| 17-Hydroxypregnenolone (84143) |
$72.40 |
$181 |
3.2× |
| 5 Nucleotidase (83915) |
$24.80 |
$62 |
2.2× |
| Abl1 gene analysis kinase domain variants (81170) |
$300 |
$750 |
1.0× |
| Acetylcholine receptor binding antibody (86041) |
$12 |
$30 |
0.7× |
| Acetylcholine receptor blocking antibody (86042) |
$12 |
$30 |
0.7× |
| Acetylcholinesterase Assay (82013) |
$30 |
$75 |
2.4× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$12 |
$30 |
1.0× |
| Acth (82024) |
$117.20 |
$293 |
3.0× |
| Actin smooth muscle antibody each (86015) |
$11.60 |
$29 |
1.0× |
| Acute hepatitis panel (80074) |
$126 |
$315 |
2.6× |
Acylcarnitines Quant (82017)
range across 5 matching MRF lines |
$16.80–$20 |
$42–$50 |
varies |
| Acylcarnitines; qualitative, each specimen Facility (82016) |
$30 |
$75 |
1.8× |
| Adenovirus antibody (86603) |
$20 |
$50 |
1.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$72.40 |
$181 |
1.1× |
| Agglutinins Febrile Each Antigen (86000) |
$27.60 |
$69 |
4.0× |
| Albumin Fluid (82042) |
$22 |
$55 |
2.8× |
| Albumin serum (82040) |
$22.80 |
$57 |
4.6× |
| Aldolase (82085) |
$42.40 |
$106 |
4.4× |
| Aldosterone urine (82088) |
$53.20 |
$133 |
1.3× |
| Alkaline phosphatase isoenzymes (84080) |
$25.60 |
$64 |
1.7× |
| Allergen spec ige qual multiallergen screen (86005) |
$11.20 |
$28 |
1.4× |
| Allergen specific ige (86003) |
$20 |
$50 |
3.8× |
| Allergen specific igg (86001) |
$20.80 |
$52 |
2.7× |
| Allg Spec Ige Recomb Ea (86008) |
$25.60 |
$64 |
1.4× |
| Alpha-1-antitrypsin phenotype (82104) |
$50.80 |
$127 |
3.5× |
| Alpha-1-antitrypsin total (82103) |
$48.80 |
$122 |
3.6× |
| Alpha-Fetoprotein Amniotic Fluid (82106) |
$25.20 |
$63 |
1.5× |
| Alpha-Fetoprotein Serum (82105) |
$24.40 |
$61 |
1.5× |
| Alt (sgpt) (84460) |
$26.80 |
$67 |
5.1× |
| Aluminum (82108) |
$25.60 |
$64 |
1.0× |
| Amikacin trough (80150) |
$50.80 |
$127 |
3.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$27.20 |
$68 |
1.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) |
$39.20 |
$98 |
2.3× |
| Amino Acids Multiple Qualitative Each Specimen (82128) |
$14 |
$35 |
1.0× |
| Amino Acids Quant 2-5 (82136) |
$14.80 |
$37 |
0.8× |
| Amino acids; single, qualitative, each specimen Facility (82127) |
$14 |
$35 |
1.0× |
| Aminolevulinic acid (ala) (82135) |
$30 |
$75 |
1.8× |
| Ammonia (82140) |
$55.20 |
$138 |
3.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) |
$98 |
$245 |
1.0× |
| Amniotic fluid scan (82143) |
$12 |
$30 |
1.3× |
| Amylase urine (82150) |
$42.40 |
$106 |
6.5× |
| Ana Titer (86039) |
$39.60 |
$99 |
3.5× |
| Analysis skeletal muscle (88355) |
$140 |
$350 |
0.9× |
| Anca screen each antibody (86036) |
$12 |
$30 |
1.0× |
| Anca Titer Each Antibody (86037) |
$12 |
$30 |
1.0× |
| Androstanediol Glucuronide (82154) |
$40 |
$100 |
1.4× |
| Androstenedione (82157) |
$45.20 |
$113 |
1.5× |
| Androsterone (hormone) level (82160) |
$25.60 |
$64 |
1.0× |
| Angiotensin converting enzyme csf (82164) |
$25.20 |
$63 |
1.7× |
| Angiotensin II (82163) |
$20.40 |
$51 |
1.0× |
| Anti-Phospholipid Antibody (86148) |
$28.40 |
$71 |
1.8× |
| Antibody aspergillus (86606) |
$29.60 |
$74 |
2.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) |
$35.60 |
$89 |
2.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$24.80 |
$62 |
1.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) |
$53.60 |
$134 |
3.2× |
| Antibody Encephalitis California La Crosse (86651) |
$34 |
$85 |
2.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
$22 |
$55 |
1.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
$51.60 |
$129 |
3.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
$60.40 |
$151 |
3.3× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$23.20 |
$58 |
1.9× |
| Antibody haemophilus influenza (86684) |
$60 |
$150 |
3.8× |
| Antibody helicobacter pylori (86677) |
$40.80 |
$102 |
2.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$35.60 |
$89 |
2.5× |
| Antibody Herpes Smplx Type 1 (86695) |
$41.20 |
$103 |
3.1× |
| Antibody HIV-1&HIV-2 single result (86703) |
$43.20 |
$108 |
3.2× |
| Antibody HIV-2 (86702) |
$42 |
$105 |
3.1× |
| Antibody Hla Class I High Definition Panel Qual (86832) |
$324 |
$810 |
1.0× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) |
$127.60 |
$319 |
1.3× |
| Antibody Hla Class II Phenotype Panel Qual (86831) |
$109.60 |
$274 |
1.3× |
| Antibody hla class ii semiquantitative panel (86835) |
$320 |
$800 |
1.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) |
$77.60 |
$194 |
4.0× |
| Antibody identification leukocyte antibodies (86021) |
$20 |
$50 |
1.3× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$28.40 |
$71 |
2.3× |
| Antibody john cunningham virus (86711) |
$54 |
$135 |
3.2× |
| Antibody leishmania (86717) |
$20 |
$50 |
1.6× |
| Antibody Lymphocytic Choriomeningitis (86727) |
$20 |
$50 |
1.6× |
| Antibody neisseria meningitidis (86741) |
$20 |
$50 |
1.5× |
| Antibody nocardia (86744) |
$20 |
$50 |
1.3× |
| Antibody plasmodium malaria (86750) |
$20 |
$50 |
1.5× |
| Antibody Protozoa Nes (86753) |
$43.20 |
$108 |
3.5× |
| Antibody rotavirus (86759) |
$20 |
$50 |
1.1× |
| Antibody Titer (86886) |
$152.40 |
$381 |
29.4× |
| Antibody Treponema Pallidum (86780) |
$38.40 |
$96 |
2.9× |
| Antibody yersinia (86793) |
$20 |
$50 |
1.5× |
| Antibody; campylobacter (86625) |
$20 |
$50 |
1.5× |
| Antibody; encephalitis, st. louis (86653) |
$34 |
$85 |
2.6× |
| Antibody; influenza virus (86710) |
$42.40 |
$106 |
3.1× |
| Antigen typing (86905) |
$297.60 |
$744 |
77.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
$152.40 |
$381 |
26.6× |
| Antinomyces antibody (86602) |
$10 |
$25 |
1.0× |
| Antinuclear antibodies (86038) |
$50 |
$125 |
4.1× |
| Antistreptolysin O Screen (86063) |
$35.60 |
$89 |
6.2× |
| Antistreptolysin o titer (86060) |
$48.80 |
$122 |
6.7× |
| Antithrombin iii activity (85300) |
$36 |
$90 |
3.0× |
| Antithrombin iii antigen (85301) |
$40 |
$100 |
3.7× |
| Aortic dysfunction/dilation dup/del analysis (81411) |
$540.08 |
$1,350.19 |
0.4× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) |
$201.60 |
$504 |
0.4× |
| Apc Gene Analysis Known Familial Variants (81202) |
$160 |
$400 |
0.6× |
| Apc gene dup/delet variants (81203) |
$80 |
$200 |
0.4× |
| Apc gene full sequence (81201) |
$312 |
$780 |
0.4× |
| Apolipoprotein a1 (82172) |
$20.80 |
$52 |
1.0× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) |
$12 |
$30 |
0.3× |
| Aquaporin-4 Antb Cba Each (86052) |
$12 |
$30 |
1.0× |
| Aquaporin-4 Antb Elisa (86051) |
$11.60 |
$29 |
1.0× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) |
$301.20 |
$753 |
1.0× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) |
$12 |
$30 |
0.1× |
| Arsenic (82175) |
$30.80 |
$77 |
1.6× |
| Aspa gene analysis common variants (81200) |
$18.90 |
$47.25 |
0.4× |
| Aspergillus ag eia (87305) |
$66 |
$165 |
5.5× |
| Assay activated protein c (85307) |
$56.80 |
$142 |
3.7× |
| Assay Blood Carbon Dioxide (82374) |
$23.60 |
$59 |
4.8× |
| Assay Blood Catecholamines (82383) |
$29.20 |
$73 |
1.0× |
| Assay Duodenal Fluid Trypsin (84485) |
$25.60 |
$64 |
3.6× |
| Assay myeloperoxidase (83876) |
$50.80 |
$127 |
1.0× |
| Assay Nephelometry Not Spec (83883) |
$30 |
$75 |
2.2× |
| Assay of 5-hiaa (83497) |
$25.60 |
$64 |
2.0× |
| Assay of anti-mullerian hormone (82166) |
$12 |
$30 |
0.3× |
| Assay of b-hexosaminidase each assay (83080) |
$90.80 |
$227 |
5.4× |
| Assay of blood/uric acid (84550) |
$32.40 |
$81 |
7.2× |
| Assay of calcium in urine (82340) |
$32.80 |
$82 |
5.4× |
| Assay of corticosterone (82528) |
$82.80 |
$207 |
3.7× |
| Assay of cpk in blood (82552) |
$32.80 |
$82 |
2.4× |
| Assay of estrone (82679) |
$30 |
$75 |
1.2× |
| Assay of g6pd enzyme (82955) |
$14.40 |
$36 |
1.5× |
| Assay of gammaglobulin igm (82784) |
$44.80 |
$112 |
4.8× |
| Assay of lactic acid (83605) |
$120 |
$300 |
10.4× |
| Assay of manganese (83785) |
$28.40 |
$71 |
1.1× |
| Assay of metanephrines (83835) |
$80.40 |
$201 |
4.7× |
| Assay of phosphatase acid total (84060) |
$7.60 |
$19 |
1.0× |
| Assay of procainamide (80190) |
$60 |
$150 |
1.0× |
| Assay of proinsulin (84206) |
$34 |
$85 |
1.3× |
| Assay of prostate specific antigen complexed (84152) |
$18.40 |
$46 |
1.0× |
| Assay of pyruvate (84210) |
$40.80 |
$102 |
2.8× |
| Assay of serotonin (84260) |
$77.60 |
$194 |
2.5× |
| Assay of serum potassium (84132) |
$27.20 |
$68 |
5.7× |
| Assay of Sialic Acid (84275) |
$13.60 |
$34 |
1.0× |
| Assay of sweat sodium (84302) |
$23.20 |
$58 |
4.8× |
| Assay of transcortin (84449) |
$18 |
$45 |
1.0× |
| Assay of Tyrosine (84510) |
$31.20 |
$78 |
2.9× |
| Assay of urea nitrogen (84520) |
$24.80 |
$62 |
6.3× |
| Assay of urine vma (84585) |
$56 |
$140 |
3.6× |
| Assay of vasoactive intestinal peptide (84586) |
$99.20 |
$248 |
2.8× |
| Assay of vitamin b-1 (84425) |
$70.40 |
$176 |
3.3× |
| Assay Ph Body Fluid Nos (83986) |
$21.20 |
$53 |
5.9× |
| Assay Phosphohexose Enzymes (84087) |
$40 |
$100 |
3.7× |
| Asxl1 gene analysis full gene sequence (81175) |
$270.60 |
$676.50 |
0.4× |
| Atomic Absorption (82190) |
$16 |
$40 |
1.0× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) |
$54.80 |
$137 |
0.4× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) |
$54.80 |
$137 |
0.4× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) |
$54.80 |
$137 |
0.4× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) |
$54.80 |
$137 |
0.4× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) |
$54.80 |
$137 |
0.4× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) |
$356.40 |
$891 |
0.4× |
| Automated Leukocyte Count (85048) |
$22 |
$55 |
8.7× |
| B cells total count (86355) |
$64.80 |
$162 |
1.7× |
| Babesia microti amp prb (87469) |
$35.20 |
$88 |
1.0× |
| Bacterial antigens 87802 (87802) |
$12.80 |
$32 |
1.0× |
| Bartonella antibody (86611) |
$30.40 |
$76 |
3.0× |
| Bckdhb Gene Analysis Common Variants (81205) |
$95.20 |
$238 |
1.0× |
| Bcr/abl1 gene major bp (81206) |
$164 |
$410 |
1.0× |
| Bcr/abl1 gene minor bp (81207) |
$144.80 |
$362 |
1.0× |
| Bcr/Abl1 Gene Other Bp (81208) |
$214.80 |
$537 |
1.0× |
| Beta 2 glycoprotein i antibody each (86146) |
$50.80 |
$127 |
2.0× |
| Beta hydroxybutyrate (82010) |
$30 |
$75 |
3.7× |
| Beta Lactamase (87185) |
$6.40 |
$16 |
1.3× |
| Beta-2 Microglobulin (82232) |
$20.80 |
$52 |
1.3× |
| Beta-amyloid 1-40 (abeta 40) (82233) |
$90 |
$225 |
0.7× |
| Beta-amyloid; 1-42 (abeta 42) (82234) |
$160 |
$400 |
1.2× |
| Bile acids total (82239) |
$24 |
$60 |
1.4× |
| Bile acids, cholylglycine (82240) |
$32 |
$80 |
1.2× |
| Bilirubin direct (82248) |
$48 |
$120 |
9.6× |
| Bilirubin total (82247) |
$23.60 |
$59 |
4.7× |
| Bilirubin; feces, qualitative Facility (82252) |
$5.20 |
$13 |
1.1× |
| Biotinidase (82261) |
$23.60 |
$59 |
1.4× |
| Bl Smear W/O Diff Wbc Count (85008) |
$3.60 |
$9 |
1.0× |
| Blastomyces antibody (86612) |
$39.60 |
$99 |
3.1× |
| Bld Typing Serologic Rh Phnt (86906) |
$34.80 |
$87 |
4.5× |
| Bleeding time test (85002) |
$4.80 |
$12 |
1.0× |
| Blm Gene (81209) |
$40 |
$100 |
1.0× |
| Blood Count Manual Cell Count Each (85032) |
$10 |
$25 |
2.3× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) |
$5.20 |
$13 |
1.0× |
| Blood Count Red Blood Cell Automated (85041) |
$12.80 |
$32 |
4.2× |
| Blood count reticulocyte automated (85045) |
$31.60 |
$79 |
7.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
$24 |
$60 |
6.3× |
| Blood count spun microhematocrit (85013) |
$7.20 |
$18 |
1.0× |
| Blood gas (82803) |
$30 |
$75 |
1.2× |
| Blood gases w/02 saturation (82805) |
$78.80 |
$197 |
1.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$20 |
$50 |
1.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$20.80 |
$52 |
4.7× |
| Blood Sulfhemoglobin Assay (83060) |
$8.80 |
$22 |
1.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) |
$297.60 |
$744 |
46.9× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$30 |
$75 |
1.8× |
| Blood typing serologic abo (86900) |
$116 |
$290 |
38.8× |
| Body fluid cell count (89050) |
$30.40 |
$76 |
6.4× |
Bone marrow smear interpretation (85097)
range across 3 matching MRF lines |
$480–$656 |
$68–$1,640 |
varies |
| Bordetella antibody (86615) |
$32 |
$80 |
2.4× |
| Borrelia Antibody (86619) |
$20 |
$50 |
1.5× |
| Braf gene analysis (81210) |
$175.60 |
$439 |
1.0× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) |
$232.80 |
$582 |
0.5× |
| Brca1 gene analysis full sequence analysis (81165) |
$13.60 |
$34 |
0.0× |
| Brca1&2 gen full seq dup/del (81162) |
$729.95 |
$1,824.88 |
0.4× |
| Breath Alcohol Test (82075) |
$30 |
$75 |
1.0× |
| Brucella antibody (86622) |
$32.40 |
$81 |
3.6× |
| C diff amplified probe (87493) |
$55.60 |
$139 |
1.5× |
| C-Peptide (84681) |
$66.80 |
$167 |
3.2× |
| C-reactive protein (86140) |
$50 |
$125 |
9.7× |
| Ca 19-9 (86301) |
$40 |
$100 |
1.9× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) |
$54.80 |
$137 |
0.4× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) |
$338.51 |
$846.27 |
0.4× |
| Cadmium (82300) |
$49.20 |
$123 |
2.1× |
| Caffeine (80155) |
$40 |
$100 |
1.0× |
| Calcitonin (82308) |
$40 |
$100 |
1.5× |
| Calcium ionized (82330) |
$51.60 |
$129 |
3.8× |
| Calcium total (82310) |
$27.20 |
$68 |
5.3× |
| Calculus Spectroscopy (82365) |
$46 |
$115 |
3.6× |
| Calprotectin Fecal (83993) |
$83.20 |
$208 |
4.2× |
| Calr gene com variants (81219) |
$121.60 |
$304 |
1.0× |
| Cancer Antigen 125 (86304) |
$45.20 |
$113 |
2.2× |
| Cancer Antigen 27.29 (86300) |
$66 |
$165 |
3.2× |
| Candida Dna Dir Probe (87480) |
$20 |
$50 |
1.0× |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
$233.96 |
$584.90 |
0.4× |
| Car Ion Chnnlpath Inc 2 Gns (81414) |
$233.96 |
$584.90 |
0.4× |
| Carbamazepine free (80157) |
$13.20 |
$33 |
1.0× |
| Carbamazepine total (80156) |
$72 |
$180 |
4.9× |
| Carbohydrate Deficient Transferrin (82373) |
$104 |
$260 |
5.8× |
| Carboxyhemoglobin (82375) |
$20 |
$50 |
1.6× |
| Carcinoembryonic antigen (82378) |
$90 |
$225 |
4.7× |
| Cardiolipin ab iga (86147) |
$58.80 |
$147 |
2.3× |
| Carnitine Quantitative Each Specimen (82379) |
$74.80 |
$187 |
4.4× |
| Carotene (82380) |
$20 |
$50 |
2.2× |
| Catecholamines fractionated (82384) |
$25.20 |
$63 |
1.0× |
| Catecholamines total urine (82382) |
$27.20 |
$68 |
1.0× |
| Cathepsin-d (82387) |
$18 |
$45 |
1.0× |
| Ccp antibody (86200) |
$45.60 |
$114 |
3.5× |
| Cebpa Gene Analysis Full Gene Sequence (81218) |
$96.76 |
$241.90 |
0.4× |
| Cell count csf (89051) |
$59.20 |
$148 |
10.6× |
| Cell enumeration & id (86152) |
$250.80 |
$627 |
1.0× |
| Cell marker study (88182) |
$50.80 |
$127 |
1.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) |
$165.20 |
$413 |
1.2× |
| Ceruloplasmin (82390) |
$49.20 |
$123 |
4.6× |
Cftr gene com variants (81220)
range across 2 matching MRF lines |
$46.80–$139.20 |
$117–$348 |
varies |
| Cftr gene dup/delet variants (81222) |
$174.03 |
$435.07 |
0.4× |
| Cftr gene full sequence (81223) |
$199.60 |
$499 |
0.4× |
Chemiluminescent assay (82397)
range across 2 matching MRF lines |
$42–$54.40 |
$105–$136 |
varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
$340 |
$850 |
1.3× |
| Chimerism w/comp to baseline w/o cell selection (81267) |
$207.20 |
$518 |
1.0× |
| Chlamydia antibody (86631) |
$34 |
$85 |
2.9× |
| Chlamydia Igm Antibody (86632) |
$38 |
$95 |
3.0× |
| Chlamydia trachomatis ag if (87270) |
$12.80 |
$32 |
1.1× |
| Chloramphenicol level (82415) |
$12.80 |
$32 |
1.0× |
| Chloride other source (82438) |
$25.20 |
$63 |
5.0× |
| Chloride Serum (82435) |
$32 |
$80 |
7.0× |
| Chloride urine (82436) |
$26.40 |
$66 |
4.6× |
| Cholesterol total (82465) |
$27.20 |
$68 |
6.3× |
| Cholinesterase rbc (82482) |
$10 |
$25 |
1.0× |
| Cholinesterase Serum (82480) |
$30 |
$75 |
3.8× |
| Chondroitin B sulfate, quantitative Facility (82485) |
$30 |
$75 |
1.5× |
| Chorionic gonadotropin test (84702) |
$84 |
$210 |
5.6× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) |
$188.80 |
$472 |
1.0× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) |
$29.20 |
$73 |
1.1× |
| Chrmsm Analysis Addl High Resolution Study (88289) |
$34.40 |
$86 |
1.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$84.80 |
$212 |
2.5× |
| Chrmsm Analysis Addl Specialized Banding (88283) |
$68.80 |
$172 |
1.0× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) |
$173.20 |
$433 |
1.0× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) |
$173.20 |
$433 |
1.0× |
| Chrmsm Breakage Synds Score 100 Cll (88249) |
$173.20 |
$433 |
1.0× |
| Chromium serum (82495) |
$49.60 |
$124 |
2.4× |
| Chromogenic Substrate Assay (85130) |
$51.20 |
$128 |
4.3× |
| Chromogranin a (86316) |
$32.40 |
$81 |
1.6× |
| Chromosome analys amniotic (88269) |
$173.60 |
$434 |
1.0× |
| Chromosome Analysis 15-20 (88262) |
$190 |
$475 |
1.5× |
| Chromosome Analysis 20-25 (88264) |
$218.40 |
$546 |
1.5× |
| Chromosome analysis 45 cells (88263) |
$150.40 |
$376 |
1.0× |
| Chromosome analysis, 5 (88261) |
$264.40 |
$661 |
1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$67.20 |
$168 |
1.9× |
| Citric acid urine (82507) |
$41.60 |
$104 |
1.5× |
| Ckmb (82553) |
$27.20 |
$68 |
2.4× |
| Clostridium Difficile (87324) |
$12.80 |
$32 |
1.1× |
| Clot Factor VIII Multimetric (85247) |
$104.40 |
$261 |
4.6× |
| Clot factor xiii fibrin stab (85290) |
$90.40 |
$226 |
5.5× |
| Clot retraction (85170) |
$16.40 |
$41 |
1.0× |
| Clotting factor viii related antigen (85244) |
$20.40 |
$51 |
1.0× |
| Clotting factor xii hageman (85280) |
$90.40 |
$226 |
4.7× |
Clotting Funct Activity (85397)
range across 2 matching MRF lines |
$30–$31.60 |
$75–$79 |
varies |
| Clotting hi molec weight kininogen assay (85293) |
$36 |
$90 |
1.9× |
| Clotting prekallikrein assay fletcher fact assay (85292) |
$36 |
$90 |
1.9× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) |
$54.80 |
$137 |
0.4× |
| Cns DNA amp probe type 12-25 (87483) |
$567.20 |
$1,418 |
1.4× |
| Coagulation time activated (85347) |
$30 |
$75 |
7.0× |
| Coagulation time other methods (85348) |
$10 |
$25 |
2.2× |
| Coagulation time; Lee and White Facility (85345) |
$10 |
$25 |
2.1× |
| Coccidioides antibody (86635) |
$23.60 |
$59 |
2.1× |
| Cold agglutinin screen (86156) |
$20 |
$50 |
2.5× |
| Cold agglutinin titer (86157) |
$24.40 |
$61 |
3.0× |
| Collagen crosslinks (82523) |
$42.80 |
$107 |
2.3× |
Column Chromotography Quant (82542)
range across 3 matching MRF lines |
$63.20–$73.60 |
$158–$184 |
varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) |
$93.23 |
$233.07 |
0.4× |
| Compatibility Each Unit Incubation (86921) |
$140 |
$350 |
0.9× |
| Compatibility test antiglob (86922) |
$152.40 |
$381 |
1.0× |
| Complement Antigen Each Component (86160) |
$45.20 |
$113 |
3.8× |
| Complement Fixation Tests Each Antigen (86171) |
$10 |
$25 |
1.0× |
| Complement Total (Ch50) (86162) |
$35.60 |
$89 |
1.8× |
| Complement/Function Activity (86161) |
$56.40 |
$141 |
4.7× |
Consltj Compre Review Reprt Referred Matrl (88325)
range across 2 matching MRF lines |
$140–$152.40 |
$350–$381 |
varies |
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 2 matching MRF lines |
$50.80–$52.80 |
$127–$132 |
varies |
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 3 matching MRF lines |
$30–$34.40 |
$75–$86 |
varies |
| Coombs direct (86880) |
$56.80 |
$142 |
10.5× |
| Copper urine (82525) |
$45.60 |
$114 |
3.7× |
| Cortisol free (82530) |
$24 |
$60 |
1.4× |
| Cortisol saliva (82533) |
$73.20 |
$183 |
4.5× |
| Creatine (82540) |
$22.80 |
$57 |
4.9× |
| Creatine kinase total (82550) |
$40.40 |
$101 |
6.2× |
| Creatinine blood (82565) |
$10 |
$25 |
2.0× |
| Creatinine clearance (82575) |
$35.20 |
$88 |
3.7× |
| Creatinine Urine (82570) |
$30.80 |
$77 |
5.9× |
| Crossmatch electronic (86923) |
$152.40 |
$381 |
1.0× |
| Crossmatch immediate spin (86920) |
$152.40 |
$381 |
1.0× |
| Crp High Sensitivity (86141) |
$34 |
$85 |
2.6× |
| Cryofibrinogen (82585) |
$35.60 |
$89 |
2.5× |
| Cryoglobulin (82595) |
$35.60 |
$89 |
5.5× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) |
$37.60 |
$94 |
2.9× |
| Cryptococcal Antigen (87327) |
$14.80 |
$37 |
1.1× |
| Cryptococcus ab (86641) |
$20 |
$50 |
1.4× |
Cryptococcus ag titer (87899)
range across 5 matching MRF lines |
$17.20–$38 |
$43–$95 |
varies |
| Cryptosporidium (87272) |
$12.80 |
$32 |
1.1× |
| Cryptosporidium ag eia (87328) |
$30 |
$75 |
2.2× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) |
$137.20 |
$343 |
1.0× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) |
$109.93 |
$274.83 |
0.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
$38 |
$95 |
4.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$42 |
$105 |
5.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
$43.60 |
$109 |
5.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) |
$218 |
$545 |
1.0× |
| Culture aerobic quant other (87071) |
$12 |
$30 |
1.2× |
| Culture afb (87116) |
$62.80 |
$157 |
5.8× |
| Culture Anaerobic (87075) |
$72 |
$180 |
7.6× |
| Culture blood (87040) |
$120 |
$300 |
11.6× |
| Culture chlamydia (87110) |
$53.20 |
$133 |
2.7× |
| Culture csf (87070) |
$71.60 |
$179 |
8.3× |
| Culture fungus (87102) |
$55.60 |
$139 |
6.6× |
| Culture fungus blood (87103) |
$50.80 |
$127 |
2.5× |
| Culture screen only (87081) |
$33.60 |
$84 |
5.1× |
| Culture stool (87045) |
$69.60 |
$174 |
7.4× |
| Culture typing if ea antiserum (87140) |
$22.80 |
$57 |
4.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$21.60 |
$54 |
4.2× |
| Culture urine (87086) |
$55.60 |
$139 |
6.9× |
| Cyanide (82600) |
$67.60 |
$169 |
3.5× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
$20 |
$50 |
1.4× |
| Cyclic amp (82030) |
$16.80 |
$42 |
0.7× |
| Cyclosporine (80158) |
$86.80 |
$217 |
4.8× |
| Cyp2c9 gene com variants (81227) |
$174.80 |
$437 |
1.0× |
| Cyp2d6 gene com variants (81226) |
$454.40 |
$1,136 |
1.0× |
| Cystatin C (82610) |
$26.40 |
$66 |
1.4× |
| Cytogenetics 10-30 (88273) |
$13.92 |
$34.81 |
0.4× |
| Cytogenetics 100-300 (88275) |
$83.20 |
$208 |
1.6× |
| Cytogenom Const Microarray Copy Number Variants (81228) |
$582.80 |
$1,457 |
0.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
$464 |
$1,160 |
0.4× |
| Cytogenomic neo microra alys (81277) |
$862.40 |
$2,156 |
0.7× |
| Cytomegalovirus igg (86644) |
$20.80 |
$52 |
1.4× |
| Cytopath C/V Index Add-On (88155) |
$10 |
$25 |
0.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) |
$40 |
$100 |
2.0× |
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines |
$49.60–$50.80 |
$124–$127 |
varies |
| Cytopath Fl Nongyn Filter (88106) |
$26.40 |
$66 |
1.0× |
| Cytopath unlstd proc (88199) |
$50.80 |
$127 |
1.1× |
| Cytotoxic Antibody Screen Std (86807) |
$78.80 |
$197 |
1.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) |
$40 |
$100 |
1.5× |
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines |
$30–$32.80 |
$75–$82 |
varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$50.80 |
$127 |
1.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) |
$152.40 |
$381 |
1.0× |
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines |
$34.80–$36.40 |
$87–$91 |
varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$472.80 |
$1,182 |
3.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) |
$20 |
$50 |
1.1× |
| Cytp smrs any oth src extnd std > 5 slides (88162) |
$50.80 |
$127 |
1.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) |
$31.20 |
$78 |
1.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) |
$300 |
$750 |
2.0× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) |
$10.80 |
$27 |
1.0× |
| Deoxycortisol (82634) |
$89.60 |
$224 |
3.1× |
| Deoxyribonuclease antibody (86215) |
$41.20 |
$103 |
3.1× |
| Desoxycorticosterone (82633) |
$98.80 |
$247 |
3.2× |
| Detect Agent Nos Dna Amp (87798) |
$48 |
$120 |
1.4× |
| Detect Agent Nos Dna Quant (87799) |
$156.40 |
$391 |
3.7× |
| Detect agnt mult DNA ampli (87801) |
$159.20 |
$398 |
2.3× |
| Dgp Antibody Each Ig Class (86258) |
$11.60 |
$29 |
1.0× |
| Dhea (82626) |
$44.80 |
$112 |
1.8× |
| Dhea-S (82627) |
$46.80 |
$117 |
2.1× |
| Dibucaine number (82638) |
$20 |
$50 |
1.6× |
| Digoxin (80162) |
$50 |
$125 |
3.8× |
| Dihydrotestosterone (82642) |
$30 |
$75 |
1.0× |
| Diphtheria antitoxoid (86648) |
$66 |
$165 |
4.3× |
| Dipropylacetic Acid Free (80165) |
$32 |
$80 |
2.4× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) |
$34 |
$85 |
1.0× |
Dmd Duplication/Deletion Analysis (81161)
range across 2 matching MRF lines |
$279.20 |
$30–$698 |
1.0× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) |
$54.80 |
$137 |
0.4× |
| Dna Antibody Native/Double Stranded (86225) |
$35.60 |
$89 |
2.6× |
| Dna Antibody Single Stranded (86226) |
$20 |
$50 |
1.7× |
Dna/Rna Amplified Probe (87150)
range across 3 matching MRF lines |
$30–$48 |
$75–$120 |
varies |
| DNA/RNA direct probe (87149) |
$20 |
$50 |
1.0× |
Dna/Rna Sequencing (87153)
range across 2 matching MRF lines |
$158.40–$160 |
$396–$400 |
varies |
| Dpyd gene common variants (81232) |
$174.80 |
$437 |
1.0× |
| Drug assay acetaminophen (80143) |
$18.80 |
$47 |
1.0× |
| Drug assay adalimumab (80145) |
$40 |
$100 |
1.0× |
Drug Assay Amiodarone (80151)
range across 2 matching MRF lines |
$20–$40 |
$50–$100 |
varies |
| Drug Assay Everolimus (80169) |
$19.20 |
$48 |
1.4× |
| Drug assay felbamate (80167) |
$20 |
$50 |
1.1× |
| Drug Assay Infliximab (80230) |
$56 |
$140 |
1.5× |
| Drug Assay Itraconazole (80189) |
$56 |
$140 |
2.1× |
| Drug Assay Lacosamide (80235) |
$56 |
$140 |
2.1× |
| Drug Assay Leflunomide (80193) |
$38.40 |
$96 |
1.0× |
| Drug Assay Posaconazole (80187) |
$56 |
$140 |
2.1× |
| Drug Assay Vedolizumab (80280) |
$40 |
$100 |
1.0× |
| Drug assay voriconazole (80285) |
$56 |
$140 |
2.1× |
| Drug Asy Hydroxychloroquine (80220) |
$18.80 |
$47 |
1.0× |
| Drug Screen Quant Clozapine (80159) |
$26 |
$65 |
1.3× |
| Drug Screen Quant Zonisamide (80203) |
$20 |
$50 |
1.5× |
| Drug Screen Quantitative Gabapentin (80171) |
$20 |
$50 |
0.9× |
| Drug Screen Quantitative Lamotrigine (80175) |
$51.20 |
$128 |
3.9× |
| Drug Screen Quantitative Levetiracetam (80177) |
$39.20 |
$98 |
3.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$20 |
$50 |
1.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) |
$16.80 |
$42 |
1.0× |
| Drug Screen Quantitative Tiagabine (80199) |
$27.20 |
$68 |
1.0× |
Drug Test Prsmv Chem Anlyzr (80307)
range across 6 matching MRF lines |
$6.40–$106 |
$7–$265 |
varies |
| Drug Test Prsmv Dir Opt Obs (80305) |
$12.80 |
$32 |
1.0× |
| Drug Test Prsmv Instrmnt (80306) |
$46 |
$115 |
2.7× |
| Egfr Gene Analysis Common Variants (81235) |
$324.40 |
$811 |
1.0× |
| Ehrlichia antibody (86666) |
$43.60 |
$109 |
4.3× |
| El-1 Fecal Quantitative (82653) |
$22.80 |
$57 |
1.0× |
| Electrolyte panel (80051) |
$46.40 |
$116 |
6.6× |
Electron Microscopy (88348)
range across 2 matching MRF lines |
$480–$592.80 |
$1,200–$1,482 |
varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$64 |
$160 |
1.0× |
| Encephaltis East Eqne Anbdy (86652) |
$34 |
$85 |
2.6× |
| Encephaltis West Eqne Antbdy (86654) |
$34 |
$85 |
2.6× |
| Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) |
$68.80 |
$172 |
1.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$12 |
$30 |
1.0× |
| Enterovirus Antibody (86658) |
$34 |
$85 |
2.6× |
| Enterovirus PCR (87498) |
$110 |
$275 |
3.1× |
| Enzyme cell activity (82657) |
$47.60 |
$119 |
2.1× |
Enzyme histochemistry (88319)
range across 2 matching MRF lines |
$480–$669.20 |
$1,200–$1,673 |
varies |
| Eosinophil Smear (89190) |
$5.60 |
$14 |
1.0× |
| Epilepsy Genomic Sequence Analysis Panel (81419) |
$1,126.40 |
$2,816 |
0.5× |
| Erythropoietin (82668) |
$64.80 |
$162 |
3.4× |
| Estradiol serum (82670) |
$28 |
$70 |
1.0× |
| Estriol (82677) |
$24 |
$60 |
1.0× |
| Estrogen total (82672) |
$30 |
$75 |
1.4× |
| Estrogens fractionated (82671) |
$32.40 |
$81 |
1.0× |
| Ethosuximide (80168) |
$49.60 |
$124 |
3.0× |
| Ethylene Glycol (82693) |
$9.20 |
$23 |
0.6× |
| Euglobulin lysis (85360) |
$24.80 |
$62 |
2.9× |
| Exam Synovial Fluid Crystals (89060) |
$36 |
$90 |
4.9× |
| Exome Re-Evaluation (81417) |
$128 |
$320 |
0.4× |
| Exome Sequence Analysis (81415) |
$1,912 |
$4,780 |
0.4× |
Exome sequence analysis each comparator exome (81416)
unusually low: confirm this is the full procedure |
$4,800 |
$12,000 |
0.4× |
| F2 Gene (81240) |
$66 |
$165 |
1.0× |
| F9 full gene sequence (81238) |
$600 |
$1,500 |
1.0× |
| Factor ii activity (85210) |
$74 |
$185 |
5.7× |
Factor Inhibitor Test (85335)
range across 2 matching MRF lines |
$20–$117.20 |
$50–$293 |
varies |
| Factor ix activity (85250) |
$90.40 |
$226 |
4.7× |
| Factor v activity (85220) |
$90.40 |
$226 |
5.1× |
| Factor v leiden mutation (81241) |
$73.60 |
$184 |
1.0× |
| Factor vii assay (85230) |
$51.20 |
$128 |
2.9× |
| Factor viii assay (85240) |
$51.20 |
$128 |
2.9× |
| Factor X (85260) |
$90.40 |
$226 |
5.1× |
| Factor xi activity (85270) |
$90.40 |
$226 |
5.1× |
| Factor xiii screen (85291) |
$9.20 |
$23 |
1.0× |
| Fancc Gene (81242) |
$40 |
$100 |
1.1× |
| Fat stain feces urine/respir secretions (89125) |
$30.40 |
$76 |
5.2× |
| Fat/Lipids Feces Quantitative (82710) |
$33.20 |
$83 |
2.0× |
| Fatty acids free (82725) |
$27.60 |
$69 |
1.5× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) |
$60 |
$150 |
7.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$34.80 |
$87 |
2.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) |
$54 |
$135 |
8.3× |
| Fecal Fat Qualitative (82705) |
$20.80 |
$52 |
4.1× |
| Ferritin (82728) |
$64.80 |
$162 |
4.8× |
| Fetal Chrmoml Aneuploidy (81420) |
$802.40 |
$2,006 |
1.1× |
| Fetal Congenital Abnor Assay Four Anal (81511) |
$153.60 |
$384 |
1.0× |
| Fetal Congenital Abnor Assay Two Proteins (81508) |
$54 |
$135 |
1.0× |
| Fetal Fibronectin (82731) |
$109.20 |
$273 |
1.7× |
| Fetal hemoglobin assay qual (83033) |
$24.40 |
$61 |
3.1× |
| Fetal Lung Maturity Fluorescence Polarization (83663) |
$18.80 |
$47 |
1.0× |
| Fetal screen rosette (85461) |
$10 |
$25 |
1.1× |
| Fibrin degradation products (85362) |
$30 |
$75 |
4.4× |
| Fibrin Degradation Quant (85379) |
$30 |
$75 |
2.9× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) |
$10 |
$25 |
1.0× |
| Fibrinogen activity (85384) |
$50.80 |
$127 |
5.2× |
| Fibrinogen antigen (85385) |
$47.60 |
$119 |
3.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$33.20 |
$83 |
2.1× |
| Flecainide level (80181) |
$18.80 |
$47 |
1.0× |
| Flow cytometry first marker (88184) |
$297.60 |
$744 |
0.9× |
| Flt3 Gene (81245) |
$165.60 |
$414 |
1.0× |
| Flt3 gene analysis (81246) |
$83.20 |
$208 |
1.0× |
| Fluorescent antibody screen (86255) |
$69.20 |
$173 |
5.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$35.60 |
$89 |
3.0× |
| Fluoride serum (82735) |
$18.40 |
$46 |
1.0× |
| Fmr1 Gene Charac Alleles (81244) |
$44.80 |
$112 |
1.0× |
| Fmr1 gene detection (81243) |
$22.82 |
$57.04 |
0.4× |
| Folic acid rbc (82747) |
$31.20 |
$78 |
1.8× |
| Folic Acid Serum (82746) |
$50 |
$125 |
3.4× |
| Follicle Stimulating Hormone (83001) |
$64.80 |
$162 |
3.5× |
| Forensic Cytopathology (88125) |
$50.80 |
$127 |
1.1× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) |
$28.40 |
$71 |
1.0× |
| Francisella tularensis (86668) |
$23.20 |
$58 |
1.6× |
| Frozen Blood Each Unit Thawing (86931) |
$200 |
$500 |
1.3× |
| Frozen Section (88331) |
$152.40 |
$381 |
1.0× |
| Fungi Identification Mold (87107) |
$40 |
$100 |
3.9× |
| Fungi Identification Yeast (87106) |
$21.20 |
$53 |
2.1× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) |
$54.80 |
$137 |
0.4× |
| Fxn Gene Analysis Full Gene Sequence (81286) |
$109.93 |
$274.83 |
0.4× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) |
$58.40 |
$146 |
1.0× |
| Galactokinase rbc (82759) |
$21.60 |
$54 |
1.0× |
| Galactose (82760) |
$14.40 |
$36 |
1.3× |
Galactose transferase test (82776)
range across 2 matching MRF lines |
$11.60–$14 |
$29–$35 |
varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) |
$34.40 |
$86 |
1.6× |
| Galectin-3 (82777) |
$44 |
$110 |
1.0× |
| Gammaglobulin ige (82785) |
$30.80 |
$77 |
1.9× |
| Gardner vag DNA dir probe (87510) |
$22 |
$55 |
1.1× |
| Gardner Vag Dna Quant (87512) |
$56 |
$140 |
1.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$10 |
$25 |
1.0× |
| Gases blood ph only (82800) |
$28 |
$70 |
2.5× |
| Gastric Analy W/Ph Ea Spec (82930) |
$6.80 |
$17 |
1.0× |
| Gastrin (82941) |
$30.80 |
$77 |
1.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) |
$500 |
$1,250 |
1.2× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) |
$12 |
$30 |
0.3× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) |
$759.20 |
$1,898 |
1.0× |
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 3 matching MRF lines |
$620–$2,918.80 |
$1,550–$7,297 |
varies |
| Genet Virus Isolate Hsv (87255) |
$51.60 |
$129 |
1.5× |
| Genetic Tstg Severe Inh Cond (81443) |
$2,448.56 |
$6,121.40 |
1.0× |
Genome Sequence Analysis (81425)
unusually low: confirm this is the full procedure |
$2,012.48 |
$5,031.20 |
0.4× |
| Genome sequence analysis each comparator genome (81426) |
$1,083.98 |
$2,709.95 |
0.4× |
| Gentamicin (80170) |
$68.40 |
$171 |
4.2× |
| Ggt (82977) |
$39.60 |
$99 |
5.5× |
| Giardia antigen (87329) |
$30 |
$75 |
2.5× |
| Giardia lamblia antibody (86674) |
$23.20 |
$58 |
1.6× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) |
$61.60 |
$154 |
1.0× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) |
$40.45 |
$101.12 |
0.4× |
| Gjb6 Gene Analysis Common Variants (81254) |
$14 |
$35 |
0.4× |
| Gluc-6-phosphate dehydrogenase screen (82960) |
$6 |
$15 |
1.0× |
| Glucagon (82943) |
$26 |
$65 |
1.8× |
| Glucose body fluid (82945) |
$31.60 |
$79 |
8.0× |
Glucose Serum (82947)
range across 2 matching MRF lines |
$8.40–$39.60 |
$21–$99 |
varies |
| Glucose tolerance test (gtt) (82951) |
$58.40 |
$146 |
4.5× |
| Glucosidase beta (82963) |
$21.60 |
$54 |
1.0× |
| Glutathione (82978) |
$40.80 |
$102 |
2.6× |
| Glycated Protein (82985) |
$27.60 |
$69 |
1.6× |
| Gonadotropin Chorionic Qualitative (84703) |
$60.40 |
$151 |
8.0× |
| Gonadotropin releasing hormone (83727) |
$22.40 |
$56 |
1.3× |
| Growth hormone (83003) |
$60.40 |
$151 |
3.6× |
| Growth Stimulation Gene 2 (83006) |
$75.60 |
$189 |
1.0× |
| Gtt-added samples (82952) |
$17.60 |
$44 |
4.5× |
| H Pylori Drug Admin (83014) |
$8 |
$20 |
1.0× |
| Haloperidol (80173) |
$16 |
$40 |
1.0× |
| Haptoglobin (83010) |
$57.60 |
$144 |
4.6× |
| Hba1/hba2 full gene sequence (81259) |
$600 |
$1,500 |
1.0× |
| Hba1/Hba2 Gene (81257) |
$102.40 |
$256 |
1.0× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) |
$202.40 |
$506 |
1.0× |
| Hbb duplication/deletion variants (81363) |
$202.40 |
$506 |
1.0× |
Hbb Full Gene Sequence (81364)
range across 2 matching MRF lines |
$324.40 |
$30–$811 |
1.0× |
| Hbb Gene Com Variants (81361) |
$13.60 |
$34 |
0.1× |
| Hdl Cholesterol (83718) |
$34.80 |
$87 |
4.2× |
| Hearing Loss Dup/Del Analysis (81431) |
$271.83 |
$679.57 |
0.4× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) |
$650 |
$1,625 |
0.4× |
| Heavy metal qualitative any analytes (83015) |
$32.80 |
$82 |
1.6× |
| Heinz Bodies Direct (85441) |
$10 |
$25 |
2.4× |
| Helicobacter Pylori Stool (87338) |
$62 |
$155 |
4.3× |
| Helminth Antibody (86682) |
$49.20 |
$123 |
3.8× |
| Hematocrit (85014) |
$19.60 |
$49 |
8.3× |
| Hemoglobin (85018) |
$10 |
$25 |
4.2× |
| Hemoglobin a1c (83036) |
$10.40 |
$26 |
1.1× |
| Hemoglobin Chromotography (83021) |
$46.40 |
$116 |
2.6× |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) |
$4 |
$10 |
1.0× |
| Hemoglobin electrophoresis (83020) |
$43.20 |
$108 |
3.4× |
| Hemoglobin F Fetal Chemical (83030) |
$10.80 |
$27 |
1.0× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$10 |
$25 |
1.2× |
| Hemoglobin plasma (83051) |
$14 |
$35 |
1.9× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) |
$10 |
$25 |
1.1× |
| Hemoglobin stability screen (83068) |
$10 |
$25 |
1.1× |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) |
$10 |
$25 |
1.1× |
| Hemoglobin-Oxygen Affinity (82820) |
$198 |
$495 |
14.8× |
| Hemolysin Acid (85475) |
$10 |
$25 |
1.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) |
$10 |
$25 |
1.1× |
| Hemolysins&Agglutinins Incubated (86941) |
$20 |
$50 |
1.7× |
| Hemosiderin urine (83070) |
$10 |
$25 |
2.1× |
| Hep a ab igm (86709) |
$39.60 |
$99 |
3.5× |
| Heparin assay (85520) |
$20 |
$50 |
1.5× |
| Hepatitis a antibody total (86708) |
$33.20 |
$83 |
2.7× |
| Hepatitis b core ab igm (86705) |
$52 |
$130 |
4.4× |
| Hepatitis b core ab total (86704) |
$24.80 |
$62 |
2.1× |
| Hepatitis b surface ag quan (87467) |
$15.20 |
$38 |
0.6× |
| Hepatitis B Surface Antibody (86706) |
$24.80 |
$62 |
2.3× |
| Hepatitis B Surface Antigen (87340) |
$40 |
$100 |
3.9× |
| Hepatitis Be Antibody (86707) |
$31.60 |
$79 |
2.7× |
| Hepatitis Be Antigen (87350) |
$26.80 |
$67 |
2.3× |
| Hepatitis C Antibody (86803) |
$64.40 |
$161 |
4.5× |
| Hepatitis c antibody confirmatory test (86804) |
$40 |
$100 |
2.6× |
| Hepatitis C Genotype (87902) |
$406.80 |
$1,017 |
1.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
$110 |
$275 |
3.1× |
| Hepatitis C Revrs Trnscrpj (87522) |
$80 |
$200 |
1.9× |
| Hepatitis delta ag (87380) |
$20 |
$50 |
1.1× |
| Hepatitis Delta Agent Antibody (86692) |
$35.60 |
$89 |
2.1× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) |
$521.60 |
$1,304 |
0.4× |
| Hereditary peripheral neuropathy gen seq pnl (81448) |
$233.96 |
$584.90 |
0.4× |
| Herpes simplex type 2 (86696) |
$46.80 |
$117 |
2.4× |
| Heterophile Antibody Screen (86308) |
$48.40 |
$121 |
9.3× |
| Hexa gene analysis common variants (81255) |
$12 |
$30 |
0.2× |
| Hfe Gene (81256) |
$65.60 |
$164 |
1.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) |
$10 |
$25 |
1.3× |
| Histamine urine (83088) |
$84 |
$210 |
2.8× |
| Histoplasma antibody (86698) |
$36.40 |
$91 |
2.6× |
| Histoplasma antigen urine (87385) |
$76.80 |
$192 |
5.8× |
| Hiv Antigen W/Hiv Antibodies (87806) |
$36 |
$90 |
1.1× |
| Hiv Genotype (87901) |
$438 |
$1,095 |
1.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
$40 |
$100 |
1.7× |
| Hiv-1 Antibody (86701) |
$39.60 |
$99 |
4.5× |
| HIV-1 p24 antigen (87390) |
$24 |
$60 |
1.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
$208 |
$520 |
2.4× |
| HIV-2 probe&revrse trnscripj (87538) |
$35.20 |
$88 |
1.0× |
| Hla class i semiquant panel (86834) |
$357.60 |
$894 |
1.0× |
| Hla Class I Typing High Resolution Complete (81379) |
$335.60 |
$839 |
1.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) |
$177.20 |
$443 |
1.0× |
| Hla Class I Typing Low Resolution Complete (81372) |
$400 |
$1,000 |
1.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
$127.60 |
$319 |
1.0× |
| Hla class i&ii antibody qual (86828) |
$142 |
$355 |
2.2× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) |
$705.60 |
$1,764 |
1.8× |
| Hla class ii high defin qual (86833) |
$325.60 |
$814 |
1.0× |
| Hla class ii typing high resolution one locus ea (81382) |
$123.60 |
$309 |
1.0× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) |
$157.60 |
$394 |
1.4× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) |
$52.40 |
$131 |
1.4× |
| Hla I Typing 1 Allele Hr (81381) |
$170 |
$425 |
1.0× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) |
$345.60 |
$864 |
1.0× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
$220.80 |
$552 |
1.0× |
| Hla ii typing 1 allele hr (81383) |
$109.20 |
$273 |
1.0× |
| Hla ii typing 1 locus lr (81376) |
$174 |
$435 |
1.4× |
| Hla Typing a/B/C Multiple Antigens (86813) |
$58 |
$145 |
1.0× |
| Hla Typing Dr/Dq Multiple Antigens (86817) |
$106 |
$265 |
1.0× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$204 |
$510 |
6.8× |
| Hla-b27 (86812) |
$26 |
$65 |
1.0× |
| Homocysteine (83090) |
$84 |
$210 |
4.7× |
| Homogenization Tissue (87176) |
$8 |
$20 |
1.4× |
| Homovanillic acid urine (83150) |
$48.40 |
$121 |
2.2× |
| Hpa-1 genotyping gene analysis common variant (81105) |
$122.40 |
$306 |
1.0× |
| Hpa-15 genotyping gene analysis common variant (81112) |
$122.40 |
$306 |
1.0× |
| Hpa-2 genotyping gene analysis common variant (81106) |
$122.40 |
$306 |
1.0× |
| Hpa-3 genotyping gene analysis common variant (81107) |
$122.40 |
$306 |
1.0× |
| Hpa-4 genotyping gene analysis common variant (81108) |
$122.40 |
$306 |
1.0× |
| Hpa-5 genotyping gene analysis common variant (81109) |
$122.40 |
$306 |
1.0× |
| Hpa-6 genotyping gene analysis common variant (81110) |
$122.40 |
$306 |
1.0× |
| Hpa-9 Genotyping (81111) |
$122.40 |
$306 |
1.0× |
| Hpv High-Risk Types (87624) |
$38.40 |
$96 |
1.1× |
| Hpv sep hi-rsk typ&pool rslt (87626) |
$70.40 |
$176 |
1.0× |
| Hsv Dna Amp Probe (87529) |
$97.20 |
$243 |
2.8× |
| Hsv Dna Quant (87530) |
$118.80 |
$297 |
2.8× |
| Htlv-I Antibody (86687) |
$42 |
$105 |
4.6× |
| Htlv-ii antibody (86688) |
$37.60 |
$94 |
2.7× |
| Htt Gene Detc Abnor Alleles (81271) |
$137.20 |
$343 |
1.0× |
| Human Epididymis Protein 4 (86305) |
$30 |
$75 |
1.4× |
| Hydroxycorticosteroids 17 (83491) |
$18 |
$45 |
1.0× |
| Hydroxyprogesterone 17-d (83498) |
$31.20 |
$78 |
1.1× |
| Hydroxyproline free (83500) |
$22.80 |
$57 |
1.0× |
| Hydroxyproline total (83505) |
$24.40 |
$61 |
1.0× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) |
$12 |
$30 |
1.0× |
| Iaad Ia Cytomegalovirus (87332) |
$12.80 |
$32 |
1.1× |
| Iaad Ia Entamoeba Histolytica Grp (87337) |
$12.80 |
$32 |
1.1× |
| Iaad Ia Escherichia Coli 0157 (87335) |
$12.80 |
$32 |
1.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$31.60 |
$79 |
3.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$14.80 |
$37 |
1.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$40 |
$100 |
1.1× |
| Iaad ia shiga-like toxin (87427) |
$18 |
$45 |
1.5× |
| Iaad Ia Streptococcus Group A (87430) |
$17.60 |
$44 |
1.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) |
$12.80 |
$32 |
1.1× |
| Iaadi herpes smplx virus type 1 (87274) |
$12.80 |
$32 |
1.1× |
| Iaadi inffluenza a virus (87276) |
$16 |
$40 |
1.0× |
| Iaadi not otherwise specified each organism (87299) |
$20 |
$50 |
1.2× |
| Iaadi pneumocustis carinii (87281) |
$12.80 |
$32 |
1.1× |
| Iaadi respiratory synctial virus (87280) |
$13.60 |
$34 |
1.0× |
| Iaadi Varicella Zoster Virus (87290) |
$13.60 |
$34 |
1.0× |
| Iaadiadoo trichomonas vaginalis (87808) |
$16.80 |
$42 |
1.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) |
$35.20 |
$88 |
1.0× |
| Iadna Bartonella Amplified Probe Technique (87471) |
$167.60 |
$419 |
4.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) |
$139.60 |
$349 |
4.0× |
| Iadna Candida Species Amplified Probe Tq (87481) |
$48.40 |
$121 |
1.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$62.80 |
$157 |
1.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) |
$116 |
$290 |
3.3× |
| Iadna Cytomegalovirus Quantification (87497) |
$145.60 |
$364 |
3.4× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) |
$35.20 |
$88 |
1.0× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$46.80 |
$117 |
1.3× |
| Iadna Hepatitis B Virus Quantification (87517) |
$120 |
$300 |
2.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) |
$119.60 |
$299 |
3.4× |
| Iadna Herpes Virus-6 Quantification (87533) |
$135.60 |
$339 |
3.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$118.40 |
$296 |
3.4× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) |
$58.80 |
$147 |
1.0× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) |
$77.20 |
$193 |
2.2× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) |
$46.40 |
$116 |
0.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) |
$80 |
$200 |
1.8× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
$48 |
$120 |
1.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) |
$113.60 |
$284 |
2.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$77.20 |
$193 |
2.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
$75.20 |
$188 |
2.1× |
| Iadna Nos Direct Probe Tq Each Organism (87797) |
$30 |
$75 |
1.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) |
$188 |
$470 |
1.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) |
$292.80 |
$732 |
1.1× |
| Ibmfs sequence analysis panel at least 30 genes (81441) |
$979.60 |
$2,449 |
0.4× |
| Idh1 common variants (81120) |
$12 |
$30 |
0.1× |
| Idh2 common variants (81121) |
$12 |
$30 |
0.0× |
| Ifnl3 gene analysis rs12979860 variant (81283) |
$73.60 |
$184 |
1.0× |
| Ig Light Chains Free Each (83521) |
$17.20 |
$43 |
1.0× |
| Igg subclasses (82787) |
$30.80 |
$77 |
3.8× |
| Igh gene rearrange amp meth (81261) |
$12 |
$30 |
0.1× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) |
$68.80 |
$172 |
1.0× |
Igh@ Variable Region Somatic Mutation Analysis (81263)
range across 2 matching MRF lines |
$272 |
$30–$680 |
0.9× |
| Igk rearrangeabn clonal pop (81264) |
$12 |
$30 |
0.1× |
| Ikbkap Gene Analysis Common Variants (81260) |
$40 |
$100 |
1.0× |
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines |
$200–$297.60 |
$500–$744 |
varies |
| Immune Complex Assay (86332) |
$30 |
$75 |
1.2× |
| Immunfix e-phorsis/urine/csf (86335) |
$41.20 |
$103 |
1.4× |
| Immunoassay analyte qual/semiqual single step (83518) |
$9.60 |
$24 |
1.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
$87.60 |
$219 |
4.8× |
| Immunoassay infectious agent (86318) |
$20 |
$50 |
1.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
$24 |
$60 |
1.6× |
| Immunoassay nonantibody (83516) |
$160 |
$400 |
13.9× |
| Immunodiffusion not elsewhere specified (86329) |
$30 |
$75 |
2.1× |
| Immunodiffusion Ouchterlony (86331) |
$30 |
$75 |
2.5× |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
$30 |
$75 |
1.3× |
| Immunoelectrophoresis Serum (86320) |
$30 |
$75 |
1.0× |
| Immunofixation electrophoresis (86334) |
$30.80 |
$77 |
1.4× |
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines |
$200–$309.60 |
$500–$774 |
varies |
Immunohistochemistry (88342)
range across 4 matching MRF lines |
$140–$158.40 |
$350–$396 |
varies |
| In situ hybridization 1st probe stain (88365) |
$152.40 |
$381 |
1.0× |
In situ hybridization ea multiplex probe stain (88366)
range across 2 matching MRF lines |
$200–$240 |
$500–$600 |
varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) |
$22 |
$55 |
1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) |
$16 |
$40 |
1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) |
$37.20 |
$93 |
0.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) |
$16 |
$40 |
1.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) |
$14.40 |
$36 |
1.0× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
$13.60 |
$34 |
1.0× |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) |
$13.60 |
$34 |
1.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) |
$12.40 |
$31 |
1.0× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) |
$12.80 |
$32 |
1.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) |
$35.20 |
$88 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) |
$80 |
$200 |
2.0× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) |
$16.80 |
$42 |
1.4× |
| Influenza a/b ag eia (87400) |
$14 |
$35 |
1.0× |
| Influenza assay w/optic (87804) |
$20 |
$50 |
1.2× |
| Influenza DNA amp probe (87502) |
$96 |
$240 |
1.0× |
| Inherited Cardmypthy 5 Gns (81439) |
$233.96 |
$584.90 |
0.4× |
| Inhibin A (86336) |
$51.60 |
$129 |
3.3× |
Inhibin b (83520)
range across 2 matching MRF lines |
$20–$42.40 |
$50–$106 |
varies |
Insitu hybridization auto (88367)
range across 3 matching MRF lines |
$200–$240 |
$500–$600 |
varies |
| Insitu hybridization manual (88368) |
$240 |
$600 |
0.7× |
| Insulin antibodies (86337) |
$68.80 |
$172 |
3.2× |
| Insulin free (83527) |
$20 |
$50 |
1.5× |
| Insulin tolerance panel growth horm defncy (80435) |
$102.80 |
$257 |
1.0× |
| Insulin total (83525) |
$26.80 |
$67 |
2.3× |
| Interleukin-6 (83529) |
$17.20 |
$43 |
1.0× |
| Intrinsic factor (stomach protein) level (83528) |
$20 |
$50 |
1.0× |
| Intrinsic factor antibody (86340) |
$50 |
$125 |
3.3× |
| Iron (83540) |
$23.20 |
$58 |
3.6× |
| Iron Binding Capacity (83550) |
$42.80 |
$107 |
4.9× |
| Irradiation Blood Product Each Unit (86945) |
$30 |
$75 |
0.9× |
| Islet cell antibody (86341) |
$64.80 |
$162 |
2.7× |
| Jak2 gene analysis p.val617phe variant (81270) |
$91.60 |
$229 |
1.0× |
| Jak2 Gene Trgt Sequence Alys (81279) |
$185.20 |
$463 |
1.0× |
| Ketosteroids 17 total (83586) |
$28.40 |
$71 |
2.2× |
| Kit Gene Analysis D816 Variant(S) (81273) |
$125.20 |
$313 |
1.0× |
| Koh Prep (87220) |
$29.20 |
$73 |
6.8× |
| Kras Gene Analysis Additional Variant(S) (81276) |
$12 |
$30 |
0.1× |
| Kras Gene Variants Exon 2 (81275) |
$193.60 |
$484 |
1.0× |
| L/s ratio (83661) |
$90.80 |
$227 |
4.1× |
| Lactate (ld) (ldh) enzyme (83615) |
$35.20 |
$88 |
5.8× |
| Lactoferrin fecal qualitative (83630) |
$51.60 |
$129 |
2.6× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) |
$28 |
$70 |
1.4× |
| Lamellar Body Count (83664) |
$20 |
$50 |
1.0× |
| Ldh Isoenzymes (83625) |
$12.80 |
$32 |
1.0× |
| LDL direct (83721) |
$10.40 |
$26 |
1.0× |
| Lead (83655) |
$26.80 |
$67 |
2.2× |
| Legionella antibody (86713) |
$53.20 |
$133 |
3.5× |
| Legionella antigen urine (87449) |
$59.20 |
$148 |
4.9× |
| Legionella pneumophila dfa (87278) |
$16 |
$40 |
1.0× |
| Leptospira antibody (86720) |
$52.80 |
$132 |
3.3× |
| Leukocyte Assessment Fecal (89055) |
$4.40 |
$11 |
1.0× |
| Leukocyte Histamine Release (86343) |
$66 |
$165 |
5.3× |
| Leukocyte phagocytosis (86344) |
$20 |
$50 |
1.9× |
| Level I Surg Pathology Gross Examination Only (88300) |
$25.20 |
$63 |
1.0× |
| Level ii surg pathology grossµscopic exam (88302) |
$25.20 |
$63 |
0.7× |
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 3 matching MRF lines |
$200–$297.60 |
$500–$744 |
varies |
| Lidocaine (80176) |
$18.40 |
$46 |
1.3× |
| Lipase (83690) |
$44.80 |
$112 |
6.5× |
| Lipoprotein A (83695) |
$24 |
$60 |
1.7× |
| Lipoprotein Bld Quan Part (83704) |
$34 |
$85 |
1.0× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) |
$11.20 |
$28 |
1.0× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) |
$12 |
$30 |
0.4× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) |
$12.80 |
$32 |
1.0× |
| Listeria Monocytogenes (86723) |
$20 |
$50 |
1.5× |
| Lithium (80178) |
$43.60 |
$109 |
6.6× |
| Liver ds alys 3 bmrk srm alg (81517) |
$176 |
$440 |
1.0× |
| Luteinizing Hormone (Lh) (83002) |
$83.20 |
$208 |
4.5× |
| Lyme disease antibody (86618) |
$49.20 |
$123 |
2.9× |
| Lymphocyte Culture Mixed (86821) |
$40 |
$100 |
1.1× |
| Lymphocyte transformation (86353) |
$158 |
$395 |
3.2× |
| Lymphocytotoxicity Assay (86805) |
$157.60 |
$394 |
0.8× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) |
$47.60 |
$119 |
1.0× |
| Lysozyme serum (85549) |
$22.80 |
$57 |
1.2× |
| M. Genitalium Amp Probe (87563) |
$35.20 |
$88 |
1.0× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) |
$30 |
$75 |
0.9× |
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines |
$152.40–$274 |
$381–$685 |
varies |
M/phmtrc alys ishquant/semiq (88374)
range across 2 matching MRF lines |
$140–$152.40 |
$350–$381 |
varies |
| Macroscopic exam arthropod (87168) |
$10 |
$25 |
2.3× |
| Macroscopic Exam Parasite (87169) |
$12 |
$30 |
2.8× |
| Magnesium Urine (83735) |
$84.80 |
$212 |
12.7× |
| Mass Spectrometry Quant (83789) |
$57.60 |
$144 |
2.4× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) |
$40 |
$100 |
1.0× |
| Mechanical fragility rbc (85547) |
$10 |
$25 |
1.2× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) |
$120 |
$300 |
1.0× |
| Mecp2 gene dup/delet variant (81304) |
$60 |
$150 |
0.4× |
| Mecp2 gene full seq (81302) |
$211.15 |
$527.87 |
0.4× |
| Mercury urine (83825) |
$26 |
$65 |
1.6× |
| Metabolic panel ionized ca (80047) |
$18 |
$45 |
1.3× |
| Methotrexate (80204) |
$40 |
$100 |
1.0× |
| Methylmalonic acid serum (83921) |
$62.80 |
$157 |
3.0× |
| Mgmt methylation analysis (81287) |
$124.80 |
$312 |
1.0× |
| Microalbumin, quantitative (82043) |
$38.40 |
$96 |
6.6× |
| Microbe Suscept Macrobroth (87188) |
$36 |
$90 |
5.4× |
| Microsatellite instability (81301) |
$348 |
$870 |
1.0× |
| Microsomal Antibodies Each (86376) |
$55.60 |
$139 |
3.8× |
| Mitochondrial Antibody Each (86381) |
$25.60 |
$64 |
1.0× |
| Mlh1 Gene (81288) |
$181.48 |
$453.70 |
0.9× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) |
$80.96 |
$202.40 |
0.4× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
$270.16 |
$675.40 |
0.4× |
| Mlh1 Gene Analysis Known Familial Variants (81293) |
$331.20 |
$828 |
1.0× |
| Mog-Igg1 Antb Cba Each (86362) |
$12 |
$30 |
1.0× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) |
$12 |
$30 |
0.3× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) |
$75.60 |
$189 |
1.9× |
| Molecular Cytogenetics Dna Probe Each (88271) |
$8.57 |
$21.42 |
0.4× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
$87.60 |
$219 |
2.1× |
Molecular Pathology Procedure Level 3 (81402)
range across 6 matching MRF lines |
$150–$180 |
$375–$450 |
varies |
Molecular Pathology Procedure Level 6 (81405)
range across 33 matching MRF lines |
$120.54–$416 |
$301.35–$1,040 |
varies |
| Mononuclear cell antigen (86356) |
$60 |
$150 |
2.2× |
| Mopath procedure level 1 (81400) |
$64 |
$160 |
1.0× |
Mopath procedure level 2 (81401)
range across 17 matching MRF lines |
$45.20–$54.80 |
$113–$137 |
varies |
Mopath procedure level 4 (81403)
range across 18 matching MRF lines |
$74–$74.08 |
$185–$185.20 |
varies |
| Mopath procedure level 5 (81404) |
$109.93 |
$274.83 |
0.4× |
| Mopath procedure level 7 (81406) |
$113.15 |
$282.88 |
0.4× |
Mopath procedure level 8 (81407)
range across 13 matching MRF lines |
$338.51–$338.71 |
$846.27–$846.77 |
varies |
Mopath procedure level 9 (81408)
range across 14 matching MRF lines |
$416–$800 |
$1,040–$2,000 |
varies |
Morphometric analysis nerve (88356)
range across 2 matching MRF lines |
$50.80–$96 |
$127–$240 |
varies |
Morphometric Analysis Tumor (88358)
range across 2 matching MRF lines |
$140–$152.40 |
$350–$381 |
varies |
| Mpl gene analysis sequence analysis exon 10 (81339) |
$185.20 |
$463 |
1.0× |
| Mrsa Pcr (87641) |
$81.20 |
$203 |
2.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
$152.68 |
$381.70 |
0.4× |
| Msh2 Gene Analysis Known Familial Variants (81296) |
$338 |
$845 |
1.0× |
| Mthfr Gene Analysis Common Variants (81291) |
$65.20 |
$163 |
1.0× |
| Mucin Clot Body Fluid (83872) |
$6 |
$15 |
1.0× |
| Mucopolysaccharides acid quantitative (83864) |
$90 |
$225 |
3.2× |
| Mumps antibody (86735) |
$28.80 |
$72 |
2.2× |
| Muscle-Specific Kinase Antb (86366) |
$12 |
$30 |
0.7× |
| Mycobacteric Identification (87118) |
$15.20 |
$38 |
1.0× |
| Mycophenolic Acid (80180) |
$24.80 |
$62 |
1.4× |
| Mycoplasma antibody (86738) |
$28.40 |
$71 |
2.1× |
| Mycoplasma culture (87109) |
$57.60 |
$144 |
3.7× |
| Myd88 Gene P.Leu265pro Vrnt (81305) |
$175.60 |
$439 |
1.0× |
| Myelin basic protein csf (83873) |
$44 |
$110 |
2.6× |
| Myoglobin urine (83874) |
$63.20 |
$158 |
4.9× |
| Natriuretic peptide (83880) |
$99.60 |
$249 |
2.5× |
Nerve teasing preparations (88362)
range across 2 matching MRF lines |
$480–$669.20 |
$1,200–$1,673 |
varies |
| Neutralization Test Viral (86382) |
$63.60 |
$159 |
3.8× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) |
$29.20 |
$73 |
1.0× |
| Nfct Agent Genotype Hepatitis B Virus (87912) |
$308.80 |
$772 |
1.2× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) |
$354 |
$885 |
1.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
$142.80 |
$357 |
1.0× |
| Nfct ds chrnc hcv 6 assays (81596) |
$72 |
$180 |
1.0× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) |
$212.80 |
$532 |
1.7× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$26 |
$65 |
1.0× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$670.40 |
$1,676 |
1.4× |
| Niacin (84591) |
$60.40 |
$151 |
3.5× |
| Nickel level (83885) |
$24.80 |
$62 |
1.0× |
| Nitroblue Tetrazolium Dye (86384) |
$20 |
$50 |
1.5× |
| Nk cells total count (86357) |
$45.60 |
$114 |
1.2× |
| Noonan Spectrum Disorders (81442) |
$857.44 |
$2,143.60 |
0.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$246.80 |
$617 |
1.0× |
| Nras gene variants exon 2&3 (81311) |
$12 |
$30 |
0.0× |
| Nuclear antigen antibody (86235) |
$40.40 |
$101 |
2.3× |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) |
$1,329.60 |
$3,324 |
0.4× |
| Nudt15 Gene Common Variants (81306) |
$466 |
$1,165 |
1.6× |
| Nzym actv blood cells/tiss radact substrate ea (82658) |
$148.40 |
$371 |
3.4× |
| Occult blood feces (82272) |
$4.40 |
$11 |
1.0× |
| Occult Blood Other Sources (82271) |
$12 |
$30 |
2.3× |
| Oligoclonal bands (83916) |
$65.60 |
$164 |
2.4× |
| Oncology Prostate Prob Score (81539) |
$760 |
$1,900 |
1.0× |
| Oncoprotein dcp (83951) |
$64.40 |
$161 |
1.0× |
| Organic Acids Qualitative Each Specimen (83919) |
$81.60 |
$204 |
5.0× |
| Organic acids urine (83918) |
$115.20 |
$288 |
4.9× |
| Osmolality serum (83930) |
$44 |
$110 |
6.7× |
| Osmolality Urine (83935) |
$42.80 |
$107 |
6.3× |
| Osmotic fragility rbc incubated (85557) |
$54.40 |
$136 |
4.1× |
| Osmotic Fragility RBC Unincubated (85555) |
$17.60 |
$44 |
2.4× |
| Osteocalcin (83937) |
$40 |
$100 |
1.3× |
| Ova and parasites smears (87177) |
$22.40 |
$56 |
2.5× |
| Ova1 (81503) |
$897.20 |
$2,243 |
1.0× |
| Oxalate urine (83945) |
$22 |
$55 |
1.5× |
| PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) |
$54.80 |
$137 |
0.4× |
| Palb2 gene full gene seq (81307) |
$270.60 |
$676.50 |
0.4× |
| Pancreatic Elastase Fecal (82656) |
$99.60 |
$249 |
8.6× |
| Particle Agglut Antbdy Titr (86406) |
$27.60 |
$69 |
2.6× |
| Particle Agglutination Screen Each Antibody (86403) |
$49.20 |
$123 |
4.3× |
| Parvovirus antibody (86747) |
$46.40 |
$116 |
3.1× |
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 4 matching MRF lines |
$480–$669.60 |
$1,200–$1,674 |
varies |
| Pathology Consultation During Surgery (88329) |
$30 |
$75 |
0.6× |
| Ph urine (81003) |
$24.40 |
$61 |
10.8× |
| Phenobarbital Level (80184) |
$60 |
$150 |
3.9× |
| Phenotype Infect Agent Drug (87900) |
$180 |
$450 |
1.4× |
| Phenylalanine (84030) |
$27.60 |
$69 |
5.0× |
| Phenylketones qual (84035) |
$4 |
$10 |
1.0× |
| Phenytoin (Dilantin) (80185) |
$60 |
$150 |
4.5× |
| Phenytoin free (80186) |
$48.80 |
$122 |
3.5× |
| Phosphatase acid prostatic (84066) |
$9.60 |
$24 |
1.0× |
| Phosphatase alkaline (84075) |
$40.40 |
$101 |
7.8× |
| Phosphatidylglycerol (84081) |
$16.40 |
$41 |
1.0× |
| Phospholipid Neutralization Hexagonal (85598) |
$18 |
$45 |
1.0× |
| Phosphorus Serum (84100) |
$29.20 |
$73 |
6.2× |
| Phosphorus urine (84105) |
$24 |
$60 |
4.2× |
| Pinworm exam (87172) |
$4.40 |
$11 |
1.0× |
| Platelet Aggregation (85576) |
$77.20 |
$193 |
3.1× |
| Platelet Antibodies (86022) |
$53.20 |
$133 |
2.9× |
| Platelet count automated (85049) |
$22 |
$55 |
4.9× |
| Platelet neutralization (85597) |
$18 |
$45 |
1.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) |
$207.20 |
$518 |
1.0× |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) |
$207.20 |
$518 |
1.0× |
| PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) |
$46.40 |
$116 |
1.0× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) |
$303.34 |
$758.36 |
0.4× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) |
$307.83 |
$769.58 |
0.4× |
| Pneumcysts jirovecii amp prb (87594) |
$100 |
$250 |
2.8× |
| Pooling blood platelets (86965) |
$152.40 |
$381 |
1.0× |
| Porphobilinogen, urine; quantitative (84110) |
$33.20 |
$83 |
3.9× |
| Porphyrins Feces Quantitative (84126) |
$41.60 |
$104 |
1.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$28.80 |
$72 |
2.0× |
| Potassium Urine (84133) |
$26.80 |
$67 |
5.7× |
| Prealbumin (84134) |
$64 |
$160 |
4.4× |
| Pregnancy-Associated Plasma Protein-A (84163) |
$16 |
$40 |
1.1× |
| Pregnanediol (84135) |
$21.20 |
$53 |
1.0× |
| Pregnanetriol (84138) |
$21.20 |
$53 |
1.0× |
| Pregnenolone (84140) |
$20 |
$50 |
1.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) |
$140 |
$350 |
0.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) |
$34.80 |
$87 |
0.7× |
| Pretx serum rbc antibody identification dilution (86976) |
$39.60 |
$99 |
1.5× |
| Primidone (80188) |
$27.60 |
$69 |
1.7× |
| Procalcitonin (Pct) (84145) |
$72.80 |
$182 |
2.7× |
| Progesterone (84144) |
$82.40 |
$206 |
4.0× |
| Prolactin (84146) |
$93.20 |
$233 |
4.8× |
| Prostaglandin (84150) |
$90.40 |
$226 |
2.2× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) |
$110 |
$275 |
4.2× |
| Protein body fluid (84157) |
$31.20 |
$78 |
7.8× |
| Protein C Activity (85303) |
$18 |
$45 |
1.3× |
| Protein c antigen (85302) |
$48.40 |
$121 |
4.0× |
| Protein Electrophoresis Urine (84166) |
$52.80 |
$132 |
3.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
$37.20 |
$93 |
3.5× |
| Protein S Free (85306) |
$36.80 |
$92 |
2.4× |
| Protein s total (85305) |
$48.40 |
$121 |
4.2× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) |
$20 |
$50 |
0.9× |
| Protein Total Refractometry Any Src (84160) |
$12.40 |
$31 |
2.2× |
| Protein total serum (84155) |
$31.20 |
$78 |
8.5× |
| Protein Total Urine (84156) |
$31.20 |
$78 |
8.5× |
| Protein Western Blot Test (84182) |
$76 |
$190 |
2.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$34.80 |
$87 |
8.8× |
| Protoporphyrin rbc quantitative (84202) |
$14.40 |
$36 |
1.0× |
| PSA free (84154) |
$55.60 |
$139 |
3.0× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) |
$120 |
$300 |
0.4× |
| Pten Gene Analysis Full Sequence Analysis (81321) |
$240 |
$600 |
0.4× |
| Pten gene analysis known familial variant (81322) |
$46.40 |
$116 |
1.0× |
| Pth Intact (83970) |
$82.40 |
$206 |
2.0× |
| Pyruvate kinase (84220) |
$28 |
$70 |
3.0× |
| Q Fever Antibody (86638) |
$20.80 |
$52 |
1.7× |
| Quantiferon tb gold plus (86480) |
$42 |
$105 |
0.7× |
Quantitative assay drug (80299)
range across 19 matching MRF lines |
$16–$56 |
$40–$140 |
varies |
| Quantitative Screen Metals (83018) |
$41.20 |
$103 |
1.9× |
| Quinidine (80194) |
$14.80 |
$37 |
1.0× |
| Quinine (84228) |
$11.60 |
$29 |
1.0× |
| Rbc antibody elution (86860) |
$152.40 |
$381 |
1.0× |
| Rbc antibody identification (86870) |
$297.60 |
$744 |
0.9× |
| Rbc antibody screen (86850) |
$50.80 |
$127 |
5.2× |
| Rbc pretreatment serum (86978) |
$30 |
$75 |
0.6× |
| Rbc pretx incubatj w/enzymes (86971) |
$200 |
$500 |
1.3× |
| Rbc serum pretx incubj drugs (86975) |
$260 |
$650 |
0.6× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) |
$71.20 |
$178 |
1.0× |
| Receptor assay estrogen (84233) |
$88 |
$220 |
1.0× |
| Receptor assay progesterone (84234) |
$64.80 |
$162 |
1.0× |
| Renin activity plasma (84244) |
$70 |
$175 |
3.2× |
| Reptilase test (85635) |
$13.60 |
$34 |
1.4× |
| Resp virus 12-25 targets (87633) |
$553.20 |
$1,383 |
1.3× |
| Resp Virus 6-11 Targets (87632) |
$292.80 |
$732 |
1.3× |
| Reticulated Platelet Assay (85055) |
$36.80 |
$92 |
1.0× |
| Reticulocyte Count (85046) |
$10 |
$25 |
1.8× |
| Reticulocyte Count Manual (85044) |
$4.40 |
$11 |
1.0× |
| Reticulocyte separation (86972) |
$140 |
$350 |
0.9× |
| Rh (86901) |
$30 |
$75 |
10.0× |
| Rheumatoid Factor Qualitative (86430) |
$10 |
$25 |
1.6× |
| Rheumatoid factor quant (86431) |
$40.40 |
$101 |
7.1× |
| Rickettsia antibody (86757) |
$26.80 |
$67 |
1.4× |
| Ristocetin cofactor (85245) |
$90.40 |
$226 |
3.9× |
| Rotavirus ag eia (87425) |
$65.20 |
$163 |
5.4× |
| Rpr qualitative (86592) |
$28.40 |
$71 |
6.7× |
| Rsv ab (86756) |
$20 |
$50 |
1.3× |
| Rsv Assay W/Optic (87807) |
$20 |
$50 |
1.5× |
| Rubella Antibody (86762) |
$40.80 |
$102 |
2.8× |
| Rubeola antibody (86765) |
$27.60 |
$69 |
2.1× |
| Rufinamide (80210) |
$18.80 |
$47 |
0.7× |
| Runx1 gene analysis targeted sequence analysis (81334) |
$329.60 |
$824 |
1.0× |
| Russell Viper Venom Time Diluted (85613) |
$36 |
$90 |
3.8× |
| Rx metab gen seq alys pnl 6 (81418) |
$917.20 |
$2,293 |
1.0× |
| Salicylate Level (80179) |
$18.80 |
$47 |
1.0× |
| Salmonella antibody (86768) |
$13.20 |
$33 |
1.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$100 |
$250 |
1.9× |
| Sars-cov-2 COVID-19 antibody (86769) |
$42 |
$105 |
1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$142.80 |
$357 |
1.0× |
| Sedimentation rate (85651) |
$20.80 |
$52 |
4.9× |
| Sedimentation Rate, Automated (85652) |
$24 |
$60 |
8.9× |
| Selenium (84255) |
$67.20 |
$168 |
2.6× |
| Semen Anal Sperm Detection (89321) |
$20 |
$50 |
1.7× |
| Semen analysis complete (89320) |
$20 |
$50 |
1.6× |
| Semen analysis motility and count (89310) |
$10 |
$25 |
1.2× |
| Sensitivity mic (87186) |
$54.40 |
$136 |
6.3× |
| Serpina 1 gene (81332) |
$43.60 |
$109 |
1.0× |
| Serum Bactericidal Titer (87197) |
$20 |
$50 |
1.3× |
| Sex Hormone Binding Globulin (84270) |
$32.80 |
$82 |
1.5× |
| Shigella Antibody (86771) |
$20 |
$50 |
0.8× |
| Sickling of rbc reduction (85660) |
$20 |
$50 |
3.6× |
| Sirolimus (80195) |
$71.20 |
$178 |
5.2× |
| Skin test tuberculosis intradermal (86580) |
$13.20 |
$33 |
0.5× |
| Smear acid fast (87206) |
$39.60 |
$99 |
7.3× |
| Smear complex stain (87209) |
$39.60 |
$99 |
2.2× |
| Smear gram stain (87205) |
$31.60 |
$79 |
7.4× |
| Smear Special Stain (87207) |
$39.60 |
$99 |
6.6× |
| Smn1 Gen Nown Famil Seq Vrnt (81337) |
$74.08 |
$185.20 |
0.4× |
| Smn1 Gene Analysis Full Gene Sequence (81336) |
$120.54 |
$301.35 |
0.4× |
| Smn1 Gene Dos/Deletion Alys (81329) |
$54.80 |
$137 |
0.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$10 |
$25 |
1.7× |
| Snrpn/Ube3a Methylation Analysis (81331) |
$20.43 |
$51.07 |
0.4× |
| Sodium Serum (84295) |
$34 |
$85 |
7.1× |
| Sodium Urine (84300) |
$27.60 |
$69 |
5.5× |
| Soluble fibrin monomer (85366) |
$80.40 |
$201 |
1.0× |
| Soluble Transferrin Receptor (84238) |
$97.20 |
$243 |
2.7× |
| Somatomedin (84305) |
$70 |
$175 |
3.3× |
| Somatostatin (84307) |
$76.40 |
$191 |
4.2× |
| Special Stains Group 1 (88312) |
$50.80 |
$127 |
1.1× |
Special Stains Group 2 (88313)
range across 3 matching MRF lines |
$30–$34.80 |
$75–$87 |
varies |
| Specific gravity body fluid (84315) |
$3.20 |
$8 |
1.0× |
| Specimen infect agnt concntj (87015) |
$15.60 |
$39 |
2.3× |
| Spectrophotometry (84311) |
$52.80 |
$132 |
6.5× |
| Sperm Antibodies (89325) |
$10 |
$25 |
0.9× |
| Splitting Blood/Blood Products Each Unit (86985) |
$152.40 |
$381 |
1.0× |
| Stem cells total count (86367) |
$78 |
$195 |
1.0× |
| Stone Analysis (82355) |
$20 |
$50 |
1.7× |
| Stool cultr aerobic bact ea (87046) |
$20.80 |
$52 |
2.2× |
| Strep a assay w/optic (87880) |
$20 |
$50 |
1.2× |
| Strep a DNA amp probe (87651) |
$48 |
$120 |
1.4× |
| Strep b DNA amp probe (87653) |
$55.20 |
$138 |
1.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$46 |
$115 |
0.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) |
$28 |
$70 |
2.4× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) |
$12 |
$30 |
2.2× |
| Sugars Multiple Quant (84379) |
$10 |
$25 |
0.9× |
| Sugars Single Qual (84376) |
$21.60 |
$54 |
3.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) |
$39.20 |
$98 |
1.0× |
| Sulfate urine (84392) |
$7.60 |
$19 |
1.4× |
| Surg path level iii (88304) |
$50.80 |
$127 |
1.1× |
Surgical pathology level IV (88305)
range across 2 matching MRF lines |
$50.80–$57.20 |
$127–$143 |
varies |
Surgical pathology level vi (88309)
range across 2 matching MRF lines |
$480–$669.20 |
$1,200–$1,673 |
varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) |
$20 |
$50 |
4.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) |
$36.80 |
$92 |
4.9× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) |
$40 |
$100 |
1.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
$10 |
$25 |
1.4× |
| Sweat Collection Iontophoresis (89230) |
$52.80 |
$132 |
1.1× |
| Syphilis Test Non-Trep Quant (86593) |
$19.60 |
$49 |
4.5× |
| T cells absolute cd4 count (86361) |
$30 |
$75 |
1.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$110 |
$275 |
2.3× |
| T cells total count (86359) |
$82.40 |
$206 |
2.2× |
| T3 Free (84481) |
$28 |
$70 |
1.7× |
| T3 reverse (84482) |
$34 |
$85 |
2.2× |
| T3 Total (84480) |
$53.60 |
$134 |
3.8× |
| T3 Uptake (84479) |
$6.40 |
$16 |
1.0× |
| T4 Free (84439) |
$62.40 |
$156 |
6.9× |
| T4 total (84436) |
$30 |
$75 |
4.4× |
| Tacrolimus (80197) |
$75.60 |
$189 |
5.5× |
| Tau phosphorylated each (84393) |
$160 |
$400 |
1.2× |
| Tb ag response t-cell susp (86481) |
$100 |
$250 |
1.0× |
| Test for acetone/ketones (82009) |
$30 |
$75 |
6.6× |
| Test for urine cystines (82615) |
$9.60 |
$24 |
1.0× |
| Testosterone total (84403) |
$83.60 |
$209 |
3.2× |
| Testosterone, Free (84402) |
$80.80 |
$202 |
3.2× |
| Tetanus antibody (86774) |
$20 |
$50 |
1.4× |
| Tgsap so/hl 51/< RNA alys (81456) |
$977.60 |
$2,444 |
0.3× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) |
$596.80 |
$1,492 |
1.0× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) |
$24.80 |
$62 |
2.1× |
| Theophylline (80198) |
$64 |
$160 |
4.5× |
| Thiocyanate (84430) |
$11.60 |
$29 |
1.0× |
| Thiopurine methyltransferase (84433) |
$22 |
$55 |
1.0× |
| Thrombin Time (85670) |
$32 |
$80 |
5.5× |
| Thromboplastin Inhibition Tissue (85705) |
$9.60 |
$24 |
1.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
$39.20 |
$98 |
6.1× |
| Thyroglobulin (84432) |
$28.40 |
$71 |
1.8× |
| Thyroglobulin Antibody (86800) |
$56.40 |
$141 |
3.5× |
| Thyroid Stimulating Immunoglobulin (84445) |
$129.20 |
$323 |
2.5× |
| Thyroxine binding globulin (84442) |
$42.80 |
$107 |
2.9× |
| Tiss cul neo disorders solid tumor (88239) |
$216.40 |
$541 |
1.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
$11.60 |
$29 |
1.0× |
| Tissue Culture (88233) |
$222.40 |
$556 |
1.6× |
| Tissue Culture Amniotic Fluid (88235) |
$216 |
$540 |
1.4× |
| Tissue culture bone marrow (88237) |
$221.60 |
$554 |
1.5× |
| Tissue Culture Lymphocyte (88230) |
$116.40 |
$291 |
1.0× |
| Tobramycin peak (80200) |
$62.80 |
$157 |
3.9× |
| Topiramate (80201) |
$58 |
$145 |
4.9× |
| Total Tau (84394) |
$160 |
$400 |
1.2× |
| Touch prep (88161) |
$25.20 |
$63 |
1.0× |
Toxin/Antitoxin Assay Tissue Culture (87230)
range across 2 matching MRF lines |
$19.60–$39.60 |
$49–$99 |
varies |
| Toxoplasma ab igm (86778) |
$54.40 |
$136 |
3.8× |
| Toxoplasma antibody (86777) |
$48 |
$120 |
3.3× |
| Tp53 gene analysis full gene sequence (81351) |
$301.20 |
$753 |
0.5× |
| Tp53 gene analysis targeted sequence analysis (81352) |
$329.60 |
$824 |
1.0× |
| Tpmt gene com variants (81335) |
$174.80 |
$437 |
1.0× |
| Transferase Aspartate Amino Ast Sgot (84450) |
$25.60 |
$64 |
4.9× |
| Transferrin (84466) |
$30.40 |
$76 |
2.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$208.80 |
$522 |
1.0× |
| Trg gene rearrangement anal (81342) |
$201.60 |
$504 |
1.0× |
| Trichinella Antibody (86784) |
$28.40 |
$71 |
2.3× |
| Trichomonas vagin dir probe (87660) |
$22 |
$55 |
1.1× |
| Trichomonas Vaginalis Amplif (87661) |
$48.40 |
$121 |
1.4× |
| Triglycerides (84478) |
$33.20 |
$83 |
5.8× |
| Troponin Quant (84484) |
$140 |
$350 |
11.2× |
| Troponin, qualitative (84512) |
$10 |
$25 |
1.0× |
| Tumor immunohistochem/comput (88361) |
$200 |
$500 |
0.6× |
Tumor Immunohistochem/Manual (88360)
range across 4 matching MRF lines |
$140–$158.40 |
$350–$396 |
varies |
| Ugt1a1 gene analysis common variants (81350) |
$234 |
$585 |
1.0× |
| Unlisted Cytogenetic Study (88299) |
$50.80 |
$127 |
1.1× |
| Urea nitrogen urine (84540) |
$27.60 |
$69 |
5.0× |
| Uric acid other source (84560) |
$26.40 |
$66 |
5.2× |
| Urinalysis Microscopic Only (81015) |
$10 |
$25 |
3.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) |
$10 |
$25 |
4.6× |
| Urinalysis Volume Measure (81050) |
$10 |
$25 |
2.7× |
| Urine Albumin Semiquantitative (82044) |
$24.80 |
$62 |
4.0× |
| Urine Bacteria Culture (87088) |
$24 |
$60 |
3.0× |
| Urine Pregnancy Test (81025) |
$10.40 |
$26 |
1.2× |
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines |
$41.20–$44 |
$103–$110 |
varies |
| Urobilinogen urine qual (84578) |
$4.40 |
$11 |
1.0× |
| Urobilinogen, feces, quantitative Facility (84577) |
$16.80 |
$42 |
1.0× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
$9.60 |
$24 |
1.0× |
| Valproic acid (80164) |
$65.20 |
$163 |
4.8× |
| Vancomycin (80202) |
$72 |
$180 |
5.3× |
| Varicella-zoster antibody (86787) |
$46.40 |
$116 |
3.6× |
| Vasopressin (84588) |
$64 |
$160 |
1.9× |
| Very Long Chain Fatty Acids (82726) |
$110.80 |
$277 |
5.6× |
| Viral Culture (87252) |
$68 |
$170 |
2.6× |
| Virus antibody nos (86790) |
$31.20 |
$78 |
2.4× |
| Virus inoculate tissue addl (87253) |
$40.80 |
$102 |
2.0× |
| Virus inoculation, shell via (87254) |
$57.60 |
$144 |
2.9× |
| Viscosity serum (85810) |
$33.20 |
$83 |
2.8× |
| Vit D 1 25-Dihydroxy (82652) |
$90 |
$225 |
2.3× |
| Vitamin A (84590) |
$47.60 |
$119 |
4.1× |
| Vitamin b-12 (82607) |
$50 |
$125 |
3.3× |
| Vitamin B2 (Riboflavin) (84252) |
$64 |
$160 |
3.2× |
| Vitamin B6 (84207) |
$81.60 |
$204 |
2.9× |
| Vitamin c (82180) |
$36 |
$90 |
3.6× |
| Vitamin D 25-Hydroxy (82306) |
$46.80 |
$117 |
1.6× |
| Vitamin E (84446) |
$45.20 |
$113 |
3.2× |
| Vitamin K (84597) |
$58.80 |
$147 |
4.3× |
| Vkorc1 gene (81355) |
$88.40 |
$221 |
1.0× |
| Volatiles (84600) |
$17.20 |
$43 |
1.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) |
$7.20 |
$18 |
0.6× |
| Von willebrand factor ag (85246) |
$45.20 |
$113 |
2.0× |
| Wbc Alkaline Phosphatase Count (85540) |
$10 |
$25 |
1.2× |
| West nile virus ab igm (86788) |
$52 |
$130 |
3.1× |
| West Nile Virus Antibody (86789) |
$52 |
$130 |
3.6× |
| Western Blot Test (84181) |
$50 |
$125 |
2.9× |
| Whole Mitochondrial Genome (81460) |
$514.80 |
$1,287 |
0.4× |
| Whole mitochondrial genome analysis panel (81465) |
$12 |
$30 |
0.0× |
| Xm Archive Tissue Molec Anal (88363) |
$22.40 |
$56 |
0.9× |
| Zika Virus Dna/Rna Amp Probe (87662) |
$51.20 |
$128 |
1.0× |
| Zika Virus Igm Antibody (86794) |
$16.80 |
$42 |
1.0× |
| Zinc (84630) |
$45.60 |
$114 |
4.0× |