| 17 Hydroxyprogesterone (83498) |
$289 |
$289 |
10.6× |
| 5-Hiaa (83497) |
$211 |
$211 |
16.4× |
| Acetaminophen (80143) |
$253 |
$253 |
13.6× |
| Acetone, quantitative (82010) |
$131 |
$131 |
16.0× |
| Acth (82024) |
$119 |
$119 |
3.1× |
| Acth stim adrenal insuff (80400) |
$154 |
$154 |
4.7× |
| Activated protein c resistance (85307) |
$238.50 |
$238.50 |
15.6× |
| Acute hepatitis panel (80074) |
$462 |
$462 |
9.7× |
| Adenovirus ag if (87260) |
$109 |
$109 |
7.6× |
| Afb culture (87116) |
$128 |
$128 |
11.9× |
| Afb smear (87206) |
$84 |
$84 |
15.6× |
| Albumin body fluid (82042) |
$61 |
$61 |
7.8× |
| Albumin serum (82040) |
$50 |
$50 |
10.1× |
| Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) |
$42 |
$42 |
6.7× |
| Alcohol (82077) |
$183 |
$183 |
10.6× |
| Aldolase (82085) |
$100 |
$100 |
10.3× |
| Aldosterone (82088) |
$301 |
$301 |
7.4× |
| Alkaline phosphatase (84075) |
$57.50 |
$57.50 |
11.1× |
| Alkaline phosphatase isoenzymes (84080) |
$186 |
$186 |
12.6× |
| Allergen profile perennial allergen (86003) |
$51 |
$51 |
9.8× |
| Alpha-1-antitrypsin (82103) |
$180 |
$180 |
13.4× |
| Alpha-1-antitrypsin phenotype (82104) |
$211 |
$211 |
14.6× |
| Alpha-fetoprotein serum (82105) |
$162 |
$162 |
9.7× |
| Alt (84460) |
$2 |
$2 |
0.4× |
| Aminolevulinic acid delta (82135) |
$158 |
$158 |
9.6× |
| Ammonia (82140) |
$205 |
$205 |
14.1× |
| Amylase (82150) |
$119 |
$119 |
18.4× |
| Ana (86038) |
$135 |
$135 |
11.2× |
| Ana titer (86039) |
$102.50 |
$102.50 |
9.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$209 |
$209 |
15.9× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$209 |
$209 |
13.7× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$238 |
$238 |
13.1× |
| Androstenedione (82157) |
$225 |
$225 |
7.7× |
| Angiotensin converting enzyme (82164) |
$183 |
$183 |
12.5× |
| Anti-mitochondrial antibody (86255) |
$173.50 |
$173.50 |
14.4× |
| Antibody west nile virus igm (86788) |
$193 |
$193 |
11.5× |
| Antibody; Helicobacter pylori (86677) |
$231 |
$231 |
13.7× |
| Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) |
$120 |
$120 |
21.0× |
| Antistreptolysin o screen (86063) |
$103 |
$103 |
17.9× |
| Antistreptolysin o titer (86060) |
$100.50 |
$100.50 |
13.8× |
| Antithrombin iii activity (85300) |
$326 |
$326 |
27.5× |
| Apolipoprotein each (82172) |
$109.50 |
$109.50 |
5.2× |
| Arsenic (82175) |
$183 |
$183 |
9.6× |
| Aspergillus antigen (87305) |
$272 |
$272 |
22.7× |
| Ast (84450) |
$80 |
$80 |
15.4× |
| B cells total count (86355) |
$284 |
$284 |
7.5× |
| Bcr/abl1 gene major bp (81206) |
$1,966 |
$1,966 |
12.0× |
| Beta 2 glycoprotein i antibody (86146) |
$242 |
$242 |
9.5× |
| Beta lactamase (87185) |
$75 |
$75 |
15.8× |
| Beta-2 microglobulin (82232) |
$219 |
$219 |
13.5× |
| Bilirubin direct (82248) |
$50 |
$50 |
10.0× |
| Bilirubin total (82247) |
$66 |
$66 |
13.1× |
| Biotinidase (82261) |
$34 |
$34 |
2.0× |
| Blood count leukocyte wbc automated (85048) |
$51 |
$51 |
20.1× |
| Blood count reticulocyte automated (85045) |
$66 |
$66 |
16.5× |
| Blood count; automated differential WBC count Other Outpatient (85004) |
$29 |
$29 |
4.5× |
| Blood gases any combination (82803) |
$278 |
$278 |
10.7× |
| Blood gases w/o2 saturation (82805) |
$278 |
$278 |
3.5× |
| Blood typing rbc antigens (86905) |
$237 |
$237 |
61.9× |
| Blood typing serologic abo (86900) |
$72 |
$72 |
24.1× |
| Blood typing serologic rh (d) (86901) |
$72 |
$72 |
24.1× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$377 |
$377 |
59.4× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$129 |
$129 |
8.1× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) |
$5,291 |
$5,291 |
2.9× |
| Breath alcohol test (82075) |
$69 |
$69 |
2.3× |
| Brucella antibody (86622) |
$135 |
$135 |
15.1× |
| C diff amplified probe (87493) |
$217 |
$217 |
5.8× |
| C-peptide (84681) |
$119 |
$119 |
5.7× |
| C-reactive protein (86140) |
$103 |
$103 |
19.9× |
| C-reactive protein high sensitivity (86141) |
$129 |
$129 |
10.0× |
| C2 complement functional (86161) |
$200 |
$200 |
16.7× |
| Ca 125 (86304) |
$259 |
$259 |
12.4× |
| Ca 15-3 (86300) |
$259 |
$259 |
12.4× |
| Cadmium (82300) |
$155 |
$155 |
6.6× |
| Calcitonin (82308) |
$343 |
$343 |
12.8× |
| Calcium ionized (82330) |
$166 |
$166 |
12.1× |
| Calcium total (82310) |
$58.50 |
$58.50 |
11.3× |
| Calcium, random urine (82340) |
$81 |
$81 |
13.4× |
| Calprotectin fecal (83993) |
$298 |
$298 |
15.2× |
| Calr gene com variants (81219) |
$867 |
$867 |
7.1× |
| Cancer antigen 19-9 (86301) |
$212.50 |
$212.50 |
10.2× |
| Carbamazepine total (80156) |
$158 |
$158 |
10.8× |
| Carbon dioxide (82374) |
$61 |
$61 |
12.5× |
| Carbon monoxide (82375) |
$153 |
$153 |
12.4× |
| Cardiolipin antibody ea ig class (86147) |
$119 |
$119 |
4.7× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$112 |
$112 |
6.6× |
| Catecholamines fractionated (82384) |
$180 |
$180 |
7.1× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$119 |
$119 |
2.5× |
| Cea (82378) |
$256 |
$256 |
13.5× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$97 |
$97 |
17.3× |
| Ceruloplasmin (82390) |
$161 |
$161 |
15.0× |
| Chemiluminescent assay (82397) |
$204.50 |
$204.50 |
14.5× |
| Chlamydia antibody (86631) |
$140 |
$140 |
11.8× |
| Chlamydia antibody igm (86632) |
$174 |
$174 |
13.7× |
| Chlamydia pneumoniae PCR (87486) |
$126 |
$126 |
3.6× |
| Chloride blood (82435) |
$63 |
$63 |
13.7× |
| Chloride other source (82438) |
$95 |
$95 |
19.0× |
| Chloride urine (82436) |
$61 |
$61 |
10.6× |
| Cholesterol total (82465) |
$63 |
$63 |
14.5× |
| Chorionic gonadotropin test (84702) |
$190 |
$190 |
12.6× |
| Chromium (82495) |
$290 |
$290 |
14.3× |
| Chromosome analysis 15-20 cells (88262) |
$802 |
$802 |
6.4× |
| Citrate (82507) |
$356 |
$356 |
12.8× |
| Ck mb fraction (82553) |
$103 |
$103 |
8.9× |
| Clostridium ag eia (87324) |
$165.50 |
$165.50 |
13.8× |
| Clot inhibit prot s total (85305) |
$298 |
$298 |
25.7× |
| Cmv antibody (86644) |
$181.50 |
$181.50 |
12.6× |
| Coccidioides antibody (86635) |
$154 |
$154 |
13.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$198 |
$198 |
8.2× |
| Cold agglutinins titer (86157) |
$200 |
$200 |
24.8× |
| Collagen cross links (82523) |
$252 |
$252 |
13.5× |
| Complement antigen ea component (86160) |
$202 |
$202 |
16.8× |
| Complement total (ch50) (86162) |
$119 |
$119 |
5.9× |
| Coombs test indirect titer (86886) |
$208 |
$208 |
40.2× |
| Copper (82525) |
$161 |
$161 |
13.0× |
| Cortisol free (82530) |
$251 |
$251 |
15.0× |
| Cortisol saliva (82533) |
$203.50 |
$203.50 |
12.5× |
| COVID-19 antibody (86769) |
$119 |
$119 |
2.8× |
| Coxsackie a9 virus antibody (86658) |
$437 |
$437 |
33.5× |
| Creatine kinase total (82550) |
$211 |
$211 |
32.4× |
| Creatinine (82565) |
$101 |
$101 |
19.7× |
| Creatinine clearance (82575) |
$143 |
$143 |
15.1× |
| Creatinine other source (82570) |
$110 |
$110 |
21.2× |
| Crossmatch ahg (86922) |
$173 |
$173 |
1.0× |
| Cryofibrinogen (82585) |
$102 |
$102 |
7.2× |
| Cryoglobulins (82595) |
$152.50 |
$152.50 |
23.6× |
| Cryptosporidium ag eia (87328) |
$84 |
$84 |
6.1× |
| Crystals fluid (89060) |
$101 |
$101 |
13.8× |
| Culture anaerobic (87075) |
$170 |
$170 |
18.0× |
| Culture blood (87040) |
$251 |
$251 |
24.3× |
| Culture fungus skin hair nail (87101) |
$100 |
$100 |
13.0× |
| Culture stool (87045) |
$131 |
$131 |
13.9× |
| Culture urine (87086) |
$105 |
$105 |
13.0× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$228 |
$228 |
28.2× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$119 |
$119 |
14.7× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$104.50 |
$104.50 |
11.1× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$70 |
$70 |
13.5× |
| Cyclic citrullinated peptide ab (86200) |
$119 |
$119 |
9.2× |
| Cyclosporine (80158) |
$173 |
$173 |
9.6× |
| Cystatin c (82610) |
$203 |
$203 |
11.0× |
| Cytomegalovirus antibody igm (86645) |
$198 |
$198 |
11.8× |
| D-dimer quantitative (85379) |
$277.50 |
$277.50 |
27.3× |
| Deoxyribonuclease antibody (86215) |
$216 |
$216 |
16.3× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$181.50 |
$181.50 |
13.2× |
| Dhea (82626) |
$303 |
$303 |
12.0× |
| Dhea sulfate (82627) |
$286 |
$286 |
12.9× |
| Digoxin (80162) |
$159 |
$159 |
12.0× |
| Direct antiglobulin test (86880) |
$74 |
$74 |
13.7× |
| DNA/RNA amplified probe (87150) |
$214 |
$214 |
6.1× |
| Drug assay salicylate (80179) |
$253 |
$253 |
13.6× |
| Drug screen quant gabapentin (80171) |
$228 |
$228 |
10.5× |
| Drug screen quant levetiracetam (80177) |
$204 |
$204 |
15.4× |
| Drug screen quant zonisamide (80203) |
$89 |
$89 |
6.7× |
| Drug screen quantitative oxcarbazepine (80183) |
$185 |
$185 |
14.0× |
| Drug test prsmv chem anlyzr (80307) |
$391 |
$391 |
6.3× |
| Drug test prsmv instrmnt (80306) |
$50 |
$50 |
2.9× |
| Ear culture (87070) |
$127 |
$127 |
14.7× |
| Elastase pancreatic fecal quantitative (82653) |
$175 |
$175 |
7.6× |
| Electrolytes panel (80051) |
$103 |
$103 |
14.7× |
| Enterovirus by PCR (87498) |
$506 |
$506 |
14.4× |
| Eosinophils urine (87205) |
$70 |
$70 |
16.4× |
| Erythropoietin (82668) |
$119 |
$119 |
6.3× |
| Estradiol (82670) |
$223 |
$223 |
8.0× |
| Estriol (82677) |
$208 |
$208 |
8.6× |
| Estrogen fractionated (82671) |
$309 |
$309 |
9.6× |
| Estrone (82679) |
$286 |
$286 |
11.5× |
| Ethosuximide (80168) |
$185 |
$185 |
11.3× |
| Ethylene glycol (82693) |
$230 |
$230 |
15.4× |
| Extractable nuclear antigen antibody any method (86235) |
$190 |
$190 |
10.6× |
| F2 gene analysis (81240) |
$541.50 |
$541.50 |
8.2× |
| F5 gene (81241) |
$353.50 |
$353.50 |
4.8× |
| Factor ii activity (85210) |
$139 |
$139 |
10.7× |
| Factor viii activity (85240) |
$286 |
$286 |
16.0× |
| Factor x (stuart-prower) (85260) |
$180 |
$180 |
10.1× |
| Fat stain (89125) |
$97 |
$97 |
16.5× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$232 |
$232 |
13.8× |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
$759 |
$759 |
44.2× |
| Ferritin (82728) |
$258 |
$258 |
18.9× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$114 |
$114 |
12.2× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$257 |
$257 |
3.2× |
| Fibrinogen, activity (85384) |
$231.50 |
$231.50 |
23.8× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$402 |
$402 |
26.0× |
| Flow cytometry first marker (88184) |
$274 |
$274 |
0.7× |
| Folate serum (82746) |
$195 |
$195 |
13.3× |
| Follicle stimulating hormone (fsh) (83001) |
$197 |
$197 |
10.6× |
| Francisella tularensis ab (86668) |
$120 |
$120 |
8.5× |
| Fructosamine (82985) |
$81 |
$81 |
4.8× |
| Fungus isolation culture (87102) |
$103 |
$103 |
12.2× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$34 |
$34 |
2.9× |
| Gamma glutamyl transferase (82977) |
$123 |
$123 |
17.1× |
| Gammaglobulin ige (82785) |
$133 |
$133 |
8.1× |
| Gastrin (82941) |
$190 |
$190 |
10.8× |
| Genotype DNA HIV reverse t (87901) |
$1,109 |
$1,109 |
4.3× |
| Gentamicin (80170) |
$186 |
$186 |
11.4× |
| Giardia antigen (87329) |
$171 |
$171 |
14.3× |
| Glucose Fasting (82947) |
$45.50 |
$45.50 |
11.6× |
| Glucose other fluid (82945) |
$174 |
$174 |
44.3× |
| Glucose post glucose dose (82950) |
$69 |
$69 |
14.5× |
| Glucose tolerance test (gtt) (82951) |
$152 |
$152 |
11.8× |
| Glucose-6-pd (82955) |
$156 |
$156 |
16.1× |
| Glycated hemoglobin (83036) |
$114 |
$114 |
11.7× |
| Gtt-added samples (82952) |
$63 |
$63 |
16.1× |
| H pylori stool (87338) |
$180 |
$180 |
12.5× |
| Haptoglobin (83010) |
$143.50 |
$143.50 |
11.4× |
| Hcg ql (84703) |
$127 |
$127 |
16.9× |
| HDL cholesterol (83718) |
$102 |
$102 |
12.5× |
| Heavy metal quan each nes (83018) |
$245 |
$245 |
11.2× |
| Hematocrit (hct) (85014) |
$48 |
$48 |
20.3× |
| Hemoglobin (85018) |
$48 |
$48 |
20.3× |
| Hemoglobin electrophoresis (83020) |
$894 |
$894 |
69.5× |
| Hemoglobin fractj/quantj chromotography (83021) |
$329.50 |
$329.50 |
18.2× |
| Hemosiderin qual (83070) |
$61 |
$61 |
12.8× |
| Hep a ab total (86708) |
$166 |
$166 |
13.4× |
| Heparin assay (85520) |
$217 |
$217 |
16.6× |
| Hepatitis a antibody igm (86709) |
$160 |
$160 |
14.2× |
| Hepatitis b core antibody igm (86705) |
$170 |
$170 |
14.4× |
| Hepatitis b core antibody total (86704) |
$142 |
$142 |
11.8× |
| Hepatitis b DNA quant (87517) |
$330 |
$330 |
7.7× |
| Hepatitis b surface ab (86706) |
$140 |
$140 |
13.0× |
| Hepatitis b surface antigen (87340) |
$87 |
$87 |
8.4× |
| Hepatitis be antibody (86707) |
$109 |
$109 |
9.4× |
| Hepatitis be antigen (87350) |
$99.50 |
$99.50 |
8.6× |
| Hepatitis c antibody (86803) |
$221 |
$221 |
15.5× |
| Hepatitis c genotype (87902) |
$918 |
$918 |
3.6× |
| Hepatitis c RNA quantitative (87522) |
$268 |
$268 |
6.3× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$196 |
$196 |
13.6× |
| Herpes simplex virus by PCR (87529) |
$163 |
$163 |
4.6× |
| Heterophile antibody screen (86308) |
$95 |
$95 |
18.3× |
| Hfe gene (81256) |
$637 |
$637 |
9.7× |
| HIV-1 ag eia (87390) |
$253 |
$253 |
10.5× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$249 |
$249 |
10.3× |
| HIV-1 antibody (86701) |
$158.50 |
$158.50 |
17.8× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$182 |
$182 |
13.3× |
| HIV-2 antibody (86702) |
$216.50 |
$216.50 |
16.0× |
| Hla b27 (86812) |
$119 |
$119 |
4.6× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
$520 |
$520 |
2.4× |
| Hla ii typing 1 locus lr (81376) |
$520 |
$520 |
4.3× |
| Homocysteine level (83090) |
$257 |
$257 |
14.3× |
| Hydroxychloroquine (80220) |
$212 |
$212 |
11.4× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$142 |
$142 |
4.0× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$221 |
$221 |
4.3× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,640 |
$1,640 |
3.9× |
| Igg subclass 1 (82787) |
$180 |
$180 |
22.4× |
| Immunoassay analyte quantitative nos (83520) |
$182 |
$182 |
10.5× |
| Immunoassay infectious agent antibody quan nos (86317) |
$92 |
$92 |
6.1× |
| Immunofixation electrophoresis (86334) |
$280 |
$280 |
12.5× |
| Immunofixation urine (86335) |
$312 |
$312 |
10.6× |
| Immunoglobulin d (82784) |
$132 |
$132 |
14.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$142 |
$142 |
10.2× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) |
$89 |
$89 |
2.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$105 |
$105 |
6.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$114 |
$114 |
9.0× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$266 |
$266 |
6.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$218 |
$218 |
6.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$298 |
$298 |
7.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$238 |
$238 |
2.8× |
| Influenza a ag if (87276) |
$109 |
$109 |
6.8× |
| Influenza assay w/optic (87804) |
$105 |
$105 |
6.3× |
| Influenza b ag if (87275) |
$109 |
$109 |
8.9× |
| Influenza DNA amp probe (87502) |
$334 |
$334 |
3.5× |
| Insulin antibody (86337) |
$330 |
$330 |
15.4× |
| Insulin free (83527) |
$237 |
$237 |
18.3× |
| Insulin total (83525) |
$204 |
$204 |
17.8× |
| Intrinsic factor antibody (86340) |
$148 |
$148 |
9.8× |
| Iron (83540) |
$70 |
$70 |
10.8× |
| Iron binding capacity (83550) |
$90 |
$90 |
10.3× |
| Islet cell antibody (86341) |
$148 |
$148 |
6.3× |
| Jak2 gene (81270) |
$912 |
$912 |
9.9× |
| Koh prep (87220) |
$53 |
$53 |
12.4× |
| Lacosamide (80235) |
$193 |
$193 |
7.1× |
| Lactate (83605) |
$160 |
$160 |
13.8× |
| Lactate dehydrogenase (83615) |
$62 |
$62 |
10.3× |
| Lamotrigine (80175) |
$190 |
$190 |
14.3× |
| Ldh isoenzymes (83625) |
$153 |
$153 |
12.0× |
| LDL direct (83721) |
$105 |
$105 |
10.0× |
| Lead (83655) |
$131 |
$131 |
10.8× |
| Legionella antibody (86713) |
$216 |
$216 |
14.1× |
| Legionella culture (87081) |
$167 |
$167 |
25.2× |
| Legionella urine antigen (87449) |
$118.50 |
$118.50 |
9.9× |
| Leptospira antibody (86720) |
$182 |
$182 |
11.2× |
| Leukocyte assessment fecal (89055) |
$80 |
$80 |
18.7× |
| Lipase (83690) |
$120 |
$120 |
17.4× |
| Lipopro bld electrophoretic (83700) |
$253 |
$253 |
22.5× |
| Lipoprotein (a) (83695) |
$238 |
$238 |
16.6× |
| Lithium (80178) |
$133 |
$133 |
20.1× |
| Luteinizing hormone (lh) (83002) |
$204 |
$204 |
11.0× |
| Lyme disease antibody (86618) |
$238 |
$238 |
14.0× |
| Macroscopic exam parasite (87169) |
$70 |
$70 |
16.2× |
| Magnesium (83735) |
$84 |
$84 |
12.5× |
| Malaria smear (87207) |
$118 |
$118 |
19.7× |
| Manual differential (85007) |
$54 |
$54 |
14.2× |
| Mercury (83825) |
$213 |
$213 |
13.1× |
| Metanephrines (83835) |
$180 |
$180 |
10.6× |
| Methylmalonic acid serum (83921) |
$197 |
$197 |
9.3× |
| Microalbumin urine (82043) |
$128 |
$128 |
22.1× |
| Mitochondrial antibody each (86381) |
$171.50 |
$171.50 |
6.7× |
| Molecular cytogenetics DNA probe each (88271) |
$151 |
$151 |
7.0× |
| Mopath procedure level 2 (81401) |
$834 |
$834 |
6.1× |
| Mopath procedure level 4 (81403) |
$1,205 |
$1,205 |
6.5× |
| Mrsa PCR (87641) |
$238 |
$238 |
6.8× |
| Mumps antibody (86735) |
$182 |
$182 |
13.9× |
| Muramidase (85549) |
$213 |
$213 |
11.4× |
| Mycoplasma antibody (86738) |
$189.50 |
$189.50 |
14.3× |
| Mycoplasma pneumoniae by PCR (87581) |
$158 |
$158 |
4.5× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$166 |
$166 |
14.4× |
| Myoglobin (83874) |
$188 |
$188 |
14.6× |
| N.gonorrhoeae DNA amp prob (87591) |
$222 |
$222 |
6.3× |
| Natriuretic peptide (83880) |
$383 |
$383 |
9.8× |
| Nephelometry ea analyte (83883) |
$196.50 |
$196.50 |
14.4× |
| Nfct ds chrnc hcv 6 assays (81596) |
$509 |
$509 |
7.1× |
| Nk cells total count (86357) |
$313 |
$313 |
8.3× |
| Occult bld feces 1-3 tests (82272) |
$69 |
$69 |
16.3× |
| Occult blood screening (82270) |
$33 |
$33 |
7.5× |
| Osmolality serum (83930) |
$82 |
$82 |
12.4× |
| Osmolality urine (83935) |
$108 |
$108 |
15.8× |
| Ova and parasite exam (87177) |
$129 |
$129 |
14.5× |
| Oxalate urine (83945) |
$146 |
$146 |
10.1× |
| Pancreatic elastase fecal (82656) |
$180 |
$180 |
15.6× |
| Pancreatic polypeptide (83519) |
$271 |
$271 |
14.7× |
| Parainfluenza ag if (87279) |
$109 |
$109 |
6.6× |
| Parathyroid hormone (83970) |
$238 |
$238 |
5.8× |
| Parvovirus antibody (86747) |
$212 |
$212 |
14.1× |
| Pertussis by PCR (87798) |
$240.50 |
$240.50 |
6.9× |
| Ph body fluid (83986) |
$77 |
$77 |
21.5× |
| Phenobarbital (80184) |
$95 |
$95 |
6.2× |
| Phenylalanine (84030) |
$61 |
$61 |
11.1× |
| Phenytoin (dilantin) free (80186) |
$183 |
$183 |
13.3× |
| Phenytoin level total (80185) |
$146 |
$146 |
11.0× |
| Phosphorus (84100) |
$62 |
$62 |
13.1× |
| Phosphorus urine (84105) |
$69 |
$69 |
11.9× |
| Pinworm exam (87172) |
$70 |
$70 |
16.4× |
| Plasminogen activity (85420) |
$213 |
$213 |
32.6× |
| Platelet aggregation ea agent (85576) |
$180 |
$180 |
7.2× |
| Platelet count automated (85049) |
$51 |
$51 |
11.4× |
| Porphobilinogen urine (84110) |
$126 |
$126 |
14.9× |
| Porphyrins urine quantitation & fractionation (84120) |
$214 |
$214 |
14.5× |
| Potassium (84132) |
$95 |
$95 |
20.0× |
| Potassium urine (84133) |
$63 |
$63 |
13.3× |
| Prealbumin (84134) |
$153 |
$153 |
10.5× |
| Pregnenolone (84140) |
$185 |
$185 |
9.0× |
| Primidone (80188) |
$188 |
$188 |
11.3× |
| Procalcitonin (pct) (84145) |
$309 |
$309 |
11.4× |
| Progesterone (84144) |
$270 |
$270 |
12.9× |
| Prolactin (84146) |
$216 |
$216 |
11.1× |
| Protein c activity (85303) |
$293.50 |
$293.50 |
21.2× |
| Protein electrophoresis serum (84165) |
$100 |
$100 |
9.3× |
| Protein electrophoresis urine (84166) |
$187.50 |
$187.50 |
10.5× |
| Protein s antigen, free (85306) |
$180 |
$180 |
11.7× |
| Protein total other source (84157) |
$95 |
$95 |
23.8× |
| Protein total serum (84155) |
$93 |
$93 |
25.3× |
| Protein total urine (84156) |
$75.50 |
$75.50 |
20.6× |
| PSA free (84154) |
$172 |
$172 |
9.4× |
| Q fever antibody (86638) |
$204 |
$204 |
16.8× |
| Quinidine (80194) |
$172 |
$172 |
11.8× |
| Rbc antibody identification (86870) |
$213 |
$213 |
0.6× |
| Rbc antibody screen (86850) |
$120 |
$120 |
12.3× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$165 |
$165 |
13.7× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$168 |
$168 |
12.7× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$186 |
$186 |
9.6× |
| Renin (84244) |
$298 |
$298 |
13.6× |
| Resp virus 12-25 targets (87633) |
$1,221 |
$1,221 |
2.9× |
| Respiratory syncytial vi (87280) |
$109 |
$109 |
8.1× |
| Rh phenotyping complete (86906) |
$128 |
$128 |
16.5× |
| Rheumatoid factor (86430) |
$87 |
$87 |
14.2× |
| Rheumatoid factor quant (86431) |
$90 |
$90 |
15.9× |
| Rickettsia antibody (86757) |
$182 |
$182 |
9.4× |
| Rl immediate spin crossmatch (86920) |
$173 |
$173 |
1.0× |
| Rotavirus ag eia (87425) |
$182 |
$182 |
15.2× |
| Rpr qual (86592) |
$65 |
$65 |
15.2× |
| Rsv DNA/RNA amp probe (87634) |
$181 |
$181 |
2.6× |
| Rubella antibody (86762) |
$108 |
$108 |
7.5× |
| Rubeola antibody (86765) |
$214 |
$214 |
16.6× |
| Russell viper venom diluted (85613) |
$184 |
$184 |
19.2× |
| Sedimentation rate rbc automated (85652) |
$70 |
$70 |
25.9× |
| Selenium (84255) |
$211 |
$211 |
8.3× |
| Semen analysis post vasectomy (89321) |
$105 |
$105 |
8.7× |
| Sex hormone binding globulin (84270) |
$251 |
$251 |
11.6× |
| Sickle cell screen (85660) |
$74 |
$74 |
13.4× |
| Sirolimus (80195) |
$183 |
$183 |
13.3× |
| Smear wet mount (87210) |
$62 |
$62 |
10.7× |
| Sodium (84295) |
$63 |
$63 |
13.1× |
| Sodium other source (84302) |
$63 |
$63 |
13.0× |
| Sodium urine (84300) |
$62 |
$62 |
12.3× |
| Somatomedin (84305) |
$311 |
$311 |
14.6× |
| Specific gravity except urine (84315) |
$40 |
$40 |
12.2× |
| Stone analysis (82365) |
$151 |
$151 |
11.7× |
| Strep a assay w/optic (87880) |
$87.50 |
$87.50 |
5.3× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$600 |
$600 |
15.7× |
| Susceptibility mic per plate (87186) |
$137 |
$137 |
15.8× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$95 |
$95 |
12.7× |
| T cells cd4 count (86361) |
$186 |
$186 |
6.9× |
| T3 free (84481) |
$274 |
$274 |
16.2× |
| T3 reverse (84482) |
$309 |
$309 |
19.6× |
| T3 uptake (84479) |
$95 |
$95 |
14.7× |
| T4 (thyroxine) total (84436) |
$84 |
$84 |
12.2× |
| Tacrolimus (80197) |
$210 |
$210 |
15.3× |
| Tb test cell immun measure (86480) |
$289 |
$289 |
4.7× |
| Testosterone bioavailable (84410) |
$289 |
$289 |
5.6× |
| Testosterone free (84402) |
$119 |
$119 |
4.7× |
| Testosterone total (84403) |
$232 |
$232 |
9.0× |
| Theophylline (80198) |
$160 |
$160 |
11.3× |
| Thiopurine drug metabolites (83789) |
$170 |
$170 |
7.1× |
| Thiopurine metabolites (80299) |
$298 |
$298 |
16.0× |
| Thiopurine methyltransferase, rbc (82657) |
$540 |
$540 |
24.4× |
| Thrombin time plasma (85670) |
$100 |
$100 |
17.3× |
| Thyroglobulin (84432) |
$148 |
$148 |
9.2× |
| Thyroglobulin antibody (86800) |
$176.50 |
$176.50 |
11.1× |
| Thyroid peroxidase antibody (86376) |
$190 |
$190 |
13.1× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$478 |
$478 |
9.4× |
| Thyroxine free (ft4) (84439) |
$145 |
$145 |
16.1× |
| Tissue culture bone marrow (88237) |
$784 |
$784 |
5.5× |
| Tissue culture lymphocyte (88230) |
$573 |
$573 |
4.9× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$137 |
$137 |
11.9× |
| Tobramycin (80200) |
$169 |
$169 |
10.5× |
| Topiramate (80201) |
$143 |
$143 |
12.0× |
| Toxoplasma antibody igg (86777) |
$170 |
$170 |
11.8× |
| Toxoplasma antibody igm (86778) |
$184 |
$184 |
12.8× |
| Transferrin (84466) |
$190.50 |
$190.50 |
14.9× |
| Treponema pallidum antibody (86780) |
$120 |
$120 |
9.1× |
| Trichomonas assay w/optic (87808) |
$62 |
$62 |
4.1× |
| Trichomonas vaginalis amplif (87661) |
$184 |
$184 |
5.2× |
| Trichrome stain (87209) |
$192.50 |
$192.50 |
10.7× |
| Triglycerides (84478) |
$61 |
$61 |
10.6× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$119 |
$119 |
8.4× |
| Troponin t (84484) |
$133 |
$133 |
10.7× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$477 |
$477 |
4.8× |
| Tyrosine (84510) |
$216 |
$216 |
20.3× |
| Unlisted molecular pathology (81479) |
$812 |
$812 |
— |
| Urea nitrogen quantitative (84520) |
$88 |
$88 |
22.3× |
| Urea nitrogen urine (84540) |
$90 |
$90 |
16.2× |
| Uric acid blood (84550) |
$97 |
$97 |
21.5× |
| Uric acid other source (84560) |
$88 |
$88 |
17.3× |
| Urinalysis auto w/micro (81001) |
$80 |
$80 |
25.2× |
| Urinalysis microscopic only (81015) |
$37 |
$37 |
12.1× |
| Urine bacteria culture (87088) |
$105 |
$105 |
13.0× |
| Urine Pregnancy Test POC (81025) |
$104 |
$104 |
12.1× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$37 |
$37 |
16.4× |
| Valproic acid (80164) |
$188 |
$188 |
13.9× |
| Vancomycin (80202) |
$152 |
$152 |
11.2× |
| Varicella zoster antibody igg (86787) |
$127 |
$127 |
9.9× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$459 |
$459 |
13.5× |
| Viral culture non-respiratory (87252) |
$281 |
$281 |
10.8× |
| Virus antibody nos (86790) |
$242 |
$242 |
18.8× |
| Vitamin a (84590) |
$119 |
$119 |
10.2× |
| Vitamin b-12 (82607) |
$193 |
$193 |
12.8× |
| Vitamin b1 whole blood (84425) |
$148 |
$148 |
7.0× |
| Vitamin c (82180) |
$329 |
$329 |
33.3× |
| Vitamin d 25 hydroxy (82306) |
$379 |
$379 |
12.8× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$119 |
$119 |
3.1× |
| Vitamin e (84446) |
$166 |
$166 |
11.7× |
| Vitamin k1 (84597) |
$268 |
$268 |
19.5× |
| Vma (84585) |
$247 |
$247 |
15.9× |
| West nile virus antibody (86789) |
$194 |
$194 |
13.5× |
| Yeast id (87106) |
$108 |
$108 |
10.5× |
| Z t cells total count (86359) |
$119 |
$119 |
3.2× |
| Zinc (84630) |
$119 |
$119 |
10.4× |