|
88334 ap bill cytologic exam each additional site
|
$45.05 |
$45.05 |
$45.05 |
$97.65
|
|
Acute hepatitis panel
|
$608.44 |
$608.44 |
$608.44 |
$284.70
|
|
#afb mycobacteria suscep. #1
|
$27.03 |
$27.03 |
$27.03 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$288.85 |
$288.85 |
$288.85 |
$289.60
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$96.99 |
$96.99 |
$96.99 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$28.09 |
$28.09 |
$28.09 |
$43.45
|
|
Alkaline phosphatase
|
$25.44 |
$25.44 |
$25.44 |
$46.50
|
|
Allergen egg white ige
|
$8.35 |
$8.35 |
$8.35 |
$39.78
|
|
Alpha-fetoprotein tumor marker
|
$117.13 |
$117.13 |
$117.13 |
$103.60
|
|
Alt/sgpt
|
$27.03 |
$27.03 |
$27.03 |
$49.00
|
|
Amitriptyline (elavil) -sendout
|
$66.25 |
$66.25 |
$66.25 |
$101.17
|
|
Ammonia
|
$69.96 |
$69.96 |
$69.96 |
$123.48
|
|
Amphetamine confirm urine -sendout
|
$18.55 |
$18.55 |
$18.55 |
$94.50
|
|
Amphetamines 5 or more
|
$48.76 |
$48.76 |
$48.76 |
$93.60
|
|
Amylase
|
$37.63 |
$37.63 |
$37.63 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$261.29 |
$261.29 |
$261.29 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$261.29 |
$261.29 |
$261.29 |
$226.60
|
|
Antibody elution rbc reference
|
$104.94 |
$104.94 |
$104.94 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$101.76 |
$101.76 |
$101.76 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$216.24 |
$216.24 |
$216.24 |
$218.30
|
|
Antibody id rbc panel
|
$113.42 |
$113.42 |
$113.42 |
$291.75
|
|
Antibody screen rbc
|
$148.40 |
$148.40 |
$148.40 |
$105.00
|
|
Antidepressant not specified
|
$177.55 |
$177.55 |
$177.55 |
$89.50
|
|
Antinuclear antibodies
|
$72.08 |
$72.08 |
$72.08 |
$91.70
|
|
Antinuclear antibodies titer
|
$132.50 |
$132.50 |
$132.50 |
$80.25
|
|
Antistreptolysin o screen
|
$54.06 |
$54.06 |
$54.06 |
$59.40
|
|
Antistreptolysin o titer
|
$59.89 |
$59.89 |
$59.89 |
$57.85
|
|
Antithrombin iii activity
|
$160.06 |
$160.06 |
$160.06 |
$106.85
|
|
Assay phosphatidylglycerol
|
$133.56 |
$133.56 |
$133.56 |
$89.40
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$19.08 |
$19.08 |
$19.08 |
$47.25
|
|
Ast/sgot
|
$27.03 |
$27.03 |
$27.03 |
$46.20
|
|
Autologous blood op salvage
|
$301.57 |
$301.57 |
$301.57 |
$910.70
|
|
Autologous blood process
|
$141.51 |
$141.51 |
$141.51 |
$240.35
|
|
Automated diff wbc count
|
$60.95 |
$60.95 |
$60.95 |
$35.10
|
|
Bacterial vaginosis pcr
|
$329.13 |
$329.13 |
$329.13 |
$284.00
|
|
#_benzodiazconfur
|
$71.02 |
$71.02 |
$71.02 |
$100.75
|
|
Beta 2 glycoprotein 1 antibody iga
|
$85.33 |
$85.33 |
$85.33 |
$92.82
|
|
Bilirubin direct
|
$22.79 |
$22.79 |
$22.79 |
$49.31
|
|
Bilirubin total
|
$29.68 |
$29.68 |
$29.68 |
$51.50
|
|
Blood Clotting (PT/INR) Test
|
$32.86 |
$32.86 |
$32.86 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$39.22 |
$39.22 |
$39.22 |
$73.15
|
|
Blood Count (CBC) Test
|
$19.61 |
$19.61 |
$19.61 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$80.56 |
$80.56 |
$80.56 |
$62.15
|
|
Blood Culture Test
|
$105.47 |
$105.47 |
$105.47 |
$145.60
|
|
Blood draw capillary 36416
|
$14.84 |
$14.84 |
$14.84 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$87.45 |
$87.45 |
$87.45 |
$226.50
|
|
Blood gases ph venous
|
$53.00 |
$53.00 |
$53.00 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$48.23 |
$48.23 |
$48.23 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$24.38 |
$24.38 |
$24.38 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$38.16 |
$38.16 |
$38.16 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$48.76 |
$48.76 |
$48.76 |
$33.85
|
|
Blood smear microscopic w manual differential wbc count
|
$21.20 |
$21.20 |
$21.20 |
$37.05
|
|
Blood typing abo
|
$19.61 |
$19.61 |
$19.61 |
$83.03
|
|
Blood typing ag donor ea ag
|
$36.04 |
$36.04 |
$36.04 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$33.39 |
$33.39 |
$33.39 |
$181.74
|
|
Blood typing rh (d)
|
$19.61 |
$19.61 |
$19.61 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$72.61 |
$72.61 |
$72.61 |
$77.25
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$97.52 |
$97.52 |
$97.52 |
$96.72
|
|
(both sides) smear without diff wbc count
|
$18.55 |
$18.55 |
$18.55 |
$33.57
|
|
Bundled special stain group 1 microorganisms
|
$39.75 |
$39.75 |
$39.75 |
$165.10
|
|
Bundled special stain group 2
|
$85.33 |
$85.33 |
$85.33 |
$169.00
|
|
C1 esterase inhibitor func - sendout
|
$336.02 |
$336.02 |
$336.02 |
$103.35
|
|
Calcium ionized
|
$73.14 |
$73.14 |
$73.14 |
$88.40
|
|
Calcium total
|
$27.03 |
$27.03 |
$27.03 |
$48.75
|
|
Carbamazepine total therapeutic drug level
|
$88.51 |
$88.51 |
$88.51 |
$117.74
|
|
Carbon dioxide
|
$50.35 |
$50.35 |
$50.35 |
$45.65
|
|
Carboxyhemoglobin quantitative
|
$27.83 |
$27.83 |
$27.83 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$73.67 |
$73.67 |
$73.67 |
$146.25
|
|
Cardiolipin antibody iga
|
$126.14 |
$126.14 |
$126.14 |
$114.40
|
|
Cell count body fluid
|
$34.45 |
$34.45 |
$34.45 |
$63.63
|
|
Cell count w differential body fluid
|
$65.19 |
$65.19 |
$65.19 |
$97.83
|
|
Chlamydia type
|
$12.19 |
$12.19 |
$12.19 |
$34.80
|
|
Chloride
|
$25.44 |
$25.44 |
$25.44 |
$39.05
|
|
Cholesterol
|
$25.44 |
$25.44 |
$25.44 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$134.62 |
$134.62 |
$134.62 |
$115.70
|
|
Chromosome analys amniotic
|
$235.85 |
$235.85 |
$235.85 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$346.62 |
$346.62 |
$346.62 |
$433.01
|
|
#cmvcul-virus inoculation shell
|
$64.66 |
$64.66 |
$64.66 |
$102.57
|
|
Collection of venous blood by venipuncture
|
$12.72 |
$12.72 |
$12.72 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$74.73 |
$74.73 |
$74.73 |
$173.25
|
|
Compatibility test each unit electronic
|
$75.26 |
$75.26 |
$75.26 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$88.51 |
$88.51 |
$88.51 |
$169.52
|
|
Compatibility test incubate
|
$75.26 |
$75.26 |
$75.26 |
$143.65
|
|
Complement antigen each component c3
|
$336.02 |
$336.02 |
$336.02 |
$111.15
|
|
Concentration infection agents any type
|
$36.57 |
$36.57 |
$36.57 |
$51.32
|
|
Consultation pathology during surgery cytological exam initial site
|
$79.50 |
$79.50 |
$79.50 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$85.33 |
$85.33 |
$85.33 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$171.19 |
$171.19 |
$171.19 |
$214.00
|
|
Coombs direct
|
$46.11 |
$46.11 |
$46.11 |
$73.26
|
|
Cortisol total am
|
$108.65 |
$108.65 |
$108.65 |
$122.20
|
|
#coxa-coxsackie a serotype a16
|
$65.72 |
$65.72 |
$65.72 |
$65.36
|
|
C-peptide
|
$240.09 |
$240.09 |
$240.09 |
$100.00
|
|
C-reactive protein
|
$47.70 |
$47.70 |
$47.70 |
$63.00
|
|
C-reactive protein high sensitivity
|
$121.90 |
$121.90 |
$121.90 |
$91.65
|
|
Creatine kinase
|
$50.35 |
$50.35 |
$50.35 |
$59.78
|
|
Creatine kinase isoenzymes
|
$102.29 |
$102.29 |
$102.29 |
$46.34
|
|
Creatine kinase mb
|
$67.31 |
$67.31 |
$67.31 |
$111.00
|
|
Creatinine
|
$54.06 |
$54.06 |
$54.06 |
$44.10
|
|
Creatinine 24 hour urine
|
$54.06 |
$54.06 |
$54.06 |
$59.80
|
|
Cryptosporidium antigen
|
$31.80 |
$31.80 |
$31.80 |
$56.00
|
