| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$151.40 |
— |
| 5 Hiaa (83497) |
— |
$255.40 |
— |
| Abl1 gene (81170) |
— |
$594.30 |
— |
| Acetaminophen level (80143) |
— |
$189.50 |
— |
| Actinomyces antibody (86602) |
— |
$31.90 |
— |
| Activated protein c resistance (85307) |
— |
$166.90 |
— |
| Acute hepatitis panel (80074) |
$75 |
$121.55 |
1.6× |
| Afb culture (87116) |
— |
$94.80 |
— |
| Albumin Fluid (82042) |
— |
$41.20 |
— |
| Albumin serum (82040) |
— |
$48.40 |
— |
| Aldolase (82085) |
— |
$111.20 |
— |
| Aldosterone urine (82088) |
— |
$93.70 |
— |
| Allerg sp igg quan or semiquan (86001) |
— |
$55.60 |
— |
| Allergen specific ige (86003) |
— |
$11.30 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$69 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$109.20 |
— |
| Alpha-Fetoprotein L3 (82107) |
— |
$119.50 |
— |
| Alpha-fetoprotein, serum (82105) |
$45 |
$84.50 |
2.7× |
| Alt (sgpt) (84460) |
$10 |
$74.20 |
1.9× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$221.50 |
— |
| Amino Acids, Single Quantitation (82131) |
— |
$64.90 |
— |
| Ammonia (82140) |
$25 |
$49.40 |
1.7× |
| Amylase urine (82150) |
$10 |
$60.80 |
1.5× |
| Angiotensin i enzyme test (82164) |
— |
$111.20 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$86.50 |
— |
| Antibody aspergillus (86606) |
— |
$56.15 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$130.80 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$72.10 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$61.80 |
— |
| Antibody Detection Nos If (87299) |
— |
$61.80 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$20 |
$77.30 |
1.5× |
| Antibody helicobacter pylori (86677) |
$30 |
$120.50 |
1.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$69.55 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$68.50 |
— |
| Antibody identification (86870) |
— |
$205 |
— |
| Antibody mumps (86735) |
— |
$56.70 |
— |
| Antibody rubeola (86765) |
— |
$203.90 |
— |
| Antibody screen (86850) |
$15 |
$129.80 |
1.5× |
| Antibody treponema pallidum (86780) |
— |
$62.80 |
— |
| Antibody; Coccidioides (86635) |
— |
$40.20 |
— |
| Antigen typing (86905) |
— |
$105.55 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$161.40 |
— |
| Antinuclear antibodies (86038) |
$20 |
$50.50 |
1.7× |
| Antistreptolysin o titer (86060) |
— |
$37.10 |
— |
| Antithrombin iii activity (85300) |
— |
$147.30 |
— |
| Apolipoprotein b (82172) |
— |
$77.30 |
— |
| Arsenic Urine (82175) |
— |
$147.30 |
— |
| Aspergillus ag eia (87305) |
— |
$167.90 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$58.70 |
— |
| Assay of acth (82024) |
— |
$232.80 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$185.40 |
— |
| Assay of androstenedione (82157) |
— |
$204.45 |
— |
| Assay of blood chloride (82435) |
— |
$38.10 |
— |
| Assay of blood fatty acids (82725) |
— |
$185.40 |
— |
| Assay of c-peptide (84681) |
— |
$93.70 |
— |
| Assay of calcitonin (82308) |
— |
$110.20 |
— |
| Assay of ceruloplasmin (82390) |
— |
$126.70 |
— |
| Assay of cyclosporine (80158) |
— |
$92.70 |
— |
| Assay of erythropoietin (82668) |
— |
$104 |
— |
| Assay of ethosuximide (80168) |
— |
$93.70 |
— |
| Assay of ferritin (82728) |
$25 |
$70 |
1.8× |
| Assay of g6pd enzyme (82955) |
— |
$53.60 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$28.80 |
— |
| Assay of gastrin (82941) |
— |
$85.50 |
— |
| Assay of gentamicin (80170) |
$30 |
$114.40 |
1.8× |
| Assay of homocystine (83090) |
$35 |
$213.20 |
2.0× |
| Assay of lipoprotein(a) (83695) |
— |
$69 |
— |
| Assay of metanephrines (83835) |
— |
$106.10 |
— |
| Assay of osteocalcin (83937) |
— |
$92.70 |
— |
| Assay of parathormone (83970) |
$65 |
$216.50 |
1.6× |
| Assay of phenobarbital (80184) |
— |
$94.25 |
— |
| Assay of prealbumin (84134) |
$25 |
$74.20 |
1.7× |
| Assay of proinsulin (84206) |
— |
$107.10 |
— |
| Assay of pyruvate (84210) |
— |
$68 |
— |
| Assay of selenium (84255) |
— |
$117.40 |
— |
| Assay of serotonin (84260) |
— |
$132.90 |
— |
| Assay of somatomedin (84305) |
— |
$90.60 |
— |
| Assay of tacrolimus (80197) |
— |
$84.50 |
— |
| Assay of urine vma (84585) |
— |
$100.90 |
— |
| Assay of vitamin k (84597) |
— |
$85.50 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$15.50 |
— |
| Ast (sgot) (84450) |
$10 |
$74.20 |
1.9× |
| B cells total count (86355) |
— |
$132.90 |
— |
| Bartonella antibody (86611) |
— |
$110.20 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$87.05 |
— |
| Beta hydroxybutyrate (82010) |
— |
$70 |
— |
| Beta Lactamase (87185) |
— |
$14.40 |
— |
| Beta-2 microglobulin (82232) |
— |
$105.55 |
— |
| Bile acids, total (82239) |
— |
$39.10 |
— |
| Bilirubin direct (82248) |
$15 |
$74.20 |
3.0× |
| Bilirubin total (82247) |
$15 |
$74.20 |
3.0× |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$74.20 |
— |
| Blood count reticulocyte automated (85045) |
$10 |
$84.50 |
2.5× |
| Blood gases (82803) |
— |
$362.60 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$63.90 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$10 |
$44 |
2.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$270.25 |
— |
| Blood typing abo (86900) |
$15 |
$56.70 |
5.0× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$61.80 |
— |
| Blood typing serologic rh (d) (86901) |
$15 |
$61.80 |
5.0× |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$230.70 |
— |
| Body fluid cell count (89051) |
— |
$124.60 |
— |
| Bordetella antibody (86615) |
— |
$56.70 |
— |
| Breath Alcohol Test (82075) |
— |
$51.50 |
— |
| Brucella antibody (86622) |
— |
$31.90 |
— |
| C diff amplified probe (87493) |
$60 |
$185 |
1.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$10 |
$105.10 |
0.8× |
| Ca 125 (86304) |
— |
$72.10 |
— |
| Ca 19-9 (86301) |
— |
$69 |
— |
| Ca 27 29 (86300) |
— |
$98.35 |
— |
| Cadmium level (82300) |
— |
$62.80 |
— |
| Calcium ionized (82330) |
$25 |
$70 |
1.8× |
| Calcium total (82310) |
— |
$72.10 |
— |
| Calcium urine (82340) |
— |
$47.40 |
— |
| Calculus Quantitative Chemical (82360) |
— |
$55.60 |
— |
| Calculus Spectroscopy (82365) |
— |
$65 |
— |
| Calprotectin, fecal (83993) |
— |
$566.50 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$184.40 |
— |
| Carbon dioxide (82374) |
— |
$38.10 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$133.90 |
— |
| Carcinoembryonic antigen (82378) |
— |
$148.30 |
— |
| Cardiolipin ab igg (86147) |
— |
$108.20 |
— |
| Catecholamines fraction plasma (82384) |
— |
$195.70 |
— |
| Cd4 absolute count (86361) |
— |
$92.70 |
— |
| Chemiluminescent assay (82397) |
— |
$124.60 |
— |
| Chloride other source (82438) |
— |
$39.10 |
— |
| Chloride urine (82436) |
— |
$48.40 |
— |
| Cholesterol total (82465) |
— |
$69 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$658.20 |
— |
| Chromium urine (82495) |
— |
$93.70 |
— |
| Chromogranin a (86316) |
— |
$76.20 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$306.95 |
— |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) |
— |
$312.10 |
— |
| Chromosome karyotype study (88280) |
— |
$219.40 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$55 |
$84.50 |
1.6× |
| Citrate (82507) |
— |
$124.60 |
— |
| Ck isoenzymes (82552) |
— |
$57.70 |
— |
| Ckmb (82553) |
— |
$175.10 |
— |
| Clot factor viii vw antigen (85246) |
— |
$143.20 |
— |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
— |
$155.50 |
— |
| Clozapine level (80159) |
— |
$162.70 |
— |
| Cmv PCR (87496) |
— |
$378 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$185.90 |
— |
| Cold agglutinin titer (86157) |
— |
$192.60 |
— |
| Collagen cross links (82523) |
— |
$239 |
— |
| Complement c3 (86160) |
— |
$71.10 |
— |
| Complement total ch50 (86162) |
— |
$154.50 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$132.90 |
— |
| Concentration Infectious Agent (87015) |
— |
$72.10 |
— |
| Coombs direct (86880) |
$50 |
$128.80 |
9.3× |
| Coombs Test Indirect Qual (86885) |
— |
$11.30 |
— |
| Copper urine (82525) |
— |
$90.15 |
— |
| Cortisol free (82530) |
— |
$153.50 |
— |
| Cortisol total (82533) |
$35 |
$99.90 |
2.1× |
| Creatine kinase total (82550) |
— |
$106.10 |
— |
| Creatinine blood (82565) |
— |
$72.10 |
— |
| Creatinine clearance (82575) |
— |
$47.40 |
— |
| Creatinine other source (82570) |
$10 |
$26.80 |
1.9× |
| Crossmatch immediate spin (86920) |
— |
$119.45 |
— |
| Cryoglobulin (82595) |
— |
$42.45 |
— |
| Culture Aerobic Identify (87077) |
$15 |
$32.90 |
1.9× |
| Culture aerobic quant other (87071) |
— |
$124.60 |
— |
| Culture anaerobic (87075) |
— |
$248.20 |
— |
| Culture blood (87040) |
— |
$185.40 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$53.05 |
— |
| Culture fungus other (87102) |
— |
$43.30 |
— |
| Culture genital (87070) |
$15 |
$122.55 |
1.7× |
| Culture screen only (87081) |
$25 |
$123.10 |
3.8× |
| Culture stool (87045) |
— |
$33 |
— |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) |
— |
$273 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$15.50 |
— |
| Culture urine (87086) |
$15 |
$180.30 |
1.9× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Other Outpatient (87084) |
— |
$29.90 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$65.90 |
— |
| Cytogenetics 10-30 (88273) |
— |
$484.10 |
— |
| Cytogenetics DNA probe (88271) |
— |
$283.75 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$389.65 |
— |
| Cytopath cell enhance tech (88112) |
— |
$172 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$184.40 |
— |
| Cytopath Smear Other Source (88160) |
— |
$125.70 |
— |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
— |
$84.50 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$223.50 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$199.30 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$177.20 |
— |
| Cytp slides cerv/vag mnl scrn physician supv (88164) |
— |
$39.10 |
— |
| D-Dimer (85379) |
$20 |
$51.50 |
2.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$25 |
$28.80 |
1.5× |
| Detect agnt mult DNA ampli (87801) |
— |
$178.20 |
— |
| Dhea (82626) |
— |
$67 |
— |
| Dhea sulfate (82627) |
— |
$151.40 |
— |
| Digoxin (80162) |
— |
$160.70 |
— |
| Dilantin (80185) |
— |
$140.10 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$42.20 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$76.20 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$43.30 |
— |
| Drug Assay Lacosamide (80235) |
— |
$114.30 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$107.10 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$42.05 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$88.40 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$125.70 |
— |
| Drug test prsmv chem anlyzr (80307) |
$95 |
$117.40 |
1.5× |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$248.20 |
— |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
— |
$427.40 |
— |
| Ebv viral capsid (86665) |
— |
$40.20 |
— |
| Ehrlichia antibody (86666) |
— |
$27.80 |
— |
| Elastase pancreatic fecal quantitative (82653) |
— |
$198 |
— |
| Electrolyte panel (80051) |
— |
$126.70 |
— |
| Endomysial antibody iga (86255) |
— |
$63.90 |
— |
| Enterovirus antibody (86658) |
— |
$176.10 |
— |
| Enterovirus Pcr (87498) |
— |
$815.80 |
— |
| Eosinophil count (85048) |
— |
$34 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$21 |
$35.55 |
1.4× |
| Estradiol (82670) |
$40 |
$62.80 |
1.4× |
| Estriol (82677) |
$45 |
$83.40 |
1.9× |
| Estrogens total (82672) |
$45 |
$111.20 |
2.1× |
| Estrone (82679) |
— |
$120.50 |
— |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
— |
$111.20 |
— |
| Everolimus (80169) |
— |
$59.70 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$38.10 |
— |
| Factor ix activity (85250) |
— |
$155.50 |
— |
| Factor v activity (85220) |
— |
$55 |
— |
| Factor vii assay (85230) |
— |
$155.50 |
— |
| Factor viii ahg (85240) |
— |
$119.50 |
— |
| Factor xi assay (85270) |
— |
$155.50 |
— |
| Factor xii assay (85280) |
— |
$155.50 |
— |
| Factor xiii solubility screen (85291) |
— |
$155.50 |
— |
| Fecal fat quant (82710) |
— |
$171 |
— |
| Fetal bleed screen (85461) |
— |
$56.70 |
— |
| Fibrinogen activity (85384) |
— |
$186.40 |
— |
| Flow cytometry first marker (88184) |
— |
$228.15 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$50.50 |
— |
| Folate serum (82746) |
$25 |
$31.90 |
1.7× |
| Folic acid rbc (82747) |
— |
$40.20 |
— |
| Follicle Stimulating Hormone (83001) |
$26 |
$94.80 |
1.4× |
| Frozen Section (88331) |
— |
$280.20 |
— |
| Fructosamine (82985) |
— |
$60.80 |
— |
| Gammaglobulin ige (82785) |
— |
$47.40 |
— |
| Gastric Occult Blood (82271) |
— |
$41.20 |
— |
| Ggt (82977) |
$15 |
$80.30 |
2.1× |
| Giardia antigen eia stool (87329) |
$20 |
$72.10 |
1.7× |
| Glucose (82947) |
$10 |
$31.45 |
2.5× |
| Glucose Blood Test (82962) |
— |
$12.85 |
— |
| Glucose body fluid (82945) |
— |
$62.80 |
— |
| Glucose post dose (82950) |
$10 |
$110.20 |
2.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$39.10 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$25 |
$96.80 |
1.9× |
| Growth hormone (83003) |
— |
$144.20 |
— |
| Haptoglobin (83010) |
— |
$71.10 |
— |
| Hcg qualitative (84703) |
$15 |
$111.20 |
2.0× |
| Hcg quant (84702) |
— |
$59.75 |
— |
| Hdl Cholesterol (83718) |
— |
$59.70 |
— |
| Heavy metal quant each (83018) |
— |
$143.20 |
— |
| Hematocrit (85014) |
$10 |
$46.40 |
4.2× |
| Hemoglobin (85018) |
$15 |
$33 |
6.3× |
| Hemoglobin a1c (83036) |
$20 |
$68 |
2.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$146.80 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$108.20 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$104.55 |
— |
| Hemolysins And Agglutinins Incubated (86941) |
— |
$157.60 |
— |
| Hemolysins/agglutinins auto screen (86940) |
— |
$157.60 |
— |
| Heparin assay (85520) |
— |
$142.65 |
— |
| Hepatitis a antibody total (86708) |
— |
$82.90 |
— |
| Hepatitis a igm (86709) |
— |
$92.70 |
— |
| Hepatitis b core ab igm (86705) |
— |
$96.80 |
— |
| Hepatitis b core antibody total (86704) |
$30 |
$96.80 |
2.5× |
| Hepatitis B Surface Ab (86706) |
$20 |
$55.60 |
1.9× |
| Hepatitis B Surface Antigen (87340) |
$20 |
$51.50 |
1.9× |
| Hepatitis c antibody (86803) |
$30 |
$93.70 |
2.1× |
| Hepatitis C Genotype (87902) |
— |
$454.20 |
— |
| Herpes culture (87252) |
— |
$201.90 |
— |
| Herpes simplex type 2 (86696) |
— |
$68 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$10 |
$63.35 |
1.9× |
| Histoplasma antigen urine (87385) |
— |
$111.25 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$70 |
— |
| Hla b 27 disease association lc (81374) |
— |
$175.10 |
— |
| Hla-b27 (86812) |
— |
$175.10 |
— |
| Hpv types 16 & 18 only (87625) |
— |
$107.10 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$116.40 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$122.45 |
— |
| Htlv-i antibody (86687) |
— |
$95.80 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$139.10 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$55 |
— |
| Iaad ia cryptosporidium (87328) |
$25 |
$72.10 |
1.8× |
| Iaad ia HIV-1 (87390) |
— |
$62.80 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$50 |
$74.70 |
2.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$99.90 |
— |
| Iaad ia rotavirus (87425) |
— |
$39.10 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$50 |
$107.65 |
1.4× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$40.15 |
— |
| Iaadi inffluenza a virus (87276) |
— |
$61.80 |
— |
| Iaadi influenza b virus (87275) |
— |
$61.80 |
— |
| Iaadi respiratory synctial virus (87280) |
— |
$61.80 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$43.30 |
— |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
— |
$102 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$52.50 |
— |
| Iadna hepatitis b virus quantification (87517) |
$75 |
$402.25 |
1.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$311.10 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$361.50 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$114.30 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$52.50 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$55 |
$114.30 |
1.6× |
| Iadna nos amplified probe tq each organism (87798) |
— |
$126.20 |
— |
| Iadna nos quantification each organism (87799) |
— |
$522.20 |
— |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
— |
$52.50 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$123.60 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$1,771.60 |
— |
| Iadna-DNA/RNA probe tq 6-11 (87506) |
— |
$420.20 |
— |
| Igg subclasses (82787) |
— |
$34 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$69 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$26.80 |
— |
| Immunoassay nonantibody (83516) |
$20 |
$72.10 |
1.7× |
| Immunodiffusion Ouchterlony (86331) |
— |
$37.10 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$76.75 |
— |
| Immunohistochemistry (88342) |
— |
$93.70 |
— |
| India ink prep (87210) |
— |
$15.10 |
— |
| Influenza a/b ag eia (87400) |
$25 |
$44.30 |
1.8× |
| Influenza DNA amp prob 1+ (87501) |
— |
$74.20 |
— |
| Influenza DNA amp probe (87502) |
— |
$345.10 |
— |
| Inhibin a (86336) |
$45 |
$71.05 |
2.9× |
| Inhibin b (83520) |
— |
$152.45 |
— |
| Insitu hybridization (fish) (88365) |
— |
$153.50 |
— |
| Insitu hybridization auto (88367) |
— |
$428.45 |
— |
| Insulin antibodies (86337) |
— |
$39.10 |
— |
| Insulin total (83525) |
$20 |
$62.30 |
1.7× |
| Iron (83540) |
$25 |
$32 |
3.9× |
| Iron binding capacity (83550) |
$25 |
$41.05 |
2.9× |
| Irradiation of blood product (86945) |
— |
$93.50 |
— |
| Islet cell antibody (86341) |
— |
$136.42 |
— |
| Jak2 gene analysis (81270) |
— |
$1,018.70 |
— |
| Koh Prep (87220) |
— |
$32 |
— |
| Lactic acid (83605) |
— |
$318.30 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$49.40 |
— |
| Ldh (83615) |
— |
$62.80 |
— |
| LDL cholesterol direct (83721) |
$20 |
$43.30 |
1.9× |
| Lead (83655) |
— |
$55.60 |
— |
| Legion pneumo, DNA, amp prob (87541) |
— |
$52.50 |
— |
| Legionella antigen urine (87449) |
— |
$111.20 |
— |
| Legionella pneumophila dfa (87278) |
— |
$124.60 |
— |
| Leptospira antibody (86720) |
— |
$16.50 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$118.50 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$195.70 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$561.40 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$1,048.50 |
— |
| Lh (83002) |
$30 |
$94.80 |
1.6× |
| Lipase (83690) |
$15 |
$115.40 |
2.2× |
| Listeria ab (86609) |
— |
$8.20 |
— |
| Lithium (80178) |
$30 |
$69 |
4.5× |
| Lyme disease antibody (86618) |
— |
$138.55 |
— |
| Lyme disease antibody confirm (86617) |
— |
$69.50 |
— |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
— |
$260.60 |
— |
| Magnesium (83735) |
$28 |
$42.90 |
4.2× |
| Malaria smear (87207) |
— |
$25.80 |
— |
| Mcg interphase insitu 25 (88274) |
— |
$312.10 |
— |
| Mercury (83825) |
— |
$43.30 |
— |
| Metabolic Panel Ionized Ca (80047) |
— |
$126.70 |
— |
| Methotrexate (80299) |
— |
$116.40 |
— |
| Methylmalonic acid serum (83921) |
— |
$130.80 |
— |
| Microalbumin urine (82043) |
$10 |
$29.90 |
1.7× |
| Microsomal antibodies (86376) |
— |
$117.40 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$534.60 |
— |
| Mopath procedure level 4 (81403) |
— |
$444.20 |
— |
| Mrsa amp probe (87641) |
— |
$52.50 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$641.70 |
— |
| Muramidase (85549) |
— |
$141.10 |
— |
| Mycophenolic acid (80180) |
— |
$176.10 |
— |
| Mycoplasma antibody (86738) |
— |
$99.90 |
— |
| Myelin basic protein csf (83873) |
— |
$153.50 |
— |
| Myoglobin urine (83874) |
— |
$139.10 |
— |
| Natriuretic peptide (83880) |
$65 |
$217.30 |
1.7× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) |
— |
$420.20 |
— |
| Nfct ds bv&vaginitis DNA alg (81514) |
— |
$324.50 |
— |
| Niacin (84591) |
— |
$154.50 |
— |
| Nk cells total count (86357) |
— |
$84.50 |
— |
| Nuclear antigen antibody (86235) |
— |
$56.70 |
— |
| Occult blood stool (82272) |
— |
$41.20 |
— |
| Oligoclonal bands (83916) |
— |
$67 |
— |
| Organic Acids Qual Each (83919) |
— |
$105.10 |
— |
| Osmolality serum (83930) |
— |
$35 |
— |
| Osmolality urine (83935) |
— |
$29.85 |
— |
| Ova and parasite direct-id lca (87177) |
$40 |
$55.60 |
4.5× |
| Oxalate urine (83945) |
— |
$59.25 |
— |
| Pancreatic polypeptide (83519) |
— |
$99.40 |
— |
| Parainfluenza ag if (87279) |
— |
$61.80 |
— |
| Parvovirus antibody (86747) |
— |
$64.90 |
— |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) |
$100 |
$166.90 |
1.4× |
| Phenylalanine (84030) |
— |
$95.80 |
— |
| Phosphatase alkaline (84075) |
— |
$31.90 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$62.80 |
— |
| Phosphorus blood (84100) |
$10 |
$72.10 |
2.1× |
| Phosphorus urine (84105) |
— |
$48.40 |
— |
| Pinworm exam (87172) |
— |
$124.60 |
— |
| Plasminogen (85420) |
— |
$128.80 |
— |
| Platelet count (85049) |
— |
$99.90 |
— |
| Porphobilinogen urine quant (84110) |
— |
$45.30 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$107.60 |
— |
| Potassium (84132) |
— |
$62.80 |
— |
| Potassium urine (84133) |
— |
$54.60 |
— |
| Pregnenolone (84140) |
— |
$217.30 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$68 |
— |
| Primidone (80188) |
— |
$71.10 |
— |
| Procalcitonin (pct) (84145) |
$45 |
$442.90 |
1.7× |
| Progesterone (84144) |
$35 |
$97.90 |
1.7× |
| Prolactin (84146) |
$30 |
$99.90 |
1.5× |
| Protein body fluid (84157) |
— |
$100.90 |
— |
| Protein c activity (85303) |
— |
$208.10 |
— |
| Protein c antigen (85302) |
— |
$208.10 |
— |
| Protein electrophoresis serum (84165) |
— |
$67.45 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$50 |
— |
| Protein S Functional (85306) |
— |
$189 |
— |
| Protein s total (85305) |
— |
$155 |
— |
| Protein Total Serum (84155) |
— |
$25.80 |
— |
| Protein urine (84156) |
$10 |
$25.80 |
2.7× |
| Protoporphyrin rbc quantitative (84202) |
— |
$59.70 |
— |
| PSA free (84154) |
— |
$78.30 |
— |
| Quantiferon tb gold (86480) |
— |
$263.70 |
— |
| Rbc antibody elution (86860) |
— |
$140.90 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$76.20 |
— |
| Reagent strip/blood glucose (82948) |
$10 |
$14.40 |
2.0× |
| Reducing substances, stool (84376) |
— |
$94.80 |
— |
| Renin activity plasma (84244) |
— |
$134.90 |
— |
| Respiratory viral panel PCR (87633) |
— |
$543.20 |
— |
| Reticulocyte separation (86972) |
— |
$279.10 |
— |
| Rheumatoid factor quant (86431) |
$10 |
$33 |
1.8× |
| Rickettsia antibody (86757) |
— |
$133.90 |
— |
| Rpr Titer (86593) |
$50 |
$57.70 |
11.4× |
| Rsv (87807) |
$25 |
$53.55 |
1.9× |
| Rubella antibody (86762) |
$30 |
$28.80 |
2.1× |
| Russell viper venom time diluted (85613) |
— |
$75.70 |
— |
| Saccharomyces ab iga (86671) |
— |
$38.10 |
— |
| Salicylate (80179) |
— |
$183.30 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$100 |
$164.50 |
1.9× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$65 |
$70.55 |
1.5× |
| Sed rate automated (85652) |
— |
$26.80 |
— |
| Sedimentation rate (85651) |
$10 |
$20 |
2.3× |
| Semen analysis complete (89320) |
$20 |
$187.50 |
1.6× |
| Semen analysis sperm presence&/motility sprm (89321) |
— |
$104 |
— |
| Sensitivity mic (87186) |
$15 |
$128.80 |
1.7× |
| Serotonin Release Assay (86022) |
— |
$154.50 |
— |
| Sex hormone binding globulin (84270) |
$35 |
$80.30 |
1.6× |
| Sickle cell screen (85660) |
— |
$34.85 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$124.60 |
— |
| Smear acid fast (87206) |
— |
$82.40 |
— |
| Smear complex stain (87209) |
$40 |
$47.40 |
2.2× |
| Smear gram stain (87205) |
— |
$84.50 |
— |
| Sodium (84295) |
— |
$62.80 |
— |
| Sodium urine (84300) |
— |
$48.40 |
— |
| Soluble transferrin receptor (84238) |
— |
$124.60 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$206 |
— |
| Special stains group 1 (88312) |
— |
$158.60 |
— |
| Spectrophotometry (84311) |
— |
$103 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
$20 |
$31.95 |
2.1× |
| Strep a assay w/optic (87880) |
$25 |
$30.90 |
1.5× |
| Strep a DNA amp probe (87651) |
— |
$94.25 |
— |
| Strep b DNA amp probe (87653) |
— |
$190.60 |
— |
| Sulfate urine (84392) |
— |
$15.50 |
— |
| Surg path level iii (88304) |
— |
$344 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$76.20 |
— |
| Surgical pathology level IV (88305) |
— |
$477.90 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$114.90 |
— |
| T cells, total count (86359) |
— |
$132.90 |
— |
| T3 free (84481) |
$25 |
$49.40 |
1.5× |
| T3 reverse (84482) |
— |
$73.10 |
— |
| T3 total (84480) |
$20 |
$60.80 |
1.4× |
| T3 uptake (84479) |
— |
$86.50 |
— |
| T4 Free (84439) |
$15 |
$160.70 |
1.7× |
| T4 total (84436) |
— |
$60.90 |
— |
| Tb ag response t-cell susp (86481) |
— |
$185.40 |
— |
| Tb intradermal test (86580) |
$5 |
$6.20 |
0.2× |
| Testosterone bioavailable (84410) |
— |
$144.20 |
— |
| Testosterone free (84402) |
$36 |
$108.20 |
1.4× |
| Testosterone total (84403) |
$36 |
$176.65 |
1.4× |
| Theophylline (80198) |
— |
$140.10 |
— |
| Thrombin time plasma (85670) |
— |
$25.75 |
— |
| Thromboplastin Inhibition Tissue (85705) |
— |
$565.50 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$85.50 |
— |
| Thyroglobulin (84432) |
— |
$26.80 |
— |
| Thyroglobulin Ab (86800) |
$22 |
$80.30 |
1.4× |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$152.40 |
— |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
— |
$384.20 |
— |
| Tissue culture bone marrow (88237) |
— |
$370.30 |
— |
| Tobramycin peak (80200) |
— |
$198.80 |
— |
| Topiramate (80201) |
— |
$94.80 |
— |
| Toxoplasma antibody igg (86777) |
— |
$162.70 |
— |
| Transferrin (84466) |
$20 |
$57.70 |
1.6× |
| Triglycerides (84478) |
— |
$62.80 |
— |
| Troponin (84484) |
$45 |
$224.50 |
3.6× |
| Unlisted transfusion medicine procedure (86999) |
— |
$40.20 |
— |
| Urea nitrogen (84520) |
— |
$62.80 |
— |
| Urea nitrogen urine (84540) |
— |
$54.60 |
— |
| Uric acid blood (84550) |
$10 |
$62.80 |
2.2× |
| Uric acid other source (84560) |
— |
$45.85 |
— |
| Urinalysis microscopic only (81015) |
— |
$15.50 |
— |
| Urinalysis w/microscopic (81001) |
— |
$105.10 |
— |
| Urine pregnancy test (81025) |
$15 |
$20 |
1.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$84.50 |
— |
| Valproic acid level (80164) |
$25 |
$88.50 |
1.8× |
| Vancomycin trough (80202) |
— |
$88.50 |
— |
| Varicella-zoster antibody (86787) |
$30 |
$49.40 |
2.3× |
| Vasopressin (84588) |
— |
$93.70 |
— |
| Vdrl csf (86592) |
— |
$66.45 |
— |
| Virus antibody nos (86790) |
— |
$41.10 |
— |
| Vitamin A (84590) |
— |
$109.20 |
— |
| Vitamin b-12 (82607) |
$25 |
$73.10 |
1.7× |
| Vitamin b-2 (riboflavin) (84252) |
— |
$265.70 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$120 |
— |
| Vitamin b6 (84207) |
— |
$175.10 |
— |
| Vitamin C (82180) |
— |
$80.30 |
— |
| Vitamin D 25-Hydroxy (82306) |
$50 |
$102 |
1.7× |
| Vitamin e serum (84446) |
— |
$157.60 |
— |
| Von willebrand factor activity (85245) |
— |
$217.30 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$114.30 |
— |
| West nile virus ab, igm (86788) |
— |
$75.70 |
— |
| West nile virus antibody (86789) |
— |
$61.80 |
— |
| Zika Virus Igm Antibody (86794) |
— |
$126.70 |
— |
| Zinc (84630) |
$20 |
$120.50 |
1.8× |