Lab & pathology prices at Wilcox Medical Center
Lihue, HI · every code in this section with a posted price and a Medicare benchmark.
739 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $106.20 | $177 | 2.8× |
| 5 Nucleotidase (83915) | $28.80 | $48 | 2.6× |
| Acetylcholine receptor binding antibody (86041) | $54.90 | $91.50 | 3.0× |
| Acetylcholine receptor blocking antibody (86042) | $54.90 | $91.50 | 3.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $75 | $125 | 6.2× |
| Acth stimulation panel adrenal insufficiency (80400) | $192.30 | $320.50 | 5.9× |
| Actin smooth muscle antibody each (86015) | $32.40 | $54 | 2.7× |
| Activated protein c resistance (85307) | $42.60 | $71 | 2.8× |
| Acute hepatitis panel (80074) | $293.40 | $489 | 6.2× |
| Acylcarnitine Plasma (82017) | $217.80 | $363 | 12.9× |
| Adamts13 activity (85397) | $150 | $250 | 4.9× |
| Adrenocorticotropic hormone (82024) | $106.20 | $177 | 2.7× |
| Afp maternal serum (82105) | $72 | $120 | 4.3× |
| Agglutinins febrile ea antigen (86000) | $55.20 | $92 | 7.9× |
| Albumin body fluid (82042) | $15.60 | $26 | 2.0× |
| Albumin serum (82040) | $23.40 | $39 | 4.7× |
| Aldolase (82085) | $24.60 | $41 | 2.5× |
| Aldosterone urine (82088) | $112.20 | $187 | 2.8× |
| Alkaline phosphatase isoenzymes (84080) | $94.20 | $157 | 6.4× |
| Allergen peanut (86003) | $15.60 | $26 | 3.0× |
| Allergen specific igg (86001) | $40.80 | $68 | 5.2× |
| Alpha-1-antitrypsin phenotype (82104) | $38.40 | $64 | 2.7× |
| Alpha-1-antitrypsin, total (82103) | $53.10 | $88.50 | 4.0× |
| Alpha-Fetoprotein L3 (82107) | $196.20 | $327 | 3.0× |
| Alt (sgpt) (84460) | $33 | $55 | 6.2× |
| Aluminum (82108) | $40.80 | $68 | 1.6× |
| Amikacin trough (80150) | $138 | $230 | 9.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $68.40 | $114 | 3.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $158.40 | $264 | 9.4× |
| Amino Acids Quant 2-5 (82136) | $172.80 | $288 | 8.8× |
| Aminolevulinic acid (ala) (82135) | $60.60 | $101 | 3.7× |
| Amylase urine (82150) | $39.60 | $66 | 6.1× |
| Ana titer (86039) | $49.20 | $82 | 4.4× |
| Analysis nerve (88356) | $94.20 | $157 | 1.5× |
| Androstanediol glucuronide (82154) | $72 | $120 | 2.5× |
| Angiotensin i enzyme test (82164) | $72 | $120 | 4.9× |
| Anti-phosphatidylserine antibody (86148) | $44.40 | $74 | 2.8× |
| Antibody aspergillus (86606) | $36.60 | $61 | 2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $41.40 | $69 | 2.7× |
| Antibody coxiella burnetii q fever (86638) | $30 | $50 | 2.5× |
| Antibody cytomegalovirus cmv (86644) | $87.90 | $146.50 | 6.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $34.20 | $57 | 2.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $34.80 | $58 | 2.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72 | $120 | 5.0× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $54 | $90 | 3.9× |
| Antibody HIV-2 (86702) | $93.60 | $156 | 6.9× |
| Antibody identification (86870) | $205.80 | $343 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $169.20 | $282 | 11.2× |
| Antibody Identification Platelet Immunogl Assay (86023) | $37.20 | $62 | 3.0× |
| Antibody mumps (86735) | $61.20 | $102 | 4.7× |
| Antibody Protozoa Nes (86753) | $34.80 | $58 | 2.8× |
| Antibody screen (86850) | $109.20 | $182 | 11.2× |
| Antibody treponema pallidum (86780) | $33.90 | $56.50 | 2.6× |
| Antibody; Coccidioides (86635) | $29.40 | $49 | 2.6× |
| Antibody; HTLV-II Facility (86688) | $34.20 | $57 | 2.4× |
| Antigen typing (86905) | $31.80 | $53 | 8.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $102.60 | $171 | 19.8× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $34.80 | $58 | 2.9× |
| Antinuclear antibodies (86038) | $75.60 | $126 | 6.3× |
| Antistreptolysin o titer (86060) | $32.70 | $54.50 | 4.5× |
| Antithrombin iii activity (85300) | $75.60 | $126 | 6.4× |
| Antithrombin iii antigen (85301) | $73.20 | $122 | 6.8× |
| Apolipoprotein each (82172) | $40.20 | $67 | 1.9× |
| Aquaporin-4 antibody flow cytometry each (86053) | $330 | $550 | 8.7× |
| Arsenic Urine (82175) | $48.60 | $81 | 2.6× |
| Aspergillus ag eia (87305) | $154.80 | $258 | 12.9× |
| Assay direct measurement free estradiol (82681) | $47.40 | $79 | 1.7× |
| Assay galactose transferase (82775) | $174 | $290 | 8.3× |
| Assay Nephelometry Not Spec (83883) | $46.80 | $78 | 3.4× |
| Assay of 17-hydroxypregnenolone (84143) | $77.40 | $129 | 3.4× |
| Assay of ammonia (82140) | $90 | $150 | 6.2× |
| Assay of androstenedione (82157) | $72.60 | $121 | 2.5× |
| Assay of anti-mullerian hormone (82166) | $75 | $125 | 1.9× |
| Assay of biotinidase (82261) | $124.50 | $207.50 | 7.4× |
| Assay of c-peptide (84681) | $42.90 | $71.50 | 2.1× |
| Assay of ceruloplasmin (82390) | $27.30 | $45.50 | 2.5× |
| Assay of citrate (82507) | $54 | $90 | 1.9× |
| Assay of corticosterone (82528) | $187.80 | $313 | 8.3× |
| Assay of cpk in blood (82552) | $34.80 | $58 | 2.6× |
| Assay of creatine (82540) | $72 | $120 | 15.5× |
| Assay of cyclosporine (80158) | $84.30 | $140.50 | 4.7× |
| Assay of dibucaine number (82638) | $34.80 | $58 | 2.8× |
| Assay of erythropoietin (82668) | $52.20 | $87 | 2.8× |
| Assay of estrone (82679) | $62.40 | $104 | 2.5× |
| Assay of ethosuximide (80168) | $40.20 | $67 | 2.5× |
| Assay of ferritin (82728) | $58.20 | $97 | 4.3× |
| Assay of g6pd enzyme (82955) | $60.60 | $101 | 6.2× |
| Assay of gammaglobulin igm (82784) | $22.50 | $37.50 | 2.4× |
| Assay of gastrin (82941) | $43.80 | $73 | 2.5× |
| Assay of gentamicin (80170) | $100.80 | $168 | 6.2× |
| Assay of homocystine (83090) | $155.40 | $259 | 8.7× |
| Assay of lactic acid (83605) | $65.40 | $109 | 5.7× |
| Assay of lipoprotein(a) (83695) | $30.30 | $50.50 | 2.1× |
| Assay of manganese (83785) | $64.20 | $107 | 2.4× |
| Assay of metanephrines (83835) | $46.80 | $78 | 2.8× |
| Assay of osteocalcin (83937) | $76.20 | $127 | 2.6× |
| Assay of phenobarbital (80184) | $72.60 | $121 | 4.7× |
| Assay of phosphatase acid total (84060) | $19.80 | $33 | 2.6× |
| Assay of prealbumin (84134) | $99.60 | $166 | 6.8× |
| Assay of proinsulin (84206) | $49.80 | $83 | 1.9× |
| Assay of prolactin (84146) | $104.70 | $174.50 | 5.4× |
| Assay of pyruvate (84210) | $96.90 | $161.50 | 6.7× |
| Assay of semen fructose (82757) | $60.60 | $101 | 3.5× |
| Assay of serotonin (84260) | $78.30 | $130.50 | 2.5× |
| Assay of tacrolimus (80197) | $142.80 | $238 | 10.4× |
| Assay of topiramate (80201) | $38.40 | $64 | 3.2× |
| Assay of Tyrosine (84510) | $157.20 | $262 | 14.8× |
| Assay of urine vma (84585) | $83.40 | $139 | 5.4× |
| Assay of vitamin k (84597) | $106.80 | $178 | 7.8× |
| Assay of volatiles (84600) | $114 | $190 | 6.7× |
| Assay Phosphatase Acid Prostatic (84066) | $22.20 | $37 | 2.3× |
| Ast (sgot) (84450) | $31.80 | $53 | 6.1× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $191.40 | $319 | 1.0× |
| B cells total count (86355) | $288.60 | $481 | 7.6× |
| Bartonella antibody (86611) | $28.80 | $48 | 2.8× |
| Bartonella PCR (87471) | $205.20 | $342 | 5.8× |
| Bcr/abl1 gene major bp (81206) | $242.40 | $404 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $242.40 | $404 | 1.7× |
| Beta 2 glycoprotein 1 igm (86146) | $67.80 | $113 | 2.7× |
| Beta hydroxybutyrate (82010) | $51 | $85 | 6.2× |
| Beta lactamase (87185) | $12 | $20 | 2.5× |
| Beta-2 microglobulin (82232) | $42.90 | $71.50 | 2.7× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $112.20 | $187 | 0.9× |
| Bile acids, total (82239) | $51 | $85 | 3.0× |
| Bilirubin direct (82248) | $32.40 | $54 | 6.5× |
| Bilirubin total (82247) | $32.40 | $54 | 6.5× |
| Bl Smear W/Diff Wbc Count (85007) | $22.80 | $38 | 6.0× |
| Blastomyces antibody (86612) | $87.60 | $146 | 6.8× |
| Bld Typing Serologic Rh Phnt (86906) | $129 | $215 | 16.6× |
| Bleeding time (85002) | $44.40 | $74 | 9.2× |
| Blood gas (82803) | $112.20 | $187 | 4.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $95.40 | $159 | 6.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.20 | $37 | 5.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $374.40 | $624 | 59.0× |
| Blood typing abo (86900) | $28.20 | $47 | 9.4× |
| Blood typing serologic rh (d) (86901) | $39 | $65 | 13.0× |
| Body fluid cell count (89051) | $34.20 | $57 | 6.1× |
| Body fluid cell count (89050) | $28.20 | $47 | 6.0× |
| Bordetella antibody (86615) | $33 | $55 | 2.5× |
| Bordetella pertussis dfa (87265) | $81.60 | $136 | 6.8× |
| Brucella antibody (86622) | $22.20 | $37 | 2.5× |
| C diff amplified probe (87493) | $169.20 | $282 | 4.5× |
| C-reactive protein (86140) | $26.70 | $44.50 | 5.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $108 | $180 | 8.3× |
| C1q binding assay (86332) | $62.40 | $104 | 2.6× |
| Ca 125 (86304) | $102 | $170 | 4.9× |
| Ca 19-9 (86301) | $129.60 | $216 | 6.2× |
| Ca 27 29 (86300) | $54.90 | $91.50 | 2.6× |
| Cadmium level (82300) | $53.40 | $89 | 2.3× |
| Caffeine (80155) | $34.80 | $58 | 0.9× |
| Calcitonin (82308) | $66.60 | $111 | 2.5× |
| Calcium ionized (82330) | $40.20 | $67 | 2.9× |
| Calcium total (82310) | $31.20 | $52 | 6.0× |
| Calcium urine (82340) | $25.20 | $42 | 4.2× |
| Calculus spectroscopy (82365) | $76.80 | $128 | 6.0× |
| Calprotectin, fecal (83993) | $93.60 | $156 | 4.8× |
| Calr gene com variants (81219) | $167.40 | $279 | 1.4× |
| Candida antibody (86628) | $31.20 | $52 | 2.6× |
| Carb deficient transferrin (82373) | $164.40 | $274 | 9.1× |
| Carbamazepine free (80157) | $34.80 | $58 | 2.6× |
| Carbamazepine total (80156) | $64.20 | $107 | 4.4× |
| Carbon dioxide (82374) | $31.80 | $53 | 6.5× |
| Carboxyhemoglobin (82375) | $105 | $175 | 8.5× |
| Carcinoembryonic antigen (82378) | $93.60 | $156 | 4.9× |
| Cardiolipin ab igg (86147) | $69.60 | $116 | 2.7× |
| Carnitine (82379) | $100.80 | $168 | 6.0× |
| Carotene (82380) | $28.20 | $47 | 3.1× |
| Catecholamines fraction plasma (82384) | $67.50 | $112.50 | 2.7× |
| Cebpa gene full sequence (81218) | $472.20 | $787 | 2.0× |
| Cell marker study (88182) | $119.40 | $199 | 1.9× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $274.20 | $457 | 2.0× |
| Cftr gene com variants (81220) | $764.40 | $1,274 | 1.4× |
| Chemiluminescent assay (82397) | $93.60 | $156 | 6.6× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $885.60 | $1,476 | 4.3× |
| Chlamydia antibody (86631) | $30.60 | $51 | 2.6× |
| Chlamydia Igm Antibody (86632) | $33 | $55 | 2.6× |
| Chloride blood (82435) | $29.70 | $49.50 | 6.5× |
| Chloride feces (82438) | $31.80 | $53 | 6.4× |
| Chloride urine (82436) | $31.20 | $52 | 5.4× |
| Cholesterol HDL (83718) | $79.50 | $132.50 | 9.7× |
| Cholesterol total (82465) | $27.60 | $46 | 6.3× |
| Cholinesterase rbc (82482) | $17.40 | $29 | 1.8× |
| Cholinesterase serum (82480) | $18.90 | $31.50 | 2.4× |
| Chorionic Gonadotropin, Free Beta Chain (84704) | $34.80 | $58 | 2.3× |
| Chrmsm analysis addl high resolution study (88289) | $22.20 | $37 | 0.6× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $272.40 | $454 | 2.2× |
| Chromium urine (82495) | $54 | $90 | 2.7× |
| Chromogranin a (86316) | $86.70 | $144.50 | 4.2× |
| Chromosome analysis 20-25 cells (88264) | $307.20 | $512 | 2.1× |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) | $334.20 | $557 | 1.9× |
| Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) | $334.20 | $557 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $174.60 | $291 | 5.0× |
| Ckmb (82553) | $90 | $150 | 7.8× |
| Clot Factor VIII Multimetric (85247) | $175.50 | $292.50 | 7.7× |
| Clot factor viii vw antigen (85246) | $142.20 | $237 | 6.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $139.20 | $232 | 7.8× |
| Clot factor xiii fibrin stab (85290) | $136.20 | $227 | 8.3× |
| Clotting Inhibitors Protein S Free (85306) | $95.40 | $159 | 6.2× |
| Clozapine level (80159) | $48 | $80 | 2.4× |
| Cmv ab igm (86645) | $106.20 | $177 | 6.3× |
| Cmv PCR (87496) | $184.80 | $308 | 5.3× |
| Coagulation time activated (85347) | $28.20 | $47 | 6.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $171 | $285 | 7.1× |
| Cold agglutinin titer (86157) | $52.80 | $88 | 6.6× |
| Collagen cross links (82523) | $73.20 | $122 | 3.9× |
| Comparative anal str markers patient&comp spec (81265) | $383.10 | $638.50 | 1.6× |
| Compatibility test antiglob (86922) | $61.20 | $102 | 0.3× |
| Complement c3 (86160) | $60.60 | $101 | 5.1× |
| Complement total (ch50) (86162) | $49.20 | $82 | 2.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $38.40 | $64 | 3.2× |
| Concentration Infectious Agent (87015) | $43.20 | $72 | 6.5× |
| Coombs direct (86880) | $33 | $55 | 6.1× |
| Copper urine (82525) | $108.60 | $181 | 8.8× |
| Cortisol free (82530) | $110.40 | $184 | 6.6× |
| Cortisol total (82533) | $81.60 | $136 | 5.0× |
| Creatine kinase total (82550) | $41.40 | $69 | 6.4× |
| Creatinine blood (82565) | $25.20 | $42 | 4.9× |
| Creatinine clearance (82575) | $58.20 | $97 | 6.2× |
| Creatinine other source (82570) | $33 | $55 | 6.4× |
| Crossmatch immediate spin (86920) | $61.20 | $102 | 0.3× |
| Cryofibrinogen (82585) | $37.20 | $62 | 2.6× |
| Cryoglobulin (82595) | $16.80 | $28 | 2.6× |
| Crystals body fluid (89060) | $46.80 | $78 | 6.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $48 | $80 | 5.9× |
| Culture Aerobic Identify (87077) | $48 | $80 | 5.9× |
| Culture aerobic quant other (87071) | $65.40 | $109 | 6.6× |
| Culture afb (87116) | $59.40 | $99 | 5.5× |
| Culture anaerobic (87075) | $65.40 | $109 | 6.9× |
| Culture blood (87040) | $64.80 | $108 | 6.3× |
| Culture chlamydia (87110) | $135 | $225 | 6.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $59.40 | $99 | 7.7× |
| Culture fungus blood (87103) | $59.40 | $99 | 2.9× |
| Culture fungus id yeast (87106) | $229.80 | $383 | 22.3× |
| Culture fungus other (87102) | $59.40 | $99 | 7.1× |
| Culture genital (87070) | $60.60 | $101 | 7.0× |
| Culture screen only (87081) | $41.40 | $69 | 6.2× |
| Culture stool (87045) | $57 | $95 | 6.0× |
| Culture typing if ea antiserum (87140) | $36.90 | $61.50 | 6.6× |
| Culture typing other methods (87158) | $114 | $190 | 14.7× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $228.90 | $381.50 | 6.5× |
| Culture urine (87086) | $50.40 | $84 | 6.2× |
| Culture virus (87252) | $84.90 | $141.50 | 3.3× |
| Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) | $75 | $125 | 6.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $217.80 | $363 | 1.9× |
| Cyclic Citrullinated Peptide (86200) | $90 | $150 | 6.9× |
| Cyp2c19 gene com variants (81225) | $438.60 | $731 | 1.5× |
| Cyp2c9 gene com variants (81227) | $342.60 | $571 | 2.0× |
| Cystatin c (82610) | $38.40 | $64 | 2.1× |
| Cysticercosis Antibody (86682) | $40.80 | $68 | 3.1× |
| Cytogenetics 10-30 (88273) | $161.40 | $269 | 4.6× |
| Cytogenetics 100-300 (88275) | $161.40 | $269 | 3.2× |
| Cytogenetics DNA probe (88271) | $78.30 | $130.50 | 3.7× |
| Cytogenom const microarray copy number&snp var (81229) | $796.20 | $1,327 | 0.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $305.70 | $509.50 | 7.1× |
| Cytopath cell enhance tech (88112) | $210 | $350 | 3.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $86.40 | $144 | 2.0× |
| Cytopath Smear Other Source (88160) | $121.80 | $203 | 3.6× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $34.20 | $57 | 1.8× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $134.40 | $224 | 5.1× |
| Cytp concentration smears & interpretation (88108) | $65.40 | $109 | 1.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $220.20 | $367 | 3.6× |
| Cytp fna eval dx 1st each site (88172) | $76.20 | $127 | 0.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $673.80 | $1,123 | 3.3× |
| Cytp Insitu Hybrid Urne Spec 3-5 Probes Cptr Ea (88121) | $264 | $440 | 1.3× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $30 | $50 | 0.5× |
| D-Dimer (85378) | $95.40 | $159 | 9.8× |
| Deoxycortisol (82634) | $34.20 | $57 | 1.2× |
| Deoxyribonuclease antibody (86215) | $33 | $55 | 2.5× |
| Desoxycorticosterone (82633) | $36 | $60 | 1.2× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $99 | $165 | 2.3× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $34.80 | $58 | 0.2× |
| Dgp antibody each ig class (86258) | $29.40 | $49 | 2.4× |
| Dhea (82626) | $49.20 | $82 | 1.9× |
| Dhea-sulfate (82627) | $65.10 | $108.50 | 2.9× |
| Digoxin (80162) | $85.80 | $143 | 6.5× |
| Dihydrotestosterone (82642) | $78 | $130 | 2.7× |
| Dilantin (80185) | $58.50 | $97.50 | 4.4× |
| Diphtheria antitoxoid (86648) | $37.20 | $62 | 2.4× |
| Dipropylacetic acid free (80165) | $37.20 | $62 | 2.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $86.40 | $144 | 6.3× |
| DNA/RNA direct probe (87149) | $163.20 | $272 | 8.1× |
| Drug Assay Amiodarone (80151) | $34.80 | $58 | 1.9× |
| Drug assay felbamate (80167) | $157.20 | $262 | 8.4× |
| Drug assay flecainide (80181) | $34.20 | $57 | 1.8× |
| Drug Assay Lacosamide (80235) | $69.60 | $116 | 2.6× |
| Drug assay methotrexate (80204) | $35.40 | $59 | 0.9× |
| Drug assay voriconazole (80285) | $109.20 | $182 | 4.0× |
| Drug quant nes (80299) | $111.60 | $186 | 6.0× |
| Drug screen quant zonisamide (80203) | $49.20 | $82 | 3.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $33 | $55 | 2.5× |
| Drug Screen Quantitative Lidocaine (80176) | $46.80 | $78 | 3.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $33 | $55 | 2.5× |
| Drug Scrn Quan Levetiracetam (80177) | $82.80 | $138 | 6.2× |
| Drug test prsmv chem anlyzr (80307) | $183.60 | $306 | 3.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $98.40 | $164 | 7.8× |
| E test (87181) | $12.60 | $21 | 2.7× |
| Ebv viral capsid (86665) | $46.80 | $78 | 2.6× |
| Ehrlichia antibody (86666) | $26.40 | $44 | 2.6× |
| Elastase pancreatic fecal quantitative (82653) | $92.40 | $154 | 4.0× |
| Electrolyte panel (80051) | $45 | $75 | 6.4× |
| Electron microscopy diagnostic (88348) | $959.40 | $1,599 | 1.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $31.20 | $52 | 2.6× |
| Enterovirus antibody (86658) | $33.60 | $56 | 2.6× |
| Enterovirus Pcr (87498) | $190.50 | $317.50 | 5.4× |
| Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each… (82658) | $21 | $35 | 0.5× |
| Enzyme cell activity (82657) | $49.80 | $83 | 2.2× |
| Enzyme histochemistry (88319) | $318.60 | $531 | 0.3× |
| Eosinophil count (85048) | $25.20 | $42 | 9.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $40.20 | $67 | 2.6× |
| Estradiol (82670) | $123.60 | $206 | 4.4× |
| Estriol serum (82677) | $81.60 | $136 | 3.4× |
| Estrogens total (82672) | $53.40 | $89 | 2.5× |
| Ethylene glycol (82693) | $48.60 | $81 | 3.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $124.80 | $208 | 1.3× |
| Everolimus (80169) | $75 | $125 | 5.5× |
| F2 gene analysis 20210g >a variant (81240) | $126 | $210 | 1.9× |
| F5 gene analysis, leiden variant (81241) | $156.60 | $261 | 2.1× |
| Factor ii activity (85210) | $163.50 | $272.50 | 12.6× |
| Factor inhibitor test (85335) | $59.40 | $99 | 4.6× |
| Factor ix activity (85250) | $113.40 | $189 | 6.0× |
| Factor v activity (85220) | $167.40 | $279 | 9.5× |
| Factor vii assay (85230) | $140.70 | $234.50 | 7.9× |
| Factor viii ahg (85240) | $119.10 | $198.50 | 6.7× |
| Factor xi assay (85270) | $120.60 | $201 | 6.7× |
| Factor xii assay (85280) | $115.50 | $192.50 | 6.0× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) | $159.60 | $266 | 20.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $111.60 | $186 | 6.5× |
| Fecal fat qual (82705) | $16.20 | $27 | 3.2× |
| Fecal fat quant (82710) | $139.20 | $232 | 8.3× |
| Fetal bleed screen (85461) | $52.80 | $88 | 5.6× |
| Fetal fibronectin (82731) | $547.80 | $913 | 8.5× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $149.40 | $249 | 7.9× |
| Fetal screen (83030) | $51.30 | $85.50 | 4.8× |
| Fibrin degradation products (85362) | $42.60 | $71 | 6.2× |
| Fibrin Degradation Quant (85379) | $100.80 | $168 | 9.9× |
| Fibrinogen activity (85384) | $52.20 | $87 | 5.4× |
| Flow cytometry first marker (88184) | $230.40 | $384 | 0.5× |
| Flt3 gene analysis (81245) | $255.90 | $426.50 | 1.5× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) | $149.40 | $249 | 1.8× |
| Fluorescent Antibody Screen (86255) | $55.80 | $93 | 4.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $125.70 | $209.50 | 10.4× |
| Fluoride (82735) | $148.80 | $248 | 8.0× |
| Fmr1 gene charac alleles (81244) | $275.70 | $459.50 | 6.1× |
| Fmr1 gene detection (81243) | $307.20 | $512 | 5.4× |
| Folate serum (82746) | $73.20 | $122 | 5.0× |
| Folic acid rbc (82747) | $43.20 | $72 | 2.4× |
| Follicle Stimulating Hormone (83001) | $81.60 | $136 | 4.4× |
| Fresh frozen plasma thawing each unit (86927) | $204.60 | $341 | 1.0× |
| Frozen Section (88331) | $107.40 | $179 | 0.5× |
| Fructosamine (82985) | $37.20 | $62 | 2.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $199.20 | $332 | 19.3× |
| Gabapentin (80171) | $40.80 | $68 | 1.9× |
| Galactose (82760) | $285.60 | $476 | 25.5× |
| Gammaglobulin ige (82785) | $43.20 | $72 | 2.6× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $168 | $280 | 2.1× |
| Ggt (82977) | $42.60 | $71 | 5.9× |
| Giardia antigen eia stool (87329) | $76.20 | $127 | 6.4× |
| Glucagon (82943) | $63 | $105 | 4.4× |
| Glucose (82947) | $25.80 | $43 | 6.6× |
| Glucose body fluid (82945) | $27 | $45 | 6.9× |
| Glucose post dose (82950) | $31.20 | $52 | 6.6× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $25.20 | $42 | 6.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $81.60 | $136 | 6.3× |
| Growth hormone (83003) | $49.20 | $82 | 3.0× |
| Growth stimulation expressed gene 2 (83006) | $283.20 | $472 | 3.7× |
| H pylori breath test (83013) | $417 | $695 | 6.2× |
| Haloperidol (haldol) (80173) | $66 | $110 | 4.2× |
| Haptoglobin (83010) | $79.80 | $133 | 6.3× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) | $467.70 | $779.50 | 4.6× |
| Hbb Common Variants (81361) | $582.60 | $971 | 3.3× |
| Hcg qualitative (84703) | $54 | $90 | 7.2× |
| Hcg quant (84702) | $60 | $100 | 4.0× |
| Heavy metal quant each (83018) | $57.30 | $95.50 | 2.6× |
| Heinz Bodies; Direct - Heinz Body Stain (85441) | $11.40 | $19 | 2.7× |
| Hematocrit (85014) | $32.70 | $54.50 | 13.8× |
| Hemoglobin (85018) | $15.60 | $26 | 6.6× |
| Hemoglobin a1c (83036) | $48 | $80 | 4.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $45 | $75 | 2.5× |
| Hemoglobin electrophoresis (83020) | $78.30 | $130.50 | 6.1× |
| Hemoglobin fetal ql (83033) | $38.40 | $64 | 4.8× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $48 | $80 | 6.2× |
| Hemoglobin plasma (83051) | $50.40 | $84 | 6.9× |
| Hemoglobin urine (83069) | $27.60 | $46 | 7.0× |
| Hemosiderin urine (83070) | $22.80 | $38 | 4.8× |
| Heparin assay (85520) | $79.80 | $133 | 6.1× |
| Heparin neutralization (85525) | $72.60 | $121 | 6.1× |
| Hepatitis a antibody total (86708) | $34.80 | $58 | 2.8× |
| Hepatitis a igm (86709) | $49.80 | $83 | 4.4× |
| Hepatitis b core ab igm (86705) | $73.80 | $123 | 6.3× |
| Hepatitis b core antibody total (86704) | $73.20 | $122 | 6.1× |
| Hepatitis B Surface Ab (86706) | $68.70 | $114.50 | 6.4× |
| Hepatitis B Surface Antigen (87340) | $57 | $95 | 5.5× |
| Hepatitis b virus genotyping (87912) | $544.20 | $907 | 2.1× |
| Hepatitis be antibody (86707) | $32.40 | $54 | 2.8× |
| Hepatitis Be Antigen (87350) | $32.40 | $54 | 2.8× |
| Hepatitis c antibody (86803) | $105.60 | $176 | 7.4× |
| Hepatitis C Genotype (87902) | $482.40 | $804 | 1.9× |
| Hepatitis delta ab (86692) | $105.30 | $175.50 | 6.1× |
| Hepatitis delta ag (87380) | $166.80 | $278 | 9.1× |
| Herpes simplex type i (86695) | $34.80 | $58 | 2.6× |
| Herpes simplex type ii (86696) | $49.80 | $83 | 2.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $34.20 | $57 | 6.6× |
| Hexa gene analysis common variants (81255) | $240 | $400 | 4.7× |
| Hexagonal phospholipid (85598) | $46.80 | $78 | 2.6× |
| Hfe gene (81256) | $123.60 | $206 | 1.9× |
| Histamine plasma (83088) | $77.70 | $129.50 | 2.6× |
| Histoplasma antibody (86698) | $26.40 | $44 | 1.9× |
| Histoplasma antigen urine (87385) | $160.20 | $267 | 12.1× |
| HIV confirmation (86689) | $164.40 | $274 | 8.5× |
| HIV-1 antibody (86701) | $56.40 | $94 | 6.3× |
| HIV-1 genotype (87901) | $414.60 | $691 | 1.6× |
| Hla class i typing high resolution one allele or allele group (81381) | $224.40 | $374 | 1.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $153.60 | $256 | 2.1× |
| Hla i typing 1 locus hr (81380) | $234 | $390 | 1.3× |
| Hla ii typing 1 locus lr (81376) | $161.40 | $269 | 1.3× |
| Hla typing dr/dq (86817) | $574.80 | $958 | 5.4× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) | $411.60 | $686 | 7.1× |
| Hla-b27 (86812) | $152.40 | $254 | 5.9× |
| Homovanillic acid urine (83150) | $78.90 | $131.50 | 3.5× |
| Hpa-1 genotyping gene analysis common variant (81105) | $317.40 | $529 | 2.6× |
| Hpylori Drug Administration (83014) | $59.40 | $99 | 7.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $216.60 | $361 | 6.2× |
| Htlv-I Antibody (86687) | $24.30 | $40.50 | 2.7× |
| Human epididymis protein 4 (86305) | $247.80 | $413 | 11.9× |
| Hydroxyprogesterone 17-d (83498) | $67.20 | $112 | 2.5× |
| Iaad ia clostridium difficile toxin (87324) | $77.70 | $129.50 | 6.5× |
| Iaad ia cryptosporidium (87328) | $70.80 | $118 | 5.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $58.80 | $98 | 5.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $185.40 | $309 | 7.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $85.80 | $143 | 6.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $84 | $140 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $69 | $115 | 5.8× |
| Iaadi Legionella Pneumophila (87278) | $142.20 | $237 | 9.1× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $147.60 | $246 | 4.5× |
| Iaadiadoo not otherwise specified (87899) | $56.70 | $94.50 | 3.5× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $138.60 | $231 | 3.9× |
| Iadna candida species amplified probe tq (87481) | $96.60 | $161 | 2.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $124.80 | $208 | 3.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $241.20 | $402 | 3.4× |
| Iadna hepatitis b virus quantification (87517) | $117.60 | $196 | 2.7× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $91.20 | $152 | 2.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $112.20 | $187 | 2.6× |
| Iadna herpes virus-6 amplified probe tq (87532) | $216.60 | $361 | 6.2× |
| Iadna herpes virus-6 quantification (87533) | $245.40 | $409 | 5.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $167.40 | $279 | 4.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $232.20 | $387 | 2.7× |
| Iadna human papillomavirus high-risk types (87624) | $75.60 | $126 | 2.2× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $60 | $100 | 1.5× |
| Iadna mycobacteria avium-intraclre amp prb (87561) | $289.80 | $483 | 8.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $103.80 | $173 | 3.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $174.60 | $291 | 5.0× |
| Iadna nos amplified probe tq each organism (87798) | $173.40 | $289 | 4.9× |
| Iadna nos quantification each organism (87799) | $261 | $435 | 6.1× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $93.60 | $156 | 2.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,466.40 | $2,444 | 3.5× |
| Igg subclasses (82787) | $26.40 | $44 | 3.3× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $292.20 | $487 | 0.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $21.60 | $36 | 1.4× |
| Immunoassay nonantibody (83516) | $22.80 | $38 | 2.0× |
| Immunodiffusion (86329) | $36.60 | $61 | 2.6× |
| Immunodiffusion Ouchterlony (86331) | $25.80 | $43 | 2.2× |
| Immunofixation (86334) | $93 | $155 | 4.2× |
| Immunofixation urine (86335) | $180.60 | $301 | 6.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $180 | $300 | 0.9× |
| Immunoglobulin light chains free each (83521) | $37.20 | $62 | 2.2× |
| Immunohistochemistry (88342) | $155.40 | $259 | 0.8× |
| In situ hybridization (88365) | $191.40 | $319 | 1.0× |
| In situ hybridization ea multiplex probe stain (88366) | $98.64 | $164.40 | 0.5× |
| Indirect coombs (86885) | $42 | $70 | 7.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87332) | $85.80 | $143 | 7.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) | $133.20 | $222 | 4.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) | $133.20 | $222 | 5.0× |
| Influenza DNA amp probe (87502) | $434.70 | $724.50 | 4.5× |
| Inhibin a (86336) | $39.30 | $65.50 | 2.5× |
| Inhibin b (83520) | $49.20 | $82 | 2.8× |
| Insitu hybridization auto (88367) | $480 | $800 | 1.1× |
| Insitu hybridization manual (88368) | $288.30 | $480.50 | 0.7× |
| Insulin antibodies (86337) | $63.60 | $106 | 3.0× |
| Insulin free (83527) | $66.60 | $111 | 5.1× |
| Insulin total (83525) | $70.50 | $117.50 | 6.2× |
| Interleukin 6 (83529) | $105.60 | $176 | 6.1× |
| Intrinsic factor antibody (86340) | $41.40 | $69 | 2.7× |
| Iron (83540) | $33 | $55 | 5.1× |
| Iron binding capacity (83550) | $54.30 | $90.50 | 6.2× |
| Iron stain, peripheral blood Facility (85536) | $22.80 | $38 | 3.3× |
| Irradiation Blood Product Each Unit (86945) | $145.80 | $243 | 3.3× |
| Islet cell antibody (86341) | $75 | $125 | 3.2× |
| Jak2 gene analysis (81270) | $159.60 | $266 | 1.7× |
| Jak2 targeted sequence analysis (81279) | $254.40 | $424 | 1.4× |
| Lactoferrin fecal qual (83630) | $37.20 | $62 | 1.9× |
| Ldh body fluid (83615) | $37.80 | $63 | 6.3× |
| Ldh isoenzymes (83625) | $46.80 | $78 | 3.7× |
| LDL cholesterol direct (83721) | $97.50 | $162.50 | 9.3× |
| Lead (83655) | $30.90 | $51.50 | 2.6× |
| Legion pneumo, DNA, amp prob (87541) | $112.20 | $187 | 3.2× |
| Legionella antigen urine (87449) | $81.60 | $136 | 6.8× |
| Leucine aminopeptidase (lap) (83670) | $67.80 | $113 | 6.9× |
| Level ii surg pathology grossµscopic exam (88302) | $68.40 | $114 | 1.6× |
| Level v surg pathology grossµscopic exam (88307) | $304.20 | $507 | 0.7× |
| Level vi surg pathology grossµscopic exam (88309) | $365.40 | $609 | 0.4× |
| Lh (83002) | $81.90 | $136.50 | 4.4× |
| Lipase (83690) | $42.60 | $71 | 6.2× |
| Lipoprotein Bld Hr Fraction (83701) | $69.60 | $116 | 2.1× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $73.50 | $122.50 | 2.1× |
| Lithium (80178) | $41.40 | $69 | 6.3× |
| Lyme disease antibody (86618) | $43.50 | $72.50 | 2.6× |
| Lymphocyte transformation (86353) | $91.80 | $153 | 1.9× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $121.20 | $202 | 0.6× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $141 | $235 | 0.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $108.60 | $181 | 0.5× |
| Macroscopic exam parasite (87169) | $27 | $45 | 6.3× |
| Magnesium (83735) | $42 | $70 | 6.3× |
| Malaria smear (87207) | $37.20 | $62 | 6.2× |
| Manual reticulocyte count (85044) | $28.20 | $47 | 6.5× |
| Mass spectrometry qual/quan (83789) | $168.60 | $281 | 7.0× |
| Mecp2 gene, full gene analysis (81302) | $1,524 | $2,540 | 2.9× |
| Mercury urine (83825) | $41.40 | $69 | 2.5× |
| Methemoglobin (83050) | $38.40 | $64 | 4.7× |
| Methylmalonic acid serum (83921) | $46.20 | $77 | 2.2× |
| Microalbumin urine (82043) | $41.40 | $69 | 7.2× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $163.20 | $272 | 2.7× |
| Microsomal antibodies (86376) | $40.20 | $67 | 2.8× |
| Mitochondrial antibody each (86381) | $46.80 | $78 | 1.8× |
| Mog-igg1 antibody flow cytometry each (86363) | $430.50 | $717.50 | 11.4× |
| Molecular pathology procedure level 2 (81401) | $480.60 | $801 | 3.5× |
| Molecular pathology procedure level 7 (81406) | $686.40 | $1,144 | 2.4× |
| Mononuclear cell antigen (86356) | $102.60 | $171 | 3.8× |
| Morphometric analysis tumor (88358) | $85.80 | $143 | 0.4× |
| Mpl gene common variants (81338) | $143.40 | $239 | 1.0× |
| Mrsa PCR (87641) | $200.40 | $334 | 5.7× |
| Mtb PCR (87556) | $259.80 | $433 | 6.2× |
| Mthfr Gene Analysis Common Variants (81291) | $111.60 | $186 | 1.7× |
| Mucin, synovial fluid (Ropes test) Facility (83872) | $38.40 | $64 | 6.6× |
| Mucopolysaccharides acid quantitative (83864) | $320.10 | $533.50 | 11.2× |
| Muramidase (85549) | $48 | $80 | 2.6× |
| Mycobacteric identification (87118) | $68.40 | $114 | 4.7× |
| Mycophenolic acid (80180) | $61.80 | $103 | 3.4× |
| Mycoplasma antibody (86738) | $33.60 | $56 | 2.5× |
| Mycoplasma genitalium PCR (87563) | $102.30 | $170.50 | 2.9× |
| Myelin basic protein csf (83873) | $47.40 | $79 | 2.8× |
| Myoglobin urine (83874) | $36.60 | $61 | 2.8× |
| Natriuretic peptide (83880) | $164.40 | $274 | 4.2× |
| Nerve teasing preparations (88362) | $1,053.60 | $1,756 | 1.1× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $376.80 | $628 | 2.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $158.40 | $264 | 2.2× |
| Nickel level (83885) | $85.50 | $142.50 | 3.5× |
| Nk cells total count (86357) | $216.30 | $360.50 | 5.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $354 | $590 | 1.4× |
| Nuclear antigen antibody (86235) | $40.80 | $68 | 2.3× |
| Nudt15 Gene Analysis Common Variants (81306) | $400.80 | $668 | 1.4× |
| Occult blood gastric (82271) | $19.20 | $32 | 3.6× |
| Occult blood stool (82272) | $21.60 | $36 | 5.1× |
| Oligoclonal bands (83916) | $59.10 | $98.50 | 2.2× |
| Oncoprotein dcp (83951) | $187.20 | $312 | 2.9× |
| Organic Acids Qualitative Each Specimen (83919) | $496.20 | $827 | 30.2× |
| Orthopoxvirus Amp Prb Each (87593) | $55.80 | $93 | 1.1× |
| Osmolality serum (83930) | $41.40 | $69 | 6.3× |
| Osmolality urine (83935) | $42.30 | $70.50 | 6.2× |
| Ova and parasite direct-id lca (87177) | $56.40 | $94 | 6.3× |
| Oxalate urine (83945) | $26.40 | $44 | 1.8× |
| Pancreatic polypeptide (83519) | $157.80 | $263 | 8.6× |
| Particle Agglutination Screen Each Antibody (86403) | $75.60 | $126 | 6.6× |
| Particle agglutination titer each antibody (86406) | $88.80 | $148 | 8.3× |
| Parvovirus antibody (86747) | $40.80 | $68 | 2.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $118.20 | $197 | 0.1× |
| Ph body fluid (83986) | $22.80 | $38 | 6.4× |
| Ph urine (81003) | $16.20 | $27 | 7.2× |
| Phenotype Infect Agent Drug (87900) | $177 | $295 | 1.4× |
| Phenytoin free (80186) | $35.40 | $59 | 2.6× |
| Phosphatase alkaline (84075) | $33.60 | $56 | 6.5× |
| Phosphorus blood (84100) | $29.10 | $48.50 | 6.1× |
| Phosphorus urine (84105) | $22.50 | $37.50 | 3.9× |
| Pinworm exam (87172) | $28.20 | $47 | 6.6× |
| Plasminogen (85420) | $36 | $60 | 5.5× |
| Platelet aggregation (85576) | $34.80 | $58 | 1.4× |
| Platelet count automated (85049) | $25.20 | $42 | 5.6× |
| Platelet neutralization (85597) | $55.80 | $93 | 3.1× |
| Pml/raralpha com breakpoints (81315) | $1,027.80 | $1,713 | 5.0× |
| Pooling blood platelets (86965) | $142.80 | $238 | 0.7× |
| Porphobilinogen urine quant (84110) | $69.60 | $116 | 8.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $52.20 | $87 | 3.5× |
| Potassium (84132) | $29.70 | $49.50 | 6.2× |
| Potassium urine (84133) | $27.60 | $46 | 5.8× |
| Pregnancy associated plasma protein-a (84163) | $60 | $100 | 4.0× |
| Pregnenolone (84140) | $51 | $85 | 2.5× |
| Primidone (80188) | $102 | $170 | 6.1× |
| Procalcitonin (pct) (84145) | $155.40 | $259 | 5.7× |
| Progesterone (84144) | $129.60 | $216 | 6.2× |
| Protein body fluid (84157) | $32.40 | $54 | 8.1× |
| Protein c activity (85303) | $85.80 | $143 | 6.2× |
| Protein c antigen (85302) | $31.20 | $52 | 2.6× |
| Protein electrophoresis serum (84165) | $68.40 | $114 | 6.4× |
| Protein Electrophoresis Urine (84166) | $103.20 | $172 | 5.8× |
| Protein s total (85305) | $78 | $130 | 6.7× |
| Protein total serum (84155) | $27.60 | $46 | 7.5× |
| Protein urine (84156) | $25.20 | $42 | 6.9× |
| Protein Western Blot (84182) | $654.60 | $1,091 | 22.4× |
| Protein westrn blot i&r blood/other fluid (84181) | $315 | $525 | 18.5× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $27 | $45 | 6.9× |
| Protoporphyrin rbc quantitative (84202) | $37.20 | $62 | 2.6× |
| PSA free (84154) | $69.60 | $116 | 3.8× |
| Pth intact (83970) | $199.50 | $332.50 | 4.8× |
| Pyruvate kinase (84220) | $66.60 | $111 | 7.1× |
| Rbc (85041) | $19.20 | $32 | 6.4× |
| Rbc antibody elution (86860) | $172.80 | $288 | 0.9× |
| Rbc osmotic fragility (85555) | $154.80 | $258 | 20.7× |
| Rbc pretx incubatj w/chemicl (86970) | $73.80 | $123 | 1.1× |
| Renin activity plasma (84244) | $61.20 | $102 | 2.8× |
| Reptilase test (85635) | $96.30 | $160.50 | 9.8× |
| Reticulated platelet assay (85055) | $162 | $270 | 4.5× |
| Reticulocyte count auto (85045) | $28.20 | $47 | 7.1× |
| Rheumatoid factor quant (86431) | $28.80 | $48 | 5.1× |
| Rickettsia antibody (86757) | $49.20 | $82 | 2.5× |
| Ristocetin cofactor (85245) | $63.60 | $106 | 2.8× |
| Rotavirus ag eia (87425) | $75.60 | $126 | 6.3× |
| Rpr Titer (86593) | $39.60 | $66 | 9.0× |
| Rubella antibody (86762) | $91.80 | $153 | 6.4× |
| Rubeola Antibody Igg (86765) | $81 | $135 | 6.3× |
| Russell viper venom time diluted (85613) | $25.20 | $42 | 2.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $84 | $140 | 1.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $56.40 | $94 | 1.3× |
| Sarscov2 & inf a&b amp prb (87636) | $250.80 | $418 | 1.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $245.40 | $409 | 1.7× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $56.40 | $94 | 8.5× |
| Sedimentation rate (85651) | $23.40 | $39 | 5.5× |
| Selenium (84255) | $53.40 | $89 | 2.1× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $81.60 | $136 | 6.8× |
| Sensitivity kb (87184) | $42.60 | $71 | 5.7× |
| Sensitivity mic (87186) | $114 | $190 | 13.2× |
| Serotonin Release Assay (86022) | $172.80 | $288 | 9.4× |
| Sex hormone binding globulin (84270) | $30 | $50 | 1.4× |
| Sickling of rbc reduction (85660) | $36 | $60 | 6.5× |
| Sirolimus (rapamycin) (80195) | $33.60 | $56 | 2.4× |
| Smear acid fast (87206) | $32.40 | $54 | 6.0× |
| Smear complex stain (87209) | $182.40 | $304 | 10.1× |
| Smear gram stain (87205) | $27 | $45 | 6.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $25.80 | $43 | 4.4× |
| Snrpn/ube3a gene (81331) | $318 | $530 | 6.2× |
| Sodium (84295) | $29.70 | $49.50 | 6.2× |
| Sodium feces (84302) | $24.60 | $41 | 5.1× |
| Sodium urine (84300) | $28.20 | $47 | 5.6× |
| Soluble transferrin receptor (84238) | $116.40 | $194 | 3.2× |
| Somatomedin (84305) | $75 | $125 | 3.5× |
| Somatostatin (84307) | $224.40 | $374 | 12.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $140.40 | $234 | 0.9× |
| Special stains group 1 (88312) | $181.20 | $302 | 2.9× |
| Specific gravity body fluid (84315) | $18 | $30 | 5.5× |
| Specimen fat stain (89125) | $25.80 | $43 | 4.4× |
| Spectrophotometry (84311) | $46.80 | $78 | 5.8× |
| Splitting blood/blood products each unit (86985) | $67.80 | $113 | 0.3× |
| Stem cells total count (86367) | $351.60 | $586 | 4.5× |
| Stool Culture, Addl Pathogens (87046) | $57 | $95 | 6.0× |
| Strep a DNA amp probe (87651) | $173.70 | $289.50 | 5.0× |
| Strep b DNA amp probe (87653) | $233.40 | $389 | 6.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $378 | $630 | 4.1× |
| Sugars mono di&oligos mlt qualitative each spe (84377) | $190.20 | $317 | 34.6× |
| Sugars single quant (84378) | $126 | $210 | 10.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $168.60 | $281 | 4.3× |
| Sulfate urine (84392) | $9.60 | $16 | 1.7× |
| Surg path level 1 (88300) | $21.60 | $36 | 0.6× |
| Surg path level iii (88304) | $129 | $215 | 2.1× |
| Surgical pathology level IV (88305) | $190.20 | $317 | 3.1× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) | $68.40 | $114 | 1.7× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $33.60 | $56 | 4.6× |
| Sweat collection (89230) | $90 | $150 | 1.5× |
| T Cell Absolute Count (86361) | $139.20 | $232 | 5.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $282.30 | $470.50 | 6.0× |
| T cells total count (86359) | $226.50 | $377.50 | 6.0× |
| T3 free (84481) | $103.80 | $173 | 6.1× |
| T3 reverse (84482) | $30 | $50 | 1.9× |
| T3 total (84480) | $78.90 | $131.50 | 5.6× |
| T3 uptake (84479) | $41.40 | $69 | 6.4× |
| T4 free (84439) | $46.20 | $77 | 5.1× |
| T4 total (84436) | $36.30 | $60.50 | 5.3× |
| Tau phosphorylated each (84393) | $112.20 | $187 | 0.9× |
| Tb test, cell immun measure (86480) | $277.20 | $462 | 4.5× |
| Testosterone free (84402) | $66.60 | $111 | 2.6× |
| Testosterone total (84403) | $71.40 | $119 | 2.8× |
| Tetanus antibody (86774) | $48.60 | $81 | 3.3× |
| Theophylline (80198) | $88.20 | $147 | 6.2× |
| Thin prep pap (88142) | $66.60 | $111 | 3.3× |
| Thiocyanate (84430) | $52.80 | $88 | 4.5× |
| Thrombin time plasma (85670) | $37.50 | $62.50 | 6.5× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $30 | $50 | 4.6× |
| Thyroglobulin (84432) | $59.40 | $99 | 3.7× |
| Thyroglobulin antibody (86800) | $44.10 | $73.50 | 2.8× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $116.40 | $194 | 2.3× |
| Thyroxine binding globulin (84442) | $44.40 | $74 | 3.0× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $291 | $485 | 2.1× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $27 | $45 | 6.3× |
| Tissue culture bone marrow (88237) | $297.60 | $496 | 2.1× |
| Tissue culture lymphocyte (88230) | $224.70 | $374.50 | 1.9× |
| Tissue culture solid tumor (88239) | $662.10 | $1,103.50 | 4.5× |
| Tissue transglutaminase ab iga (86364) | $31.80 | $53 | 2.8× |
| Tobramycin peak (80200) | $100.80 | $168 | 6.2× |
| Touch prep (88161) | $119.40 | $199 | 3.5× |
| Toxoplasma ab igm (86778) | $120.30 | $200.50 | 8.3× |
| Toxoplasma antibody igg (86777) | $160.80 | $268 | 11.2× |
| Tpmt gene com variants (81335) | $239.40 | $399 | 1.4× |
| Transferrin (84466) | $33.60 | $56 | 2.6× |
| Triglycerides (84478) | $34.20 | $57 | 6.0× |
| Troponin (84484) | $91.80 | $153 | 7.4× |
| Tumor immunohistochem/comput (88361) | $271.20 | $452 | 0.6× |
| Urea nitrogen (84520) | $24.90 | $41.50 | 6.3× |
| Urea Nitrogen Clearance (84545) | $41.40 | $69 | 5.8× |
| Urea nitrogen urine (84540) | $31.20 | $52 | 5.6× |
| Uric acid blood (84550) | $27.90 | $46.50 | 6.2× |
| Uric acid other source (84560) | $31.20 | $52 | 6.1× |
| Urinalysis auto w/scope (81001) | $19.80 | $33 | 6.2× |
| Urinalysis Microscopic Only (81015) | $19.20 | $32 | 6.3× |
| Urine Bacteria Culture (87088) | $44.40 | $74 | 5.5× |
| Urine pregnancy test (81025) | $39.60 | $66 | 4.6× |
| Urine volume measurement (81050) | $19.80 | $33 | 5.4× |
| Valproic acid (80164) | $60.90 | $101.50 | 4.5× |
| Vancomycin trough (80202) | $84.60 | $141 | 6.2× |
| Varicella-zoster antibody (86787) | $60.60 | $101 | 4.7× |
| Vdrl csf (86592) | $36 | $60 | 8.4× |
| Very long chain fatty acids (82726) | $345.60 | $576 | 17.5× |
| Virus antibody nos (86790) | $93 | $155 | 7.2× |
| Virus inoculate tissue addl (87253) | $64.50 | $107.50 | 3.2× |
| Virus inoculation, shell via (87254) | $120.60 | $201 | 6.2× |
| Viscosity serum (85810) | $29.40 | $49 | 2.5× |
| Vitamin A (84590) | $32.40 | $54 | 2.8× |
| Vitamin b-12 (82607) | $75.60 | $126 | 5.0× |
| Vitamin b1 (thiamine) (84425) | $52.20 | $87 | 2.5× |
| Vitamin b2 (84252) | $56.40 | $94 | 2.8× |
| Vitamin b3 niacin (84591) | $183.60 | $306 | 10.8× |
| Vitamin b6 (84207) | $63 | $105 | 2.2× |
| Vitamin c (82180) | $112.20 | $187 | 11.3× |
| Vitamin D 25-Hydroxy (82306) | $134.10 | $223.50 | 4.5× |
| Vitamin e serum (84446) | $35.40 | $59 | 2.5× |
| Voltage-gated calcium channel antibody each (86596) | $84.60 | $141 | 7.0× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $18.60 | $31 | 0.1× |
| West nile virus antibody (86789) | $43.20 | $72 | 3.0× |
| West nile virus igm (86788) | $46.50 | $77.50 | 2.8× |
| Xylose Absorption Test (84620) | $45.60 | $76 | 3.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $200.40 | $334 | 3.9× |
| Zika Virus Igm Antibody (86794) | $152.40 | $254 | 9.0× |
| Zinc (84630) | $30.60 | $51 | 2.7× |