Lab & pathology prices at Westfield Memorial Hospital, Inc

Westfield, NY · every code in this section with a posted price and a Medicare benchmark.

1377 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $10.12 $46 0.7×
17-Hydroxypregnenolone (84143)
range across 2 matching MRF lines		 $14.96–$120.12 $68–$154 varies
5 Nucleotidase (83915)
range across 2 matching MRF lines		 $7.48–$58.50 $34–$75 varies
Abl1 gene analysis kinase domain variants (81170) $198 $900 0.7×
Acetylcholine receptor binding antibody (86041) $97.50 $125 5.3×
Acetylcholine receptor blocking antibody (86042) $97.50 $125 5.3×
Acetylcholinesterase Assay (82013) $7.92 $36 0.6×
Acetylcholn Rcptr Modlg Antb (86043) $63.18 $81 5.2×
Acth (82024)
range across 2 matching MRF lines		 $25.52–$203.58 $116–$261 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $21.56 $98 0.7×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $57.20 $260 0.7×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $51.48 $234 0.7×
Actin smooth muscle antibody each (86015) $63.18 $81 5.2×
Acute hepatitis panel (80074)
range across 2 matching MRF lines		 $31.24–$251.16 $142–$322 varies
Acylcarnitines Quant (82017)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
Acylcarnitines; qualitative, each specimen Facility (82016) $11 $50 0.7×
Adenovirus antibody (86603) $8.36 $38 0.6×
AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81171) $90.64 $412 0.7×
AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81172) $181.28 $824 0.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $42.68 $194 0.7×
Agglutinins Febrile Each Antigen (86000) $4.40 $20 0.6×
Albumin Fluid (82042)
range across 2 matching MRF lines		 $5.28–$41.34 $24–$53 varies
Albumin ischemia modified (82045) $22.44 $102 0.7×
Albumin serum (82040)
range across 2 matching MRF lines		 $3.08–$26.52 $14–$34 varies
Aldolase (82085)
range across 2 matching MRF lines		 $6.60–$50.70 $30–$65 varies
Aldosterone Suppression Evaluation Panel (80408) $82.72 $376 0.7×
Aldosterone urine (82088)
range across 2 matching MRF lines		 $26.84–$214.50 $122–$275 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines		 $9.68–$78 $44–$100 varies
Allergen spec ige qual multiallergen screen (86005) $5.28 $24 0.7×
Allergen specific ige (86003)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Allergen specific igg (86001)
range across 2 matching MRF lines		 $5.28–$41.34 $24–$53 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines		 $11.88–$94.38 $54–$121 varies
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines		 $8.80–$70.98 $40–$91 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $11.44 $52 0.7×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines		 $11–$88.14 $50–$113 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines		 $3.52–$28.08 $16–$36 varies
Aluminum (82108)
range across 2 matching MRF lines		 $16.72–$134.16 $76–$172 varies
Amikacin trough (80150)
range across 2 matching MRF lines		 $10.12–$79.56 $46–$102 varies
Amines vaginal fluid qualitative (82120) $3.96 $18 0.7×
Amino Acids 1 Quantitative Each Specimen (82131) $14.96 $68 0.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $11 $50 0.7×
Amino Acids Multiple Qualitative Each Specimen (82128) $9.24 $42 0.7×
Amino Acids Quant 2-5 (82136) $12.76 $58 0.7×
Amino acids; single, qualitative, each specimen Facility (82127) $9.24 $42 0.7×
Aminolevulinic acid (ala) (82135) $11 $50 0.7×
Ammonia (82140)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $64.68 $294 0.7×
Amniotic fluid scan (82143) $6.16 $28 0.7×
Amylase urine (82150)
range across 2 matching MRF lines		 $4.40–$34.32 $20–$44 varies
Ana Titer (86039)
range across 2 matching MRF lines		 $7.48–$58.50 $34–$75 varies
Analysis skeletal muscle (88355) $49.94 $227 0.2×
Anca screen each antibody (86036) $63.18 $81 5.2×
Anca Titer Each Antibody (86037) $63.18 $81 5.2×
Androstanediol Glucuronide (82154) $18.92 $86 0.7×
Androstenedione (82157) $19.36 $88 0.7×
Androsterone (hormone) level (82160) $16.72 $76 0.7×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Angiotensin II (82163) $13.64 $62 0.7×
Animal inoculation, small animal, with observation and dissection Facility (87003) $11 $50 0.7×
Anti-Phospholipid Antibody (86148)
range across 2 matching MRF lines		 $10.56–$85.02 $48–$109 varies
Antibody aspergillus (86606)
range across 2 matching MRF lines		 $10.12–$78.78 $46–$101 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines		 $10.12–$81.12 $46–$104 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
Antibody Encephalitis California La Crosse (86651) $8.80 $40 0.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines		 $10.12–$81.12 $46–$104 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines		 $11.88–$95.16 $54–$122 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines		 $7.92–$64.74 $36–$83 varies
Antibody haemophilus influenza (86684) $10.56 $48 0.7×
Antibody helicobacter pylori (86677) $11 $50 0.7×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines		 $9.24–$102.96 $42–$132 varies
Antibody HIV-2 (86702)
range across 2 matching MRF lines		 $8.80–$71.76 $40–$92 varies
Antibody Hla Class I Phenotype Panel Qualitative (86830) $62.92 $286 0.7×
Antibody Hla Class II Phenotype Panel Qual (86831) $54.12 $246 0.7×
Antibody hla class ii semiquantitative panel (86835) $212.96 $968 0.7×
Antibody htlv/HIV antibody confirmatory test (86689) $12.76 $58 0.7×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines		 $10.12–$78.78 $46–$101 varies
Antibody Identification Platelet Immunogl Assay (86023) $8.36 $38 0.7×
Antibody john cunningham virus (86711)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
Antibody leishmania (86717) $7.92 $36 0.6×
Antibody Lymphocytic Choriomeningitis (86727) $8.36 $38 0.6×
Antibody neisseria meningitidis (86741) $8.80 $40 0.7×
Antibody nocardia (86744) $10.56 $48 0.7×
Antibody plasmodium malaria (86750) $8.80 $40 0.7×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines		 $8.36–$65.52 $38–$84 varies
Antibody rotavirus (86759) $11.88 $54 0.7×
Antibody Titer (86886) $3.52 $16 0.7×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Antibody yersinia (86793) $8.80 $40 0.7×
Antibody; campylobacter (86625) $8.80 $40 0.7×
Antibody; encephalitis, st. louis (86653) $8.80 $40 0.7×
Antibody; influenza virus (86710) $8.80 $40 0.6×
Antibody; mucormycosis Facility (86732) $10.12 $46 0.7×
Antigen typing (86905) $2.64 $12 0.7×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $3.96 $18 0.7×
Antinomyces antibody (86602) $6.60 $30 0.6×
Antinuclear antibodies (86038)
range across 2 matching MRF lines		 $7.92–$63.96 $36–$82 varies
Antistreptolysin O Screen (86063) $3.96 $18 0.7×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines		 $4.84–$39 $22–$50 varies
Antithrombin iii activity (85300)
range across 2 matching MRF lines		 $7.92–$62.40 $36–$80 varies
Antithrombin iii antigen (85301) $7.04 $32 0.7×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines		 $14.08–$111.54 $64–$143 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $198.90 $255 5.3×
Aquaporin-4 Antb Cba Each (86052) $63.18 $81 5.2×
Aquaporin-4 Antb Elisa (86051) $60.84 $78 5.3×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) $198.88 $904 0.7×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) $90.64 $412 0.7×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) $122.32 $556 0.7×
Arsenic (82175)
range across 2 matching MRF lines		 $12.32–$99.84 $56–$128 varies
Aspa gene analysis common variants (81200) $38.50 $175 0.8×
Aspergillus ag eia (87305)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Assay activated protein c (85307)
range across 2 matching MRF lines		 $10.12–$81.12 $46–$104 varies
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines		 $3.08–$25.74 $14–$33 varies
Assay Blood Catecholamines (82383) $19.36 $88 0.7×
Assay Dir Meas Fr Estradiol (82681)
range across 2 matching MRF lines		 $18.48–$146.64 $84–$188 varies
Assay Duodenal Fluid Trypsin (84485) $4.84 $22 0.7×
Assay myeloperoxidase (83876) $33.44 $152 0.7×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines		 $8.80–$71.76 $40–$92 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Assay of anti-mullerian hormone (82166) $203.58 $261 5.3×
Assay of b-hexosaminidase each assay (83080) $11 $50 0.7×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines		 $3.08–$24.18 $14–$31 varies
Assay of calcium in urine (82340)
range across 2 matching MRF lines		 $3.96–$31.98 $18–$41 varies
Assay of corticosterone (82528) $14.96 $68 0.7×
Assay of cpk in blood (82552)
range across 2 matching MRF lines		 $8.80–$70.98 $40–$91 varies
Assay of estrone (82679)
range across 2 matching MRF lines		 $16.28–$131.82 $74–$169 varies
Assay of feces for trypsin (84490) $6.60 $30 0.7×
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines		 $6.60–$50.70 $30–$65 varies
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines		 $6.16–$49.14 $28–$63 varies
Assay of lactic acid (83605)
range across 3 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Assay of manganese (83785)
range across 2 matching MRF lines		 $17.60–$140.40 $80–$180 varies
Assay of metanephrines (83835)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
Assay of phosphatase acid total (84060) $4.84 $22 0.6×
Assay of phosphatase alkaline heat stable (84078) $5.28 $24 0.6×
Assay of procainamide (80190) $39.60 $180 0.7×
Assay of proinsulin (84206) $17.60 $80 0.7×
Assay of prostate specific antigen complexed (84152) $12.32 $56 0.7×
Assay of pyruvate (84210) $9.68 $44 0.7×
Assay of semen fructose (82757) $11.44 $52 0.7×
Assay of serotonin (84260) $20.24 $92 0.7×
Assay of serum potassium (84132)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
Assay of Sialic Acid (84275) $8.80 $40 0.7×
Assay of sweat sodium (84302)
range across 2 matching MRF lines		 $3.08–$25.74 $14–$33 varies
Assay of transcortin (84449) $11.88 $54 0.7×
Assay of Tyrosine (84510) $7.04 $32 0.7×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines		 $2.64–$21.06 $12–$27 varies
Assay of urine vma (84585)
range across 2 matching MRF lines		 $10.12–$81.90 $46–$105 varies
Assay of vasoactive intestinal peptide (84586)
range across 2 matching MRF lines		 $23.32–$186.42 $106–$239 varies
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines		 $14.08–$111.54 $64–$143 varies
Assay Ph Body Fluid Nos (83986) $2.20 $10 0.6×
Assay Phosphohexose Enzymes (84087) $7.04 $32 0.7×
Assay spec xcp ur&breath ia (82077)
range across 2 matching MRF lines		 $11.44–$90.48 $52–$116 varies
Asstd Fertilization Microtq > 10 Oocytes (89281) $660 $3,000 3.1×
Asstd oocyte fert 10 or less (89280) $368.28 $1,674 0.4×
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) $159.72 $726 0.7×
Asxl1 gene analysis full gene sequence (81175) $446.60 $2,030 0.7×
Asy carbamazepin 10,11-epxid (80161)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $90.64 $412 0.7×
Atomic Absorption (82190) $10.56 $48 0.7×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $90.64 $412 0.7×
ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) $90.64 $412 0.7×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $90.64 $412 0.7×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $90.64 $412 0.7×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $90.64 $412 0.7×
ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) $90.64 $412 0.7×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $554.84 $2,522 0.7×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines		 $1.76–$13.26 $8–$17 varies
B cells total count (86355)
range across 2 matching MRF lines		 $25.08–$198.90 $114–$255 varies
Babesia microti amp prb (87469)
range across 3 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Bacterial antigens 87802 (87802) $8.36 $38 0.7×
Bartonella antibody (86611)
range across 2 matching MRF lines		 $6.60–$53.82 $30–$69 varies
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines		 $108.24–$383.76 $492 varies
Bcr/abl1 gene minor bp (81207)
range across 3 matching MRF lines		 $95.48–$338.52 $434 varies
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines		 $16.72–$134.16 $76–$172 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines		 $5.28–$43.68 $24–$56 varies
Beta Lactamase (87185)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
Beta-2 Microglobulin (82232) $10.56 $48 0.7×
Beta-amyloid 1-40 (abeta 40) (82233) $184.08 $236 1.4×
Beta-amyloid; 1-42 (abeta 42) (82234) $184.08 $236 1.4×
Bile acids total (82239) $11.44 $52 0.7×
Bile acids, cholylglycine (82240) $17.60 $80 0.7×
Bilirubin direct (82248)
range across 2 matching MRF lines		 $3.52–$26.52 $16–$34 varies
Bilirubin total (82247)
range across 2 matching MRF lines		 $3.52–$26.52 $16–$34 varies
Bilirubin total transcutaneous (88720) $3.52 $16 0.7×
Bilirubin; feces, qualitative Facility (82252) $3.08 $14 0.7×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) $440 $2,000 2.1×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) $330 $1,500 1.6×
Biotinidase (82261) $11 $50 0.7×
Bl Smear W/O Diff Wbc Count (85008) $2.20 $10 0.6×
Blastomyces antibody (86612)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $29.48 $134 0.5×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $29.48 $134 0.8×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $29.70 $135 0.1×
Bld Typing Serologic Rh Phnt (86906) $5.28 $24 0.7×
Bleeding time test (85002)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
Blm Gene (81209) $25.96 $118 0.7×
Blood Count Automated Differential Wbc Count (85004) $4.40 $20 0.7×
Blood Count Manual Cell Count Each (85032) $2.64 $12 0.6×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $3.52 $16 0.7×
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines		 $2.20–$15.60 $10–$20 varies
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines		 $2.64–$21.06 $12–$27 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $2.64 $12 0.7×
Blood count spun microhematocrit (85013) $4.84 $22 0.7×
Blood gas (82803)
range across 3 matching MRF lines		 $17.16–$137.28 $78–$176 varies
Blood gases w/02 saturation (82805)
range across 2 matching MRF lines		 $51.92–$414.96 $236–$532 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines		 $10.56–$95.16 $48–$122 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $3.08 $14 0.7×
Blood Sulfhemoglobin Assay (83060) $5.72 $26 0.6×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines		 $4.40–$1,803.36 $20–$2,312 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $11 $50 0.7×
Blood typing serologic abo (86900)
range across 2 matching MRF lines		 $1.76–$678.60 $8–$870 varies
Body fluid cell count (89050) $3.08 $14 0.7×
Bone marrow smear interpretation (85097) $28.82 $131 0.0×
Bordetella antibody (86615) $8.80 $40 0.7×
Borrelia Antibody (86619) $8.80 $40 0.7×
Borrelia miyamotoi amp prb (87478)
range across 3 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Braf gene analysis (81210)
range across 2 matching MRF lines		 $115.72–$411.06 $526–$527 varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) $661.76 $3,008 1.4×
Brca1 brca2 gene analysis full dup/del analysis (81164) $385.44 $1,752 0.7×
Brca1 gene analysis full dup/del analysis (81166) $198.88 $904 0.7×
Brca1 gene analysis full sequence analysis (81165) $223.52 $1,016 0.8×
Brca1&2 gen full seq dup/del (81162) $1,204.28 $5,474 0.7×
Brca2 gene analysis full dup/del analysis (81167) $223.52 $1,016 0.8×
Brca2 Gene Analysis Known Familial Variant (81217) $247.72 $1,126 0.7×
Breath Alcohol Test (82075) $19.80 $90 0.7×
Brucella antibody (86622) $5.72 $26 0.6×
Btk Gene Analysis Common Variants (81233) $115.72 $526 0.7×
C diff amplified probe (87493)
range across 2 matching MRF lines		 $24.64–$195.78 $112–$251 varies
C-Peptide (84681)
range across 2 matching MRF lines		 $13.64–$109.20 $62–$140 varies
C-reactive protein (86140)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Ca 19-9 (86301)
range across 2 matching MRF lines		 $13.64–$109.20 $62–$140 varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $90.64 $412 0.7×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) $558.36 $2,538 0.7×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186) $122.32 $556 0.7×
Cadmium (82300) $15.40 $70 0.7×
Caffeine (80155) $25.52 $116 0.7×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $38.06 $173 0.2×
Calcitonin (82308)
range across 2 matching MRF lines		 $17.60–$141.18 $80–$181 varies
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $53.24 $242 0.7×
Calcium ionized (82330)
range across 2 matching MRF lines		 $9.24–$71.76 $42–$92 varies
Calcium total (82310)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Calcium; after calcium infusion test (82331) $8.80 $40 0.7×
Calculus assay quant (82360) $8.36 $38 0.6×
Calculus Spectroscopy (82365)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Calculus Xray Diffraction (82370) $8.36 $38 0.7×
Calprotectin Fecal (83993)
range across 2 matching MRF lines		 $12.76–$103.74 $58–$133 varies
Calr gene com variants (81219) $80.08 $364 0.7×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines		 $13.64–$109.20 $62–$140 varies
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines		 $13.64–$109.20 $62–$140 varies
Candida antibody (86628)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Candida Dna Dir Probe (87480)
range across 2 matching MRF lines		 $13.20–$105.30 $60–$135 varies
Car Ion Chnnlpath Inc 10 Gns (81413) $385.88 $1,754 0.7×
Car Ion Chnnlpath Inc 2 Gns (81414) $385.88 $1,754 0.7×
Carbamazepine free (80157) $8.80 $40 0.7×
Carbamazepine total (80156)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Carbohydrate Deficient Transferrin (82373) $11.88 $54 0.7×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $9.24 $42 0.7×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines		 $7.92–$64.74 $36–$83 varies
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines		 $12.32–$99.84 $56–$128 varies
Cardiolipin ab iga (86147)
range across 2 matching MRF lines		 $16.72–$134.16 $76–$172 varies
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
Carotene (82380) $6.16 $28 0.7×
Catecholamines fractionated (82384)
range across 2 matching MRF lines		 $16.72–$132.60 $76–$170 varies
Catecholamines total urine (82382) $18.04 $82 0.7×
Cathepsin-d (82387) $11.88 $54 0.7×
Ccnd1/Igh Translocation Alys (81168) $136.84 $622 0.7×
Ccp antibody (86200)
range across 2 matching MRF lines		 $8.36–$68.64 $38–$88 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $159.72 $726 0.7×
Cell count csf (89051)
range across 2 matching MRF lines		 $3.52–$29.64 $16–$38 varies
Cell marker study (88182) $22.88 $104 0.4×
Cellular Function Assay Stimul&Detect Biomarke (86352) $89.76 $408 0.7×
Ceruloplasmin (82390)
range across 2 matching MRF lines		 $7.04–$56.94 $32–$73 varies
Cftr gene com variants (81220)
range across 2 matching MRF lines		 $367.40–$1,302.60 $1,670 varies
Cftr gene dup/delet variants (81222) $287.32 $1,306 0.7×
Cftr gene full sequence (81223) $329.56 $1,498 0.7×
Chemiluminescent assay (82397)
range across 2 matching MRF lines		 $9.24–$74.10 $42–$95 varies
Chemotaxis Assay (86155) $10.56 $48 0.7×
Chg cryopreservation mature oocyte(s) (89337) $264 $1,200 1.2×
Chimerism w/comp to baseline w/cell selection ea (81268) $172.04 $782 0.7×
Chimerism w/comp to baseline w/o cell selection (81267) $136.84 $622 0.7×
Chlamydia antibody (86631) $7.92 $36 0.7×
Chlamydia Igm Antibody (86632) $8.36 $38 0.7×
Chlamydia trachomatis ag if (87270) $7.92 $36 0.7×
Chloramphenicol level (82415) $8.36 $38 0.7×
Chloride other source (82438) $3.52 $16 0.7×
Chloride Serum (82435)
range across 2 matching MRF lines		 $3.08–$24.18 $14–$31 varies
Chloride urine (82436)
range across 2 matching MRF lines		 $3.96–$30.42 $18–$39 varies
Chlorinated Hydrocarbons Screen (82441) $3.96 $18 0.7×
Cholesterol total (82465)
range across 2 matching MRF lines		 $3.08–$22.62 $14–$29 varies
Cholinesterase rbc (82482)
range across 2 matching MRF lines		 $6.60–$51.48 $30–$66 varies
Cholinesterase Serum (82480)
range across 2 matching MRF lines		 $5.28–$41.34 $24–$53 varies
Chondroitin B sulfate, quantitative Facility (82485) $13.64 $62 0.7×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $36.96 $168 0.7×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $33.88 $154 0.7×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines		 $10.12–$78.78 $46–$101 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $124.52 $566 0.7×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $17.60 $80 0.7×
Chrmsm Analysis Addl High Resolution Study (88289) $22.88 $104 0.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $22 $100 0.7×
Chrmsm Analysis Addl Specialized Banding (88283) $45.32 $206 0.7×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $114.40 $520 0.7×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $114.40 $520 0.7×
Chrmsm Breakage Synds Score 100 Cll (88249) $114.40 $520 0.7×
Chromium serum (82495)
range across 2 matching MRF lines		 $13.20–$106.86 $60–$137 varies
Chromogenic Substrate Assay (85130) $7.92 $36 0.7×
Chromogranin a (86316)
range across 2 matching MRF lines		 $13.64–$109.20 $62–$140 varies
Chromosome analys amniotic (88269) $114.40 $520 0.7×
Chromosome Analysis 15-20 (88262) $82.72 $376 0.7×
Chromosome Analysis 20-25 (88264) $95.48 $434 0.7×
Chromosome analysis 45 cells (88263) $99 $450 0.7×
Chromosome analysis, 5 (88261) $174.68 $794 0.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Citric acid urine (82507) $18.48 $84 0.7×
Ckmb (82553)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Clostridium Difficile (87324)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Clot Factor VIII Multimetric (85247)
range across 2 matching MRF lines		 $14.96–$120.90 $68–$155 varies
Clot factor xiii fibrin stab (85290) $11 $50 0.7×
Clot lysis time, whole blood dilution Facility (85175) $13.64 $62 0.7×
Clot retraction (85170) $10.56 $48 0.6×
Clotting factor viii related antigen (85244) $13.64 $62 0.7×
Clotting factor xii hageman (85280) $12.76 $58 0.7×
Clotting Funct Activity (85397) $20.24 $92 0.7×
Clotting hi molec weight kininogen assay (85293) $12.32 $56 0.7×
Clotting prekallikrein assay fletcher fact assay (85292) $12.32 $56 0.7×
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $90.64 $412 0.7×
Cns DNA amp probe type 12-25 (87483) $275 $1,250 0.7×
Coagulation time activated (85347)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Coagulation time other methods (85348) $3.08 $14 0.7×
Coagulation time; Lee and White Facility (85345) $3.08 $14 0.7×
Coccidioides antibody (86635)
range across 2 matching MRF lines		 $7.48–$60.06 $34–$77 varies
Cold agglutinin screen (86156) $5.28 $24 0.7×
Cold agglutinin titer (86157)
range across 3 matching MRF lines		 $5.28–$42.90 $24–$55 varies
Collagen crosslinks (82523)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Column Chromotography Quant (82542)
range across 2 matching MRF lines		 $15.84–$127.14 $72–$163 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $382.36 $1,738 0.7×
Compatibility test antiglob (86922) $902.46 $1,157 4.2×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Complement Fixation Tests Each Antigen (86171) $6.60 $30 0.7×
Complement Total (Ch50) (86162)
range across 2 matching MRF lines		 $13.20–$106.86 $60–$137 varies
Complement/Function Activity (86161)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Consltj Compre Review Reprt Referred Matrl (88325) $82.50 $375 0.4×
Consltj&Reprt Material Requiring Prepj Slides (88323) $53.46 $243 0.8×
Consltj&Reprt Slides Prepared Elsewhere (88321) $50.60 $230 1.1×
Coombs direct (86880)
range across 2 matching MRF lines		 $3.52–$312.78 $16–$401 varies
Copper urine (82525)
range across 2 matching MRF lines		 $8.36–$65.52 $38–$84 varies
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $528.88 $2,404 0.7×
Cortisol free (82530)
range across 2 matching MRF lines		 $11–$88.14 $50–$113 varies
Cortisol saliva (82533)
range across 2 matching MRF lines		 $10.56–$85.80 $48–$110 varies
Creatine (82540) $3.08 $14 0.7×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $7.92 $36 0.7×
Creatine kinase total (82550)
range across 2 matching MRF lines		 $4.40–$34.32 $20–$44 varies
Creatinine blood (82565)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Creatinine clearance (82575) $6.16 $28 0.7×
Creatinine Urine (82570)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Crossmatch immediate spin (86920) $902.46 $1,157 4.2×
Crp High Sensitivity (86141)
range across 2 matching MRF lines		 $8.36–$68.64 $38–$88 varies
Cryofibrinogen (82585)
range across 2 matching MRF lines		 $9.24–$74.10 $42–$95 varies
Cryoglobulin (82595)
range across 2 matching MRF lines		 $4.40–$34.32 $20–$44 varies
Cryopreservation; embryo(s) (89258) $264 $1,200 0.3×
Cryopreservation; sperm (89259) $55 $250 0.3×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $8.80 $40 0.7×
Cryptococcal Antigen (87327) $8.80 $40 0.7×
Cryptococcus ab (86641) $9.68 $44 0.7×
Cryptococcus ag titer (87899) $10.56 $48 0.7×
Cryptosporidium (87272)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines		 $9.24–$72.54 $42–$93 varies
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) $90.64 $412 0.7×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) $181.28 $824 0.7×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190) $122.32 $556 0.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines		 $5.28–$42.90 $24–$55 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines		 $5.28–$42.90 $24–$55 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines		 $5.28–$40.56 $24–$52 varies
Culture aerobic quant other (87071) $6.60 $30 0.7×
Culture afb (87116)
range across 2 matching MRF lines		 $7.04–$56.94 $32–$73 varies
Culture Anaerobic (87075)
range across 2 matching MRF lines		 $6.16–$49.92 $28–$64 varies
Culture bacteria anaerobic (87073) $6.16 $28 0.6×
Culture blood (87040)
range across 2 matching MRF lines		 $6.60–$54.60 $30–$70 varies
Culture chlamydia (87110)
range across 2 matching MRF lines		 $12.76–$102.96 $58–$132 varies
Culture csf (87070)
range across 2 matching MRF lines		 $5.72–$46.02 $26–$59 varies
Culture fungus (87102)
range across 2 matching MRF lines		 $5.72–$44.46 $26–$57 varies
Culture fungus blood (87103) $13.64 $62 0.7×
Culture oocyte/embryos<4day (89250) $575.52 $2,616 2.7×
Culture screen only (87081)
range across 2 matching MRF lines		 $4.40–$35.10 $20–$45 varies
Culture stool (87045)
range across 2 matching MRF lines		 $6.16–$49.92 $28–$64 varies
Culture Typing Gas/High Pres Liq Chromatography (87143) $8.36 $38 0.7×
Culture typing if ea antiserum (87140)
range across 2 matching MRF lines		 $3.52–$29.64 $16–$38 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Culture typing other methods (87158) $5.28 $24 0.7×
Culture urine (87086)
range across 2 matching MRF lines		 $5.28–$42.90 $24–$55 varies
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $18.04 $82 0.7×
Culture, typing; identification by pulse field gel typing Facility (87152) $5.28 $24 0.7×
Cyanide (82600) $12.76 $58 0.7×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $9.24 $42 0.6×
Cyclic amp (82030) $17.16 $78 0.7×
Cyclosporine (80158)
range across 2 matching MRF lines		 $11.88–$95.16 $54–$122 varies
Cyp3a4 gene common variants (81230) $115.28 $524 0.7×
Cyp3a5 gene common variants (81231) $115.28 $524 0.7×
Cystatin C (82610)
range across 2 matching MRF lines		 $12.32–$97.50 $56–$125 varies
Cytogenetics 10-30 (88273) $22.88 $104 0.7×
Cytogenetics 100-300 (88275) $33.88 $154 0.7×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $765.60 $3,480 0.7×
Cytogenomic neo microra alys (81277)
range across 2 matching MRF lines		 $765.60–$2,714.40 $3,480 varies
Cytomegalovirus igg (86644)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Cytopath C/V Index Add-On (88155) $9.68 $44 0.7×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $13.20 $60 0.7×
Cytopath Cell Enhance Tech (88112) $16.50 $75 0.3×
Cytopath Fl Nongyn Filter (88106) $11.44 $52 0.3×
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $33.44 $152 0.7×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $11.88 $54 0.6×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $16.72 $76 0.7×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $11.88 $54 0.6×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $11.88 $54 0.6×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $27.72 $126 0.7×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $18.04 $82 0.7×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $15.84 $72 0.7×
Cytotoxic Antibody Screen Std (86807) $51.92 $236 0.7×
Cytotoxic pra quick (86808) $19.80 $90 0.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $17.60 $80 0.7×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $15.40 $70 0.7×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines		 $13.42–$92.04 $61–$118 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $41.80 $190 0.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $21.34 $97 0.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $16.72 $76 0.4×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $34.98 $159 0.2×
Cytp Slides C/V Mnl Scr Under Phys (88150) $11.88 $54 0.6×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $11.88 $54 0.6×
Cytp smrs any oth src extnd std > 5 slides (88162) $23.54 $107 0.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $15.40 $70 0.4×
Cytp Urine 3-5 Probes Cmptr (88121) $29.26 $133 0.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $11.66 $53 1.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $7.48 $34 0.7×
Deoxycortisol (82634) $19.36 $88 0.7×
Deoxyribonuclease antibody (86215) $8.80 $40 0.7×
Desoxycorticosterone (82633) $20.24 $92 0.7×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines		 $28.16–$226.20 $128–$290 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines		 $46.20–$369.72 $210–$474 varies
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $106.92 $486 0.7×
Dgp Antibody Each Ig Class (86258) $63.18 $81 5.2×
Dhea (82626)
range across 2 matching MRF lines		 $16.72–$132.60 $76–$170 varies
Dhea-S (82627)
range across 2 matching MRF lines		 $14.52–$117 $66–$150 varies
Dibucaine number (82638) $7.92 $36 0.6×
Digoxin (80162)
range across 2 matching MRF lines		 $8.80–$70.20 $40–$90 varies
Digoxin free (80163) $8.80 $40 0.7×
Dihydrotestosterone (82642)
range across 2 matching MRF lines		 $19.36–$154.44 $88–$198 varies
Diphtheria antitoxoid (86648) $10.12 $46 0.7×
Dipropylacetic Acid Free (80165)
range across 2 matching MRF lines		 $8.80–$71.76 $40–$92 varies
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $22.44 $102 0.7×
DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) $181.28 $824 0.7×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $90.64 $412 0.7×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines		 $9.24–$72.54 $42–$93 varies
Dna Antibody Single Stranded (86226) $7.92 $36 0.7×
Dna/Rna Amplified Probe (87150) $23.32 $106 0.7×
DNA/RNA direct probe (87149) $13.20 $60 0.7×
Dna/Rna Sequencing (87153) $76.12 $346 0.7×
Dpyd gene common variants (81232) $115.28 $524 0.7×
Drug assay acetaminophen (80143)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Drug assay adalimumab (80145)
range across 2 matching MRF lines		 $25.52–$202.80 $116–$260 varies
Drug Assay Amiodarone (80151)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Drug Assay Everolimus (80169)
range across 2 matching MRF lines		 $9.24–$72.54 $42–$93 varies
Drug assay felbamate (80167)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Drug Assay Infliximab (80230)
range across 2 matching MRF lines		 $25.52–$202.80 $116–$260 varies
Drug Assay Itraconazole (80189)
range across 2 matching MRF lines		 $18.04–$142.74 $82–$183 varies
Drug Assay Lacosamide (80235)
range across 2 matching MRF lines		 $18.04–$142.74 $82–$183 varies
Drug Assay Leflunomide (80193) $202.80 $260 5.3×
Drug Assay Posaconazole (80187)
range across 2 matching MRF lines		 $18.04–$142.74 $82–$183 varies
Drug Assay Vedolizumab (80280)
range across 2 matching MRF lines		 $25.52–$202.80 $116–$260 varies
Drug assay voriconazole (80285)
range across 2 matching MRF lines		 $18.04–$142.74 $82–$183 varies
Drug Screen Quant Clozapine (80159) $13.20 $60 0.7×
Drug Screen Quant Zonisamide (80203) $8.80 $40 0.7×
Drug Screen Quantitative Gabapentin (80171) $14.52 $66 0.7×
Drug Screen Quantitative Lamotrigine (80175)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Drug Screen Quantitative Levetiracetam (80177)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Drug Screen Quantitative Oxcarbazepine (80183)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Drug Screen Quantitative Procainamide Metabolite (80192) $11 $50 0.7×
Drug Screen Quantitative Tiagabine (80199) $18.04 $82 0.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines		 $40.92–$326.82 $186–$419 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines		 $8.36–$66.30 $38–$85 varies
Drug Test Prsmv Instrmnt (80306) $11.44 $52 0.7×
Ehrlichia antibody (86666)
range across 2 matching MRF lines		 $6.60–$53.82 $30–$69 varies
El-1 Fecal Quantitative (82653) $120.90 $155 5.3×
Electrolyte panel (80051)
range across 2 matching MRF lines		 $4.84–$36.66 $22–$47 varies
Electron Microscopy (88348) $46.42 $211 0.0×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $40.48 $184 0.7×
Embryo hatching microtechnique (89253) $95.48 $434 0.4×
Encephaltis East Eqne Anbdy (86652) $8.80 $40 0.7×
Encephaltis West Eqne Antbdy (86654) $8.80 $40 0.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $63.96 $82 5.3×
Enterovirus Antibody (86658)
range across 2 matching MRF lines		 $8.80–$68.64 $40–$88 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Enzyme cell activity (82657) $14.52 $66 0.7×
Enzyme histochemistry (88319) $16.06 $73 0.0×
Eosinophil Smear (89190) $3.96 $18 0.7×
Erythropoietin (82668)
range across 2 matching MRF lines		 $12.32–$99.06 $56–$127 varies
Estradiol serum (82670)
range across 2 matching MRF lines		 $18.48–$146.64 $84–$188 varies
Estriol (82677)
range across 2 matching MRF lines		 $15.84–$127.92 $72–$164 varies
Estrogen total (82672)
range across 2 matching MRF lines		 $14.52–$113.88 $66–$146 varies
Estrogens fractionated (82671)
range across 2 matching MRF lines		 $21.12–$170.04 $96–$218 varies
Ethosuximide (80168)
range across 2 matching MRF lines		 $11–$85.80 $50–$110 varies
Ethylene Glycol (82693)
range across 2 matching MRF lines		 $9.68–$78.78 $44–$101 varies
Euglobulin lysis (85360) $5.72 $26 0.7×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines		 $11–$39 $50 varies
Extnd Cul Oocyte/Embryo 4-7 Days (89272) $660 $3,000 0.7×
Ezh2 Gene Analysis Common Variants (81237) $115.72 $526 0.7×
Ezh2 gene analysis full gene sequence (81236) $223.52 $1,016 0.8×
F2 Gene (81240)
range across 3 matching MRF lines		 $43.56–$153.66 $197–$198 varies
F9 full gene sequence (81238) $396 $1,800 0.7×
Factor ii activity (85210) $8.36 $38 0.6×
Factor Inhibitor Test (85335) $8.36 $38 0.6×
Factor ix activity (85250) $12.76 $58 0.7×
Factor v activity (85220) $11.44 $52 0.6×
Factor v leiden mutation (81241)
range across 3 matching MRF lines		 $48.40–$171.60 $220 varies
Factor vii assay (85230) $11.88 $54 0.7×
Factor viii assay (85240)
range across 2 matching MRF lines		 $11.88–$94.38 $54–$121 varies
Factor X (85260) $11.88 $54 0.7×
Factor xi activity (85270) $11.88 $54 0.7×
Factor xiii screen (85291) $6.16 $28 0.7×
Fancc Gene (81242) $24.20 $110 0.7×
Fat differential, feces, quantitative Facility (82715) $14.96 $68 0.7×
Fat stain feces urine/respir secretions (89125) $3.96 $18 0.7×
Fat/Lipids Feces Quantitative (82710)
range across 2 matching MRF lines		 $11–$88.14 $50–$113 varies
Fatty acids free (82725) $12.32 $56 0.7×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $5.28 $24 0.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 2 matching MRF lines		 $11.44–$90.48 $52–$116 varies
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $6.60 $30 0.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $4.40 $20 0.7×
Fecal Fat Qualitative (82705)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Ferritin (82728)
range across 2 matching MRF lines		 $8.80–$71.76 $40–$92 varies
Fetal Aneuploidy Trisom Risk (81507) $524.92 $2,386 0.7×
Fetal Chrmoml Aneuploidy (81420)
range across 2 matching MRF lines		 $501.16–$1,776.06 $2,277–$2,278 varies
Fetal Chrmoml Microdeltj (81422) $501.16 $2,278 0.7×
Fetal Congenital Abnor Assay Four Anal (81511) $101.20 $460 0.7×
Fetal Congenital Abnor Assay Two Proteins (81508) $35.64 $162 0.7×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $163.02 $209 2.3×
Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) $981.64 $4,462 0.7×
Fetal Fibronectin (82731) $42.68 $194 0.7×
Fetal hemoglobin assay qual (83033) $5.28 $24 0.7×
Fetal lung maturity assessment; foam stability test Facility (83662) $12.32 $56 0.7×
Fetal Lung Maturity Fluorescence Polarization (83663) $12.32 $56 0.7×
Fetal screen rosette (85461) $6.16 $28 0.7×
Fibrin degradation products (85362) $4.40 $20 0.6×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines		 $6.60–$53.82 $30–$69 varies
Fibrin dgradj products d-dimer qual/semiquan (85378) $6.60 $30 0.7×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $6.60 $30 0.6×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $8.36 $38 0.7×
Fibrinogen activity (85384)
range across 2 matching MRF lines		 $6.60–$50.70 $30–$65 varies
Fibrinogen antigen (85385) $9.68 $44 0.7×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $22 $100 1.4×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $5.28 $24 0.7×
Flecainide level (80181)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Flow cytometry first marker (88184) $841.62 $1,079 1.9×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines		 $11–$63.18 $50–$81 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 2 matching MRF lines		 $11–$63.18 $50–$81 varies
Fluoride serum (82735) $12.32 $56 0.7×
Fmr1 gene detection (81243) $37.84 $172 0.7×
Folic acid rbc (82747)
range across 2 matching MRF lines		 $11.44–$92.82 $52–$119 varies
Folic Acid Serum (82746)
range across 2 matching MRF lines		 $9.68–$77.22 $44–$99 varies
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines		 $12.32–$97.50 $56–$125 varies
Forensic Cytopathology (88125) $8.36 $38 0.1×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $18.92 $86 0.7×
Francisella tularensis (86668) $9.24 $42 0.7×
Frozen Section (88331) $37.18 $169 0.2×
Fungi Identification Mold (87107) $6.60 $30 0.6×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines		 $6.60–$54.60 $30–$70 varies
FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) $122.32 $556 0.7×
Fxn Gene Analysis Characterization Alleles (81285) $181.28 $824 0.7×
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) $90.64 $412 0.7×
Fxn Gene Analysis Full Gene Sequence (81286) $181.28 $824 0.7×
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) $247.72 $1,126 0.7×
G6pd gene alys cmn variant (81247) $115.28 $524 0.7×
G6pd gene analysis full gene sequence (81249) $396 $1,800 0.7×
Galactokinase rbc (82759) $14.08 $64 0.7×
Galactose (82760) $7.48 $34 0.7×
Galactose transferase test (82776) $7.92 $36 0.7×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $14.08 $64 0.7×
Galectin-3 (82777) $29.04 $132 0.7×
Gammaglobulin ige (82785)
range across 2 matching MRF lines		 $11–$86.58 $50–$111 varies
Gardner vag DNA dir probe (87510)
range across 2 matching MRF lines		 $13.20–$105.30 $60–$135 varies
Gardner Vag Dna Quant (87512)
range across 2 matching MRF lines		 $27.72–$219.96 $126–$282 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $6.60 $30 0.7×
Gases blood ph only (82800)
range across 2 matching MRF lines		 $7.48–$57.72 $34–$74 varies
Gastric Analy W/Ph Ea Spec (82930) $4.40 $20 0.7×
Gastrin (82941)
range across 2 matching MRF lines		 $11.44–$92.82 $52–$119 varies
Gastrin after secretin stim (82938) $11.88 $54 0.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $275 $1,250 0.7×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $51.48 $234 1.1×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $501.16 $2,278 0.7×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $6,832.02 $8,759 2.3×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines		 $22.44–$178.62 $102–$229 varies
Genetic Tstg Severe Inh Cond (81443) $1,616.12 $7,346 0.7×
Gentamicin (80170)
range across 2 matching MRF lines		 $11–$85.80 $50–$110 varies
Ggt (82977)
range across 2 matching MRF lines		 $4.84–$38.22 $22–$49 varies
Gh suppression panel (80430) $85.36 $388 0.7×
Giardia antigen (87329)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Giardia lamblia antibody (86674) $9.68 $44 0.7×
Gluc-6-phosphate dehydrogenase screen (82960) $3.96 $18 0.7×
Glucagon (82943) $9.24 $42 0.6×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $30.36 $138 0.7×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $33.44 $152 0.7×
Glucagon tolerance test Facility (82946) $11.88 $54 0.7×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
Glucose Blood Test (82962)
range across 2 matching MRF lines		 $2.20–$17.94 $10–$23 varies
Glucose body fluid (82945)
range across 2 matching MRF lines		 $2.64–$20.28 $12–$26 varies
Glucose Serum (82947)
range across 2 matching MRF lines		 $2.64–$20.28 $12–$26 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Glucosidase beta (82963) $14.08 $64 0.7×
Glutamate dehydrogenase Facility (82965) $8.80 $40 0.7×
Glutathione (82978) $10.12 $46 0.7×
Glutathione reductase, RBC Facility (82979) $6.16 $28 0.7×
Glycated Protein (82985)
range across 2 matching MRF lines		 $11–$88.14 $50–$113 varies
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $10.12 $46 0.7×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines		 $4.84–$39.78 $22–$51 varies
Gonadotropin releasing hormone (83727) $11.44 $52 0.7×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $98.12 $446 0.7×
Growth hormone (83003)
range across 2 matching MRF lines		 $11–$88.14 $50–$113 varies
Growth hormone antibody (86277) $10.56 $48 0.7×
Growth Hormone Stimulation Panel (80428) $44 $200 0.7×
Growth Stimulation Gene 2 (83006) $49.72 $226 0.7×
Gtt-added samples (82952)
range across 2 matching MRF lines		 $2.64–$20.28 $12–$26 varies
H Pylori (C-13) Breath (83013) $44.44 $202 0.7×
H Pylori Drug Admin (83014) $5.28 $24 0.7×
Haloperidol (80173) $10.56 $48 0.7×
Haptoglobin (83010)
range across 2 matching MRF lines		 $8.36–$66.30 $38–$85 varies
Haptoglobin; phenotypes Facility (83012) $17.60 $80 0.7×
HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) $247.72 $1,126 0.7×
Hba1/hba2 full gene sequence (81259)
range across 2 matching MRF lines		 $396–$1,404 $1,800 varies
Hba1/Hba2 Gene (81257) $67.32 $306 0.7×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $133.76 $608 0.7×
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) $247.72 $1,126 0.7×
Hbb duplication/deletion variants (81363)
range across 2 matching MRF lines		 $133.76–$474.24 $608 varies
Hbb Full Gene Sequence (81364) $214.28 $974 0.7×
Hbb Gene Com Variants (81361) $115.28 $524 0.7×
Hdl Cholesterol (83718) $5.28 $24 0.6×
Heavy metal qualitative any analytes (83015) $13.64 $62 0.7×
Heinz Bodies Direct (85441) $2.64 $12 0.6×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $4.40 $20 0.6×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines		 $9.68–$75.66 $44–$97 varies
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $44.44 $202 0.7×
Helminth Antibody (86682)
range across 2 matching MRF lines		 $8.80–$68.64 $40–$88 varies
Hemagglutination Inhibition (86280) $5.28 $24 0.6×
Hematocrit (85014)
range across 2 matching MRF lines		 $1.76–$12.48 $8–$16 varies
Hemoglobin (85018)
range across 2 matching MRF lines		 $1.76–$12.48 $8–$16 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines		 $6.60–$50.70 $30–$65 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines		 $11.88–$95.16 $54–$122 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026) $2.64 $12 0.7×
Hemoglobin electrophoresis (83020) $11 $50 0.9×
Hemoglobin F Fetal Chemical (83030) $7.04 $32 0.7×
Hemoglobin Methemoglobin Quantitative (83050)
range across 2 matching MRF lines		 $5.28–$43.68 $24–$56 varies
Hemoglobin plasma (83051) $4.84 $22 0.7×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $6.16 $28 0.7×
Hemoglobin stability screen (83068) $6.16 $28 0.7×
Hemoglobin Thermolabile (83065) $6.16 $28 0.7×
Hemoglobin urine (83069) $2.64 $12 0.7×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $6.16 $28 0.7×
Hemoglobin-Oxygen Affinity (82820) $8.80 $40 0.7×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $6.60 $30 0.7×
Hemoglobin; methemoglobin, qualitative Facility (83045) $4.40 $20 0.7×
Hemolysin Acid (85475) $5.72 $26 0.6×
Hemolysins&Agglutinins Auto Screen Each (86940) $5.72 $26 0.7×
Hemolysins&Agglutinins Incubated (86941) $7.92 $36 0.7×
Hemosiderin urine (83070) $3.08 $14 0.6×
Hep a ab igm (86709)
range across 2 matching MRF lines		 $7.48–$59.28 $34–$76 varies
Heparin assay (85520)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Heparin Neutralization (85525) $7.92 $36 0.7×
Heparin-Protamine Tolerance Tst (85530) $8.80 $40 0.7×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines		 $8.36–$65.52 $38–$84 varies
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines		 $7.92–$62.40 $36–$80 varies
Hepatitis b core ab total (86704)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Hepatitis b surface ag quan (87467)
range across 2 matching MRF lines		 $16.72–$133.38 $76–$171 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines		 $7.04–$56.94 $32–$73 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines		 $6.60–$54.60 $30–$70 varies
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines		 $9.24–$74.88 $42–$96 varies
Hepatitis c antibody confirmatory test (86804) $10.12 $46 0.7×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines		 $169.84–$1,355.64 $772–$1,738 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $23.32 $106 0.7×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines		 $28.16–$226.20 $128–$290 varies
Hepatitis d quantification (87523) $226.20 $290 5.3×
Hepatitis delta ag (87380) $12.32 $56 0.7×
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines		 $11.44–$90.48 $52–$116 varies
Hepatitis G Dna Quant (87527) $27.72 $126 0.7×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $860.64 $3,912 0.7×
Hereditary peripheral neuropathy gen seq pnl (81448) $385.88 $1,754 0.7×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines		 $12.76–$102.18 $58–$131 varies
Heterophile antibodies titer (86309) $4.40 $20 0.7×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $4.84 $22 0.7×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Hfe Gene (81256)
range across 2 matching MRF lines		 $43.12–$152.88 $196 varies
Hgb Quantitative Transcutaneous (88738) $3.52 $16 0.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $5.28 $24 0.7×
Histamine urine (83088)
range across 2 matching MRF lines		 $19.36–$156 $88–$200 varies
Histoplasma antibody (86698)
range across 2 matching MRF lines		 $9.24–$72.54 $42–$93 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Hiv Antigen W/Hiv Antibodies (87806) $21.56 $98 0.7×
Hiv Genotype (87901) $169.84 $772 0.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines		 $15.84–$127.14 $72–$163 varies
Hiv-1 Antibody (86701)
range across 2 matching MRF lines		 $5.72–$46.80 $26–$60 varies
HIV-1 p24 antigen (87390) $15.84 $72 0.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $56.32 $256 0.7×
HIV-2 probe&revrse trnscripj (87538) $23.32 $106 0.7×
Hla class i semiquant panel (86834) $235.84 $1,072 0.7×
Hla Class I Typing Low Resolution One Locus Each (81373) $84.04 $382 0.7×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $265.32 $1,206 0.7×
Hla class ii typing high resolution one locus ea (81382) $289.38 $371 2.3×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $72.16 $328 0.7×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $24.20 $110 0.7×
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 2 matching MRF lines		 $48.84–$173.94 $222–$223 varies
Hla I Typing 1 Allele Hr (81381) $112.20 $510 0.7×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $145.64 $662 0.7×
Hla ii type 1 ag equiv lr (81377) $62.48 $284 0.7×
Hla ii typing 1 allele hr (81383) $72.16 $328 0.7×
Hla ii typing 1 locus lr (81376) $286.26 $367 2.3×
Hla Typing a/B/C Multiple Antigens (86813) $38.28 $174 0.7×
Hla Typing Dr/Dq Multiple Antigens (86817) $69.96 $318 0.7×
Hla Typing Dr/Dq Single Antigen (86816) $19.80 $90 0.7×
Hla-b27 (86812)
range across 2 matching MRF lines		 $17.16–$135.72 $78–$174 varies
Homocysteine (83090)
range across 2 matching MRF lines		 $11.88–$94.38 $54–$121 varies
Homogenization Tissue (87176) $3.96 $18 0.7×
Homovanillic acid urine (83150) $14.96 $68 0.7×
Hpa-1 genotyping gene analysis common variant (81105) $80.52 $366 0.7×
Hpa-15 genotyping gene analysis common variant (81112) $80.52 $366 0.7×
Hpa-2 genotyping gene analysis common variant (81106) $80.52 $366 0.7×
Hpa-3 genotyping gene analysis common variant (81107) $80.52 $366 0.7×
Hpa-4 genotyping gene analysis common variant (81108) $80.52 $366 0.7×
Hpa-5 genotyping gene analysis common variant (81109) $80.52 $366 0.7×
Hpa-6 genotyping gene analysis common variant (81110) $80.52 $366 0.7×
Hpa-9 Genotyping (81111) $80.52 $366 0.7×
Hpv High-Risk Types (87624) $23.32 $106 0.7×
Hpv low-risk types (87623) $23.32 $106 0.7×
Hpv Types 16 & 18 Only (87625) $26.84 $122 0.7×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Hsv Dna Quant (87530) $28.16 $128 0.7×
Htlv-I Antibody (86687) $6.16 $28 0.7×
Htlv-ii antibody (86688) $9.24 $42 0.7×
Htt Gene Analysis Characterization Alleles (81274) $181.28 $824 0.7×
Htt Gene Detc Abnor Alleles (81271)
range across 2 matching MRF lines		 $90.64–$320.58 $411–$412 varies
Human Epididymis Protein 4 (86305) $13.64 $62 0.7×
Hydroxycorticosteroids 17 (83491) $11.88 $54 0.7×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines		 $18.04–$143.52 $82–$184 varies
Hydroxyproline free (83500) $14.96 $68 0.7×
Hydroxyproline total (83505) $15.84 $72 0.7×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $7.92 $36 0.7×
Iaad Ia Cytomegalovirus (87332) $7.92 $36 0.7×
Iaad Ia Entamoeba Histolytica Grp (87337) $7.92 $36 0.7×
Iaad Ia Escherichia Coli 0157 (87335) $8.36 $38 0.7×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 2 matching MRF lines		 $6.60–$54.60 $30–$70 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines		 $9.24–$73.32 $42–$94 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $23.32 $106 0.7×
Iaad ia shiga-like toxin (87427)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines		 $11–$88.14 $50–$113 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Iaadi giardia (87269) $8.80 $40 0.6×
Iaadi herpes smplx virus type 1 (87274) $7.92 $36 0.7×
Iaadi herpes smplx virus type 2 (87273) $7.92 $36 0.7×
Iaadi inffluenza a virus (87276) $10.56 $48 0.7×
Iaadi not otherwise specified each organism (87299) $10.56 $48 0.7×
Iaadi parainfluenza virus each type (87279) $11 $50 0.7×
Iaadi pneumocustis carinii (87281) $7.92 $36 0.7×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $7.92 $36 0.7×
Iaadi respiratory synctial virus (87280) $8.80 $40 0.7×
Iaadi Varicella Zoster Virus (87290) $8.80 $40 0.7×
Iaadiadoo trichomonas vaginalis (87808) $10.12 $46 0.7×
Iadna anaplasma phagocytophilum amplifed prb tq (87468)
range across 3 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Iadna Bartonella Amplified Probe Technique (87471) $23.32 $106 0.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $23.32 $106 0.7×
Iadna Candida Species Amplified Probe Tq (87481)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $23.32 $106 0.7×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $14.96 $68 0.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Iadna Cytomegalovirus Direct Probe Tq (87495) $19.80 $90 0.7×
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines		 $28.16–$226.20 $128–$290 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 2 matching MRF lines		 $46.20–$369.72 $210–$474 varies
Iadna ehrlichia chaffeensis amplified probe tq (87484)
range across 3 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Iadna hepatitis b virus amplified probe tq (87516) $23.32 $106 0.7×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines		 $28.16–$226.20 $128–$290 varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $23.32 $106 0.7×
Iadna Herpes Virus-6 Quantification (87533) $27.72 $126 0.7×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $23.32 $106 0.7×
Iadna Hiv-2 Quant & Reverse Transcription (87539) $38.72 $176 0.7×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $23.32 $106 0.7×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $404.04 $518 5.3×
Iadna Multiple Organisms Direct Probe Tq (87800) $29.04 $132 0.7×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $18.04 $82 0.7×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $31.68 $144 0.7×
Iadna Mycobacteria Species Direct Probe Tq (87550) $13.20 $60 0.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $27.72 $126 0.7×
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $17.60 $80 0.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $23.32 $106 0.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Iadna Nos Direct Probe Tq Each Organism (87797) $19.80 $90 0.7×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $270.66 $347 5.3×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 2 matching MRF lines		 $94.16–$751.14 $428–$963 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $173.36 $788 0.7×
Ibmfs sequence analysis panel at least 30 genes (81441) $1,616.12 $7,346 0.7×
Idh1 common variants (81120) $127.60 $580 0.7×
Idh2 common variants (81121) $195.36 $888 0.7×
Ifnl3 gene analysis rs12979860 variant (81283) $48.40 $220 0.7×
Ig Light Chains Free Each (83521) $90.48 $116 5.2×
Igg subclasses (82787)
range across 2 matching MRF lines		 $5.28–$42.12 $24–$54 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $194.48 $884 0.7×
IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) $136.84 $622 0.7×
Ikbkap Gene Analysis Common Variants (81260) $25.96 $118 0.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines		 $23.10–$841.62 $105–$1,079 varies
Immune Complex Assay (86332) $16.28 $74 0.7×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines		 $11–$154.44 $50–$198 varies
Immunoassay analyte qual/semiqual single step (83518) $6.16 $28 0.6×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines		 $12.32–$97.50 $56–$125 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $16.72 $76 0.7×
Immunoassay infectious agent (86318) $11.88 $54 0.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines		 $9.68–$78.78 $44–$101 varies
Immunoassay nonantibody (83516)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Immunodiffusion not elsewhere specified (86329) $9.24 $42 0.7×
Immunodiffusion Ouchterlony (86331) $7.92 $36 0.7×
Immunoelectrophoresis Other Fluids Concentration (86325) $11 $50 0.5×
Immunoelectrophoresis Serum (86320) $11 $50 0.4×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines		 $11–$117.78 $50–$151 varies
Immunofluorescence per spec 1st singl antb stain (88346) $21.56 $98 0.1×
Immunohistochemistry (88342)
range across 2 matching MRF lines		 $20.90–$400.92 $95–$514 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines		 $25.74–$400.92 $117–$514 varies
In situ hybridization ea multiplex probe stain (88366) $36.96 $168 0.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $14.52 $66 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $10.56 $48 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $10.12 $46 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $7.04 $32 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $10.56 $48 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $46.20 $210 0.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $14.52 $66 0.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $23.32 $106 0.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $10.56 $48 0.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $16.28 $74 0.7×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $9.68 $44 0.7×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $8.80 $40 0.7×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $8.80 $40 0.7×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $7.92 $36 0.6×
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $40.04 $182 0.7×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $7.92 $36 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $28.16 $128 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $13.20 $60 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $36.96 $168 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $13.20 $60 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $28.16 $128 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $35.20 $160 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $23.32 $106 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $20.68 $94 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $25.96 $118 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $19.80 $90 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $13.20 $60 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $38.28 $174 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $14.52 $66 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $14.52 $66 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $27.72 $126 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $28.16 $128 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $28.16 $128 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $28.16 $128 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $13.20 $60 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $199.76 $908 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $28.16 $128 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $13.20 $60 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $27.72 $126 0.7×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $33.88 $154 0.7×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $23.32 $106 0.7×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $7.92 $36 0.6×
Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2… (87913) $169.84 $772 0.7×
Influenza a/b ag eia (87400)
range across 2 matching MRF lines		 $9.24–$74.10 $42–$95 varies
Influenza assay w/optic (87804)
range across 2 matching MRF lines		 $11–$87.36 $50–$112 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines		 $63.36–$504.66 $288–$647 varies
Inherited Cardmypthy 5 Gns (81439) $385.88 $1,754 0.7×
Inhibin A (86336)
range across 2 matching MRF lines		 $10.12–$81.90 $46–$105 varies
Inhibin b (83520)
range across 2 matching MRF lines		 $11.44–$90.48 $52–$116 varies
Insemination of oocytes (89268) $246.40 $1,120 1.2×
Insitu hybridization auto (88367) $20.02 $91 0.0×
Insitu hybridization manual (88368) $25.52 $116 0.1×
Insulin antibodies (86337)
range across 2 matching MRF lines		 $14.08–$113.10 $64–$145 varies
Insulin free (83527)
range across 2 matching MRF lines		 $8.36–$68.64 $38–$88 varies
Insulin tolerance panel growth horm defncy (80435) $68.20 $310 0.7×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $188.32 $856 0.7×
Insulin total (83525)
range across 2 matching MRF lines		 $7.48–$60.06 $34–$77 varies
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $109.12 $496 0.7×
Interleukin-6 (83529) $90.48 $116 5.2×
Intrinsic factor (stomach protein) level (83528) $13.20 $60 0.7×
Intrinsic factor antibody (86340)
range across 2 matching MRF lines		 $10.12–$79.56 $46–$102 varies
Iron (83540)
range across 2 matching MRF lines		 $4.40–$34.32 $20–$44 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines		 $5.72–$46.02 $26–$59 varies
Iron stain peripheral blood (85536) $4.40 $20 0.6×
Islet cell antibody (86341)
range across 2 matching MRF lines		 $15.40–$124.02 $70–$159 varies
Isocitric dehydrogenase (IDH) Facility (83570) $5.72 $26 0.6×
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines		 $60.28–$214.50 $274–$275 varies
Jak2 Gene Trgt Sequence Alys (81279) $122.32 $556 0.7×
Ketosteroids 17 total (83586) $8.36 $38 0.7×
Kit Gene Analysis D816 Variant(S) (81273) $82.28 $374 0.7×
Kit Gene Analysis Targeted Sequence Analysis (81272) $217.36 $988 0.7×
Koh Prep (87220)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Kras Gene Analysis Additional Variant(S) (81276) $127.60 $580 0.7×
Kras Gene Variants Exon 2 (81275) $127.60 $580 0.7×
L/s ratio (83661) $14.52 $66 0.7×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines		 $3.96–$31.98 $18–$41 varies
Lactoferrin fecal qualitative (83630) $13.20 $60 0.7×
Lactoferrin Fecal Quantitative (83631)
range across 2 matching MRF lines		 $12.76–$103.74 $58–$133 varies
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $13.20 $60 0.7×
Lactose urine qual (83633) $7.48 $34 0.7×
Lamellar Body Count (83664) $12.76 $58 0.7×
Ldh Isoenzymes (83625) $8.36 $38 0.7×
LDL direct (83721)
range across 2 matching MRF lines		 $7.04–$55.38 $32–$71 varies
Lead (83655)
range across 2 matching MRF lines		 $7.92–$63.96 $36–$82 varies
Legionella antibody (86713) $10.12 $46 0.7×
Legionella antigen urine (87449)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Legionella DNA probe (87540) $13.20 $60 0.7×
Legionella pneumophila dfa (87278) $10.12 $46 0.6×
Leptospira antibody (86720) $10.56 $48 0.7×
Leucine Aminopeptidase Lap (83670) $6.60 $30 0.7×
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Leukocyte Histamine Release (86343) $8.36 $38 0.7×
Leukocyte phagocytosis (86344) $7.04 $32 0.7×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines		 $2.64–$57.72 $12–$74 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines		 $4.18–$92.04 $19–$118 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines		 $49.06–$841.62 $223–$1,079 varies
Lidocaine (80176) $9.68 $44 0.7×
Lipase (83690)
range across 2 matching MRF lines		 $4.40–$36.66 $20–$47 varies
Lipoprotein A (83695)
range across 2 matching MRF lines		 $9.24–$75.66 $42–$97 varies
Lipoprotein Bld Quan Part (83704) $22.44 $102 0.7×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $7.48 $34 0.7×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $22.44 $102 0.7×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $8.36 $38 0.7×
Lipoprotein-Associated Phospholipase A2 (83698) $30.36 $138 0.7×
Listeria Monocytogenes (86723) $8.80 $40 0.7×
Lithium (80178)
range across 2 matching MRF lines		 $4.40–$34.32 $20–$44 varies
Liver ds alys 3 bmrk srm alg (81517) $412.62 $529 2.3×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines		 $12.32–$97.50 $56–$125 varies
Lyme disease antibody (86618)
range across 2 matching MRF lines		 $11.44–$89.70 $52–$115 varies
Lymphocyte Culture Mixed (86821) $24.20 $110 0.7×
Lymphocyte transformation (86353) $32.56 $148 0.7×
Lymphocytotoxicity Assay (86805) $124.96 $568 0.7×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $31.24 $142 0.7×
Lysozyme serum (85549) $12.32 $56 0.7×
M. Genitalium Amp Probe (87563)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines		 $38.72–$400.92 $176–$514 varies
M/phmtrc alys ishquant/semiq (88374) $25.08 $114 0.1×
Macroscopic exam arthropod (87168)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Macroscopic Exam Parasite (87169)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Magnesium Urine (83735)
range across 2 matching MRF lines		 $4.40–$35.10 $20–$45 varies
Malate dehydrogenase Facility (83775) $4.84 $22 0.7×
Mass Spectrometry Quant (83789) $15.84 $72 0.7×
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $25.96 $118 0.7×
Meat fibers, feces (89160) $3.08 $14 0.6×
Mechanical fragility rbc (85547) $5.72 $26 0.7×
Mercury urine (83825)
range across 2 matching MRF lines		 $10.56–$85.80 $48–$110 varies
Metabolic panel ionized ca (80047) $9.24 $42 0.7×
Methemalbumin (83857) $7.04 $32 0.7×
Methotrexate (80204) $202.80 $260 5.3×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines		 $14.08–$111.54 $64–$143 varies
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $60.28 $274 0.7×
Mgmt methylation analysis (81287) $82.28 $374 0.7×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines		 $3.96–$30.42 $18–$39 varies
Microbe Suscept Macrobroth (87188) $4.40 $20 0.7×
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $14.96 $68 0.7×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Mitochondrial Antibody Each (86381) $134.16 $172 5.3×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $133.76 $608 0.7×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $445.72 $2,026 0.7×
Mog-Igg1 Antb Cba Each (86362) $63.18 $81 5.2×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $198.90 $255 5.3×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $26.84 $122 0.7×
Molecular Cytogenetics Dna Probe Each (88271) $14.08 $64 0.7×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $28.16 $128 0.7×
Molecular Pathology Procedure Level 3 (81402) $99 $450 0.7×
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines		 $198.88–$705.12 $904 varies
Mononuclear cell antigen (86356) $17.60 $80 0.7×
Mopath procedure level 1 (81400)
range across 2 matching MRF lines		 $42.24–$149.76 $192 varies
Mopath procedure level 2 (81401) $90.64 $412 0.7×
Mopath procedure level 4 (81403) $122.32 $556 0.7×
Mopath procedure level 5 (81404) $181.28 $824 0.7×
Mopath procedure level 7 (81406)
range across 2 matching MRF lines		 $186.56–$662.22 $848–$849 varies
Mopath procedure level 9 (81408) $1,320 $6,000 0.7×
Morphometric analysis nerve (88356) $73.48 $334 1.1×
Morphometric Analysis Tumor (88358) $29.48 $134 0.1×
Mpl gene analysis sequence analysis exon 10 (81339)
range across 2 matching MRF lines		 $122.32–$433.68 $556 varies
Mpl gene common variants (81338) $99 $450 0.7×
Mrsa Pcr (87641)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $140.80 $640 0.7×
Msh2 Gene Analysis Full Sequence Analysis (81295) $252.12 $1,146 0.7×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $157.08 $714 0.7×
Msh6 Gene Analysis Full Sequence Analysis (81298) $423.72 $1,926 0.7×
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines		 $43.12–$152.88 $196 varies
Mucin Clot Body Fluid (83872) $3.96 $18 0.7×
Mucopolysaccharides acid quantitative (83864) $18.92 $86 0.7×
Mumps antibody (86735)
range across 2 matching MRF lines		 $8.80–$68.64 $40–$88 varies
Muscle-Specific Kinase Antb (86366) $97.50 $125 5.3×
Mycobacteric Identification (87118) $9.68 $44 0.7×
Mycophenolic Acid (80180) $11.88 $54 0.7×
Mycoplasma antibody (86738)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Mycoplasma culture (87109) $10.12 $46 0.7×
Myd88 Gene P.Leu265pro Vrnt (81305) $115.72 $526 0.7×
Myelin basic protein csf (83873) $11.44 $52 0.7×
Myoglobin urine (83874)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines		 $25.96–$206.70 $118–$265 varies
Neisseria Dir Na Probe (87590) $17.60 $80 0.7×
Nerve teasing preparations (88362) $66.44 $302 0.1×
Neutralization Test Viral (86382)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $84.48 $384 0.7×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $19.36 $88 0.7×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513)
range across 2 matching MRF lines		 $94.16–$333.84 $428 varies
Nfct ds bv&vaginitis DNA alg (81515) $1,384.50 $1,775 5.3×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $173.36 $788 0.7×
Nfct ds chrnc hcv 6 assays (81596)
range across 2 matching MRF lines		 $47.52–$169.26 $216–$217 varies
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $84.92 $386 0.7×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $17.16 $78 0.7×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $322.52 $1,466 0.7×
Niacin (84591) $11.44 $52 0.7×
Nickel level (83885) $16.28 $74 0.7×
Nitroblue Tetrazolium Dye (86384) $8.80 $40 0.6×
Nk cells total count (86357)
range across 2 matching MRF lines		 $25.08–$198.90 $114–$255 varies
Nras gene variants exon 2&3 (81311) $195.36 $888 0.7×
Ntrk translocation analysis (81194)
range across 2 matching MRF lines		 $341.88–$1,212.90 $1,554–$1,555 varies
Ntrk1 Translocation Analysis (81191) $136.84 $622 0.7×
Ntrk2 Translocation Analysis (81192) $136.84 $622 0.7×
Ntrk3 Translocation Analysis (81193) $136.84 $622 0.7×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines		 $11.88–$94.38 $54–$121 varies
Nudt15 Gene Common Variants (81306) $192.28 $874 0.7×
Nzym actv blood cells/tiss radact substrate ea (82658) $29.04 $132 0.7×
Obstetric panel (80081)
range across 2 matching MRF lines		 $49.28–$394.68 $224–$506 varies
Occult blood feces (82272)
range across 3 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Occult Blood Other Sources (82271)
range across 3 matching MRF lines		 $3.52–$28.08 $16–$36 varies
Oligoclonal bands (83916) $18.04 $82 0.7×
Onc breast mrna 12 genes (81522) $2,556.40 $11,620 0.7×
Onco (Ovarian) Biochemical Assay Two Proteins (81500)
range across 2 matching MRF lines		 $172.04–$609.96 $782 varies
Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) $1,656.60 $7,530 0.7×
Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping),… (81518) $2,556.40 $11,620 0.7×
Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) $2,556.40 $11,620 0.7×
Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) $335.72 $1,526 0.7×
Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3… (81529) $4,747.60 $21,580 0.7×
Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81536) $117.04 $532 0.7×
Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81535) $382.36 $1,738 0.7×
Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541) $2,556.40 $11,620 0.7×
Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551) $1,339.80 $6,090 0.7×
Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported… (81546) $2,376 $10,800 0.7×
Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) $343.20 $1,560 0.7×
Oncology breast mrna gene expression 21 genes (81519) $2,556.40 $11,620 0.7×
Oncology Prostate Prob Score (81539) $501.60 $2,280 0.7×
Oncoprotein dcp (83951) $42.68 $194 0.7×
Oncoprotein Her-2/Neu (83950) $42.68 $194 0.7×
Oocyte identification from follicular fluid (89254) $220 $1,000 1.0×
Organic Acids Qualitative Each Specimen (83919) $11 $50 0.7×
Organic acids urine (83918) $15.40 $70 0.7×
Osmolality serum (83930)
range across 2 matching MRF lines		 $4.40–$34.32 $20–$44 varies
Osmolality Urine (83935)
range across 2 matching MRF lines		 $4.40–$35.88 $20–$46 varies
Osmotic fragility rbc incubated (85557) $8.80 $40 0.7×
Osmotic Fragility RBC Unincubated (85555) $4.84 $22 0.6×
Osteocalcin (83937) $19.80 $90 0.7×
Ova and parasites smears (87177)
range across 2 matching MRF lines		 $5.72–$46.80 $26–$60 varies
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $8.36 $38 0.7×
Oxalate urine (83945) $9.68 $44 0.7×
PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) $90.64 $412 0.7×
Palb2 gene analysis known familial variant (81308) $198.88 $904 0.7×
Palb2 gene full gene seq (81307) $446.60 $2,030 0.7×
Pancreatic Elastase Fecal (82656)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Particle Agglut Antbdy Titr (86406) $7.04 $32 0.7×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Parvovirus antibody (86747)
range across 2 matching MRF lines		 $10.12–$78.78 $46–$101 varies
Path Clin Consltj Mod 21-40 (80504)
range across 2 matching MRF lines		 $28.60–$400.92 $130–$514 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $36.96 $168 0.0×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505)
range across 2 matching MRF lines		 $54.56–$400.92 $248–$514 varies
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503)
range across 2 matching MRF lines		 $13.42–$125.58 $61–$161 varies
Pathology Consultation During Surgery (88329) $21.34 $97 0.3×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $217.36 $988 0.7×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $29.04 $132 0.7×
Ph urine (81003)
range across 2 matching MRF lines		 $1.32–$11.70 $6–$15 varies
pH; exhaled breath condensate Facility (83987) $4.18 $19 1.2×
Phenobarbital Level (80184)
range across 2 matching MRF lines		 $10.12–$81.12 $46–$104 varies
Phenotype Infect Agent Drug (87900) $86.24 $392 0.7×
Phenylalanine (84030) $3.52 $16 0.6×
Phenylketones qual (84035) $2.64 $12 0.7×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Phenytoin free (80186)
range across 2 matching MRF lines		 $9.24–$72.54 $42–$93 varies
Phosphatase acid prostatic (84066) $6.16 $28 0.6×
Phosphatase alkaline (84075)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Phosphatidylglycerol (84081) $11 $50 0.7×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $6.16 $28 0.7×
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines		 $11.88–$95.16 $54–$122 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
Phosphorus urine (84105) $3.96 $18 0.7×
Pik3ca gene analysis targeted sequence analysis (81309) $181.28 $824 0.7×
Pinworm exam (87172)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Platelet Aggregation (85576)
range across 2 matching MRF lines		 $11–$131.04 $50–$168 varies
Platelet Antibodies (86022) $12.32 $56 0.7×
Platelet count automated (85049)
range across 2 matching MRF lines		 $3.08–$23.40 $14–$30 varies
Platelet neutralization (85597)
range across 2 matching MRF lines		 $11.88–$95.16 $54–$122 varies
PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) $192.28 $874 0.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $136.84 $622 0.7×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $134.20 $610 0.7×
Pms2 gene full seq analysis (81317) $446.60 $2,030 0.7×
Pneumcysts jirovecii amp prb (87594) $184.86 $237 5.3×
Porphobilinogen Urine Qualitative (84106) $3.96 $18 0.7×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines		 $5.72–$44.46 $26–$57 varies
Porphyrins Feces Quantitative (84126) $25.96 $118 0.7×
Porphyrins Urine Quantitation & Fractionation (84120) $9.68 $44 0.7×
Porphyrins, urine; qualitative (84119) $8.80 $40 0.7×
Potassium Urine (84133)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) $90.64 $412 0.7×
Pr assay of bradykinin (82286) $3.52 $16 0.7×
Pr assay of etiocholanolone (82696) $17.16 $78 0.7×
Prealbumin (84134)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Pregnancy-Associated Plasma Protein-A (84163) $10.12 $46 0.7×
Pregnanediol (84135) $14.08 $64 0.7×
Pregnanetriol (84138) $14.08 $64 0.7×
Pregnenolone (84140)
range across 2 matching MRF lines		 $13.64–$109.20 $62–$140 varies
Preparation of embryo for transfer (89255) $79.20 $360 1.2×
Primidone (80188)
range across 2 matching MRF lines		 $11–$87.36 $50–$112 varies
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines		 $18.04–$143.52 $82–$184 varies
Progesterone (84144)
range across 2 matching MRF lines		 $13.64–$109.98 $62–$141 varies
Prolactin (84146)
range across 2 matching MRF lines		 $12.76–$102.18 $58–$131 varies
Prostaglandin (84150) $27.72 $126 0.7×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $11 $50 0.4×
Protein body fluid (84157)
range across 2 matching MRF lines		 $2.64–$21.06 $12–$27 varies
Protein C Activity (85303)
range across 2 matching MRF lines		 $9.24–$73.32 $42–$94 varies
Protein c antigen (85302)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines		 $11–$93.60 $50–$120 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines		 $11–$56.94 $50–$73 varies
Protein S Free (85306)
range across 2 matching MRF lines		 $10.12–$81.12 $46–$104 varies
Protein s total (85305)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Protein test for diagnosis and monitoring of bladder cancer (86386) $14.52 $66 0.7×
Protein Total Refractometry Any Src (84160) $3.52 $16 0.6×
Protein total serum (84155)
range across 2 matching MRF lines		 $2.64–$19.50 $12–$25 varies
Protein Total Urine (84156)
range across 2 matching MRF lines		 $2.64–$19.50 $12–$25 varies
Protein Western Blot Test (84182)
range across 2 matching MRF lines		 $11–$153.66 $50–$197 varies
Protein, western blot tissue (88371) $11.66 $53 0.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $2.64 $12 0.7×
Protoporphyrin rbc quantitative (84202) $9.68 $44 0.7×
Protoporphyrin, RBC; screen Facility (84203) $6.60 $30 0.7×
PSA free (84154)
range across 2 matching MRF lines		 $12.32–$97.50 $56–$125 varies
Pth Intact (83970)
range across 2 matching MRF lines		 $27.28–$217.62 $124–$279 varies
Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing… (81554) $3,593.92 $16,336 0.7×
Pyruvate kinase (84220) $6.16 $28 0.7×
Q Fever Antibody (86638) $7.92 $36 0.7×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines		 $40.92–$326.82 $186–$419 varies
Quantitative assay drug (80299)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Quantitative Screen Metals (83018) $14.52 $66 0.7×
Quinidine (80194) $9.68 $44 0.7×
Quinine (84228) $7.48 $34 0.6×
Rbc antibody identification (86870) $1,893.84 $2,428 4.2×
Rbc antibody screen (86850)
range across 2 matching MRF lines		 $6.60–$281.58 $30–$361 varies
Reagent Strip/Blood Glucose (82948) $3.52 $16 0.7×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $47.08 $214 0.7×
Receptor assay estrogen (84233) $58.08 $264 0.7×
Receptor assay progesterone (84234) $42.68 $194 0.7×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $138.16 $628 0.7×
Renin activity plasma (84244)
range across 2 matching MRF lines		 $14.52–$116.22 $66–$149 varies
Reptilase test (85635) $6.60 $30 0.7×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines		 $275–$2,194.14 $1,250–$2,813 varies
Reticulated Platelet Assay (85055) $23.76 $108 0.7×
Reticulocyte Count (85046) $3.52 $16 0.6×
Reticulocyte Count Manual (85044)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Rh (86901)
range across 2 matching MRF lines		 $1.76–$206.70 $8–$265 varies
Rheumatoid Factor Qualitative (86430) $3.96 $18 0.6×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines		 $3.96–$29.64 $18–$38 varies
Rickettsia antibody (86757)
range across 2 matching MRF lines		 $12.76–$102.18 $58–$131 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines		 $14.96–$120.90 $68–$155 varies
Rotavirus ag eia (87425)
range across 2 matching MRF lines		 $7.92–$63.18 $36–$81 varies
Rpr qualitative (86592)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Rsv ab (86756) $10.56 $48 0.7×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines		 $8.80–$69.42 $40–$89 varies
Rubella Antibody (86762)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Rubeola antibody (86765)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Rufinamide (80210)
range across 2 matching MRF lines		 $18.04–$142.74 $82–$183 varies
Runx1 gene analysis targeted sequence analysis (81334) $217.36 $988 0.7×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines		 $6.16–$50.70 $28–$65 varies
Russell Viper Venon Time Undiluted (85612) $11.44 $52 0.7×
Rx metab gen seq alys pnl 6 (81418)
range across 2 matching MRF lines		 $605.44–$2,145.78 $2,751–$2,752 varies
Salicylate Level (80179)
range across 2 matching MRF lines		 $12.32–$98.28 $56–$126 varies
Salmonella antibody (86768) $8.80 $40 0.7×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines		 $33.88–$270.66 $154–$347 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines		 $27.72–$221.52 $126–$284 varies
Sars-Cov-2 Covid19 W/Optic (87811)
range across 2 matching MRF lines		 $27.28–$217.62 $124–$279 varies
Sarscov2 & inf a&b amp prb (87636)
range across 2 matching MRF lines		 $94.16–$751.14 $428–$963 varies
Sarscov2&inf a&b&rsv amp prb (87637) $751.14 $963 5.3×
Sedimentation rate (85651)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines		 $1.76–$14.04 $8–$18 varies
Selenium (84255)
range across 2 matching MRF lines		 $16.72–$134.94 $76–$173 varies
Semen Anal Sperm Detection (89321) $7.92 $36 0.7×
Semen analysis complete (89322) $10.12 $46 0.7×
Semen analysis complete (89320) $7.92 $36 0.6×
Semen analysis motility and count (89310) $5.72 $26 0.7×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $6.60 $30 0.7×
Sensitivity mic (87186)
range across 2 matching MRF lines		 $5.72–$46.02 $26–$59 varies
Sept9 Methylation Analysis (81327) $126.72 $576 0.7×
Serpina 1 gene (81332) $28.60 $130 0.7×
Serum Bactericidal Titer (87197) $10.12 $46 0.7×
Sex Chromatin Identification Barr Bodies (88130) $11.88 $54 0.7×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $5.28 $24 0.7×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines		 $14.52–$114.66 $66–$147 varies
Shigella Antibody (86771) $16.28 $74 0.7×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines		 $3.52–$29.64 $16–$38 varies
Silica (84285) $16.72 $76 0.7×
Sirolimus (80195)
range across 2 matching MRF lines		 $9.24–$72.54 $42–$93 varies
Skin test tuberculosis intradermal (86580) $128.70 $165 3.6×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $115.28 $524 0.7×
Smear acid fast (87206)
range across 2 matching MRF lines		 $3.52–$28.86 $16–$37 varies
Smear complex stain (87209)
range across 2 matching MRF lines		 $11.88–$95.16 $54–$122 varies
Smear gram stain (87205)
range across 2 matching MRF lines		 $2.64–$22.62 $12–$29 varies
Smear Special Stain (87207)
range across 2 matching MRF lines		 $11–$31.98 $41–$50 varies
Smn1 Gen Nown Famil Seq Vrnt (81337) $122.32 $556 0.7×
Smn1 Gene Analysis Full Gene Sequence (81336) $198.88 $904 0.7×
Smn1 Gene Dos/Deletion Alys (81329)
range across 2 matching MRF lines		 $90.64–$320.58 $411–$412 varies
Smpd1 Gene Analysis Common Variants (81330) $31.24 $142 0.7×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines		 $3.96–$30.42 $18–$39 varies
So neo gsap DNA/DNA&RNA (81459) $6,995.82 $8,969 2.3×
Sodium Serum (84295)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
Sodium Urine (84300)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Soluble fibrin monomer (85366) $53.24 $242 0.7×
Soluble Transferrin Receptor (84238) $24.20 $110 0.7×
Somatomedin (84305)
range across 2 matching MRF lines		 $14.08–$111.54 $64–$143 varies
Somatostatin (84307) $11.88 $54 0.6×
Special Stains Group 1 (88312)
range across 2 matching MRF lines		 $15.84–$125.58 $72–$161 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines		 $7.26–$301.86 $33–$387 varies
Specific gravity body fluid (84315)
range across 2 matching MRF lines		 $2.20–$17.94 $10–$23 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines		 $4.40–$35.10 $20–$45 varies
Spectrophotometry (84311)
range across 2 matching MRF lines		 $5.28–$42.90 $24–$55 varies
Sperm Antibodies (89325) $7.04 $32 0.7×
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $12.76 $58 0.7×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $7.04 $32 0.7×
Sperm evaluation; hamster penetration test Facility (89329) $12.76 $58 0.7×
Sperm identification from aspiration (89257) $80.30 $365 1.2×
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $24.20 $110 0.4×
Sprm id from tstis tiss frsh/cryoprsrvd (89264) $71.72 $326 1.1×
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) $37.84 $172 0.6×
Staph a DNA amp probe (87640) $23.32 $106 0.7×
Stem cells total count (86367) $51.48 $234 0.7×
Stone Analysis (82355) $7.48 $34 0.6×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines		 $6.16–$49.92 $28–$64 varies
Strep a assay w/optic (87880)
range across 3 matching MRF lines		 $11–$87.36 $50–$112 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Strep b DNA amp probe (87653) $23.32 $106 0.7×
Streptokinase, antibody Facility (86590) $8.36 $38 0.7×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $518.70 $665 5.6×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $3.52 $16 0.6×
Sugars Multiple Quant (84379) $7.48 $34 0.6×
Sugars Single Qual (84376)
range across 2 matching MRF lines		 $3.52–$29.64 $16–$38 varies
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $25.96 $118 0.7×
Sulfate urine (84392) $3.52 $16 0.6×
Surg path level iii (88304)
range across 2 matching MRF lines		 $6.82–$125.58 $31–$161 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines		 $22.44–$125.58 $102–$161 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines		 $86.46–$1,911.78 $393–$2,451 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines		 $3.08–$24.96 $14–$32 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines		 $4.84–$39 $22–$50 varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $26.40 $120 0.7×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $4.84 $22 0.7×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines		 $3.08–$23.40 $14–$30 varies
T cells absolute cd4 count (86361) $17.60 $80 0.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines		 $30.80–$247.26 $140–$317 varies
T cells total count (86359)
range across 2 matching MRF lines		 $25.08–$198.90 $114–$255 varies
T3 Free (84481)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
T3 reverse (84482)
range across 2 matching MRF lines		 $10.56–$83.46 $48–$107 varies
T3 Total (84480)
range across 2 matching MRF lines		 $9.24–$74.88 $42–$96 varies
T3 Uptake (84479)
range across 2 matching MRF lines		 $4.40–$34.32 $20–$44 varies
T4 Free (84439)
range across 2 matching MRF lines		 $6.16–$47.58 $28–$61 varies
T4 total (84436)
range across 2 matching MRF lines		 $4.40–$36.66 $20–$47 varies
T4-neonatal (84437) $4.40 $20 0.7×
Tacrolimus (80197)
range across 2 matching MRF lines		 $9.24–$72.54 $42–$93 varies
Tau phosphorylated each (84393) $421.20 $540 3.3×
Tb ag response t-cell susp (86481) $66 $300 0.7×
Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) $90.64 $412 0.7×
Tert gene targeted seq alys (81345) $122.32 $556 0.7×
Test for acetone/ketones (82009)
range across 2 matching MRF lines		 $3.08–$24.18 $14–$31 varies
Test for urine cystines (82615)
range across 2 matching MRF lines		 $6.16–$50.70 $28–$65 varies
Testosterone Bioavailable (84410) $33.88 $154 0.7×
Testosterone total (84403)
range across 2 matching MRF lines		 $17.16–$135.72 $78–$174 varies
Testosterone, Free (84402)
range across 2 matching MRF lines		 $16.72–$134.16 $76–$172 varies
Tetanus antibody (86774)
range across 2 matching MRF lines		 $9.68–$78 $44–$100 varies
TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H,… (81333) $90.64 $412 0.7×
Tgsap hl neo 5-50 RNA alys (81451) $501.16 $2,278 0.7×
Tgsap so/hl 51/< RNA alys (81456)
range across 2 matching MRF lines		 $1,926.76–$6,832.02 $8,758–$8,759 varies
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $394.68 $1,794 0.7×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $394.68 $1,794 0.7×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $7.92 $36 0.7×
Thawing Cryopreserved Oocytes Each Aliquot (89356) $165 $750 0.8×
Thawing of cryopreserved embryos (89352) $121 $550 0.6×
Theophylline (80198) $9.24 $42 0.7×
Thiocyanate (84430) $7.48 $34 0.6×
Thiopurine methyltransferase (84433)
range across 2 matching MRF lines		 $14.52–$117 $66–$150 varies
Thrombin Time (85670)
range across 2 matching MRF lines		 $3.96–$30.42 $18–$39 varies
Thrombin time titer (85675) $4.40 $20 0.6×
Thrombomodulin Facility (85337) $11.44 $52 0.7×
Thromboplastin Inhibition Tissue (85705) $6.16 $28 0.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $4.40 $20 0.7×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $23.32 $106 0.7×
Thyroglobulin (84432)
range across 2 matching MRF lines		 $10.56–$85.02 $48–$109 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines		 $10.56–$83.46 $48–$107 varies
Thyroid Stimulating Immunoglobulin (84445)
range across 2 matching MRF lines		 $33.44–$268.32 $152–$344 varies
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $33.44 $152 0.7×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $44.44 $202 0.7×
Thyroxine binding globulin (84442) $9.68 $44 0.7×
Tiss cul neo disorders solid tumor (88239) $97.24 $442 0.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $60.84 $78 5.3×
Tissue Culture (88233) $92.84 $422 0.7×
Tissue Culture Amniotic Fluid (88235) $99 $450 0.7×
Tissue culture bone marrow (88237) $95.04 $432 0.7×
Tissue Culture Lymphocyte (88230) $77 $350 0.7×
Tobramycin peak (80200) $10.56 $48 0.7×
Topiramate (80201)
range across 2 matching MRF lines		 $7.92–$62.40 $36–$80 varies
Touch prep (88161)
range across 2 matching MRF lines		 $15.40–$57.72 $70–$74 varies
Toxin/Antitoxin Assay Tissue Culture (87230) $13.20 $60 0.7×
Toxoplasma ab igm (86778) $9.68 $44 0.7×
Toxoplasma antibody (86777) $9.68 $44 0.7×
TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) $203.28 $924 0.7×
Tp53 gene analysis full gene sequence (81351) $423.72 $1,926 0.7×
Tp53 gene analysis targeted sequence analysis (81352) $771.42 $989 2.3×
Tpmt gene com variants (81335) $115.28 $524 0.7×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Transferrin (84466)
range across 2 matching MRF lines		 $8.36–$67.08 $38–$86 varies
Trb@ Rearrangement Anal Amplification Method (81340) $137.72 $626 0.7×
Trg gene rearrangement anal (81342) $132.88 $604 0.7×
Trichinella Antibody (86784) $8.36 $38 0.7×
Trichomonas vagin dir probe (87660)
range across 2 matching MRF lines		 $13.20–$105.30 $60–$135 varies
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines		 $23.32–$184.86 $106–$237 varies
Triglycerides (84478)
range across 2 matching MRF lines		 $3.96–$30.42 $18–$39 varies
Troponin Quant (84484)
range across 2 matching MRF lines		 $8.36–$65.52 $38–$84 varies
Troponin, qualitative (84512) $6.60 $30 0.7×
Trypsin feces qual (84488) $4.84 $22 0.7×
Tumor immunohistochem/comput (88361) $25.96 $118 0.1×
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines		 $24.86–$400.92 $113–$514 varies
Tyms Gene Analysis Common Variants (81346) $115.28 $524 0.7×
Urea Nitrogen Clearance (84545) $4.84 $22 0.7×
Urea nitrogen urine (84540)
range across 2 matching MRF lines		 $3.52–$29.64 $16–$38 varies
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $3.52 $16 0.7×
Uric acid other source (84560)
range across 2 matching MRF lines		 $3.52–$27.30 $16–$35 varies
Urinalysis Microscopic Only (81015) $2.20 $10 0.7×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $1.32 $6 0.6×
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines		 $2.20–$19.50 $10–$25 varies
Urinalysis; 2 or 3 glass test Facility (81020) $3.08 $14 0.7×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $19.80 $90 0.7×
Urine Albumin Semiquantitative (82044) $3.96 $18 0.6×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines		 $5.28–$42.90 $24–$55 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines		 $5.72–$45.24 $26–$58 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $17.16 $22 5.4×
Urobilinogen urine qual (84578) $3.08 $14 0.7×
Urobilinogen, feces, quantitative Facility (84577) $11 $50 0.7×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $6.16 $28 0.6×
Urobilinogen, urine; semiquantitative Facility (84583) $3.96 $18 0.7×
Valproic acid (80164)
range across 2 matching MRF lines		 $8.80–$71.76 $40–$92 varies
Vancomycin (80202)
range across 2 matching MRF lines		 $8.80–$71.76 $40–$92 varies
Varicella-zoster antibody (86787)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Vasopressin (84588) $22.44 $102 0.7×
Very Long Chain Fatty Acids (82726) $13.20 $60 0.7×
Viral Culture (87252)
range across 2 matching MRF lines		 $17.16–$137.28 $78–$176 varies
Virus antibody nos (86790)
range across 2 matching MRF lines		 $8.36–$67.86 $38–$87 varies
Virus inoculate tissue addl (87253) $13.20 $60 0.7×
Virus inoculation, shell via (87254)
range across 2 matching MRF lines		 $12.76–$102.96 $58–$132 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $12.76 $58 0.7×
Viscosity serum (85810)
range across 2 matching MRF lines		 $7.92–$61.62 $36–$79 varies
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines		 $25.52–$202.80 $116–$260 varies
Vitamin A (84590)
range across 2 matching MRF lines		 $7.48–$60.84 $34–$78 varies
Vitamin b-12 (82607)
range across 2 matching MRF lines		 $10.12–$79.56 $46–$102 varies
Vitamin B2 (Riboflavin) (84252)
range across 2 matching MRF lines		 $13.20–$106.86 $60–$137 varies
Vitamin B6 (84207)
range across 2 matching MRF lines		 $18.48–$148.20 $84–$190 varies
Vitamin c (82180)
range across 2 matching MRF lines		 $6.60–$52.26 $30–$67 varies
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines		 $19.36–$156 $88–$200 varies
Vitamin E (84446)
range across 2 matching MRF lines		 $9.24–$74.88 $42–$96 varies
Vitamin K (84597) $9.24 $42 0.7×
Vkorc1 gene (81355) $58.08 $264 0.7×
Volatiles (84600) $11.44 $52 0.7×
Voltage-Gated Calcium Channel Antibody Each (86596) $63.18 $81 5.2×
Von willebrand factor ag (85246)
range across 2 matching MRF lines		 $14.96–$120.90 $68–$155 varies
Wbc Alkaline Phosphatase Count (85540) $5.72 $26 0.7×
West nile virus ab igm (86788)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines		 $9.68–$76.44 $44–$98 varies
Western Blot Test (84181)
range across 2 matching MRF lines		 $11–$89.70 $50–$115 varies
Xm Archive Tissue Molec Anal (88363) $11.66 $53 0.3×
Xylose Absorption Test (84620) $8.36 $38 0.6×
Zika Virus Dna/Rna Amp Probe (87662)
range across 2 matching MRF lines		 $33.88–$270.66 $154–$347 varies
Zika Virus Igm Antibody (86794)
range across 2 matching MRF lines		 $11–$88.92 $50–$114 varies
Zinc (84630)
range across 2 matching MRF lines		 $7.48–$60.06 $34–$77 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.