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2020 Clinical Diagnostic Laboratory Fee Schedule CPT codes, descriptions and other data only are copyright 2020 American Medical Association.
All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).
HCPCS RATE2020 SHORTDESC
0001U $1,440.00 Rbc dna hea 35 ag 11 bld grp
0002M $1,006.80 Liver dis 10 assays w/ash
0002U $50.00 Onc clrct 3 ur metab alg plp
0003M $1,006.80 Liver dis 10 assays w/nash
0003U $1,900.00 Onc ovar 5 prtn ser alg scor
0004M $158.00 Scoliosis dna alys
0005U $1,520.00 Onco prst8 3 gene ur alg
0006M $300.00 Onc hep gene risk classifier
0006U $493.84 Detc ia meds 120+ analytes
0007M $750.00 Onc gastro 51 gene nomogram
0007U $228.86 Rx test prsmv ur w/def conf
0008U $1,195.82 Hpylori detcj abx rstnc dna
0009U $214.00 Onc brst ca erbb2 amp/nonamp
0010U $854.52 Nfct ds strn typ whl gen seq
0011M $1,520.00 Onc prst8 ca mrna 12 gen alg
0011U $228.86 Rx mntr lc-ms/ms oral fluid
0012M $1,520.00 Onc mrna 5 gen rsk urthl ca
0012U $5,031.20 Germln do gene reargmt detcj
0013M $1,520.00 Onc mrna 5 gen recr urthl ca
0013U $5,031.20 Onc sld org neo gene reargmt
0014U $5,031.20 Hem hmtlmf neo gene reargmt
0016U $327.92 Onc hmtlmf neo rna bcr/abl1
0017U $183.32 Onc hmtlmf neo jak2 mut dna
0018U $6,004.18 Onc thyr 10 microrna seq alg
0019U $7,350.00 Onc rna tiss predict alg
0021U $1,520.00 Onc prst8 detcj 8 autoantb
0022U $3,900.00 Trgt gen seq dna&rna 23 gene
0023U $497.02 Onc aml dna detcj/nondetcj
0024U $68.38 Glyca nuc mr spectrsc quan
0025U $171.54 Tenofovir liq chrom ur quan
0026U $7,200.00 Onc thyr dna&mrna 112 genes
0027U $270.92 Jak2 gene trgt seq alys
0029U $1,484.54 Rx metab advrs trgt seq alys
0030U $268.26 Rx metab warf trgt seq alys
0031U $349.62 Cyp1a2 gene
0032U $349.62 Comt gene
0033U $699.24 Htr2a htr2c genes
0034U $932.34 Tpmt nudt15 genes
0035U $1,081.98 Neuro csf prion prtn qual
0036U $9,560.00 Xome tum & nml spec seq alys
0037U $7,000.00 Trgt gen seq dna 324 genes
0038U $59.20 Vitamin d srm microsamp quan
0039U $27.48 Dna antb 2strand hi avidity
0040U $819.80 Bcr/abl1 gene major bp quan
0041U $34.42 B brgdrferi antb 5 prtn igm
0042U $34.42 B brgdrferi antb 12 prtn igg
0043U $29.72 Tbrf b grp antb 4 prtn igm
0044U $29.72 Tbrf b grp antb 4 prtn igg
0045U $7,746.00 Onc brst dux carc is 12 gene
0046U $0.00 Flt3 gene itd variants quan
0047U $7,746.00 Onc prst8 mrna 17 gene alg
0048U $5,839.20 Onc sld org neo dna 468 gene
0049U $0.00 Npm1 gene analysis quan
0050U $5,833.20 Trgt gen seq dna 194 genes
0051U $387.42 Rx mntr lc-ms/ms ur 31 pnl
0052U $67.72 Lpoprtn bld w/5 maj classes
0053U $4,060.00 Onc prst8 ca fish alys 4 gen
0054U $297.92 Rx mntr 14+ drugs & sbsts
0055U $6,480.00 Card hrt trnspl 96 dna seq
0056U $5,031.20 Hem aml dna gene reargmt
0058U $645.92 Onc merkel cll carc srm quan
0059U $645.92 Onc merkel cll carc srm +/-
0060U $1,518.10 Twn zyg gen seq alys chrms2
0061U $50.20 Tc meas 5 bmrk sfdi m-s alys
0062U $0.00 Ai sle igg&igm alys 80 bmrk
0063U $0.00 Neuro autism 32 amines alg
0064U $62.66 Antb tp total&rpr ia qual
0065U $36.18 Syfls tst nontreponemal antb
0066U $30.58 Pamg-1 ia cervico-vag fluid
0067U $0.00 Onc brst imhchem prfl 4 bmrk
0068U $285.26 Candida species pnl amp prb
0069U $760.00 Onc clrct microrna mir-31-3p
0070U $1,352.74 Cyp2d6 gen com&slct rar vrnt
0071U $602.70 Cyp2d6 full gene sequence
0072U $901.82 Cyp2d6 gen cyp2d6-2d7 hybrid
0073U $901.82 Cyp2d6 gen cyp2d7-2d6 hybrid
0074U $901.82 Cyp2d6 nonduplicated gene
0075U $901.82 Cyp2d6 5' gene dup/mlt
0076U $901.82 Cyp2d6 3' gene dup/mlt
0077U $0.00 Ig paraprotein qual bld/ur
0078U $901.82 Pain mgt opi use gnotyp pnl
0080U $7,040.00 Onc lng 5 clin rsk factr alg
0082U $493.84 Rx test def 90+ rx/sbsts ur
0083U $0.00 Onc rspse chemo cntrst tomog
0084U $1,440.00 Rbc dna gnotyp 10 bld groups
0086U $0.00 Nfct ds bact&fng org id 6+
0087U $0.00 Crd hrt trnspl mrna 1283 gen
0088U $0.00 Trnsplj kdn algrft rej 1494
0089U $1,520.00 Onc mlnma prame & linc00518
0090U $3,900.00 Onc cutan mlnma mrna 23 gene
0092U $0.00 Onc lng 3 prtn bmrk plsm alg
0093U $124.28 Rx mntr 65 com drugs urine
0094U $0.00 Genome rapid sequence alys
0095U $0.00 Inflm ee elisa alys alg
0096U $70.18 Hpv hi risk types male urine
0097U $0.00 Gi pathogen 22 targets
0098U $0.00 Respir pathogen 14 targets
0099U $0.00 Respir pathogen 20 targets
0100U $0.00 Respir pathogen 21 targets
0101U $2,339.60 Hered colon ca do 15 genes
0102U $2,235.96 Hered brst ca rltd do 17 gen
0103U $2,235.96 Hered ova ca pnl 24 genes
0105U $1,900.00 Neph ckd mult eclia tum nec
0106U $0.00 Gstr emptg 7 timed brth spec
0107U $32.00 C diff tox ag detcj ia stool
0108U $0.00 Gi barrett esoph 9 prtn bmrk
0109U $285.26 Id aspergillus dna 4 species
0110U $54.22 Rx mntr 1+oral onc rx&sbsts
0111U $1,364.58 Onc colon ca kras&nras alys
0112U $0.00 Iadi 16s&18s rrna genes
0113U $1,520.00 Onc prst8 pca3&tmprss2-erg
0114U $0.00 Gi barretts esoph vim&ccna1
0115U $0.00 Respir iadna 18 viral&2 bact
0116U $493.84 Rx mntr nzm ia 35+oral flu
0117U $0.00 Pain mgmt 11 endogenous anal
0118U $0.00 Trnsplj don-drv cll-fr dna
0119U $0.00 Crd ceramides liq chrom plsm
0120U $5,578.24 Onc b cll lymphm mrna 58 gen
0121U $0.00 Sc dis vcam-1 whole blood
0122U $0.00 Sc dis p-selectin whl blood
0123U $0.00 Mchnl fragility rbc prflg
0124U $111.08 Ftl cgen abnor 3 analytes
0125U $139.04 Ftl cgen abnor prnt comp 5
0126U $139.04 Ftl cgen abnor prnt comp 5 y
0127U $111.08 Ob pe 3 analytes
0128U $111.08 Ob pe 3 analytes y chrmsm
0129U $2,235.96 Hered brst ca rltd do panel
0130U $1,169.80 Hered colon ca do mrna pnl
0131U $0.00 Hered brst ca rltd do pnl 13
0132U $0.00 Hered ova ca rltd do pnl 17
0133U $0.00 Hered prst8 ca rltd do 11
0134U $0.00 Hered pan ca mrna pnl 18 gen
0135U $0.00 Hered gyn ca mrna pnl 12 gen
0136U $0.00 Atm mrna seq alys
0137U $0.00 Palb2 mrna seq alys
0138U $0.00 Brca1 brca2 mrna seq alys
0139U $0.00 Neuro austm meas 6 c metablt
0140U $0.00 Nfct ds fungi dna 15 trgt
0141U $0.00 Nfct ds bact&fng gram pos
0142U $0.00 Nfct ds bact&fng gram neg
0143U $0.00 Drug assay 120+ rx/metablt
0144U $0.00 Drug assay 160+ rx/metablt
0145U $0.00 Drug assay 65+ rx/metablt
0146U $0.00 Drug assay 80+ rx/metablt
0147U $0.00 Drug assay 85+ rx/metablt
0148U $0.00 Drug assay 100+ rx/metablt
0149U $0.00 Drug assay 60+ rx/metablt
0150U $0.00 Drug assay 120+ rx/metablt
0151U $0.00 Nfct bct/vir resp nfctj 33
0152U $0.00 Nfct bct fng prst dna >1000
0153U $0.00 Onc breast mrna 101 genes
0154U $0.00 Fgfr3 gene analysis
0155U $0.00 Pik3ca gene analysis
0156U $0.00 Copy number sequence alys
0157U $0.00 Apc mrna seq alys
0158U $0.00 Mlh1 mrna seq alys
0159U $0.00 Msh2 mrna seq alys
0160U $0.00 Msh6 mrna seq alys
0161U $0.00 Pms2 mrna seq alys
0162U $0.00 Hered colon ca trgt mrna pnl
36415 $6.00 Routine venipuncture
78267 $22.12 Breath tst attain/anal c-14
78268 $188.82 Breath test analysis c-14
80047 $27.46 Metabolic panel ionized ca
80047 $27.46 Metabolic panel ionized ca
80048 $16.92 Metabolic panel total ca
80048 $16.92 Metabolic panel total ca
80051 $14.02 Electrolyte panel
80051 $14.02 Electrolyte panel
80053 $21.12 Comprehen metabolic panel
80053 $21.12 Comprehen metabolic panel
80055 $95.62 Obstetric panel
80061 $26.78 Lipid panel
80061 $26.78 Lipid panel
80069 $17.36 Renal function panel
80069 $17.36 Renal function panel
80074 $95.26 Acute hepatitis panel
80076 $16.34 Hepatic function panel
80081 $149.72 Obstetric panel
80145 $77.14 Drug assay adalimumab
80150 $30.16 Assay of amikacin
80155 $77.14 Drug assay caffeine
80156 $29.14 Assay carbamazepine total
80157 $26.50 Assay carbamazepine free
80158 $36.10 Drug assay cyclosporine
80159 $40.30 Drug assay clozapine
80162 $26.56 Assay of digoxin total
80163 $26.56 Assay of digoxin free
80164 $27.08 Assay dipropylacetic acd tot
80165 $27.08 Dipropylacetic acid free
80168 $32.68 Assay of ethosuximide
80169 $27.46 Drug assay everolimus
80170 $32.76 Assay of gentamicin
80171 $43.34 Drug screen quant gabapentin
80173 $31.56 Assay of haloperidol
80175 $26.50 Drug screen quan lamotrigine
80176 $29.38 Assay of lidocaine
80177 $26.50 Drug scrn quan levetiracetam
80178 $13.22 Assay of lithium
80178 $13.22 Assay of lithium
80180 $36.10 Drug scrn quan mycophenolate
80183 $26.50 Drug scrn quant oxcarbazepin
80184 $30.60 Assay of phenobarbital
80185 $26.50 Assay of phenytoin total
80186 $27.52 Assay of phenytoin free
80187 $54.22 Drug assay posaconazole
80188 $33.18 Assay of primidone
80190 $120.00 Assay of procainamide
80192 $33.50 Assay of procainamide
80194 $29.20 Assay of quinidine
80195 $27.46 Assay of sirolimus
80197 $27.46 Assay of tacrolimus
80198 $28.28 Assay of theophylline
80199 $54.22 Drug screen quant tiagabine
80200 $32.26 Assay of tobramycin
80201 $23.84 Assay of topiramate
80202 $27.08 Assay of vancomycin
80203 $26.50 Drug screen quant zonisamide
80230 $77.14 Drug assay infliximab
80235 $54.22 Drug assay lacosamide
80280 $77.14 Drug assay vedolizumab
80285 $54.22 Drug assay voriconazole
80299 $37.28 Quantitative assay drug
80305 $25.20 Drug test prsmv dir opt obs
80305 $25.20 Drug test prsmv dir opt obs
80306 $34.28 Drug test prsmv instrmnt
80307 $124.28 Drug test prsmv chem anlyzr
80400 $65.24 Acth stimulation panel
80402 $173.92 Acth stimulation panel
80406 $156.52 Acth stimulation panel
80408 $251.00 Aldosterone suppression eval
80410 $160.74 Calcitonin stimul panel
80412 $1,603.24 Crh stimulation panel
80414 $103.28 Testosterone response
80415 $111.78 Estradiol response panel
80416 $418.64 Renin stimulation panel
80417 $87.98 Renin stimulation panel
80418 $1,158.96 Pituitary evaluation panel
80420 $323.76 Dexamethasone panel
80422 $92.14 Glucagon tolerance panel
80424 $101.00 Glucagon tolerance panel
80426 $296.82 Gonadotropin hormone panel
80428 $133.40 Growth hormone panel
80430 $258.66 Growth hormone panel
80432 $331.22 Insulin suppression panel
80434 $570.06 Insulin tolerance panel
80435 $206.00 Insulin tolerance panel
80436 $182.32 Metyrapone panel
80438 $100.82 Trh stimulation panel
80439 $134.42 Trh stimulation panel
81000 $8.04 Urinalysis nonauto w/scope
81001 $6.34 Urinalysis auto w/scope
81002 $6.96 Urinalysis nonauto w/o scope
81003 $4.50 Urinalysis auto w/o scope
81003 $4.50 Urinalysis auto w/o scope
81005 $4.34 Urinalysis
81007 $59.96 Urine screen for bacteria
81007 $59.96 Urine screen for bacteria
81015 $6.10 Microscopic exam of urine
81020 $9.40 Urinalysis glass test
81025 $17.22 Urine pregnancy test
81050 $7.28 Urinalysis volume measure
81105 $244.44 Hpa-1 genotyping
81106 $244.44 Hpa-2 genotyping
81107 $244.44 Hpa-3 genotyping
81108 $244.44 Hpa-4 genotyping
81109 $244.44 Hpa-5 genotyping
81110 $244.44 Hpa-6 genotyping
81111 $244.44 Hpa-9 genotyping
81112 $244.44 Hpa-15 genotyping
81120 $386.50 Idh1 common variants
81121 $591.58 Idh2 common variants
81161 $558.00 Dmd dup/delet analysis
81162 $3,649.76 Brca1&2 gen full seq dup/del
81163 $1,872.00 Brca1&2 gene full seq alys
81164 $1,168.46 Brca1&2 gen ful dup/del alys
81165 $1,131.52 Brca1 gene full seq alys
81166 $602.70 Brca1 gene full dup/del alys
81167 $565.76 Brca2 gene full dup/del alys
81170 $600.00 Abl1 gene
81171 $274.00 Aff2 gene detc abnor alleles
81172 $549.66 Aff2 gene charac alleles
81173 $602.70 Ar gene full gene sequence
81174 $370.40 Ar gene known famil variant
81175 $1,353.00 Asxl1 full gene sequence
81176 $483.80 Asxl1 gene target seq alys
81177 $274.00 Atn1 gene detc abnor alleles
81178 $274.00 Atxn1 gene detc abnor allele
81179 $274.00 Atxn2 gene detc abnor allele
81180 $274.00 Atxn3 gene detc abnor allele
81181 $274.00 Atxn7 gene detc abnor allele
81182 $274.00 Atxn8os gen detc abnor allel
81183 $274.00 Atxn10 gene detc abnor allel
81184 $274.00 Cacna1a gen detc abnor allel
81185 $1,692.54 Cacna1a gene full gene seq
81186 $370.40 Cacna1a gen known famil vrnt
81187 $274.00 Cnbp gene detc abnor allele
81188 $274.00 Cstb gene detc abnor allele
81189 $549.66 Cstb gene full gene sequence
81190 $370.40 Cstb gene known famil vrnt
81200 $94.50 Aspa gene
81201 $1,560.00 Apc gene full sequence
81202 $560.00 Apc gene known fam variants
81203 $400.00 Apc gene dup/delet variants
81204 $274.00 Ar gene charac alleles
81205 $189.98 Bckdhb gene
81206 $327.92 Bcr/abl1 gene major bp
81207 $289.68 Bcr/abl1 gene minor bp
81208 $429.24 Bcr/abl1 gene other bp
81209 $78.62 Blm gene
81210 $350.80 Braf gene
81212 $880.00 Brca1&2 185&5385&6174 vrnt
81215 $750.50 Brca1 gene known famil vrnt
81216 $370.24 Brca2 gene full seq alys
81217 $750.50 Brca2 gene known famil vrnt
81218 $483.80 Cebpa gene full sequence
81219 $243.26 Calr gene com variants
81220 $1,113.20 Cftr gene com variants
81221 $194.44 Cftr gene known fam variants
81222 $870.14 Cftr gene dup/delet variants
81223 $998.00 Cftr gene full sequence
81224 $337.50 Cftr gene intron poly t
81225 $582.72 Cyp2c19 gene com variants
81226 $901.82 Cyp2d6 gene com variants
81227 $349.62 Cyp2c9 gene com variants
81228 $1,800.00 Cytogen micrarray copy nmbr
81229 $2,320.00 Cytogen m array copy no&snp
81230 $349.62 Cyp3a4 gene common variants
81231 $349.62 Cyp3a5 gene common variants
81232 $349.62 Dpyd gene common variants
81233 $350.80 Btk gene common variants
81234 $274.00 Dmpk gene detc abnor allele
81235 $649.16 Egfr gene com variants
81236 $565.76 Ezh2 gene full gene sequence
81237 $350.80 Ezh2 gene common variants
81238 $1,200.00 F9 full gene sequence
81239 $549.66 Dmpk gene charac alleles
81240 $131.38 F2 gene
81241 $146.74 F5 gene
81242 $73.24 Fancc gene
81243 $114.08 Fmr1 gene detection
81244 $89.78 Fmr1 gene charac alleles
81245 $331.02 Flt3 gene
81246 $166.00 Flt3 gene analysis
81247 $349.62 G6pd gene alys cmn variant
81248 $750.50 G6pd known familial variant
81249 $1,200.00 G6pd full gene sequence
81250 $116.98 G6pc gene
81251 $94.50 Gba gene
81252 $202.24 Gjb2 gene full sequence
81253 $123.04 Gjb2 gene known fam variants
81254 $70.00 Gjb6 gene com variants
81255 $102.90 Hexa gene
81256 $130.72 Hfe gene
81257 $204.52 Hba1/hba2 gene
81258 $750.50 Hba1/hba2 gene fam vrnt
81259 $1,200.00 Hba1/hba2 full gene sequence
81260 $78.62 Ikbkap gene
81261 $395.98 Igh gene rearrange amp meth
81262 $137.10 Igh gene rearrang dir probe
81263 $589.04 Igh vari regional mutation
81264 $345.46 Igk rearrangeabn clonal pop
81265 $466.14 Str markers specimen anal
81266 $609.62 Str markers spec anal addl
81267 $414.92 Chimerism anal no cell selec
81268 $521.58 Chimerism anal w/cell select
81269 $404.80 Hba1/hba2 gene dup/del vrnts
81270 $183.32 Jak2 gene
81271 $274.00 Htt gene detc abnor alleles
81272 $659.02 Kit gene targeted seq analys
81273 $249.74 Kit gene analys d816 variant
81274 $549.66 Htt gene charac alleles
81275 $386.50 Kras gene variants exon 2
81276 $386.50 Kras gene addl variants
81277 $2,320.00 Cytogenomic neo microra alys
81283 $146.74 Ifnl3 gene
81284 $274.00 Fxn gene detc abnor alleles
81285 $549.66 Fxn gene charac alleles
81286 $549.66 Fxn gene full gene sequence
81287 $249.28 Mgmt gene prmtr mthyltn alys
81288 $384.64 Mlh1 gene
81289 $370.40 Fxn gene known famil variant
81290 $78.62 Mcoln1 gene
81291 $130.68 Mthfr gene
81292 $1,350.80 Mlh1 gene full seq
81293 $662.00 Mlh1 gene known variants
81294 $404.80 Mlh1 gene dup/delete variant
81295 $763.40 Msh2 gene full seq
81296 $675.46 Msh2 gene known variants
81297 $426.60 Msh2 gene dup/delete variant
81298 $1,283.70 Msh6 gene full seq
81299 $616.00 Msh6 gene known variants
81300 $476.00 Msh6 gene dup/delete variant
81301 $697.12 Microsatellite instability
81302 $1,055.74 Mecp2 gene full seq
81303 $240.00 Mecp2 gene known variant
81304 $300.00 Mecp2 gene dup/delet variant
81305 $350.80 Myd88 gene p.leu265pro vrnt
81306 $582.72 Nudt15 gene common variants
81307 $565.76 Palb2 gene full gene seq
81308 $602.70 Palb2 gene known famil vrnt
81309 $549.66 Pik3ca gene trgt seq alys
81310 $493.04 Npm1 gene
81311 $591.58 Nras gene variants exon 2&3
81312 $274.00 Pabpn1 gene detc abnor allel
81313 $510.10 Pca3/klk3 antigen
81314 $659.02 Pdgfra gene
81315 $414.62 Pml/raralpha com breakpoints
81316 $414.62 Pml/raralpha 1 breakpoint
81317 $1,353.00 Pms2 gene full seq analysis
81318 $662.00 Pms2 known familial variants
81319 $407.00 Pms2 gene dup/delet variants
81320 $582.72 Plcg2 gene common variants
81321 $1,200.00 Pten gene full sequence
81322 $93.20 Pten gene known fam variant
81323 $600.00 Pten gene dup/delet variant
81324 $1,516.72 Pmp22 gene dup/delet
81325 $1,539.16 Pmp22 gene full sequence
81326 $93.20 Pmp22 gene known fam variant
81327 $384.00 Sept9 gen prmtr mthyltn alys
81328 $349.62 Slco1b1 gene com variants
81329 $274.00 Smn1 gene dos/deletion alys
81330 $94.00 Smpd1 gene common variants
81331 $102.14 Snrpn/ube3a gene
81332 $87.30 Serpina1 gene
81333 $274.00 Tgfbi gene common variants
81334 $659.02 Runx1 gene targeted seq alys
81335 $349.62 Tpmt gene com variants
81336 $602.70 Smn1 gene full gene sequence
81337 $370.40 Smn1 gen nown famil seq vrnt
81340 $417.84 Trb@ gene rearrange amplify
81341 $99.18 Trb@ gene rearrange dirprobe
81342 $403.00 Trg gene rearrangement anal
81343 $274.00 Ppp2r2b gen detc abnor allel
81344 $274.00 Tbp gene detc abnor alleles
81345 $370.40 Tert gene targeted seq alys
81346 $349.62 Tyms gene com variants
81350 $468.00 Ugt1a1 gene common variants
81355 $176.40 Vkorc1 gene
81361 $349.62 Hbb gene com variants
81362 $750.50 Hbb gene known fam variant
81363 $404.80 Hbb gene dup/del variants
81364 $649.16 Hbb full gene sequence
81370 $804.24 Hla i & ii typing lr
81371 $809.04 Hla i & ii type verify lr
81372 $807.18 Hla i typing complete lr
81373 $254.86 Hla i typing 1 locus lr
81374 $148.66 Hla i typing 1 antigen lr
81375 $441.48 Hla ii typing ag equiv lr
81376 $244.44 Hla ii typing 1 locus lr
81377 $189.48 Hla ii type 1 ag equiv lr
81378 $691.14 Hla i & ii typing hr
81379 $670.76 Hla i typing complete hr
81380 $354.50 Hla i typing 1 locus hr
81381 $339.80 Hla i typing 1 allele hr
81382 $247.36 Hla ii typing 1 loc hr
81383 $218.26 Hla ii typing 1 allele hr
81400 $127.92 Mopath procedure level 1
81401 $274.00 Mopath procedure level 2
81402 $300.66 Mopath procedure level 3
81403 $370.40 Mopath procedure level 4
81404 $549.66 Mopath procedure level 5
81405 $602.70 Mopath procedure level 6
81406 $565.76 Mopath procedure level 7
81407 $1,692.54 Mopath procedure level 8
81408 $4,000.00 Mopath procedure level 9
81410 $1,008.00 Aortic dysfunction/dilation
81411 $2,700.38 Aortic dysfunction/dilation
81412 $4,897.12 Ashkenazi jewish assoc dis
81413 $1,169.80 Car ion chnnlpath inc 10 gns
81414 $1,169.80 Car ion chnnlpath inc 2 gns
81415 $9,560.00 Exome sequence analysis
81416 $24,000.00 Exome sequence analysis
81417 $640.00 Exome re-evaluation
81420 $1,518.10 Fetal chrmoml aneuploidy
81422 $1,518.10 Fetal chrmoml microdeltj
81425 $10,062.40 Genome sequence analysis
81426 $5,419.90 Genome sequence analysis
81427 $4,675.30 Genome re-evaluation
81430 $3,250.00 Hearing loss sequence analys
81431 $1,359.14 Hearing loss dup/del analys
81432 $1,358.10 Hrdtry brst ca-rlatd dsordrs
81433 $877.86 Hrdtry brst ca-rlatd dsordrs
81434 $1,195.82 Hereditary retinal disorders
81435 $1,169.80 Hereditary colon ca dsordrs
81436 $1,169.80 Hereditary colon ca dsordrs
81437 $877.86 Heredtry nurondcrn tum dsrdr
81438 $877.86 Heredtry nurondcrn tum dsrdr
81439 $1,169.80 Hrdtry cardmypy gene panel
81440 $6,648.00 Mitochondrial gene
81442 $4,287.20 Noonan spectrum disorders
81443 $4,897.12 Genetic tstg severe inh cond
81445 $1,195.82 Targeted genomic seq analys
81448 $1,169.80 Hrdtry perph neurphy panel
81450 $1,519.06 Targeted genomic seq analys
81455 $5,839.20 Targeted genomic seq analys
81460 $2,574.00 Whole mitochondrial genome
81465 $1,872.00 Whole mitochondrial genome
81470 $1,828.00 X-linked intellectual dblt
81471 $1,828.00 X-linked intellectual dblt
81490 $1,681.30 Autoimmune rheumatoid arthr
81493 $2,100.00 Cor artery disease mrna
81500 $521.00 Onco (ovar) two proteins
81503 $1,794.00 Onco (ovar) five proteins
81504 $1,040.00 Oncology tissue of origin
81506 $137.84 Endo assay seven anal
81507 $1,590.00 Fetal aneuploidy trisom risk
81508 $108.60 Ftl cgen abnor two proteins
81509 $2,974.74 Ftl cgen abnor 3 proteins
81510 $111.08 Ftl cgen abnor three anal
81511 $307.00 Ftl cgen abnor four anal
81512 $139.04 Ftl cgen abnor five anal
81518 $7,746.00 Onc brst mrna 11 genes
81519 $7,746.00 Oncology breast mrna
81520 $5,020.42 Onc breast mrna 58 genes
81521 $7,746.00 Onc breast mrna 70 genes
81522 $7,746.00 Onc breast mrna 12 genes
81525 $6,232.00 Oncology colon mrna
81528 $1,017.74 Oncology colorectal scr
81535 $1,158.92 Oncology gynecologic
81536 $355.12 Oncology gynecologic
81538 $5,742.00 Oncology lung
81539 $1,520.00 Oncology prostate prob score
81540 $7,500.00 Oncology tum unknown origin
81541 $7,746.00 Onc prostate mrna 46 genes
81542 $0.00 Onc prostate mrna 22 cnt gen
81545 $7,200.00 Oncology thyroid
81551 $4,060.00 Onc prostate 3 genes
81595 $6,480.00 Cardiology hrt trnspl mrna
81596 $144.38 Nfct ds chrnc hcv 6 assays
82009 $9.04 Test for acetone/ketones
82010 $16.34 Acetone assay
82010 $16.34 Acetone assay
82013 $24.58 Acetylcholinesterase assay
82016 $32.98 Acylcarnitines qual
82017 $33.74 Acylcarnitines quant
82024 $77.24 Assay of acth
82030 $51.60 Assay of adp & amp
82040 $9.90 Assay of serum albumin
82040 $9.90 Assay of serum albumin
82042 $15.56 Other source albumin quan ea
82042 $15.56 Other source albumin quan ea
82043 $11.56 Ur albumin quantitative
82043 $11.56 Ur albumin quantitative
82044 $12.46 Ur albumin semiquantitative
82044 $12.46 Ur albumin semiquantitative
82045 $67.88 Albumin ischemia modified
82075 $60.00 Assay of breath ethanol
82085 $19.42 Assay of aldolase
82088 $81.50 Assay of aldosterone
82103 $26.88 Alpha-1-antitrypsin total
82104 $28.92 Alpha-1-antitrypsin pheno
82105 $33.54 Alpha-fetoprotein serum
82106 $34.00 Alpha-fetoprotein amniotic
82107 $128.82 Alpha-fetoprotein l3
82108 $50.96 Assay of aluminum
82120 $11.98 Amines vaginal fluid qual
82120 $11.98 Amines vaginal fluid qual
82127 $28.36 Amino acid single qual
82128 $27.74 Amino acids mult qual
82131 $45.96 Amino acids single quant
82135 $32.90 Assay aminolevulinic acid
82136 $39.22 Amino acids quant 2-5
82139 $33.74 Amino acids quan 6 or more
82140 $29.14 Assay of ammonia
82143 $18.70 Amniotic fluid scan
82150 $12.96 Assay of amylase
82150 $12.96 Assay of amylase
82154 $57.66 Androstanediol glucuronide
82157 $58.56 Assay of androstenedione
82160 $51.10 Assay of androsterone
82163 $41.04 Assay of angiotensin ii
82164 $29.20 Angiotensin i enzyme test
82172 $42.18 Assay of apolipoprotein
82175 $37.94 Assay of arsenic
82180 $19.78 Assay of ascorbic acid
82190 $31.80 Atomic absorption
82232 $32.36 Assay of beta-2 protein
82239 $34.24 Bile acids total
82240 $53.16 Bile acids cholylglycine
82247 $10.04 Bilirubin total
82247 $10.04 Bilirubin total
82248 $10.04 Bilirubin direct
82252 $9.12 Fecal bilirubin test
82261 $33.74 Assay of biotinidase
82270 $8.76 Occult blood feces
82271 $10.64 Occult blood other sources
82271 $10.64 Occult blood other sources
82272 $8.46 Occult bld feces 1-3 tests
82274 $31.84 Assay test for blood fecal
82274 $31.84 Assay test for blood fecal
82286 $10.32 Assay of bradykinin
82300 $47.28 Assay of cadmium
82306 $59.20 Vitamin d 25 hydroxy
82308 $53.58 Assay of calcitonin
82310 $10.32 Assay of calcium
82310 $10.32 Assay of calcium
82330 $27.36 Assay of calcium
82330 $27.36 Assay of calcium
82331 $26.68 Calcium infusion test
82340 $12.06 Assay of calcium in urine
82355 $23.16 Calculus analysis qual
82360 $25.74 Calculus assay quant
82365 $25.80 Calculus spectroscopy
82370 $25.04 X-ray assay calculus
82373 $36.12 Assay c-d transfer measure
82374 $9.76 Assay blood carbon dioxide
82374 $9.76 Assay blood carbon dioxide
82375 $24.64 Assay carboxyhb quant
82376 $28.14 Assay carboxyhb qual
82378 $37.92 Carcinoembryonic antigen
82379 $33.74 Assay of carnitine
82380 $18.44 Assay of carotene
82382 $54.60 Assay urine catecholamines
82383 $58.16 Assay blood catecholamines
82384 $50.50 Assay three catecholamines
82387 $36.12 Assay of cathepsin-d
82390 $21.48 Assay of ceruloplasmin
82397 $28.24 Chemiluminescent assay
82415 $25.34 Assay of chloramphenicol
82435 $9.20 Assay of blood chloride
82435 $9.20 Assay of blood chloride
82436 $11.50 Assay of urine chloride
82438 $10.00 Assay other fluid chlorides
82441 $12.02 Test for chlorohydrocarbons
82465 $8.70 Assay bld/serum cholesterol
82465 $8.70 Assay bld/serum cholesterol
82480 $15.74 Assay serum cholinesterase
82482 $19.62 Assay rbc cholinesterase
82485 $41.30 Assay chondroitin sulfate
82495 $40.56 Assay of chromium
82507 $55.60 Assay of citrate
82523 $37.36 Collagen crosslinks
82523 $37.36 Collagen crosslinks
82525 $24.82 Assay of copper
82528 $45.04 Assay of corticosterone
82530 $33.42 Cortisol free
82533 $32.60 Total cortisol
82540 $9.28 Assay of creatine
82542 $48.18 Col chromotography qual/quan
82550 $13.02 Assay of ck (cpk)
82550 $13.02 Assay of ck (cpk)
82552 $26.78 Assay of cpk in blood
82553 $23.10 Creatine mb fraction
82554 $23.74 Creatine isoforms
82565 $10.24 Assay of creatinine
82565 $10.24 Assay of creatinine
82570 $10.36 Assay of urine creatinine
82570 $10.36 Assay of urine creatinine
82575 $18.92 Creatinine clearance test
82585 $28.28 Assay of cryofibrinogen
82595 $12.94 Assay of cryoglobulin
82600 $38.80 Assay of cyanide
82607 $30.16 Vitamin b-12
82608 $28.64 B-12 binding capacity
82610 $37.04 Cystatin c
82615 $19.10 Test for urine cystines
82626 $50.54 Dehydroepiandrosterone
82627 $44.46 Dehydroepiandrosterone
82633 $61.96 Desoxycorticosterone
82634 $58.56 Deoxycortisol
82638 $24.50 Assay of dibucaine number
82642 $58.56 Dihydrotestosterone
82652 $77.00 Vit d 1 25-dihydroxy
82656 $23.06 Pancreatic elastase fecal
82657 $44.34 Enzyme cell activity
82658 $88.06 Enzyme cell activity ra
82664 $123.00 Electrophoretic test
82668 $37.58 Assay of erythropoietin
82670 $55.88 Assay of estradiol
82671 $64.60 Assay of estrogens
82672 $43.40 Assay of estrogen
82677 $48.36 Assay of estriol
82679 $49.90 Assay of estrone
82679 $49.90 Assay of estrone
82693 $29.80 Assay of ethylene glycol
82696 $52.48 Assay of etiocholanolone
82705 $10.20 Fats/lipids feces qual
82710 $33.60 Fats/lipids feces quant
82715 $45.94 Assay of fecal fat
82725 $37.54 Assay of blood fatty acids
82726 $39.50 Long chain fatty acids
82728 $27.26 Assay of ferritin
82731 $128.82 Assay of fetal fibronectin
82735 $37.08 Assay of fluoride
82746 $29.40 Assay of folic acid serum
82747 $35.30 Assay of folic acid rbc
82757 $34.68 Assay of semen fructose
82759 $42.96 Assay of rbc galactokinase
82760 $22.40 Assay of galactose
82775 $42.14 Assay galactose transferase
82776 $23.48 Galactose transferase test
82777 $88.50 Galectin-3
82784 $18.60 Assay iga/igd/igg/igm each
82785 $32.92 Assay of ige
82787 $16.04 Igg 1 2 3 or 4 each
82800 $22.00 Blood ph
82803 $52.14 Blood gases any combination
82805 $157.54 Blood gases w/o2 saturation
82810 $19.54 Blood gases o2 sat only
82820 $26.68 Hemoglobin-oxygen affinity
82930 $13.42 Gastric analy w/ph ea spec
82938 $35.38 Gastrin test
82941 $35.26 Assay of gastrin
82943 $28.58 Assay of glucagon
82945 $7.86 Glucose other fluid
82946 $35.54 Glucagon tolerance test
82947 $7.86 Assay glucose blood quant
82947 $7.86 Assay glucose blood quant
82948 $10.08 Reagent strip/blood glucose
82950 $9.50 Glucose test
82950 $9.50 Glucose test
82951 $25.74 Glucose tolerance test (gtt)
82951 $25.74 Glucose tolerance test (gtt)
82952 $7.84 Gtt-added samples
82952 $7.84 Gtt-added samples
82955 $19.40 Assay of g6pd enzyme
82960 $12.10 Test for g6pd enzyme
82962 $6.56 Glucose blood test
82963 $42.96 Assay of glucosidase
82965 $26.30 Assay of gdh enzyme
82977 $14.40 Assay of ggt
82977 $14.40 Assay of ggt
82978 $30.90 Assay of glutathione
82979 $18.88 Assay rbc glutathione
82985 $33.52 Assay of glycated protein
82985 $33.52 Assay of glycated protein
83001 $37.16 Assay of gonadotropin (fsh)
83001 $37.16 Assay of gonadotropin (fsh)
83002 $37.04 Assay of gonadotropin (lh)
83002 $37.04 Assay of gonadotropin (lh)
83003 $33.34 Assay growth hormone (hgh)
83006 $151.20 Growth stimulation gene 2
83009 $134.72 H pylori (c-13) blood
83010 $25.16 Assay of haptoglobin quant
83012 $53.78 Assay of haptoglobins
83013 $134.72 H pylori (c-13) breath
83014 $15.72 H pylori drug admin
83015 $41.88 Heavy metal qual any anal
83018 $43.92 Heavy metal quant each nes
83020 $25.74 Hemoglobin electrophoresis
83021 $36.12 Hemoglobin chromotography
83026 $8.02 Hemoglobin copper sulfate
83030 $21.48 Fetal hemoglobin chemical
83033 $16.00 Fetal hemoglobin assay qual
83036 $19.42 Glycosylated hemoglobin test
83036 $19.42 Glycosylated hemoglobin test
83037 $19.42 Glycosylated hb home device
83037 $19.42 Glycosylated hb home device
83045 $12.98 Blood methemoglobin test
83050 $16.40 Blood methemoglobin assay
83051 $14.62 Assay of plasma hemoglobin
83060 $17.60 Blood sulfhemoglobin assay
83065 $18.00 Assay of hemoglobin heat
83068 $18.94 Hemoglobin stability screen
83069 $7.90 Assay of urine hemoglobin
83070 $9.50 Assay of hemosiderin qual
83080 $33.74 Assay of b hexosaminidase
83088 $59.06 Assay of histamine
83090 $35.84 Assay of homocystine
83150 $44.82 Assay of homovanillic acid
83491 $35.80 Assay of corticosteroids 17
83497 $25.80 Assay of 5-hiaa
83498 $54.34 Assay of progesterone 17-d
83500 $45.30 Assay free hydroxyproline
83505 $48.60 Assay total hydroxyproline
83516 $23.06 Immunoassay nonantibody
83516 $23.06 Immunoassay nonantibody
83518 $19.28 Immunoassay dipstick
83518 $19.28 Immunoassay dipstick
83519 $36.80 Ria nonantibody
83520 $34.54 Immunoassay quant nos nonab
83520 $34.54 Immunoassay quant nos nonab
83525 $22.86 Assay of insulin
83527 $25.90 Assay of insulin
83528 $39.64 Assay of intrinsic factor
83540 $12.94 Assay of iron
83550 $17.48 Iron binding test
83570 $17.70 Assay of idh enzyme
83582 $30.94 Assay of ketogenic steroids
83586 $25.60 Assay 17- ketosteroids
83593 $57.00 Fractionation ketosteroids
83605 $23.14 Assay of lactic acid
83605 $23.14 Assay of lactic acid
83615 $12.08 Lactate (ld) (ldh) enzyme
83625 $25.58 Assay of ldh enzymes
83630 $39.40 Lactoferrin fecal (qual)
83631 $39.26 Lactoferrin fecal (quant)
83632 $40.44 Placental lactogen
83633 $22.50 Test urine for lactose
83655 $24.22 Assay of lead
83655 $24.22 Assay of lead
83661 $43.98 L/s ratio fetal lung
83662 $37.82 Foam stability fetal lung
83663 $37.82 Fluoro polarize fetal lung
83664 $38.64 Lamellar bdy fetal lung
83670 $19.62 Assay of lap enzyme
83690 $13.78 Assay of lipase
83695 $28.64 Assay of lipoprotein(a)
83698 $92.62 Assay lipoprotein pla2
83700 $22.52 Lipopro bld electrophoretic
83701 $67.72 Lipoprotein bld hr fraction
83704 $68.38 Lipoprotein bld quan part
83718 $16.38 Assay of lipoprotein
83718 $16.38 Assay of lipoprotein
83719 $25.50 Assay of blood lipoprotein
83721 $21.00 Assay of blood lipoprotein
83721 $21.00 Assay of blood lipoprotein
83722 $68.38 Lipoprtn dir meas sd ldl chl
83727 $34.38 Assay of lrh hormone
83735 $13.40 Assay of magnesium
83775 $14.74 Assay malate dehydrogenase
83785 $53.30 Assay of manganese
83789 $48.22 Mass spectrometry qual/quan
83825 $32.52 Assay of mercury
83835 $33.88 Assay of metanephrines
83857 $21.48 Assay of methemalbumin
83861 $44.96 Microfluid analy tears
83861 $44.96 Microfluid analy tears
83864 $57.00 Mucopolysaccharides
83872 $11.72 Assay synovial fluid mucin
83873 $34.40 Assay of csf protein
83874 $25.84 Assay of myoglobin
83876 $101.72 Assay myeloperoxidase
83880 $78.52 Assay of natriuretic peptide
83880 $78.52 Assay of natriuretic peptide
83883 $27.20 Assay nephelometry not spec
83885 $49.02 Assay of nickel
83915 $22.30 Assay of nucleotidase
83916 $54.78 Oligoclonal bands
83918 $47.20 Organic acids total quant
83919 $32.90 Organic acids qual each
83921 $42.42 Organic acid single quant
83930 $13.22 Assay of blood osmolality
83935 $13.64 Assay of urine osmolality
83937 $59.70 Assay of osteocalcin
83945 $28.90 Assay of oxalate
83950 $128.82 Oncoprotein her-2/neu
83951 $128.82 Oncoprotein dcp
83970 $82.56 Assay of parathormone
83986 $7.16 Assay ph body fluid nos
83986 $7.16 Assay ph body fluid nos
83987 $7.16 Exhaled breath condensate
83993 $39.26 Assay for calprotectin fecal
84030 $11.00 Assay of blood pku
84035 $7.96 Assay of phenylketones
84060 $15.28 Assay acid phosphatase
84066 $19.32 Assay prostate phosphatase
84075 $10.36 Assay alkaline phosphatase
84075 $10.36 Assay alkaline phosphatase
84078 $16.52 Assay alkaline phosphatase
84080 $29.56 Assay alkaline phosphatases
84081 $33.04 Assay phosphatidylglycerol
84085 $18.88 Assay of rbc pg6d enzyme
84087 $21.46 Assay phosphohexose enzymes
84100 $9.48 Assay of phosphorus
84105 $11.56 Assay of urine phosphorus
84106 $11.64 Test for porphobilinogen
84110 $16.88 Assay of porphobilinogen
84112 $196.22 Eval amniotic fluid protein
84119 $26.72 Test urine for porphyrins
84120 $29.42 Assay of urine porphyrins
84126 $78.22 Assay of feces porphyrins
84132 $9.52 Assay of serum potassium
84132 $9.52 Assay of serum potassium
84133 $9.46 Assay of urine potassium
84134 $29.18 Assay of prealbumin
84135 $42.54 Assay of pregnanediol
84138 $42.10 Assay of pregnanetriol
84140 $41.34 Assay of pregnenolone
84143 $45.62 Assay of 17-hydroxypregneno
84144 $41.72 Assay of progesterone
84145 $54.44 Procalcitonin (pct)
84146 $38.76 Assay of prolactin
84150 $83.54 Assay of prostaglandin
84152 $36.78 Assay of psa complexed
84153 $36.78 Assay of psa total
84154 $36.78 Assay of psa free
84155 $7.34 Assay of protein serum
84155 $7.34 Assay of protein serum
84156 $7.34 Assay of protein urine
84157 $8.00 Assay of protein other
84157 $8.00 Assay of protein other
84160 $11.22 Assay of protein any source
84163 $30.10 Pappa serum
84165 $21.48 Protein e-phoresis serum
84166 $35.66 Protein e-phoresis/urine/csf
84181 $34.06 Western blot test
84182 $58.42 Protein western blot test
84202 $28.70 Assay rbc protoporphyrin
84203 $19.48 Test rbc protoporphyrin
84206 $53.38 Assay of proinsulin
84207 $56.20 Assay of vitamin b-6
84210 $28.96 Assay of pyruvate
84220 $18.88 Assay of pyruvate kinase
84228 $23.26 Assay of quinine
84233 $175.76 Assay of estrogen
84234 $129.76 Assay of progesterone
84235 $142.46 Assay of endocrine hormone
84238 $73.14 Assay nonendocrine receptor
84244 $43.98 Assay of renin
84252 $40.48 Assay of vitamin b-2
84255 $51.06 Assay of selenium
84260 $61.96 Assay of serotonin
84270 $43.46 Assay of sex hormone globul
84275 $26.88 Assay of sialic acid
84285 $50.42 Assay of silica
84295 $9.62 Assay of serum sodium
84295 $9.62 Assay of serum sodium
84300 $10.12 Assay of urine sodium
84302 $9.72 Assay of sweat sodium
84305 $42.52 Assay of somatomedin
84307 $36.56 Assay of somatostatin
84311 $16.20 Spectrophotometry
84315 $6.56 Body fluid specific gravity
84375 $78.00 Chromatogram assay sugars
84376 $11.00 Sugars single qual
84377 $11.00 Sugars multiple qual
84378 $23.06 Sugars single quant
84379 $23.06 Sugars multiple quant
84392 $10.98 Assay of urine sulfate
84402 $50.94 Assay of free testosterone
84403 $51.62 Assay of total testosterone
84410 $102.56 Testosterone bioavailable
84425 $42.46 Assay of vitamin b-1
84430 $23.26 Assay of thiocyanate
84431 $70.22 Thromboxane urine
84432 $32.12 Assay of thyroglobulin
84436 $13.74 Assay of total thyroxine
84437 $12.94 Assay of neonatal thyroxine
84439 $18.04 Assay of free thyroxine
84442 $29.56 Assay of thyroid activity
84443 $33.60 Assay thyroid stim hormone
84443 $33.60 Assay thyroid stim hormone
84445 $101.72 Assay of tsi globulin
84446 $28.36 Assay of vitamin e
84449 $36.00 Assay of transcortin
84450 $10.36 Transferase (ast) (sgot)
84450 $10.36 Transferase (ast) (sgot)
84460 $10.60 Alanine amino (alt) (sgpt)
84460 $10.60 Alanine amino (alt) (sgpt)
84466 $25.52 Assay of transferrin
84478 $11.48 Assay of triglycerides
84478 $11.48 Assay of triglycerides
84479 $12.94 Assay of thyroid (t3 or t4)
84480 $28.36 Assay triiodothyronine (t3)
84481 $33.88 Free assay (ft-3)
84482 $31.52 T3 reverse
84484 $24.94 Assay of troponin quant
84485 $14.40 Assay duodenal fluid trypsin
84488 $14.60 Test feces for trypsin
84490 $19.86 Assay of feces for trypsin
84510 $21.26 Assay of tyrosine
84512 $20.18 Assay of troponin qual
84520 $7.90 Assay of urea nitrogen
84520 $7.90 Assay of urea nitrogen
84525 $10.26 Urea nitrogen semi-quant
84540 $11.12 Assay of urine/urea-n
84545 $14.40 Urea-n clearance test
84550 $9.04 Assay of blood/uric acid
84550 $9.04 Assay of blood/uric acid
84560 $10.16 Assay of urine/uric acid
84577 $33.60 Assay of feces/urobilinogen
84578 $8.94 Test urine urobilinogen
84580 $19.10 Assay of urine urobilinogen
84583 $12.10 Assay of urine urobilinogen
84585 $31.00 Assay of urine vma
84586 $70.66 Assay of vip
84588 $67.88 Assay of vasopressin
84590 $23.22 Assay of vitamin a
84591 $34.12 Assay of nos vitamin
84597 $27.44 Assay of vitamin k
84600 $34.22 Assay of volatiles
84620 $25.82 Xylose tolerance test
84630 $22.78 Assay of zinc
84681 $41.62 Assay of c-peptide
84702 $30.10 Chorionic gonadotropin test
84703 $15.04 Chorionic gonadotropin assay
84703 $15.04 Chorionic gonadotropin assay
84704 $30.58 Hcg free betachain test
84830 $25.40 Ovulation tests
85002 $9.64 Bleeding time test
85004 $12.94 Automated diff wbc count
85007 $7.60 Bl smear w/diff wbc count
85008 $6.86 Bl smear w/o diff wbc count
85009 $10.14 Manual diff wbc count b-coat
85013 $14.00 Spun microhematocrit
85014 $4.74 Hematocrit
85014 $4.74 Hematocrit
85018 $4.74 Hemoglobin
85018 $4.74 Hemoglobin
85025 $15.54 Complete cbc w/auto diff wbc
85025 $15.54 Complete cbc w/auto diff wbc
85027 $12.94 Complete cbc automated
85032 $8.62 Manual cell count each
85041 $6.04 Automated rbc count
85044 $8.62 Manual reticulocyte count
85045 $7.98 Automated reticulocyte count
85046 $11.14 Reticyte/hgb concentrate
85048 $5.08 Automated leukocyte count
85049 $8.96 Automated platelet count
85055 $71.48 Reticulated platelet assay
85130 $23.78 Chromogenic substrate assay
85170 $32.60 Blood clot retraction
85175 $40.74 Blood clot lysis time
85210 $25.96 Clot factor ii prothrom spec
85220 $35.30 Blooc clot factor v test
85230 $35.80 Clot factor vii proconvertin
85240 $35.80 Clot factor viii ahg 1 stage
85244 $40.84 Clot factor viii reltd antgn
85245 $45.88 Clot factor viii vw ristoctn
85246 $45.88 Clot factor viii vw antigen
85247 $45.88 Clot factor viii multimetric
85250 $38.08 Clot factor ix ptc/chrstmas
85260 $35.80 Clot factor x stuart-power
85270 $35.80 Clot factor xi pta
85280 $38.70 Clot factor xii hageman
85290 $32.68 Clot factor xiii fibrin stab
85291 $18.22 Clot factor xiii fibrin scrn
85292 $37.86 Clot factor fletcher fact
85293 $37.86 Clot factor wght kininogen
85300 $23.70 Antithrombin iii activity
85301 $21.62 Antithrombin iii antigen
85302 $24.02 Clot inhibit prot c antigen
85303 $27.68 Clot inhibit prot c activity
85305 $23.22 Clot inhibit prot s total
85306 $30.64 Clot inhibit prot s free
85307 $30.64 Assay activated protein c
85335 $25.74 Factor inhibitor test
85337 $34.54 Thrombomodulin
85345 $9.38 Coagulation time lee & white
85347 $8.56 Coagulation time activated
85348 $8.98 Coagulation time otr method
85360 $16.82 Euglobulin lysis
85362 $13.78 Fibrin degradation products
85366 $160.92 Fibrinogen test
85370 $24.86 Fibrinogen test
85378 $19.44 Fibrin degrade semiquant
85379 $20.36 Fibrin degradation quant
85380 $20.36 Fibrin degradj d-dimer
85384 $19.44 Fibrinogen activity
85385 $28.92 Fibrinogen antigen
85390 $30.96 Fibrinolysins screen i&r
85397 $61.72 Clotting funct activity
85400 $15.42 Fibrinolytic plasmin
85410 $15.42 Fibrinolytic antiplasmin
85415 $34.38 Fibrinolytic plasminogen
85420 $13.06 Fibrinolytic plasminogen
85421 $20.36 Fibrinolytic plasminogen
85441 $8.40 Heinz bodies direct
85445 $13.64 Heinz bodies induced
85460 $15.46 Hemoglobin fetal
85461 $18.72 Hemoglobin fetal
85475 $17.74 Hemolysin acid
85520 $26.18 Heparin assay
85525 $23.68 Heparin neutralization
85530 $26.18 Heparin-protamine tolerance
85536 $13.76 Iron stain peripheral blood
85540 $17.20 Wbc alkaline phosphatase
85547 $17.20 Rbc mechanical fragility
85549 $37.50 Muramidase
85555 $14.94 Rbc osmotic fragility
85557 $26.72 Rbc osmotic fragility
85576 $49.82 Blood platelet aggregation
85576 $49.82 Blood platelet aggregation
85597 $35.96 Phospholipid pltlt neutraliz
85598 $35.96 Hexagnal phosph pltlt neutrl
85610 $8.58 Prothrombin time
85610 $8.58 Prothrombin time
85611 $7.88 Prothrombin test
85612 $34.98 Viper venom prothrombin time
85613 $19.16 Russell viper venom diluted
85635 $19.70 Reptilase test
85651 $8.54 Rbc sed rate nonautomated
85652 $5.40 Rbc sed rate automated
85660 $11.02 Rbc sickle cell test
85670 $11.54 Thrombin time plasma
85675 $13.70 Thrombin time titer
85705 $19.26 Thromboplastin inhibition
85730 $12.02 Thromboplastin time partial
85732 $12.94 Thromboplastin time partial
85810 $23.34 Blood viscosity examination
86000 $13.96 Agglutinins febrile antigen
86001 $15.64 Allergen specific igg
86003 $10.44 Allg spec ige crude xtrc ea
86005 $15.94 Allg spec ige multiallg scr
86008 $35.86 Allg spec ige recomb ea
86021 $30.10 Wbc antibody identification
86022 $36.74 Platelet antibodies
86023 $24.92 Immunoglobulin assay
86038 $24.18 Antinuclear antibodies
86039 $22.32 Antinuclear antibodies (ana)
86060 $14.60 Antistreptolysin o titer
86063 $11.54 Antistreptolysin o screen
86140 $10.36 C-reactive protein
86141 $25.90 C-reactive protein hs
86146 $50.90 Beta-2 glycoprotein antibody
86147 $50.90 Cardiolipin antibody ea ig
86148 $32.14 Anti-phospholipid antibody
86152 $501.56 Cell enumeration & id
86155 $31.98 Chemotaxis assay
86156 $16.14 Cold agglutinin screen
86157 $16.12 Cold agglutinin titer
86160 $24.00 Complement antigen
86161 $24.00 Complement/function activity
86162 $40.64 Complement total (ch50)
86171 $20.02 Complement fixation each
86200 $25.90 Ccp antibody
86215 $26.50 Deoxyribonuclease antibody
86225 $27.48 Dna antibody native
86226 $24.22 Dna antibody single strand
86235 $35.86 Nuclear antigen antibody
86255 $24.10 Fluorescent antibody screen
86256 $24.10 Fluorescent antibody titer
86277 $31.48 Growth hormone antibody
86280 $16.38 Hemagglutination inhibition
86294 $51.14 Immunoassay tumor qual
86294 $51.14 Immunoassay tumor qual
86300 $41.62 Immunoassay tumor ca 15-3
86301 $41.62 Immunoassay tumor ca 19-9
86304 $41.62 Immunoassay tumor ca 125
86305 $41.62 Human epididymis protein 4
86308 $10.36 Heterophile antibody screen
86308 $10.36 Heterophile antibody screen
86309 $12.94 Heterophile antibody titer
86310 $14.74 Heterophile antibody absrbj
86316 $41.62 Immunoassay tumor other
86317 $29.98 Immunoassay infectious agent
86318 $36.18 Immunoassay infectious agent
86318 $36.18 Immunoassay infectious agent
86320 $59.84 Serum immunoelectrophoresis
86325 $46.26 Other immunoelectrophoresis
86327 $59.84 Immunoelectrophoresis assay
86329 $28.10 Immunodiffusion nes
86331 $23.96 Immunodiffusion ouchterlony
86332 $48.74 Immune complex assay
86334 $44.68 Immunofix e-phoresis serum
86335 $58.70 Immunfix e-phorsis/urine/csf
86336 $31.18 Inhibin a
86337 $42.82 Insulin antibodies
86340 $30.16 Intrinsic factor antibody
86341 $47.14 Islet cell antibody
86343 $24.92 Leukocyte histamine release
86344 $20.78 Leukocyte phagocytosis
86352 $271.72 Cell function assay w/stim
86353 $98.06 Lymphocyte transformation
86355 $75.46 B cells total count
86356 $53.56 Mononuclear cell antigen
86357 $75.46 Nk cells total count
86359 $75.46 T cells total count
86360 $93.96 T cell absolute count/ratio
86361 $53.56 T cell absolute count
86367 $155.56 Stem cells total count
86376 $29.10 Microsomal antibody each
86382 $33.82 Neutralization test viral
86384 $27.22 Nitroblue tetrazolium dye
86386 $43.56 Nuclear matrix protein 22
86386 $43.56 Nuclear matrix protein 22
86403 $23.08 Particle agglut antbdy scrn
86406 $21.28 Particle agglut antbdy titr
86430 $12.28 Rheumatoid factor test qual
86431 $11.34 Rheumatoid factor quant
86480 $123.96 Tb test cell immun measure
86481 $200.00 Tb ag response t-cell susp
86590 $25.32 Streptokinase antibody
86592 $8.54 Syphilis test non-trep qual
86593 $8.80 Syphilis test non-trep quant
86602 $20.36 Antinomyces antibody
86603 $25.74 Adenovirus antibody
86606 $30.10 Aspergillus antibody
86609 $25.76 Bacterium antibody
86611 $20.36 Bartonella antibody
86612 $25.80 Blastomyces antibody
86615 $26.38 Bordetella antibody
86617 $30.98 Lyme disease antibody
86618 $34.06 Lyme disease antibody
86618 $34.06 Lyme disease antibody
86619 $26.76 Borrelia antibody
86622 $17.86 Brucella antibody
86625 $26.24 Campylobacter antibody
86628 $24.02 Candida antibody
86631 $23.64 Chlamydia antibody
86632 $25.36 Chlamydia igm antibody
86635 $22.94 Coccidioides antibody
86638 $24.24 Q fever antibody
86641 $28.82 Cryptococcus antibody
86644 $28.78 Cmv antibody
86645 $33.70 Cmv antibody igm
86648 $30.42 Diphtheria antibody
86651 $26.38 Encephalitis californ antbdy
86652 $26.38 Encephaltis east eqne anbdy
86653 $26.38 Encephaltis st louis antbody
86654 $26.38 Encephaltis west eqne antbdy
86658 $26.06 Enterovirus antibody
86663 $26.24 Epstein-barr antibody
86664 $30.58 Epstein-barr nuclear antigen
86665 $36.28 Epstein-barr capsid vca
86666 $20.36 Ehrlichia antibody
86668 $28.32 Francisella tularensis
86671 $24.50 Fungus nes antibody
86674 $29.44 Giardia lamblia antibody
86677 $33.70 Helicobacter pylori antibody
86682 $26.02 Helminth antibody
86684 $31.68 Hemophilus influenza antibdy
86687 $18.18 Htlv-i antibody
86688 $28.00 Htlv-ii antibody
86689 $38.70 Htlv/hiv confirmj antibody
86692 $34.32 Hepatitis delta agent antbdy
86694 $28.78 Herpes simplex nes antbdy
86695 $26.38 Herpes simplex type 1 test
86696 $38.70 Herpes simplex type 2 test
86698 $27.58 Histoplasma antibody
86701 $17.78 Hiv-1antibody
86701 $17.78 Hiv-1antibody
86702 $27.04 Hiv-2 antibody
86703 $27.42 Hiv-1/hiv-2 1 result antbdy
86704 $24.10 Hep b core antibody total
86705 $23.54 Hep b core antibody igm
86706 $21.48 Hep b surface antibody
86707 $23.14 Hepatitis be antibody
86708 $24.78 Hepatitis a antibody
86709 $22.52 Hepatitis a igm antibody
86710 $27.10 Influenza virus antibody
86711 $33.78 John cunningham antibody
86713 $30.60 Legionella antibody
86717 $24.50 Leishmania antibody
86720 $32.40 Leptospira antibody
86723 $26.38 Listeria monocytogenes
86727 $25.74 Lymph choriomeningitis ab
86732 $30.00 Mucormycosis antibody
86735 $26.10 Mumps antibody
86738 $26.48 Mycoplasma antibody
86741 $26.38 Neisseria meningitidis
86744 $31.98 Nocardia antibody
86747 $30.06 Parvovirus antibody
86750 $26.38 Malaria antibody
86753 $24.78 Protozoa antibody nos
86756 $31.78 Respiratory virus antibody
86757 $38.70 Rickettsia antibody
86759 $36.46 Rotavirus antibody
86762 $28.78 Rubella antibody
86765 $25.76 Rubeola antibody
86768 $26.38 Salmonella antibody
86771 $48.96 Shigella antibody
86774 $29.60 Tetanus antibody
86777 $28.78 Toxoplasma antibody
86778 $28.82 Toxoplasma antibody igm
86780 $26.48 Treponema pallidum
86780 $26.48 Treponema pallidum
86784 $25.12 Trichinella antibody
86787 $25.76 Varicella-zoster antibody
86788 $33.70 West nile virus ab igm
86789 $28.78 West nile virus antibody
86790 $25.76 Virus antibody nos
86793 $26.38 Yersinia antibody
86794 $33.70 Zika virus igm antibody
86800 $31.82 Thyroglobulin antibody
86803 $28.54 Hepatitis c ab test
86803 $28.54 Hepatitis c ab test
86804 $30.98 Hep c ab test confirm
86805 $379.02 Lymphocytotoxicity assay
86806 $95.18 Lymphocytotoxicity assay
86807 $157.30 Cytotoxic antibody screening
86808 $59.36 Cytotoxic antibody screening
86812 $51.62 Hla typing a b or c
86813 $116.00 Hla typing a b or c
86816 $60.34 Hla typing dr/dq
86817 $212.28 Hla typing dr/dq
86821 $73.12 Lymphocyte culture mixed
86825 $218.98 Hla x-math non-cytotoxic
86826 $73.06 Hla x-match noncytotoxc addl
86828 $128.38 Hla class i&ii antibody qual
86829 $128.38 Hla class i/ii antibody qual
86830 $191.04 Hla class i phenotype qual
86831 $163.76 Hla class ii phenotype qual
86832 $647.50 Hla class i high defin qual
86833 $651.60 Hla class ii high defin qual
86834 $715.12 Hla class i semiquant panel
86835 $645.92 Hla class ii semiquant panel
86850 $19.54 Rbc antibody screen
86880 $10.78 Coombs test direct
86885 $11.44 Coombs test indirect qual
86886 $10.36 Coombs test indirect titer
86900 $5.98 Blood typing serologic abo
86901 $5.98 Blood typing serologic rh(d)
86902 $12.70 Blood type antigen donor ea
86904 $32.68 Blood typing patient serum
86905 $7.66 Blood typing rbc antigens
86906 $15.50 Bld typing serologic rh phnt
86940 $17.54 Hemolysins/agglutinins auto
86941 $24.22 Hemolysins/agglutinins
87003 $33.68 Small animal inoculation
87015 $13.36 Specimen infect agnt concntj
87040 $20.64 Blood culture for bacteria
87045 $18.88 Feces culture aerobic bact
87046 $18.88 Stool cultr aerobic bact ea
87070 $17.24 Culture othr specimn aerobic
87071 $19.78 Culture aerobic quant other
87073 $19.32 Culture bacteria anaerobic
87075 $18.94 Cultr bacteria except blood
87076 $16.16 Culture anaerobe ident each
87077 $16.16 Culture aerobic identify
87077 $16.16 Culture aerobic identify
87081 $13.26 Culture screen only
87084 $54.14 Culture of specimen by kit
87086 $16.14 Urine culture/colony count
87088 $16.18 Urine bacteria culture
87101 $15.42 Skin fungi culture
87102 $16.82 Fungus isolation culture
87103 $40.92 Blood fungus culture
87106 $20.64 Fungi identification yeast
87107 $20.64 Fungi identification mold
87109 $30.78 Mycoplasma
87110 $39.20 Chlamydia culture
87116 $21.60 Mycobacteria culture
87118 $29.22 Mycobacteric identification
87140 $11.14 Culture type immunofluoresc
87143 $25.04 Culture typing glc/hplc
87147 $10.36 Culture type immunologic
87149 $40.10 Dna/rna direct probe
87150 $70.18 Dna/rna amplified probe
87152 $15.48 Culture type pulse field gel
87153 $230.72 Dna/rna sequencing
87158 $15.48 Culture typing added method
87164 $21.48 Dark field examination
87166 $22.60 Dark field examination
87168 $8.54 Macroscopic exam arthropod
87169 $8.62 Macroscopic exam parasite
87172 $8.54 Pinworm exam
87176 $11.76 Tissue homogenization cultr
87177 $17.80 Ova and parasites smears
87181 $9.50 Microbe susceptible diffuse
87184 $14.96 Microbe susceptible disk
87185 $9.50 Microbe susceptible enzyme
87186 $17.30 Microbe susceptible mic
87187 $80.34 Microbe susceptible mlc
87188 $13.28 Microbe suscept macrobroth
87190 $14.62 Microbe suscept mycobacteri
87197 $30.04 Bactericidal level serum
87205 $8.54 Smear gram stain
87206 $10.78 Smear fluorescent/acid stai
87207 $11.98 Smear special stain
87209 $35.96 Smear complex stain
87210 $11.64 Smear wet mount saline/ink
87210 $11.64 Smear wet mount saline/ink
87220 $8.54 Tissue exam for fungi
87230 $39.48 Assay toxin or antitoxin
87250 $39.12 Virus inoculate eggs/animal
87252 $52.14 Virus inoculation tissue
87253 $40.40 Virus inoculate tissue addl
87254 $39.12 Virus inoculation shell via
87255 $67.72 Genet virus isolate hsv
87260 $28.86 Adenovirus ag if
87265 $23.96 Pertussis ag if
87267 $26.84 Enterovirus antibody dfa
87269 $27.22 Giardia ag if
87270 $23.96 Chlamydia trachomatis ag if
87271 $26.84 Cytomegalovirus dfa
87272 $23.96 Cryptosporidium ag if
87273 $23.96 Herpes simplex 2 ag if
87274 $23.96 Herpes simplex 1 ag if
87275 $24.50 Influenza b ag if
87276 $32.14 Influenza a ag if
87278 $31.20 Legion pneumophilia ag if
87279 $32.86 Parainfluenza ag if
87280 $26.84 Respiratory syncytial ag if
87281 $23.96 Pneumocystis carinii ag if
87283 $121.60 Rubeola ag if
87285 $24.36 Treponema pallidum ag if
87290 $26.84 Varicella zoster ag if
87299 $32.20 Antibody detection nos if
87300 $23.96 Ag detection polyval if
87301 $23.96 Adenovirus ag ia
87305 $23.96 Aspergillus ag ia
87320 $30.00 Chylmd trach ag ia
87324 $23.96 Clostridium ag ia
87327 $26.84 Cryptococcus neoform ag ia
87328 $27.64 Cryptosporidium ag ia
87329 $23.96 Giardia ag ia
87332 $23.96 Cytomegalovirus ag ia
87335 $25.32 E coli 0157 ag ia
87336 $32.00 Entamoeb hist dispr ag ia
87337 $23.96 Entamoeb hist group ag ia
87338 $28.76 Hpylori stool ia
87338 $28.76 Hpylori stool ia
87339 $32.00 H pylori ag ia
87340 $20.66 Hepatitis b surface ag ia
87341 $20.66 Hepatitis b surface ag ia
87350 $23.06 Hepatitis be ag ia
87380 $36.72 Hepatitis delta ag ia
87385 $26.50 Histoplasma capsul ag ia
87389 $48.16 Hiv-1 ag w/hiv-1 & hiv-2 ab
87389 $48.16 Hiv-1 ag w/hiv-1 & hiv-2 ab
87390 $48.12 Hiv-1 ag ia
87391 $43.80 Hiv-2 ag ia
87400 $28.26 Influenza a/b ag ia
87420 $27.82 Resp syncytial ag ia
87425 $23.96 Rotavirus ag ia
87427 $23.96 Shiga-like toxin ag ia
87430 $33.62 Strep a ag ia
87449 $23.96 Ag detect nos ia mult
87449 $23.96 Ag detect nos ia mult
87450 $19.18 Ag detect nos ia single
87451 $21.02 Ag detect polyval ia mult
87471 $70.18 Bartonella dna amp probe
87472 $85.68 Bartonella dna quant
87475 $40.10 Lyme dis dna dir probe
87476 $70.18 Lyme dis dna amp probe
87480 $40.10 Candida dna dir probe
87481 $70.18 Candida dna amp probe
87482 $111.48 Candida dna quant
87483 $833.56 Cns dna amp probe type 12-25
87485 $40.10 Chylmd pneum dna dir probe
87486 $70.18 Chylmd pneum dna amp probe
87487 $85.68 Chylmd pneum dna quant
87490 $45.50 Chylmd trach dna dir probe
87491 $70.18 Chylmd trach dna amp probe
87492 $106.94 Chylmd trach dna quant
87493 $74.54 C diff amplified probe
87495 $60.06 Cytomeg dna dir probe
87496 $70.18 Cytomeg dna amp probe
87497 $85.68 Cytomeg dna quant
87498 $70.18 Enterovirus probe&revrs trns
87500 $70.18 Vanomycin dna amp probe
87501 $102.62 Influenza dna amp prob 1+
87502 $191.60 Influenza dna amp probe
87502 $191.60 Influenza dna amp probe
87503 $58.44 Influenza dna amp prob addl
87505 $256.58 Nfct agent detection gi
87506 $525.98 Iadna-dna/rna probe tq 6-11
87507 $833.56 Iadna-dna/rna probe tq 12-25
87510 $40.10 Gardner vag dna dir probe
87511 $70.18 Gardner vag dna amp probe
87512 $83.52 Gardner vag dna quant
87516 $70.18 Hepatitis b dna amp probe
87517 $85.68 Hepatitis b dna quant
87520 $62.44 Hepatitis c rna dir probe
87521 $70.18 Hepatitis c probe&rvrs trnsc
87522 $85.68 Hepatitis c revrs trnscrpj
87525 $59.60 Hepatitis g dna dir probe
87526 $78.52 Hepatitis g dna amp probe
87527 $83.52 Hepatitis g dna quant
87528 $40.10 Hsv dna dir probe
87529 $70.18 Hsv dna amp probe
87530 $85.68 Hsv dna quant
87531 $116.00 Hhv-6 dna dir probe
87532 $70.18 Hhv-6 dna amp probe
87533 $83.52 Hhv-6 dna quant
87534 $43.84 Hiv-1 dna dir probe
87535 $70.18 Hiv-1 probe&reverse trnscrpj
87536 $170.20 Hiv-1 quant&revrse trnscrpj
87537 $43.84 Hiv-2 dna dir probe
87538 $70.18 Hiv-2 probe&revrse trnscripj
87539 $117.24 Hiv-2 quant&revrse trnscripj
87540 $40.10 Legion pneumo dna dir prob
87541 $70.18 Legion pneumo dna amp prob
87542 $83.52 Legion pneumo dna quant
87550 $40.10 Mycobacteria dna dir probe
87551 $96.48 Mycobacteria dna amp probe
87552 $85.68 Mycobacteria dna quant
87555 $53.76 M.tuberculo dna dir probe
87556 $83.36 M.tuberculo dna amp probe
87557 $85.68 M.tuberculo dna quant
87560 $54.58 M.avium-intra dna dir prob
87561 $70.18 M.avium-intra dna amp prob
87562 $85.68 M.avium-intra dna quant
87563 $70.18 M. genitalium amp probe
87580 $40.10 M.pneumon dna dir probe
87581 $70.18 M.pneumon dna amp probe
87582 $605.24 M.pneumon dna quant
87590 $53.76 N.gonorrhoeae dna dir prob
87591 $70.18 N.gonorrhoeae dna amp prob
87592 $85.68 N.gonorrhoeae dna quant
87623 $70.18 Hpv low-risk types
87624 $70.18 Hpv high-risk types
87625 $81.10 Hpv types 16 & 18 only
87631 $285.26 Resp virus 3-5 targets
87631 $285.26 Resp virus 3-5 targets
87632 $436.12 Resp virus 6-11 targets
87633 $833.56 Resp virus 12-25 targets
87633 $833.56 Resp virus 12-25 targets
87634 $140.40 Rsv dna/rna amp probe
87634 $140.40 Rsv dna/rna amp probe
87640 $70.18 Staph a dna amp probe
87641 $70.18 Mr-staph dna amp probe
87650 $40.10 Strep a dna dir probe
87650 $40.10 Strep a dna dir probe
87651 $70.18 Strep a dna amp probe
87651 $70.18 Strep a dna amp probe
87652 $83.52 Strep a dna quant
87653 $70.18 Strep b dna amp probe
87660 $40.10 Trichomonas vagin dir probe
87661 $70.18 Trichomonas vaginalis amplif
87662 $102.62 Zika virus dna/rna amp probe
87797 $60.06 Detect agent nos dna dir
87798 $70.18 Detect agent nos dna amp
87799 $85.68 Detect agent nos dna quant
87800 $87.34 Detect agnt mult dna direc
87801 $140.40 Detect agnt mult dna ampli
87801 $140.40 Detect agnt mult dna ampli
87802 $25.46 Strep b assay w/optic
87803 $32.00 Clostridium toxin a w/optic
87804 $33.10 Influenza assay w/optic
87804 $33.10 Influenza assay w/optic
87806 $65.54 Hiv antigen w/hiv antibodies
87806 $65.54 Hiv antigen w/hiv antibodies
87807 $26.20 Rsv assay w/optic
87807 $26.20 Rsv assay w/optic
87808 $30.58 Trichomonas assay w/optic
87808 $30.58 Trichomonas assay w/optic
87809 $43.52 Adenovirus assay w/optic
87809 $43.52 Adenovirus assay w/optic
87810 $70.58 Chylmd trach assay w/optic
87850 $49.12 N. gonorrhoeae assay w/optic
87880 $33.06 Strep a assay w/optic
87880 $33.06 Strep a assay w/optic
87899 $32.14 Agent nos assay w/optic
87899 $32.14 Agent nos assay w/optic
87900 $260.70 Phenotype infect agent drug
87901 $514.90 Genotype dna hiv reverse t
87902 $514.90 Genotype dna/rna hep c
87903 $977.32 Phenotype dna hiv w/culture
87904 $52.14 Phenotype dna hiv w/clt add
87905 $24.44 Sialidase enzyme assay
87905 $24.44 Sialidase enzyme assay
87906 $257.46 Genotype dna/rna hiv
87910 $514.90 Genotype cytomegalovirus
87912 $514.90 Genotype dna hepatitis b
88130 $35.96 Sex chromatin identification
88140 $15.98 Sex chromatin identification
88142 $40.52 Cytopath c/v thin layer
88143 $46.08 Cytopath c/v thin layer redo
88147 $101.12 Cytopath c/v automated
88148 $32.00 Cytopath c/v auto rescreen
88150 $30.24 Cytopath c/v manual
88152 $55.28 Cytopath c/v auto redo
88153 $48.06 Cytopath c/v redo
88155 $29.30 Cytopath c/v index add-on
88164 $30.24 Cytopath tbs c/v manual
88165 $84.44 Cytopath tbs c/v redo
88166 $30.24 Cytopath tbs c/v auto redo
88167 $30.24 Cytopath tbs c/v select
88174 $50.74 Cytopath c/v auto in fluid
88175 $53.22 Cytopath c/v auto fluid redo
88230 $232.98 Tissue culture lymphocyte
88233 $281.46 Tissue culture skin/biopsy
88235 $300.60 Tissue culture placenta
88237 $287.50 Tissue culture bone marrow
88239 $295.04 Tissue culture tumor
88240 $26.14 Cell cryopreserve/storage
88241 $24.18 Frozen cell preparation
88245 $346.34 Chromosome analysis 20-25
88248 $346.34 Chromosome analysis 50-100
88249 $346.34 Chromosome analysis 100
88261 $528.68 Chromosome analysis 5
88262 $250.98 Chromosome analysis 15-20
88263 $300.58 Chromosome analysis 45
88264 $289.22 Chromosome analysis 20-25
88267 $377.14 Chromosome analys placenta
88269 $347.32 Chromosome analys amniotic
88271 $42.84 Cytogenetics dna probe
88272 $81.40 Cytogenetics 3-5
88273 $69.62 Cytogenetics 10-30
88274 $84.76 Cytogenetics 25-99
88275 $102.38 Cytogenetics 100-300
88280 $66.94 Chromosome karyotype study
88283 $137.20 Chromosome banding study
88285 $53.82 Chromosome count additional
88289 $68.86 Chromosome study additional
88371 $44.46 Protein western blot tissue
88372 $52.44 Protein analysis w/probe
88720 $10.04 Bilirubin total transcut
88738 $10.04 Hgb quant transcutaneous
88740 $18.74 Transcutaneous carboxyhb
88741 $18.74 Transcutaneous methb
89050 $9.44 Body fluid cell count
89051 $11.20 Body fluid cell count
89055 $8.54 Leukocyte assessment fecal
89060 $14.66 Exam synovial fluid crystals
89125 $11.76 Specimen fat stain
89160 $9.70 Exam feces for meat fibers
89190 $11.58 Nasal smear for eosinophils
89300 $19.68 Semen analysis w/huhner
89300 $19.68 Semen analysis w/huhner
89310 $17.22 Semen analysis w/count
89320 $24.62 Semen anal vol/count/mot
89321 $24.10 Semen anal sperm detection
89321 $24.10 Semen anal sperm detection
89322 $31.00 Semen anal strict criteria
89325 $21.34 Sperm antibody test
89329 $39.18 Sperm evaluation test
89330 $20.76 Evaluation cervical mucus
89331 $39.18 Retrograde ejaculation anal
G0027 $13.00 Semen analysis
G0103 $38.62 Psa screening
G0123 $40.52 Screen cerv/vag thin layer
G0143 $54.10 Scr c/v cyto,thinlayer,rescr
G0144 $87.94 Scr c/v cyto,thinlayer,rescr
G0145 $52.98 Scr c/v cyto,thinlayer,rescr
G0147 $30.24 Scr c/v cyto, automated sys
G0148 $63.88 Scr c/v cyto, autosys, rescr
G0306 $15.54 Cbc/diffwbc w/o platelet
G0307 $12.94 Cbc without platelet
G0328 $36.10 Fecal blood scrn immunoassay
G0328 $36.10 Fecal blood scrn immunoassay
G0432 $39.14 Eia hiv-1/hiv-2 screen
G0433 $36.58 Elisa hiv-1/hiv-2 screen
G0433 $36.58 Elisa hiv-1/hiv-2 screen
G0435 $23.96 Oral hiv-1/hiv-2 screen
G0471 $10.00 Ven blood coll snf/hha
G0472 $92.70 Hep c screen high risk/other
G0472 $92.70 Hep c screen high risk/other
G0475 $48.16 Hiv combination assay
G0475 $48.16 Hiv combination assay
G0476 $70.18 Hpv combo assay ca screen
G0480 $228.86 Drug test def 1-7 classes
G0481 $313.18 Drug test def 8-14 classes
G0482 $397.48 Drug test def 15-21 classes
G0483 $493.84 Drug test def 22+ classes
G0499 $56.54 Hepb screen high risk indiv
G0659 $124.28 Drug test def simple all cl
G9143 $241.44 Warfarin respon genetic test
P2028 $9.90 Cephalin floculation test
P2029 $9.90 Congo red blood test
P2031 $9.90 Hair analysis
P2033 $9.90 Blood thymol turbidity
P2038 $9.90 Blood mucoprotein
P3000 $30.24 Screen pap by tech w md supv
P9612 $6.00 Catheterize for urine spec
P9615 $6.00 Urine specimen collect mult
Q0111 $30.24 Wet mounts/ w preparations
Q0112 $11.66 Potassium hydroxide preps
Q0113 $8.54 Pinworm examinations
Q0114 $19.48 Fern test
Q0115 $50.00 Post-coital mucous exam
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