| 17 Hydroxyprogesterone (83498) |
$147.50 |
$295 |
5.4× |
| 17-Hydroxypregnenolone (84143) |
$169 |
$338 |
7.4× |
| 5-Hiaa (83497) |
$57 |
$114 |
4.4× |
| Abl1 gene (81170) |
$306 |
$612 |
1.0× |
| Acetone, quantitative (82010) |
$87.50 |
$175 |
10.7× |
| Acetylcholine receptor binding antibody (86041) |
$188.50 |
$377 |
10.2× |
| Acetylcholinesterase (82013) |
$41.50 |
$83 |
3.4× |
| Acetylcholn rcptr blckg antb (86042) |
$81 |
$162 |
4.4× |
| Acetylcholn rcptr modlg antb (86043) |
$52.50 |
$105 |
4.4× |
| Acth (82024) |
$142 |
$284 |
3.7× |
| Acth stim adrenal insuff (80400) |
$127 |
$254 |
3.9× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) |
$372 |
$744 |
4.3× |
| Actin smooth muscle antibody each (86015) |
$15 |
$30 |
1.2× |
| Activated protein c resistance (85307) |
$64 |
$128 |
4.2× |
| Acute hepatitis panel (80074) |
$328 |
$656 |
6.9× |
| Acylcarnitines quantitative (82017) |
$48 |
$96 |
2.8× |
| Acylcarnitines; qualitative, each specimen Other Outpatient (82016) |
$56.50 |
$113 |
3.4× |
| Adenovirus ag if (87260) |
$52 |
$104 |
3.6× |
| Afb concentration (87015) |
$34.50 |
$69 |
5.2× |
| Afb culture (87116) |
$81 |
$162 |
7.5× |
| Afb smear (87206) |
$69.50 |
$139 |
12.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$340 |
$680 |
5.3× |
| Albumin body fluid (82042) |
$36.50 |
$73 |
4.7× |
| Albumin serum (82040) |
$33 |
$66 |
6.7× |
| Aldolase (82085) |
$48.50 |
$97 |
5.0× |
| Aldosterone (82088) |
$150 |
$300 |
3.7× |
| Alkaline phosphatase (84075) |
$46 |
$92 |
8.9× |
| Alkaline phosphatase isoenzymes (84080) |
$54.50 |
$109 |
3.7× |
| Allergen profile perennial allergen (86003) |
$77 |
$154 |
14.8× |
| Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) |
$68 |
$136 |
3.8× |
| Alpha 2 antiplasmin (85410) |
$28.50 |
$57 |
3.7× |
| Alpha-1-antitrypsin (82103) |
$79 |
$158 |
5.9× |
| Alpha-1-antitrypsin phenotype (82104) |
$49.50 |
$99 |
3.4× |
| Alpha-fetoprotein amniotic (82106) |
$53.50 |
$107 |
3.1× |
| Alpha-fetoprotein serum (82105) |
$108 |
$216 |
6.4× |
| Alt (84460) |
$36.50 |
$73 |
6.9× |
| Aluminum (82108) |
$94 |
$188 |
3.7× |
| Amikacin level (80150) |
$64.50 |
$129 |
4.3× |
| Amino acid screen urine (82128) |
$51 |
$102 |
3.7× |
| Amino acids quant 2-5 (82136) |
$161.50 |
$323 |
8.2× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$147.50 |
$295 |
8.7× |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
$115.50 |
$231 |
5.0× |
| Aminolevulinic acid delta (82135) |
$60.50 |
$121 |
3.7× |
| Ammonia (82140) |
$125 |
$250 |
8.6× |
| Amylase (82150) |
$51 |
$102 |
7.9× |
| Ana (86038) |
$90.50 |
$181 |
7.5× |
| Ana titer (86039) |
$68.50 |
$137 |
6.1× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$53.50 |
$107 |
4.1× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$65.50 |
$131 |
4.3× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$64 |
$128 |
3.5× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$36 |
$72 |
2.3× |
| Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) |
$56.50 |
$113 |
4.3× |
| Analysis for antibody to Neisseria meningitidis (bacterial meningitis) (86741) |
$203 |
$406 |
15.4× |
| Androstenedione (82157) |
$158.50 |
$317 |
5.4× |
| Angiotensin converting enzyme (82164) |
$59.50 |
$119 |
4.1× |
| Anti-mitochondrial antibody (86255) |
$354.50 |
$709 |
29.4× |
| Anti-phosphatidylserine antibody (86148) |
$56 |
$112 |
3.5× |
| Antibody identification platelet antibodies (86022) |
$161 |
$322 |
8.8× |
| Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) |
$97.50 |
$195 |
7.8× |
| Antibody west nile virus igm (86788) |
$94.50 |
$189 |
5.6× |
| Antibody; Helicobacter pylori (86677) |
$53.50 |
$107 |
3.2× |
| Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) |
$63 |
$126 |
11.0× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$213.50 |
$427 |
17.7× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$52.50 |
$105 |
4.4× |
| Antinomyces antibody - hypersensitivity pnuemonitis profile (86602) |
$69.50 |
$139 |
6.8× |
| Antistreptolysin o titer (86060) |
$55.50 |
$111 |
7.6× |
| Antithrombin iii activity (85300) |
$76.50 |
$153 |
6.5× |
| Antithrombin iii antigen (85301) |
$40 |
$80 |
3.7× |
| Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial… (81411) |
$5,930.50 |
$11,861 |
4.4× |
| Aortic dysfunction/dilation (81410) |
$1,287 |
$2,574 |
2.6× |
| Apc gene full sequence (81201) |
$1,033 |
$2,066 |
1.3× |
| Apolipoprotein each (82172) |
$60.50 |
$121 |
2.9× |
| Aqaprn-4 antb flo cytmtry ea (86053) |
$1,312.50 |
$2,625 |
34.8× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$289 |
$578 |
24.0× |
| Arsenic (82175) |
$99.50 |
$199 |
5.2× |
| ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Other Outpatient (81200) |
$500 |
$1,000 |
10.6× |
| Aspergillus antibody (86606) |
$58 |
$116 |
3.9× |
| Aspergillus antigen (87305) |
$66.50 |
$133 |
5.6× |
| Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) |
$47 |
$94 |
3.7× |
| Assay anti-mullerian horm (82166) |
$64 |
$128 |
1.7× |
| Assay of corticosterone (82528) |
$83 |
$166 |
3.7× |
| Assay of feces porphyrins (84126) |
$93.50 |
$187 |
2.4× |
| Assay of fluoride (82735) |
$96 |
$192 |
5.2× |
| Assay of interleukin-6 (il-6) (83529) |
$81 |
$162 |
4.7× |
| Assay of transcortin arup to esoterix endocrinology 500080 (84449) |
$65 |
$130 |
3.6× |
| Assay of vitamin b-2 (84252) |
$74.50 |
$149 |
3.7× |
| Assay of vitamin not otherwise specified (84591) |
$58 |
$116 |
3.4× |
| Ast (84450) |
$39.50 |
$79 |
7.6× |
| ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other… (81178) |
$143 |
$286 |
1.0× |
| ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other… (81179) |
$143 |
$286 |
1.0× |
| ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg,… (81180) |
$143 |
$286 |
1.0× |
| ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other… (81181) |
$143 |
$286 |
1.0× |
| Autoimmune rheumatoid arthr (81490) |
$3,656.50 |
$7,313 |
4.3× |
| B cells total count (86355) |
$66.50 |
$133 |
1.8× |
| Bacterium antibody (86609) |
$23 |
$46 |
1.8× |
| Bartonella antibody (86611) |
$59 |
$118 |
5.8× |
| Basic metabolic panel calcium ionized (80047) |
$52 |
$104 |
3.8× |
| Bcr/abl 1 gene other bp (81208) |
$307.50 |
$615 |
1.4× |
| Bcr/abl1 gene major bp (81206) |
$582.50 |
$1,165 |
3.6× |
| Bcr/abl1 gene minor bp (81207) |
$337.50 |
$675 |
2.3× |
| Beta 2 glycoprotein i antibody (86146) |
$65 |
$130 |
2.6× |
| Beta-2 microglobulin (82232) |
$76.50 |
$153 |
4.7× |
| Bile acids total (82239) |
$73 |
$146 |
4.3× |
| Bilirubin direct (82248) |
$44.50 |
$89 |
8.9× |
| Bilirubin total (82247) |
$118 |
$236 |
23.5× |
| Bilirubin total transcutaneous (88720) |
$20.50 |
$41 |
4.1× |
| Biotinidase (82261) |
$85 |
$170 |
5.0× |
| Blastomyces antibody (86612) |
$48.50 |
$97 |
3.8× |
| Blood count leukocyte wbc automated (85048) |
$9.50 |
$19 |
3.7× |
| Blood count reticulocyte automated (85045) |
$31 |
$62 |
7.8× |
| Blood gases any combination (82803) |
$128.50 |
$257 |
4.9× |
| Blood typing rbc antigens (86905) |
$516.50 |
$1,033 |
134.9× |
| Blood typing serologic abo (86900) |
$166 |
$332 |
55.5× |
| Blood typing serologic rh (d) (86901) |
$76.50 |
$153 |
25.6× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$326.50 |
$653 |
51.4× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$49 |
$98 |
3.1× |
| Bone marrow smear interpretation (85097) |
$226 |
$452 |
0.3× |
| Bordetella pertussis igm (86615) |
$51 |
$102 |
3.9× |
| Braf gene (81210) |
$464 |
$928 |
2.6× |
| Brucella antibody (86622) |
$46 |
$92 |
5.2× |
| C diff amplified probe (87493) |
$175 |
$350 |
4.7× |
| C-peptide (84681) |
$84.50 |
$169 |
4.1× |
| C-reactive protein (86140) |
$289 |
$578 |
55.8× |
| C-reactive protein high sensitivity (86141) |
$64.50 |
$129 |
5.0× |
| C2 complement functional (86161) |
$87.50 |
$175 |
7.3× |
| Ca 125 (86304) |
$133.50 |
$267 |
6.4× |
| Ca 15-3 (86300) |
$76.50 |
$153 |
3.7× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) |
$143 |
$286 |
1.0× |
| Cadmium (82300) |
$95.50 |
$191 |
4.0× |
| Calcitonin (82308) |
$234 |
$468 |
8.7× |
| Calcium ionized (82330) |
$119 |
$238 |
8.7× |
| Calcium total (82310) |
$24 |
$48 |
4.7× |
| Calcium, random urine (82340) |
$38 |
$76 |
6.3× |
| Calprotectin fecal (83993) |
$111.50 |
$223 |
5.7× |
| Calr gene com variants (81219) |
$450.50 |
$901 |
3.7× |
| Campylobacter antibody (86625) |
$45 |
$90 |
3.4× |
| Cancer antigen 19-9 (86301) |
$117 |
$234 |
5.6× |
| Candida albicans skin test fda standard intradermal alrg [36690] (86485) |
$322.04 |
$644.07 |
11.1× |
| Candida antibody (86628) |
$44.50 |
$89 |
3.7× |
| Candida DNA amp probe (87481) |
$96 |
$192 |
2.7× |
| Carbamazepine total (80156) |
$96 |
$192 |
6.6× |
| Carbamazepine, free (80157) |
$54 |
$108 |
4.1× |
| Carbamazepine; -10,11-epoxide Other Outpatient (80161) |
$21 |
$42 |
1.1× |
| Carbohydrate deficient transferrin (82373) |
$66.50 |
$133 |
3.7× |
| Carbon dioxide (82374) |
$53 |
$106 |
10.9× |
| Carbon monoxide (82375) |
$61.50 |
$123 |
5.0× |
| Cardiolipin antibody ea ig class (86147) |
$118 |
$236 |
4.6× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$61.50 |
$123 |
3.6× |
| Carotene (82380) |
$79.50 |
$159 |
8.6× |
| Casein igg (86001) |
$20 |
$40 |
2.6× |
| Catecholamines fractionated (82384) |
$107.50 |
$215 |
4.3× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$172 |
$344 |
3.7× |
| Cea (82378) |
$151 |
$302 |
8.0× |
| Cebpa gene full sequence (81218) |
$302.50 |
$605 |
1.3× |
| Cell count body fluid (89050) |
$19 |
$38 |
4.0× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$42.50 |
$85 |
7.6× |
| Cell enumeration & id (86152) |
$205 |
$410 |
0.8× |
| Cell function assay w/stim (86352) |
$456.50 |
$913 |
3.4× |
| Ceruloplasmin (82390) |
$50.50 |
$101 |
4.7× |
| CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T… (81224) |
$250.50 |
$501 |
1.5× |
| Cftr gene com variants (81220) |
$120.50 |
$241 |
0.2× |
| Cftr gene dup/delet variants (81222) |
$927.50 |
$1,855 |
2.1× |
| Cftr gene full sequence (81223) |
$927.50 |
$1,855 |
1.9× |
| Chemiluminescent assay (82397) |
$129 |
$258 |
9.1× |
| Chg fresh frozen plasma thawing each unit (86927) |
$91 |
$182 |
0.5× |
| Chg skin test unlisted antigen each (86486) |
$18.50 |
$37 |
0.6× |
| Chimerism anal no cell selec (81267) |
$868.50 |
$1,737 |
4.2× |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
$895 |
$1,790 |
3.4× |
| Chlamydia antibody (86631) |
$71.50 |
$143 |
6.0× |
| Chlamydia antibody igm (86632) |
$63 |
$126 |
5.0× |
| Chlamydia culture (87110) |
$72 |
$144 |
3.7× |
| Chlamydia pneumoniae PCR (87486) |
$134.50 |
$269 |
3.8× |
| Chloride blood (82435) |
$28.50 |
$57 |
6.2× |
| Chloride other source (82438) |
$48 |
$96 |
9.6× |
| Chloride urine (82436) |
$35 |
$70 |
6.1× |
| Chlorinated hydrocarbons screen (82441) |
$58 |
$116 |
9.7× |
| Cholesterol total (82465) |
$29.50 |
$59 |
6.8× |
| Cholinesterase rbc (82482) |
$71 |
$142 |
7.2× |
| Cholinesterase serum (82480) |
$32 |
$64 |
4.1× |
| Chorionic gonadotropin test (84702) |
$169 |
$338 |
11.2× |
| Chrmsm count 45 cell mosaicism 2karyotype (88263) |
$225.50 |
$451 |
1.5× |
| Chromium (82495) |
$81 |
$162 |
4.0× |
| Chromogranin a (86316) |
$98.50 |
$197 |
4.7× |
| Chromosome analys amniotic (88269) |
$610.50 |
$1,221 |
3.5× |
| Chromosome analysis 15-20 cells (88262) |
$602 |
$1,204 |
4.8× |
| Chromosome analysis 20-25 cells (88264) |
$618 |
$1,236 |
4.3× |
| Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) |
$636 |
$1,272 |
3.7× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$93.50 |
$187 |
3.5× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$112.50 |
$225 |
3.4× |
| Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Other Outpatient (88283) |
$252 |
$504 |
3.7× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$750 |
$1,500 |
2.8× |
| Citrate (82507) |
$79 |
$158 |
2.8× |
| Ck mb fraction (82553) |
$51 |
$102 |
4.4× |
| Clostridium ag eia (87324) |
$60.50 |
$121 |
5.1× |
| Clot factor xiii fibrin stab (85290) |
$143.50 |
$287 |
8.8× |
| Clot inhibit prot s total (85305) |
$43 |
$86 |
3.7× |
| Clotting funct activity (85397) |
$197 |
$394 |
6.4× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$95 |
$190 |
4.1× |
| Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) |
$36.50 |
$73 |
4.0× |
| Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Other Outpatient (85293) |
$156 |
$312 |
8.2× |
| Clotting; prekallikrein assay (Fletcher factor assay) Other Outpatient (85292) |
$161 |
$322 |
8.5× |
| Cmv antibody (86644) |
$82.50 |
$165 |
5.7× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$571.50 |
$1,143 |
1.4× |
| Coagulation time activated (85347) |
$39 |
$78 |
9.1× |
| Coccidioides antibody (86635) |
$63 |
$126 |
5.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$241.50 |
$483 |
10.0× |
| Cold agglutinin screen (86156) |
$21.50 |
$43 |
2.7× |
| Cold agglutinins titer (86157) |
$33 |
$66 |
4.1× |
| Collagen cross links (82523) |
$84 |
$168 |
4.5× |
| Compatibility each unit electronic (86923) |
$186.50 |
$373 |
1.1× |
| Complement antigen ea component (86160) |
$110.25 |
$220.50 |
9.2× |
| Complement total (ch50) (86162) |
$70.50 |
$141 |
3.5× |
| Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) |
$161.50 |
$323 |
0.9× |
| Coombs test indirect titer (86886) |
$155.50 |
$311 |
30.0× |
| Copper (82525) |
$66 |
$132 |
5.3× |
| Cortisol free (82530) |
$122 |
$244 |
7.3× |
| Cortisol saliva (82533) |
$121 |
$242 |
7.4× |
| COVID-19 antibody (86769) |
$122.50 |
$245 |
2.9× |
| Coxsackie a9 virus antibody (86658) |
$49.50 |
$99 |
3.8× |
| Creatine kinase isoenzymes (82552) |
$43 |
$86 |
3.2× |
| Creatine kinase total (82550) |
$57.50 |
$115 |
8.8× |
| Creatinine (82565) |
$34 |
$68 |
6.6× |
| Creatinine clearance (82575) |
$25.50 |
$51 |
2.7× |
| Creatinine other source (82570) |
$27.50 |
$55 |
5.3× |
| Crossmatch ahg (86922) |
$366 |
$732 |
2.1× |
| Cryofibrinogen (82585) |
$35.50 |
$71 |
2.5× |
| Cryoglobulins (82595) |
$29.50 |
$59 |
4.6× |
| Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) |
$37.50 |
$75 |
2.9× |
| Cryptococcal antigen (87327) |
$47 |
$94 |
3.5× |
| Cryptosporidium ag eia (87328) |
$42.50 |
$85 |
3.1× |
| Cryptosporidium ag if (87272) |
$55.50 |
$111 |
4.6× |
| Crystals fluid (89060) |
$32.50 |
$65 |
4.4× |
| Culture anaerobic (87075) |
$72 |
$144 |
7.6× |
| Culture blood (87040) |
$66.50 |
$133 |
6.4× |
| Culture fungus blood (87103) |
$79.50 |
$159 |
3.9× |
| Culture mycoplasma (87109) |
$56.50 |
$113 |
3.7× |
| Culture stool (87045) |
$49.50 |
$99 |
5.2× |
| Culture typing if ea antiserum (87140) |
$20.50 |
$41 |
3.7× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$52.50 |
$105 |
6.5× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$55 |
$110 |
6.8× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$35 |
$70 |
3.7× |
| Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) |
$79 |
$158 |
5.4× |
| Cyanide (82600) |
$71.50 |
$143 |
3.7× |
| Cyclic amp (82030) |
$95 |
$190 |
3.7× |
| Cyclic citrullinated peptide ab (86200) |
$48 |
$96 |
3.7× |
| Cyclosporine (80158) |
$122 |
$244 |
6.8× |
| Cyp2c19 gene analysis common variants (81225) |
$614 |
$1,228 |
2.1× |
| Cyp2c9 gene com variants (81227) |
$381.60 |
$763.20 |
2.2× |
| Cyp2d6 gene analysis common variants (81226) |
$677.50 |
$1,355 |
1.5× |
| Cystatin c (82610) |
$49.50 |
$99 |
2.7× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$88 |
$176 |
6.8× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$1,740 |
$3,480 |
1.5× |
| Cytogenetics 25-99 (88274) |
$128 |
$256 |
3.0× |
| Cytogenomic neoplasia microarray analysis (81277) |
$1,741 |
$3,482 |
1.5× |
| Cytomeg DNA amp probe (87496) |
$148 |
$296 |
4.2× |
| Cytomegalovirus antibody igm (86645) |
$83.50 |
$167 |
5.0× |
| Cytopath cell enhance tech (88112) |
$126.50 |
$253 |
2.4× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$105 |
$210 |
5.2× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$113 |
$226 |
4.2× |
| Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) |
$162.50 |
$325 |
0.9× |
| Cytopathology, smears, any other source; preparation, screening and interpretation (88161) |
$41.50 |
$83 |
1.4× |
| Cytopathology, smears, any other source; screening and interpretation (88160) |
$34 |
$68 |
1.2× |
| Cytp eval fine needle aspirate interp & report (88173) |
$206 |
$412 |
3.9× |
| Cytp urne 3-5 probes ea spec (88120) |
$419.50 |
$839 |
2.5× |
| D-dimer quantitative (85379) |
$88 |
$176 |
8.6× |
| Deoxycortisol (82634) |
$101 |
$202 |
3.4× |
| Deoxyribonuclease antibody (86215) |
$91.50 |
$183 |
6.9× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$56 |
$112 |
4.1× |
| Desoxycorticosterone (82633) |
$101 |
$202 |
3.3× |
| Dhea (82626) |
$118.50 |
$237 |
4.7× |
| Dhea sulfate (82627) |
$82 |
$164 |
3.7× |
| Dibucaine number (82638) |
$53.50 |
$107 |
4.4× |
| Digoxin (80162) |
$78 |
$156 |
5.9× |
| Diphtheria antibody (86648) |
$36 |
$72 |
2.4× |
| Direct antiglobulin test (86880) |
$41.50 |
$83 |
7.7× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded)… (81234) |
$251 |
$502 |
1.8× |
| DNA/RNA amplified probe (87150) |
$119 |
$238 |
3.4× |
| DNA/RNA sequencing (87153) |
$395 |
$790 |
3.4× |
| Dpyd gene analysis common variants (81232) |
$831.50 |
$1,663 |
4.8× |
| Drug assay adalimumab (80145) |
$318.50 |
$637 |
8.3× |
| Drug assay infliximab (80230) |
$245.50 |
$491 |
6.4× |
| Drug assay methotrexate (80204) |
$168 |
$336 |
4.4× |
| Drug assay vedolizumab (80280) |
$73.50 |
$147 |
1.9× |
| Drug screen quant clozapine (80159) |
$81 |
$162 |
4.0× |
| Drug screen quant everolimus (80169) |
$80.50 |
$161 |
5.9× |
| Drug screen quant gabapentin (80171) |
$56.50 |
$113 |
2.6× |
| Drug screen quant levetiracetam (80177) |
$105.50 |
$211 |
8.0× |
| Drug screen quant mycophenolate (80180) |
$95 |
$190 |
5.3× |
| Drug screen quant tiagabine (80199) |
$77 |
$154 |
2.8× |
| Drug screen quant zonisamide (80203) |
$85 |
$170 |
6.4× |
| Drug screen quantitative oxcarbazepine (80183) |
$59 |
$118 |
4.5× |
| Drug test prsmv chem anlyzr (80307) |
$297 |
$594 |
4.8× |
| Drug test prsmv instrmnt (80306) |
$41 |
$82 |
2.4× |
| Ear culture (87070) |
$66 |
$132 |
7.7× |
| Egfr gene analysis common variants (81235) |
$629 |
$1,258 |
1.9× |
| Ehrlichia antibody (86666) |
$51 |
$102 |
5.0× |
| Elastase pancreatic fecal quantitative (82653) |
$81 |
$162 |
3.5× |
| Electrolytes panel (80051) |
$56.50 |
$113 |
8.1× |
| Electron microscopy diagnostic (88348) |
$570 |
$1,140 |
0.7× |
| Electrophoretic test (82664) |
$126.50 |
$253 |
2.1× |
| Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) |
$58 |
$116 |
4.4× |
| Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) |
$53 |
$106 |
4.0× |
| Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) |
$56.50 |
$113 |
4.3× |
| Endomysial antibody each immunoglobulin class (86231) |
$128.50 |
$257 |
10.6× |
| Enterovirus by PCR (87498) |
$122.50 |
$245 |
3.5× |
| Enzyme cell activity ra (82658) |
$478 |
$956 |
10.9× |
| Enzyme histochemistry (88319) |
$1,772 |
$3,544 |
2.2× |
| Eosinophils urine (87205) |
$33.50 |
$67 |
7.8× |
| Erythropoietin (82668) |
$82 |
$164 |
4.4× |
| Estradiol (82670) |
$122 |
$244 |
4.4× |
| Estriol (82677) |
$89 |
$178 |
3.7× |
| Estrogen fractionated (82671) |
$140.50 |
$281 |
4.3× |
| Estrogens total (82672) |
$73.50 |
$147 |
3.4× |
| Estrone (82679) |
$125 |
$250 |
5.0× |
| Ethosuximide (80168) |
$60 |
$120 |
3.7× |
| Ethylene glycol (82693) |
$55 |
$110 |
3.7× |
| Euglobulin lysis (85360) |
$87 |
$174 |
10.3× |
| Eval amniotic fluid protein (84112) |
$287 |
$574 |
2.9× |
| Extractable nuclear antigen antibody any method (86235) |
$84 |
$168 |
4.7× |
| F2 gene analysis (81240) |
$141.50 |
$283 |
2.2× |
| F5 gene (81241) |
$88 |
$176 |
1.2× |
| Factor ii activity (85210) |
$55.50 |
$111 |
4.3× |
| Factor inhibitor test (85335) |
$182 |
$364 |
14.1× |
| Factor ix activity (85250) |
$114 |
$228 |
6.0× |
| Factor v activity (85220) |
$71.50 |
$143 |
4.1× |
| Factor vii activity (85230) |
$73 |
$146 |
4.1× |
| Factor viii activity (85240) |
$140 |
$280 |
7.8× |
| Factor viii vw antigen (85246) |
$124.50 |
$249 |
5.4× |
| Factor x (stuart-prower) (85260) |
$73 |
$146 |
4.1× |
| Factor xi activity (85270) |
$103 |
$206 |
5.8× |
| Factor xii (hageman) (85280) |
$71.50 |
$143 |
3.7× |
| Fancc gene analysis common variant (81242) |
$286 |
$572 |
7.8× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$83.50 |
$167 |
5.0× |
| Fatty acids nonesterified (82725) |
$49 |
$98 |
2.6× |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
$140 |
$280 |
8.1× |
| Ferritin (82728) |
$79.50 |
$159 |
5.8× |
| Fetal fibronectin (82731) |
$275.50 |
$551 |
4.3× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$37.50 |
$75 |
4.9× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$24.50 |
$49 |
2.6× |
| Fibrinogen antigen (85385) |
$40.50 |
$81 |
2.8× |
| Fibrinogen, activity (85384) |
$75.50 |
$151 |
7.8× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$46 |
$92 |
3.0× |
| Flow cytometry first marker (88184) |
$786 |
$1,572 |
2.2× |
| Flt3 gene analysis (81246) |
$199.50 |
$399 |
2.4× |
| Flt3 gene analysis internal tandem dup variants (81245) |
$219.50 |
$439 |
1.3× |
| FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) |
$290 |
$580 |
6.5× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$358 |
$716 |
6.3× |
| Folate serum (82746) |
$101.50 |
$203 |
6.9× |
| Folic acid rbc (82747) |
$58 |
$116 |
3.3× |
| Follicle stimulating hormone (fsh) (83001) |
$98.50 |
$197 |
5.3× |
| Francisella tularensis ab (86668) |
$32 |
$64 |
2.3× |
| Frozen blood thaw (86931) |
$92 |
$184 |
0.5× |
| Fructosamine (82985) |
$55.50 |
$111 |
3.3× |
| Ftl cgen abnor four anal (81511) |
$153 |
$306 |
1.0× |
| Fungus isolation culture (87102) |
$63 |
$126 |
7.5× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$41.50 |
$83 |
3.4× |
| FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles Other Outpatient (81284) |
$660 |
$1,320 |
4.8× |
| G6pd full gene sequence (81249) |
$480 |
$960 |
0.8× |
| Galactose (82760) |
$41.50 |
$83 |
3.7× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$31 |
$62 |
2.6× |
| Gamma glutamyl transferase (82977) |
$124 |
$248 |
17.2× |
| Gammaglobulin ige (82785) |
$63 |
$126 |
3.8× |
| Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) |
$77 |
$154 |
7.9× |
| Gastrin (82941) |
$65 |
$130 |
3.7× |
| Genetic testing for severe inherited conditions (81443) |
$1,969 |
$3,938 |
0.8× |
| Genotype cytomegalovirus (87910) |
$369.50 |
$739 |
1.4× |
| Genotype DNA hepatitis b (87912) |
$369.50 |
$739 |
1.4× |
| Genotype DNA HIV reverse t (87901) |
$384.50 |
$769 |
1.5× |
| Genotype DNA/RNA HIV (87906) |
$245 |
$490 |
1.9× |
| Gentamicin (80170) |
$102.50 |
$205 |
6.3× |
| Giardia antigen (87329) |
$64.50 |
$129 |
5.4× |
| Giardia lamblia antibody (86674) |
$61 |
$122 |
4.1× |
| Gjb2 gene full sequence (81252) |
$360 |
$720 |
3.6× |
| Gjb6 gene com variants (81254) |
$151.50 |
$303 |
4.3× |
| Gliadin antibody each immunoglobulin class (86258) |
$30.50 |
$61 |
2.5× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$16.50 |
$33 |
5.0× |
| Glucagon (82943) |
$67 |
$134 |
4.7× |
| Glucose Fasting (82947) |
$35.50 |
$71 |
9.0× |
| Glucose other fluid (82945) |
$35.50 |
$71 |
9.0× |
| Glucose post glucose dose (82950) |
$28 |
$56 |
5.9× |
| Glucose tolerance test (gtt) (82951) |
$85.50 |
$171 |
6.6× |
| Glucose-6-pd (82955) |
$33 |
$66 |
3.4× |
| Glucosidase (sugar enzyme) measurement (82963) |
$219 |
$438 |
10.2× |
| Glutathione (82978) |
$114.50 |
$229 |
7.4× |
| Glycated hemoglobin (83036) |
$63.50 |
$127 |
6.5× |
| Gonadotropin releasing hormone (83727) |
$227.50 |
$455 |
13.2× |
| Growth hormone (hgh) (83003) |
$64 |
$128 |
3.8× |
| Growth stimulation expressed gene 2 (83006) |
$92.50 |
$185 |
1.2× |
| Gtt-added samples (82952) |
$21 |
$42 |
5.4× |
| H pylori breath test (83013) |
$247.50 |
$495 |
3.7× |
| H pylori stool (87338) |
$68 |
$136 |
4.7× |
| H pylri clrthmcn rst amp prb (87513) |
$61.50 |
$123 |
1.8× |
| Haloperidol (80173) |
$53.50 |
$107 |
3.4× |
| Haptoglobin (83010) |
$109.50 |
$219 |
8.7× |
| Hba1/hba2 full gene sequence (81259) |
$312.50 |
$625 |
0.5× |
| Hba1/hba2 gene (81257) |
$500 |
$1,000 |
4.9× |
| Hba1/hba2 gene analysis dup/del variants (81269) |
$880.50 |
$1,761 |
4.4× |
| Hbb full gene sequence (81364) |
$363.50 |
$727 |
1.1× |
| Hbb gene dup/del variants (81363) |
$306.50 |
$613 |
1.5× |
| Hbsag neutralization (87341) |
$40.50 |
$81 |
3.9× |
| Hcg ql (84703) |
$68.50 |
$137 |
9.1× |
| HDL cholesterol (83718) |
$36 |
$72 |
4.4× |
| Heavy metal quan each nes (83018) |
$102 |
$204 |
4.6× |
| Hematocrit (hct) (85014) |
$23 |
$46 |
9.7× |
| Hematocrit spun (85013) |
$9 |
$18 |
1.3× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) |
$2,456.50 |
$4,913 |
3.2× |
| Hemoglobin (85018) |
$23 |
$46 |
9.7× |
| Hemoglobin electrophoresis (83020) |
$74 |
$148 |
5.7× |
| Hemoglobin fetal ql (83033) |
$22 |
$44 |
2.8× |
| Hemoglobin fractj/quantj chromotography (83021) |
$73.50 |
$147 |
4.1× |
| Hemoglobin plasma (83051) |
$27.50 |
$55 |
3.8× |
| Hemoglobin stability screen (83068) |
$31.50 |
$63 |
3.3× |
| Hemoglobin urine (83069) |
$11 |
$22 |
2.8× |
| Hemoglobin-oxygen affinity (82820) |
$89.50 |
$179 |
6.7× |
| Hemoglobin; sulfhemoglobin, quantitative Other Outpatient (83060) |
$30.50 |
$61 |
3.5× |
| Hemolysins and agglutinins; auto, screen, each Other Outpatient (86940) |
$20 |
$40 |
2.3× |
| Hemolysins and agglutinins; incubated Other Outpatient (86941) |
$44.50 |
$89 |
3.7× |
| Hemosiderin qual (83070) |
$24 |
$48 |
5.1× |
| Hep a ab total (86708) |
$89 |
$178 |
7.2× |
| Heparin assay (85520) |
$87.50 |
$175 |
6.7× |
| Heparin neutralization (85525) |
$43.50 |
$87 |
3.7× |
| Hepatitis a antibody igm (86709) |
$76 |
$152 |
6.7× |
| Hepatitis b core antibody igm (86705) |
$76.50 |
$153 |
6.5× |
| Hepatitis b core antibody total (86704) |
$90.50 |
$181 |
7.5× |
| Hepatitis b DNA quant (87517) |
$209.50 |
$419 |
4.9× |
| Hepatitis b surface ab (86706) |
$80.50 |
$161 |
7.5× |
| Hepatitis b surface ag quan (87467) |
$230 |
$460 |
9.1× |
| Hepatitis b surface antigen (87340) |
$59.50 |
$119 |
5.8× |
| Hepatitis be antibody (86707) |
$47 |
$94 |
4.1× |
| Hepatitis be antigen (87350) |
$47 |
$94 |
4.1× |
| Hepatitis c antibody (86803) |
$202 |
$404 |
14.2× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$57 |
$114 |
3.7× |
| Hepatitis c genotype (87902) |
$302 |
$604 |
1.2× |
| Hepatitis c RNA quantitative (87522) |
$205 |
$410 |
4.8× |
| Hepatitis d quantification (87523) |
$241 |
$482 |
5.6× |
| Hepatitis delta antibody (86692) |
$91 |
$182 |
5.3× |
| Hereditary peripheral neuropathy gen seq pnl (81448) |
$1,475 |
$2,950 |
2.5× |
| Heredtry nurondcrn tum dsrdr (81437) |
$2,329.50 |
$4,659 |
1.8× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$68 |
$136 |
4.7× |
| Herpes simplex virus by PCR (87529) |
$221 |
$442 |
6.3× |
| Heterophile antibody screen (86308) |
$39.50 |
$79 |
7.6× |
| Hexa gene analysis common variants (81255) |
$429.50 |
$859 |
8.3× |
| Hexosaminidase a percent & total hexosaminidase in leukocytes arup 2008125 (83080) |
$41 |
$82 |
2.4× |
| Hfe gene (81256) |
$169 |
$338 |
2.6× |
| Hhv-6 DNA amp probe (87532) |
$130.50 |
$261 |
3.7× |
| Histamine (83088) |
$105.50 |
$211 |
3.6× |
| Histoplasma antibody (86698) |
$51 |
$102 |
3.7× |
| HIV-1 ag eia (87390) |
$84.50 |
$169 |
3.5× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$138.50 |
$277 |
5.8× |
| HIV-1 antibody (86701) |
$42.50 |
$85 |
4.8× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$43 |
$86 |
3.1× |
| HIV-2 antibody (86702) |
$92.50 |
$185 |
6.8× |
| Hla b27 (86812) |
$95 |
$190 |
3.7× |
| Hla class i high defin qual (86832) |
$817.50 |
$1,635 |
2.5× |
| Hla class i phenotype qual (86830) |
$303.50 |
$607 |
3.2× |
| Hla class i semiquant panel (86834) |
$1,128.50 |
$2,257 |
3.2× |
| Hla class i typing high resolution complete (81379) |
$1,459 |
$2,918 |
4.4× |
| Hla class i typing low resolution complete (81372) |
$547.50 |
$1,095 |
1.4× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient (81373) |
$276.50 |
$553 |
2.2× |
| Hla class i/ii antibody qual (86829) |
$109.50 |
$219 |
1.7× |
| Hla class ii high defin qual (86833) |
$805 |
$1,610 |
2.5× |
| Hla class ii phenotype qual (86831) |
$261 |
$522 |
3.2× |
| Hla class ii semiquant panel (86835) |
$1,000.50 |
$2,001 |
3.1× |
| Hla i & ii typing hr (81378) |
$1,142.50 |
$2,285 |
3.3× |
| Hla i & ii typing lr (81370) |
$1,067 |
$2,134 |
2.7× |
| Hla i typing 1 allele hr (81381) |
$269.20 |
$538.40 |
1.6× |
| Hla i typing 1 locus hr (81380) |
$289.50 |
$579 |
1.6× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
$442 |
$884 |
2.0× |
| Hla ii typing 1 loc hr (81382) |
$788.50 |
$1,577 |
6.4× |
| Hla ii typing 1 locus lr (81376) |
$302.50 |
$605 |
2.5× |
| Hla typing a/b/c multiple antigens (86813) |
$248 |
$496 |
4.3× |
| Homocysteine level (83090) |
$83.50 |
$167 |
4.7× |
| Homogenization tissue (87176) |
$19.50 |
$39 |
3.3× |
| Homovanillic acid urine (83150) |
$72.50 |
$145 |
3.2× |
| Hpa-1 genotyping gene analysis common variant (81105) |
$522.50 |
$1,045 |
4.3× |
| Hpa-15 genotyping gene analysis common variant (81112) |
$522.50 |
$1,045 |
4.3× |
| Hpa-2 genotyping gene analysis common variant (81106) |
$522.50 |
$1,045 |
4.3× |
| Hpa-3 genotyping gene analysis common variant (81107) |
$522.50 |
$1,045 |
4.3× |
| Hpa-4 genotyping gene analysis common variant (81108) |
$522.50 |
$1,045 |
4.3× |
| Hpa-5 genotyping gene analysis common variant (81109) |
$522.50 |
$1,045 |
4.3× |
| Hpa-6 genotyping gene analysis common variant (81110) |
$522.50 |
$1,045 |
4.3× |
| Hpa-9 genotyping gene analysis common variant (81111) |
$522.50 |
$1,045 |
4.3× |
| Hpv high-risk types (87624) |
$175 |
$350 |
5.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) |
$175 |
$350 |
2.5× |
| Htlv-i antibody (86687) |
$31 |
$62 |
3.4× |
| Htt gene analysis detect abnormal alleles (81271) |
$602 |
$1,204 |
4.4× |
| Human epididymis protein 4 (86305) |
$162 |
$324 |
7.8× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$197 |
$394 |
10.2× |
| Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution… (86825) |
$155 |
$310 |
1.4× |
| Hydroxychloroquine (80220) |
$186.50 |
$373 |
10.0× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$59.75 |
$119.50 |
0.9× |
| Iaadi herpes smplx virus type 1 (87274) |
$42.50 |
$85 |
3.5× |
| Iaadi herpes smplx virus type 2 (87273) |
$42.50 |
$85 |
3.5× |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
$130.50 |
$261 |
3.7× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$88.50 |
$177 |
1.7× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$260 |
$520 |
1.8× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,666 |
$3,332 |
4.0× |
| Idh1 common variants (81120) |
$757 |
$1,514 |
3.9× |
| Idh2 common variants (81121) |
$757 |
$1,514 |
2.6× |
| Ifnl3 gene (81283) |
$306.50 |
$613 |
4.2× |
| Igg subclass 1 (82787) |
$61 |
$122 |
7.6× |
| Igh gene rearrange amp meth (81261) |
$259.50 |
$519 |
1.3× |
| Igh vari regional mutation (81263) |
$734.50 |
$1,469 |
2.5× |
| IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis,… (81264) |
$204 |
$408 |
1.2× |
| Immune complex assay (86332) |
$209.50 |
$419 |
8.6× |
| Immunoassay analyte quantitative nos (83520) |
$209 |
$418 |
12.1× |
| Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or… (83518) |
$380.50 |
$761 |
39.5× |
| Immunoassay infectious agent antibody quan nos (86317) |
$71.50 |
$143 |
4.8× |
| Immunodiffusion ouchterlony (86331) |
$47 |
$94 |
3.9× |
| Immunofixation electrophoresis (86334) |
$110 |
$220 |
4.9× |
| Immunofixation urine (86335) |
$144.50 |
$289 |
4.9× |
| Immunofluor antb 1st stain (88346) |
$162.50 |
$325 |
0.9× |
| Immunoglobulin d (82784) |
$48.50 |
$97 |
5.2× |
| Immunoglobulin light chains free each (83521) |
$83 |
$166 |
4.8× |
| Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) |
$288 |
$576 |
0.8× |
| Immunoperoxidase (88342) |
$221.50 |
$443 |
1.3× |
| In situ hybridization 1st probe stain (88365) |
$187 |
$374 |
1.1× |
| In situ hybridization ea multiplex probe stain (88366) |
$280 |
$560 |
1.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87337) |
$48.50 |
$97 |
4.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$60.50 |
$121 |
4.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
$98 |
$196 |
7.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87301) |
$51.50 |
$103 |
4.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$107.50 |
$215 |
6.7× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
$42.50 |
$85 |
3.5× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Other Outpatient (87269) |
$55.50 |
$111 |
4.1× |
| Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other… (87299) |
$91.50 |
$183 |
5.7× |
| Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) |
$60.50 |
$121 |
5.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$211 |
$422 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$245.50 |
$491 |
5.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) |
$153 |
$306 |
4.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) |
$311.50 |
$623 |
8.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe… (87471) |
$192.50 |
$385 |
5.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$96 |
$192 |
2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) |
$59.50 |
$119 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$169 |
$338 |
4.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$230.50 |
$461 |
5.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) |
$153 |
$306 |
4.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) |
$59.50 |
$119 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient (87512) |
$153.50 |
$307 |
3.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) |
$783 |
$1,566 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) |
$200 |
$400 |
1.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$96 |
$192 |
2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) |
$236 |
$472 |
5.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient (87533) |
$335 |
$670 |
8.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$149.50 |
$299 |
4.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$289 |
$578 |
3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique… (87561) |
$96 |
$192 |
2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$149 |
$298 |
3.6× |
| Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2… (87913) |
$386 |
$772 |
1.5× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87904) |
$96 |
$192 |
3.7× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) |
$1,793.50 |
$3,587 |
3.7× |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) |
$1,124 |
$2,248 |
4.3× |
| Influenza a ag eia (87400) |
$60.50 |
$121 |
4.3× |
| Influenza a ag if (87276) |
$91.50 |
$183 |
5.7× |
| Influenza antibody (86710) |
$242 |
$484 |
17.9× |
| Influenza b ag if (87275) |
$91.50 |
$183 |
7.5× |
| Influenza DNA amp probe (87502) |
$342 |
$684 |
3.6× |
| Inhibin a (86336) |
$81 |
$162 |
5.2× |
| Insulin antibody (86337) |
$91.50 |
$183 |
4.3× |
| Insulin free (83527) |
$43 |
$86 |
3.3× |
| Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human… (80435) |
$440.50 |
$881 |
4.3× |
| Insulin total (83525) |
$42 |
$84 |
3.7× |
| Intrinsic factor antibody (86340) |
$55.50 |
$111 |
3.7× |
| Iron (83540) |
$45.50 |
$91 |
7.0× |
| Iron binding capacity (83550) |
$57.50 |
$115 |
6.6× |
| Irradiation of blood product, each unit (86945) |
$60 |
$120 |
1.6× |
| Islet cell antibody (86341) |
$80.50 |
$161 |
3.4× |
| Jak2 gene (81270) |
$332.50 |
$665 |
3.6× |
| Jak2 gene trgt sequence alys (81279) |
$806 |
$1,612 |
4.4× |
| John cunningham antibody (86711) |
$61.50 |
$123 |
3.6× |
| Kit gene analys d816 variant (81273) |
$462.50 |
$925 |
3.7× |
| Kit gene targeted seq analys (81272) |
$877.50 |
$1,755 |
2.7× |
| Koh prep (87220) |
$20 |
$40 |
4.7× |
| Kras gene (81275) |
$254.25 |
$508.50 |
1.3× |
| Kras gene addl variants (81276) |
$524 |
$1,048 |
2.7× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$147.50 |
$295 |
3.9× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$145.50 |
$291 |
3.9× |
| Lacosamide (80235) |
$112.50 |
$225 |
4.1× |
| Lactate (83605) |
$71.50 |
$143 |
6.2× |
| Lactate dehydrogenase (83615) |
$46.50 |
$93 |
7.7× |
| Lactoferrin fecal (qual) (83630) |
$72.50 |
$145 |
3.7× |
| Lactogen, human placental (HPL) human chorionic somatomammotropin Other Outpatient (83632) |
$69.50 |
$139 |
3.4× |
| Lamotrigine (80175) |
$53.50 |
$107 |
4.0× |
| Ldh isoenzymes (83625) |
$47 |
$94 |
3.7× |
| LDL direct (83721) |
$53.50 |
$107 |
5.1× |
| Lead (83655) |
$62.50 |
$125 |
5.2× |
| Legion pneumo DNA amp prob (87541) |
$150 |
$300 |
4.3× |
| Legionella antibody (86713) |
$56.50 |
$113 |
3.7× |
| Legionella culture (87081) |
$33 |
$66 |
5.0× |
| Legionella urine antigen (87449) |
$127.50 |
$255 |
10.6× |
| Leishmania antibody (86717) |
$34.50 |
$69 |
2.8× |
| Leptospira antibody (86720) |
$59 |
$118 |
3.6× |
| Leukocyte alkaline phosphatase (85540) |
$32 |
$64 |
3.7× |
| Leukocyte antibody id (86021) |
$64.50 |
$129 |
4.3× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$98 |
$196 |
2.6× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$98 |
$196 |
1.9× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$161 |
$322 |
3.1× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$250 |
$500 |
0.7× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$649.50 |
$1,299 |
0.8× |
| Lidocaine (80176) |
$113 |
$226 |
7.7× |
| Lipase (83690) |
$36.50 |
$73 |
5.3× |
| Lipopro bld electrophoretic (83700) |
$59 |
$118 |
5.2× |
| Lipoprotein (a) (83695) |
$74.50 |
$149 |
5.2× |
| Lipoprotein bld by nmr (83704) |
$116 |
$232 |
3.4× |
| Lipoprotein bld hr fraction (83701) |
$91.50 |
$183 |
2.7× |
| Lipoprotein-associated phospholipase a2 (83698) |
$131.50 |
$263 |
2.8× |
| Lipoprtn dir meas sd LDL chl (83722) |
$149 |
$298 |
4.4× |
| Lithium (80178) |
$35 |
$70 |
5.3× |
| Liver ds alys 3 bmrk srm alg (81517) |
$2,189.50 |
$4,379 |
12.4× |
| Luteinizing hormone (lh) (83002) |
$104 |
$208 |
5.6× |
| Lyme disease antibody (86617) |
$79 |
$158 |
5.1× |
| Lyme disease antibody (86618) |
$52.50 |
$105 |
3.1× |
| Lymph choriomeningitis ab (86727) |
$38.50 |
$77 |
3.0× |
| Lymphocyte transformation (86353) |
$163.50 |
$327 |
3.3× |
| Lymphocytotoxicity assay, visual crossmatch; with titration Other Outpatient (86805) |
$192 |
$384 |
1.0× |
| M genitalium amp probe (87563) |
$51.50 |
$103 |
1.5× |
| M/phmtrc alys in situ hybridization ea probe mnl (88368) |
$1,052.50 |
$2,105 |
2.9× |
| M/phmtrc alys ishquant/semiq (88377) |
$690 |
$1,380 |
4.0× |
| Macroscopic exam arthropod (87168) |
$52 |
$104 |
12.2× |
| Macroscopic exam parasite (87169) |
$52 |
$104 |
12.1× |
| Magnesium (83735) |
$46 |
$92 |
6.9× |
| Malaria smear (87207) |
$55 |
$110 |
9.2× |
| Manganese (83785) |
$82.50 |
$165 |
3.1× |
| Manual differential (85007) |
$20 |
$40 |
5.3× |
| Maternal serum screening, integrated, specimen #1, papp-a, nt arup 3000147 (84163) |
$124.50 |
$249 |
8.3× |
| Mcoln1 gene (81290) |
$159.50 |
$319 |
4.1× |
| Mercury (83825) |
$80.50 |
$161 |
5.0× |
| Metanephrines (83835) |
$97.50 |
$195 |
5.8× |
| Methemoglobin quant (83050) |
$40.50 |
$81 |
4.9× |
| Methylmalonic acid serum (83921) |
$74 |
$148 |
3.5× |
| Mgmt methylation analysis (81287) |
$293.50 |
$587 |
2.4× |
| Microalbumin urine (82043) |
$78.50 |
$157 |
13.6× |
| Microsatellite instability analysis (81301) |
$423 |
$846 |
1.2× |
| Microscopic genetic analysis of nerve tissue (88356) |
$102 |
$204 |
1.9× |
| Mitochondrial antibody each (86381) |
$13 |
$26 |
0.5× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$397 |
$794 |
2.1× |
| Mlh1 gene dup/delete variant (81294) |
$286 |
$572 |
1.4× |
| Mlh1 gene full seq (81292) |
$1,155 |
$2,310 |
1.7× |
| Mog-igg1 antb flo cytmtry ea (86363) |
$481.50 |
$963 |
12.8× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$168.50 |
$337 |
14.0× |
| Mold id (87107) |
$88.50 |
$177 |
8.6× |
| Molecular cytogenetics DNA probe each (88271) |
$124.50 |
$249 |
5.8× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) |
$120 |
$240 |
3.4× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other… (88272) |
$98.50 |
$197 |
2.4× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$228 |
$456 |
4.5× |
| Mononuclear cell antigen (86356) |
$40.50 |
$81 |
1.5× |
| Mopath procedure level 1 (81400) |
$252 |
$504 |
3.9× |
| Mopath procedure level 2 (81401) |
$381 |
$762 |
2.8× |
| Mopath procedure level 3 (81402) |
$381 |
$762 |
2.5× |
| Mopath procedure level 4 (81403) |
$415 |
$830 |
2.2× |
| Mopath procedure level 5 (81404) |
$377.75 |
$755.50 |
1.4× |
| Mopath procedure level 6 (81405) |
$1,061 |
$2,122 |
3.5× |
| Mopath procedure level 7 (81406) |
$1,258 |
$2,516 |
4.4× |
| Mopath procedure level 8 (81407) |
$1,945 |
$3,890 |
2.3× |
| Mopath procedure level 9 (81408) |
$1,748 |
$3,496 |
0.9× |
| Morphometric analysis tumor (88358) |
$102 |
$204 |
0.6× |
| Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) |
$123 |
$246 |
0.3× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$274.50 |
$549 |
1.6× |
| Mpl gene analysis common variants (81338) |
$639 |
$1,278 |
4.3× |
| Mpl gene seq alys exon 10 (81339) |
$258.50 |
$517 |
1.4× |
| Mrsa PCR (87641) |
$106 |
$212 |
3.0× |
| Msh2 gene dup/delete variant (81297) |
$227.50 |
$455 |
1.1× |
| Msh6 gene dup/delete variant (81300) |
$242.50 |
$485 |
1.0× |
| Mthfr gene (81291) |
$118.50 |
$237 |
1.8× |
| Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (83864) |
$62.50 |
$125 |
2.2× |
| Mumps antibody (86735) |
$76.50 |
$153 |
5.9× |
| Muramidase (85549) |
$83 |
$166 |
4.4× |
| Muscle-specific kinase antb (86366) |
$262.50 |
$525 |
14.3× |
| Mycobacteria DNA amp probe (87551) |
$314 |
$628 |
6.5× |
| Mycoplasma antibody (86738) |
$56 |
$112 |
4.2× |
| Mycoplasma pneumoniae by PCR (87581) |
$171.50 |
$343 |
4.9× |
| Myd88 gene p.leu265pro vrnt (81305) |
$763 |
$1,526 |
4.4× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$173.50 |
$347 |
15.0× |
| Myelin basic protein (83873) |
$63.50 |
$127 |
3.7× |
| Myoglobin (83874) |
$52.50 |
$105 |
4.1× |
| N.gonorrhoeae DNA amp prob (87591) |
$145.50 |
$291 |
4.1× |
| Natriuretic peptide (83880) |
$167 |
$334 |
4.3× |
| Nephelometry ea analyte (83883) |
$69 |
$138 |
5.1× |
| Nerve teasing preparations (88362) |
$224.50 |
$449 |
0.3× |
| Neurofilament light chain (NfL) Other Outpatient (83884) |
$752.50 |
$1,505 |
6.5× |
| Neutralization test viral (86382) |
$497.50 |
$995 |
29.4× |
| Nfct ds bv RNA vag flu alg (81513) |
$609.50 |
$1,219 |
4.3× |
| Nfct ds chrnc hcv 6 assays (81596) |
$122.50 |
$245 |
1.7× |
| Nk cells total count (86357) |
$57.50 |
$115 |
1.5× |
| Npm1 gene (81310) |
$896 |
$1,792 |
3.6× |
| Nras gene variants exon 2&3 (81311) |
$789 |
$1,578 |
2.7× |
| Nucleotidase 5 (83915) |
$287.50 |
$575 |
25.8× |
| Occult bld feces 1-3 tests (82272) |
$12 |
$24 |
2.8× |
| Occult blood other sources (82271) |
$12 |
$24 |
2.3× |
| Occult blood screening (82270) |
$12 |
$24 |
2.7× |
| Oligoclonal bands (83916) |
$120.50 |
$241 |
4.4× |
| Onc breast mrna 12 genes (81522) |
$5,809.50 |
$11,619 |
1.5× |
| Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed… (81542) |
$5,809.50 |
$11,619 |
1.5× |
| Oncoprotein dcp (83951) |
$236.50 |
$473 |
3.7× |
| Organic acids qual each (83919) |
$74 |
$148 |
4.5× |
| Organic acids total quant (83918) |
$60.50 |
$121 |
2.6× |
| Orthopoxvirus amp prb each (87593) |
$160 |
$320 |
3.1× |
| Osmolality serum (83930) |
$50.50 |
$101 |
7.6× |
| Osmolality urine (83935) |
$61.50 |
$123 |
9.0× |
| Osmotic fragility rbc incubated (85557) |
$52 |
$104 |
3.9× |
| Osteocalcin (83937) |
$110 |
$220 |
3.7× |
| Ova and parasite exam (87177) |
$33 |
$66 |
3.7× |
| Oxalate urine (83945) |
$104.50 |
$209 |
7.2× |
| Palb2 gene full gene seq (81307) |
$422 |
$844 |
0.6× |
| Palb2 gene known famil vrnt (81308) |
$449 |
$898 |
1.5× |
| Pancreatic elastase fecal (82656) |
$54.50 |
$109 |
4.7× |
| Pancreatic polypeptide (83519) |
$532.50 |
$1,065 |
28.9× |
| Parainfluenza ag if (87279) |
$52 |
$104 |
3.2× |
| Parathyroid hormone (83970) |
$208 |
$416 |
5.0× |
| Particle agglut antbdy titr arup to palo alto medical foundation (86406) |
$39.50 |
$79 |
3.7× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$65.50 |
$131 |
5.7× |
| Parvovirus antibody (86747) |
$49 |
$98 |
3.3× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$1,012 |
$2,024 |
2.8× |
| Pathology clinical consultation sf mdm 5-20 min (80503) |
$296.50 |
$593 |
5.7× |
| Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) |
$2,732.50 |
$5,465 |
3.4× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$127.50 |
$255 |
0.7× |
| Pathology examination of specimen during surgery (88329) |
$34 |
$68 |
0.6× |
| Pathology lab procedure (89240) |
$34 |
$68 |
0.6× |
| PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene… (81314) |
$1,408 |
$2,816 |
4.3× |
| Pertussis by PCR (87798) |
$234 |
$468 |
6.7× |
| Ph body fluid (83986) |
$23.50 |
$47 |
6.6× |
| Phenobarbital (80184) |
$63 |
$126 |
4.1× |
| Phenotype infect agent drug (87900) |
$372 |
$744 |
2.9× |
| Phenytoin (dilantin) free (80186) |
$76 |
$152 |
5.5× |
| Phenytoin level total (80185) |
$105 |
$210 |
7.9× |
| Phosphohexose isomerase (84087) |
$38 |
$76 |
3.5× |
| Phosphorus (84100) |
$42.50 |
$85 |
9.0× |
| Phosphorus urine (84105) |
$24.50 |
$49 |
4.2× |
| Pik3ca gene trgt seq alys (81309) |
$415 |
$830 |
1.5× |
| Pinworm exam (87172) |
$16 |
$32 |
3.7× |
| Plasminogen activity (85420) |
$27 |
$54 |
4.1× |
| Platelet aggregation ea agent (85576) |
$122.50 |
$245 |
4.9× |
| Platelet count automated (85049) |
$40 |
$80 |
8.9× |
| Platelet neutralization (85597) |
$17.50 |
$35 |
1.0× |
| Pml/raralpha com breakpoints (81315) |
$639 |
$1,278 |
3.1× |
| Pmp22 gene dup/delet (81324) |
$547 |
$1,094 |
0.7× |
| Pmp22 gene full sequence (81325) |
$776.50 |
$1,553 |
1.0× |
| Pms2 gene full seq analysis (81317) |
$1,155 |
$2,310 |
1.7× |
| Pneumcysts jirovecii amp prb (87594) |
$175 |
$350 |
5.0× |
| Pooling of platelets or other blood products (86965) |
$67 |
$134 |
0.4× |
| Porphobilinogen urine (84110) |
$25 |
$50 |
3.0× |
| Porphyrins total plasma (84311) |
$203.50 |
$407 |
25.1× |
| Porphyrins urine quantitation & fractionation (84120) |
$54 |
$108 |
3.7× |
| Posaconazole (80187) |
$22 |
$44 |
0.8× |
| Potassium (84132) |
$41.50 |
$83 |
8.7× |
| Potassium urine (84133) |
$30.50 |
$61 |
6.4× |
| Prealbumin (84134) |
$103.50 |
$207 |
7.1× |
| Pregnenolone (84140) |
$76 |
$152 |
3.7× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86971) |
$988.50 |
$1,977 |
5.8× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$67 |
$134 |
1.1× |
| Primidone (80188) |
$61 |
$122 |
3.7× |
| Procainamide; with metabolites (eg, n-acetyl procainamide) Other Outpatient (80192) |
$61.50 |
$123 |
3.7× |
| Procalcitonin (pct) (84145) |
$112.50 |
$225 |
4.1× |
| Progesterone (84144) |
$108 |
$216 |
5.2× |
| Proinsulin (84206) |
$84 |
$168 |
3.1× |
| Prolactin (84146) |
$79 |
$158 |
4.1× |
| Prostaglandin (84150) |
$202.50 |
$405 |
4.8× |
| Prostate specific antigen (PSA); complexed (direct measurement) Other Outpatient (84152) |
$102.50 |
$205 |
5.6× |
| Prostatic acid phosphatase (84066) |
$35.50 |
$71 |
3.7× |
| Protein c activity (85303) |
$63.50 |
$127 |
4.6× |
| Protein c antigen (85302) |
$49 |
$98 |
4.1× |
| Protein electrophoresis serum (84165) |
$48 |
$96 |
4.5× |
| Protein electrophoresis urine (84166) |
$80 |
$160 |
4.5× |
| Protein s antigen, free (85306) |
$64 |
$128 |
4.2× |
| Protein total other source (84157) |
$33 |
$66 |
8.3× |
| Protein total serum (84155) |
$24.50 |
$49 |
6.7× |
| Protein total urine (84156) |
$22 |
$44 |
6.0× |
| Protein western blot (84181) |
$71.50 |
$143 |
4.2× |
| Protein, total, by refractometry, any source Other Outpatient (84160) |
$19 |
$38 |
3.4× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$297.50 |
$595 |
10.2× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$14.50 |
$29 |
3.7× |
| Protozoa antibody nos (86753) |
$36.50 |
$73 |
2.9× |
| PSA free (84154) |
$68 |
$136 |
3.7× |
| Pten gene full sequence (81321) |
$1,033.50 |
$2,067 |
1.7× |
| Pten gene known fam variant (81322) |
$150 |
$300 |
3.2× |
| Pyruvate (84210) |
$44 |
$88 |
3.0× |
| Pyruvate kinase (84220) |
$31 |
$62 |
3.3× |
| Q fever antibody (86638) |
$72.50 |
$145 |
6.0× |
| Quinidine (80194) |
$54 |
$108 |
3.7× |
| Rbc antibody elution (86860) |
$111.50 |
$223 |
0.7× |
| Rbc antibody identification (86870) |
$988.50 |
$1,977 |
2.7× |
| Rbc antibody screen (86850) |
$125.50 |
$251 |
12.8× |
| Receptor assay non-endocrine specify receptor (84238) |
$148 |
$296 |
4.0× |
| Reducing substances fecal (84376) |
$25.50 |
$51 |
4.6× |
| Ref john hopkins telomere length measurement flow cytometry and fish (88182) |
$376.50 |
$753 |
7.2× |
| Ref labcorp, 451840, titrate resistant acid phosphate (trap) (84060) |
$125 |
$250 |
16.4× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$122.50 |
$245 |
10.2× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$59 |
$118 |
4.5× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$79 |
$158 |
4.1× |
| Renin (84244) |
$81.50 |
$163 |
3.7× |
| Reptilase test (85635) |
$66.50 |
$133 |
6.8× |
| Resp virus 12-25 targets (87633) |
$859 |
$1,718 |
2.1× |
| Resp virus 3-5 targets (87631) |
$309.50 |
$619 |
2.2× |
| Resp virus 6-11 targets (87632) |
$550 |
$1,100 |
2.5× |
| Respiratory syncytial vi (87280) |
$74 |
$148 |
5.5× |
| Reticulated platelet assay (85055) |
$63 |
$126 |
1.8× |
| Reticyte/hgb concentrate (85046) |
$24.50 |
$49 |
4.4× |
| Rheumatoid factor quant (86431) |
$54.50 |
$109 |
9.6× |
| Rickettsia antibody (86757) |
$131 |
$262 |
6.8× |
| Ristocetin cofactor (85245) |
$107.50 |
$215 |
4.7× |
| Rl immediate spin crossmatch (86920) |
$162.50 |
$325 |
0.9× |
| Rotavirus ag eia (87425) |
$61.50 |
$123 |
5.1× |
| Rpr qual (86592) |
$88 |
$176 |
20.6× |
| Rpr titer (86593) |
$16.50 |
$33 |
3.7× |
| Rsv DNA/RNA amp probe (87634) |
$251 |
$502 |
3.6× |
| Rubella antibody (86762) |
$69 |
$138 |
4.8× |
| Rubeola antibody (86765) |
$52.50 |
$105 |
4.1× |
| Russell viper venom diluted (85613) |
$55.50 |
$111 |
5.8× |
| Salmonella typhi and paratyphi antibodies (86768) |
$34.50 |
$69 |
2.6× |
| Sedimentation rate rbc automated (85652) |
$21 |
$42 |
7.8× |
| Selenium (84255) |
$120 |
$240 |
4.7× |
| Serotonin (84260) |
$132 |
$264 |
4.3× |
| Serpina1 gene (81332) |
$239.50 |
$479 |
5.5× |
| Serum screening for cytotoxic percent reactive antibody (PRA); quick method Other Outpatient (86808) |
$109 |
$218 |
3.7× |
| Sex hormone binding globulin (84270) |
$80 |
$160 |
3.7× |
| Sickle cell screen (85660) |
$26 |
$52 |
4.7× |
| Silica Other Outpatient (84285) |
$86.50 |
$173 |
3.4× |
| Sirolimus (80195) |
$55.50 |
$111 |
4.0× |
| Skin test histoplasmosis (parasite infection) (86510) |
$27 |
$54 |
0.7× |
| Skin test tuberculosis intradermal (86580) |
$19.95 |
$39.90 |
0.7× |
| Smear wet mount (87210) |
$33.50 |
$67 |
5.8× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$585.50 |
$1,171 |
4.3× |
| Snrpn/ube3a methylation analysis (81331) |
$614 |
$1,228 |
12.0× |
| So neo gsap DNA mcrstl ins (81457) |
$2,600.50 |
$5,201 |
2.9× |
| Sodium (84295) |
$40 |
$80 |
8.3× |
| Sodium other source (84302) |
$22 |
$44 |
4.5× |
| Sodium urine (84300) |
$33.50 |
$67 |
6.6× |
| Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number… (81445) |
$2,284 |
$4,568 |
3.8× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) |
$12,699 |
$25,398 |
4.3× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) |
$12,699 |
$25,398 |
4.3× |
| Somatomedin (84305) |
$88 |
$176 |
4.1× |
| Somatostatin (84307) |
$117.50 |
$235 |
6.4× |
| Special stains group i (88312) |
$127.50 |
$255 |
2.4× |
| Special stains group ii (88313) |
$127.50 |
$255 |
1.0× |
| Specific gravity except urine (84315) |
$9.50 |
$19 |
2.9× |
| Splitting of blood or blood products, each unit (86985) |
$51.50 |
$103 |
0.3× |
| Stone analysis (82365) |
$58.50 |
$117 |
4.5× |
| Str markers specimen anal (81265) |
$332 |
$664 |
1.4× |
| Strep a ag ia (87430) |
$67 |
$134 |
4.0× |
| Strep a DNA amp probe (87651) |
$153 |
$306 |
4.4× |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
$66 |
$132 |
0.7× |
| Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient (84377) |
$20.50 |
$41 |
3.7× |
| Sulfate urine (84392) |
$30.50 |
$61 |
5.6× |
| Surg path level 1 (88300) |
$69.50 |
$139 |
2.4× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$129 |
$258 |
2.5× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$34 |
$68 |
0.9× |
| Susceptibility mic per plate (87186) |
$51.50 |
$103 |
6.0× |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
$17 |
$34 |
3.6× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$47 |
$94 |
6.3× |
| T cells cd4 count (86361) |
$63 |
$126 |
2.4× |
| T3 free (84481) |
$84 |
$168 |
5.0× |
| T3 reverse (84482) |
$65 |
$130 |
4.1× |
| T3 uptake (84479) |
$24 |
$48 |
3.7× |
| T4 (thyroxine) total (84436) |
$53 |
$106 |
7.7× |
| Tacrolimus (80197) |
$55.50 |
$111 |
4.0× |
| Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) |
$437.50 |
$875 |
3.4× |
| Tb test cell immun measure (86480) |
$224 |
$448 |
3.6× |
| Testosterone bioavailable (84410) |
$194 |
$388 |
3.8× |
| Testosterone free (84402) |
$103 |
$206 |
4.0× |
| Testosterone total (84403) |
$117.50 |
$235 |
4.6× |
| Tetanus antibody (86774) |
$34.50 |
$69 |
2.3× |
| Thawing and expansion of frozen cells, each aliquot Other Outpatient (88241) |
$52.50 |
$105 |
4.3× |
| Theophylline (80198) |
$52 |
$104 |
3.7× |
| Thiocyanate level (84430) |
$43 |
$86 |
3.7× |
| Thiopurine drug metabolites (83789) |
$124.50 |
$249 |
5.2× |
| Thiopurine metabolites (80299) |
$394 |
$788 |
21.1× |
| Thiopurine methyltransferase, rbc (82657) |
$248.50 |
$497 |
11.2× |
| Thrombin time plasma (85670) |
$33 |
$66 |
5.7× |
| Thrombin time titer (85675) |
$25.50 |
$51 |
3.7× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$19.50 |
$39 |
3.0× |
| Thyroglobulin (84432) |
$95 |
$190 |
5.9× |
| Thyroglobulin antibody (86800) |
$49 |
$98 |
3.1× |
| Thyroid peroxidase antibody (86376) |
$73.50 |
$147 |
5.1× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$238 |
$476 |
4.7× |
| Thyroxine binding globulin (84442) |
$96.50 |
$193 |
6.5× |
| Thyroxine free (ft4) (84439) |
$68.50 |
$137 |
7.6× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$17.50 |
$35 |
2.7× |
| Tissue culture bone marrow (88237) |
$475 |
$950 |
3.3× |
| Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) |
$323 |
$646 |
2.1× |
| Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) |
$355.50 |
$711 |
2.5× |
| Tissue culture lymphocyte (88230) |
$189.50 |
$379 |
1.6× |
| Tissue culture solid tumor (88239) |
$834 |
$1,668 |
5.7× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$13 |
$26 |
1.1× |
| Tobramycin (80200) |
$76 |
$152 |
4.7× |
| Topiramate (80201) |
$53.50 |
$107 |
4.5× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$72 |
$144 |
3.6× |
| Toxoplasma antibody igg (86777) |
$58.50 |
$117 |
4.1× |
| Toxoplasma antibody igm (86778) |
$71 |
$142 |
4.9× |
| Tp53 gene analysis targeted sequence analysis (81352) |
$979.50 |
$1,959 |
3.0× |
| Tp53 gene full gene sequence (81351) |
$2,792 |
$5,584 |
4.3× |
| Transferrin (84466) |
$63.50 |
$127 |
5.0× |
| TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81340) |
$1,538 |
$3,076 |
7.4× |
| Treponema pallidum antibody (86780) |
$59.50 |
$119 |
4.5× |
| Trg gene rearrangement anal (81342) |
$840.50 |
$1,681 |
4.2× |
| Trichinella antibody (86784) |
$46.50 |
$93 |
3.7× |
| Trichomonas vagin dir probe (87660) |
$59.50 |
$119 |
3.0× |
| Trichomonas vaginalis amplif (87661) |
$128 |
$256 |
3.6× |
| Trichrome stain (87209) |
$73 |
$146 |
4.1× |
| Triglycerides (84478) |
$51 |
$102 |
8.9× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$106.50 |
$213 |
7.5× |
| Troponin t (84484) |
$74 |
$148 |
5.9× |
| Trypsin; feces, quantitative, 24-hour collection Other Outpatient (84490) |
$28 |
$56 |
2.8× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$334 |
$668 |
3.3× |
| Tularemia antibody (86000) |
$17.50 |
$35 |
2.5× |
| UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated… (81350) |
$816 |
$1,632 |
3.5× |
| Unlisted cytopathology procedure (88199) |
$34 |
$68 |
0.6× |
| Unlisted molecular pathology (81479) |
$435.25 |
$870.50 |
— |
| Urea nitrogen quantitative (84520) |
$21 |
$42 |
5.3× |
| Urea nitrogen urine (84540) |
$36.50 |
$73 |
6.6× |
| Uric acid blood (84550) |
$35.50 |
$71 |
7.9× |
| Uric acid other source (84560) |
$24 |
$48 |
4.7× |
| Urinalysis auto w/micro (81001) |
$25.50 |
$51 |
8.0× |
| Urinalysis microscopic only (81015) |
$11 |
$22 |
3.6× |
| Urinalysis volume measure (81050) |
$19.50 |
$39 |
5.4× |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
$6 |
$12 |
2.8× |
| Urine bacteria culture (87088) |
$21.50 |
$43 |
2.7× |
| Urine Pregnancy Test POC (81025) |
$57 |
$114 |
6.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$16 |
$32 |
7.1× |
| Urobilinogen, urine; quantitative, timed specimen Other Outpatient (84580) |
$26.50 |
$53 |
2.8× |
| Valproic acid (80164) |
$100.50 |
$201 |
7.4× |
| Valproic acid (dipropylacetic acid); free (80165) |
$78.50 |
$157 |
5.8× |
| Vancomycin (80202) |
$116.50 |
$233 |
8.6× |
| Varicella zoster ag if (87290) |
$42.50 |
$85 |
3.2× |
| Varicella zoster antibody igg (86787) |
$64 |
$128 |
5.0× |
| Vasoactive intestinal peptide (vip) (84586) |
$81.50 |
$163 |
2.3× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$125 |
$250 |
3.7× |
| Very long chain fatty acids (82726) |
$66.50 |
$133 |
3.4× |
| Viral culture non-respiratory (87252) |
$114.50 |
$229 |
4.4× |
| Virus antibody nos (86790) |
$68.50 |
$137 |
5.3× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$101.50 |
$203 |
5.2× |
| Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) |
$74.50 |
$149 |
3.7× |
| Viscosity (85810) |
$43 |
$86 |
3.7× |
| Vitamin a (84590) |
$49 |
$98 |
4.2× |
| Vitamin b-12 (82607) |
$52 |
$104 |
3.4× |
| Vitamin b1 whole blood (84425) |
$78 |
$156 |
3.7× |
| Vitamin b6 (84207) |
$103.50 |
$207 |
3.7× |
| Vitamin c (82180) |
$66.50 |
$133 |
6.7× |
| Vitamin d 25 hydroxy (82306) |
$145.50 |
$291 |
4.9× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$141.50 |
$283 |
3.7× |
| Vitamin e (84446) |
$75.50 |
$151 |
5.3× |
| Vitamin k1 (84597) |
$79.50 |
$159 |
5.8× |
| Vkorc1 gene (81355) |
$408.50 |
$817 |
4.6× |
| Vma (84585) |
$57 |
$114 |
3.7× |
| Volatiles (84600) |
$59.50 |
$119 |
3.5× |
| Voltage-gated calcium channel antibody each (86596) |
$240.50 |
$481 |
20.0× |
| Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit (86960) |
$51.50 |
$103 |
0.3× |
| Voriconazole (80285) |
$51.50 |
$103 |
1.9× |
| West nile virus antibody (86789) |
$95.50 |
$191 |
6.6× |
| Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like… (81460) |
$2,275 |
$4,550 |
1.8× |
| Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external… (81465) |
$4,111.50 |
$8,223 |
4.4× |
| Xm archive tissue molec anal (88363) |
$100 |
$200 |
3.4× |
| Yeast id (87106) |
$69 |
$138 |
6.7× |
| Yersinia antibody (86793) |
$34.50 |
$69 |
2.6× |
| Z t cells total count (86359) |
$58.50 |
$117 |
1.6× |
| Zika virus DNA/RNA amp probe (87662) |
$162 |
$324 |
3.2× |
| Zika virus igm antibody (86794) |
$139 |
$278 |
8.2× |
| Zinc (84630) |
$63 |
$126 |
5.5× |
| Zinc protoporphyrins (84202) |
$53 |
$106 |
3.7× |