| 1 25 Dihydroxy includes fractions if performed (82652) |
$110.16 |
$216 |
2.9× |
| 5 Nucleotidase (83915) |
$38.76 |
$76 |
3.5× |
| Abl1 gene (81170) |
$479.91 |
$941 |
1.6× |
| Acetone serum qual (82009) |
$18.87 |
$37 |
4.2× |
| Acetylcholine receptor binding antibody (86041) |
$30.60 |
$60 |
1.7× |
| Acetylcholine receptor blocking antibody (86042) |
$30.60 |
$60 |
1.7× |
| Acetylcholinesterase (82013) |
$32.13 |
$63 |
2.6× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$35.19 |
$69 |
2.9× |
| Acth stimulation panel adrenal insufficiency (80400) |
$136.17 |
$267 |
4.2× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) |
$248.88 |
$488 |
2.9× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) |
$223.38 |
$438 |
2.9× |
| Activated protein c resistance (85307) |
$57.12 |
$112 |
3.7× |
| Acute hepatitis panel (80074) |
$151.98 |
$298 |
3.2× |
| Acylcarnitine Plasma (82017) |
$31.62 |
$62 |
1.9× |
| Acylcarnitines; qualitative, each specimen Facility (82016) |
$40.29 |
$79 |
2.4× |
| Adamts13 activity (85397) |
$120.87 |
$237 |
3.9× |
| Adenovirus Ag Ia (87301) |
$34.68 |
$68 |
2.9× |
| Adenovirus ag, if (87260) |
$34.68 |
$68 |
2.4× |
| Adenovirus antibody (86603) |
$37.23 |
$73 |
2.9× |
| Adrenocorticotropic hormone (82024) |
$105.06 |
$206 |
2.7× |
| AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81171) |
$204.51 |
$401 |
1.5× |
| AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81172) |
$410.55 |
$805 |
1.5× |
| Afp maternal serum (82105) |
$63.24 |
$124 |
3.8× |
| Agglutinins febrile ea antigen (86000) |
$22.44 |
$44 |
3.2× |
| Albumin body fluid (82042) |
$22.44 |
$44 |
2.9× |
| Albumin serum (82040) |
$19.38 |
$38 |
3.9× |
| Albumin; ischemia modified Facility (82045) |
$97.41 |
$191 |
2.9× |
| Aldolase (82085) |
$39.27 |
$77 |
4.0× |
| Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone… (80408) |
$358.53 |
$703 |
2.9× |
| Aldosterone urine (82088) |
$116.79 |
$229 |
2.9× |
| Alkaline phosphatase isoenzymes (84080) |
$42.84 |
$84 |
2.9× |
| Allergen peanut (86003) |
$16.32 |
$32 |
3.1× |
| Allergen spec ige qual multiallergen screen (86005) |
$18.36 |
$36 |
2.3× |
| Allergen specific igg (86001) |
$17.34 |
$34 |
2.2× |
| Allg Spec Ige Recomb Ea (86008) |
$31.62 |
$62 |
1.8× |
| Alpha-1-antitrypsin phenotype (82104) |
$41.82 |
$82 |
2.9× |
| Alpha-1-antitrypsin, total (82103) |
$38.25 |
$75 |
2.8× |
| Alpha-Fetoprotein L3 (82107) |
$202.98 |
$398 |
3.2× |
| Alpha-Fetoprotein; Amniotic (82106) |
$48.45 |
$95 |
2.9× |
| Alt (sgpt) (84460) |
$27.03 |
$53 |
5.1× |
| Aluminum (82108) |
$76.50 |
$150 |
3.0× |
| Amikacin trough (80150) |
$52.02 |
$102 |
3.4× |
| Amines vaginal fluid qual (82120) |
$8.67 |
$17 |
1.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$48.45 |
$95 |
2.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$37.74 |
$74 |
2.2× |
| Amino Acids Quant 2-5 (82136) |
$31.62 |
$62 |
1.6× |
| Amino Acids, Multiple Qual (82128) |
$40.29 |
$79 |
2.9× |
| Amino acids; single, qualitative, each specimen Facility (82127) |
$40.29 |
$79 |
2.8× |
| Aminolevulinic acid (ala) (82135) |
$48.45 |
$95 |
2.9× |
| Amniotic fluid enzyme test (84081) |
$47.94 |
$94 |
2.9× |
| Amniotic fluid scan (82143) |
$23.97 |
$47 |
2.6× |
| Amylase urine (82150) |
$33.15 |
$65 |
5.1× |
| Ana titer (86039) |
$38.76 |
$76 |
3.5× |
| Analysis nerve (88356) |
$286.11 |
$561 |
4.7× |
| Analysis skeletal muscle (88355) |
$262.14 |
$514 |
1.3× |
| Androstanediol glucuronide (82154) |
$82.62 |
$162 |
2.9× |
| Angiotensin i enzyme test (82164) |
$53.04 |
$104 |
3.6× |
| Anti-phosphatidylserine antibody (86148) |
$76.50 |
$150 |
4.8× |
| Antibody aspergillus (86606) |
$44.37 |
$87 |
2.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$44.37 |
$87 |
2.9× |
| Antibody coxiella burnetii q fever (86638) |
$35.19 |
$69 |
2.9× |
| Antibody cytomegalovirus cmv (86644) |
$59.16 |
$116 |
4.1× |
| Antibody Encephalitis Eastern Equine (86652) |
$38.25 |
$75 |
2.9× |
| Antibody encephalitis st. louis (86653) |
$38.25 |
$75 |
2.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$45.90 |
$90 |
3.5× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$39.78 |
$78 |
3.2× |
| Antibody haemophilus influenza (86684) |
$55.08 |
$108 |
3.5× |
| Antibody helicobacter pylori (86677) |
$60.18 |
$118 |
3.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$37.74 |
$74 |
2.6× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$57.12 |
$112 |
4.2× |
| Antibody HIV-2 (86702) |
$64.77 |
$127 |
4.8× |
| Antibody hla class ii semiquantitative panel (86835) |
$922.08 |
$1,808 |
2.9× |
| Antibody identification (86870) |
$324.36 |
$636 |
0.8× |
| Antibody identification leukocyte antibodies (86021) |
$47.43 |
$93 |
3.2× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$72.42 |
$142 |
5.8× |
| Antibody influenza virus (86710) |
$42.84 |
$84 |
3.2× |
| Antibody john cunningham virus (86711) |
$38.25 |
$75 |
2.3× |
| Antibody leishmania (86717) |
$35.70 |
$70 |
2.9× |
| Antibody Listeria Monocytogenes (86723) |
$38.25 |
$75 |
2.9× |
| Antibody mumps (86735) |
$49.98 |
$98 |
3.8× |
| Antibody neisseria meningitidis (86741) |
$38.25 |
$75 |
2.9× |
| Antibody Protozoa Nes (86753) |
$42.84 |
$84 |
3.5× |
| Antibody screen (86850) |
$94.86 |
$186 |
9.7× |
| Antibody treponema pallidum (86780) |
$44.37 |
$87 |
3.4× |
| Antibody; campylobacter (86625) |
$37.74 |
$74 |
2.9× |
| Antibody; Coccidioides (86635) |
$33.15 |
$65 |
2.9× |
| Antibody; HTLV-II Facility (86688) |
$39.78 |
$78 |
2.8× |
| Antigen typing (86905) |
$324.36 |
$636 |
84.7× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$288.66 |
$566 |
55.7× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$18.87 |
$37 |
1.6× |
| Antinuclear antibodies (86038) |
$51.51 |
$101 |
4.3× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$18.36 |
$36 |
3.2× |
| Antistreptolysin o titer (86060) |
$31.11 |
$61 |
4.3× |
| Antithrombin iii activity (85300) |
$48.96 |
$96 |
4.1× |
| Antithrombin iii antigen (85301) |
$43.35 |
$85 |
4.0× |
| Aortic dysfunction/dilation dup/del analysis (81411) |
$2,045.61 |
$4,011 |
1.5× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) |
$915.96 |
$1,796 |
1.8× |
| APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known… (81202) |
$424.32 |
$832 |
1.5× |
| Apc gene dup/delet variants (81203) |
$624.24 |
$1,224 |
3.1× |
| Apc gene full sequence (81201) |
$1,181.67 |
$2,317 |
1.5× |
| Apolipoprotein each (82172) |
$51.51 |
$101 |
2.4× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$18.87 |
$37 |
1.6× |
| Aquaporin-4 antibody flow cytometry each (86053) |
$122.40 |
$240 |
3.2× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) |
$449.82 |
$882 |
1.5× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) |
$174.93 |
$343 |
1.3× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) |
$276.42 |
$542 |
1.5× |
| Arsenic Urine (82175) |
$56.10 |
$110 |
3.0× |
| Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia,… (81412) |
$3,709.23 |
$7,273 |
1.5× |
| Aspa gene analysis common variants (81200) |
$71.91 |
$141 |
1.5× |
| Aspergillus ag eia (87305) |
$70.38 |
$138 |
5.9× |
| Assay 17-(17-Ks)Ketosteroids (83586) |
$37.23 |
$73 |
2.9× |
| Assay Biovlbl Testosterone Direct Measurement (84410) |
$115.77 |
$227 |
2.3× |
| Assay direct measurement free estradiol (82681) |
$188.19 |
$369 |
6.7× |
| Assay galactose transferase (82775) |
$60.69 |
$119 |
2.9× |
| Assay Lipoprotein Pla2 (83698) |
$102.51 |
$201 |
2.2× |
| Assay myeloperoxidase (83876) |
$97.41 |
$191 |
1.9× |
| Assay Nephelometry Not Spec (83883) |
$63.75 |
$125 |
4.7× |
| Assay neurofilament light chain (83884) |
$1,222.47 |
$2,397 |
10.5× |
| Assay of 17-hydroxypregnenolone (84143) |
$69.36 |
$136 |
3.0× |
| Assay of 5-hiaa (83497) |
$48.45 |
$95 |
3.8× |
| Assay of ammonia (82140) |
$57.12 |
$112 |
3.9× |
| Assay of androstenedione (82157) |
$83.64 |
$164 |
2.9× |
| Assay of anti-mullerian hormone (82166) |
$59.16 |
$116 |
1.5× |
| Assay of biotinidase (82261) |
$31.62 |
$62 |
1.9× |
| Assay of c-peptide (84681) |
$71.40 |
$140 |
3.4× |
| Assay of ceruloplasmin (82390) |
$48.45 |
$95 |
4.5× |
| Assay of citrate (82507) |
$78.54 |
$154 |
2.8× |
| Assay of corticosterone (82528) |
$64.77 |
$127 |
2.9× |
| Assay of cpk in blood (82552) |
$38.76 |
$76 |
2.9× |
| Assay of creatine (82540) |
$23.46 |
$46 |
5.1× |
| Assay of cyclosporine (80158) |
$64.77 |
$127 |
3.6× |
| Assay of dibucaine number (82638) |
$35.70 |
$70 |
2.9× |
| Assay of erythropoietin (82668) |
$77.52 |
$152 |
4.1× |
| Assay of estrone (82679) |
$59.67 |
$117 |
2.4× |
| Assay of ethosuximide (80168) |
$47.43 |
$93 |
2.9× |
| Assay of etiocholanolone (82696) |
$67.32 |
$132 |
2.6× |
| Assay of ferritin (82728) |
$54.06 |
$106 |
4.0× |
| Assay of g6pd enzyme (82955) |
$31.11 |
$61 |
3.2× |
| Assay of gammaglobulin igm (82784) |
$39.27 |
$77 |
4.2× |
| Assay of gastrin (82941) |
$61.20 |
$120 |
3.5× |
| Assay of gentamicin (80170) |
$52.02 |
$102 |
3.2× |
| Assay of homocystine (83090) |
$58.14 |
$114 |
3.2× |
| Assay of lactic acid (83605) |
$44.88 |
$88 |
3.9× |
| Assay of lipoprotein(a) (83695) |
$41.82 |
$82 |
2.9× |
| Assay of manganese (83785) |
$70.89 |
$139 |
2.7× |
| Assay of metanephrines (83835) |
$68.34 |
$134 |
4.0× |
| Assay of osteocalcin (83937) |
$85.68 |
$168 |
2.9× |
| Assay of phenobarbital (80184) |
$48.45 |
$95 |
3.2× |
| Assay of phosphatase acid total (84060) |
$21.42 |
$42 |
2.8× |
| Assay of prealbumin (84134) |
$51.51 |
$101 |
3.5× |
| Assay of procainamide (80190) |
$91.29 |
$179 |
1.5× |
| Assay of proinsulin (84206) |
$64.26 |
$126 |
2.4× |
| Assay of prolactin (84146) |
$86.70 |
$170 |
4.5× |
| Assay of prostate specific antigen complexed (84152) |
$58.65 |
$115 |
3.2× |
| Assay of pyruvate (84210) |
$31.62 |
$62 |
2.2× |
| Assay of semen fructose (82757) |
$49.98 |
$98 |
2.9× |
| Assay of serotonin (84260) |
$134.64 |
$264 |
4.3× |
| Assay of tacrolimus (80197) |
$55.59 |
$109 |
4.0× |
| Assay of topiramate (80201) |
$58.65 |
$115 |
4.9× |
| Assay of transcortin (84449) |
$52.02 |
$102 |
2.9× |
| Assay of Tyrosine (84510) |
$23.97 |
$47 |
2.3× |
| Assay of urine vma (84585) |
$44.37 |
$87 |
2.9× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$97.41 |
$191 |
2.9× |
| Assay of vitamin k (84597) |
$54.57 |
$107 |
4.0× |
| Assay of volatiles (84600) |
$46.41 |
$91 |
2.7× |
| Assay Phosphatase Acid Prostatic (84066) |
$38.76 |
$76 |
4.0× |
| Assay Phosphohexose Enzymes (84087) |
$36.21 |
$71 |
3.4× |
| Asst Oocy Fert Micr >10|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON… (89281) |
$409.53 |
$803 |
2.1× |
| Asstd oocyte fert 10 or less (89280) |
$813.45 |
$1,595 |
0.9× |
| Ast (sgot) (84450) |
$22.44 |
$44 |
4.3× |
| ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) |
$452.37 |
$887 |
1.9× |
| Asxl1 gene analysis full gene sequence (81175) |
$1,071 |
$2,100 |
1.6× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) |
$204.51 |
$401 |
1.5× |
| Atomic Absorption (82190) |
$35.70 |
$70 |
2.2× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) |
$204.51 |
$401 |
1.5× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) |
$204.51 |
$401 |
1.5× |
| Atxn2 Gene Detc Abnor Allele (81179) |
$204.51 |
$401 |
1.5× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) |
$204.51 |
$401 |
1.5× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) |
$204.51 |
$401 |
1.5× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) |
$204.51 |
$401 |
1.5× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) |
$1,279.59 |
$2,509 |
1.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) |
$324.36 |
$636 |
1.6× |
| B cells total count (86355) |
$114.75 |
$225 |
3.0× |
| B-hexosaminidase ea assay (83080) |
$31.62 |
$62 |
1.9× |
| Bartonella antibody (86611) |
$29.58 |
$58 |
2.9× |
| Bartonella PCR (87471) |
$100.47 |
$197 |
2.9× |
| BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis,… (81205) |
$144.33 |
$283 |
1.5× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) |
$417.18 |
$818 |
1.9× |
| Bcr/abl1 gene major bp (81206) |
$494.70 |
$970 |
3.0× |
| Bcr/abl1 gene minor bp (81207) |
$472.26 |
$926 |
3.3× |
| Beta 2 glycoprotein 1 igm (86146) |
$90.27 |
$177 |
3.5× |
| Beta hydroxybutyrate (82010) |
$48.45 |
$95 |
5.9× |
| Beta lactamase (87185) |
$20.40 |
$40 |
4.3× |
| Beta-2 microglobulin (82232) |
$63.24 |
$124 |
3.9× |
| Beta-amyloid; 1-42 (abeta 42) (82234) |
$724.71 |
$1,421 |
5.6× |
| Bile acids, total (82239) |
$49.47 |
$97 |
2.9× |
| Bile acids; cholylglycine Facility (82240) |
$76.50 |
$150 |
2.9× |
| Bilirubin direct (82248) |
$21.42 |
$42 |
4.3× |
| Bilirubin total (82247) |
$21.93 |
$43 |
4.4× |
| Bilirubin total transcutaneous (88720) |
$14.79 |
$29 |
2.9× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) |
$409.53 |
$803 |
2.1× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) |
$409.53 |
$803 |
2.1× |
| Bl Smear W/Diff Wbc Count (85007) |
$12.24 |
$24 |
3.2× |
| Bl Smear W/O Diff Wbc Count (85008) |
$20.40 |
$40 |
5.9× |
| Blastomyces antibody (86612) |
$37.23 |
$73 |
2.9× |
| Bld Typing Serologic Rh Phnt (86906) |
$120.36 |
$236 |
15.5× |
| Bleeding time (85002) |
$13.26 |
$26 |
2.8× |
| Blm Gene (81209) |
$59.67 |
$117 |
1.5× |
| Blood Count Automated Differential Wbc Count (85004) |
$26.01 |
$51 |
4.0× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) |
$8.67 |
$17 |
1.6× |
| Blood gas (82803) |
$63.24 |
$124 |
2.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$50.49 |
$99 |
3.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$19.38 |
$38 |
4.4× |
| Blood Ph (82800) |
$19.89 |
$39 |
1.8× |
| Blood Sulfhemoglobin Assay (83060) |
$24.48 |
$48 |
2.8× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$324.36 |
$636 |
51.1× |
| Blood typing abo (86900) |
$174.93 |
$343 |
58.5× |
| Blood typing serologic rh (d) (86901) |
$53.04 |
$104 |
17.7× |
| Body fluid cell count (89051) |
$40.29 |
$79 |
7.2× |
| Bordetella antibody (86615) |
$51 |
$100 |
3.9× |
| Bordetella pertussis dfa (87265) |
$34.68 |
$68 |
2.9× |
| Borrelia Antibody (86619) |
$38.76 |
$76 |
2.9× |
| Braf gene (81210) |
$388.11 |
$761 |
2.2× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) |
$666.57 |
$1,307 |
1.5× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) |
$698.70 |
$1,370 |
1.5× |
| Brca1 brca2 gene analysis full dup/del analysis (81164) |
$872.10 |
$1,710 |
1.5× |
| Brca1 gene analysis full dup/del analysis (81166) |
$449.82 |
$882 |
1.5× |
| Brca1 gene analysis full sequence analysis (81165) |
$422.28 |
$828 |
1.5× |
| Brca1 gene analysis known familial variant (81215) |
$568.65 |
$1,115 |
1.5× |
| Brca1&2 seq & full dup/del (81162) |
$3,619.47 |
$7,097 |
2.0× |
| Brca2 gene analysis full sequence analysis (81216) |
$280.50 |
$550 |
1.5× |
| Brca2 gene analysis known familial variant (81217) |
$568.65 |
$1,115 |
1.5× |
| Brca2 gene full dup/del alys (81167) |
$422.28 |
$828 |
1.5× |
| Brucella antibody (86622) |
$32.64 |
$64 |
3.7× |
| Btk Gene Analysis Common Variants (81233) |
$262.14 |
$514 |
1.5× |
| C diff amplified probe (87493) |
$157.08 |
$308 |
4.2× |
| C-reactive protein (86140) |
$22.44 |
$44 |
4.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$48.45 |
$95 |
3.7× |
| C1q binding assay (86332) |
$81.09 |
$159 |
3.3× |
| Ca 125 (86304) |
$84.66 |
$166 |
4.1× |
| Ca 19-9 (86301) |
$69.36 |
$136 |
3.3× |
| Ca 27 29 (86300) |
$118.83 |
$233 |
5.7× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) |
$204.51 |
$401 |
1.5× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) |
$1,263.27 |
$2,477 |
1.5× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186) |
$276.42 |
$542 |
1.5× |
| Cadmium level (82300) |
$69.87 |
$137 |
3.0× |
| Caffeine (80155) |
$58.65 |
$115 |
1.5× |
| Calcitonin (82308) |
$92.31 |
$181 |
3.4× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) |
$229.50 |
$450 |
2.9× |
| Calcium ionized (82330) |
$57.12 |
$112 |
4.2× |
| Calcium total (82310) |
$21.93 |
$43 |
4.3× |
| Calcium urine (82340) |
$25.50 |
$50 |
4.2× |
| Calculus Quantitative Chemical (82360) |
$75.48 |
$148 |
5.9× |
| Calculus spectroscopy (82365) |
$41.31 |
$81 |
3.2× |
| Calculus; qualitative analysis Facility (82355) |
$36.72 |
$72 |
3.2× |
| California encephalitis ab (86651) |
$38.25 |
$75 |
2.9× |
| Calprotectin, fecal (83993) |
$74.46 |
$146 |
3.8× |
| Calr gene com variants (81219) |
$419.73 |
$823 |
3.5× |
| Candida antibody (86628) |
$41.31 |
$81 |
3.4× |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
$1,160.25 |
$2,275 |
2.0× |
| Car Ion Chnnlpath Inc 2 Gns (81414) |
$1,160.25 |
$2,275 |
2.0× |
| Carb deficient transferrin (82373) |
$62.73 |
$123 |
3.5× |
| Carbamazepine free (80157) |
$40.29 |
$79 |
3.0× |
| Carbamazepine total (80156) |
$64.26 |
$126 |
4.4× |
| Carbon dioxide (82374) |
$20.40 |
$40 |
4.2× |
| Carboxyhemoglobin (82375) |
$56.10 |
$110 |
4.6× |
| Carcinoembryonic antigen (82378) |
$87.21 |
$171 |
4.6× |
| Cardiolipin ab igg (86147) |
$94.86 |
$186 |
3.7× |
| Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content… (81595) |
$4,907.73 |
$9,623 |
1.5× |
| Carnitine (82379) |
$45.90 |
$90 |
2.7× |
| Carotene (82380) |
$28.05 |
$55 |
3.0× |
| Catecholamines fraction plasma (82384) |
$67.32 |
$132 |
2.7× |
| Catecholamines organic nitrogen blood level (82383) |
$104.55 |
$205 |
3.6× |
| Catecholamines Total Urine (82382) |
$49.47 |
$97 |
1.8× |
| Cathepsin-d (82387) |
$34.17 |
$67 |
1.9× |
| CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative,… (81168) |
$264.69 |
$519 |
1.3× |
| Cebpa gene full sequence (81218) |
$479.91 |
$941 |
2.0× |
| Cell Cryopreserve/Storage (88240) |
$29.58 |
$58 |
2.3× |
| Cell enumeration & id (86152) |
$608.43 |
$1,193 |
2.4× |
| Cell marker study (88182) |
$441.66 |
$866 |
7.3× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
$388.11 |
$761 |
2.9× |
| CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants… (81221) |
$147.39 |
$289 |
1.5× |
| Cftr gene com variants (81220) |
$843.54 |
$1,654 |
1.5× |
| Cftr gene dup/delet variants (81222) |
$659.43 |
$1,293 |
1.5× |
| Cftr gene full sequence (81223) |
$756.33 |
$1,483 |
1.5× |
| Cftr Gene Intron Poly T (81224) |
$256.02 |
$502 |
1.5× |
| Chemiluminescent assay (82397) |
$51 |
$100 |
3.6× |
| Chg cryopreservation mature oocyte(s) (89337) |
$372.30 |
$730 |
1.9× |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
$811.92 |
$1,592 |
3.1× |
| Chimerism w/comp to baseline w/o cell selection (81267) |
$538.05 |
$1,055 |
2.6× |
| Chlamydia antibody (86631) |
$34.68 |
$68 |
2.9× |
| Chlamydia Igm Antibody (86632) |
$36.72 |
$72 |
2.9× |
| Chlamydia trachomatis ag if (87270) |
$34.68 |
$68 |
2.9× |
| Chloramphenicol (82415) |
$36.72 |
$72 |
2.9× |
| Chloride blood (82435) |
$18.87 |
$37 |
4.1× |
| Chloride feces (82438) |
$11.22 |
$22 |
2.2× |
| Chloride urine (82436) |
$24.48 |
$48 |
4.3× |
| Chlorinated hydrocarbons screen (82441) |
$17.85 |
$35 |
3.0× |
| Cholesterol HDL (83718) |
$30.09 |
$59 |
3.7× |
| Cholesterol total (82465) |
$23.46 |
$46 |
5.4× |
| Cholinesterase rbc (82482) |
$22.44 |
$44 |
2.3× |
| Cholinesterase serum (82480) |
$28.05 |
$55 |
3.6× |
| Chondroitin B sulfate, quantitative Facility (82485) |
$59.16 |
$116 |
2.9× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) |
$160.14 |
$314 |
2.9× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) |
$147.90 |
$290 |
2.9× |
| Chorionic Gonadotropin, Free Beta Chain (84704) |
$43.35 |
$85 |
2.8× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) |
$49.47 |
$97 |
1.8× |
| Chrmsm analysis addl high resolution study (88289) |
$89.76 |
$176 |
2.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$79.05 |
$155 |
2.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$388.11 |
$761 |
3.1× |
| Chromium urine (82495) |
$64.26 |
$126 |
3.2× |
| Chromogenic Substrate Assay (85130) |
$23.46 |
$46 |
2.0× |
| Chromogranin a (86316) |
$91.80 |
$180 |
4.4× |
| Chromosome analys amniotic (88269) |
$431.46 |
$846 |
2.5× |
| Chromosome analysis 20-25 cells (88264) |
$524.79 |
$1,029 |
3.6× |
| Chromosome analysis 45 cells (88263) |
$390.15 |
$765 |
2.6× |
| Chromosome Analysis 5 (88261) |
$734.91 |
$1,441 |
2.8× |
| Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) |
$270.81 |
$531 |
1.6× |
| Chromosome Banding Study (88283) |
$128.52 |
$252 |
1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$112.20 |
$220 |
3.2× |
| Ckmb (82553) |
$46.92 |
$92 |
4.1× |
| Clot Factor VIII Multimetric (85247) |
$86.70 |
$170 |
3.8× |
| Clot factor viii vw antigen (85246) |
$95.37 |
$187 |
4.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$75.48 |
$148 |
4.2× |
| Clot factor xiii fibrin stab (85290) |
$46.92 |
$92 |
2.9× |
| Clotting hi molec weight kininogen assay (85293) |
$24.48 |
$48 |
1.3× |
| Clotting Inhibitors Protein S Free (85306) |
$67.83 |
$133 |
4.4× |
| Clotting prekallikrein assay fletcher fact assay (85292) |
$24.48 |
$48 |
1.3× |
| Clozapine level (80159) |
$53.55 |
$105 |
2.7× |
| Cmv ab igm (86645) |
$64.77 |
$127 |
3.8× |
| Cmv PCR (87496) |
$167.28 |
$328 |
4.8× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) |
$204.51 |
$401 |
1.5× |
| Cns DNA amp probe type 12-25 (87483) |
$1,091.91 |
$2,141 |
2.6× |
| Coagulation time (85348) |
$11.73 |
$23 |
2.6× |
| Coagulation time activated (85347) |
$27.54 |
$54 |
6.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$104.04 |
$204 |
4.3× |
| Cold agglutinin screen (86156) |
$19.89 |
$39 |
2.5× |
| Cold agglutinin titer (86157) |
$30.60 |
$60 |
3.8× |
| Collagen cross links (82523) |
$69.36 |
$136 |
3.7× |
| Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone… (80418) |
$1,599.87 |
$3,137 |
2.8× |
| Comparative anal str markers patient&comp spec (81265) |
$557.94 |
$1,094 |
2.4× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) |
$462.06 |
$906 |
1.5× |
| Compatibility test antiglob (86922) |
$194.31 |
$381 |
1.0× |
| Complement c3 (86160) |
$46.92 |
$92 |
3.9× |
| Complement total (ch50) (86162) |
$73.95 |
$145 |
3.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$59.16 |
$116 |
4.9× |
| Comprehensive review of data (88325) |
$110.16 |
$216 |
0.6× |
| Concentration Infectious Agent (87015) |
$41.31 |
$81 |
6.2× |
| Coombs direct (86880) |
$60.69 |
$119 |
11.3× |
| Copper urine (82525) |
$51.51 |
$101 |
4.2× |
| Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral… (81493) |
$1,590.69 |
$3,119 |
1.5× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) |
$1,214.31 |
$2,381 |
1.5× |
| Cortisol free (82530) |
$56.10 |
$110 |
3.4× |
| Cortisol total (82533) |
$64.77 |
$127 |
4.0× |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) |
$34.68 |
$68 |
2.9× |
| Creatine kinase total (82550) |
$27.03 |
$53 |
4.2× |
| Creatinine blood (82565) |
$27.54 |
$54 |
5.4× |
| Creatinine clearance (82575) |
$30.09 |
$59 |
3.2× |
| Creatinine other source (82570) |
$22.44 |
$44 |
4.3× |
| Crossmatch immediate spin (86920) |
$194.31 |
$381 |
1.0× |
| Cryofibrinogen (82585) |
$28.05 |
$55 |
2.0× |
| Cryoglobulin (82595) |
$30.09 |
$59 |
4.7× |
| Cryopreservation sperm (89259) |
$409.53 |
$803 |
2.1× |
| Cryopreservation, reproductive tissue, testicular Non-Facility (89335) |
$110.16 |
$216 |
1.8× |
| Cryptococcus antibody (86641) |
$49.98 |
$98 |
3.5× |
| Crystals body fluid (89060) |
$42.33 |
$83 |
5.8× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) |
$204.51 |
$401 |
1.5× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) |
$410.55 |
$805 |
1.5× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190) |
$276.42 |
$542 |
1.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$52.02 |
$102 |
6.4× |
| Culture Aerobic Identify (87077) |
$45.90 |
$90 |
5.7× |
| Culture aerobic quant other (87071) |
$51.51 |
$101 |
5.2× |
| Culture afb (87116) |
$63.24 |
$124 |
5.9× |
| Culture anaerobic (87075) |
$61.20 |
$120 |
6.5× |
| Culture Bacteria Anaerobic (87073) |
$55.59 |
$109 |
5.8× |
| Culture blood (87040) |
$72.93 |
$143 |
7.1× |
| Culture chlamydia (87110) |
$56.10 |
$110 |
2.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$39.27 |
$77 |
5.1× |
| Culture fungus blood (87103) |
$49.98 |
$98 |
2.4× |
| Culture fungus id yeast (87106) |
$64.77 |
$127 |
6.3× |
| Culture fungus other (87102) |
$59.67 |
$117 |
7.1× |
| Culture genital (87070) |
$61.71 |
$121 |
7.2× |
| Culture screen only (87081) |
$41.31 |
$81 |
6.2× |
| Culture stool (87045) |
$57.12 |
$112 |
6.1× |
| Culture typing if ea antiserum (87140) |
$22.44 |
$44 |
4.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$26.52 |
$52 |
5.1× |
| Culture typing other methods (87158) |
$30.60 |
$60 |
4.0× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) |
$220.32 |
$432 |
6.3× |
| Culture urine (87086) |
$46.92 |
$92 |
5.8× |
| Culture virus (87252) |
$92.82 |
$182 |
3.6× |
| Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) |
$44.88 |
$88 |
3.6× |
| Culture, typing; identification by pulse field gel typing Facility (87152) |
$15.30 |
$30 |
2.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
$333.03 |
$653 |
2.9× |
| Cyanide (82600) |
$55.59 |
$109 |
2.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
$41.31 |
$81 |
2.9× |
| Cyclic amp (82030) |
$74.46 |
$146 |
2.9× |
| Cyclic Citrullinated Peptide (86200) |
$51 |
$100 |
3.9× |
| Cyp2c19 gene com variants (81225) |
$666.06 |
$1,306 |
2.3× |
| Cyp2c9 gene com variants (81227) |
$333.03 |
$653 |
1.9× |
| Cyp2d6 gene com variants (81226) |
$858.84 |
$1,684 |
1.9× |
| Cyp3a4 (81230) |
$265.20 |
$520 |
1.5× |
| Cyp3a5 (81231) |
$265.20 |
$520 |
1.5× |
| Cystatin c (82610) |
$48.45 |
$95 |
2.6× |
| Cysticercosis Antibody (86682) |
$60.69 |
$119 |
4.7× |
| Cytogen micrarray copy nmbr (81228) |
$1,363.23 |
$2,673 |
1.5× |
| Cytogenetics 10-30 (88273) |
$83.64 |
$164 |
2.4× |
| Cytogenetics 100-300 (88275) |
$197.88 |
$388 |
3.9× |
| Cytogenetics DNA probe (88271) |
$99.96 |
$196 |
4.7× |
| Cytogenom const microarray copy number&snp var (81229) |
$1,757.46 |
$3,446 |
1.5× |
| Cytogenomic neo microra alys (81277) |
$1,626.90 |
$3,190 |
1.4× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$228.99 |
$449 |
5.3× |
| Cytopath cell enhance tech (88112) |
$171.36 |
$336 |
2.8× |
| Cytopath Fl Nongyn Filter (88106) |
$141.78 |
$278 |
4.2× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$103.02 |
$202 |
2.4× |
| Cytopath Smear Other Source (88160) |
$83.13 |
$163 |
2.5× |
| Cytopath Tbs Cerv/Vag Manual (88164) |
$27.54 |
$54 |
1.5× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) |
$55.59 |
$109 |
2.2× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) |
$53.04 |
$104 |
2.3× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) |
$64.26 |
$126 |
1.5× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) |
$22.44 |
$44 |
1.5× |
| Cytotoxic pra quick (86808) |
$58.65 |
$115 |
2.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$80.58 |
$158 |
3.0× |
| Cytp concentration smears & interpretation (88108) |
$158.61 |
$311 |
3.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$198.90 |
$390 |
3.3× |
| Cytp fna eval dx 1st each site (88172) |
$225.42 |
$442 |
1.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$1,222.47 |
$2,397 |
6.2× |
| Cytp Insitu Hybrid Urne Spec 3-5 Probes Cptr Ea (88121) |
$1,058.76 |
$2,076 |
5.4× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
$27.54 |
$54 |
1.5× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$121.89 |
$239 |
2.0× |
| D-Dimer (85378) |
$20.91 |
$41 |
2.2× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) |
$31.11 |
$61 |
2.9× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) |
$20.40 |
$40 |
1.8× |
| Deoxycortisol (82634) |
$65.28 |
$128 |
2.2× |
| Deoxyribonuclease antibody (86215) |
$42.84 |
$84 |
3.2× |
| Desoxycorticosterone (82633) |
$69.36 |
$136 |
2.2× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
$126.48 |
$248 |
2.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$58.65 |
$115 |
3.5× |
| Detect agnt mult DNA ampli (87801) |
$284.07 |
$557 |
4.0× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) |
$245.31 |
$481 |
1.5× |
| Dgp antibody each ig class (86258) |
$21.42 |
$42 |
1.8× |
| Dhea (82626) |
$93.84 |
$184 |
3.7× |
| Dhea-sulfate (82627) |
$69.87 |
$137 |
3.1× |
| Digoxin (80162) |
$59.67 |
$117 |
4.5× |
| Digoxin free (80163) |
$39.27 |
$77 |
3.0× |
| Dihydrotestosterone (82642) |
$46.41 |
$91 |
1.6× |
| Dilantin (80185) |
$30.09 |
$59 |
2.3× |
| Diphtheria antitoxoid (86648) |
$35.70 |
$70 |
2.3× |
| Dipropylacetic acid free (80165) |
$52.02 |
$102 |
3.8× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) |
$49.47 |
$97 |
1.4× |
| Dmd dup/delet analysis (81161) |
$422.79 |
$829 |
1.5× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) |
$410.55 |
$805 |
1.5× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) |
$204.51 |
$401 |
1.5× |
| Dna Antibody Single Stranded (86226) |
$32.13 |
$63 |
2.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$49.47 |
$97 |
3.6× |
| DNA/RNA direct probe (87149) |
$63.75 |
$125 |
3.2× |
| Dpyd gene common variants (81232) |
$223.38 |
$438 |
1.3× |
| Drug assay adalimumab (80145) |
$65.28 |
$128 |
1.7× |
| Drug Assay Amiodarone (80151) |
$28.56 |
$56 |
1.5× |
| Drug Assay Infliximab (80230) |
$65.28 |
$128 |
1.7× |
| Drug assay itraconazole (80189) |
$41.82 |
$82 |
1.5× |
| Drug Assay Lacosamide (80235) |
$45.90 |
$90 |
1.7× |
| Drug assay leflunomide (80193) |
$70.89 |
$139 |
1.8× |
| Drug assay methotrexate (80204) |
$93.84 |
$184 |
2.4× |
| Drug assay posaconazole (80187) |
$41.82 |
$82 |
1.5× |
| Drug assay vedolizumab (80280) |
$57.12 |
$112 |
1.5× |
| Drug assay voriconazole (80285) |
$45.90 |
$90 |
1.7× |
| Drug quant nes (80299) |
$93.33 |
$183 |
5.0× |
| Drug screen quant zonisamide (80203) |
$41.31 |
$81 |
3.1× |
| Drug Screen Quantitative Lamotrigine (80175) |
$46.92 |
$92 |
3.5× |
| Drug Screen Quantitative Lidocaine (80176) |
$44.37 |
$87 |
3.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$48.45 |
$95 |
3.7× |
| Drug Scrn Quan Levetiracetam (80177) |
$64.26 |
$126 |
4.8× |
| Drug test prsmv chem anlyzr (80307) |
$153.51 |
$301 |
2.5× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$30.60 |
$60 |
2.4× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) |
$46.41 |
$91 |
2.7× |
| E test (87181) |
$28.05 |
$55 |
5.9× |
| Ebv viral capsid (86665) |
$64.77 |
$127 |
3.6× |
| Egfr Gene Analysis Common Variants (81235) |
$627.81 |
$1,231 |
1.9× |
| Ehrlichia antibody (86666) |
$29.58 |
$58 |
2.9× |
| Elastase pancreatic fecal quantitative (82653) |
$35.70 |
$70 |
1.6× |
| Electrolyte panel (80051) |
$26.01 |
$51 |
3.7× |
| Electron microscopy diagnostic (88348) |
$992.46 |
$1,946 |
1.1× |
| Electronic crossmatch (86923) |
$225.42 |
$442 |
1.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$93.33 |
$183 |
1.5× |
| Encephalitis Western Equine (86654) |
$38.25 |
$75 |
2.9× |
| Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) |
$122.91 |
$241 |
1.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$18.87 |
$37 |
1.6× |
| Entamoeba histolytica antigen (87337) |
$43.86 |
$86 |
3.7× |
| Enterovirus antibody (86658) |
$45.39 |
$89 |
3.5× |
| Enterovirus Pcr (87498) |
$139.23 |
$273 |
4.0× |
| Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each… (82658) |
$66.81 |
$131 |
1.5× |
| Enzyme cell activity (82657) |
$200.68 |
$393.50 |
9.1× |
| Enzyme histochemistry (88319) |
$813.45 |
$1,595 |
0.9× |
| Eosinophil count (85048) |
$15.30 |
$30 |
6.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$56.10 |
$110 |
3.7× |
| Estradiol (82670) |
$106.59 |
$209 |
3.8× |
| Estriol serum (82677) |
$69.36 |
$136 |
2.9× |
| Estrogens fractionated (82671) |
$97.41 |
$191 |
3.0× |
| Estrogens total (82672) |
$62.73 |
$123 |
2.9× |
| Ethylene glycol (82693) |
$33.15 |
$65 |
2.2× |
| Euglobulin lysis (85360) |
$24.48 |
$48 |
2.9× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$202.98 |
$398 |
2.1× |
| Everolimus (80169) |
$66.30 |
$130 |
4.8× |
| Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome… (81417) |
$485.01 |
$951 |
1.5× |
| Exome sequence analysis (81415) |
$7,240.47 |
$14,197 |
1.5× |
| Exome sequence analysis each comparator exome (81416) |
$18,176.40 |
$35,640 |
1.5× |
| Extended culture of oocyte(s)/embryo(s), 4-7 days Non-Facility (89272) |
$813.45 |
$1,595 |
0.9× |
| Ezh2 Gene Analysis Common Variants (81237) |
$262.14 |
$514 |
1.5× |
| Ezh2 gene analysis full gene sequence (81236) |
$422.28 |
$828 |
1.5× |
| F2 gene analysis 20210g >a variant (81240) |
$190.74 |
$374 |
2.9× |
| F5 gene analysis, leiden variant (81241) |
$252.96 |
$496 |
3.4× |
| F9 full gene sequence (81238) |
$765 |
$1,500 |
1.3× |
| Factor ii activity (85210) |
$33.66 |
$66 |
2.6× |
| Factor inhibitor test (85335) |
$44.37 |
$87 |
3.4× |
| Factor ix activity (85250) |
$69.36 |
$136 |
3.6× |
| Factor v activity (85220) |
$57.12 |
$112 |
3.2× |
| Factor vii assay (85230) |
$45.90 |
$90 |
2.6× |
| Factor viii ahg (85240) |
$74.97 |
$147 |
4.2× |
| Factor viii related antigen (85244) |
$58.65 |
$115 |
2.9× |
| Factor xi assay (85270) |
$78.54 |
$154 |
4.4× |
| Factor xii assay (85280) |
$64.26 |
$126 |
3.3× |
| Factor xiii solubility screen (85291) |
$33.66 |
$66 |
3.7× |
| Fancc Gene (81242) |
$55.59 |
$109 |
1.5× |
| Fat differential, feces, quantitative Facility (82715) |
$35.19 |
$69 |
1.5× |
| Fatty acids free (82725) |
$30.09 |
$59 |
1.6× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$22.44 |
$44 |
2.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$38.25 |
$75 |
2.2× |
| Fecal fat qual (82705) |
$17.85 |
$35 |
3.5× |
| Fecal fat quant (82710) |
$48.45 |
$95 |
2.9× |
| Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm… (81507) |
$1,204.62 |
$2,362 |
1.5× |
| Fetal bleed screen (85461) |
$20.40 |
$40 |
2.2× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) |
$1,150.05 |
$2,255 |
1.5× |
| Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) |
$1,160.25 |
$2,275 |
1.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) |
$215.73 |
$423 |
1.4× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) |
$105.57 |
$207 |
1.5× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) |
$84.15 |
$165 |
1.5× |
| Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) |
$2,253.18 |
$4,418 |
1.5× |
| Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum,… (81508) |
$82.62 |
$162 |
1.5× |
| Fetal fibronectin (82731) |
$184.11 |
$361 |
2.9× |
| Fetal lung maturity assessment; foam stability test Facility (83662) |
$54.57 |
$107 |
2.9× |
| Fetal Lung Maturity Fluorescence Polarization (83663) |
$54.57 |
$107 |
2.9× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) |
$49.98 |
$98 |
2.3× |
| Fetal screen (83030) |
$24.48 |
$48 |
2.3× |
| Fibrin degradation products (85362) |
$20.40 |
$40 |
3.0× |
| Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or… (85380) |
$32.13 |
$63 |
3.2× |
| Fibrin Degradation Quant (85379) |
$64.77 |
$127 |
6.4× |
| Fibrinogen activity (85384) |
$50.49 |
$99 |
5.2× |
| Fibrinogen antigen (85385) |
$23.46 |
$46 |
1.6× |
| Fibrinogen Test (85366) |
$121.89 |
$239 |
1.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$27.03 |
$53 |
1.7× |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) |
$25.50 |
$50 |
3.3× |
| Flow cytometry first marker (88184) |
$340.68 |
$668 |
0.8× |
| Flt3 gene analysis (81245) |
$315.69 |
$619 |
1.9× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) |
$121.38 |
$238 |
1.5× |
| Fluorescent Antibody Screen (86255) |
$68.34 |
$134 |
5.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$209.10 |
$410 |
17.4× |
| Fluoride (82735) |
$64.26 |
$126 |
3.5× |
| Fmr1 gene charac alleles (81244) |
$68.34 |
$134 |
1.5× |
| Fmr1 gene detection (81243) |
$86.70 |
$170 |
1.5× |
| Folate serum (82746) |
$60.69 |
$119 |
4.1× |
| Folic acid rbc (82747) |
$60.18 |
$118 |
3.4× |
| Follicle Stimulating Hormone (83001) |
$70.89 |
$139 |
3.8× |
| Forensic (investigation) examination of specimen (88125) |
$262.14 |
$514 |
4.3× |
| Francisella tularensis (86668) |
$30.09 |
$59 |
2.1× |
| Frozen blood each unit thawing (86931) |
$324.36 |
$636 |
1.6× |
| Frozen blood prep (86930) |
$324.36 |
$636 |
1.6× |
| Frozen Section (88331) |
$273.87 |
$537 |
1.4× |
| Fructosamine (82985) |
$33.66 |
$66 |
2.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$46.41 |
$91 |
4.5× |
| FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) |
$276.42 |
$542 |
1.5× |
| Fxn Gene Analysis Characterization Alleles (81285) |
$410.55 |
$805 |
1.5× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) |
$204.51 |
$401 |
1.5× |
| Fxn Gene Analysis Full Gene Sequence (81286) |
$410.55 |
$805 |
1.5× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) |
$88.74 |
$174 |
1.5× |
| G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) |
$568.65 |
$1,115 |
1.5× |
| G6pd gene alys cmn variant (81247) |
$265.20 |
$520 |
1.5× |
| G6pd gene analysis full gene sequence (81249) |
$908.82 |
$1,782 |
1.5× |
| G6pd Screen (82960) |
$36.21 |
$71 |
6.0× |
| Gabapentin (80171) |
$44.37 |
$87 |
2.0× |
| Galactokinase (82759) |
$61.71 |
$121 |
2.9× |
| Galactose (82760) |
$32.13 |
$63 |
2.9× |
| Galactose transferase test (82776) |
$24.48 |
$48 |
2.1× |
| Galectin-3 serum (82777) |
$75.99 |
$149 |
1.7× |
| Gammaglobulin ige (82785) |
$63.24 |
$124 |
3.8× |
| Gardner vag DNA dir probe (87510) |
$57.63 |
$113 |
2.9× |
| Gardner Vag Dna Quant (87512) |
$119.85 |
$235 |
2.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$44.37 |
$87 |
4.5× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) |
$159.63 |
$313 |
2.0× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) |
$12.75 |
$25 |
1.9× |
| Gastrin after secretin stim (82938) |
$50.49 |
$99 |
2.9× |
| Gba Gene (81251) |
$71.91 |
$141 |
1.5× |
| Gc Dna Probe (87590) |
$57.63 |
$113 |
2.1× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$1,247.46 |
$2,446 |
1.6× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$4,094.79 |
$8,029 |
1.4× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) |
$838.95 |
$1,645 |
1.4× |
| Genetic Tstg Severe Inh Cond (81443) |
$3,654.15 |
$7,165 |
1.5× |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427) |
$2,980.95 |
$5,845 |
1.3× |
| Genome sequence analysis (81425) |
$6,414.78 |
$12,578 |
1.3× |
| Genome sequence analysis each comparator genome (81426) |
$3,455.25 |
$6,775 |
1.3× |
| Genotype cytomegalovirus (87910) |
$806.82 |
$1,582 |
3.1× |
| Ggt (82977) |
$25.50 |
$50 |
3.5× |
| Gh suppression panel (80430) |
$222.87 |
$437 |
1.7× |
| Giardia antigen eia stool (87329) |
$41.82 |
$82 |
3.5× |
| Giardia lamblia antibody (86674) |
$42.33 |
$83 |
2.9× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) |
$93.33 |
$183 |
1.5× |
| Gjb2 gene full sequence (81252) |
$153.51 |
$301 |
1.5× |
| GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants… (81254) |
$53.04 |
$104 |
1.5× |
| Glucagon (82943) |
$44.37 |
$87 |
3.1× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) |
$132.09 |
$259 |
2.9× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) |
$108.63 |
$213 |
2.2× |
| Glucagon tolerance test Facility (82946) |
$43.35 |
$85 |
2.4× |
| Glucose (82947) |
$16.83 |
$33 |
4.3× |
| Glucose Blood Test (82962) |
$10.20 |
$20 |
3.1× |
| Glucose body fluid (82945) |
$16.32 |
$32 |
4.2× |
| Glucose post dose (82950) |
$23.97 |
$47 |
5.0× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$14.28 |
$28 |
3.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$54.06 |
$106 |
4.2× |
| Glucosidase beta (82963) |
$74.46 |
$146 |
3.5× |
| Glutamate dehydrogenase Facility (82965) |
$22.44 |
$44 |
1.7× |
| Glutathione (82978) |
$49.47 |
$97 |
3.2× |
| Glutathione reductase, RBC Facility (82979) |
$20.40 |
$40 |
2.2× |
| Gonadotropin releasing hormone (83727) |
$49.47 |
$97 |
2.9× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) |
$394.74 |
$774 |
2.7× |
| Growth hormone (83003) |
$87.21 |
$171 |
5.2× |
| Growth hormone stim panel (80428) |
$189.21 |
$371 |
2.8× |
| Growth stimulation expressed gene 2 (83006) |
$114.75 |
$225 |
1.5× |
| H pylori breath test (83013) |
$192.78 |
$378 |
2.9× |
| Haloperidol (haldol) (80173) |
$42.33 |
$83 |
2.7× |
| Haptoglobin (83010) |
$44.88 |
$88 |
3.6× |
| HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) |
$568.65 |
$1,115 |
1.5× |
| Hba1/hba2 full gene sequence (81259) |
$765 |
$1,500 |
1.3× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) |
$186.15 |
$365 |
1.8× |
| Hba1/hba2 gene dup/del vrnts (81269) |
$309.57 |
$607 |
1.5× |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) |
$568.65 |
$1,115 |
1.5× |
| Hbb Common Variants (81361) |
$265.20 |
$520 |
1.5× |
| Hbb duplication/deletion variants (81363) |
$307.02 |
$602 |
1.5× |
| Hbb Full Gene Sequence (81364) |
$414.12 |
$812 |
1.3× |
| Hcg qualitative (84703) |
$38.76 |
$76 |
5.2× |
| Hcg quant (84702) |
$72.93 |
$143 |
4.8× |
| Hearing Loss Dup/Del Analysis (81431) |
$1,029.69 |
$2,019 |
1.5× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) |
$2,461.77 |
$4,827 |
1.5× |
| Heavy Metal Qualitative Any Analytes (83015) |
$54.06 |
$106 |
2.6× |
| Heavy metal quant each (83018) |
$49.47 |
$97 |
2.3× |
| Heinz Bodies; Direct - Heinz Body Stain (85441) |
$12.75 |
$25 |
3.0× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) |
$192.78 |
$378 |
2.9× |
| Hemagglutination inhibition test (HAI) Facility (86280) |
$23.97 |
$47 |
2.9× |
| Hematocrit (85014) |
$16.32 |
$32 |
6.9× |
| Hematocrit spun (85013) |
$10.71 |
$21 |
1.5× |
| Hemoglobin (85018) |
$16.32 |
$32 |
6.9× |
| Hemoglobin (Hgb), quantitative, transcutaneous Facility (88738) |
$28.05 |
$55 |
5.6× |
| Hemoglobin a1c (83036) |
$36.72 |
$72 |
3.8× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$88.23 |
$173 |
4.9× |
| Hemoglobin electrophoresis (83020) |
$38.76 |
$76 |
3.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$14.79 |
$29 |
1.9× |
| Hemoglobin plasma (83051) |
$35.19 |
$69 |
4.8× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) |
$14.28 |
$28 |
1.5× |
| Hemoglobin stability screen (83068) |
$40.80 |
$80 |
4.3× |
| Hemoglobin urine (83069) |
$12.24 |
$24 |
3.1× |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) |
$14.28 |
$28 |
1.5× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) |
$28.05 |
$55 |
2.9× |
| Hemoglobin; thermolabile Facility (83065) |
$20.40 |
$40 |
2.3× |
| Hemolysins and agglutinins; incubated Facility (86941) |
$42.33 |
$83 |
3.5× |
| Hemolysins/agglutinins auto screen (86940) |
$28.56 |
$56 |
3.3× |
| Hemosiderin urine (83070) |
$14.28 |
$28 |
3.0× |
| Heparin assay (85520) |
$60.69 |
$119 |
4.6× |
| Heparin neutralization (85525) |
$34.68 |
$68 |
2.9× |
| Heparin-protamine tolerance test Facility (85530) |
$46.41 |
$91 |
3.5× |
| Hepatitis a antibody total (86708) |
$47.43 |
$93 |
3.8× |
| Hepatitis a igm (86709) |
$48.45 |
$95 |
4.3× |
| Hepatitis b core ab igm (86705) |
$44.88 |
$88 |
3.8× |
| Hepatitis b core antibody total (86704) |
$47.94 |
$94 |
4.0× |
| Hepatitis B Surface Ab (86706) |
$47.94 |
$94 |
4.5× |
| Hepatitis B Surface Antigen (87340) |
$47.43 |
$93 |
4.6× |
| Hepatitis b virus genotyping (87912) |
$734.91 |
$1,441 |
2.9× |
| Hepatitis be antibody (86707) |
$65.79 |
$129 |
5.7× |
| Hepatitis Be Antigen (87350) |
$57.63 |
$113 |
5.0× |
| Hepatitis c antibody (86803) |
$61.20 |
$120 |
4.3× |
| Hepatitis C Antibody Confirmatory Test (86804) |
$44.37 |
$87 |
2.9× |
| Hepatitis C Genotype (87902) |
$882.30 |
$1,730 |
3.4× |
| Hepatitis delta ab (86692) |
$83.13 |
$163 |
4.8× |
| Hepatitis delta ag (87380) |
$65.79 |
$129 |
3.6× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) |
$1,269.90 |
$2,490 |
1.0× |
| Hereditary Cardiomyopathy Gen Seq Analys 5 Gen (81439) |
$1,160.25 |
$2,275 |
2.0× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) |
$1,276.53 |
$2,503 |
1.0× |
| Hereditary peripheral neuropathy gen seq pnl (81448) |
$1,093.95 |
$2,145 |
1.9× |
| Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic… (81434) |
$905.76 |
$1,776 |
1.5× |
| Heredtry nurondcrn tum dsrdr (81437) |
$821.10 |
$1,610 |
0.6× |
| Herpes simplex type i (86695) |
$49.98 |
$98 |
3.8× |
| Herpes simplex type ii (86696) |
$66.81 |
$131 |
3.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$33.66 |
$66 |
6.5× |
| Heterophile antibodies; titer Facility (86309) |
$14.79 |
$29 |
2.3× |
| Hexa gene analysis common variants (81255) |
$78.03 |
$153 |
1.5× |
| Hexagonal phospholipid (85598) |
$107.10 |
$210 |
6.0× |
| Hfe gene (81256) |
$229.50 |
$450 |
3.5× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) |
$29.07 |
$57 |
2.2× |
| Histamine plasma (83088) |
$89.25 |
$175 |
3.0× |
| Histoplasma antibody (86698) |
$36.21 |
$71 |
2.6× |
| Histoplasma antigen urine (87385) |
$70.89 |
$139 |
5.4× |
| HIV confirmation (86689) |
$61.20 |
$120 |
3.2× |
| HIV-1 antibody (86701) |
$36.72 |
$72 |
4.1× |
| HIV-1 genotype (87901) |
$734.91 |
$1,441 |
2.9× |
| HIV-1 integrase genotype (87906) |
$371.79 |
$729 |
2.9× |
| HIV-1 p24 antigen (87390) |
$50.49 |
$99 |
2.1× |
| HIV-2 probe&revrse trnscripj (87538) |
$100.47 |
$197 |
2.9× |
| Hla class i high defin qual (86832) |
$490.62 |
$962 |
1.5× |
| Hla class i phenotype qual (86830) |
$231.03 |
$453 |
2.4× |
| Hla class i semiquant panel (86834) |
$1,020.51 |
$2,001 |
2.9× |
| Hla Class I Typing High Resolution Complete (81379) |
$870.06 |
$1,706 |
2.6× |
| Hla class i typing high resolution one allele or allele group (81381) |
$245.31 |
$481 |
1.4× |
| Hla Class I Typing Low Resolution Complete (81372) |
$573.24 |
$1,124 |
1.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
$289.17 |
$567 |
2.3× |
| Hla class i&ii antibody qual (86828) |
$124.44 |
$244 |
1.9× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) |
$1,069.47 |
$2,097 |
2.7× |
| Hla class i/ii antibody qual (86829) |
$97.41 |
$191 |
1.5× |
| Hla class ii high defin qual (86833) |
$493.68 |
$968 |
1.5× |
| Hla class ii phenotype qual (86831) |
$197.88 |
$388 |
2.4× |
| Hla class ii typing high resolution one locus ea (81382) |
$320.79 |
$629 |
2.6× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) |
$238.17 |
$467 |
2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$226.44 |
$444 |
3.0× |
| Hla i typing 1 locus hr (81380) |
$460.02 |
$902 |
2.6× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) |
$896.58 |
$1,758 |
2.6× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) |
$624.24 |
$1,224 |
1.5× |
| Hla ii typing 1 allele hr (81383) |
$283.05 |
$555 |
2.6× |
| Hla ii typing 1 locus lr (81376) |
$317.22 |
$622 |
2.6× |
| Hla ii typing ag equiv lr (81375) |
$572.73 |
$1,123 |
2.6× |
| Hla typing dr/dq (86817) |
$184.11 |
$361 |
1.7× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$87.72 |
$172 |
2.9× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) |
$165.75 |
$325 |
2.9× |
| HLA typing; lymphocyte culture, mixed (MLC) Facility (86821) |
$161.67 |
$317 |
4.4× |
| Hla x-math non-cytotoxic (86825) |
$301.41 |
$591 |
2.8× |
| Hla-b27 (86812) |
$78.03 |
$153 |
3.0× |
| Homogenization tissue (87176) |
$31.62 |
$62 |
5.4× |
| Homovanillic acid urine (83150) |
$38.76 |
$76 |
1.7× |
| Hpa-1 genotyping gene analysis common variant (81105) |
$228.99 |
$449 |
1.9× |
| Hpa-15 genotyping gene analysis common variant (81112) |
$228.99 |
$449 |
1.9× |
| Hpa-2 genotyping gene analysis common variant (81106) |
$228.99 |
$449 |
1.9× |
| Hpa-3 genotyping gene analysis common variant (81107) |
$228.99 |
$449 |
1.9× |
| Hpa-4 genotyping gene analysis common variant (81108) |
$228.99 |
$449 |
1.9× |
| Hpa-5 genotyping gene analysis common variant (81109) |
$228.99 |
$449 |
1.9× |
| Hpa-6 genotyping gene analysis common variant (81110) |
$228.99 |
$449 |
1.9× |
| Hpa-9 genotyping gene analysis common variant (81111) |
$228.99 |
$449 |
1.9× |
| Hpv low-risk types (87623) |
$78.03 |
$153 |
2.2× |
| Hpylori Drug Administration (83014) |
$22.44 |
$44 |
2.9× |
| Hsv Dna Quant (87530) |
$204.51 |
$401 |
4.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$146.88 |
$288 |
4.2× |
| Htlv-I Antibody (86687) |
$24.48 |
$48 |
2.7× |
| Htt Gene Analysis Characterization Alleles (81274) |
$410.55 |
$805 |
1.5× |
| Htt gene analysis detect abnormal alleles (81271) |
$204.51 |
$401 |
1.5× |
| Human epididymis protein 4 (86305) |
$78.54 |
$154 |
3.8× |
| Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) |
$63.24 |
$124 |
1.7× |
| Hydroxychloroquine (80220) |
$28.56 |
$56 |
1.5× |
| Hydroxycorticosteroids 17 (83491) |
$50.49 |
$99 |
2.8× |
| Hydroxyprogesterone 17-d (83498) |
$78.03 |
$153 |
2.9× |
| Hydroxyproline total (83505) |
$69.87 |
$137 |
2.9× |
| Hydroxyproline; free Facility (83500) |
$53.55 |
$105 |
2.4× |
| Iaad ia clostridium difficile toxin (87324) |
$49.47 |
$97 |
4.1× |
| Iaad Ia Cryptococcus Neoformans (87327) |
$56.10 |
$110 |
4.2× |
| Iaad ia cryptosporidium (87328) |
$42.33 |
$83 |
3.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$41.82 |
$82 |
4.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$78.54 |
$154 |
3.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$41.82 |
$82 |
2.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$34.68 |
$68 |
2.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$54.06 |
$106 |
1.5× |
| Iaad ia shiga-like toxin (87427) |
$49.98 |
$98 |
4.2× |
| Iaad Ia Streptococcus Group A (87430) |
$70.38 |
$138 |
4.2× |
| Iaadi inffluenza a virus (87276) |
$34.68 |
$68 |
2.2× |
| Iaadi influenza b virus (87275) |
$34.68 |
$68 |
2.8× |
| Iaadi Legionella Pneumophila (87278) |
$58.65 |
$115 |
3.8× |
| Iaadi Not Otherwise Specified Each Organism (87299) |
$41.82 |
$82 |
2.6× |
| Iaadi parainfluenza virus each type (87279) |
$34.68 |
$68 |
2.1× |
| Iaadi Pneumocustis Carinii (87281) |
$77.52 |
$152 |
6.5× |
| Iaadi respiratory synctial virus (87280) |
$34.68 |
$68 |
2.6× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
$71.91 |
$141 |
2.2× |
| Iaadiadoo not otherwise specified (87899) |
$70.38 |
$138 |
4.4× |
| Iaadiadoo trichomonas vaginalis (87808) |
$40.29 |
$79 |
2.6× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$100.47 |
$197 |
2.9× |
| Iadna candida species amplified probe tq (87481) |
$96.39 |
$189 |
2.7× |
| Iadna Candida Species Direct Probe Tq (87480) |
$57.63 |
$113 |
2.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$144.84 |
$284 |
4.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
$131.58 |
$258 |
1.9× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$110.16 |
$216 |
3.1× |
| Iadna hepatitis b virus quantification (87517) |
$176.97 |
$347 |
4.1× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) |
$167.28 |
$328 |
4.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$176.97 |
$347 |
4.1× |
| Iadna herpes virus-6 amplified probe tq (87532) |
$132.09 |
$259 |
3.8× |
| Iadna herpes virus-6 quantification (87533) |
$204.51 |
$401 |
4.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$132.09 |
$259 |
3.8× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$304.47 |
$597 |
3.6× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) |
$107.61 |
$211 |
1.5× |
| Iadna human papillomavirus high-risk types (87624) |
$86.19 |
$169 |
2.5× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) |
$93.84 |
$184 |
2.3× |
| Iadna mycobacteria avium-intraclre amp prb (87561) |
$100.47 |
$197 |
2.9× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
$198.90 |
$390 |
4.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$159.63 |
$313 |
4.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$97.92 |
$192 |
2.8× |
| Iadna nos amplified probe tq each organism (87798) |
$159.63 |
$313 |
4.5× |
| Iadna Nos Direct Probe Tq Each Organism (87797) |
$57.63 |
$113 |
1.9× |
| Iadna nos quantification each organism (87799) |
$177.99 |
$349 |
4.2× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$609.45 |
$1,195 |
2.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$110.67 |
$217 |
3.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,330.59 |
$2,609 |
3.2× |
| Iadna-DNA/RNA probe tq 6-11 (87506) |
$473.28 |
$928 |
1.8× |
| Idh1 common variants (81120) |
$246.84 |
$484 |
1.3× |
| Idh2 common variants (81121) |
$377.40 |
$740 |
1.3× |
| If cryptosporidium antigen (87272) |
$34.68 |
$68 |
2.9× |
| If varicella-zoster antigen (87290) |
$34.68 |
$68 |
2.6× |
| Ifnl3 gene analysis rs12979860 variant (81283) |
$114.75 |
$225 |
1.6× |
| Igg subclasses (82787) |
$20.40 |
$40 |
2.5× |
| Igh gene rearrange amp meth (81261) |
$513.57 |
$1,007 |
2.6× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) |
$113.22 |
$222 |
1.7× |
| Igk rearrangeabn clonal pop (81264) |
$387.60 |
$760 |
2.2× |
| Igvh somatic hypermutation (81263) |
$1,105.17 |
$2,167 |
3.8× |
| Ikbkap gene analysis (81260) |
$59.67 |
$117 |
1.5× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) |
$358.02 |
$702 |
0.9× |
| Immunoassay analyte qual/semiqual single step (83518) |
$24.99 |
$49 |
2.6× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
$43.35 |
$85 |
2.4× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) |
$56.10 |
$110 |
2.2× |
| Immunoassay infectious agent antibody quan nos (86317) |
$39.27 |
$77 |
2.6× |
| Immunoassay nonantibody (83516) |
$45.90 |
$90 |
4.0× |
| Immunodiffusion (86329) |
$40.80 |
$80 |
2.9× |
| Immunodiffusion Ouchterlony (86331) |
$42.84 |
$84 |
3.6× |
| Immunoelectrophoresis serum (86320) |
$64.26 |
$126 |
2.1× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) |
$64.26 |
$126 |
2.8× |
| Immunofixation (86334) |
$76.50 |
$150 |
3.4× |
| Immunofixation urine (86335) |
$106.08 |
$208 |
3.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$340.68 |
$668 |
1.7× |
| Immunoglobulin light chains free each (83521) |
$27.03 |
$53 |
1.6× |
| Immunohistochemistry (88342) |
$358.02 |
$702 |
1.8× |
| In situ hybridization (88365) |
$246.84 |
$484 |
1.2× |
| In situ hybridization ea multiplex probe stain (88366) |
$358.53 |
$703 |
1.8× |
| Indirect coombs (86885) |
$197.37 |
$387 |
34.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) |
$50.49 |
$99 |
2.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) |
$34.68 |
$68 |
2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87332) |
$34.68 |
$68 |
2.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) |
$34.68 |
$68 |
2.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) |
$27.54 |
$54 |
2.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) |
$38.25 |
$75 |
3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) |
$38.25 |
$75 |
2.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) |
$107.61 |
$211 |
1.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) |
$34.68 |
$68 |
1.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) |
$53.55 |
$105 |
1.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) |
$34.68 |
$68 |
2.2× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) |
$34.68 |
$68 |
1.4× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$34.68 |
$68 |
2.7× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
$48.45 |
$95 |
4.0× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
$34.68 |
$68 |
2.6× |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) |
$34.68 |
$68 |
2.6× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) |
$34.68 |
$68 |
2.5× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) |
$34.68 |
$68 |
2.9× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Facility (87273) |
$34.68 |
$68 |
2.9× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) |
$92.31 |
$181 |
1.5× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) |
$34.68 |
$68 |
2.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) |
$122.40 |
$240 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) |
$57.63 |
$113 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) |
$119.85 |
$235 |
2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) |
$57.63 |
$113 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) |
$122.40 |
$240 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) |
$57.63 |
$113 |
2.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) |
$99.96 |
$196 |
1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Facility (87495) |
$57.63 |
$113 |
1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) |
$96.39 |
$189 |
2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) |
$57.63 |
$113 |
1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) |
$100.47 |
$197 |
2.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) |
$57.63 |
$113 |
1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Facility (87527) |
$119.85 |
$235 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) |
$57.63 |
$113 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) |
$88.23 |
$173 |
1.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) |
$57.63 |
$113 |
2.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) |
$57.63 |
$113 |
2.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) |
$147.39 |
$289 |
2.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) |
$59.67 |
$117 |
2.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) |
$146.88 |
$288 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) |
$119.85 |
$235 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) |
$83.13 |
$163 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) |
$122.40 |
$240 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Facility (87550) |
$69.36 |
$136 |
3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) |
$122.40 |
$240 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) |
$83.13 |
$163 |
3.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) |
$122.40 |
$240 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) |
$57.63 |
$113 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) |
$458.49 |
$899 |
1.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) |
$122.40 |
$240 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) |
$57.63 |
$113 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) |
$119.85 |
$235 |
2.9× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) |
$32.13 |
$63 |
2.6× |
| Influenza a/b ag eia (87400) |
$58.65 |
$115 |
4.2× |
| Influenza DNA amp probe (87502) |
$243.27 |
$477 |
2.5× |
| Inhibin a (86336) |
$37.23 |
$73 |
2.4× |
| Inhibin b (83520) |
$136.17 |
$267 |
7.9× |
| Insemination of oocytes (89268) |
$409.53 |
$803 |
2.1× |
| Insitu hybridization auto (88367) |
$372.81 |
$731 |
0.9× |
| Insitu hybridization manual (88368) |
$366.69 |
$719 |
0.9× |
| Insulin antibodies (86337) |
$64.26 |
$126 |
3.0× |
| Insulin free (83527) |
$41.31 |
$81 |
3.2× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) |
$431.97 |
$847 |
1.5× |
| Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human… (80435) |
$292.74 |
$574 |
2.8× |
| Insulin total (83525) |
$41.31 |
$81 |
3.6× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) |
$386.07 |
$757 |
2.3× |
| Interleukin 6 (83529) |
$48.96 |
$96 |
2.8× |
| Intrinsic factor antibody (86340) |
$49.47 |
$97 |
3.3× |
| Iron (83540) |
$27.03 |
$53 |
4.2× |
| Iron binding capacity (83550) |
$36.21 |
$71 |
4.1× |
| Iron stain, peripheral blood Facility (85536) |
$18.87 |
$37 |
2.7× |
| Irradiation Blood Product Each Unit (86945) |
$109.14 |
$214 |
2.5× |
| Islet cell antibody (86341) |
$74.97 |
$147 |
3.2× |
| Jak2 gene analysis (81270) |
$306 |
$600 |
3.3× |
| Jak2 targeted sequence analysis (81279) |
$153 |
$300 |
0.8× |
| Ketogenic steroids, fractionation Facility (83582) |
$40.29 |
$79 |
2.6× |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) |
$75.48 |
$148 |
2.6× |
| Kit gene analys d816 variant (81273) |
$182.07 |
$357 |
1.5× |
| Kit gene targeted seq analys (81272) |
$479.91 |
$941 |
1.5× |
| Kras gene analysis (81275) |
$375.87 |
$737 |
1.9× |
| Kras Gene Analysis Additional Variant(S) (81276) |
$364.14 |
$714 |
1.9× |
| Lactoferrin fecal qual (83630) |
$74.46 |
$146 |
3.8× |
| Lactoferrin Fecal Quantitative (83631) |
$93.33 |
$183 |
4.8× |
| Lamellar Body Count (83664) |
$54.57 |
$107 |
2.8× |
| Ldh body fluid (83615) |
$27.03 |
$53 |
4.5× |
| Ldh isoenzymes (83625) |
$50.49 |
$99 |
3.9× |
| LDL cholesterol direct (83721) |
$47.43 |
$93 |
4.5× |
| Lead (83655) |
$49.47 |
$97 |
4.1× |
| Legion pneumo, DNA, amp prob (87541) |
$105.57 |
$207 |
3.0× |
| Legionella antibody (86713) |
$43.86 |
$86 |
2.9× |
| Legionella antigen urine (87449) |
$64.77 |
$127 |
5.4× |
| Legionella DNA probe (87540) |
$57.63 |
$113 |
2.9× |
| Leptospira antibody (86720) |
$38.25 |
$75 |
2.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$26.52 |
$52 |
6.2× |
| Leukocyte Histamine Release (86343) |
$36.21 |
$71 |
2.9× |
| Level ii surg pathology grossµscopic exam (88302) |
$84.15 |
$165 |
1.9× |
| Level v surg pathology grossµscopic exam (88307) |
$557.43 |
$1,093 |
1.3× |
| Level vi surg pathology grossµscopic exam (88309) |
$984.81 |
$1,931 |
1.1× |
| Lh (83002) |
$70.38 |
$138 |
3.8× |
| Lipase (83690) |
$34.68 |
$68 |
5.0× |
| Lipopro bld electrophoretic (83700) |
$32.64 |
$64 |
2.9× |
| Lipoprotein Bld Hr Fraction (83701) |
$51.51 |
$101 |
1.5× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) |
$70.38 |
$138 |
2.1× |
| Listeria ab (86609) |
$44.88 |
$88 |
3.5× |
| Lithium (80178) |
$33.15 |
$65 |
5.0× |
| Lyme disease antibody (86618) |
$50.49 |
$99 |
3.0× |
| Lymph Choriomeningitis Ab (86727) |
$41.31 |
$81 |
3.2× |
| Lymphocyte transformation (86353) |
$140.25 |
$275 |
2.9× |
| Lymphocytotoxicity assay, visual crossmatch; with titration Facility (86805) |
$287.13 |
$563 |
1.5× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$289.17 |
$567 |
1.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$363.12 |
$712 |
1.8× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$340.68 |
$668 |
1.7× |
| Macroscopic exam arthropod (87168) |
$18.36 |
$36 |
4.3× |
| Macroscopic exam parasite (87169) |
$14.28 |
$28 |
3.3× |
| Magnesium (83735) |
$35.19 |
$69 |
5.3× |
| Malaria antibody (86750) |
$35.70 |
$70 |
2.7× |
| Malaria smear (87207) |
$27.03 |
$53 |
4.5× |
| Manual cell count each (85032) |
$12.75 |
$25 |
3.0× |
| Manual Diff Wbc Count B-Coat (85009) |
$10.71 |
$21 |
2.1× |
| Manual reticulocyte count (85044) |
$12.75 |
$25 |
3.0× |
| Mass spectrometry qual/quan (83789) |
$57.12 |
$112 |
2.4× |
| Mcg chrom insitu 3-5 (88272) |
$69.87 |
$137 |
1.7× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) |
$59.67 |
$117 |
1.5× |
| Measurement of complement fixation tests (immune system proteins) (86171) |
$22.44 |
$44 |
2.2× |
| Meat fibers, feces (89160) |
$8.67 |
$17 |
1.8× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) |
$182.07 |
$357 |
1.5× |
| Mecp2 gene dup/delet variant (81304) |
$227.46 |
$446 |
1.5× |
| Mecp2 gene, full gene analysis (81302) |
$799.68 |
$1,568 |
1.5× |
| Mercury urine (83825) |
$55.08 |
$108 |
3.4× |
| Metabolic Panel Ionized Ca (80047) |
$39.27 |
$77 |
2.9× |
| Methemoglobin (83050) |
$33.15 |
$65 |
4.0× |
| Methylmalonic acid serum (83921) |
$79.05 |
$155 |
3.7× |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) |
$210.12 |
$412 |
2.3× |
| Mgmt methylation analysis (81287) |
$209.61 |
$411 |
1.7× |
| Microalbumin urine (82043) |
$24.48 |
$48 |
4.2× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) |
$47.94 |
$94 |
2.1× |
| Microsatellite instability (81301) |
$751.23 |
$1,473 |
2.2× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$262.14 |
$514 |
4.3× |
| Microsomal antibodies (86376) |
$48.96 |
$96 |
3.4× |
| Mitochondrial antibody each (86381) |
$41.82 |
$82 |
1.6× |
| Mlh1 gene analysis duplication/deletion variants (81294) |
$362.61 |
$711 |
1.8× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
$1,228.59 |
$2,409 |
1.8× |
| Mlh1 Gene Analysis Known Familial Variants (81293) |
$492.66 |
$966 |
1.5× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$335.58 |
$658 |
1.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
$108.12 |
$212 |
2.6× |
| Molecular pathology procedure level 2 (81401) |
$265.20 |
$520 |
1.9× |
| Molecular pathology procedure level 7 (81406) |
$428.91 |
$841 |
1.5× |
| Mononuclear cell antigen (86356) |
$71.40 |
$140 |
2.7× |
| Mopath procedure level 1 (81400) |
$96.90 |
$190 |
1.5× |
| Mopath procedure level 3 (81402) |
$227.97 |
$447 |
1.5× |
| Mopath procedure level 4 (81403) |
$347.31 |
$681 |
1.9× |
| Mopath procedure level 5 (81404) |
$1,050.09 |
$2,059 |
3.8× |
| Mopath procedure level 6 (81405) |
$548.25 |
$1,075 |
1.8× |
| Mopath procedure level 8 (81407) |
$1,282.14 |
$2,514 |
1.5× |
| Mopath procedure level 9 (81408) |
$3,029.40 |
$5,940 |
1.5× |
| Morphometric analysis tumor (88358) |
$420.24 |
$824 |
2.1× |
| Mpl gene analysis sequence analysis exon 10 (81339) |
$236.13 |
$463 |
1.3× |
| Mpl gene common variants (81338) |
$367.20 |
$720 |
2.4× |
| Mrsa PCR (87641) |
$130.56 |
$256 |
3.7× |
| MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch… (81296) |
$512.04 |
$1,004 |
1.5× |
| Msh2 gene analysis duplication/deletion variants (81297) |
$323.34 |
$634 |
1.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
$578.34 |
$1,134 |
1.5× |
| Msh6 gene analysis duplication/deletion varia (81300) |
$360.57 |
$707 |
1.5× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
$972.57 |
$1,907 |
1.5× |
| Msh6 Gene Analysis Known Familial Variants (81299) |
$466.65 |
$915 |
1.5× |
| Mtb PCR (87556) |
$158.10 |
$310 |
3.8× |
| Mtb rifampin rst amp prb tq (87564) |
$355.22 |
$696.50 |
4.6× |
| Mthfr Gene Analysis Common Variants (81291) |
$117.30 |
$230 |
1.8× |
| Mucopolysaccharides acid quantitative (83864) |
$57.63 |
$113 |
2.0× |
| Muramidase (85549) |
$59.16 |
$116 |
3.2× |
| Muscle-specific kinase (musk) antibody (86366) |
$1,109.25 |
$2,175 |
60.3× |
| Mycobacteric identification (87118) |
$43.86 |
$86 |
3.0× |
| Mycophenolic acid (80180) |
$71.91 |
$141 |
4.0× |
| Mycoplasma antibody (86738) |
$45.90 |
$90 |
3.5× |
| Mycoplasma culture (87109) |
$48.45 |
$95 |
3.1× |
| Mycoplasma genitalium PCR (87563) |
$55.08 |
$108 |
1.6× |
| Myd88 mutation analysis (81305) |
$223.89 |
$439 |
1.3× |
| Myelin basic protein csf (83873) |
$59.16 |
$116 |
3.4× |
| Myoglobin urine (83874) |
$75.48 |
$148 |
5.8× |
| Nasal smear for eosinophils (89190) |
$22.44 |
$44 |
3.9× |
| Natriuretic peptide (83880) |
$131.58 |
$258 |
3.4× |
| Nerve teasing preparations (88362) |
$813.45 |
$1,595 |
0.9× |
| Neutralization Test Viral (86382) |
$48.45 |
$95 |
2.9× |
| Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) |
$168.30 |
$330 |
2.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) |
$359.04 |
$704 |
2.8× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$310.34 |
$608.50 |
1.2× |
| Nfct ds chrnc hcv 6 assays (81596) |
$108.12 |
$212 |
1.5× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$74.97 |
$147 |
2.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$1,394.34 |
$2,734 |
2.9× |
| Nickel level (83885) |
$84.15 |
$165 |
3.4× |
| Nitroblue Tetrazolium Dye (86384) |
$32.64 |
$64 |
2.4× |
| Nk cells total count (86357) |
$129.54 |
$254 |
3.4× |
| Nocardia antibody (86744) |
$38.25 |
$75 |
2.4× |
| Noonan spectrum disorders gen seq analys 12 gen (81442) |
$3,247.17 |
$6,367 |
1.5× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$470.22 |
$922 |
1.9× |
| Nras gene variants exon 2&3 (81311) |
$430.95 |
$845 |
1.5× |
| Ntrk translocation analysis (81194) |
$1,456.56 |
$2,856 |
2.8× |
| Nuclear antigen antibody (86235) |
$52.02 |
$102 |
2.9× |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) |
$5,035.23 |
$9,873 |
1.5× |
| Nudt15 Gene Analysis Common Variants (81306) |
$435.03 |
$853 |
1.5× |
| Obstetric panel (80081) |
$164.22 |
$322 |
2.2× |
| Occult blood gastric (82271) |
$16.32 |
$32 |
3.1× |
| Occult blood stool (82272) |
$14.79 |
$29 |
3.5× |
| Oligoclonal bands (83916) |
$63.75 |
$125 |
2.3× |
| Onc breast mrna 12 genes (81522) |
$3,259.41 |
$6,391 |
0.8× |
| Onco (ovarian) biochemical assay two proteins (81500) |
$394.74 |
$774 |
1.5× |
| Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) |
$4,694.55 |
$9,205 |
1.9× |
| Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping),… (81518) |
$5,779.83 |
$11,333 |
1.5× |
| Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) |
$5,866.53 |
$11,503 |
1.5× |
| Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping),… (81525) |
$4,720.05 |
$9,255 |
1.5× |
| Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) |
$740.01 |
$1,451 |
1.5× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81536) |
$258.57 |
$507 |
1.5× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81535) |
$844.05 |
$1,655 |
1.5× |
| Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and… (81538) |
$4,348.77 |
$8,527 |
1.5× |
| Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541) |
$5,866.53 |
$11,503 |
1.5× |
| Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed… (81542) |
$3,259.41 |
$6,391 |
0.8× |
| Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551) |
$2,588.25 |
$5,075 |
1.3× |
| Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) |
$787.95 |
$1,545 |
1.5× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) |
$5,680.38 |
$11,138 |
1.5× |
| Oncology breast mrna gene expression 21 genes (81519) |
$5,866.53 |
$11,503 |
1.5× |
| Oncology prostate biochemical assay 4 proteins (81539) |
$1,151.58 |
$2,258 |
1.5× |
| Oncoprotein dcp (83951) |
$243.78 |
$478 |
3.8× |
| Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) |
$184.11 |
$361 |
2.9× |
| Oocyte id (89254) |
$409.53 |
$803 |
2.1× |
| Organic Acids Qualitative Each Specimen (83919) |
$47.43 |
$93 |
2.9× |
| Organic acids total quantitative each specimen (83918) |
$79.05 |
$155 |
3.3× |
| Orthopoxvirus Amp Prb Each (87593) |
$183.60 |
$360 |
3.6× |
| Osmolality serum (83930) |
$30.09 |
$59 |
4.6× |
| Osmolality urine (83935) |
$29.58 |
$58 |
4.3× |
| Osmotic fragility rbc incubated (85557) |
$38.25 |
$75 |
2.9× |
| Ova 1 (81503) |
$1,359.15 |
$2,665 |
1.5× |
| Ova and parasite direct-id lca (87177) |
$59.16 |
$116 |
6.6× |
| Oxalate urine (83945) |
$40.29 |
$79 |
2.8× |
| PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) |
$204.51 |
$401 |
1.5× |
| Palb2 gene full gene seq (81307) |
$397.29 |
$779 |
0.6× |
| Palb2 gene known famil vrnt (81308) |
$423.30 |
$830 |
1.4× |
| Pancreatic elastase, fecal (82656) |
$46.41 |
$91 |
4.0× |
| Pancreatic polypeptide (83519) |
$72.93 |
$143 |
4.0× |
| Particle Agglutination Screen Each Antibody (86403) |
$30.09 |
$59 |
2.6× |
| Particle agglutination titer each antibody (86406) |
$31.11 |
$61 |
2.9× |
| Parvovirus antibody (86747) |
$52.02 |
$102 |
3.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$854.25 |
$1,675 |
0.9× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) |
$499.29 |
$979 |
2.0× |
| Pdgfra gene (81314) |
$479.91 |
$941 |
1.5× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) |
$125.97 |
$247 |
2.9× |
| Ph body fluid (83986) |
$18.87 |
$37 |
5.3× |
| Ph urine (81003) |
$12.24 |
$24 |
5.4× |
| pH; exhaled breath condensate Facility (83987) |
$45.90 |
$90 |
12.8× |
| Phenotype Infect Agent Drug (87900) |
$469.20 |
$920 |
3.6× |
| Phenylalanine (84030) |
$17.85 |
$35 |
3.2× |
| Phenytoin free (80186) |
$62.22 |
$122 |
4.5× |
| Phosphatase alkaline (84075) |
$21.93 |
$43 |
4.2× |
| Phosphorus blood (84100) |
$23.97 |
$47 |
5.1× |
| Phosphorus urine (84105) |
$22.44 |
$44 |
3.9× |
| Pik3ca gene trgt seq alys (81309) |
$386.07 |
$757 |
1.4× |
| Pinworm exam (87172) |
$14.28 |
$28 |
3.3× |
| Plasminogen (85420) |
$19.38 |
$38 |
3.0× |
| Platelet aggregation (85576) |
$119.85 |
$235 |
4.8× |
| Platelet count automated (85049) |
$27.03 |
$53 |
6.0× |
| Platelet neutralization (85597) |
$52.02 |
$102 |
2.9× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) |
$435.03 |
$853 |
1.5× |
| Pml/raralpha com breakpoints (81315) |
$645.66 |
$1,266 |
3.1× |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) |
$820.59 |
$1,609 |
4.0× |
| PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) |
$271.32 |
$532 |
5.8× |
| Pmp22 gene dup/delet (81324) |
$1,149.03 |
$2,253 |
1.5× |
| Pmp22 gene full sequence (81325) |
$1,165.86 |
$2,286 |
1.5× |
| Pms2 gene analysis duplication/deletion variants (81319) |
$421.77 |
$827 |
2.1× |
| Pms2 gene analysis full sequence (81317) |
$1,485.63 |
$2,913 |
2.2× |
| Pms2 gene analysis known familial variants (81318) |
$501.84 |
$984 |
1.5× |
| Pneumcysts jirovecii amp prb (87594) |
$434.52 |
$852 |
12.4× |
| Pooling blood platelets (86965) |
$234.09 |
$459 |
1.2× |
| Porphobilinogen urine qual (84106) |
$12.75 |
$25 |
2.2× |
| Porphobilinogen urine quant (84110) |
$26.01 |
$51 |
3.1× |
| Porphyrins feces qn (84126) |
$57.12 |
$112 |
1.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$46.92 |
$92 |
3.2× |
| Porphyrins, urine; qualitative Facility (84119) |
$24.99 |
$49 |
1.9× |
| Potassium (84132) |
$29.58 |
$58 |
6.2× |
| Potassium urine (84133) |
$22.44 |
$44 |
4.7× |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) |
$204.51 |
$401 |
1.5× |
| Pregnancy associated plasma protein-a (84163) |
$67.32 |
$132 |
4.5× |
| Pregnanetriol (84138) |
$54.57 |
$107 |
2.6× |
| Pregnenolone (84140) |
$71.40 |
$140 |
3.5× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$324.36 |
$636 |
1.6× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
$194.31 |
$381 |
1.0× |
| Pretx serum rbc antibody identification dilution (86976) |
$120.36 |
$236 |
3.6× |
| Primidone (80188) |
$50.49 |
$99 |
3.0× |
| Procainamide napa (80192) |
$48.45 |
$95 |
2.9× |
| Procalcitonin (pct) (84145) |
$170.34 |
$334 |
6.3× |
| Progesterone (84144) |
$56.10 |
$110 |
2.7× |
| Progesterone (reproductive hormone) receptor analysis (84234) |
$185.13 |
$363 |
2.9× |
| Prostaglandin Ea (84150) |
$63.75 |
$125 |
1.5× |
| Protein body fluid (84157) |
$19.89 |
$39 |
5.0× |
| Protein c activity (85303) |
$56.61 |
$111 |
4.1× |
| Protein c antigen (85302) |
$48.45 |
$95 |
4.0× |
| Protein electrophoresis serum (84165) |
$36.72 |
$72 |
3.4× |
| Protein Electrophoresis Urine (84166) |
$60.18 |
$118 |
3.4× |
| Protein s total (85305) |
$43.35 |
$85 |
3.7× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) |
$46.41 |
$91 |
2.1× |
| Protein total serum (84155) |
$12.75 |
$25 |
3.5× |
| Protein urine (84156) |
$15.81 |
$31 |
4.3× |
| Protein Western Blot (84182) |
$80.58 |
$158 |
2.8× |
| Protein westrn blot i&r blood/other fluid (84181) |
$58.65 |
$115 |
3.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$20.91 |
$41 |
5.3× |
| Protoporphyrin rbc quantitative (84202) |
$41.31 |
$81 |
2.9× |
| Protoporphyrin, RBC; screen Facility (84203) |
$24.99 |
$49 |
2.6× |
| PSA free (84154) |
$49.98 |
$98 |
2.7× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) |
$454.41 |
$891 |
1.5× |
| Pten Gene Analysis Full Sequence Analysis (81321) |
$908.82 |
$1,782 |
1.5× |
| Pten gene analysis known familial variant (81322) |
$111.18 |
$218 |
2.4× |
| Pth intact (83970) |
$141.27 |
$277 |
3.4× |
| Pyruvate kinase (84220) |
$33.15 |
$65 |
3.5× |
| Quinidine (80194) |
$42.33 |
$83 |
2.9× |
| Quinine (84228) |
$33.66 |
$66 |
2.9× |
| Rbc antibody elution (86860) |
$197.37 |
$387 |
1.0× |
| Rbc osmotic fragility (85555) |
$12.24 |
$24 |
1.6× |
| Rbc pretreatment serum (86978) |
$166.26 |
$326 |
2.4× |
| Rbc pretx incubatj w/chemicl (86970) |
$98.94 |
$194 |
1.4× |
| Reagent strip/blood glucose (82948) |
$14.79 |
$29 |
2.9× |
| Receptor Assay Estrogen (84233) |
$184.11 |
$361 |
2.1× |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) |
$149.94 |
$294 |
2.1× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) |
$377.40 |
$740 |
1.8× |
| Renin activity plasma (84244) |
$63.24 |
$124 |
2.9× |
| Reptilase test (85635) |
$25.50 |
$50 |
2.6× |
| Resp virus 12-25 targets (87633) |
$935.85 |
$1,835 |
2.2× |
| Resp virus 3-5 targets (87631) |
$366.69 |
$719 |
2.6× |
| Respiratory Virus (86756) |
$37.23 |
$73 |
2.3× |
| Reticulated platelet assay (85055) |
$71.40 |
$140 |
2.0× |
| Reticulocyte count auto (85045) |
$21.42 |
$42 |
5.4× |
| Rheumatoid Factor Qual (86430) |
$16.32 |
$32 |
2.7× |
| Rheumatoid factor quant (86431) |
$29.58 |
$58 |
5.2× |
| Rickettsia antibody (86757) |
$55.59 |
$109 |
2.9× |
| Ristocetin cofactor (85245) |
$118.83 |
$233 |
5.2× |
| Rotavirus ag eia (87425) |
$38.25 |
$75 |
3.2× |
| Rpr Titer (86593) |
$10.20 |
$20 |
2.3× |
| Rsv (87807) |
$49.98 |
$98 |
3.8× |
| Rubella antibody (86762) |
$49.47 |
$97 |
3.4× |
| Rubeola Antibody Igg (86765) |
$40.80 |
$80 |
3.2× |
| Rufinamide (80210) |
$47.43 |
$93 |
1.7× |
| Runx1 gene analysis targeted sequence analysis (81334) |
$499.29 |
$979 |
1.5× |
| Russell viper venom time (includes venom); undiluted Facility (85612) |
$29.07 |
$57 |
1.7× |
| Russell viper venom time diluted (85613) |
$39.78 |
$78 |
4.2× |
| Salmonella antibody (86768) |
$30.09 |
$59 |
2.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$74.46 |
$146 |
1.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$65.28 |
$128 |
1.5× |
| Sars-cov-2 covid19 w/optic (87811) |
$58.65 |
$115 |
1.4× |
| Sarscov2 & inf a&b amp prb (87636) |
$364.14 |
$714 |
2.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$234.60 |
$460 |
1.6× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) |
$24.99 |
$49 |
3.8× |
| Sedimentation rate (85651) |
$22.44 |
$44 |
5.3× |
| Sedimentation rate auto (85652) |
$16.32 |
$32 |
6.0× |
| Selenium (84255) |
$72.93 |
$143 |
2.9× |
| Semen analysis complete (89320) |
$35.19 |
$69 |
2.9× |
| Semen analysis motility and count (89310) |
$19.38 |
$38 |
2.3× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) |
$35.19 |
$69 |
2.9× |
| Sensitivity kb (87184) |
$39.27 |
$77 |
5.3× |
| Sensitivity mic (87186) |
$51 |
$100 |
5.9× |
| SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Facility (81327) |
$188.70 |
$370 |
1.0× |
| Serotonin Release Assay (86022) |
$85.17 |
$167 |
4.6× |
| Serpina1 gene (81332) |
$113.22 |
$222 |
2.6× |
| Serum bactericidal titer (87197) |
$43.35 |
$85 |
2.9× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) |
$124.95 |
$245 |
1.6× |
| Sex chromatin identification; Barr bodies Facility (88130) |
$39.27 |
$77 |
2.2× |
| Sex hormone binding globulin (84270) |
$65.28 |
$128 |
3.0× |
| Sickling of rbc reduction (85660) |
$34.68 |
$68 |
6.3× |
| Silica (84285) |
$67.32 |
$132 |
2.7× |
| Sirolimus (rapamycin) (80195) |
$68.85 |
$135 |
5.0× |
| Skin test unlisted antigen (86486) |
$83.13 |
$163 |
2.5× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) |
$265.20 |
$520 |
1.5× |
| Smear acid fast (87206) |
$38.25 |
$75 |
7.1× |
| Smear complex stain (87209) |
$91.80 |
$180 |
5.1× |
| Smear gram stain (87205) |
$32.64 |
$64 |
7.6× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence… (81337) |
$276.42 |
$542 |
1.5× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) |
$204.51 |
$401 |
1.5× |
| Smn1 Gene Analysis Full Gene Sequence (81336) |
$449.82 |
$882 |
1.5× |
| Smpd1 Gene Common Variants (81330) |
$71.40 |
$140 |
1.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$26.52 |
$52 |
4.6× |
| Snrpn/ube3a gene (81331) |
$77.52 |
$152 |
1.5× |
| Sodium (84295) |
$23.97 |
$47 |
5.0× |
| Sodium feces (84302) |
$23.97 |
$47 |
4.9× |
| Sodium urine (84300) |
$22.44 |
$44 |
4.4× |
| Soluble transferrin receptor (84238) |
$125.46 |
$246 |
3.4× |
| Somatomedin (84305) |
$65.79 |
$129 |
3.1× |
| Somatostatin (84307) |
$55.08 |
$108 |
3.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$131.07 |
$257 |
0.8× |
| Special stains group 1 (88312) |
$167.79 |
$329 |
2.8× |
| Specific gravity body fluid (84315) |
$6.63 |
$13 |
2.0× |
| Spectrophotometry (84311) |
$42.33 |
$83 |
5.2× |
| Sperm antibody measurement (89325) |
$31.11 |
$61 |
2.9× |
| Sperm evaluation; hamster penetration test Facility (89329) |
$60.18 |
$118 |
3.1× |
| Sperm id testis tissue (89264) |
$409.53 |
$803 |
6.8× |
| Sperm identification from aspiration (other than seminal fluid) Facility Physician Professional Component (89257) |
$121.38 |
$238 |
2.0× |
| Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis Facility… (89260) |
$121.38 |
$238 |
2.0× |
| Splitting blood/blood products each unit (86985) |
$179.01 |
$351 |
0.9× |
| Sputum specimen collection (89220) |
$288.66 |
$566 |
1.5× |
| Staph a DNA amp probe (87640) |
$120.36 |
$236 |
3.4× |
| Stem cells total count (86367) |
$108.12 |
$212 |
1.4× |
| Stool Culture, Addl Pathogens (87046) |
$39.27 |
$77 |
4.2× |
| Strep a assay w/optic (87880) |
$49.98 |
$98 |
3.0× |
| Strep a DNA amp probe (87651) |
$111.18 |
$218 |
3.2× |
| Strep b DNA amp probe (87653) |
$100.47 |
$197 |
2.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$26.52 |
$52 |
0.3× |
| Sugars mono di&oligos mlt qualitative each spe (84377) |
$14.79 |
$29 |
2.7× |
| Sugars Single Qualitative, Each Specimen (84376) |
$15.81 |
$31 |
2.9× |
| Sugars single quant (84378) |
$42.84 |
$84 |
3.7× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) |
$59.16 |
$116 |
1.5× |
| Sulfate urine (84392) |
$14.28 |
$28 |
2.6× |
| Surg path level 1 (88300) |
$67.32 |
$132 |
2.0× |
| Surg path level iii (88304) |
$131.58 |
$258 |
2.2× |
| Surgical pathology level IV (88305) |
$168.30 |
$330 |
2.8× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
$61.20 |
$120 |
1.5× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
$19.89 |
$39 |
2.7× |
| Sweat collection (89230) |
$85.68 |
$168 |
1.4× |
| T Cell Absolute Count (86361) |
$71.91 |
$141 |
2.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$153.51 |
$301 |
3.3× |
| T cells total count (86359) |
$142.80 |
$280 |
3.8× |
| T3 free (84481) |
$55.08 |
$108 |
3.3× |
| T3 reverse (84482) |
$63.75 |
$125 |
4.0× |
| T3 total (84480) |
$50.49 |
$99 |
3.6× |
| T3 uptake (84479) |
$22.44 |
$44 |
3.5× |
| T4 free (84439) |
$36.72 |
$72 |
4.1× |
| T4 total (84436) |
$24.99 |
$49 |
3.6× |
| T4-neonatal (84437) |
$15.30 |
$30 |
2.4× |
| Tau phosphorylated each (84393) |
$724.71 |
$1,421 |
5.6× |
| Tb ag response t-cell susp (86481) |
$220.32 |
$432 |
2.2× |
| Tb intradermal test (86580) |
$33.66 |
$66 |
1.0× |
| Tb test, cell immun measure (86480) |
$177.48 |
$348 |
2.9× |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) |
$204.51 |
$401 |
1.5× |
| Tert gene targeted seq alys (81345) |
$276.42 |
$542 |
1.5× |
| Test for urine cystines (82615) |
$18.87 |
$37 |
2.0× |
| Testosterone free (84402) |
$81.09 |
$159 |
3.2× |
| Testosterone total (84403) |
$91.80 |
$180 |
3.6× |
| Tetanus antibody (86774) |
$63.75 |
$125 |
4.3× |
| TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H,… (81333) |
$204.51 |
$401 |
1.5× |
| Theophylline (80198) |
$58.65 |
$115 |
4.1× |
| Thin prep pap (88142) |
$61.20 |
$120 |
3.0× |
| Thiocyanate (84430) |
$31.11 |
$61 |
2.7× |
| Thiopurine methyltransferase (84433) |
$235.62 |
$462 |
10.6× |
| Thrombin time plasma (85670) |
$37.23 |
$73 |
6.5× |
| Thromboplastin Inhibition Tissue (85705) |
$27.03 |
$53 |
2.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$37.74 |
$74 |
5.8× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) |
$48.45 |
$95 |
1.4× |
| Thyroglobulin (84432) |
$55.08 |
$108 |
3.4× |
| Thyroglobulin antibody (86800) |
$55.08 |
$108 |
3.5× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$169.32 |
$332 |
3.3× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) |
$143.82 |
$282 |
2.9× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) |
$191.76 |
$376 |
2.9× |
| Thyroxine binding globulin (84442) |
$33.15 |
$65 |
2.2× |
| Tiagabine (80199) |
$52.02 |
$102 |
1.9× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) |
$458.49 |
$899 |
3.1× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$400.86 |
$786 |
2.8× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$18.36 |
$36 |
4.3× |
| Tissue culture bone marrow (88237) |
$472.26 |
$926 |
3.3× |
| Tissue culture lymphocyte (88230) |
$302.43 |
$593 |
2.6× |
| Tissue culture solid tumor (88239) |
$383.01 |
$751 |
2.6× |
| Tissue transglutaminase ab iga (86364) |
$28.56 |
$56 |
2.5× |
| Tobramycin peak (80200) |
$46.41 |
$91 |
2.9× |
| Total tau (ttau) (84394) |
$724.71 |
$1,421 |
5.6× |
| Touch prep (88161) |
$72.93 |
$143 |
2.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
$89.25 |
$175 |
4.5× |
| Toxoplasma ab igm (86778) |
$76.50 |
$150 |
5.3× |
| Toxoplasma antibody igg (86777) |
$48.45 |
$95 |
3.4× |
| Tp53 gene analysis targeted sequence analysis (81352) |
$504.39 |
$989 |
1.5× |
| Tpmt gene com variants (81335) |
$223.38 |
$438 |
1.3× |
| Transferrin (84466) |
$45.90 |
$90 |
3.6× |
| Trb@ gene rearrange dirprobe (81341) |
$129.03 |
$253 |
2.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$595.17 |
$1,167 |
2.8× |
| Trg gene rearrangement analysis (81342) |
$522.75 |
$1,025 |
2.6× |
| Trichinella antibody (86784) |
$39.78 |
$78 |
3.2× |
| Trichomonas vagin dir probe (87660) |
$57.63 |
$113 |
2.9× |
| Triglycerides (84478) |
$30.09 |
$59 |
5.2× |
| Troponin (84484) |
$52.02 |
$102 |
4.2× |
| Troponin, qualitative Facility (84512) |
$22.44 |
$44 |
2.2× |
| Trypsin feces qual (84488) |
$21.42 |
$42 |
2.9× |
| Tumor immunohistochem/comput (88361) |
$324.36 |
$636 |
0.8× |
| Tyms Gene Analysis Common Variants (81346) |
$265.20 |
$520 |
1.5× |
| Ugt1a1 gene analysis common variants (81350) |
$354.45 |
$695 |
1.5× |
| Unlisted cytogenetic study (88299) |
$306 |
$600 |
5.1× |
| Unlisted cytopathology procedure (88199) |
$110.16 |
$216 |
1.8× |
| Unlisted miscellaneous pathology test (89240) |
$110.16 |
$216 |
1.8× |
| Unlisted reproductive medicine lab procedure (89398) |
$81.60 |
$160 |
1.3× |
| Unlisted Surgical Pathology Procedure (88399) |
$110.16 |
$216 |
1.8× |
| Unlisted Transfusion Medicine Procedure (86999) |
$170.34 |
$334 |
5.1× |
| Urea nitrogen (84520) |
$21.93 |
$43 |
5.6× |
| Urea nitrogen urine (84540) |
$21.42 |
$42 |
3.9× |
| Uric acid blood (84550) |
$18.87 |
$37 |
4.2× |
| Uric acid other source (84560) |
$33.15 |
$65 |
6.5× |
| Urinalysis (81005) |
$7.14 |
$14 |
3.3× |
| Urinalysis auto w/scope (81001) |
$18.87 |
$37 |
6.0× |
| Urinalysis Microscopic Only (81015) |
$18.87 |
$37 |
6.2× |
| Urinalysis; 2 or 3 glass test Facility (81020) |
$10.71 |
$21 |
2.3× |
| Urine Bacteria Culture (87088) |
$30.09 |
$59 |
3.7× |
| Urine pregnancy test (81025) |
$25.50 |
$50 |
3.0× |
| Urine volume measurement (81050) |
$12.24 |
$24 |
3.4× |
| Urobilinogen urine qual (84578) |
$9.69 |
$19 |
2.2× |
| Valproic acid (80164) |
$55.59 |
$109 |
4.1× |
| Vancomycin trough (80202) |
$63.24 |
$124 |
4.7× |
| Vanomycin DNA amp probe (87500) |
$100.47 |
$197 |
2.9× |
| Varicella-zoster antibody (86787) |
$46.41 |
$91 |
3.6× |
| Vasoactive intestinal peptide (vip) (84586) |
$100.98 |
$198 |
2.9× |
| Vdrl csf (86592) |
$27.03 |
$53 |
6.3× |
| Very long chain fatty acids (82726) |
$64.26 |
$126 |
3.3× |
| Virus antibody nos (86790) |
$54.57 |
$107 |
4.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$134.64 |
$264 |
4.0× |
| Virus inoculate tissue addl (87253) |
$58.14 |
$114 |
2.9× |
| Virus inoculation, shell via (87254) |
$68.34 |
$134 |
3.5× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) |
$55.08 |
$108 |
2.8× |
| Viscosity serum (85810) |
$49.47 |
$97 |
4.2× |
| Vitamin A (84590) |
$40.29 |
$79 |
3.5× |
| Vitamin b-12 (82607) |
$58.14 |
$114 |
3.9× |
| Vitamin b1 (thiamine) (84425) |
$60.69 |
$119 |
2.9× |
| Vitamin b2 (84252) |
$38.25 |
$75 |
1.9× |
| Vitamin b3 niacin (84591) |
$45.90 |
$90 |
2.7× |
| Vitamin b6 (84207) |
$62.73 |
$123 |
2.2× |
| Vitamin c (82180) |
$37.74 |
$74 |
3.8× |
| Vitamin D 25-Hydroxy (82306) |
$91.80 |
$180 |
3.1× |
| Vitamin e serum (84446) |
$55.59 |
$109 |
3.9× |
| Vkorc1 gene (81355) |
$133.62 |
$262 |
1.5× |
| Voltage-gated calcium channel antibody each (86596) |
$28.05 |
$55 |
2.3× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$27.54 |
$54 |
3.2× |
| West nile virus antibody (86789) |
$57.12 |
$112 |
4.0× |
| West nile virus igm (86788) |
$65.28 |
$128 |
3.9× |
| Whole mitochondrial genome (81460) |
$1,805.40 |
$3,540 |
1.4× |
| Whole mitochondrial genome analysis panel (81465) |
$1,312.74 |
$2,574 |
1.4× |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis,… (81471) |
$1,165.35 |
$2,285 |
1.3× |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) |
$1,165.35 |
$2,285 |
1.3× |
| Xylose Absorption Test (84620) |
$34.68 |
$68 |
2.7× |
| Yersinia antibody (86793) |
$38.25 |
$75 |
2.9× |
| Zika Virus Dna/Rna Amp Probe (87662) |
$81.09 |
$159 |
1.6× |
| Zika Virus Igm Antibody (86794) |
$26.52 |
$52 |
1.6× |
| Zinc (84630) |
$44.88 |
$88 |
3.9× |