Lab & pathology prices at Windom Area Health
Windom, MN · every code in this section with a posted price and a Medicare benchmark.
585 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) | $188.36 | $277 | 4.9× |
| 5 Nucleotidase (83915) | $199.24 | $293 | 17.9× |
| Acetaminophen level (80143) | $80.24 | $118 | 4.3× |
| Acetone serum qual (82009) | $80.92 | $119 | 17.9× |
| Acetylcholine receptor binding antibody (86041) | $148.24 | $218 | 8.1× |
| Acetylcholine receptor blocking antibody (86042) | $130.56 | $192 | 7.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $148.24 | $218 | 12.3× |
| Actin smooth muscle antibody each (86015) | $63.92 | $94 | 5.3× |
| Activated protein c resistance (85307) | $172.04 | $253 | 11.2× |
| Acute hepatitis panel (80074) | $297.16 | $437 | 6.2× |
| Acylcarnitine Plasma (82017) | $391 | $575 | 23.2× |
| Adamts13 activity (85397) | $305.32 | $449 | 9.9× |
| Adenovirus ag, if (87260) | $18.36 | $27 | 1.3× |
| Adrenocorticotropic hormone (82024) | $581.40 | $855 | 15.1× |
| Afp maternal serum (82105) | $191.08 | $281 | 11.4× |
| Agglutinins febrile ea antigen (86000) | $74.80 | $110 | 10.7× |
| Albumin body fluid (82042) | $61.54 | $90.50 | 7.9× |
| Albumin serum (82040) | $45.20 | $66.48 | 9.1× |
| Aldolase (82085) | $150.96 | $222 | 15.5× |
| Aldosterone urine (82088) | $204.68 | $301 | 5.0× |
| Alkaline phosphatase isoenzymes (84080) | $59.50 | $87.50 | 4.0× |
| Allergen peanut (86003) | $39.44 | $58 | 7.6× |
| Allergen spec ige qual multiallergen screen (86005) | $44.88 | $66 | 5.6× |
| Allergen specific igg (86001) | $117.64 | $173 | 15.0× |
| Alpha-1-antitrypsin phenotype (82104) | $55.76 | $82 | 3.9× |
| Alpha-1-antitrypsin, total (82103) | $154.36 | $227 | 11.5× |
| Alt (sgpt) (84460) | $10.20 | $15 | 1.9× |
| Amikacin trough (80150) | $118.32 | $174 | 7.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $201.28 | $296 | 8.8× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $832.32 | $1,224 | 49.3× |
| Aminolevulinic acid (ala) (82135) | $271.32 | $399 | 16.5× |
| Amylase urine (82150) | $117.64 | $173 | 18.2× |
| Ana titer (86039) | $90.44 | $133 | 8.1× |
| Angiotensin i enzyme test (82164) | $45.56 | $67 | 3.1× |
| Antibody aspergillus (86606) | $44.88 | $66 | 3.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $319.60 | $470 | 20.6× |
| Antibody coxiella burnetii q fever (86638) | $40.12 | $59 | 3.3× |
| Antibody cytomegalovirus cmv (86644) | $113.56 | $167 | 7.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $85 | $125 | 6.9× |
| Antibody haemophilus influenza (86684) | $154.36 | $227 | 9.7× |
| Antibody helicobacter pylori (86677) | $300.56 | $442 | 17.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $148.24 | $218 | 10.3× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $55.76 | $82 | 4.1× |
| Antibody HIV-2 (86702) | $65.96 | $97 | 4.9× |
| Antibody identification (86870) | $57.80 | $85 | 0.2× |
| Antibody identification leukocyte antibodies (86021) | $95.20 | $140 | 6.3× |
| Antibody mumps (86735) | $58.48 | $86 | 4.5× |
| Antibody screen (86850) | $14.28 | $21 | 1.5× |
| Antibody treponema pallidum (86780) | $64.60 | $95 | 4.9× |
| Antibody; Coccidioides (86635) | $44.88 | $66 | 3.9× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $67.32 | $99 | 5.6× |
| Antinuclear antibodies (86038) | $67.70 | $99.54 | 5.6× |
| Antistreptolysin o titer (86060) | $92.14 | $135.50 | 12.6× |
| Antithrombin iii activity (85300) | $340.68 | $501 | 28.7× |
| Antithrombin iii antigen (85301) | $393.72 | $579 | 36.4× |
| Arsenic Urine (82175) | $62.56 | $92 | 3.3× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $32.64 | $48 | 0.6× |
| Assay Nephelometry Not Spec (83883) | $197.20 | $290 | 14.5× |
| Assay of 5-hiaa (83497) | $199.92 | $294 | 15.5× |
| Assay of ammonia (82140) | $148.78 | $218.78 | 10.2× |
| Assay of androstenedione (82157) | $251.60 | $370 | 8.6× |
| Assay of anti-mullerian hormone (82166) | $94.86 | $139.50 | 2.5× |
| Assay of biotinidase (82261) | $35.36 | $52 | 2.1× |
| Assay of c-peptide (84681) | $360.40 | $530 | 17.3× |
| Assay of ceruloplasmin (82390) | $146.88 | $216 | 13.7× |
| Assay of citrate (82507) | $167.28 | $246 | 6.0× |
| Assay of cpk in blood (82552) | $66.64 | $98 | 5.0× |
| Assay of cyclosporine (80158) | $122.40 | $180 | 6.8× |
| Assay of erythropoietin (82668) | $168.91 | $248.40 | 9.0× |
| Assay of ethosuximide (80168) | $138.72 | $204 | 8.5× |
| Assay of ferritin (82728) | $52.24 | $76.82 | 3.8× |
| Assay of g6pd enzyme (82955) | $227.80 | $335 | 23.5× |
| Assay of gammaglobulin igm (82784) | $139.74 | $205.50 | 15.0× |
| Assay of gastrin (82941) | $265.88 | $391 | 15.1× |
| Assay of gentamicin (80170) | $42.97 | $63.19 | 2.6× |
| Assay of homocystine (83090) | $333.88 | $491 | 18.6× |
| Assay of lactic acid (83605) | $50.52 | $74.28 | 4.4× |
| Assay of manganese (83785) | $338.64 | $498 | 12.7× |
| Assay of metanephrines (83835) | $302.26 | $444.50 | 17.8× |
| Assay of phenobarbital (80184) | $57.80 | $85 | 3.8× |
| Assay of prealbumin (84134) | $63.78 | $93.80 | 4.4× |
| Assay of proinsulin (84206) | $404.60 | $595 | 15.2× |
| Assay of prolactin (84146) | $171.70 | $252.50 | 8.9× |
| Assay of serotonin (84260) | $702.44 | $1,033 | 22.7× |
| Assay of tacrolimus (80197) | $257.72 | $379 | 18.8× |
| Assay of topiramate (80201) | $142.12 | $209 | 11.9× |
| Assay of urine vma (84585) | $229.16 | $337 | 14.8× |
| Assay of vasopressin anti-diuretic hormone (84588) | $332.52 | $489 | 9.8× |
| Assay of vitamin k (84597) | $252.96 | $372 | 18.4× |
| Assay Phosphatase Acid Prostatic (84066) | $214.20 | $315 | 22.2× |
| Assay spec xcp ur&breath ia (82077) | $97.92 | $144 | 5.7× |
| Ast (sgot) (84450) | $10.20 | $15 | 2.0× |
| Asy carbamazepin 10,11-epxid (80161) | $65.28 | $96 | 3.5× |
| Bartonella antibody (86611) | $100.64 | $148 | 9.9× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) | $217.60 | $320 | 1.0× |
| Bcr/abl1 gene major bp (81206) | $634.44 | $933 | 3.9× |
| Bcr/abl1 gene minor bp (81207) | $196.52 | $289 | 1.4× |
| Beta 2 glycoprotein 1 igm (86146) | $40.12 | $59 | 1.6× |
| Beta hydroxybutyrate (82010) | $44.88 | $66 | 5.5× |
| Beta lactamase (87185) | $55.08 | $81 | 11.6× |
| Beta-2 microglobulin (82232) | $248.88 | $366 | 15.4× |
| Bile acids, total (82239) | $40.80 | $60 | 2.4× |
| Bilirubin direct (82248) | $10.20 | $15 | 2.0× |
| Bilirubin total (82247) | $10.20 | $15 | 2.0× |
| Bilirubin total transcutaneous (88720) | $36.72 | $54 | 7.3× |
| Bl Smear W/Diff Wbc Count (85007) | $11.56 | $17 | 3.0× |
| Blastomyces antibody (86612) | $44.88 | $66 | 3.5× |
| Bld Typing Serologic Rh Phnt (86906) | $142.80 | $210 | 18.4× |
| Blood Count Automated Differential Wbc Count (85004) | $38.76 | $57 | 6.0× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $15.50 | $22.78 | 2.8× |
| Blood gas (82803) | $25.16 | $37 | 1.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $40.80 | $60 | 2.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $28.35 | $41.69 | 6.5× |
| Blood Ph (82800) | $74.80 | $110 | 6.8× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $52.14 | $76.68 | 8.2× |
| Blood typing abo (86900) | $6.12 | $9 | 2.0× |
| Blood typing serologic rh (d) (86901) | $6.12 | $9 | 2.0× |
| Body fluid cell count (89051) | $80.24 | $118 | 14.3× |
| Body fluid cell count (89050) | $29.24 | $43 | 6.2× |
| Bordetella antibody (86615) | $178.84 | $263 | 13.6× |
| Breath Alcohol Test (82075) | $97.92 | $144 | 3.3× |
| Brucella antibody (86622) | $104.04 | $153 | 11.7× |
| C diff amplified probe (87493) | $92.58 | $136.14 | 2.5× |
| C-reactive protein (86140) | $25.84 | $38 | 5.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $104.04 | $153 | 8.0× |
| C1q binding assay (86332) | $127.16 | $187 | 5.2× |
| Ca 125 (86304) | $85.62 | $125.90 | 4.1× |
| Ca 19-9 (86301) | $182.24 | $268 | 8.8× |
| Ca 27 29 (86300) | $267.58 | $393.50 | 12.9× |
| Cadmium level (82300) | $123.42 | $181.50 | 5.2× |
| Calcitonin (82308) | $90.44 | $133 | 3.4× |
| Calcium ionized (82330) | $81.60 | $120 | 6.0× |
| Calcium total (82310) | $10.20 | $15 | 2.0× |
| Calcium urine (82340) | $58.48 | $86 | 9.7× |
| Calculus spectroscopy (82365) | $217.60 | $320 | 16.9× |
| Calprotectin, fecal (83993) | $187.68 | $276 | 9.6× |
| Carb deficient transferrin (82373) | $80.92 | $119 | 4.5× |
| Carbamazepine free (80157) | $195.84 | $288 | 14.8× |
| Carbamazepine total (80156) | $42.16 | $62 | 2.9× |
| Carbon dioxide (82374) | $29.20 | $42.94 | 6.0× |
| Carboxyhemoglobin (82375) | $154.36 | $227 | 12.5× |
| Carcinoembryonic antigen (82378) | $48.27 | $70.98 | 2.5× |
| Cardiolipin ab igg (86147) | $65.62 | $96.50 | 2.6× |
| Catecholamines fraction plasma (82384) | $380.80 | $560 | 15.1× |
| Cftr gene com variants (81220) | $260.44 | $383 | 0.5× |
| Cftr gene dup/delet variants (81222) | $260.44 | $383 | 0.6× |
| Chemiluminescent assay (82397) | $111.52 | $164 | 7.9× |
| Chlamydia antibody (86631) | $63.24 | $93 | 5.4× |
| Chlamydia Igm Antibody (86632) | $63.24 | $93 | 5.0× |
| Chloride blood (82435) | $10.20 | $15 | 2.2× |
| Chloride feces (82438) | $55.08 | $81 | 11.0× |
| Chloride urine (82436) | $97.92 | $144 | 17.0× |
| Cholesterol HDL (83718) | $35.36 | $52 | 4.3× |
| Cholesterol total (82465) | $10.20 | $15 | 2.3× |
| Cholinesterase serum (82480) | $116.96 | $172 | 14.9× |
| Chromium urine (82495) | $87.04 | $128 | 4.3× |
| Chromogenic Substrate Assay (85130) | $329.80 | $485 | 27.7× |
| Chromogranin a (86316) | $240.38 | $353.50 | 11.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $91.12 | $134 | 2.6× |
| Ckmb (82553) | $104.57 | $153.78 | 9.1× |
| Clot Factor VIII Multimetric (85247) | $241.40 | $355 | 10.5× |
| Clot factor viii vw antigen (85246) | $305.32 | $449 | 13.3× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $129.20 | $190 | 7.2× |
| Clotting Inhibitors Protein S Free (85306) | $316.88 | $466 | 20.7× |
| Clozapine level (80159) | $89.76 | $132 | 4.5× |
| Cmv ab igm (86645) | $104.72 | $154 | 6.2× |
| Cmv PCR (87496) | $135.32 | $199 | 3.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $61.54 | $90.50 | 2.6× |
| Cold agglutinin titer (86157) | $100.64 | $148 | 12.5× |
| Collagen cross links (82523) | $129.20 | $190 | 6.9× |
| Compatibility test antiglob (86922) | $42.08 | $61.88 | 0.2× |
| Compatibility Test Incubate (86921) | $53.72 | $79 | 0.3× |
| Complement c3 (86160) | $212.50 | $312.50 | 17.7× |
| Complement total (ch50) (86162) | $301.92 | $444 | 14.9× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $172.72 | $254 | 14.4× |
| Concentration Infectious Agent (87015) | $96.56 | $142 | 14.5× |
| Coombs direct (86880) | $39.24 | $57.70 | 7.3× |
| Copper urine (82525) | $214.20 | $315 | 17.3× |
| Cortisol free (82530) | $81.60 | $120 | 4.9× |
| Cortisol total (82533) | $161.84 | $238 | 9.9× |
| Creatine kinase total (82550) | $66.64 | $98 | 10.2× |
| Creatinine blood (82565) | $10.20 | $15 | 2.0× |
| Creatinine clearance (82575) | $106.76 | $157 | 11.3× |
| Creatinine other source (82570) | $21.48 | $31.59 | 4.1× |
| Crossmatch immediate spin (86920) | $41.90 | $61.60 | 0.2× |
| Cryofibrinogen (82585) | $48.96 | $72 | 3.5× |
| Cryoglobulin (82595) | $66.98 | $98.50 | 10.4× |
| Crystals body fluid (89060) | $75.48 | $111 | 10.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $145.86 | $214.50 | 18.1× |
| Culture Aerobic Identify (87077) | $60.52 | $89 | 7.5× |
| Culture afb (87116) | $88.06 | $129.50 | 8.2× |
| Culture anaerobic (87075) | $32.64 | $48 | 3.4× |
| Culture blood (87040) | $92.59 | $136.16 | 9.0× |
| Culture chlamydia (87110) | $98.60 | $145 | 5.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $95.88 | $141 | 12.4× |
| Culture fungus blood (87103) | $146.88 | $216 | 7.2× |
| Culture fungus id yeast (87106) | $74.80 | $110 | 7.2× |
| Culture fungus other (87102) | $74.80 | $110 | 8.9× |
| Culture genital (87070) | $22.44 | $33 | 2.6× |
| Culture screen only (87081) | $13.60 | $20 | 2.1× |
| Culture stool (87045) | $36.04 | $53 | 3.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $31.62 | $46.50 | 6.1× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $242.76 | $357 | 6.9× |
| Culture urine (87086) | $14.96 | $22 | 1.9× |
| Culture virus (87252) | $267.24 | $393 | 10.3× |
| Cyclic Citrullinated Peptide (86200) | $167.28 | $246 | 12.9× |
| Cystatin c (82610) | $149.60 | $220 | 8.1× |
| Cysticercosis Antibody (86682) | $80.24 | $118 | 6.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $226.44 | $333 | 5.3× |
| Cytopath cell enhance tech (88112) | $54.40 | $80 | 1.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $60.52 | $89 | 1.6× |
| Cytopath Smear Other Source (88160) | $61.20 | $90 | 2.1× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $48.96 | $72 | 1.8× |
| Cytp concentration smears & interpretation (88108) | $54.40 | $80 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $109.48 | $161 | 2.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $864.28 | $1,271 | 4.9× |
| Deoxyribonuclease antibody (86215) | $53.72 | $79 | 4.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $93.84 | $138 | 5.7× |
| Detect agnt mult DNA ampli (87801) | $81.60 | $120 | 1.2× |
| Dgp antibody each ig class (86258) | $57.80 | $85 | 4.8× |
| Dhea (82626) | $342.72 | $504 | 13.6× |
| Dhea-sulfate (82627) | $229.16 | $337 | 10.3× |
| Digoxin (80162) | $94.28 | $138.64 | 7.1× |
| Dilantin (80185) | $44.96 | $66.12 | 3.4× |
| Diphtheria antitoxoid (86648) | $179.52 | $264 | 11.8× |
| Dipropylacetic acid free (80165) | $61.88 | $91 | 4.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $93.50 | $137.50 | 6.8× |
| Drug Assay Amiodarone (80151) | $28.56 | $42 | 1.5× |
| Drug Assay Infliximab (80230) | $246.16 | $362 | 6.4× |
| Drug assay itraconazole (80189) | $111.52 | $164 | 4.1× |
| Drug Assay Lacosamide (80235) | $120.36 | $177 | 4.4× |
| Drug assay posaconazole (80187) | $125.80 | $185 | 4.6× |
| Drug assay vedolizumab (80280) | $212.16 | $312 | 5.5× |
| Drug quant nes (80299) | $140.08 | $206 | 7.5× |
| Drug screen quant zonisamide (80203) | $65.96 | $97 | 5.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $94.52 | $139 | 7.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $93.84 | $138 | 7.1× |
| Drug Scrn Quan Levetiracetam (80177) | $68.76 | $101.12 | 5.2× |
| Drug test prsmv chem anlyzr (80307) | $97.92 | $144 | 1.6× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $74.12 | $109 | 4.3× |
| E test (87181) | $21.08 | $31 | 4.4× |
| Ebv viral capsid (86665) | $137.02 | $201.50 | 7.6× |
| Ehrlichia antibody (86666) | $79.90 | $117.50 | 7.8× |
| Elastase pancreatic fecal quantitative (82653) | $51 | $75 | 2.2× |
| Electrolyte panel (80051) | $19.04 | $28 | 2.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $85.68 | $126 | 1.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $18.36 | $27 | 1.5× |
| Enterovirus Pcr (87498) | $581.40 | $855 | 16.6× |
| Eosinophil count (85048) | $8.16 | $12 | 3.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $135.32 | $199 | 8.9× |
| Estradiol (82670) | $99.28 | $146 | 3.6× |
| Estrogens fractionated (82671) | $38.08 | $56 | 1.2× |
| Estrogens total (82672) | $328.44 | $483 | 15.1× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $267.92 | $394 | 2.7× |
| F2 gene analysis 20210g >a variant (81240) | $399.16 | $587 | 6.1× |
| F5 gene analysis, leiden variant (81241) | $358.70 | $527.50 | 4.9× |
| Factor ii activity (85210) | $98.60 | $145 | 7.6× |
| Factor inhibitor test (85335) | $356.32 | $524 | 27.7× |
| Factor ix activity (85250) | $106.76 | $157 | 5.6× |
| Factor v activity (85220) | $89.08 | $131 | 5.0× |
| Factor vii assay (85230) | $98.60 | $145 | 5.5× |
| Factor viii ahg (85240) | $93.84 | $138 | 5.2× |
| Factor xiii solubility screen (85291) | $165.92 | $244 | 18.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $260.44 | $383 | 15.2× |
| Fecal fat qual (82705) | $72.76 | $107 | 14.3× |
| Fecal fat quant (82710) | $99.28 | $146 | 5.9× |
| Fetal bleed screen (85461) | $257.04 | $378 | 27.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $458.32 | $674 | 3.0× |
| Fetal fibronectin (82731) | $371.96 | $547 | 5.8× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $314.84 | $463 | 16.6× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) | $531.76 | $782 | 24.2× |
| Fibrin Degradation Quant (85379) | $47.60 | $70 | 4.7× |
| Fibrinogen activity (85384) | $214.20 | $315 | 22.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $241.40 | $355 | 15.6× |
| Flow cytometry first marker (88184) | $83.64 | $123 | 0.2× |
| Fluorescent Antibody Screen (86255) | $68 | $100 | 5.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $193.80 | $285 | 16.1× |
| Folate serum (82746) | $50.90 | $74.85 | 3.5× |
| Folic acid rbc (82747) | $231.88 | $341 | 13.1× |
| Follicle Stimulating Hormone (83001) | $106.76 | $157 | 5.7× |
| Francisella tularensis (86668) | $179.52 | $264 | 12.7× |
| Fresh frozen plasma thawing each unit (86927) | $27.20 | $40 | 0.2× |
| Frozen Section (88331) | $42.84 | $63 | 0.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $80.92 | $119 | 7.8× |
| Gabapentin (80171) | $54.40 | $80 | 2.5× |
| Galactose transferase test (82776) | $17.68 | $26 | 1.5× |
| Gammaglobulin ige (82785) | $104.04 | $153 | 6.3× |
| Gc Dna Probe (87590) | $110.84 | $163 | 4.1× |
| Ggt (82977) | $38.83 | $57.10 | 5.4× |
| Giardia antigen eia stool (87329) | $123.08 | $181 | 10.3× |
| Glucagon (82943) | $57.12 | $84 | 4.0× |
| Glucose (82947) | $10.20 | $15 | 2.6× |
| Glucose Blood Test (82962) | $43.52 | $64 | 13.3× |
| Glucose body fluid (82945) | $72.76 | $107 | 18.5× |
| Glucose post dose (82950) | $57.80 | $85 | 12.2× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $110.84 | $163 | 28.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $338.64 | $498 | 26.3× |
| Growth hormone (83003) | $249.56 | $367 | 15.0× |
| H pylori breath test (83013) | $278.12 | $409 | 4.1× |
| Haloperidol (haldol) (80173) | $157.08 | $231 | 10.0× |
| Haptoglobin (83010) | $98.12 | $144.29 | 7.8× |
| Hba1/hba2 full gene sequence (81259) | $546.72 | $804 | 0.9× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) | $675.92 | $994 | 6.6× |
| Hcg qualitative (84703) | $103.36 | $152 | 13.7× |
| Hcg quant (84702) | $187 | $275 | 12.4× |
| Heavy metal quant each (83018) | $104.72 | $154 | 4.8× |
| Hematocrit (85014) | $8.84 | $13 | 3.7× |
| Hemoglobin (85018) | $10.20 | $15 | 4.3× |
| Hemoglobin a1c (83036) | $15.64 | $23 | 1.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $48.28 | $71 | 2.7× |
| Hemoglobin electrophoresis (83020) | $111.18 | $163.50 | 8.6× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $130.56 | $192 | 16.9× |
| Hemoglobin stability screen (83068) | $81.60 | $120 | 8.6× |
| Heparin assay (85520) | $246.84 | $363 | 18.9× |
| Hepatitis a antibody total (86708) | $93.64 | $137.70 | 7.6× |
| Hepatitis a igm (86709) | $63.33 | $93.13 | 5.6× |
| Hepatitis b core ab igm (86705) | $171.36 | $252 | 14.6× |
| Hepatitis b core antibody total (86704) | $119 | $175 | 9.9× |
| Hepatitis B Surface Ab (86706) | $41.48 | $61 | 3.9× |
| Hepatitis B Surface Antigen (87340) | $42.84 | $63 | 4.1× |
| Hepatitis be antibody (86707) | $164.56 | $242 | 14.2× |
| Hepatitis c antibody (86803) | $20.40 | $30 | 1.4× |
| Hepatitis C Genotype (87902) | $471.24 | $693 | 1.8× |
| Herpes simplex type i (86695) | $87.04 | $128 | 6.6× |
| Herpes simplex type ii (86696) | $82.28 | $121 | 4.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $87.72 | $129 | 16.9× |
| Hexagonal phospholipid (85598) | $95.20 | $140 | 5.3× |
| Hfe gene (81256) | $329.12 | $484 | 5.0× |
| Histoplasma antibody (86698) | $62.56 | $92 | 4.5× |
| HIV confirmation (86689) | $459 | $675 | 23.7× |
| HIV-1 antibody (86701) | $65.96 | $97 | 7.4× |
| Hla class ii typing high resolution one locus ea (81382) | $595 | $875 | 4.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $252.28 | $371 | 3.4× |
| Hla-b27 (86812) | $167.28 | $246 | 6.5× |
| Homogenization tissue (87176) | $43.52 | $64 | 7.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $503.20 | $740 | 14.3× |
| Hydroxyprogesterone 17-d (83498) | $114.24 | $168 | 4.2× |
| Iaad ia clostridium difficile toxin (87324) | $44.20 | $64.99 | 3.7× |
| Iaad ia cryptosporidium (87328) | $63.92 | $94 | 4.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $622.88 | $916 | 25.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $76.84 | $113 | 5.3× |
| Iaad ia shiga-like toxin (87427) | $65.28 | $96 | 5.4× |
| Iaadi inffluenza a virus (87276) | $38.76 | $57 | 2.4× |
| Iaadi influenza b virus (87275) | $38.76 | $57 | 3.2× |
| Iaadi Not Otherwise Specified Each Organism (87299) | $89.76 | $132 | 5.6× |
| Iaadi parainfluenza virus each type (87279) | $18.36 | $27 | 1.1× |
| Iaadi Pneumocustis Carinii (87281) | $95.20 | $140 | 7.9× |
| Iaadi respiratory synctial virus (87280) | $54.40 | $80 | 4.1× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $45.90 | $67.50 | 1.4× |
| Iaadiadoo not otherwise specified (87899) | $78.20 | $115 | 4.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $116.28 | $171 | 3.3× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $61.20 | $90 | 0.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $180.20 | $265 | 2.6× |
| Iadna hepatitis b virus quantification (87517) | $273.36 | $402 | 6.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $163.88 | $241 | 3.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $378.76 | $557 | 4.5× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $146.20 | $215 | 2.1× |
| Iadna human papillomavirus high-risk types (87624) | $152.32 | $224 | 4.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $116.28 | $171 | 3.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $76.16 | $112 | 2.2× |
| Iadna nos amplified probe tq each organism (87798) | $130.90 | $192.50 | 3.7× |
| Iadna nos quantification each organism (87799) | $189.72 | $279 | 4.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,170.28 | $1,721 | 2.8× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $420.24 | $618 | 1.6× |
| If cryptosporidium antigen (87272) | $95.20 | $140 | 7.9× |
| Igg subclasses (82787) | $74.80 | $110 | 9.3× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $179.52 | $264 | 0.5× |
| Immunoassay nonantibody (83516) | $51 | $75 | 4.4× |
| Immunodiffusion Ouchterlony (86331) | $35.70 | $52.50 | 3.0× |
| Immunofixation (86334) | $112.20 | $165 | 5.0× |
| Immunofixation urine (86335) | $142.80 | $210 | 4.9× |
| Immunoglobulin light chains free each (83521) | $103.36 | $152 | 6.0× |
| Immunohistochemistry (88342) | $95.20 | $140 | 0.5× |
| In situ hybridization (88365) | $179.52 | $264 | 1.0× |
| Indirect coombs (86885) | $74.80 | $110 | 13.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) | $127.16 | $187 | 5.6× |
| Influenza a/b ag eia (87400) | $43.52 | $64 | 3.1× |
| Influenza DNA amp probe (87502) | $65.15 | $95.80 | 0.7× |
| Inhibin a (86336) | $46.92 | $69 | 3.0× |
| Inhibin b (83520) | $95.88 | $141 | 5.6× |
| Insitu hybridization manual (88368) | $225.08 | $331 | 0.6× |
| Insulin total (83525) | $201.28 | $296 | 17.6× |
| Intrinsic factor antibody (86340) | $80.92 | $119 | 5.4× |
| Iron (83540) | $34 | $50 | 5.3× |
| Iron binding capacity (83550) | $28.14 | $41.37 | 3.2× |
| Irradiation Blood Product Each Unit (86945) | $112.20 | $165 | 2.9× |
| Islet cell antibody (86341) | $104.04 | $153 | 4.4× |
| Jak2 gene analysis (81270) | $259.08 | $381 | 2.8× |
| Lactoferrin fecal qual (83630) | $96.56 | $142 | 4.9× |
| Lamellar Body Count (83664) | $93.84 | $138 | 4.9× |
| Ldh body fluid (83615) | $14.96 | $22 | 2.5× |
| Ldh isoenzymes (83625) | $78.88 | $116 | 6.2× |
| LDL cholesterol direct (83721) | $20.57 | $30.25 | 2.0× |
| Lead (83655) | $42.16 | $62 | 3.5× |
| Legionella antigen urine (87449) | $213.18 | $313.50 | 17.8× |
| Leptospira antibody (86720) | $194.48 | $286 | 12.0× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $38.86 | $57.14 | 9.1× |
| Level ii surg pathology grossµscopic exam (88302) | $32.64 | $48 | 0.8× |
| Level v surg pathology grossµscopic exam (88307) | $244.80 | $360 | 0.7× |
| Level vi surg pathology grossµscopic exam (88309) | $347.48 | $511 | 0.4× |
| Lh (83002) | $212.84 | $313 | 11.5× |
| Lipase (83690) | $16.32 | $24 | 2.4× |
| Listeria ab (86609) | $35.70 | $52.50 | 2.8× |
| Lithium (80178) | $33.53 | $49.30 | 5.1× |
| Lyme disease antibody (86618) | $103.36 | $152 | 6.1× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $114.24 | $168 | 0.6× |
| Macroscopic exam arthropod (87168) | $70.04 | $103 | 16.4× |
| Magnesium (83735) | $15.81 | $23.24 | 2.4× |
| Malaria smear (87207) | $144.84 | $213 | 24.2× |
| Manual reticulocyte count (85044) | $41.93 | $61.66 | 9.7× |
| Mass spectrometry qual/quan (83789) | $318.58 | $468.50 | 13.2× |
| Mercury urine (83825) | $62.56 | $92 | 3.8× |
| Methemoglobin (83050) | $104.04 | $153 | 12.7× |
| Methylmalonic acid serum (83921) | $80.66 | $118.60 | 3.8× |
| Microalbumin urine (82043) | $39.71 | $58.39 | 6.9× |
| Microsomal antibodies (86376) | $53.72 | $79 | 3.7× |
| Mitochondrial antibody each (86381) | $27.20 | $40 | 1.1× |
| MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch… (81296) | $570.52 | $839 | 1.7× |
| Mtb PCR (87556) | $246.16 | $362 | 5.9× |
| Mucin, synovial fluid (Ropes test) Facility (83872) | $41.48 | $61 | 7.1× |
| Muramidase (85549) | $94.52 | $139 | 5.0× |
| Muscle-specific kinase (musk) antibody (86366) | $845.92 | $1,244 | 46.0× |
| Mycobacteric identification (87118) | $144.84 | $213 | 9.9× |
| Mycoplasma antibody (86738) | $93.84 | $138 | 7.1× |
| Myelin basic protein csf (83873) | $110.84 | $163 | 6.4× |
| Myoglobin urine (83874) | $149.60 | $220 | 11.6× |
| Nasal smear for eosinophils (89190) | $37.40 | $55 | 6.5× |
| Natriuretic peptide (83880) | $106.42 | $156.50 | 2.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $252.96 | $372 | 2.0× |
| Nuclear antigen antibody (86235) | $103.36 | $152 | 5.8× |
| Occult blood gastric (82271) | $33.77 | $49.66 | 6.3× |
| Occult blood stool (82272) | $25.24 | $37.12 | 6.0× |
| Organic Acids Qualitative Each Specimen (83919) | $335.24 | $493 | 20.4× |
| Osmolality serum (83930) | $103.36 | $152 | 15.6× |
| Osmolality urine (83935) | $103.36 | $152 | 15.2× |
| Ova and parasite direct-id lca (87177) | $68.31 | $100.45 | 7.7× |
| Oxalate urine (83945) | $225.08 | $331 | 15.6× |
| Pancreatic polypeptide (83519) | $254.32 | $374 | 13.8× |
| Particle Agglutination Screen Each Antibody (86403) | $68 | $100 | 5.9× |
| Parvovirus antibody (86747) | $102.68 | $151 | 6.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $38.76 | $57 | 0.0× |
| Ph body fluid (83986) | $60.52 | $89 | 16.9× |
| Ph urine (81003) | $21.50 | $31.62 | 9.6× |
| Phenytoin free (80186) | $115.60 | $170 | 8.4× |
| Phosphatase alkaline (84075) | $52.36 | $77 | 10.1× |
| Phosphorus blood (84100) | $44.12 | $64.87 | 9.3× |
| Phosphorus urine (84105) | $104.04 | $153 | 18.0× |
| Platelet aggregation (85576) | $145.52 | $214 | 5.8× |
| Platelet count automated (85049) | $38.58 | $56.74 | 8.6× |
| Porphobilinogen urine quant (84110) | $159.80 | $235 | 18.9× |
| Porphyrins feces qn (84126) | $178.84 | $263 | 4.6× |
| Potassium (84132) | $10.20 | $15 | 2.1× |
| Potassium urine (84133) | $80.92 | $119 | 17.1× |
| Pregnenolone (84140) | $50.32 | $74 | 2.4× |
| Primidone (80188) | $57.80 | $85 | 3.5× |
| Procainamide napa (80192) | $107.02 | $157.38 | 6.4× |
| Procalcitonin (pct) (84145) | $207.40 | $305 | 7.6× |
| Progesterone (84144) | $74.12 | $109 | 3.6× |
| Protein body fluid (84157) | $47.60 | $70 | 11.9× |
| Protein c activity (85303) | $316.88 | $466 | 22.9× |
| Protein electrophoresis serum (84165) | $59.42 | $87.37 | 5.5× |
| Protein Electrophoresis Urine (84166) | $51 | $75 | 2.9× |
| Protein s total (85305) | $448.12 | $659 | 38.6× |
| Protein total serum (84155) | $10.20 | $15 | 2.8× |
| Protein urine (84156) | $29.47 | $43.34 | 8.0× |
| Protoporphyrin rbc quantitative (84202) | $131.92 | $194 | 9.2× |
| PSA free (84154) | $175.44 | $258 | 9.5× |
| Pth intact (83970) | $99.38 | $146.14 | 2.4× |
| Rbc (85041) | $23.47 | $34.51 | 7.8× |
| Rbc antibody elution (86860) | $230.52 | $339 | 1.3× |
| Rbc pretreatment serum (86978) | $66.64 | $98 | 1.1× |
| Rbc pretx incubatj w/chemicl (86970) | $110.84 | $163 | 1.8× |
| Reagent strip/blood glucose (82948) | $8.18 | $12.02 | 1.6× |
| Renin activity plasma (84244) | $143.48 | $211 | 6.5× |
| Resp virus 12-25 targets (87633) | $116.28 | $171 | 0.3× |
| Reticulocyte count auto (85045) | $34 | $50 | 8.5× |
| Rheumatoid Factor Qual (86430) | $74.12 | $109 | 12.1× |
| Rheumatoid factor quant (86431) | $82.96 | $122 | 14.6× |
| Rickettsia antibody (86757) | $81.60 | $120 | 4.2× |
| Ristocetin cofactor (85245) | $268.60 | $395 | 11.7× |
| Rotavirus ag eia (87425) | $146.88 | $216 | 12.3× |
| Rpr Titer (86593) | $27.20 | $40 | 6.2× |
| Rsv (87807) | $43.52 | $64 | 3.3× |
| Rubella antibody (86762) | $69.36 | $102 | 4.8× |
| Rubeola Antibody Igg (86765) | $242.76 | $357 | 18.8× |
| Russell viper venom time diluted (85613) | $109.48 | $161 | 11.4× |
| Rx metab gen seq alys pnl 6 (81418) | $304.64 | $448 | 0.3× |
| Salicylate Level (80179) | $95.88 | $141 | 5.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $78.20 | $115 | 1.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $80.92 | $119 | 1.9× |
| Sedimentation rate (85651) | $8.84 | $13 | 2.1× |
| Sedimentation rate auto (85652) | $74.80 | $110 | 27.7× |
| Selenium (84255) | $242.76 | $357 | 9.5× |
| Semen analysis complete (89322) | $214.88 | $316 | 13.9× |
| Semen analysis motility and count (89310) | $74.80 | $110 | 8.7× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $55.76 | $82 | 4.6× |
| Sensitivity kb (87184) | $74.80 | $110 | 10.0× |
| Sensitivity mic (87186) | $74.80 | $110 | 8.6× |
| Serotonin Release Assay (86022) | $245.48 | $361 | 13.4× |
| Sex hormone binding globulin (84270) | $39.44 | $58 | 1.8× |
| Sickling of rbc reduction (85660) | $110.84 | $163 | 20.1× |
| Smear acid fast (87206) | $45.90 | $67.50 | 8.5× |
| Smear complex stain (87209) | $32.64 | $48 | 1.8× |
| Smear gram stain (87205) | $8.16 | $12 | 1.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $55.42 | $81.50 | 9.5× |
| Sodium (84295) | $10.20 | $15 | 2.1× |
| Sodium feces (84302) | $55.08 | $81 | 11.3× |
| Sodium urine (84300) | $80.92 | $119 | 16.0× |
| Soluble transferrin receptor (84238) | $249.22 | $366.50 | 6.8× |
| Somatomedin (84305) | $510.68 | $751 | 24.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $77.52 | $114 | 0.6× |
| Special stains group 1 (88312) | $95.88 | $141 | 1.8× |
| Specific gravity body fluid (84315) | $30.60 | $45 | 9.3× |
| Specimen fat stain (89125) | $72.76 | $107 | 12.4× |
| Spectrophotometry (84311) | $178.16 | $262 | 22.0× |
| Stool Culture, Addl Pathogens (87046) | $37.55 | $55.22 | 4.0× |
| Strep a assay w/optic (87880) | $93.16 | $137 | 5.6× |
| Strep a DNA amp probe (87651) | $59.50 | $87.50 | 1.7× |
| Surg path level 1 (88300) | $16.32 | $24 | 0.5× |
| Surg path level iii (88304) | $39.44 | $58 | 0.7× |
| Surgical pathology level IV (88305) | $43.18 | $63.50 | 0.8× |
| T Cell Absolute Count (86361) | $274.72 | $404 | 10.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $106.76 | $157 | 2.3× |
| T cells total count (86359) | $106.76 | $157 | 2.8× |
| T3 free (84481) | $73.44 | $108 | 4.3× |
| T3 reverse (84482) | $233.92 | $344 | 14.8× |
| T3 total (84480) | $107.44 | $158 | 7.6× |
| T3 uptake (84479) | $22.60 | $33.24 | 3.5× |
| T4 free (84439) | $12.92 | $19 | 1.4× |
| T4 total (84436) | $22.74 | $33.44 | 3.3× |
| Tb ag response t-cell susp (86481) | $76.16 | $112 | 0.8× |
| Tb intradermal test (86580) | $33.32 | $49 | 1.1× |
| Tb test, cell immun measure (86480) | $233.92 | $344 | 3.8× |
| Testosterone free (84402) | $120.36 | $177 | 4.7× |
| Testosterone total (84403) | $76.50 | $112.50 | 3.0× |
| Tetanus antibody (86774) | $179.52 | $264 | 12.1× |
| Theophylline (80198) | $101.03 | $148.57 | 7.1× |
| Thin prep pap (88142) | $27.20 | $40 | 1.3× |
| Thrombin time plasma (85670) | $165.92 | $244 | 28.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $71.40 | $105 | 11.0× |
| Thyroglobulin (84432) | $87.72 | $129 | 5.5× |
| Thyroglobulin antibody (86800) | $103.36 | $152 | 6.5× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $799 | $1,175 | 15.7× |
| Thyroxine binding globulin (84442) | $327.76 | $482 | 22.2× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $110.84 | $163 | 26.0× |
| Tissue culture bone marrow (88237) | $224.32 | $329.88 | 1.6× |
| Tissue transglutaminase ab iga (86364) | $50.32 | $74 | 4.4× |
| Tobramycin peak (80200) | $165.92 | $244 | 10.3× |
| Toxoplasma ab igm (86778) | $148.24 | $218 | 10.3× |
| Toxoplasma antibody igg (86777) | $100.64 | $148 | 7.0× |
| Transferrin (84466) | $73.02 | $107.38 | 5.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $255 | $375 | 1.2× |
| Trg gene rearrangement analysis (81342) | $255 | $375 | 1.3× |
| Triglycerides (84478) | $10.20 | $15 | 1.8× |
| Troponin (84484) | $41.48 | $61 | 3.3× |
| Urea nitrogen (84520) | $10.20 | $15 | 2.6× |
| Urea nitrogen urine (84540) | $95.20 | $140 | 17.1× |
| Uric acid blood (84550) | $10.20 | $15 | 2.3× |
| Uric acid other source (84560) | $99.96 | $147 | 19.7× |
| Urinalysis (81005) | $30.60 | $45 | 14.1× |
| Urinalysis auto w/scope (81001) | $10.20 | $15 | 3.2× |
| Urinalysis Microscopic Only (81015) | $6.12 | $9 | 2.0× |
| Urine Albumin Semiquantitative (82044) | $61.20 | $90 | 9.8× |
| Urine Bacteria Culture (87088) | $33.02 | $48.54 | 4.1× |
| Urine pregnancy test (81025) | $63.92 | $94 | 7.4× |
| Valproic acid (80164) | $66.64 | $98 | 4.9× |
| Vancomycin trough (80202) | $46.76 | $68.77 | 3.5× |
| Varicella-zoster antibody (86787) | $59.50 | $87.50 | 4.6× |
| Vdrl csf (86592) | $16.32 | $24 | 3.8× |
| Virus antibody nos (86790) | $82.28 | $121 | 6.4× |
| Virus inoculate tissue addl (87253) | $91.80 | $135 | 4.5× |
| Virus inoculation, shell via (87254) | $191.08 | $281 | 9.8× |
| Viscosity serum (85810) | $110.16 | $162 | 9.4× |
| Vitamin A (84590) | $284.24 | $418 | 24.5× |
| Vitamin b-12 (82607) | $50.01 | $73.54 | 3.3× |
| Vitamin b1 (thiamine) (84425) | $223.72 | $329 | 10.5× |
| Vitamin b3 niacin (84591) | $117.64 | $173 | 6.9× |
| Vitamin b6 (84207) | $152.32 | $224 | 5.4× |
| Vitamin c (82180) | $316.88 | $466 | 32.0× |
| Vitamin D 25-Hydroxy (82306) | $95.88 | $141 | 3.2× |
| Vitamin e serum (84446) | $229.16 | $337 | 16.2× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $91.12 | $134 | 10.6× |
| West nile virus antibody (86789) | $79.22 | $116.50 | 5.5× |
| West nile virus igm (86788) | $79.22 | $116.50 | 4.7× |
| Zinc (84630) | $82.28 | $121 | 7.2× |