| 1 25 Dihydroxy includes fractions if performed (82652) |
$75.60 |
$126 |
2.0× |
| 5 Hiaa (83497) |
$25.20 |
$42 |
2.0× |
| 5 Nucleotidase (83915) |
$22.20 |
$37 |
2.0× |
| Abl1 gene (81170) |
$585 |
$975 |
2.0× |
| Acetaminophen level (80143) |
$36.60 |
$61 |
2.0× |
| Acetylcholine receptor (achr); blocking antibody (86042) |
$36 |
$60 |
2.0× |
| Acetylcholine receptor binding antibody (86041) |
$36 |
$60 |
2.0× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$24 |
$40 |
2.0× |
| Actin smooth muscle antibody each (86015) |
$24 |
$40 |
2.0× |
| Activated protein c resistance (85307) |
$30 |
$50 |
2.0× |
| Acute hepatitis panel (80074) |
$93 |
$155 |
2.0× |
| Adamts13 activity (85397) |
$60.60 |
$101 |
2.0× |
| Afb culture (87116) |
$21.90 |
$36.50 |
2.0× |
| Albumin Fluid (82042) |
$15.60 |
$26 |
2.0× |
| Albumin serum (82040) |
$10.20 |
$17 |
2.1× |
| Aldolase (82085) |
$19.20 |
$32 |
2.0× |
| Aldosterone urine (82088) |
$79.80 |
$133 |
2.0× |
| Alkaline phosphatase isoenzymes (84080) |
$29.40 |
$49 |
2.0× |
| Allergen specific ige (86003) |
$10.20 |
$17 |
2.0× |
| Allergen specific ige; qualitative, multiallergen screen (86005) |
$15.60 |
$26 |
2.0× |
| Alpha-1-antitrypsin phenotype (82104) |
$28.20 |
$47 |
2.0× |
| Alpha-1-antitrypsin, total (82103) |
$6.60 |
$11 |
0.5× |
| Alpha-fetoprotein, serum (82105) |
$33 |
$55 |
2.0× |
| Alt (sgpt) (84460) |
$10.80 |
$18 |
2.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$33 |
$55 |
2.0× |
| Aminolevulinic acid (ala) (82135) |
$32.40 |
$54 |
2.0× |
| Ammonia (82140) |
$28.80 |
$48 |
2.0× |
| Amylase urine (82150) |
$13.20 |
$22 |
2.0× |
| Ana Titer (86039) |
$22.20 |
$37 |
2.0× |
| Angiotensin i enzyme test (82164) |
$28.80 |
$48 |
2.0× |
| Antibody Absorption (86978) |
$114 |
$190 |
1.9× |
| Antibody aspergillus (86606) |
$29.40 |
$49 |
2.0× |
| Antibody coxiella burnetii q fever (86638) |
$24 |
$40 |
2.0× |
| Antibody cytomegalovirus cmv (86644) |
$28.20 |
$47 |
2.0× |
| Antibody cytomegalovirus cmv igm (86645) |
$33 |
$55 |
2.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$25.80 |
$43 |
2.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$28.20 |
$47 |
2.0× |
| Antibody herpes smplx type 1 (86695) |
$25.80 |
$43 |
2.0× |
| Antibody HIV-2 (86702) |
$26.40 |
$44 |
2.0× |
| Antibody identification (86870) |
$668.40 |
$1,114 |
1.9× |
| Antibody mumps (86735) |
$25.80 |
$43 |
2.0× |
| Antibody Protozoa Nes (86753) |
$16.50 |
$27.50 |
1.3× |
| Antibody rubeola (86765) |
$25.20 |
$42 |
2.0× |
| Antibody screen (86850) |
$100.80 |
$168 |
10.3× |
| Antibody treponema pallidum (86780) |
$26.40 |
$44 |
2.0× |
| Antibody; Coccidioides (86635) |
$22.80 |
$38 |
2.0× |
| Antigen typing (86905) |
$668.40 |
$1,114 |
174.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$317.40 |
$529 |
61.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$24 |
$40 |
2.0× |
| Antinuclear antibodies (86038) |
$24 |
$40 |
2.0× |
| Antistreptolysin o titer (86060) |
$14.40 |
$24 |
2.0× |
| Antithrombin iii activity (85300) |
$23.40 |
$39 |
2.0× |
| Antithrombin iii antigen (85301) |
$21.60 |
$36 |
2.0× |
| Apolipoprotein b (82172) |
$41.40 |
$69 |
2.0× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$24 |
$40 |
2.0× |
| Aquaporin-4 antibody flow cytometry each (86053) |
$73.80 |
$123 |
2.0× |
| Arsenic Urine (82175) |
$37.20 |
$62 |
2.0× |
| Aspergillus ag eia (87305) |
$23.40 |
$39 |
2.0× |
| Assay of 17-hydroxypregnenolone (84143) |
$45 |
$75 |
2.0× |
| Assay of acth (82024) |
$75.60 |
$126 |
2.0× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
$34.20 |
$57 |
2.0× |
| Assay of androstenedione (82157) |
$57.60 |
$96 |
2.0× |
| Assay of anti-mullerian hormone (82166) |
$75.60 |
$126 |
2.0× |
| Assay of blood chloride (82435) |
$9 |
$15 |
2.0× |
| Assay of c-peptide (84681) |
$40.80 |
$68 |
2.0× |
| Assay of calcitonin (82308) |
$52.80 |
$88 |
2.0× |
| Assay of ceruloplasmin (82390) |
$21 |
$35 |
2.0× |
| Assay of creatine (82540) |
$9.60 |
$16 |
2.1× |
| Assay of cyclosporine (80158) |
$35.40 |
$59 |
2.0× |
| Assay of erythropoietin (82668) |
$120 |
$200 |
6.4× |
| Assay of ethosuximide (80168) |
$32.40 |
$54 |
2.0× |
| Assay of ferritin (82728) |
$27 |
$45 |
2.0× |
| Assay of g6pd enzyme (82955) |
$19.20 |
$32 |
2.0× |
| Assay of gammaglobulin igm (82784) |
$18.60 |
$31 |
2.0× |
| Assay of gastrin (82941) |
$34.80 |
$58 |
2.0× |
| Assay of gentamicin (80170) |
$32.40 |
$54 |
2.0× |
| Assay of homocystine (83090) |
$35.40 |
$59 |
2.0× |
| Assay of lipoprotein(a) (83695) |
$28.20 |
$47 |
2.0× |
| Assay of manganese (83785) |
$52.20 |
$87 |
2.0× |
| Assay of metanephrines (83835) |
$33.60 |
$56 |
2.0× |
| Assay of osteocalcin (83937) |
$58.80 |
$98 |
2.0× |
| Assay of parathormone (83970) |
$81 |
$135 |
2.0× |
| Assay of phenobarbital (80184) |
$30 |
$50 |
2.0× |
| Assay of prealbumin (84134) |
$28.80 |
$48 |
2.0× |
| Assay of proinsulin (84206) |
$52.20 |
$87 |
2.0× |
| Assay of selenium (84255) |
$49.80 |
$83 |
2.0× |
| Assay of serotonin (84260) |
$60.60 |
$101 |
2.0× |
| Assay of somatomedin (84305) |
$42 |
$70 |
2.0× |
| Assay of tacrolimus (80197) |
$27 |
$45 |
2.0× |
| Assay of vitamin k (84597) |
$27 |
$45 |
2.0× |
| Assay Ph Body Fluid Nos (83986) |
$7.20 |
$12 |
2.0× |
| Asst Oocy Fert Micr >10|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON… (89281) |
$317.40 |
$529 |
1.9× |
| Asstd oocyte fert 10 or less (89280) |
$1,597.80 |
$2,663 |
2.0× |
| Ast (sgot) (84450) |
$10.20 |
$17 |
2.0× |
| Autologous Blood Process (86890) |
$317.40 |
$529 |
1.9× |
| B cells total count (86355) |
$73.80 |
$123 |
2.0× |
| Bartonella antibody (86611) |
$20.40 |
$34 |
2.0× |
| Bcr/abl1 gene major bp (81206) |
$319.80 |
$533 |
2.0× |
| Bcr/abl1 gene minor bp (81207) |
$282.60 |
$471 |
2.0× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
$49.80 |
$83 |
2.0× |
| Beta hydroxybutyrate (82010) |
$16.20 |
$27 |
2.0× |
| Beta Lactamase (87185) |
$9.60 |
$16 |
2.0× |
| Bilirubin direct (82248) |
$10.20 |
$17 |
2.0× |
| Bilirubin total (82247) |
$10.20 |
$17 |
2.0× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) |
$317.40 |
$529 |
1.9× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) |
$317.40 |
$529 |
1.9× |
| Bl Smear W/Diff Wbc Count (85007) |
$7.80 |
$13 |
2.1× |
| Blastomyces antibody (86612) |
$25.20 |
$42 |
2.0× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
$97.80 |
$163 |
1.9× |
| Blood count reticulocyte automated (85045) |
$7.80 |
$13 |
2.0× |
| Blood gases (82803) |
$51 |
$85 |
2.0× |
| Blood gases w/02 saturation (82805) |
$154.20 |
$257 |
2.0× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
$19.20 |
$32 |
2.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$31.20 |
$52 |
2.0× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$668.40 |
$1,114 |
105.3× |
| Blood typing abo (86900) |
$237.60 |
$396 |
79.5× |
| Blood typing serologic rh (d) (86901) |
$75 |
$125 |
25.1× |
| Body fluid cell count (89051) |
$11.40 |
$19 |
2.0× |
| Body fluid cell count (89050) |
$9.60 |
$16 |
2.0× |
| Bone Marrow Smear Interpretation (85097) |
$1,597.80 |
$2,663 |
2.0× |
| Braf gene (81210) |
$342.60 |
$571 |
2.0× |
| Brca1&2 seq & full dup/del (81162) |
$3,558.60 |
$5,931 |
2.0× |
| Breath Alcohol Test (82075) |
$58.80 |
$98 |
2.0× |
| Brucella antibody (86622) |
$18 |
$30 |
2.0× |
| C diff amplified probe (87493) |
$73.20 |
$122 |
2.0× |
| C-reactive protein (86140) |
$10.20 |
$17 |
2.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$25.80 |
$43 |
2.0× |
| Ca 125 (86304) |
$40.80 |
$68 |
2.0× |
| Ca 19-9 (86301) |
$40.80 |
$68 |
2.0× |
| Ca 27 29 (86300) |
$40.80 |
$68 |
2.0× |
| Cadmium level (82300) |
$46.20 |
$77 |
2.0× |
| Caffeine (80155) |
$75.60 |
$126 |
2.0× |
| Calcium ionized (82330) |
$27 |
$45 |
2.0× |
| Calcium total (82310) |
$10.20 |
$17 |
2.0× |
| Calcium urine (82340) |
$12 |
$20 |
2.0× |
| Calculus Spectroscopy (82365) |
$25.20 |
$42 |
2.0× |
| Calprotectin, fecal (83993) |
$38.40 |
$64 |
2.0× |
| Calr gene com variants (81219) |
$237.60 |
$396 |
2.0× |
| Carbamazepine (tegretol) total (80156) |
$28.80 |
$48 |
2.0× |
| Carbon dioxide (82374) |
$9.60 |
$16 |
2.0× |
| Carboxyhemoglobin Quantitative (82375) |
$24.60 |
$41 |
2.0× |
| Carcinoembryonic antigen (82378) |
$37.20 |
$62 |
2.0× |
| Cardiolipin ab igg (86147) |
$49.80 |
$83 |
2.0× |
| Carnitine (82379) |
$33 |
$55 |
2.0× |
| Catecholamines fraction plasma (82384) |
$49.80 |
$83 |
2.0× |
| Cd4 absolute count (86361) |
$52.80 |
$88 |
2.0× |
| Cebpa gene full sequence (81218) |
$472.20 |
$787 |
2.0× |
| Cell Cryopreserve/Storage (88240) |
$25.80 |
$43 |
2.0× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
$265.20 |
$442 |
2.0× |
| Cftr gene com variants (81220) |
$1,085.40 |
$1,809 |
2.0× |
| Chg cryopreservation mature oocyte(s) (89337) |
$317.40 |
$529 |
1.9× |
| Chlamydia antibody (86631) |
$23.40 |
$39 |
2.0× |
| Chloride other source (82438) |
$10.20 |
$17 |
2.0× |
| Chloride urine (82436) |
$11.40 |
$19 |
2.0× |
| Cholesterol total (82465) |
$9 |
$15 |
2.1× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$244.80 |
$408 |
2.0× |
| Chromium urine (82495) |
$39.60 |
$66 |
2.0× |
| Chromogenic substrate assay (85130) |
$23.40 |
$39 |
2.0× |
| Chromogranin a (86316) |
$40.80 |
$68 |
2.0× |
| Chromosome analys amniotic (88269) |
$339 |
$565 |
2.0× |
| Chromosome analysis 20-25 cells (88264) |
$282 |
$470 |
2.0× |
| Chromosome analysis 45 cells (88263) |
$293.40 |
$489 |
2.0× |
| Chromosome Analysis 5 (88261) |
$516 |
$860 |
2.0× |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) |
$367.80 |
$613 |
2.0× |
| Chromosome banding study (88283) |
$133.80 |
$223 |
2.0× |
| Chromosome karyotype study (88280) |
$65.40 |
$109 |
2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$69 |
$115 |
2.0× |
| Ck isoenzymes (82552) |
$26.40 |
$44 |
2.0× |
| Ckmb (82553) |
$22.80 |
$38 |
2.0× |
| Clot factor viii vw antigen (85246) |
$45 |
$75 |
2.0× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$35.40 |
$59 |
2.0× |
| Clot factor xiii fibrin stab (85290) |
$32.40 |
$54 |
2.0× |
| Cmv PCR (87496) |
$93 |
$155 |
2.7× |
| Cns DNA amp probe type 12-25 (87483) |
$813 |
$1,355 |
2.0× |
| Coagulation time activated (85347) |
$8.40 |
$14 |
2.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$47.40 |
$79 |
2.0× |
| Cold agglutinin titer (86157) |
$16.20 |
$27 |
2.0× |
| Collagen cross links (82523) |
$36.60 |
$61 |
2.0× |
| Comparative anal str markers ea addl specimen (81266) |
$594.60 |
$991 |
2.0× |
| Compatibility test antiglob (86922) |
$317.40 |
$529 |
1.9× |
| Complement c3 (86160) |
$23.40 |
$39 |
2.0× |
| Complement total ch50 (86162) |
$40.20 |
$67 |
2.0× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$23.40 |
$39 |
2.0× |
| Concentration Infectious Agent (87015) |
$13.20 |
$22 |
2.0× |
| Coombs direct (86880) |
$114 |
$190 |
21.2× |
| Copper urine (82525) |
$24.60 |
$41 |
2.0× |
| Cortisol free (82530) |
$33 |
$55 |
2.0× |
| Cortisol total (82533) |
$31.80 |
$53 |
2.0× |
| Creatine kinase total (82550) |
$13.20 |
$22 |
2.0× |
| Creatinine blood (82565) |
$10.20 |
$17 |
2.0× |
| Creatinine clearance (82575) |
$18.60 |
$31 |
2.0× |
| Creatinine other source (82570) |
$10.20 |
$17 |
2.0× |
| Crossmatch immediate spin (86920) |
$317.40 |
$529 |
1.9× |
| Cryoglobulin (82595) |
$13.20 |
$22 |
2.0× |
| Cryopreservation embryo(s) (89258) |
$1,597.80 |
$2,663 |
2.0× |
| Cryopreservation sperm (89259) |
$317.40 |
$529 |
1.9× |
| Cryopreservation, reproductive tissue, testicular 89335PK (89335) |
$100.80 |
$168 |
1.9× |
| Cryptococcal Antigen (87327) |
$26.40 |
$44 |
2.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$16.20 |
$27 |
2.0× |
| Culture Aerobic Identify (87077) |
$16.20 |
$27 |
2.0× |
| Culture anaerobic (87075) |
$18.60 |
$31 |
2.0× |
| Culture blood (87040) |
$20.40 |
$34 |
2.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$15.60 |
$26 |
2.0× |
| Culture fungus blood (87103) |
$40.20 |
$67 |
2.0× |
| Culture fungus id yeast (87106) |
$20.40 |
$34 |
2.0× |
| Culture fungus other (87102) |
$16.80 |
$28 |
2.0× |
| Culture genital (87070) |
$17.40 |
$29 |
2.0× |
| Culture of oocyte(s)/embryo(s), less than 4 days; (89250) |
$317.40 |
$529 |
1.9× |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) |
$25.20 |
$42 |
0.1× |
| Culture screen only (87081) |
$13.20 |
$22 |
2.0× |
| Culture typing if ea antiserum (87140) |
$11.40 |
$19 |
2.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$10.20 |
$17 |
2.0× |
| Culture typing other methods (87158) |
$15.60 |
$26 |
2.0× |
| Culture Typing, Glc Method (87143) |
$65.40 |
$109 |
5.2× |
| Culture urine (87086) |
$16.20 |
$27 |
2.0× |
| Culture urine id ea isolate (87088) |
$16.20 |
$27 |
2.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
$225 |
$375 |
2.0× |
| Cyclic Citrullinated Peptide (86200) |
$25.80 |
$43 |
2.0× |
| Cytogenetics 10-30 (88273) |
$68.40 |
$114 |
2.0× |
| Cytogenetics DNA probe (88271) |
$42 |
$70 |
2.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
$2,262 |
$3,770 |
2.0× |
| Cytogenomic neoplasia microarray analysis (81277) |
$2,262.60 |
$3,771 |
2.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$84 |
$140 |
2.0× |
| Cytopath cell enhance tech (88112) |
$100.80 |
$168 |
1.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$72 |
$120 |
1.9× |
| Cytp concentration smears & interpretation (88108) |
$70.20 |
$117 |
1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$100.80 |
$168 |
1.9× |
| Cytp fna eval dx 1st each site (88172) |
$317.40 |
$529 |
1.9× |
| D-Dimer (85379) |
$20.40 |
$34 |
2.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$32.40 |
$54 |
2.0× |
| Detect agnt mult DNA ampli (87801) |
$137.40 |
$229 |
2.0× |
| Dhea (82626) |
$49.80 |
$83 |
2.0× |
| Dhea sulfate (82627) |
$43.80 |
$73 |
2.0× |
| Digoxin (80162) |
$26.40 |
$44 |
2.0× |
| Dilantin (80185) |
$26.40 |
$44 |
2.0× |
| Dipropylacetic acid free (80165) |
$27 |
$45 |
2.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$27 |
$45 |
2.0× |
| Dna/Rna Amplified Probe (87150) |
$69 |
$115 |
2.0× |
| DNA/RNA direct probe (87149) |
$47.70 |
$79.50 |
2.4× |
| Dpyd gene common variants (81232) |
$341.40 |
$569 |
2.0× |
| Drug assay felbamate (80167) |
$36.60 |
$61 |
2.0× |
| Drug assay flecainide (80181) |
$36.60 |
$61 |
2.0× |
| Drug assay itraconazole (80189) |
$53.40 |
$89 |
2.0× |
| Drug Assay Lacosamide (80235) |
$53.40 |
$89 |
2.0× |
| Drug assay posaconazole (80187) |
$53.40 |
$89 |
2.0× |
| Drug assay rufinamide (80210) |
$53.40 |
$89 |
2.0× |
| Drug assay voriconazole (80285) |
$53.40 |
$89 |
2.0× |
| Drug Screen Quant Gabapentin (80171) |
$44.40 |
$74 |
2.0× |
| Drug screen quant zonisamide (80203) |
$26.40 |
$44 |
2.0× |
| Drug Screen Quantitative Lamotrigine (80175) |
$26.40 |
$44 |
2.0× |
| Drug Scrn Quan Levetiracetam (80177) |
$26.40 |
$44 |
2.0× |
| Drug scrn quant oxcarbazepin (80183) |
$26.40 |
$44 |
2.0× |
| Drug test prsmv chem anlyzr (80307) |
$121.20 |
$202 |
2.0× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$24.60 |
$41 |
2.0× |
| Ebv viral capsid (86665) |
$35.40 |
$59 |
2.0× |
| Echinococcus ab igg (86682) |
$25.80 |
$43 |
2.0× |
| Ehrlichia antibody (86666) |
$20.40 |
$34 |
2.0× |
| Elastase pancreatic fecal quantitative (82653) |
$45 |
$75 |
2.0× |
| Electrolyte panel (80051) |
$21 |
$35 |
3.0× |
| Electron microscopy diagnostic (88348) |
$1,597.80 |
$2,663 |
2.0× |
| Electronic crossmatch (86923) |
$317.40 |
$529 |
1.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$37.20 |
$62 |
0.6× |
| Embryo prep (89255) |
$100.80 |
$168 |
1.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$24 |
$40 |
2.0× |
| Endomysial antibody iga (86255) |
$24 |
$40 |
2.0× |
| Entamoeba histolytica antigen (87337) |
$23.40 |
$39 |
2.0× |
| Enterovirus Pcr (87498) |
$69 |
$115 |
2.0× |
| Enzyme cell activity (82657) |
$43.80 |
$73 |
2.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$30 |
$50 |
2.0× |
| Estradiol (82670) |
$54.60 |
$91 |
2.0× |
| Estrogen fractionated (82671) |
$63 |
$105 |
2.0× |
| Estrone (82679) |
$49.20 |
$82 |
2.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$14.40 |
$24 |
2.0× |
| Extended culture of oocyte(s)/embryo(s), 4-7 days 89272PK (89272) |
$1,597.80 |
$2,663 |
2.0× |
| F2 gene analysis 20210g >a variant (81240) |
$128.40 |
$214 |
2.0× |
| F5 gene (81241) |
$143.40 |
$239 |
2.0× |
| Factor ii activity (85210) |
$25.80 |
$43 |
2.0× |
| Factor inhibitor test (85335) |
$25.20 |
$42 |
2.0× |
| Factor ix activity (85250) |
$37.20 |
$62 |
2.0× |
| Factor v activity (85220) |
$34.80 |
$58 |
2.0× |
| Factor vii assay (85230) |
$35.40 |
$59 |
2.0× |
| Factor viii ahg (85240) |
$35.40 |
$59 |
2.0× |
| Factor viii vw multimetric (85247) |
$45 |
$75 |
2.0× |
| Factor xi assay (85270) |
$35.40 |
$59 |
2.0× |
| Factor xii assay (85280) |
$37.80 |
$63 |
2.0× |
| Factor xiii solubility screen (85291) |
$18 |
$30 |
2.0× |
| Fecal fat qual (82705) |
$10.20 |
$17 |
2.0× |
| Fibrinogen activity (85384) |
$19.20 |
$32 |
2.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$30.60 |
$51 |
2.0× |
| Flow cytometry first marker (88184) |
$668.40 |
$1,114 |
1.9× |
| Flt3 gene analysis (81245) |
$322.80 |
$538 |
2.0× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) |
$162 |
$270 |
2.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$24 |
$40 |
2.0× |
| Fmr1 gene charac alleles (81244) |
$87.60 |
$146 |
2.0× |
| Fmr1 gene detection (81243) |
$111.60 |
$186 |
2.0× |
| Folate serum (82746) |
$28.80 |
$48 |
2.0× |
| Folic acid rbc (82747) |
$34.80 |
$58 |
2.0× |
| Follicle Stimulating Hormone (83001) |
$36.60 |
$61 |
2.0× |
| Fresh frozen plasma thawing each unit (86927) |
$317.40 |
$529 |
1.9× |
| Frozen blood each unit thawing (86931) |
$317.40 |
$529 |
1.9× |
| Frozen blood, each unit; freezing (includes preparation) and thawing UNSCHEDULED (86932) |
$75 |
$125 |
2.0× |
| Frozen Section (88331) |
$317.40 |
$529 |
1.9× |
| Fructosamine (82985) |
$33 |
$55 |
2.0× |
| Ftl cgen abnor four anal (81511) |
$299.40 |
$499 |
2.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$20.40 |
$34 |
2.0× |
| Gammaglobulin ige (82785) |
$32.40 |
$54 |
2.0× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$1,481.40 |
$2,469 |
2.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$5,693.40 |
$9,489 |
2.0× |
| Genetic testing for severe inherited conditions (81443) |
$4,774.80 |
$7,958 |
2.0× |
| Ggt (82977) |
$14.40 |
$24 |
2.0× |
| Giardia antigen eia stool (87329) |
$23.40 |
$39 |
2.0× |
| Gliadin antibody each immunoglobulin class (86258) |
$24 |
$40 |
2.0× |
| Glucose (82947) |
$7.80 |
$13 |
2.0× |
| Glucose body fluid (82945) |
$7.80 |
$13 |
2.0× |
| Glucose post dose (82950) |
$9.60 |
$16 |
2.0× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
$7.80 |
$13 |
2.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$25.20 |
$42 |
2.0× |
| Growth hormone (83003) |
$33 |
$55 |
2.0× |
| Haptoglobin (83010) |
$24.60 |
$41 |
2.0× |
| Hba1/hba2 full gene sequence (81259) |
$1,170 |
$1,950 |
2.0× |
| Hba1/hba2 gene dup/del vrnts (81269) |
$394.80 |
$658 |
2.0× |
| Hbb duplication/deletion variants (81363) |
$394.80 |
$658 |
2.0× |
| Hbb Full Gene Sequence (81364) |
$633 |
$1,055 |
2.0× |
| Hcg qualitative (84703) |
$15 |
$25 |
2.0× |
| Hcg quant (84702) |
$29.40 |
$49 |
2.0× |
| Hdl Cholesterol (83718) |
$16.20 |
$27 |
2.0× |
| Heavy metal quant each (83018) |
$43.20 |
$72 |
2.0× |
| Hematocrit (85014) |
$4.80 |
$8 |
2.0× |
| Hemoglobin (85018) |
$4.80 |
$8 |
2.0× |
| Hemoglobin a1c (83036) |
$19.20 |
$32 |
2.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$35.40 |
$59 |
2.0× |
| Hemoglobin electrophoresis (83020) |
$25.20 |
$42 |
2.0× |
| Hemoglobin fetal ql (83033) |
$15.60 |
$26 |
2.0× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$16.20 |
$27 |
2.0× |
| Hemoglobin plasma (83051) |
$14.40 |
$24 |
2.0× |
| Hemolysins/agglutinins auto screen (86940) |
$17.40 |
$29 |
2.0× |
| Hemosiderin urine (83070) |
$9.60 |
$16 |
2.0× |
| Heparin assay (85520) |
$25.80 |
$43 |
2.0× |
| Heparin neutralization (85525) |
$23.40 |
$39 |
2.0× |
| Hepatitis a antibody total (86708) |
$24.60 |
$41 |
2.0× |
| Hepatitis a igm (86709) |
$22.20 |
$37 |
2.0× |
| Hepatitis b core ab igm (86705) |
$23.40 |
$39 |
2.0× |
| Hepatitis b core antibody total (86704) |
$24 |
$40 |
2.0× |
| Hepatitis B Surface Ab (86706) |
$21 |
$35 |
2.0× |
| Hepatitis B Surface Antigen (87340) |
$20.40 |
$34 |
2.0× |
| Hepatitis c antibody (86803) |
$28.20 |
$47 |
2.0× |
| Hepatitis C Genotype (87902) |
$502.20 |
$837 |
2.0× |
| Herpes culture (87252) |
$51 |
$85 |
2.0× |
| Herpes simplex type 2 (86696) |
$37.80 |
$63 |
2.0× |
| Hfe gene (81256) |
$127.80 |
$213 |
2.0× |
| Histamine plasma (83088) |
$57.60 |
$96 |
2.0× |
| Histoplasma antibody (86698) |
$27 |
$45 |
2.0× |
| Histoplasma antigen urine (87385) |
$26.40 |
$44 |
2.0× |
| HIV confirmation (86689) |
$37.80 |
$63 |
2.0× |
| HIV-1 antibody (86701) |
$17.40 |
$29 |
2.0× |
| HIV-2 probe&revrse trnscripj (87538) |
$69 |
$115 |
2.0× |
| Hla b 27 disease association lc (81374) |
$145.20 |
$242 |
2.0× |
| Hla class i high defin qual (86832) |
$631.80 |
$1,053 |
2.0× |
| Hla class i typing high resolution complete (81379) |
$654 |
$1,090 |
2.0× |
| Hla class i&ii antibody qual (86828) |
$125.40 |
$209 |
2.0× |
| Hla class ii high defin qual (86833) |
$635.40 |
$1,059 |
2.0× |
| Hla class ii typing high resolution one locus ea (81382) |
$241.20 |
$402 |
2.0× |
| Hla I Typing 1 Locus Lr (81373) |
$249 |
$415 |
2.0× |
| Hla ii typing 1 locus lr (81376) |
$238.80 |
$398 |
2.0× |
| Hla-b27 (86812) |
$50.40 |
$84 |
2.0× |
| Homogenization tissue (87176) |
$12 |
$20 |
2.0× |
| Hpv types 16 & 18 only (87625) |
$79.20 |
$132 |
2.0× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
$131.40 |
$219 |
2.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$69 |
$115 |
2.0× |
| Htlv-i antibody (86687) |
$18 |
$30 |
2.0× |
| Htlv-ii antibody (86688) |
$27.60 |
$46 |
2.0× |
| Human epididymis protein 4 (86305) |
$40.80 |
$68 |
2.0× |
| Hydroxyprogesterone 17-d (83498) |
$53.40 |
$89 |
2.0× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) |
$35.40 |
$59 |
2.0× |
| Iaad ia clostridium difficile toxin (87324) |
$23.40 |
$39 |
2.0× |
| Iaad ia cryptosporidium (87328) |
$27 |
$45 |
2.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$20.40 |
$34 |
2.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$47.40 |
$79 |
2.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$28.20 |
$47 |
2.0× |
| Iaadiadoo not otherwise specified (87899) |
$31.80 |
$53 |
2.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) |
$69 |
$115 |
2.0× |
| Iadna babesia microti amplified probe technique (87469) |
$69 |
$115 |
2.0× |
| Iadna candida species amplified probe tq (87481) |
$69 |
$115 |
2.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$69 |
$115 |
2.0× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) |
$100.20 |
$167 |
2.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) |
$69 |
$115 |
2.0× |
| Iadna hepatitis b virus quantification (87517) |
$84 |
$140 |
2.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$84 |
$140 |
2.0× |
| Iadna herpes virus-6 quantification (87533) |
$81.60 |
$136 |
2.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$69 |
$115 |
2.0× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$166.20 |
$277 |
2.0× |
| Iadna human papillomavirus high-risk types (87624) |
$69 |
$115 |
2.0× |
| Iadna mycobacteria tuberculosis amp prb (87556) |
$81.60 |
$136 |
2.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$69 |
$115 |
2.0× |
| Iadna nos amplified probe tq each organism (87798) |
$69 |
$115 |
2.0× |
| Iadna nos quantification each organism (87799) |
$84 |
$140 |
2.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$69 |
$115 |
2.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$813 |
$1,355 |
2.0× |
| Idh1 common variants (81120) |
$377.40 |
$629 |
2.0× |
| Idh2 common variants (81121) |
$377.40 |
$629 |
1.3× |
| Igg subclasses (82787) |
$16.20 |
$27 |
2.0× |
| Igh gene rearrange amp meth (81261) |
$386.40 |
$644 |
2.0× |
| Igk rearrangeabn clonal pop (81264) |
$337.20 |
$562 |
2.0× |
| Igvh somatic hypermutation (81263) |
$574.80 |
$958 |
2.0× |
| Immunfix e-phorsis/urine/csf (86335) |
$57.60 |
$96 |
2.0× |
| Immunoassay infectious agent antibody quan nos (86317) |
$29.40 |
$49 |
2.0× |
| Immunoassay nonantibody (83516) |
$22.80 |
$38 |
2.0× |
| Immunodiffusion Ouchterlony (86331) |
$23.40 |
$39 |
2.0× |
| Immunofixj Electrophoresis Serum (86334) |
$43.80 |
$73 |
2.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$317.40 |
$529 |
1.9× |
| Immunofluorescent technique for pneumocystis carinii (87281) |
$23.40 |
$39 |
2.0× |
| Immunoglobulin light chains free each (83521) |
$34.20 |
$57 |
2.0× |
| Immunohisto Antibody Slide (88344) |
$669.60 |
$1,116 |
1.9× |
| Immunohistochemistry (88342) |
$317.40 |
$529 |
1.9× |
| In situ hybridization ea multiplex probe stain (88366) |
$317.40 |
$529 |
1.9× |
| India ink prep (87210) |
$11.40 |
$19 |
2.0× |
| Inhibin b (83520) |
$34.20 |
$57 |
2.0× |
| Insemination of oocytes (89268) |
$317.40 |
$529 |
1.9× |
| Insitu hybridization (fish) (88365) |
$318.60 |
$531 |
1.9× |
| Insulin antibodies (86337) |
$42 |
$70 |
2.0× |
| Insulin total (83525) |
$22.80 |
$38 |
2.0× |
| Interleukin 6 (83529) |
$34.20 |
$57 |
2.0× |
| Intraop cyto path consult 1 (88333) |
$1,597.80 |
$2,663 |
2.0× |
| Intrinsic factor antibody (86340) |
$30 |
$50 |
2.0× |
| Iron (83540) |
$13.20 |
$22 |
2.0× |
| Iron binding capacity (83550) |
$17.40 |
$29 |
2.0× |
| Irradiation of blood product (86945) |
$75 |
$125 |
2.0× |
| Islet cell antibody (86341) |
$46.20 |
$77 |
2.0× |
| Jak2 gene analysis (81270) |
$178.80 |
$298 |
2.0× |
| Jak2 Targeted Sequence Analysis (81279) |
$361.20 |
$602 |
2.0× |
| Kit gene analys d816 variant (81273) |
$243.60 |
$406 |
2.0× |
| Koh Prep (87220) |
$8.40 |
$14 |
2.0× |
| Lactic acid (83605) |
$22.80 |
$38 |
2.0× |
| Lactoferrin fecal qualitative (83630) |
$39 |
$65 |
2.0× |
| Ldh (83615) |
$12 |
$20 |
2.0× |
| Ldh isoenzymes (83625) |
$25.20 |
$42 |
2.0× |
| LDL cholesterol direct (83721) |
$21 |
$35 |
2.0× |
| Lead (83655) |
$24 |
$40 |
2.0× |
| Legionella antigen urine (87449) |
$23.40 |
$39 |
2.0× |
| Leptospira antibody (86720) |
$31.80 |
$53 |
2.0× |
| Leukocyte histamine release test (86343) |
$96 |
$160 |
7.7× |
| Level ii surg pathology grossµscopic exam (88302) |
$55.80 |
$93 |
1.5× |
| Level v surg pathology grossµscopic exam (88307) |
$668.40 |
$1,114 |
1.9× |
| Level vi surg pathology grossµscopic exam (88309) |
$1,597.80 |
$2,663 |
2.0× |
| Lh (83002) |
$36.60 |
$61 |
2.0× |
| Lipase (83690) |
$13.80 |
$23 |
2.0× |
| Lithium (80178) |
$13.20 |
$22 |
2.0× |
| Lyme disease antibody (86618) |
$33.60 |
$56 |
2.0× |
| Lyme disease antibody confirm (86617) |
$30.60 |
$51 |
2.0× |
| Lymphocyte transformation (86353) |
$96 |
$160 |
2.0× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
$125.40 |
$209 |
0.7× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$317.40 |
$529 |
1.9× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$317.40 |
$529 |
1.9× |
| Magnesium (83735) |
$13.20 |
$22 |
2.0× |
| Malaria smear (87207) |
$12 |
$20 |
2.0× |
| Mass spectrometry qual/quan (83789) |
$47.40 |
$79 |
2.0× |
| Mcg chrom insitu 3-5 (88272) |
$79.80 |
$133 |
2.0× |
| Mcg interphase insitu 25 (88274) |
$82.80 |
$138 |
2.0× |
| Mercury (83825) |
$31.80 |
$53 |
2.0× |
| Metabolic Panel Ionized Ca (80047) |
$27 |
$45 |
2.0× |
| Methotrexate (80299) |
$36.60 |
$61 |
2.0× |
| Methylmalonic acid serum (83921) |
$41.40 |
$69 |
2.0× |
| Mgmt methylation analysis (81287) |
$243.60 |
$406 |
2.0× |
| Microalbumin urine (82043) |
$11.40 |
$19 |
2.0× |
| Microbe suscept macrobroth (87188) |
$13.20 |
$22 |
2.0× |
| Microbe Suscept Mycobacteri (87190) |
$21 |
$35 |
2.9× |
| Microbe susceptible diffuse (87181) |
$9 |
$15 |
1.9× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Other Outpatient (83861) |
$44.40 |
$74 |
2.0× |
| Microsomal antibodies (86376) |
$28.80 |
$48 |
2.0× |
| Mitochondrial antibody each (86381) |
$49.80 |
$83 |
2.0× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$24 |
$40 |
2.0× |
| Mog-igg1 antibody flow cytometry each (86363) |
$73.80 |
$123 |
2.0× |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
$100.20 |
$167 |
2.0× |
| Molecular pathology procedure level 2 (81401) |
$267.60 |
$446 |
2.0× |
| Molecular pathology procedure level 7 (81406) |
$552 |
$920 |
2.0× |
| Mononuclear cell antigen (86356) |
$52.80 |
$88 |
2.0× |
| Mopath procedure level 4 (81403) |
$361.20 |
$602 |
2.0× |
| Mopath procedure level 5 (81404) |
$536.40 |
$894 |
2.0× |
| Mopath procedure level 6 (81405) |
$588 |
$980 |
2.0× |
| Mopath procedure level 9 (81408) |
$3,900 |
$6,500 |
2.0× |
| Mpl gene analysis common variants (81338) |
$293.40 |
$489 |
2.0× |
| Mrsa amp probe (87641) |
$69 |
$115 |
2.0× |
| Mthfr Gene Analysis Common Variants (81291) |
$127.80 |
$213 |
2.0× |
| Muramidase (85549) |
$36.60 |
$61 |
2.0× |
| Muscle-specific kinase (musk) antibody (86366) |
$36 |
$60 |
2.0× |
| Mycobacteric Identification (87118) |
$59.70 |
$99.50 |
4.1× |
| Mycoplasma genitalium PCR (87563) |
$69 |
$115 |
2.0× |
| Myoglobin urine (83874) |
$25.20 |
$42 |
2.0× |
| Natriuretic peptide (83880) |
$76.80 |
$128 |
2.0× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
$278.40 |
$464 |
2.0× |
| Niacin (84591) |
$33.60 |
$56 |
2.0× |
| Nk cells total count (86357) |
$73.80 |
$123 |
2.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$481.20 |
$802 |
2.0× |
| Nuclear antigen antibody (86235) |
$35.40 |
$59 |
2.0× |
| Nudt15 Gene Analysis Common Variants (81306) |
$568.20 |
$947 |
2.0× |
| Occult blood stool (82272) |
$8.40 |
$14 |
2.0× |
| Oligoclonal bands (83916) |
$54 |
$90 |
2.0× |
| Oocyte id (89254) |
$317.40 |
$529 |
1.9× |
| Organic Acids Total Quantitative Each Specimen (83918) |
$46.20 |
$77 |
2.0× |
| Osmolality serum (83930) |
$13.20 |
$22 |
2.0× |
| Osmolality urine (83935) |
$13.80 |
$23 |
2.0× |
| Ova and parasite direct-id lca (87177) |
$17.40 |
$29 |
2.0× |
| Palb2 gene analysis full gene sequence (81307) |
$1,319.40 |
$2,199 |
2.0× |
| Pancreatic polypeptide (83519) |
$36 |
$60 |
2.0× |
| Parvovirus antibody (86747) |
$29.40 |
$49 |
2.0× |
| Pathology clinical consultation hi mdm 41-60 min (80505) |
$317.40 |
$529 |
1.9× |
| Pathology clinical consultation mod mdm 21-40min (80504) |
$317.40 |
$529 |
1.9× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
$100.80 |
$168 |
1.9× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) |
$137.40 |
$229 |
2.0× |
| Phenytoin free (80186) |
$27 |
$45 |
2.0× |
| Phosphatase alkaline (84075) |
$10.20 |
$17 |
2.0× |
| Phospholipid Neutralization Hexagonal (85598) |
$35.40 |
$59 |
2.0× |
| Phosphorus blood (84100) |
$9.60 |
$16 |
2.0× |
| Phosphorus urine (84105) |
$11.40 |
$19 |
2.0× |
| Platelet aggregation (85576) |
$48.60 |
$81 |
2.0× |
| Platelet count (85049) |
$9 |
$15 |
2.0× |
| Platelet neutralization (85597) |
$35.40 |
$59 |
2.0× |
| Pml/raralpha com breakpoints (81315) |
$404.40 |
$674 |
2.0× |
| Pneumcysts jirovecii amp prb (87594) |
$70.20 |
$117 |
2.0× |
| Pooling blood platelets (86965) |
$317.40 |
$529 |
1.9× |
| Porphobilinogen urine quant (84110) |
$16.80 |
$28 |
2.0× |
| Porphyrins qn & fraction urine (84120) |
$28.80 |
$48 |
2.0× |
| Potassium (84132) |
$9.60 |
$16 |
2.0× |
| Potassium urine (84133) |
$9.60 |
$16 |
2.0× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$317.40 |
$529 |
1.9× |
| Primidone (80188) |
$32.40 |
$54 |
2.0× |
| Procalcitonin (pct) (84145) |
$53.40 |
$89 |
2.0× |
| Progesterone (84144) |
$40.80 |
$68 |
2.0× |
| Prolactin (84146) |
$37.80 |
$63 |
2.0× |
| Protein body fluid (84157) |
$7.80 |
$13 |
2.0× |
| Protein c activity (85303) |
$22.80 |
$38 |
1.6× |
| Protein c antigen (85302) |
$24 |
$40 |
2.0× |
| Protein electrophoresis serum (84165) |
$21 |
$35 |
2.0× |
| Protein Electrophoresis Urine (84166) |
$34.80 |
$58 |
2.0× |
| Protein S Functional (85306) |
$30 |
$50 |
2.0× |
| Protein s total (85305) |
$22.80 |
$38 |
2.0× |
| Protein Total Serum (84155) |
$7.20 |
$12 |
2.0× |
| Protein urine (84156) |
$7.20 |
$12 |
2.0× |
| Protein Western Blot (84182) |
$57 |
$95 |
2.0× |
| Protoporphyrin rbc quantitative (84202) |
$28.20 |
$47 |
2.0× |
| PSA free (84154) |
$36 |
$60 |
2.0× |
| Pyruvate kinase (84220) |
$18.60 |
$31 |
2.0× |
| Quantiferon tb gold (86480) |
$121.20 |
$202 |
2.0× |
| Rbc antibody elution (86860) |
$317.40 |
$529 |
1.9× |
| Rbc pretx incubatj w/chemicl (86970) |
$114 |
$190 |
1.9× |
| Renin activity plasma (84244) |
$43.20 |
$72 |
2.0× |
| Reptilase test (85635) |
$19.80 |
$33 |
2.0× |
| Respiratory viral panel PCR (87633) |
$813 |
$1,355 |
2.0× |
| Reticulated platelet assay (85055) |
$70.20 |
$117 |
2.0× |
| Reticulocyte Count (85046) |
$11.40 |
$19 |
2.0× |
| Rheumatoid factor quant (86431) |
$11.40 |
$19 |
2.0× |
| Rickettsia antibody (86757) |
$37.80 |
$63 |
2.0× |
| Rpr Titer (86593) |
$9 |
$15 |
2.0× |
| Rubella antibody (86762) |
$28.20 |
$47 |
2.0× |
| Russell viper venom time diluted (85613) |
$19.20 |
$32 |
2.0× |
| Saccharomyces ab iga (86671) |
$24 |
$40 |
2.0× |
| Salicylate (80179) |
$36.60 |
$61 |
2.0× |
| Salmonella antibody (86768) |
$25.80 |
$43 |
2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$100.20 |
$167 |
2.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$82.20 |
$137 |
2.0× |
| Sars-cov-2 covid19 w/optic (87811) |
$81 |
$135 |
2.0× |
| Sarscov2 & inf a&b amp prb (87636) |
$278.40 |
$464 |
2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$278.40 |
$464 |
2.0× |
| Sed rate automated (85652) |
$5.40 |
$9 |
2.0× |
| Semen analysis (89322) |
$30.60 |
$51 |
2.0× |
| Semen analysis complete (89320) |
$24.60 |
$41 |
2.0× |
| Semen analysis sperm presence&/motility sprm (89321) |
$24 |
$40 |
2.0× |
| Sensitivity - mlc ea plate (87187) |
$80.40 |
$134 |
2.0× |
| Sensitivity mic (87186) |
$141 |
$235 |
16.3× |
| Serotonin Release Assay (86022) |
$36 |
$60 |
2.0× |
| Serpina1 gene (81332) |
$85.20 |
$142 |
2.0× |
| Sex hormone binding globulin (84270) |
$42.60 |
$71 |
2.0× |
| Sickle cell screen (85660) |
$10.80 |
$18 |
2.0× |
| Sirolimus (rapamycin) (80195) |
$27 |
$45 |
2.0× |
| Smear acid fast (87206) |
$8.40 |
$14 |
1.6× |
| Smear complex stain (87209) |
$35.40 |
$59 |
2.0× |
| Smear gram stain (87205) |
$8.40 |
$14 |
2.0× |
| Smn1 Gene Dos/Deletion Alys (81329) |
$267.60 |
$446 |
2.0× |
| Snrpn/ube3a gene (81331) |
$99.60 |
$166 |
2.0× |
| Sodium (84295) |
$9.60 |
$16 |
2.0× |
| Sodium other source (84302) |
$9.60 |
$16 |
2.0× |
| Sodium urine (84300) |
$10.20 |
$17 |
2.0× |
| Soluble transferrin receptor (84238) |
$71.40 |
$119 |
2.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$114 |
$190 |
0.9× |
| Special stains group 1 (88312) |
$100.80 |
$168 |
1.9× |
| Specific gravity body fluid (84315) |
$6.60 |
$11 |
2.0× |
| Spectrophotometry (84311) |
$16.20 |
$27 |
2.0× |
| Sperm id testis tissue (89264) |
$100.80 |
$168 |
1.9× |
| Sperm identification from aspiration (other than seminal fluid) 89257PK (89257) |
$100.80 |
$168 |
1.9× |
| Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis (89261) |
$100.80 |
$168 |
1.9× |
| Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) |
$100.80 |
$168 |
1.9× |
| Splitting blood/blood products each unit (86985) |
$317.40 |
$529 |
1.9× |
| Staph aureus amplified probe (87640) |
$69 |
$115 |
2.0× |
| Storage (per year); embryo(s) 89342PK (89342) |
$313.80 |
$523 |
1.8× |
| Storage (per year); oocyte(s) 89346PK (89346) |
$317.40 |
$529 |
1.9× |
| Storage (per year); reproductive tissue, testicular/ovarian 89344PK (89344) |
$317.40 |
$529 |
1.9× |
| Storage per year sperm/semen (89343) |
$317.40 |
$529 |
1.9× |
| Strep a assay w/optic (87880) |
$32.40 |
$54 |
2.0× |
| Strep a DNA amp probe (87651) |
$69 |
$115 |
2.0× |
| Strep b DNA amp probe (87653) |
$69 |
$115 |
2.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$71.40 |
$119 |
0.8× |
| Surg path level iii (88304) |
$100.80 |
$168 |
1.9× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$55.80 |
$93 |
1.9× |
| Surgical pathology level IV (88305) |
$100.80 |
$168 |
1.9× |
| Susceptibility study antimicrobial disk method (87184) |
$12 |
$20 |
1.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$91.80 |
$153 |
2.0× |
| T cells, total count (86359) |
$73.80 |
$123 |
2.0× |
| T3 free (84481) |
$33.60 |
$56 |
2.0× |
| T3 reverse (84482) |
$31.20 |
$52 |
2.0× |
| T3 total (84480) |
$28.20 |
$47 |
2.0× |
| T3 uptake (84479) |
$13.20 |
$22 |
2.0× |
| T4 Free (84439) |
$18 |
$30 |
2.0× |
| T4 total (84436) |
$13.80 |
$23 |
2.0× |
| Tau phosphorylated each (84393) |
$337.80 |
$563 |
2.6× |
| Tc thawing of cryopreserved, embryo(s) (89352) |
$317.40 |
$529 |
1.9× |
| Testosterone free (84402) |
$49.80 |
$83 |
2.0× |
| Testosterone total (84403) |
$50.40 |
$84 |
2.0× |
| Tgsap so/hl 51/< RNA alys (81456) |
$5,693.40 |
$9,489 |
2.0× |
| Thawing and expansion of frozen cells (88241) |
$24 |
$40 |
2.0× |
| Thawing of cryopreserved oocytes each aliquot-ivf (89356) |
$317.40 |
$529 |
1.9× |
| Thawing of cryopreserved; sperm/semen, each aliquot 89353PK (89353) |
$100.80 |
$168 |
1.9× |
| Thin prep pap (88142) |
$39.60 |
$66 |
2.0× |
| Thrombin time plasma (85670) |
$11.40 |
$19 |
2.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$13.20 |
$22 |
2.0× |
| Thyroglobulin (84432) |
$31.80 |
$53 |
2.0× |
| Thyroglobulin Ab (86800) |
$31.20 |
$52 |
2.0× |
| Thyroid Stimulating Immunoglobulin (84445) |
$99.60 |
$166 |
2.0× |
| Tiagabine (80199) |
$53.40 |
$89 |
2.0× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$274.80 |
$458 |
2.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
$22.80 |
$38 |
2.0× |
| Tissue culture bone marrow (88237) |
$280.80 |
$468 |
2.0× |
| Tissue Culture Lymphocyte (88230) |
$227.40 |
$379 |
2.0× |
| Tissue culture placenta (88235) |
$293.40 |
$489 |
2.0× |
| Tissue culture solid tumor (88239) |
$288 |
$480 |
2.0× |
| Tobramycin peak (80200) |
$31.80 |
$53 |
2.0× |
| Topiramate (80201) |
$23.40 |
$39 |
2.0× |
| Toxoplasma ab igm (86778) |
$28.20 |
$47 |
2.0× |
| Toxoplasma antibody igg (86777) |
$28.20 |
$47 |
2.0× |
| Tp53 gene analysis full gene sequence (81351) |
$1,252.20 |
$2,087 |
2.0× |
| Tp53 gene analysis targeted sequence analysis (81352) |
$642.60 |
$1,071 |
2.0× |
| Tpmt gene com variants (81335) |
$341.40 |
$569 |
2.0× |
| Transferrin (84466) |
$25.20 |
$42 |
2.0× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) |
$377.40 |
$629 |
1.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$407.40 |
$679 |
2.0× |
| Trg gene rearrangement analysis (81342) |
$393 |
$655 |
2.0× |
| Triglycerides (84478) |
$11.40 |
$19 |
2.0× |
| Troponin (84484) |
$24.60 |
$41 |
2.0× |
| Ugt1a1 gene analysis common variants (81350) |
$456.60 |
$761 |
2.0× |
| Unlisted reproductive medicine laboratory procedure (89398) |
$97.80 |
$163 |
1.9× |
| Urea nitrogen (84520) |
$7.80 |
$13 |
2.0× |
| Urea nitrogen urine (84540) |
$11.40 |
$19 |
2.1× |
| Uric acid blood (84550) |
$9 |
$15 |
2.0× |
| Uric acid other source (84560) |
$10.20 |
$17 |
2.0× |
| Urinalysis microscopic only (81015) |
$6 |
$10 |
2.0× |
| Urinalysis w/microscopic (81001) |
$6.60 |
$11 |
2.1× |
| Urine microalbumin (protein) analysis (82044) |
$12.60 |
$21 |
2.0× |
| Urine pregnancy test (81025) |
$16.80 |
$28 |
2.0× |
| Urine volume measurement (81050) |
$7.20 |
$12 |
2.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$4.80 |
$8 |
2.1× |
| Valproic acid level (80164) |
$27 |
$45 |
2.0× |
| Vancomycin trough (80202) |
$27 |
$45 |
2.0× |
| Vanomycin DNA amp probe (87500) |
$69 |
$115 |
2.0× |
| Varicella-zoster antibody (86787) |
$25.20 |
$42 |
2.0× |
| Vdrl csf (86592) |
$8.40 |
$14 |
2.0× |
| Very long chain fatty acids (82726) |
$39 |
$65 |
2.0× |
| Virus antibody nos (86790) |
$25.20 |
$42 |
2.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$66.60 |
$111 |
2.0× |
| Viscosity serum (85810) |
$22.80 |
$38 |
2.0× |
| Vitamin A (84590) |
$22.80 |
$38 |
2.0× |
| Vitamin b-12 (82607) |
$30 |
$50 |
2.0× |
| Vitamin b1 (thiamine) (84425) |
$41.40 |
$69 |
2.0× |
| Vitamin b6 (84207) |
$55.20 |
$92 |
2.0× |
| Vitamin D 25-Hydroxy (82306) |
$58.20 |
$97 |
2.0× |
| Vitamin e serum (84446) |
$28.20 |
$47 |
2.0× |
| Vol reduction of blood/prod (86960) |
$317.40 |
$529 |
1.9× |
| Voltage-gated calcium channel antibody each (86596) |
$24 |
$40 |
2.0× |
| Von willebrand factor activity (85245) |
$45 |
$75 |
2.0× |
| West nile virus ab, igm (86788) |
$33 |
$55 |
2.0× |
| West nile virus antibody (86789) |
$28.20 |
$47 |
2.0× |
| Zinc (84630) |
$22.80 |
$38 |
2.0× |