85175) |
$16.10 |
$115 |
0.8× |
| Blood Count Automated Differential Wbc Count (85004) |
$8.12 |
$58 |
1.3× |
| Blood count reticulocyte automated (85045) |
$5.25 |
$37.50 |
1.3× |
| Blood gases (82803) |
$89.74 |
$641 |
3.4× |
| Blood gases w/02 saturation (82805) |
$93.24 |
$666 |
1.2× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
$7.56 |
$54 |
0.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$7.42 |
$53 |
0.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$16.66 |
$119 |
3.8× |
| Blood Ph - Ph Venous (82800) |
$23.10 |
$165 |
2.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$141.40 |
$1,010 |
22.3× |
| Blood typing abo (86900) |
$28.35 |
$202.50 |
9.5× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
$11.76 |
$84 |
0.7× |
| Blood typing serologic rh (d) (86901) |
$8.54 |
$61 |
2.9× |
| Body fluid cell count (89051) |
$38.78 |
$277 |
6.9× |
| Body fluid cell count (89050) |
$28 |
$200 |
5.9× |
| Bone Marrow Smear Interpretation (85097) |
$250.74 |
$1,791 |
0.3× |
| Bordetella antibody (86615) |
$7.42 |
$53 |
0.6× |
| Braf gene (81210) |
$40.32 |
$288 |
0.2× |
| Brca1&2 seq & full dup/del (81162) |
$1,757.98 |
$12,557 |
1.0× |
| Breath Alcohol Test (82075) |
$18.20 |
$130 |
0.6× |
| Brucella antibody (86622) |
$17.22 |
$123 |
1.9× |
| C diff amplified probe (87493) |
$27.30 |
$195 |
0.7× |
| C-reactive protein (86140) |
$51.10 |
$365 |
9.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$46.20 |
$330 |
3.6× |
| Ca 125 (86304) |
$50.40 |
$360 |
2.4× |
| Ca 19-9 (86301) |
$41.30 |
$295 |
2.0× |
| Ca 27 29 (86300) |
$42.84 |
$306 |
2.1× |
| Cadmium level (82300) |
$33.25 |
$237.50 |
1.4× |
| Caffeine (80155) |
$40.18 |
$287 |
1.0× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) |
$105.84 |
$756 |
1.3× |
| Calcium infusion test (82331) |
$7 |
$50 |
0.5× |
| Calcium ionized (82330) |
$32.06 |
$229 |
2.3× |
| Calcium total (82310) |
$29.40 |
$210 |
5.7× |
| Calcium urine (82340) |
$21.84 |
$156 |
3.6× |
| Calculus analysis (82370) |
$16.52 |
$118 |
1.3× |
| Calculus Qualitative Analysis (82355) |
$15.26 |
$109 |
1.3× |
| Calculus Quantitative Chemical (82360) |
$13.86 |
$99 |
1.1× |
| Calculus Spectroscopy (82365) |
$32.55 |
$232.50 |
2.5× |
| California encephalitis ab (86651) |
$49.14 |
$351 |
3.7× |
| Calprotectin, fecal (83993) |
$150.22 |
$1,073 |
7.7× |
| Calr gene com variants (81219) |
$225.96 |
$1,614 |
1.9× |
| Candida antibody (86628) |
$29.26 |
$209 |
2.4× |
| Candida DNA dir probe (87480) |
$91.14 |
$651 |
4.5× |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
$1,411.34 |
$10,081 |
2.4× |
| Car Ion Chnnlpath Inc 2 Gns (81414) |
$1,411.34 |
$10,081 |
2.4× |
| Carb deficient transferrin (82373) |
$175.98 |
$1,257 |
9.7× |
| Carbamazepine (tegretol) total (80156) |
$38.64 |
$276 |
2.7× |
| Carbamazepine free (80157) |
$25.34 |
$181 |
1.9× |
| Carbohydrate (sugar) analysis (84375) |
$26.04 |
$186 |
0.7× |
| Carbon dioxide (82374) |
$63.35 |
$452.50 |
13.0× |
| Carboxyhemoglobin Quantitative (82375) |
$20.30 |
$145 |
1.6× |
| Carcinoembryonic antigen (82378) |
$82.18 |
$587 |
4.3× |
| Cardiolipin ab igg (86147) |
$35.28 |
$252 |
1.4× |
| Carnitine (82379) |
$34.16 |
$244 |
2.0× |
| Carotene (82380) |
$59.78 |
$427 |
6.5× |
| Catecholamines fraction plasma (82384) |
$64.05 |
$457.50 |
2.5× |
| Cathepsin-d (enzyme) level (82387) |
$10.22 |
$73 |
0.6× |
| Cd4 absolute count (86361) |
$27.58 |
$197 |
1.0× |
| Cebpa gene full sequence (81218) |
$286.02 |
$2,043 |
1.2× |
| Cell Cryopreserve/Storage (88240) |
$13.30 |
$95 |
1.0× |
| Cell marker study (88182) |
$20.86 |
$149 |
0.4× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
$190.12 |
$1,358 |
1.4× |
| Cftr gene com variants (81220) |
$114.66 |
$819 |
0.2× |
| Cftr gene dup/delet variants (81222) |
$175.28 |
$1,252 |
0.4× |
| Cftr gene full sequence (81223) |
$201.04 |
$1,436 |
0.4× |
| Chemical analysis for genetic disorder (82016) |
$18.34 |
$131 |
1.1× |
| Chemiluminescent assay (82397) |
$31.64 |
$226 |
2.2× |
| Chemotaxis assay (86155) |
$100.80 |
$720 |
6.3× |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
$121.10 |
$865 |
0.5× |
| Chimerism w/comp to baseline w/o cell selection (81267) |
$265.16 |
$1,894 |
1.3× |
| Chlamydia antibody (86631) |
$45.64 |
$326 |
3.9× |
| Chlamydia antigen gilm (87320) |
$15.68 |
$112 |
1.0× |
| Chlamydia Igm Antibody (86632) |
$34.86 |
$249 |
2.7× |
| Chlamydia trachomatis ag if (87270) |
$43.12 |
$308 |
3.6× |
| Chloride other source (82438) |
$14.84 |
$106 |
3.0× |
| Chloride urine (82436) |
$19.88 |
$142 |
3.5× |
| Chlorinated hydrocarbons screen (82441) |
$8.12 |
$58 |
1.4× |
| Cholesterol total (82465) |
$22.96 |
$164 |
5.3× |
| Chondroitin b sulfate (protein) level (82485) |
$27.30 |
$195 |
1.3× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) |
$73.64 |
$526 |
1.3× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) |
$68.04 |
$486 |
1.3× |
| Chrmsm analysis addl cells counted each study (88285) |
$31.22 |
$223 |
1.2× |
| Chrmsm breakage synds score 100 cll (88249) |
$322 |
$2,300 |
1.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$252 |
$1,800 |
2.0× |
| Chromium urine (82495) |
$9.80 |
$70 |
0.5× |
| Chromogranin a (86316) |
$107.10 |
$765 |
5.1× |
| Chromosome analys amniotic (88269) |
$601.58 |
$4,297 |
3.5× |
| Chromosome analysis 20-25 cells (88264) |
$244.02 |
$1,743 |
1.7× |
| Chromosome analysis 45 cells (88263) |
$112.70 |
$805 |
0.7× |
| Chromosome Analysis 5 (88261) |
$266.42 |
$1,903 |
1.0× |
| Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) |
$84.14 |
$601 |
0.5× |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) |
$261.80 |
$1,870 |
1.4× |
| Chromosome karyotype study (88280) |
$85.40 |
$610 |
2.6× |
| Chylmd trach assay w/optic (87810) |
$15.68 |
$112 |
0.4× |
| Chylmd Trach Dna Quant (87492) |
$46.34 |
$331 |
0.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$48.86 |
$349 |
1.4× |
| Citrate (82507) |
$17.22 |
$123 |
0.6× |
| Ck isoenzymes (82552) |
$64.26 |
$459 |
4.8× |
| Ckmb (82553) |
$79.31 |
$566.50 |
6.9× |
| Clot factor viii vw antigen (85246) |
$88.06 |
$629 |
3.8× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$46.34 |
$331 |
2.6× |
| Clot factor xiii fibrin stab (85290) |
$251.02 |
$1,793 |
15.4× |
| Clot retraction (85170) |
$16.10 |
$115 |
1.0× |
| Clotting time (85345) |
$5.32 |
$38 |
1.1× |
| Clozapine level (80159) |
$58.66 |
$419 |
2.9× |
| Cmv PCR (87496) |
$91.28 |
$652 |
2.6× |
| Cns DNA amp probe type 12-25 (87483) |
$186.34 |
$1,331 |
0.4× |
| Coagulation time (85348) |
$4.62 |
$33 |
1.0× |
| Coagulation time activated (85347) |
$24.50 |
$175 |
5.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$63.42 |
$453 |
2.6× |
| Cold agglutinin screen (86156) |
$18.76 |
$134 |
2.3× |
| Cold agglutinin titer (86157) |
$12.81 |
$91.50 |
1.6× |
| Collagen cross links (82523) |
$47.88 |
$342 |
2.6× |
| Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone… (80418) |
$763.42 |
$5,453 |
1.3× |
| Comparative anal str markers patient&comp spec (81265) |
$108.08 |
$772 |
0.5× |
| Compatibility test antiglob (86922) |
$148.68 |
$1,062 |
0.9× |
| Compatibility Test Incubate (86921) |
$60.06 |
$429 |
0.4× |
| Complement c3 (86160) |
$44.38 |
$317 |
3.7× |
| Complement total ch50 (86162) |
$42.28 |
$302 |
2.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$18.62 |
$133 |
1.6× |
| Concentration Infectious Agent (87015) |
$16.80 |
$120 |
2.5× |
| Coombs direct (86880) |
$20.02 |
$143 |
3.7× |
| Coombs Test Indirect Qual (86885) |
$71.68 |
$512 |
12.5× |
| Copper urine (82525) |
$28.42 |
$203 |
2.3× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) |
$434.14 |
$3,101 |
0.5× |
| Cortisol free (82530) |
$24.57 |
$175.50 |
1.5× |
| Cortisol total (82533) |
$56.28 |
$402 |
3.5× |
| Creatine kinase (CK), (CPK); isoforms Other Outpatient (82554) |
$15.54 |
$111 |
1.3× |
| Creatine kinase total (82550) |
$43.82 |
$313 |
6.7× |
| Creatinine blood (82565) |
$34.86 |
$249 |
6.8× |
| Creatinine clearance (82575) |
$68.04 |
$486 |
7.2× |
| Creatinine other source (82570) |
$36.40 |
$260 |
7.0× |
| Crossmatch immediate spin (86920) |
$135.10 |
$965 |
0.8× |
| Cryofibrinogen (82585) |
$13.72 |
$98 |
1.0× |
| Cryoglobulin (82595) |
$23.52 |
$168 |
3.6× |
| Cryptococcal Antigen (87327) |
$35 |
$250 |
2.6× |
| Cryptococcus antibody (86641) |
$18.76 |
$134 |
1.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$17.71 |
$126.50 |
2.2× |
| Culture Aerobic Identify (87077) |
$29.82 |
$213 |
3.7× |
| Culture aerobic quant other (87071) |
$64.68 |
$462 |
6.5× |
| Culture anaerobic (87075) |
$60.06 |
$429 |
6.3× |
| Culture Bacteria Anaerobic (87073) |
$10.36 |
$74 |
1.1× |
| Culture blood (87040) |
$75.74 |
$541 |
7.3× |
| Culture chlamydia (87110) |
$56.70 |
$405 |
2.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$32.34 |
$231 |
4.2× |
| Culture fungus blood (87103) |
$51.59 |
$368.50 |
2.5× |
| Culture fungus id yeast (87106) |
$31.99 |
$228.50 |
3.1× |
| Culture fungus other (87102) |
$40.81 |
$291.50 |
4.9× |
| Culture genital (87070) |
$29.68 |
$212 |
3.4× |
| Culture herpes (87250) |
$25.90 |
$185 |
1.3× |
| Culture screen only (87081) |
$73.50 |
$525 |
11.1× |
| Culture stool (87045) |
$21.84 |
$156 |
2.3× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) |
$94.50 |
$675 |
0.4× |
| Culture typing if ea antiserum (87140) |
$94.64 |
$676 |
17.0× |
| Culture typing other methods (87158) |
$258.86 |
$1,849 |
33.4× |
| Culture Typing, Glc Method (87143) |
$16.52 |
$118 |
1.3× |
| Culture urine (87086) |
$32.06 |
$229 |
4.0× |
| Culture urine id ea isolate (87088) |
$28 |
$200 |
3.5× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Other Outpatient (87084) |
$11.62 |
$83 |
0.4× |
| Culture, typing; identification by pulse field gel typing Other Outpatient (87152) |
$7 |
$50 |
0.9× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
$51.38 |
$367 |
0.4× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
$26.46 |
$189 |
1.8× |
| Cyclic amp (82030) |
$36.40 |
$260 |
1.4× |
| Cyclic Citrullinated Peptide (86200) |
$78.68 |
$562 |
6.1× |
| Cyp2c19 gene com variants (81225) |
$448.84 |
$3,206 |
1.5× |
| Cyp2c9 gene com variants (81227) |
$80.92 |
$578 |
0.5× |
| Cyp2d6 gene com variants (81226) |
$419.30 |
$2,995 |
0.9× |
| Cystatin c (82610) |
$56.28 |
$402 |
3.0× |
| Cytogenetics 10-30 (88273) |
$49.14 |
$351 |
1.4× |
| Cytogenetics DNA probe (88271) |
$85.40 |
$610 |
4.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
$1,431.01 |
$10,221.50 |
1.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$144.34 |
$1,031 |
3.4× |
| Cytopath cell enhance tech (88112) |
$199.50 |
$1,425 |
4.1× |
| Cytopath Fl Nongyn Filter (88106) |
$13.86 |
$99 |
0.5× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$11.90 |
$85 |
0.3× |
| Cytopath smear cerv/vag,index add-on (88155) |
$6.86 |
$49 |
0.5× |
| Cytopath Smear Other Source (88160) |
$8.68 |
$62 |
0.3× |
| Cytopath,cerv/vag,auto thin layer,interp (88174) |
$19.32 |
$138 |
0.8× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) |
$21.98 |
$157 |
1.2× |
| Cytotoxic pra quick (86808) |
$39.06 |
$279 |
1.3× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$30.66 |
$219 |
1.2× |
| Cytp concentration smears & interpretation (88108) |
$24.22 |
$173 |
0.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$37.10 |
$265 |
0.8× |
| Cytp fna eval dx 1st each site (88172) |
$45.36 |
$324 |
0.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$150.64 |
$1,076 |
0.9× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
$14 |
$100 |
0.8× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) |
$7.14 |
$51 |
0.4× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$16.24 |
$116 |
0.3× |
| D-Dimer (85379) |
$58.38 |
$417 |
5.7× |
| Dark field (87164) |
$15.12 |
$108 |
1.4× |
| Deoxycortisol (82634) |
$94.78 |
$677 |
3.2× |
| Deoxyribonuclease antibody (86215) |
$20.16 |
$144 |
1.5× |
| Desoxycorticosterone (82633) |
$87.78 |
$627 |
2.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$23.38 |
$167 |
1.4× |
| Detect agnt mult DNA ampli (87801) |
$85.82 |
$613 |
1.2× |
| Detection test by immunoassay technique for cytomegalovirus (87332) |
$15.68 |
$112 |
1.3× |
| Detection test by immunoassay technique for HIV-2 antigen (87391) |
$23.10 |
$165 |
1.1× |
| Detection test by immunofluorescent technique for cytomegalovirus (cmv) (87271) |
$88.06 |
$629 |
6.6× |
| Dexamethasone panel (80420) |
$94.92 |
$678 |
0.6× |
| Dhea (82626) |
$108.50 |
$775 |
4.3× |
| Dhea sulfate (82627) |
$44.10 |
$315 |
2.0× |
| Digoxin (80162) |
$31.08 |
$222 |
2.3× |
| Digoxin free (80163) |
$18.34 |
$131 |
1.4× |
| Dihydrotestosterone (82642) |
$12.32 |
$88 |
0.4× |
| Dilantin (80185) |
$39.20 |
$280 |
3.0× |
| Dipropylacetic acid free (80165) |
$16.94 |
$121 |
1.3× |
| Dir meas lipoprotein small dense LDL cholesterol (83722) |
$21 |
$150 |
0.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$37.80 |
$270 |
2.8× |
| Dna/Rna Amplified Probe (87150) |
$27.44 |
$196 |
0.8× |
| DNA/RNA direct probe (87149) |
$121.73 |
$869.50 |
6.1× |
| Dpyd gene common variants (81232) |
$72.38 |
$517 |
0.4× |
| Drug assay adalimumab (80145) |
$111.30 |
$795 |
2.9× |
| Drug Assay Amiodarone (80151) |
$34.72 |
$248 |
1.9× |
| Drug assay carbamazepine -10,11-epoxide (80161) |
$34.72 |
$248 |
1.9× |
| Drug assay felbamate (80167) |
$34.72 |
$248 |
1.9× |
| Drug assay flecainide (80181) |
$34.72 |
$248 |
1.9× |
| Drug Assay Infliximab (80230) |
$111.30 |
$795 |
2.9× |
| Drug assay itraconazole (80189) |
$34.72 |
$248 |
1.3× |
| Drug Assay Lacosamide (80235) |
$57.96 |
$414 |
2.1× |
| Drug assay leflunomide (80193) |
$34.72 |
$248 |
0.9× |
| Drug assay methotrexate (80204) |
$37.38 |
$267 |
1.0× |
| Drug assay rufinamide (80210) |
$34.72 |
$248 |
1.3× |
| Drug assay voriconazole (80285) |
$10.92 |
$78 |
0.4× |
| Drug Screen Quant Gabapentin (80171) |
$32.62 |
$233 |
1.5× |
| Drug screen quant zonisamide (80203) |
$47.18 |
$337 |
3.6× |
| Drug Screen Quantitative Lamotrigine (80175) |
$17.29 |
$123.50 |
1.3× |
| Drug Scrn Quan Levetiracetam (80177) |
$37.38 |
$267 |
2.8× |
| Drug scrn quant oxcarbazepin (80183) |
$38.78 |
$277 |
2.9× |
| Drug test prsmv chem anlyzr (80307) |
$80.50 |
$575 |
1.3× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$8.26 |
$59 |
0.7× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
$16.38 |
$117 |
1.0× |
| Ebv viral capsid (86665) |
$32.90 |
$235 |
1.8× |
| Echinococcus ab igg (86682) |
$47.46 |
$339 |
3.6× |
| Egfr Gene Analysis Common Variants (81235) |
$890.40 |
$6,360 |
2.7× |
| Ehrlichia antibody (86666) |
$21.70 |
$155 |
2.1× |
| Elastase pancreatic fecal quantitative (82653) |
$9.73 |
$69.50 |
0.4× |
| Electrolyte panel (80051) |
$50.96 |
$364 |
7.3× |
| Electron microscopy diagnostic (88348) |
$454.30 |
$3,245 |
0.6× |
| Electronic crossmatch (86923) |
$71.68 |
$512 |
0.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$48.02 |
$343 |
0.8× |
| Encephalitis Western Equine (86654) |
$49.14 |
$351 |
3.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$5.25 |
$37.50 |
0.4× |
| Endomysial antibody iga (86255) |
$47.32 |
$338 |
3.9× |
| Entamoeb Hist Dispr Ag Eia (87336) |
$15.68 |
$112 |
1.0× |
| Entamoeba histolytica antigen (87337) |
$48.44 |
$346 |
4.0× |
| Enterovirus antibody (86658) |
$78.68 |
$562 |
6.0× |
| Enterovirus Pcr (87498) |
$132.02 |
$943 |
3.8× |
| Enzyme cell activity (82657) |
$44.10 |
$315 |
2.0× |
| Enzyme histochemistry (88319) |
$313.18 |
$2,237 |
0.4× |
| Eosinophil count (85048) |
$8.40 |
$60 |
3.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$28.56 |
$204 |
1.9× |
| Estradiol (82670) |
$47.88 |
$342 |
1.7× |
| Estriol (82677) |
$23.66 |
$169 |
1.0× |
| Estrogen fractionated (82671) |
$47.81 |
$341.50 |
1.5× |
| Estrogens total (82672) |
$83.30 |
$595 |
3.8× |
| Estrone (82679) |
$23.66 |
$169 |
0.9× |
| Ethylene glycol (82693) |
$37.80 |
$270 |
2.5× |
| Euglobulin lysis (85360) |
$41.16 |
$294 |
4.9× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$48.30 |
$345 |
0.5× |
| Everolimus (80169) |
$78.26 |
$559 |
5.7× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$29.68 |
$212 |
4.0× |
| F2 gene analysis 20210g >a variant (81240) |
$45.08 |
$322 |
0.7× |
| F5 gene (81241) |
$54.18 |
$387 |
0.7× |
| Factor ii activity (85210) |
$81.06 |
$579 |
6.2× |
| Factor inhibitor test (85335) |
$144.20 |
$1,030 |
11.2× |
| Factor ix activity (85250) |
$63 |
$450 |
3.3× |
| Factor v activity (85220) |
$66.64 |
$476 |
3.8× |
| Factor vii assay (85230) |
$66.64 |
$476 |
3.7× |
| Factor viii ahg (85240) |
$81.48 |
$582 |
4.6× |
| Factor viii vw multimetric (85247) |
$99.33 |
$709.50 |
4.3× |
| Factor xi assay (85270) |
$37.31 |
$266.50 |
2.1× |
| Factor xii assay (85280) |
$58.66 |
$419 |
3.0× |
| Fat differential feces quan (82715) |
$22.68 |
$162 |
1.0× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$9.52 |
$68 |
1.2× |
| Fecal fat qual (82705) |
$22.68 |
$162 |
4.4× |
| Fecal fat quant (82710) |
$51.10 |
$365 |
3.0× |
| Fetal aneuploidy trisom risk (81507) |
$637.42 |
$4,553 |
0.8× |
| Fetal bleed screen (85461) |
$45.50 |
$325 |
4.9× |
| Fetal chrmoml aneuploidy (81420) |
$637.42 |
$4,553 |
0.8× |
| Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) |
$191.94 |
$1,371 |
0.3× |
| Fetal Congenital Abnor Assay Two Proteins (81508) |
$62.58 |
$447 |
1.2× |
| Fetal fibronectin (82731) |
$130.34 |
$931 |
2.0× |
| Fetal hemoglobin, chemical (83030) |
$4.62 |
$33 |
0.4× |
| Fetal lung maturity assessment; foam stability test Other Outpatient (83662) |
$25.06 |
$179 |
1.3× |
| Fibrin degradation products (85362) |
$74.06 |
$529 |
10.7× |
| Fibrin Degradproducts,D-Dimer, Ultrasens - D-Dimer, Rapid (85380) |
$12.32 |
$88 |
1.2× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) |
$12.60 |
$90 |
1.0× |
| Fibrinogen activity (85384) |
$40.39 |
$288.50 |
4.2× |
| Fibrinogen antigen (85385) |
$40.88 |
$292 |
2.8× |
| Fibrinolytic factors and inhibitors; plasmin Other Outpatient (85400) |
$10.64 |
$76 |
1.4× |
| Fibrinolytic Plasminogen (85415) |
$53.97 |
$385.50 |
3.1× |
| Fitzgerald factor (clotting factor) measurement (85293) |
$166.60 |
$1,190 |
8.8× |
| Flow cytometry first marker (88184) |
$127.26 |
$909 |
0.4× |
| Flt3 gene analysis (81245) |
$111.44 |
$796 |
0.7× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) |
$111.44 |
$796 |
1.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$29.96 |
$214 |
2.5× |
| Fmr1 gene charac alleles (81244) |
$19.60 |
$140 |
0.4× |
| Fmr1 gene detection (81243) |
$94.78 |
$677 |
1.7× |
| Folate serum (82746) |
$34.58 |
$247 |
2.4× |
| Folic acid rbc (82747) |
$34.30 |
$245 |
1.9× |
| Follicle Stimulating Hormone (83001) |
$54.32 |
$388 |
2.9× |
| Fractionation ketosteroids (83593) |
$29.68 |
$212 |
1.0× |
| Francisella Tularensis (86668) |
$15.05 |
$107.50 |
1.1× |
| Fresh frozen plasma thawing each unit (86927) |
$60.48 |
$432 |
0.4× |
| Frozen blood, each unit; freezing (includes preparation) and thawing UNSCHEDULED (86932) |
$30.52 |
$218 |
0.9× |
| Frozen Section (88331) |
$71.68 |
$512 |
0.4× |
| Fructosamine (82985) |
$16.52 |
$118 |
1.0× |
| Ftl cgen abnor five anal (81512) |
$28.14 |
$201 |
0.4× |
| Ftl cgen abnor four anal (81511) |
$112.28 |
$802 |
0.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$20.02 |
$143 |
1.9× |
| Galactokinase (82759) |
$28.42 |
$203 |
1.3× |
| Galactose (82760) |
$14.98 |
$107 |
1.3× |
| Galactose transferase test (82776) |
$11.06 |
$79 |
0.9× |
| Galectin-3 serum (82777) |
$17.08 |
$122 |
0.4× |
| Gammaglobulin ige (82785) |
$48.16 |
$344 |
2.9× |
| Gardner vag DNA dir probe (87510) |
$91.14 |
$651 |
4.5× |
| Gardner Vag Dna Quant (87512) |
$45.08 |
$322 |
1.1× |
| Gastric acid analy w/ph ea spe (82930) |
$6.30 |
$45 |
0.9× |
| Gastric Occult Blood (82271) |
$13.72 |
$98 |
2.6× |
| Gba Gene (81251) |
$49.14 |
$351 |
1.0× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$328.86 |
$2,349 |
0.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$1,352.82 |
$9,663 |
0.5× |
| Genetic testing for severe inherited conditions (81443) |
$986.16 |
$7,044 |
0.4× |
| Genotype cytomegalovirus (87910) |
$79.24 |
$566 |
0.3× |
| Ggt (82977) |
$44.38 |
$317 |
6.2× |
| Gh suppression panel (80430) |
$103.32 |
$738 |
0.8× |
| Giardia antigen eia stool (87329) |
$23.66 |
$169 |
2.0× |
| Gjb2 gene full sequence (81252) |
$47.04 |
$336 |
0.5× |
| Gjb6 gene analysis common vari (81254) |
$21 |
$150 |
0.6× |
| Gliadin antibody each immunoglobulin class (86258) |
$4.90 |
$35 |
0.4× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) |
$60.76 |
$434 |
1.3× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) |
$66.64 |
$476 |
1.3× |
| Glucagon tolerance test (82946) |
$15.40 |
$110 |
0.9× |
| Glucose (82947) |
$26.46 |
$189 |
6.7× |
| Glucose Blood Test (82962) |
$3.78 |
$27 |
1.2× |
| Glucose body fluid (82945) |
$30.52 |
$218 |
7.8× |
| Glucose post dose (82950) |
$2.52 |
$18 |
0.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
$11.34 |
$81 |
2.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$26.18 |
$187 |
2.0× |
| Glutamate dehydrogenase (82965) |
$10.22 |
$73 |
0.8× |
| Glutathione (82978) |
$18.90 |
$135 |
1.2× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) |
$195.44 |
$1,396 |
1.3× |
| Growth hormone (83003) |
$22.54 |
$161 |
1.4× |
| Growth Hormone Antibody (86277) |
$21 |
$150 |
1.3× |
| Growth hormone stim panel (80428) |
$88.06 |
$629 |
1.3× |
| Haloperidol (haldol) (80173) |
$16.66 |
$119 |
1.1× |
| Haptoglobin (83010) |
$51.10 |
$365 |
4.1× |
| Haptoglobin; phenotypes Other Outpatient (83012) |
$22.68 |
$162 |
0.8× |
| Hba1/hba2 full gene sequence (81259) |
$241.64 |
$1,726 |
0.4× |
| Hba1/hba2 gene (81257) |
$49.42 |
$353 |
0.5× |
| Hba1/hba2 gene dup/del vrnts (81269) |
$93.80 |
$670 |
0.5× |
| Hbb duplication/deletion variants (81363) |
$81.62 |
$583 |
0.4× |
| Hcg free betachain test (84704) |
$11.41 |
$81.50 |
0.7× |
| Hcg qualitative (84703) |
$37.66 |
$269 |
5.0× |
| Hcg quant (84702) |
$86.52 |
$618 |
5.7× |
| Hdl Cholesterol (83718) |
$52.08 |
$372 |
6.4× |
| Heavy metal quant each (83018) |
$19.74 |
$141 |
0.9× |
| Hemagglutination inhibition (86280) |
$10.78 |
$77 |
1.3× |
| Hematocrit (85014) |
$16.38 |
$117 |
6.9× |
| Hematocrit spun (85013) |
$10.64 |
$76 |
1.5× |
| Hemoglobin (85018) |
$16.38 |
$117 |
6.9× |
| Hemoglobin a1c (83036) |
$50.68 |
$362 |
5.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$28.14 |
$201 |
1.6× |
| Hemoglobin electrophoresis (83020) |
$37.80 |
$270 |
2.9× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$31.22 |
$223 |
4.0× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$115.08 |
$822 |
14.0× |
| Hemoglobin stability screen (83068) |
$24.22 |
$173 |
2.6× |
| Hemoglobin thermolabile (83065) |
$9.24 |
$66 |
1.0× |
| Hemoglobin-oxygen affinity (82820) |
$13.16 |
$94 |
1.0× |
| Hemolysins/agglutinins auto screen (86940) |
$17.78 |
$127 |
2.0× |
| Hemosiderin urine (83070) |
$13.02 |
$93 |
2.7× |
| Heparin assay (85520) |
$89.88 |
$642 |
6.9× |
| Heparin neutralization (85525) |
$16.52 |
$118 |
1.4× |
| Heparin-protamine tolerance test (85530) |
$17.22 |
$123 |
1.3× |
| Hepatitis a antibody total (86708) |
$11.76 |
$84 |
0.9× |
| Hepatitis a igm (86709) |
$48.23 |
$344.50 |
4.3× |
| Hepatitis b core ab igm (86705) |
$61.74 |
$441 |
5.2× |
| Hepatitis b core antibody total (86704) |
$54.60 |
$390 |
4.5× |
| Hepatitis B Surface Ab (86706) |
$56.63 |
$404.50 |
5.3× |
| Hepatitis b surface ag quan (87467) |
$4.34 |
$31 |
0.2× |
| Hepatitis B Surface Antigen (87340) |
$58.66 |
$419 |
5.7× |
| Hepatitis b virus genotyping (87912) |
$272.86 |
$1,949 |
1.1× |
| Hepatitis be antibody (86707) |
$25.48 |
$182 |
2.2× |
| Hepatitis Be Antigen (87350) |
$25.48 |
$182 |
2.2× |
| Hepatitis c ab confirm (86804) |
$23.52 |
$168 |
1.5× |
| Hepatitis c antibody (86803) |
$51.66 |
$369 |
3.6× |
| Hepatitis C Genotype (87902) |
$132.72 |
$948 |
0.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
$29.68 |
$212 |
0.8× |
| Hepatitis C Rna Dir Probe (87520) |
$26.46 |
$189 |
0.8× |
| Hepatitis delta ab (86692) |
$19.60 |
$140 |
1.1× |
| Hepatitis delta ag (87380) |
$54.60 |
$390 |
3.0× |
| Hepatitis G Dna Dir Probe (87525) |
$26.46 |
$189 |
0.9× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) |
$273.56 |
$1,954 |
0.2× |
| Herpes culture (87252) |
$88.06 |
$629 |
3.4× |
| Herpes simplex type 2 (86696) |
$10.64 |
$76 |
0.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$36.12 |
$258 |
7.0× |
| Heterophile antibody titer (86309) |
$87.78 |
$627 |
13.6× |
| Hfe gene (81256) |
$119 |
$850 |
1.8× |
| Hgb quant transcutaneous (88738) |
$2.10 |
$15 |
0.4× |
| Histamine plasma (83088) |
$36.33 |
$259.50 |
1.2× |
| Histoplasma antibody (86698) |
$8.40 |
$60 |
0.6× |
| Histoplasma antigen urine (87385) |
$38.36 |
$274 |
2.9× |
| HIV confirmation (86689) |
$56.84 |
$406 |
2.9× |
| HIV-1 antibody (86701) |
$36.82 |
$263 |
4.1× |
| HIV-1 genotype (87901) |
$200.90 |
$1,435 |
0.8× |
| HIV-1 integrase genotype (87906) |
$316.40 |
$2,260 |
2.5× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
$55.86 |
$399 |
4.1× |
| HIV-2 probe&revrse trnscripj (87538) |
$49.84 |
$356 |
1.4× |
| Hla antibody screen (86807) |
$93.10 |
$665 |
1.2× |
| Hla b 27 disease association lc (81374) |
$97.86 |
$699 |
1.3× |
| Hla class i high defin qual (86832) |
$173.60 |
$1,240 |
0.5× |
| Hla class i phenotype qual (86830) |
$106.54 |
$761 |
1.1× |
| Hla class i typing high resolution complete (81379) |
$974.96 |
$6,964 |
2.9× |
| Hla class i typing high resolution one allele or allele group (81381) |
$112.14 |
$801 |
0.7× |
| Hla class i/ii antibody qual (86829) |
$39.06 |
$279 |
0.6× |
| Hla class ii high defin qual (86833) |
$152.04 |
$1,086 |
0.5× |
| Hla class ii phenotype qual (86831) |
$91.28 |
$652 |
1.1× |
| Hla class ii typing high resolution one locus ea (81382) |
$232.54 |
$1,661 |
1.9× |
| Hla i typing 1 locus hr (81380) |
$341.04 |
$2,436 |
1.9× |
| Hla I Typing 1 Locus Lr (81373) |
$119 |
$850 |
0.9× |
| Hla I Typing Complete Lr (81372) |
$162.54 |
$1,161 |
0.4× |
| Hla ii low resolution one antigen equivalent ea (81377) |
$53.20 |
$380 |
0.6× |
| Hla ii typing 1 allele hr (81383) |
$70.42 |
$503 |
0.6× |
| Hla ii typing 1 locus lr (81376) |
$63.42 |
$453 |
0.5× |
| Hla ii typing ag equiv lr (81375) |
$235.76 |
$1,684 |
1.1× |
| Hla x-match, non-cytotoxic (86825) |
$41.58 |
$297 |
0.4× |
| Hla-b27 (86812) |
$50.82 |
$363 |
2.0× |
| Homogenization tissue (87176) |
$93.38 |
$667 |
15.9× |
| Hormone receptor analysis (84235) |
$50.82 |
$363 |
0.7× |
| Hpa-1 genotyping gene analysis common variant (81105) |
$49.42 |
$353 |
0.4× |
| Hpa-15 genotyping gene analysis common variant (81112) |
$49.42 |
$353 |
0.4× |
| Hpa-2 genotyping gene analysis common variant (81106) |
$49.42 |
$353 |
0.4× |
| Hpa-3 genotyping gene analysis common variant (81107) |
$49.42 |
$353 |
0.4× |
| Hpa-4 genotyping gene analysis common variant (81108) |
$49.42 |
$353 |
0.4× |
| Hpa-5 genotyping gene analysis common variant (81109) |
$49.42 |
$353 |
0.4× |
| Hpa-6 genotyping gene analysis common variant (81110) |
$49.42 |
$353 |
0.4× |
| Hpa-9 genotyping gene analysis common variant (81111) |
$49.42 |
$353 |
0.4× |
| Hpv low-risk types (87623) |
$28.56 |
$204 |
0.8× |
| Hpv types 16 & 18 only (87625) |
$29.54 |
$211 |
0.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
$58.52 |
$418 |
0.9× |
| Hpylori Drug Administration (83014) |
$10.36 |
$74 |
1.3× |
| Hsv Dna Quant (87530) |
$17.22 |
$123 |
0.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$121.10 |
$865 |
3.5× |
| Htlv-i antibody (86687) |
$11.06 |
$79 |
1.2× |
| Htlv-ii antibody (86688) |
$14 |
$100 |
1.0× |
| Human epididymis protein 4 (86305) |
$10.78 |
$77 |
0.5× |
| Hydroxychloroquine (80220) |
$7.70 |
$55 |
0.4× |
| Hydroxyprogesterone 17-d (83498) |
$62.02 |
$443 |
2.3× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) |
$17.08 |
$122 |
0.9× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
$21.14 |
$151 |
0.5× |
| Iaad ia clostridium difficile toxin (87324) |
$51.38 |
$367 |
4.3× |
| Iaad ia cryptosporidium (87328) |
$15.26 |
$109 |
1.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$28.70 |
$205 |
2.8× |
| Iaad ia HIV-1 (87390) |
$11.06 |
$79 |
0.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$20.30 |
$145 |
0.8× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$37.80 |
$270 |
2.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$6.44 |
$46 |
0.5× |
| Iaad ia rotavirus (87425) |
$36.40 |
$260 |
3.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$12.60 |
$90 |
0.4× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
$53.34 |
$381 |
4.5× |
| Iaad Ia Streptococcus Group A (87430) |
$27.58 |
$197 |
1.6× |
| Iaadi herpes smplx virus type 2 (87273) |
$23.80 |
$170 |
2.0× |
| Iaadi inffluenza a virus (87276) |
$88.06 |
$629 |
5.5× |
| Iaadi influenza b virus (87275) |
$88.06 |
$629 |
7.2× |
| Iaadi respiratory synctial virus (87280) |
$88.06 |
$629 |
6.6× |
| Iaadiadoo not otherwise specified (87899) |
$69.30 |
$495 |
4.3× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$78.96 |
$564 |
2.3× |
| Iadna candida species amplified probe tq (87481) |
$49.84 |
$356 |
1.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$131.46 |
$939 |
3.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
$28.42 |
$203 |
0.4× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) |
$21.28 |
$152 |
0.4× |
| Iadna gardnerella vaginalis amplified probe tq (87511) |
$46.34 |
$331 |
1.3× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$70.70 |
$505 |
2.0× |
| Iadna hepatitis b virus quantification (87517) |
$110.32 |
$788 |
2.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$187.74 |
$1,341 |
4.4× |
| Iadna herpes virus-6 quantification (87533) |
$126.14 |
$901 |
3.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$115.08 |
$822 |
3.3× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$197.26 |
$1,409 |
2.3× |
| Iadna human papillomavirus high-risk types (87624) |
$45.50 |
$325 |
1.3× |
| Iadna mtb rifampin resistance amp prb tq (87564) |
$29.54 |
$211 |
0.4× |
| Iadna mycobacteria tuberculosis amp prb (87556) |
$131.60 |
$940 |
3.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$308.70 |
$2,205 |
8.8× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$49.56 |
$354 |
1.4× |
| Iadna neisseria gonorrhoeae quantification (87592) |
$56.56 |
$404 |
1.3× |
| Iadna nos amplified probe tq each organism (87798) |
$143.92 |
$1,028 |
4.1× |
| Iadna nos quantification each organism (87799) |
$67.76 |
$484 |
1.6× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$281.26 |
$2,009 |
1.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$33.88 |
$242 |
1.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$207.76 |
$1,484 |
0.5× |
| Iadna-DNA/RNA probe tq 6-11 (87506) |
$218.26 |
$1,559 |
0.8× |
| If cryptosporidium antigen (87272) |
$15.68 |
$112 |
1.3× |
| If varicella-zoster antigen (87290) |
$59.22 |
$423 |
4.4× |
| Igg subclasses (82787) |
$25.62 |
$183 |
3.2× |
| Igh gene rearrange amp meth (81261) |
$202.30 |
$1,445 |
1.0× |
| Igk rearrangeabn clonal pop (81264) |
$202.30 |
$1,445 |
1.2× |
| Igvh somatic hypermutation (81263) |
$420.70 |
$3,005 |
1.4× |
| Immunfix e-phorsis/urine/csf (86335) |
$37.10 |
$265 |
1.3× |
| Immunoassay analyte qual/semiqual single step (83518) |
$6.51 |
$46.50 |
0.7× |
| Immunoassay infectious agent antibody quan nos (86317) |
$11.90 |
$85 |
0.8× |
| Immunoassay nonantibody (83516) |
$21.98 |
$157 |
1.9× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) |
$15.68 |
$112 |
1.2× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) |
$15.68 |
$112 |
1.0× |
| Immunoassay tumor antigen qual/semiquantitative (86294) |
$15.26 |
$109 |
0.6× |
| Immunoassay with direct visual observation for clostridium (87803) |
$15.68 |
$112 |
1.0× |
| Immunoassay with direct visual observation for streptococcus (87802) |
$15.68 |
$112 |
1.2× |
| Immunodiffusion Ouchterlony (86331) |
$26.60 |
$190 |
2.2× |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
$166.60 |
$1,190 |
7.2× |
| Immunofixj Electrophoresis Serum (86334) |
$254.24 |
$1,816 |
11.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$98.98 |
$707 |
0.6× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) |
$23.80 |
$170 |
2.0× |
| Immunofluorescent technique for pneumocystis carinii (87281) |
$14.21 |
$101.50 |
1.2× |
| Immunofluorescent technique for treponema pallidum syphilis organism (87285) |
$15.68 |
$112 |
1.3× |
| Immunoglobulin assay (86023) |
$54.32 |
$388 |
4.4× |
| Immunoglobulin light chains free each (83521) |
$7.56 |
$54 |
0.4× |
| Immunohisto Antibody Slide (88344) |
$141.40 |
$1,010 |
0.4× |
| Immunohistochemistry (88342) |
$44.38 |
$317 |
0.3× |
| In situ hybridization ea multiplex probe stain (88366) |
$339.92 |
$2,428 |
2.1× |
| India ink prep (87210) |
$16.52 |
$118 |
2.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent… (87451) |
$6.30 |
$45 |
0.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Other… (87809) |
$15.68 |
$112 |
0.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) |
$15.68 |
$112 |
0.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) |
$56.56 |
$404 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Other Outpatient (87475) |
$26.46 |
$189 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Other Outpatient (87482) |
$55.02 |
$393 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Other Outpatient (87485) |
$26.46 |
$189 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Other Outpatient (87487) |
$56.56 |
$404 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Other Outpatient (87495) |
$26.46 |
$189 |
0.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Other Outpatient (87527) |
$55.02 |
$393 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Other Outpatient (87528) |
$26.46 |
$189 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Other Outpatient (87531) |
$26.46 |
$189 |
0.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Other Outpatient (87534) |
$26.46 |
$189 |
1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Other Outpatient (87537) |
$26.46 |
$189 |
1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) |
$56.56 |
$404 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Other Outpatient (87542) |
$55.02 |
$393 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Other… (87562) |
$56.56 |
$404 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Other Outpatient (87550) |
$26.46 |
$189 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Other Outpatient (87557) |
$56.56 |
$404 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Other Outpatient (87650) |
$26.46 |
$189 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Other Outpatient (87652) |
$55.02 |
$393 |
1.3× |
| Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2… (87913) |
$272.86 |
$1,949 |
1.1× |
| Influenza a/b ag eia (87400) |
$7 |
$50 |
0.5× |
| Influenza DNA amp prob 1+ (87501) |
$67.76 |
$484 |
1.3× |
| Influenza DNA amp probe (87502) |
$21.70 |
$155 |
0.2× |
| Inhibin a (86336) |
$125.30 |
$895 |
8.0× |
| Inhibin b (83520) |
$38.50 |
$275 |
2.2× |
| Insitu hybridization (fish) (88365) |
$111.51 |
$796.50 |
0.7× |
| Insitu hybridization auto (88367) |
$134.82 |
$963 |
0.4× |
| Insitu hybridization manual (88368) |
$55.02 |
$393 |
0.2× |
| Insulin antibodies (86337) |
$40.32 |
$288 |
1.9× |
| Insulin free (83527) |
$76.58 |
$547 |
5.9× |
| Insulin t panel; acth insuff (80434) |
$133.14 |
$951 |
0.5× |
| Insulin tolerance panel for growth hormone deficiency (80435) |
$135.94 |
$971 |
1.3× |
| Insulin total (83525) |
$21.84 |
$156 |
1.9× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) |
$177.94 |
$1,271 |
1.1× |
| Interleukin 6 (83529) |
$7.28 |
$52 |
0.4× |
| Intraop cyto path consult 1 (88333) |
$250.74 |
$1,791 |
0.3× |
| Intrinsic factor (stomach protein) level (83528) |
$21.14 |
$151 |
1.1× |
| Intrinsic factor antibody (86340) |
$59.01 |
$421.50 |
3.9× |
| Iron (83540) |
$50.96 |
$364 |
7.9× |
| Iron binding capacity (83550) |
$48.86 |
$349 |
5.6× |
| Iron stain peripheral blood (85536) |
$8.12 |
$58 |
1.2× |
| Irradiation of blood product (86945) |
$24.08 |
$172 |
0.7× |
| Islet cell antibody (86341) |
$26.74 |
$191 |
1.1× |
| Isocitric dehydrogenase (83570) |
$11.76 |
$84 |
1.3× |
| Jak2 gene analysis (81270) |
$269.50 |
$1,925 |
2.9× |
| Jak2 Targeted Sequence Analysis (81279) |
$80.22 |
$573 |
0.4× |
| Ketosteroids 17; total (83586) |
$4.90 |
$35 |
0.4× |
| Kit gene analys d816 variant (81273) |
$50.40 |
$360 |
0.4× |
| Kit gene targeted seq analys (81272) |
$152.88 |
$1,092 |
0.5× |
| Koh Prep (87220) |
$9.38 |
$67 |
2.2× |
| Kras gene addl variants (81276) |
$130.34 |
$931 |
0.7× |
| Kras gene analysis (81275) |
$333.20 |
$2,380 |
1.7× |
| Lactic acid (83605) |
$48.02 |
$343 |
4.2× |
| Lactoferrin fecal qualitative (83630) |
$20.16 |
$144 |
1.0× |
| Lactoferrin Fecal Quantitative (83631) |
$26.04 |
$186 |
1.3× |
| Lactose urine qual (83633) |
$7.28 |
$52 |
0.6× |
| Lamellar Body Count (83664) |
$31.64 |
$226 |
1.6× |
| Ldh (83615) |
$40.81 |
$291.50 |
6.8× |
| Ldh isoenzymes (83625) |
$50.12 |
$358 |
3.9× |
| LDL cholesterol direct (83721) |
$51.38 |
$367 |
4.9× |
| Lead (83655) |
$25.20 |
$180 |
2.1× |
| Legion pneumo, DNA, amp prob (87541) |
$47.74 |
$341 |
1.4× |
| Legionella antibody (86713) |
$26.60 |
$190 |
1.7× |
| Legionella antigen urine (87449) |
$77.70 |
$555 |
6.5× |
| Legionella DNA probe (87540) |
$26.46 |
$189 |
1.3× |
| Legionella pneumophila dfa (87278) |
$55.58 |
$397 |
3.6× |
| Leishmania antibody (86717) |
$16.24 |
$116 |
1.3× |
| Leptospira antibody (86720) |
$26.88 |
$192 |
1.7× |
| Leucine aminopeptidase (lap) (83670) |
$12.18 |
$87 |
1.2× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$20.02 |
$143 |
4.7× |
| Leukocyte phagocytosis (86344) |
$10.50 |
$75 |
1.0× |
| Level ii surg pathology grossµscopic exam (88302) |
$16.24 |
$116 |
0.5× |
| Level v surg pathology grossµscopic exam (88307) |
$136.78 |
$977 |
0.4× |
| Level vi surg pathology grossµscopic exam (88309) |
$258.72 |
$1,848 |
0.3× |
| Lh (83002) |
$54.04 |
$386 |
2.9× |
| Lidocaine level (80176) |
$59.43 |
$424.50 |
4.0× |
| Lipase (83690) |
$52.85 |
$377.50 |
7.7× |
| Lipoprotein Bld Hr Fraction (83701) |
$31.78 |
$227 |
0.9× |
| Listeria ab (86609) |
$15.26 |
$109 |
1.2× |
| Lithium (80178) |
$50.96 |
$364 |
7.7× |
| Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) |
$102.27 |
$730.50 |
0.6× |
| Lyme disease antibody (86618) |
$34.30 |
$245 |
2.0× |
| Lyme disease antibody confirm (86617) |
$26.18 |
$187 |
1.7× |
| Lymph Choriomeningitis Ab (86727) |
$35.56 |
$254 |
2.8× |
| Lymphocyte transformation (86353) |
$82.32 |
$588 |
1.7× |
| Lymphocytotoxicity assay (86805) |
$69.02 |
$493 |
0.4× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Other Outpatient (86806) |
$62.72 |
$448 |
1.3× |
| M avium probe (87560) |
$26.46 |
$189 |
1.0× |
| M.tuberculo DNA dir probe (87555) |
$26.46 |
$189 |
1.0× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
$144.90 |
$1,035 |
0.9× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$139.86 |
$999 |
0.9× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
$102.90 |
$735 |
0.3× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$99.33 |
$709.50 |
0.6× |
| Macroscopic exam parasite (87169) |
$14.14 |
$101 |
3.3× |
| Magnesium (83735) |
$50.96 |
$364 |
7.6× |
| Malaria antibody (86750) |
$17.36 |
$124 |
1.3× |
| Malaria smear (87207) |
$17.64 |
$126 |
2.9× |
| Malate dehydrogenase (83775) |
$9.80 |
$70 |
1.3× |
| Manual Diff Wbc Count B-Coat (85009) |
$4.62 |
$33 |
0.9× |
| Manual reticulocyte count (85044) |
$13.02 |
$93 |
3.0× |
| Mass spectrometry qual/quan (83789) |
$58.66 |
$419 |
2.4× |
| Mcg chrom insitu 3-5 (88272) |
$37.94 |
$271 |
0.9× |
| Mcg interphase insitu 25 (88274) |
$131.32 |
$938 |
3.1× |
| Measurement of substance using spectroscopy (light) (82190) |
$10.64 |
$76 |
0.7× |
| Mecp2 gene, full gene analysis (81302) |
$244.72 |
$1,748 |
0.5× |
| Mercury (83825) |
$34.44 |
$246 |
2.1× |
| Metabolic Panel Ionized Ca (80047) |
$55.09 |
$393.50 |
4.0× |
| Methemalbumin (83857) |
$14.14 |
$101 |
1.3× |
| Methemoglobin Qualitative (83045) |
$6.58 |
$47 |
1.0× |
| Methotrexate (80299) |
$49.14 |
$351 |
2.6× |
| Methylmalonic acid serum (83921) |
$34.86 |
$249 |
1.6× |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Other… (80436) |
$120.26 |
$859 |
1.3× |
| Mgmt methylation analysis (81287) |
$143.78 |
$1,027 |
1.2× |
| Microalbumin urine (82043) |
$53.76 |
$384 |
9.3× |
| Microbe suscept macrobroth (87188) |
$27.30 |
$195 |
4.1× |
| Microbe Suscept Mycobacteri (87190) |
$44.66 |
$319 |
6.1× |
| Microbe susceptible diffuse (87181) |
$29.26 |
$209 |
6.2× |
| Microsatellite instability (81301) |
$453.18 |
$3,237 |
1.3× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$36.68 |
$262 |
0.7× |
| Microsomal antibodies (86376) |
$27.86 |
$199 |
1.9× |
| Mitochondrial antibody each (86381) |
$10.57 |
$75.50 |
0.4× |
| Mlh1 gene analysis duplication/deletion variants (81294) |
$90.02 |
$643 |
0.4× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
$294.98 |
$2,107 |
0.4× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$84.14 |
$601 |
0.4× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$5.46 |
$39 |
0.5× |
| Mog-igg1 antibody flow cytometry each (86363) |
$5.04 |
$36 |
0.1× |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
$113.96 |
$814 |
2.2× |
| Molecular pathology procedure level 2 (81401) |
$381.64 |
$2,726 |
2.8× |
| Molecular pathology procedure level 7 (81406) |
$542.92 |
$3,878 |
1.9× |
| Mononuclear cell antigen (86356) |
$14 |
$100 |
0.5× |
| Mopath procedure level 1 (81400) |
$72.38 |
$517 |
1.1× |
| Mopath procedure level 3 (81402) |
$335.44 |
$2,396 |
2.2× |
| Mopath procedure level 4 (81403) |
$103.32 |
$738 |
0.6× |
| Mopath procedure level 5 (81404) |
$353.64 |
$2,526 |
1.3× |
| Mopath procedure level 6 (81405) |
$839.44 |
$5,996 |
2.8× |
| Mopath procedure level 8 (81407) |
$318.22 |
$2,273 |
0.4× |
| Mopath procedure level 9 (81408) |
$740.74 |
$5,291 |
0.4× |
| Morphometric analysis tumor (88358) |
$151.62 |
$1,083 |
0.9× |
| Mpl gene analysis common variants (81338) |
$60.62 |
$433 |
0.4× |
| Mrsa amp probe (87641) |
$17.01 |
$121.50 |
0.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
$161.35 |
$1,152.50 |
0.4× |
| Msh2 gene dup/delete variant (81297) |
$90.02 |
$643 |
0.4× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
$258.58 |
$1,847 |
0.4× |
| Msh6 gene dup/delete variant (81300) |
$90.02 |
$643 |
0.4× |
| Mthfr Gene Analysis Common Variants (81291) |
$89.18 |
$637 |
1.4× |
| Mucopolysaccharides acid quantitative (83864) |
$139.30 |
$995 |
4.9× |
| Muramidase (85549) |
$22.68 |
$162 |
1.2× |
| Muscle-specific kinase (musk) antibody (86366) |
$7.70 |
$55 |
0.4× |
| Mycobacteria Dna Amp Probe (87551) |
$46.34 |
$331 |
1.0× |
| Mycobacteric Identification (87118) |
$26.32 |
$188 |
1.8× |
| Mycobacterium avium complex and m.abscessus complex rt-PCR (viracor) - iadna mycobacteria species quantification (87552) |
$56.56 |
$404 |
1.3× |
| Mycophenolic acid (80180) |
$28.42 |
$203 |
1.6× |
| Mycoplasma antibody (86738) |
$29.82 |
$213 |
2.3× |
| Mycoplasma DNA probe (87580) |
$26.46 |
$189 |
1.3× |
| Mycoplasma genitalium PCR (87563) |
$14.14 |
$101 |
0.4× |
| Mycoplasma pneumoniae antibodies, igg & igm - arup (86732) |
$17.36 |
$124 |
1.2× |
| Myelin basic protein csf (83873) |
$48.23 |
$344.50 |
2.8× |
| Myoglobin urine (83874) |
$31.99 |
$228.50 |
2.5× |
| Nasal smear for eosinophils (89190) |
$2.38 |
$17 |
0.4× |
| Natriuretic peptide (83880) |
$52.36 |
$374 |
1.3× |
| Neutralization test, viral (86382) |
$22.26 |
$159 |
1.3× |
| Neutralizing Antibody Sars-Cov-2 Screen (86408) |
$11.76 |
$84 |
0.3× |
| Neutralizing antibody sars-cov-2 titer (86409) |
$11.76 |
$84 |
0.1× |
| Nfct agent DNA/RNA influenza >2 types ea addl (87503) |
$27.44 |
$196 |
0.9× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
$61.74 |
$441 |
0.4× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
$34.86 |
$249 |
0.5× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$28.84 |
$206 |
1.1× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$359.10 |
$2,565 |
0.7× |
| Niacin (84591) |
$65.80 |
$470 |
3.9× |
| Nickel level (83885) |
$32.20 |
$230 |
1.3× |
| Nitroblue tetrazolium dye test to measure white blood cell function (86384) |
$15.12 |
$108 |
1.1× |
| Nk cells total count (86357) |
$112.84 |
$806 |
3.0× |
| Nmr Lipoprofile (83704) |
$42.84 |
$306 |
1.3× |
| Nocardia antibody (86744) |
$16.24 |
$116 |
1.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$202.44 |
$1,446 |
0.8× |
| Nras gene variants exon 2&3 (81311) |
$137.20 |
$980 |
0.5× |
| Nuclear antigen antibody (86235) |
$16.66 |
$119 |
0.9× |
| Nuclear mitochondrial 100 gene genomic seq (81440) |
$2,068.08 |
$14,772 |
0.6× |
| Nudt15 Gene Analysis Common Variants (81306) |
$117.46 |
$839 |
0.4× |
| Occult blood stool (82272) |
$2.38 |
$17 |
0.6× |
| Oligoclonal bands (83916) |
$21.70 |
$155 |
0.8× |
| Oncology prostate biochemical assay 4 proteins (81539) |
$381.36 |
$2,724 |
0.5× |
| Oncology tum unknown origin mrna 92 genes (81540) |
$2,527.28 |
$18,052 |
0.7× |
| Oncoprotein dcp (83951) |
$143.85 |
$1,027.50 |
2.2× |
| Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) |
$84.98 |
$607 |
1.3× |
| Organic Acids Qual Each (83919) |
$30.80 |
$220 |
1.9× |
| Organic Acids Total Quantitative Each Specimen (83918) |
$35.28 |
$252 |
1.5× |
| Osmolality serum (83930) |
$37.03 |
$264.50 |
5.6× |
| Osmolality urine (83935) |
$33.39 |
$238.50 |
4.9× |
| Osmotic fragility rbc incubated (85557) |
$57.96 |
$414 |
4.3× |
| Ova and parasite direct-id lca (87177) |
$29.82 |
$213 |
3.4× |
| Ovulation tests (84830) |
$13.16 |
$94 |
1.0× |
| Oxalate urine (83945) |
$21.70 |
$155 |
1.5× |
| Pancreatic elastase fecal (82656) |
$12.32 |
$88 |
1.1× |
| Pancreatic polypeptide (83519) |
$194.32 |
$1,388 |
10.6× |
| Parainfluenza ag if (87279) |
$88.06 |
$629 |
5.4× |
| Particle agglutination titer each antibody (86406) |
$14 |
$100 |
1.3× |
| Parvovirus antibody (86747) |
$36.40 |
$260 |
2.4× |
| Path Consult During Surgery (88329) |
$14.98 |
$107 |
0.3× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Other… (80417) |
$57.96 |
$414 |
1.3× |
| Pertussis dfa (87265) |
$13.02 |
$93 |
1.1× |
| Phenotype Infect Agent Drug (87900) |
$97.30 |
$695 |
0.7× |
| Phenylalanine (84030) |
$43.68 |
$312 |
7.9× |
| Phenytoin free (80186) |
$25.62 |
$183 |
1.9× |
| Phosphatase alkaline (84075) |
$29.26 |
$209 |
5.6× |
| Phosphogluconate, 6-, dehydrogenase, RBC Other Outpatient (84085) |
$8.96 |
$64 |
0.9× |
| Phospholipid Neutralization Hexagonal (85598) |
$50.26 |
$359 |
2.8× |
| Phosphorus blood (84100) |
$30.52 |
$218 |
6.4× |
| Phosphorus urine (84105) |
$27.30 |
$195 |
4.7× |
| Pinworm exam (87172) |
$15.26 |
$109 |
3.6× |
| Plasminogen (85420) |
$14.84 |
$106 |
2.3× |
| Plasminogen (85421) |
$12.32 |
$88 |
1.2× |
| Platelet aggregation (85576) |
$30.10 |
$215 |
1.2× |
| Platelet count (85049) |
$25.34 |
$181 |
5.7× |
| Platelet neutralization (85597) |
$12.32 |
$88 |
0.7× |
| Pml/raralpha com breakpoints (81315) |
$314.44 |
$2,246 |
1.5× |
| Pmp22 gene dup/delet (81324) |
$351.40 |
$2,510 |
0.5× |
| Pmp22 gene full sequence (81325) |
$356.72 |
$2,548 |
0.5× |
| Pms2 gene analysis duplication/deletion variants (81319) |
$90.02 |
$643 |
0.4× |
| Pms2 gene analysis full sequence (81317) |
$276.29 |
$1,973.50 |
0.4× |
| Pooling blood platelets (86965) |
$66.64 |
$476 |
0.4× |
| Porphobilinogen Urine Qual (84106) |
$5.60 |
$40 |
1.0× |
| Porphobilinogen urine quant (84110) |
$31.78 |
$227 |
3.8× |
| Porphyrins feces qn (84126) |
$49 |
$350 |
1.3× |
| Porphyrins qn & fraction urine (84120) |
$107.80 |
$770 |
7.3× |
| Porphyrins urine qual (84119) |
$11.62 |
$83 |
0.9× |
| Potassium (84132) |
$28.42 |
$203 |
6.0× |
| Potassium urine (84133) |
$35.14 |
$251 |
7.4× |
| Pregnanediol (84135) |
$25.20 |
$180 |
1.2× |
| Pregnanetriol (84138) |
$25.06 |
$179 |
1.2× |
| Pregnenolone (84140) |
$96.04 |
$686 |
4.6× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$99.96 |
$714 |
0.6× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
$65.94 |
$471 |
0.4× |
| Pretx serum rbc antibody identification dilution (86976) |
$16.10 |
$115 |
0.6× |
| Primidone (80188) |
$51.94 |
$371 |
3.1× |
| Procalcitonin (pct) (84145) |
$145.18 |
$1,037 |
5.3× |
| Progesterone (84144) |
$40.88 |
$292 |
2.0× |
| Prolactin (84146) |
$40.88 |
$292 |
2.1× |
| Prostaglandin Ea (84150) |
$32.90 |
$235 |
0.8× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) |
$29.96 |
$214 |
1.1× |
| Protein analysis of tissue by Western Blot, with interpretation and report; Other Outpatient (88371) |
$29.40 |
$210 |
1.3× |
| Protein body fluid (84157) |
$52.71 |
$376.50 |
13.2× |
| Protein c activity (85303) |
$96.46 |
$689 |
7.0× |
| Protein c antigen (85302) |
$105.63 |
$754.50 |
8.8× |
| Protein electrophoresis serum (84165) |
$132.30 |
$945 |
12.3× |
| Protein Electrophoresis Urine (84166) |
$43.96 |
$314 |
2.5× |
| Protein S Functional (85306) |
$91.14 |
$651 |
5.9× |
| Protein s total (85305) |
$103.46 |
$739 |
8.9× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) |
$21.14 |
$151 |
1.0× |
| Protein total by refractometry any source (84160) |
$61.74 |
$441 |
11.0× |
| Protein Total Serum (84155) |
$31.64 |
$226 |
8.6× |
| Protein urine (84156) |
$43.96 |
$314 |
12.0× |
| Protein Western Blot (84182) |
$458.78 |
$3,277 |
15.7× |
| Protein westrn blot i&r blood/other fluid (84181) |
$20.72 |
$148 |
1.2× |
| Prothrombin time substitution (85611) |
$4.34 |
$31 |
1.1× |
| Protoporphyrin rbc quantitative (84202) |
$5.88 |
$42 |
0.4× |
| PSA free (84154) |
$9.52 |
$68 |
0.5× |
| Pten Gene Dup/Delet Variant (81323) |
$120.82 |
$863 |
0.4× |
| Pten Gene Full Sequence (81321) |
$278.04 |
$1,986 |
0.5× |
| Pyruvate kinase (84220) |
$75.46 |
$539 |
8.0× |
| Quantiferon tb gold (86480) |
$67.90 |
$485 |
1.1× |
| Quinidine (80194) |
$29.96 |
$214 |
2.1× |
| Quinine (84228) |
$15.40 |
$110 |
1.3× |
| Rbc antibody elution (86860) |
$118.86 |
$849 |
0.7× |
| Rbc osmotic fragility (85555) |
$61.88 |
$442 |
8.3× |
| Rbc pretx incubatj w/chemicl (86970) |
$28.14 |
$201 |
0.5× |
| Rbc serum pretx incubj drugs (86975) |
$108.92 |
$778 |
0.3× |
| Reagent strip/blood glucose (82948) |
$4.20 |
$30 |
0.8× |
| Red blood cell fragility measurement (85547) |
$10.50 |
$75 |
1.2× |
| Reducing substances, stool (84376) |
$11.06 |
$79 |
2.0× |
| Ref consult prep elsewhere (88321) |
$24.64 |
$176 |
0.7× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Other… (80416) |
$174.02 |
$1,243 |
0.8× |
| Renin activity plasma (84244) |
$60.76 |
$434 |
2.8× |
| Reptilase test (85635) |
$26.74 |
$191 |
2.7× |
| Resp virus 3-5 targets (87631) |
$120.68 |
$862 |
0.8× |
| Respiratory viral panel PCR (87633) |
$173.32 |
$1,238 |
0.4× |
| Respiratory Virus (86756) |
$26.60 |
$190 |
1.7× |
| Reticulated platelet assay (85055) |
$24.50 |
$175 |
0.7× |
| Reticulocyte Count (85046) |
$19.74 |
$141 |
3.5× |
| Rheumatoid Factor Qual (86430) |
$43.54 |
$311 |
7.1× |
| Rheumatoid factor quant (86431) |
$51.94 |
$371 |
9.2× |
| Rickettsia antibody (86757) |
$19.32 |
$138 |
1.0× |
| Rpr Titer (86593) |
$10.50 |
$75 |
2.4× |
| Rsv (87807) |
$45.50 |
$325 |
3.5× |
| Rubella antibody (86762) |
$29.82 |
$213 |
2.1× |
| Russell viper venom time diluted (85613) |
$34.72 |
$248 |
3.6× |
| Russell Viper Venom Time Undiluted (85612) |
$11.76 |
$84 |
0.7× |
| Saccharomyces ab iga (86671) |
$5.04 |
$36 |
0.4× |
| Salicylate (80179) |
$8.12 |
$58 |
0.4× |
| Salmonella antibody (86768) |
$15.54 |
$111 |
1.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$25.90 |
$185 |
0.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$21.14 |
$151 |
0.5× |
| Sars-cov-2 covid19 w/optic (87811) |
$16.66 |
$119 |
0.4× |
| Sarscov2 & inf a&b amp prb (87636) |
$72.10 |
$515 |
0.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$72.10 |
$515 |
0.5× |
| Sed rate automated (85652) |
$18.34 |
$131 |
6.8× |
| Sedimentation rate (85651) |
$32.20 |
$230 |
7.5× |
| Semen Analysis Presence and/or Motility of Sperm (89300) |
$10.78 |
$77 |
1.1× |
| Semen analysis sperm presence&/motility sprm (89321) |
$14.84 |
$106 |
1.2× |
| Semen analysis w/count (89310) |
$10.78 |
$77 |
1.3× |
| Sensitivity - mlc ea plate (87187) |
$42.42 |
$303 |
1.1× |
| Sensitivity mic (87186) |
$21.98 |
$157 |
2.5× |
| Sept9 methylation analysis (81327) |
$68.18 |
$487 |
0.4× |
| Serotonin Release Assay (86022) |
$117.32 |
$838 |
6.4× |
| Serpina1 gene (81332) |
$45.50 |
$325 |
1.0× |
| Sev aqt respir synd coronavirus 2 antibody quan (86413) |
$11.76 |
$84 |
0.2× |
| Sex chromatin id barr bodies (88130) |
$19.88 |
$142 |
1.1× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Other Outpatient (88140) |
$10.50 |
$75 |
1.3× |
| Sex hormone binding globulin (84270) |
$29.05 |
$207.50 |
1.3× |
| Sickle cell screen (85660) |
$16.10 |
$115 |
2.9× |
| Silica (84285) |
$31.08 |
$222 |
1.2× |
| Sirolimus (rapamycin) (80195) |
$165.48 |
$1,182 |
12.1× |
| Skin test candida (86485) |
$20.02 |
$143 |
0.7× |
| Smear acid fast (87206) |
$32.76 |
$234 |
6.1× |
| Smear complex stain (87209) |
$17.78 |
$127 |
1.0× |
| Smear gram stain (87205) |
$20.02 |
$143 |
4.7× |
| Smn1 Gene Dos/Deletion Alys (81329) |
$55.16 |
$394 |
0.4× |
| Smpd1 Gene Common Variants (81330) |
$49.14 |
$351 |
1.0× |
| Snrpn/ube3a gene (81331) |
$23.80 |
$170 |
0.5× |
| So gsap cl fr cpy nmbr&mcrst (81463) |
$1,468.74 |
$10,491 |
1.1× |
| Sodium (84295) |
$28.42 |
$203 |
5.9× |
| Sodium other source (84302) |
$22.82 |
$163 |
4.7× |
| Sodium urine (84300) |
$35.14 |
$251 |
6.9× |
| Soluble transferrin receptor (84238) |
$121.94 |
$871 |
3.3× |
| Somatostatin (84307) |
$122.64 |
$876 |
6.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$38.78 |
$277 |
0.3× |
| Special stains group 1 (88312) |
$34.86 |
$249 |
0.7× |
| Specific gravity body fluid (84315) |
$8.12 |
$58 |
2.5× |
| Spectrophotometry (84311) |
$98.28 |
$702 |
12.1× |
| Sperm antibody measurement (89325) |
$14.84 |
$106 |
1.4× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Other Outpatient (89330) |
$12.18 |
$87 |
1.2× |
| Sperm evaluation; hamster penetration test Other Outpatient (89329) |
$25.48 |
$182 |
1.3× |
| Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) |
$36.68 |
$262 |
0.7× |
| Splitting blood/blood products each unit (86985) |
$69.16 |
$494 |
0.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
$71.68 |
$512 |
0.4× |
| Staph aureus amplified probe (87640) |
$17.64 |
$126 |
0.5× |
| Stem cells total count (86367) |
$53.62 |
$383 |
0.7× |
| Stool analysis for bilirubin (82252) |
$6.02 |
$43 |
1.3× |
| Stool Cultr Aerobic Bact Ea (87046) |
$9.94 |
$71 |
1.1× |
| Strep a assay w/optic (87880) |
$13.72 |
$98 |
0.8× |
| Strep a DNA amp probe (87651) |
$48.02 |
$343 |
1.4× |
| Strep b DNA amp probe (87653) |
$16.38 |
$117 |
0.5× |
| Streptozyme (86590) |
$7.42 |
$53 |
0.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$30.38 |
$217 |
0.3× |
| Sugars mono di&oligos mlt quantitative ea spec (84379) |
$10.64 |
$76 |
0.9× |
| Sugars Multiple Qual (84377) |
$7.28 |
$52 |
1.3× |
| Sugars single quant (84378) |
$57.68 |
$412 |
5.0× |
| Sulfate urine (84392) |
$7.56 |
$54 |
1.4× |
| Sulfhemoglobin quant (83060) |
$10.78 |
$77 |
1.2× |
| Surg path level iii (88304) |
$23.80 |
$170 |
0.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$8.82 |
$63 |
0.3× |
| Surgical pathology level IV (88305) |
$39.76 |
$284 |
0.8× |
| Susceptibility study antimicrobial disk method (87184) |
$23.80 |
$170 |
3.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$95.62 |
$683 |
2.0× |
| T cells, total count (86359) |
$42.84 |
$306 |
1.1× |
| T3 free (84481) |
$47.60 |
$340 |
2.8× |
| T3 reverse (84482) |
$64.47 |
$460.50 |
4.1× |
| T3 total (84480) |
$63.28 |
$452 |
4.5× |
| T3 uptake (84479) |
$9.38 |
$67 |
1.4× |
| T4 Free (84439) |
$37.66 |
$138 |
4.2× |
| T4 total (84436) |
$56.28 |
$402 |
8.2× |
| T4-neonatal (84437) |
$4.97 |
$35.50 |
0.8× |
| Tb ag response t-cell susp (86481) |
$88.62 |
$633 |
0.9× |
| Tb intradermal test (86580) |
$1,710.53 |
$1,798.25 |
63.0× |
| Tert gene targeted seq alys (81345) |
$76.58 |
$547 |
0.4× |
| Test for acetone/ketones (82009) |
$1.82 |
$13 |
0.4× |
| Test for urine cystines (82615) |
$10.64 |
$76 |
1.1× |
| Test rbc protoporphyrin (84203) |
$11.62 |
$83 |
1.2× |
| Testosterone free (84402) |
$23.52 |
$168 |
0.9× |
| Testosterone total (84403) |
$56 |
$400 |
2.2× |
| Tetanus antibody (86774) |
$5.74 |
$41 |
0.4× |
| Thawing and expansion of frozen cells (88241) |
$13.30 |
$95 |
1.1× |
| Theophylline (80198) |
$31.36 |
$224 |
2.2× |
| Thin prep pap (88142) |
$19.32 |
$138 |
1.0× |
| Thrombin time plasma (85670) |
$14.42 |
$103 |
2.5× |
| Thrombin time titer (85675) |
$8.40 |
$60 |
1.2× |
| Thrombomodulin (85337) |
$12.74 |
$91 |
0.7× |
| Thromboplastin Inhibition Tissue (85705) |
$8.40 |
$60 |
0.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$10.08 |
$72 |
1.6× |
| Thyroglobulin (84432) |
$26.18 |
$187 |
1.6× |
| Thyroglobulin Ab (86800) |
$23.24 |
$166 |
1.5× |
| Thyroid Stimulating Immunoglobulin (84445) |
$76.44 |
$546 |
1.5× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) |
$88.62 |
$633 |
1.3× |
| Thyroxine binding globulin (84442) |
$12.67 |
$90.50 |
0.9× |
| Tiagabine (80199) |
$16.10 |
$115 |
0.6× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$224 |
$1,600 |
1.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
$4.90 |
$35 |
0.4× |
| Tissue culture bone marrow (88237) |
$255.78 |
$1,827 |
1.8× |
| Tissue Culture Lymphocyte (88230) |
$170.80 |
$1,220 |
1.5× |
| Tissue culture placenta (88235) |
$75.88 |
$542 |
0.5× |
| Tissue culture solid tumor (88239) |
$268.10 |
$1,915 |
1.8× |
| Tobramycin peak (80200) |
$27.02 |
$193 |
1.7× |
| Topiramate (80201) |
$39.83 |
$284.50 |
3.3× |
| Touch prep (88161) |
$16.24 |
$116 |
0.6× |
| Toxin or antitoxin assay (87230) |
$126.42 |
$903 |
6.4× |
| Toxoplasma ab igm (86778) |
$24.99 |
$178.50 |
1.7× |
| Toxoplasma antibody igg (86777) |
$40.88 |
$292 |
2.8× |
| Tp53 gene analysis full gene sequence (81351) |
$258.58 |
$1,847 |
0.4× |
| Tpmt gene com variants (81335) |
$70.42 |
$503 |
0.4× |
| Transferrin (84466) |
$27.16 |
$194 |
2.1× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) |
$107.10 |
$765 |
0.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$142.10 |
$1,015 |
0.7× |
| Trg gene rearrangement analysis (81342) |
$269.50 |
$1,925 |
1.3× |
| Trichinella antibody (86784) |
$72.94 |
$521 |
5.8× |
| Trichomonas vagin dir probe (87660) |
$91.14 |
$651 |
4.5× |
| Triglycerides (84478) |
$30.52 |
$218 |
5.3× |
| Troponin (84484) |
$76.44 |
$546 |
6.1× |
| Troponin i qualitative (84512) |
$10.22 |
$73 |
1.0× |
| Trypsin feces qual (84488) |
$9.66 |
$69 |
1.3× |
| Trypsin feces quantitative 24-hr collection (84490) |
$9.38 |
$67 |
0.9× |
| Tyrosine (84510) |
$31.36 |
$224 |
3.0× |
| Ugt1a1 gene analysis common variants (81350) |
$108.50 |
$775 |
0.5× |
| Urea nitrogen (84520) |
$28.56 |
$204 |
7.2× |
| Urea nitrogen urine (84540) |
$10.50 |
$75 |
1.9× |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Other Outpatient (84525) |
$5.04 |
$36 |
1.0× |
| Uric acid blood (84550) |
$37.45 |
$267.50 |
8.3× |
| Uric acid other source (84560) |
$18.76 |
$134 |
3.7× |
| Urinalysis 2/3 glass test (81020) |
$5.04 |
$36 |
1.1× |
| Urinalysis microscopic only (81015) |
$14.28 |
$102 |
4.7× |
| Urinalysis qual/semiquant except immunoassays (81005) |
$18.90 |
$135 |
8.7× |
| Urinalysis w/microscopic (81001) |
$29.96 |
$214 |
9.5× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) |
$12.18 |
$87 |
0.4× |
| Urine microalbumin (protein) analysis (82044) |
$4.06 |
$29 |
0.7× |
| Urine pregnancy test (81025) |
$5.67 |
$40.50 |
0.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$9.66 |
$69 |
4.3× |
| Urobilinogen (84578) |
$4.34 |
$31 |
1.0× |
| Urobilinogen quantitative (84580) |
$9.52 |
$68 |
1.0× |
| Urobilinogen, feces, quantitative Other Outpatient (84577) |
$16.52 |
$118 |
1.0× |
| Valproic acid level (80164) |
$42.28 |
$302 |
3.1× |
| Vancomycin trough (80202) |
$42.84 |
$306 |
3.2× |
| Vanomycin DNA amp probe (87500) |
$46.34 |
$331 |
1.3× |
| Varicella-zoster antibody (86787) |
$36.40 |
$260 |
2.8× |
| Vasoactive intestinal peptide (vip) (84586) |
$57.96 |
$414 |
1.6× |
| Vasopressin (84588) |
$23.24 |
$166 |
0.7× |
| Vdrl csf (86592) |
$20.02 |
$143 |
4.7× |
| Very long chain fatty acids (82726) |
$180.74 |
$1,291 |
9.2× |
| Virus antibody nos (86790) |
$29.54 |
$211 |
2.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$71.33 |
$509.50 |
2.1× |
| Virus inoculate tissue addl (87253) |
$88.06 |
$629 |
4.4× |
| Virus inoculation, shell via (87254) |
$32.34 |
$231 |
1.7× |
| Viscosity serum (85810) |
$13.23 |
$94.50 |
1.1× |
| Vitamin A (84590) |
$31.64 |
$226 |
2.7× |
| Vitamin b-12 (82607) |
$40.04 |
$286 |
2.7× |
| Vitamin b-2 (riboflavin) (84252) |
$27.44 |
$196 |
1.4× |
| Vitamin b1 (thiamine) (84425) |
$30.66 |
$219 |
1.4× |
| Vitamin b6 (84207) |
$27.30 |
$195 |
1.0× |
| Vitamin C (82180) |
$55.58 |
$397 |
5.6× |
| Vitamin D 25-Hydroxy (82306) |
$43.12 |
$308 |
1.5× |
| Vitamin e serum (84446) |
$21.77 |
$155.50 |
1.5× |
| Vldl cholesterol level (83719) |
$15.40 |
$110 |
1.2× |
| Vol reduction of blood/prod (86960) |
$60.06 |
$429 |
0.4× |
| Voltage-gated calcium channel antibody each (86596) |
$22.68 |
$162 |
1.9× |
| Von willebrand factor activity (85245) |
$81.48 |
$582 |
3.6× |
| West nile virus ab, igm (86788) |
$26.18 |
$187 |
1.6× |
| West nile virus antibody (86789) |
$26.18 |
$187 |
1.8× |
| Whole mitochondrial genome (81460) |
$464.59 |
$3,318.50 |
0.4× |
| Whole mitochondrial genome analysis panel (81465) |
$307.44 |
$2,196 |
0.3× |
| Zinc (84630) |
$19.74 |
$141 |
1.7× |