2017 clinical diagnostic laboratory fee · pdf filepage 2 80178 18.14 assay of lithium 80178...

2017 Clinical Diagnostic Laboratory Fee Schedule CPT codes, descriptions and other data only are copyright 2017 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).

AR07102LOC 00

36415 6.00 Routine venipuncture78267 21.56 Breath tst attain/anal c-1478268 79.40 Breath test analysis c-1480047 23.20 Metabolic panel ionized ca80047 23.20 Metabolic panel ionized ca80048 23.20 Metabolic panel total ca80048 23.20 Metabolic panel total ca80051 19.24 Electrolyte panel80051 19.24 Electrolyte panel80053 28.98 Comprehen metabolic panel80053 28.98 Comprehen metabolic panel80055 131.16 Obstetric panel80061 34.90 Lipid panel80061 34.90 Lipid panel80069 23.82 Renal function panel80069 23.82 Renal function panel80074 130.68 Acute hepatitis panel80076 22.42 Hepatic function panel80081 205.38 Obstetric panel80150 41.36 Assay of amikacin80155 38.80 Drug screen quant caffeine80156 39.96 Assay carbamazepine total80157 36.36 Assay carbamazepine free80158 49.52 Assay of cyclosporine80159 50.74 Drug screen quant clozapine80162 36.42 Assay of digoxin80163 36.42 Assay of digoxin free80164 37.16 Assay dipropylacetic acid80165 37.16 Dipropylacetic acid free80168 44.82 Assay of ethosuximide80169 37.68 Drug screen quant everolimus80170 44.94 Assay of gentamicin80171 36.36 Drug screen quant gabapentin80173 39.96 Assay of haloperidol80175 36.36 Drug screen quan lamotrigine80176 40.30 Assay of lidocaine80177 36.36 Drug scrn quan levetiracetam

HCPCS SHORTDESC

80178 18.14 Assay of lithium80178 18.14 Assay of lithium80180 49.52 Drug scrn quan mycophenolate80183 36.36 Drug scrn quant oxcarbazepin80184 31.42 Assay of phenobarbital80185 36.36 Assay of phenytoin total80186 37.76 Assay of phenytoin free80188 45.52 Assay of primidone80190 45.96 Assay of procainamide80192 45.96 Assay of procainamide80194 40.06 Assay of quinidine80195 37.68 Assay of sirolimus80197 37.68 Assay of tacrolimus80198 38.80 Assay of theophylline80199 49.54 Drug screen quant tiagabine80200 44.24 Assay of tobramycin80201 32.70 Assay of topiramate80202 37.16 Assay of vancomycin80203 36.36 Drug screen quant zonisamide80299 37.58 Quantitative assay drug80305 29.92 Drug test prsmv dir opt obs80306 39.90 Drug test prsmv instrmnt80307 159.62 Drug test prsmv chem anlyzr80400 89.48 Acth stimulation panel80402 238.56 Acth stimulation panel80406 214.70 Acth stimulation panel80408 344.30 Aldosterone suppression eval80410 220.42 Calcitonin stimul panel80412 541.14 CRH stimulation panel80414 141.66 Testosterone response80415 153.32 Estradiol response panel80416 362.04 Renin stimulation panel80417 120.68 Renin stimulation panel80418 1348.00 Pituitary evaluation panel80420 197.66 Dexamethasone panel80422 126.40 Glucagon tolerance panel80424 138.54 Glucagon tolerance panel80426 407.16 Gonadotropin hormone panel80428 183.00 Growth hormone panel80430 215.32 Growth hormone panel80432 370.64 Insulin suppression panel80434 277.56 Insulin tolerance panel80435 282.62 Insulin tolerance panel80436 250.10 Metyrapone panel

80438 138.30 TRH stimulation panel80439 184.40 TRH stimulation panel81000 8.70 Urinalysis nonauto w/scope81001 8.70 Urinalysis auto w/scope81002 7.00 Urinalysis nonauto w/o scope81003 6.16 Urinalysis auto w/o scope81003 6.16 Urinalysis auto w/o scope81005 5.94 Urinalysis81007 7.04 Urine screen for bacteria81007 7.04 Urine screen for bacteria81015 8.36 Microscopic exam of urine81020 10.12 Urinalysis glass test81025 17.34 Urine pregnancy test81050 8.24 Urinalysis volume measure81161 282.24 Dmd dup/delet analysis81162 5006.52 Brca1&2 seq & full dup/del81170 663.64 Abl1 gene81206 449.82 Bcr/abl1 gene major bp81207 397.36 Bcr/abl1 gene minor bp81208 441.26 Bcr/abl1 gene other bp81210 360.46 Braf gene81211 4390.96 Brca1&2 seq & com dup/del81212 355.36 Brca1&2 185&5385&6174 var81213 1171.82 Brca1&2 uncom dup/del var81214 2892.04 Brca1 full seq & com dup/del81215 187.50 Brca1 gene known fam variant81217 187.50 Brca2 gene known fam variant81218 663.64 Cebpa gene full sequence81219 333.68 Calr gene com variants81225 586.80 Cyp2c19 gene com variants81226 908.14 Cyp2d6 gene com variants81227 352.06 Cyp2c9 gene com variants81235 663.64 Egfr gene com variants81240 135.00 F2 gene81241 167.64 F5 gene81245 333.68 Flt3 gene81246 167.24 Flt3 gene analysis81256 179.32 Hfe gene81261 543.18 Igh gene rearrange amp meth81262 119.76 Igh gene rearrang dir probe81263 808.00 Igh vari regional mutation81264 409.66 Igk rearrangeabn clonal pop81265 589.98 Str markers specimen anal81267 569.16 Chimerism anal no cell selec

81268 715.46 Chimerism anal w/cell select81270 251.48 Jak2 gene81272 663.64 Kit gene targeted seq analys81273 251.48 Kit gene analys d816 variant81275 397.14 Kras gene81276 397.14 Kras gene addl variants81287 167.34 Mgmt gene methylation anal81288 321.52 Mlh1 gene81291 119.76 Mthfr gene81292 1299.56 Mlh1 gene full seq81293 520.96 Mlh1 gene known variants81294 383.44 Mlh1 gene dup/delete variant81295 305.08 Msh2 gene full seq81296 260.50 Msh2 gene known variants81297 305.08 Msh2 gene dup/delete variant81298 578.82 Msh6 gene full seq81299 324.26 Msh6 gene known variants81300 325.14 Msh6 gene dup/delete variant81301 794.40 Microsatellite instability81310 497.00 Npm1 gene81311 595.72 Nras gene variants exon 2&381313 524.16 Pca3/klk3 antigen81314 663.64 Pdgfra gene81315 568.76 Pml/raralpha com breakpoints81316 867.52 Pml/raralpha 1 breakpoint81317 1571.16 Pms2 gene full seq analysis81318 371.24 Pms2 known familial variants81319 445.76 Pms2 gene dup/delet variants81321 1208.00 Pten gene full sequence81322 117.44 Pten gene known fam variant81323 176.16 Pten gene dup/delet variant81327 167.34 Sept9 methylation analysis81332 119.76 Serpina1 gene81340 573.16 Trb@ gene rearrange amplify81341 136.04 Trb@ gene rearrange dirprobe81342 552.80 Trg gene rearrangement anal81370 1103.22 Hla i & ii typing lr81371 660.34 Hla i & ii type verify lr81372 606.04 Hla i typing complete lr81373 305.52 Hla i typing 1 locus lr81374 199.58 Hla i typing 1 antigen lr81375 605.60 Hla ii typing ag equiv lr81376 335.32 Hla ii typing 1 locus lr81377 251.88 Hla ii type 1 ag equiv lr

81378 948.06 Hla i & ii typing hr81379 920.12 Hla i typing complete hr81380 486.28 Hla i typing 1 locus hr81381 259.48 Hla i typing 1 allele hr81382 339.32 Hla ii typing 1 loc hr81383 299.40 Hla ii typing 1 allele hr81410 0.00 Aortic dysfunction/dilation81411 0.00 Aortic dysfunction/dilation81412 1204.20 Ashkenazi jewish assoc dis81413 1604.66 Car ion chnnlpath inc 10 gns81414 1604.66 Car ion chnnlpath inc 2 gns81415 0.00 Exome sequence analysis81416 0.00 Exome sequence analysis81417 0.00 Exome re-evaluation81420 1604.66 Fetal chrmoml aneuploidy81422 1604.66 Fetal chrmoml microdeltj81425 0.00 Genome sequence analysis81426 0.00 Genome sequence analysis81427 0.00 Genome re-evaluation81430 0.00 Hearing loss sequence analys81431 0.00 Hearing loss dup/del analys81432 1862.96 Hrdtry brst ca-rlatd dsordrs81433 1204.20 Hrdtry brst ca-rlatd dsordrs81434 1204.20 Hereditary retinal disorders81435 1604.66 Hereditary colon cancer81436 1604.66 Hereditary colon ca synd81437 1204.20 Heredtry nurondcrn tum dsrdr81438 1204.20 Heredtry nurondcrn tum dsrdr81439 1604.66 Inherited cardmypthy 5 gns81440 0.00 Mitochondrial gene81442 1204.20 Noonan spectrum disorders81445 1204.20 Targeted genomic seq analys81450 1305.88 Targeted genomic seq analys81455 0.00 Targeted genomic seq analys81460 0.00 Whole mitochondrial genome81465 0.00 Whole mitochondrial genome81470 0.00 X-linked intellectual dblt81471 0.00 X-linked intellectual dblt81490 1181.22 Autoimmune rheumatoid arthr81493 2084.70 Cor artery disease mrna81519 6886.72 Oncology breast mrna81525 6251.46 Oncology colon mrna81528 1024.86 Oncology colorectal scr81535 746.36 Oncology gynecologic

81536 357.60 Oncology gynecologic81538 4253.56 Oncology lung81539 1204.20 Oncology prostate prob score81540 5840.60 Oncology tum unknown origin81545 6444.80 Oncology thyroid81595 5681.50 Cardiology hrt trnspl mrna82009 12.40 Test for acetone/ketones82010 19.26 Acetone assay82010 19.26 Acetone assay82013 30.64 Acetylcholinesterase assay82016 36.64 Acylcarnitines qual82017 46.28 Acylcarnitines quant82024 45.44 Assay of acth82030 70.78 Assay of adp & amp82040 13.58 Assay of serum albumin82040 13.58 Assay of serum albumin82042 14.20 Assay of urine albumin82042 14.20 Assay of urine albumin82043 15.86 Microalbumin quantitative82043 15.86 Microalbumin quantitative82044 5.20 Microalbumin semiquant82044 5.20 Microalbumin semiquant82045 93.12 Albumin ischemia modified82075 20.66 Assay of breath ethanol82085 26.64 Assay of aldolase82088 111.80 Assay of aldosterone82103 36.86 Alpha-1-antitrypsin total82104 39.68 Alpha-1-antitrypsin pheno82105 46.02 Alpha-fetoprotein serum82106 46.02 Alpha-fetoprotein amniotic82107 176.72 Alpha-fetoprotein l382108 23.96 Assay of aluminum82120 10.34 Amines vaginal fluid qual82120 10.34 Amines vaginal fluid qual82127 36.64 Amino acid single qual82128 36.64 Amino acids mult qual82131 46.28 Amino acids single quant82135 45.14 Assay aminolevulinic acid82136 46.28 Amino acids quant 2-582139 46.28 Amino acids quan 6 or more82140 23.98 Assay of ammonia82143 18.28 Amniotic fluid scan82150 17.78 Assay of amylase82150 17.78 Assay of amylase

82154 79.10 Androstanediol glucuronide82157 80.32 Assay of androstenedione82160 68.60 Assay of androsterone82163 56.30 Assay of angiotensin II82164 40.06 Angiotensin I enzyme test82172 42.52 Assay of apolipoprotein82175 52.04 Assay of arsenic82180 27.12 Assay of ascorbic acid82190 40.90 Atomic absorption82232 44.38 Assay of beta-2 protein82239 46.98 Bile acids total82240 72.92 Bile acids cholylglycine82247 13.76 Bilirubin total82247 13.76 Bilirubin total82248 13.76 Bilirubin direct82252 7.40 Fecal bilirubin test82261 46.28 Assay of biotinidase82270 8.92 Occult blood feces82271 8.92 Occult blood other sources82271 8.92 Occult blood other sources82272 8.92 Occult bld feces 1-3 tests82274 43.64 Assay test for blood fecal82274 43.64 Assay test for blood fecal82286 18.90 Assay of bradykinin82300 63.50 Assay of cadmium82306 81.22 Vitamin d 25 hydroxy82308 73.50 Assay of calcitonin82310 14.16 Assay of calcium82310 14.16 Assay of calcium82330 36.24 Assay of calcium82330 36.24 Assay of calcium82331 14.20 Calcium infusion test82340 16.54 Assay of calcium in urine82355 31.76 Calculus analysis qual82360 35.32 Calculus assay quant82365 35.38 Calculus spectroscopy82370 34.36 X-ray assay calculus82373 49.54 Assay c-d transfer measure82374 13.40 Assay blood carbon dioxide82374 13.40 Assay blood carbon dioxide82375 33.80 Assay carboxyhb quant82376 16.44 Assay carboxyhb qual82378 52.02 Carcinoembryonic antigen82379 46.28 Assay of carnitine

82380 25.30 Assay of carotene82382 47.16 Assay urine catecholamines82383 68.74 Assay blood catecholamines82384 69.28 Assay three catecholamines82387 57.10 Assay of cathepsin-d82390 29.46 Assay of ceruloplasmin82397 38.74 Chemiluminescent assay82415 34.76 Assay of chloramphenicol82435 12.62 Assay of blood chloride82435 12.62 Assay of blood chloride82436 13.80 Assay of urine chloride82438 13.40 Assay other fluid chlorides82441 14.78 Test for chlorohydrocarbons82465 11.94 Assay bld/serum cholesterol82465 11.94 Assay bld/serum cholesterol82480 21.60 Assay serum cholinesterase82482 21.06 Assay rbc cholinesterase82485 13.80 Assay chondroitin sulfate82495 19.20 Assay of chromium82507 76.28 Assay of citrate82523 51.26 Collagen crosslinks82523 51.26 Collagen crosslinks82525 34.04 Assay of copper82528 61.78 Assay of corticosterone82530 45.84 Cortisol free82533 44.72 Total cortisol82540 12.72 Assay of creatine82542 49.54 Column chromotography quant82550 17.86 Assay of ck (cpk)82550 17.86 Assay of ck (cpk)82552 36.74 Assay of cpk in blood82553 31.68 Creatine mb fraction82554 32.56 Creatine isoforms82565 14.06 Assay of creatinine82565 14.06 Assay of creatinine82570 14.20 Assay of urine creatinine82570 14.20 Assay of urine creatinine82575 25.94 Creatinine clearance test82585 23.54 Assay of cryofibrinogen82595 17.74 Assay of cryoglobulin82600 53.22 Assay of cyanide82607 41.36 Vitamin B-1282608 39.28 B-12 binding capacity82610 37.30 Cystatin c

82615 22.40 Test for urine cystines82626 69.34 Dehydroepiandrosterone82627 61.00 Dehydroepiandrosterone82633 85.00 Desoxycorticosterone82634 80.32 Deoxycortisol82638 33.60 Assay of dibucaine number82652 105.62 Vit d 1 25-dihydroxy82656 31.64 Pancreatic elastase fecal82657 49.54 Enzyme cell activity82658 49.54 Enzyme cell activity ra82664 94.24 Electrophoretic test82668 51.56 Assay of erythropoietin82670 76.64 Assay of estradiol82671 65.84 Assay of estrogens82672 59.52 Assay of estrogen82677 66.34 Assay of estriol82679 68.46 Assay of estrone82679 68.46 Assay of estrone82693 40.88 Assay of ethylene glycol82696 64.70 Assay of etiocholanolone82705 13.98 Fats/lipids feces qual82710 31.94 Fats/lipids feces quant82715 47.22 Assay of fecal fat82725 36.52 Assay of blood fatty acids82726 49.54 Long chain fatty acids82728 37.40 Assay of ferritin82731 176.72 Assay of fetal fibronectin82735 50.86 Assay of fluoride82746 40.34 Assay of folic acid serum82747 47.52 Assay of folic acid rbc82757 47.56 Assay of semen fructose82759 58.94 Assay of rbc galactokinase82760 22.22 Assay of galactose82775 57.80 Assay galactose transferase82776 17.60 Galactose transferase test82777 60.34 Galectin-382784 15.84 Assay iga/igd/igg/igm each82785 44.40 Assay of ige82787 22.00 Igg 1 2 3 or 4 each82800 23.22 Blood pH82803 53.08 Blood gases any combination82805 77.84 Blood gases w/o2 saturation82810 23.94 Blood gases o2 sat only82820 27.40 Hemoglobin-oxygen affinity

82930 10.26 Gastric analy w/ph ea spec82938 48.54 Gastrin test82941 48.38 Assay of gastrin82943 39.20 Assay of glucagon82945 10.78 Glucose other fluid82946 41.36 Glucagon tolerance test82947 10.78 Assay glucose blood quant82947 10.78 Assay glucose blood quant82948 8.70 Reagent strip/blood glucose82950 13.02 Glucose test82950 13.02 Glucose test82951 35.32 Glucose tolerance test (GTT)82951 35.32 Glucose tolerance test (GTT)82952 10.76 GTT-added samples82952 10.76 GTT-added samples82955 26.60 Assay of g6pd enzyme82960 16.60 Test for G6PD enzyme82962 6.42 Glucose blood test82963 58.94 Assay of glucosidase82965 19.20 Assay of gdh enzyme82977 19.76 Assay of GGT82977 19.76 Assay of GGT82978 39.10 Assay of glutathione82979 15.84 Assay rbc glutathione82985 41.36 Assay of glycated protein82985 41.36 Assay of glycated protein83001 50.98 Assay of gonadotropin (fsh)83001 50.98 Assay of gonadotropin (fsh)83002 50.80 Assay of gonadotropin (lh)83002 50.80 Assay of gonadotropin (lh)83003 45.74 Assay growth hormone (hgh)83006 60.34 Growth stimulation gene 283009 79.40 H pylori (c-13) blood83010 34.50 Assay of haptoglobin quant83012 47.16 Assay of haptoglobins83013 79.40 H pylori (c-13) breath83014 21.56 H pylori drug admin83015 51.66 Heavy metal screen83018 60.08 Quantitative screen metals83020 35.32 Hemoglobin electrophoresis83021 49.54 Hemoglobin chromotography83026 6.48 Hemoglobin copper sulfate83030 22.68 Fetal hemoglobin chemical83033 15.58 Fetal hemoglobin assay qual

83036 26.64 Glycosylated hemoglobin test83036 26.64 Glycosylated hemoglobin test83037 26.64 Glycosylated hb home device83037 26.64 Glycosylated hb home device83045 13.58 Blood methemoglobin test83050 15.88 Blood methemoglobin assay83051 20.06 Assay of plasma hemoglobin83060 22.68 Blood sulfhemoglobin assay83065 18.90 Assay of hemoglobin heat83068 23.22 Hemoglobin stability screen83069 10.84 Assay of urine hemoglobin83070 9.18 Assay of hemosiderin qual83080 46.28 Assay of b hexosaminidase83088 76.56 Assay of histamine83090 46.28 Assay of homocystine83150 24.76 Assay of homovanillic acid83491 48.08 Assay of corticosteroids 1783497 35.38 Assay of 5-hiaa83498 74.54 Assay of progesterone 17-d83499 69.16 Assay of progesterone 20-83500 62.14 Assay free hydroxyproline83505 66.68 Assay total hydroxyproline83516 31.64 Immunoassay nonantibody83516 31.64 Immunoassay nonantibody83518 12.58 Immunoassay dipstick83518 12.58 Immunoassay dipstick83519 24.72 Ria nonantibody83520 35.52 Immunoassay quant nos nonab83520 35.52 Immunoassay quant nos nonab83525 31.36 Assay of insulin83527 35.52 Assay of insulin83528 43.64 Assay of intrinsic factor83540 17.76 Assay of iron83550 23.98 Iron binding test83570 24.28 Assay of idh enzyme83582 38.88 Assay of ketogenic steroids83586 35.12 Assay 17- ketosteroids83593 72.16 Fractionation ketosteroids83605 29.30 Assay of lactic acid83605 29.30 Assay of lactic acid83615 16.56 Lactate (LD) (LDH) enzyme83625 35.10 Assay of ldh enzymes83630 53.86 Lactoferrin fecal (qual)83631 53.86 Lactoferrin fecal (quant)

83632 55.48 Placental lactogen83633 15.08 Test urine for lactose83655 33.22 Assay of lead83655 33.22 Assay of lead83661 60.32 L/s ratio fetal lung83662 51.88 Foam stability fetal lung83663 51.88 Fluoro polarize fetal lung83664 51.88 Lamellar bdy fetal lung83670 25.14 Assay of lap enzyme83690 18.90 Assay of lipase83695 35.52 Assay of lipoprotein(a)83698 93.12 Assay lipoprotein pla283700 30.88 Lipopro bld electrophoretic83701 66.84 Lipoprotein bld hr fraction83704 86.56 Lipoprotein bld by nmr83718 22.48 Assay of lipoprotein83718 22.48 Assay of lipoprotein83719 31.92 Assay of blood lipoprotein83721 26.18 Assay of blood lipoprotein83721 26.18 Assay of blood lipoprotein83727 47.16 Assay of lrh hormone83735 18.38 Assay of magnesium83775 20.22 Assay malate dehydrogenase83785 67.48 Assay of manganese83789 49.54 Mass spectrometry quant83825 44.60 Assay of mercury83835 41.32 Assay of metanephrines83857 29.46 Assay of methemalbumin83861 45.32 Microfluid analy tears83861 45.32 Microfluid analy tears83864 54.64 Mucopolysaccharides83872 14.32 Assay synovial fluid mucin83873 47.20 Assay of csf protein83874 35.44 Assay of myoglobin83876 93.12 Assay myeloperoxidase83880 93.12 Assay of natriuretic peptide83880 93.12 Assay of natriuretic peptide83883 37.30 Assay nephelometry not spec83885 67.24 Assay of nickel83915 30.60 Assay of nucleotidase83916 55.18 Oligoclonal bands83918 45.14 Organic acids total quant83919 45.14 Organic acids qual each83921 45.14 Organic acid single quant

83930 18.14 Assay of blood osmolality83935 18.70 Assay of urine osmolality83937 81.88 Assay of osteocalcin83945 35.32 Assay of oxalate83950 176.72 Oncoprotein her-2/neu83951 176.72 Oncoprotein dcp83970 113.24 Assay of parathormone83986 9.82 Assay ph body fluid nos83986 9.82 Assay ph body fluid nos83987 43.58 Exhaled breath condensate83992 38.28 Assay for phencyclidine83993 53.86 Assay for calprotectin fecal84030 15.02 Assay of blood pku84035 6.60 Assay of phenylketones84060 20.26 Assay acid phosphatase84061 21.70 Phosphatase forensic exam84066 26.50 Assay prostate phosphatase84075 14.20 Assay alkaline phosphatase84075 14.20 Assay alkaline phosphatase84078 13.02 Assay alkaline phosphatase84080 40.56 Assay alkaline phosphatases84081 45.32 Assay phosphatidylglycerol84085 17.60 Assay of rbc pg6d enzyme84087 28.32 Assay phosphohexose enzymes84100 13.00 Assay of phosphorus84105 14.20 Assay of urine phosphorus84106 11.76 Test for porphobilinogen84110 17.60 Assay of porphobilinogen84112 176.72 Placenta alpha micro ig c/v84119 23.64 Test urine for porphyrins84120 36.68 Assay of urine porphyrins84126 69.88 Assay of feces porphyrins84132 12.62 Assay of serum potassium84132 12.62 Assay of serum potassium84133 11.82 Assay of urine potassium84134 40.02 Assay of prealbumin84135 52.50 Assay of pregnanediol84138 51.94 Assay of pregnanetriol84140 56.72 Assay of pregnenolone84143 62.58 Assay of 17-hydroxypregneno84144 57.24 Assay of progesterone84145 73.50 Procalcitonin (pct)84146 53.16 Assay of prolactin84150 68.46 Assay of prostaglandin

84152 50.46 Assay of psa complexed84153 50.46 Assay of psa total84154 50.46 Assay of psa free84155 10.06 Assay of protein serum84155 10.06 Assay of protein serum84156 10.06 Assay of protein urine84157 10.06 Assay of protein other84157 10.06 Assay of protein other84160 14.20 Assay of protein any source84163 22.18 Pappa serum84165 29.46 Protein e-phoresis serum84166 48.92 Protein e-phoresis/urine/csf84181 46.72 Western blot test84182 49.38 Protein western blot test84202 39.36 Assay RBC protoporphyrin84203 17.60 Test RBC protoporphyrin84206 48.86 Assay of proinsulin84207 77.08 Assay of vitamin b-684210 29.78 Assay of pyruvate84220 11.80 Assay of pyruvate kinase84228 31.92 Assay of quinine84233 176.72 Assay of estrogen84234 178.00 Assay of progesterone84235 143.58 Assay of endocrine hormone84238 100.32 Assay nonendocrine receptor84244 60.34 Assay of renin84252 55.52 Assay of vitamin b-284255 70.04 Assay of selenium84260 85.00 Assay of serotonin84270 59.62 Assay of sex hormone globul84275 36.86 Assay of sialic acid84285 64.58 Assay of silica84295 13.20 Assay of serum sodium84295 13.20 Assay of serum sodium84300 13.34 Assay of urine sodium84302 13.34 Assay of sweat sodium84305 58.34 Assay of somatomedin84307 50.14 Assay of somatostatin84311 18.12 Spectrophotometry84315 3.58 Body fluid specific gravity84375 53.80 Chromatogram assay sugars84376 15.08 Sugars single qual84377 15.08 Sugars multiple qual84378 31.62 Sugars single quant

84379 31.62 Sugars multiple quant84392 13.02 Assay of urine sulfate84402 69.88 Assay of free testosterone84403 70.82 Assay of total testosterone84410 145.10 Testosterone bioavailable84425 58.24 Assay of vitamin b-184430 31.92 Assay of thiocyanate84431 46.10 Thromboxane urine84432 44.06 Assay of thyroglobulin84436 17.10 Assay of total thyroxine84437 17.74 Assay of neonatal thyroxine84439 24.74 Assay of free thyroxine84442 40.56 Assay of thyroid activity84443 46.10 Assay thyroid stim hormone84443 46.10 Assay thyroid stim hormone84445 139.52 Assay of tsi globulin84446 38.90 Assay of vitamin e84449 49.38 Assay of transcortin84450 14.20 Transferase (AST) (SGOT)84450 14.20 Transferase (AST) (SGOT)84460 14.54 Alanine amino (ALT) (SGPT)84460 14.54 Alanine amino (ALT) (SGPT)84466 35.02 Assay of transferrin84478 15.76 Assay of triglycerides84478 15.76 Assay of triglycerides84479 17.74 Assay of thyroid (t3 or t4)84480 38.90 Assay triiodothyronine (t3)84481 46.48 Free assay (FT-3)84482 43.24 T3 reverse84484 27.00 Assay of troponin quant84485 14.54 Assay duodenal fluid trypsin84488 15.06 Test feces for trypsin84490 18.12 Assay of feces for trypsin84510 17.60 Assay of tyrosine84512 21.12 Assay of troponin qual84520 10.84 Assay of urea nitrogen84520 10.84 Assay of urea nitrogen84525 10.34 Urea nitrogen semi-quant84540 13.02 Assay of urine/urea-n84545 16.88 Urea-N clearance test84550 12.40 Assay of blood/uric acid84550 12.40 Assay of blood/uric acid84560 13.02 Assay of urine/uric acid84577 34.24 Assay of feces/urobilinogen

84578 7.90 Test urine urobilinogen84580 19.46 Assay of urine urobilinogen84583 13.80 Assay of urine urobilinogen84585 42.52 Assay of urine vma84586 96.94 Assay of vip84588 93.12 Assay of vasopressin84590 29.28 Assay of vitamin a84591 29.28 Assay of nos vitamin84597 37.64 Assay of vitamin k84600 42.36 Assay of volatiles84620 32.50 Xylose tolerance test84630 31.24 Assay of zinc84681 57.10 Assay of c-peptide84702 22.18 Chorionic gonadotropin test84703 20.64 Chorionic gonadotropin assay84703 20.64 Chorionic gonadotropin assay84704 22.18 Hcg free betachain test84830 27.52 Ovulation tests85002 12.38 Bleeding time test85004 17.74 Automated diff wbc count85007 9.42 Bl smear w/diff wbc count85008 9.42 Bl smear w/o diff wbc count85009 10.22 Manual diff wbc count b-coat85013 6.50 Spun microhematocrit85014 6.50 Hematocrit85014 6.50 Hematocrit85018 6.50 Hemoglobin85018 6.50 Hemoglobin85025 21.32 Complete cbc w/auto diff wbc85027 17.74 Complete cbc automated85032 11.82 Manual cell count each85041 8.28 Automated rbc count85044 11.82 Manual reticulocyte count85045 10.96 Automated reticulocyte count85046 15.28 Reticyte/hgb concentrate85048 6.96 Automated leukocyte count85049 12.28 Automated platelet count85055 55.24 Reticulated platelet assay85130 17.10 Chromogenic substrate assay85170 9.94 Blood clot retraction85175 12.50 Blood clot lysis time85210 17.60 Clot factor ii prothrom spec85220 48.42 Blooc clot factor v test85230 49.12 Clot factor vii proconvertin

85240 49.12 Clot factor viii ahg 1 stage85244 56.02 Clot factor viii reltd antgn85245 62.94 Clot factor viii vw ristoctn85246 62.94 Clot factor viii vw antigen85247 62.94 Clot factor viii multimetric85250 52.24 Clot factor ix ptc/chrstmas85260 49.12 Clot factor x stuart-power85270 49.12 Clot factor xi pta85280 53.08 Clot factor xii hageman85290 44.82 Clot factor xiii fibrin stab85291 24.40 Clot factor xiii fibrin scrn85292 51.94 Clot factor fletcher fact85293 51.94 Clot factor wght kininogen85300 32.52 Antithrombin iii activity85301 29.66 Antithrombin iii antigen85302 32.96 Clot inhibit prot c antigen85303 37.96 Clot inhibit prot c activity85305 31.84 Clot inhibit prot s total85306 42.04 Clot inhibit prot s free85307 42.04 Assay activated protein c85335 35.32 Factor inhibitor test85337 28.60 Thrombomodulin85345 11.82 Coagulation time lee & white85347 11.00 Coagulation time activated85348 10.22 Coagulation time otr method85360 23.06 Euglobulin lysis85362 18.90 Fibrin degradation products85366 23.64 Fibrinogen test85370 31.16 Fibrinogen test85378 19.58 Fibrin degrade semiquant85379 27.92 Fibrin degradation quant85380 27.92 Fibrin degradj d-dimer85384 23.30 Fibrinogen activity85385 23.30 Fibrinogen antigen85390 14.20 Fibrinolysins screen i&r85397 62.94 Clotting funct activity85400 24.28 Fibrinolytic plasmin85410 21.14 Fibrinolytic antiplasmin85415 47.16 Fibrinolytic plasminogen85420 17.60 Fibrinolytic plasminogen85421 27.94 Fibrinolytic plasminogen85441 11.52 Heinz bodies direct85445 18.70 Heinz bodies induced85460 21.22 Hemoglobin fetal

85461 16.76 Hemoglobin fetal85475 24.34 Hemolysin acid85520 21.38 Heparin assay85525 31.42 Heparin neutralization85530 38.90 Heparin-protamine tolerance85536 17.74 Iron stain peripheral blood85540 23.60 Wbc alkaline phosphatase85547 18.36 RBC mechanical fragility85549 51.44 Muramidase85555 18.34 RBC osmotic fragility85557 36.64 RBC osmotic fragility85576 58.94 Blood platelet aggregation85576 58.94 Blood platelet aggregation85597 49.32 Phospholipid pltlt neutraliz85598 49.32 Hexagnal phosph pltlt neutrl85610 10.78 Prothrombin time85610 10.78 Prothrombin time85611 10.82 Prothrombin test85612 15.84 Viper venom prothrombin time85613 15.84 Russell viper venom diluted85635 27.02 Reptilase test85651 9.74 Rbc sed rate nonautomated85652 7.40 Rbc sed rate automated85660 15.12 RBC sickle cell test85670 15.82 Thrombin time plasma85675 18.78 Thrombin time titer85705 26.42 Thromboplastin inhibition85730 16.48 Thromboplastin time partial85732 17.74 Thromboplastin time partial85810 32.02 Blood viscosity examination86000 4.30 Agglutinins febrile antigen86001 14.32 Allergen specific igg86003 14.32 Allergen specific IgE86005 21.86 Allergen specific IgE86021 41.30 WBC antibody identification86022 50.40 Platelet antibodies86023 34.18 Immunoglobulin assay86038 33.16 Antinuclear antibodies86039 30.62 Antinuclear antibodies (ANA)86060 20.02 Antistreptolysin o titer86063 15.82 Antistreptolysin o screen86140 14.20 C-reactive protein86141 35.52 C-reactive protein hs86146 69.82 Beta-2 glycoprotein antibody

86147 69.82 Cardiolipin antibody ea ig86148 31.90 Anti-phospholipid antibody86152 674.08 Cell enumeration & id86155 43.86 Chemotaxis assay86156 18.38 Cold agglutinin screen86157 22.12 Cold agglutinin titer86160 32.92 Complement antigen86161 32.92 Complement/function activity86162 55.76 Complement total (ch50)86171 27.46 Complement fixation each86185 23.98 Counterimmunoelectrophoresis86200 35.52 Ccp antibody86215 33.44 Deoxyribonuclease antibody86225 37.70 Dna antibody native86226 33.22 Dna antibody single strand86235 49.20 Nuclear antigen antibody86243 56.28 Fc receptor86255 33.06 Fluorescent antibody screen86256 33.06 Fluorescent antibody titer86277 43.18 Growth hormone antibody86280 22.48 Hemagglutination inhibition86294 31.70 Immunoassay tumor qual86294 31.70 Immunoassay tumor qual86300 57.10 Immunoassay tumor ca 15-386301 57.10 Immunoassay tumor ca 19-986304 57.10 Immunoassay tumor ca 12586305 57.10 Human epididymis protein 486308 14.20 Heterophile antibody screen86308 14.20 Heterophile antibody screen86309 17.74 Heterophile antibody titer86310 20.22 Heterophile antibody absrbj86316 57.10 Immunoassay tumor other86317 41.12 Immunoassay infectious agent86318 35.52 Immunoassay infectious agent86318 35.52 Immunoassay infectious agent86320 61.50 Serum immunoelectrophoresis86325 61.36 Other immunoelectrophoresis86327 62.24 Immunoelectrophoresis assay86329 38.54 Immunodiffusion nes86331 31.16 Immunodiffusion ouchterlony86332 66.86 Immune complex assay86334 61.30 Immunofix e-phoresis serum86335 80.52 Immunfix e-phorsis/urine/csf86336 42.76 Inhibin A

86337 58.74 Insulin antibodies86340 41.36 Intrinsic factor antibody86341 54.28 Islet cell antibody86343 34.18 Leukocyte histamine release86344 21.90 Leukocyte phagocytosis86352 372.74 Cell function assay w/stim86353 125.08 Lymphocyte transformation86355 103.50 B cells total count86356 55.24 Mononuclear cell antigen86357 103.50 Nk cells total count86359 103.50 T cells total count86360 110.42 T cell absolute count/ratio86361 55.24 T cell absolute count86367 103.50 Stem cells total count86376 39.92 Microsomal antibody each86378 54.02 Migration inhibitory factor86382 46.40 Neutralization test viral86384 27.06 Nitroblue tetrazolium dye86386 43.82 Nuclear matrix protein 2286386 43.82 Nuclear matrix protein 2286403 27.96 Particle agglut antbdy scrn86406 29.18 Particle agglut antbdy titr86430 15.56 Rheumatoid factor test qual86431 15.56 Rheumatoid factor quant86480 170.04 Tb test cell immun measure86481 205.58 Tb ag response t-cell susp86590 27.06 Streptokinase antibody86592 11.72 Syphilis test non-trep qual86593 12.08 Syphilis test non-trep quant86602 27.92 Antinomyces antibody86603 35.30 Adenovirus antibody86606 41.30 Aspergillus antibody86609 35.34 Bacterium antibody86611 27.92 Bartonella antibody86612 35.40 Blastomyces antibody86615 36.18 Bordetella antibody86617 42.50 Lyme disease antibody86618 46.72 Lyme disease antibody86618 46.72 Lyme disease antibody86619 36.70 Borrelia antibody86622 24.50 Brucella antibody86625 36.00 Campylobacter antibody86628 32.94 Candida antibody86631 32.44 Chlamydia antibody

86632 34.80 Chlamydia igm antibody86635 31.48 Coccidioides antibody86638 33.26 Q fever antibody86641 39.54 Cryptococcus antibody86644 39.48 CMV antibody86645 46.22 Cmv antibody igm86648 41.72 Diphtheria antibody86651 36.18 Encephalitis californ antbdy86652 36.18 Encephaltis east eqne anbdy86653 36.18 Encephaltis st louis antbody86654 36.18 Encephaltis west eqne antbdy86658 35.74 Enterovirus antibody86663 36.00 Epstein-barr antibody86664 41.96 Epstein-barr nuclear antigen86665 49.78 Epstein-barr capsid vca86666 27.92 Ehrlichia antibody86668 28.54 Francisella tularensis86671 33.62 Fungus nes antibody86674 40.38 Giardia lamblia antibody86677 39.80 Helicobacter pylori antibody86682 35.68 Helminth antibody86684 40.26 Hemophilus influenza antibdy86687 23.02 Htlv-i antibody86688 38.42 Htlv-ii antibody86689 53.10 Htlv/hiv confirmj antibody86692 47.08 Hepatitis delta agent antbdy86694 39.48 Herpes simplex nes antbdy86695 25.98 Herpes simplex type 1 test86696 53.10 Herpes simplex type 2 test86698 34.28 Histoplasma antibody86701 24.38 Hiv-1antibody86701 24.38 Hiv-1antibody86702 37.08 Hiv-2 antibody86703 37.60 Hiv-1/hiv-2 1 result antbdy86704 33.06 Hep b core antibody total86705 32.30 Hep b core antibody igm86706 29.46 Hep b surface antibody86707 31.74 Hepatitis be antibody86708 33.98 Hepatitis a total antibody86709 30.88 Hepatitis a igm antibody86710 37.18 Influenza virus antibody86711 39.48 John cunningham antibody86713 41.98 Legionella antibody86717 33.60 Leishmania antibody

86720 36.18 Leptospira antibody86723 36.18 Listeria monocytogenes86727 35.30 Lymph choriomeningitis ab86729 32.76 Lympho venereum antibody86732 36.18 Mucormycosis antibody86735 35.80 Mumps antibody86738 36.32 Mycoplasma antibody86741 36.18 Neisseria meningitidis86744 36.18 Nocardia antibody86747 41.24 Parvovirus antibody86750 36.18 Malaria antibody86753 33.98 Protozoa antibody nos86756 35.36 Respiratory virus antibody86757 53.10 Rickettsia antibody86759 36.18 Rotavirus antibody86762 39.48 Rubella antibody86765 35.34 Rubeola antibody86768 36.18 Salmonella antibody86771 36.18 Shigella antibody86774 40.60 Tetanus antibody86777 39.48 Toxoplasma antibody86778 39.52 Toxoplasma antibody igm86780 36.24 Treponema pallidum86780 36.24 Treponema pallidum86784 34.46 Trichinella antibody86787 35.34 Varicella-zoster antibody86788 46.22 West nile virus ab igm86789 39.48 West nile virus antibody86790 35.34 Virus antibody nos86793 36.18 Yersinia antibody86800 43.64 Thyroglobulin antibody86803 39.14 Hepatitis c ab test86803 39.14 Hepatitis c ab test86804 42.50 Hep c ab test confirm86805 143.46 Lymphocytotoxicity assay86806 130.56 Lymphocytotoxicity assay86807 63.80 Cytotoxic antibody screening86808 63.80 Cytotoxic antibody screening86812 70.80 Hla typing a b or c86813 159.12 Hla typing a b or c86816 76.42 Hla typing dr/dq86817 176.64 Hla typing dr/dq86821 154.90 Lymphocyte culture mixed86822 100.30 Lymphocyte culture primed

86825 165.74 Hla x-math non-cytotoxic86826 55.24 Hla x-match noncytotoxc addl86828 63.80 Hla class i&ii antibody qual86829 63.80 Hla class i/ii antibody qual86830 221.50 Hla class i phenotype qual86831 189.86 Hla class ii phenotype qual86832 348.08 Hla class i high defin qual86833 316.44 Hla class ii high defin qual86834 980.96 Hla class i semiquant panel86835 886.04 Hla class ii semiquant panel86850 10.50 Rbc antibody screen86880 14.78 Coombs test direct86885 15.70 Coombs test indirect qual86886 14.20 Coombs test indirect titer86900 8.20 Blood typing abo86901 8.20 Blood typing rh (d)86902 10.50 Blood type antigen donor ea86904 26.10 Blood typing patient serum86905 10.50 Blood typing rbc antigens86906 21.26 Blood typing rh phenotype86940 22.50 Hemolysins/agglutinins auto86941 30.90 Hemolysins/agglutinins87003 46.20 Small animal inoculation87015 18.32 Specimen infect agnt concntj87040 28.32 Blood culture for bacteria87045 25.90 Feces culture aerobic bact87046 25.90 Stool cultr aerobic bact ea87070 23.64 Culture othr specimn aerobic87071 25.90 Culture aerobic quant other87073 25.90 Culture bacteria anaerobic87075 23.98 Cultr bacteria except blood87076 22.16 Culture anaerobe ident each87077 22.16 Culture aerobic identify87077 22.16 Culture aerobic identify87081 18.18 Culture screen only87084 23.64 Culture of specimen by kit87086 22.14 Urine culture/colony count87088 22.20 Urine bacteria culture87101 15.84 Skin fungi culture87102 23.06 Fungus isolation culture87103 24.74 Blood fungus culture87106 22.44 Fungi identification yeast87107 22.44 Fungi identification mold87109 42.22 Mycoplasma

87110 53.76 Chlamydia culture87116 29.64 Mycobacteria culture87118 30.02 Mycobacteric identification87140 15.28 Culture type immunofluoresc87143 34.36 Culture typing glc/hplc87147 14.20 Culture type immunologic87149 55.02 Dna/rna direct probe87150 96.28 Dna/rna amplified probe87152 14.36 Culture type pulse field gel87153 316.48 Dna/rna sequencing87158 14.36 Culture typing added method87164 29.46 Dark field examination87166 31.00 Dark field examination87168 11.72 Macroscopic exam arthropod87169 11.72 Macroscopic exam parasite87172 11.72 Pinworm exam87176 15.06 Tissue homogenization cultr87177 24.42 Ova and parasites smears87181 13.02 Microbe susceptible diffuse87184 18.92 Microbe susceptible disk87185 13.02 Microbe susceptible enzyme87186 15.84 Microbe susceptible mic87187 15.84 Microbe susceptible mlc87188 12.74 Microbe suscept macrobroth87190 15.50 Microbe suscept mycobacteri87197 30.38 Bactericidal level serum87205 11.72 Smear gram stain87206 14.78 Smear fluorescent/acid stai87207 16.44 Smear special stain87209 49.32 Smear complex stain87210 11.72 Smear wet mount saline/ink87210 11.72 Smear wet mount saline/ink87220 9.46 Tissue exam for fungi87230 54.16 Assay toxin or antitoxin87250 53.66 Virus inoculate eggs/animal87252 71.52 Virus inoculation tissue87253 55.42 Virus inoculate tissue addl87254 53.66 Virus inoculation shell via87255 92.90 Genet virus isolate hsv87260 24.72 Adenovirus ag if87265 24.72 Pertussis ag if87267 24.72 Enterovirus antibody dfa87269 24.72 Giardia ag if87270 24.72 Chlamydia trachomatis ag if

87271 24.72 Cytomegalovirus dfa87272 24.72 Cryptosporidium ag if87273 24.72 Herpes simplex 2 ag if87274 24.72 Herpes simplex 1 ag if87275 24.72 Influenza b ag if87276 24.72 Influenza a ag if87277 24.72 Legionella micdadei ag if87278 24.72 Legion pneumophilia ag if87279 24.72 Parainfluenza ag if87280 24.72 Respiratory syncytial ag if87281 24.72 Pneumocystis carinii ag if87283 24.72 Rubeola ag if87285 24.72 Treponema pallidum ag if87290 24.72 Varicella zoster ag if87299 24.72 Antibody detection nos if87300 24.72 Ag detection polyval if87301 24.72 Adenovirus ag eia87305 24.72 Aspergillus ag eia87320 24.72 Chylmd trach ag eia87324 24.72 Clostridium ag eia87327 24.72 Cryptococcus neoform ag eia87328 24.72 Cryptosporidium ag eia87329 24.72 Giardia ag eia87332 24.72 Cytomegalovirus ag eia87335 24.72 E coli 0157 ag eia87336 24.72 Entamoeb hist dispr ag eia87337 24.72 Entamoeb hist group ag eia87338 12.58 Hpylori stool eia87338 12.58 Hpylori stool ia87339 24.72 H pylori ag eia87340 28.34 Hepatitis b surface ag eia87341 28.34 Hepatitis b surface ag eia87350 31.62 Hepatitis be ag eia87380 45.02 Hepatitis delta ag eia87385 24.72 Histoplasma capsul ag eia87389 66.06 Hiv-1 ag w/hiv-1 & hiv-2 ab87389 66.06 Hiv-1 ag w/hiv-1 & hiv-2 ab87390 48.40 Hiv-1 ag eia87391 48.40 Hiv-2 ag eia87400 24.72 Influenza a/b ag eia87420 24.72 Resp syncytial ag eia87425 24.72 Rotavirus ag eia87427 24.72 Shiga-like toxin ag eia87430 24.72 Strep a ag eia

87449 24.72 Ag detect nos eia mult87449 24.72 Ag detect nos eia mult87450 12.58 Ag detect nos eia single87451 12.58 Ag detect polyval eia mult87470 55.02 Bartonella dna dir probe87471 96.28 Bartonella dna amp probe87472 117.52 Bartonella dna quant87475 55.02 Lyme dis dna dir probe87476 96.28 Lyme dis dna amp probe87477 45.18 Lyme dis dna quant87480 55.02 Candida dna dir probe87481 96.28 Candida dna amp probe87482 45.18 Candida dna quant87483 1143.44 Cns dna amp probe type 12-2587485 55.02 Chylmd pneum dna dir probe87486 96.28 Chylmd pneum dna amp probe87487 117.52 Chylmd pneum dna quant87490 55.02 Chylmd trach dna dir probe87491 96.28 Chylmd trach dna amp probe87492 45.18 Chylmd trach dna quant87493 96.28 C diff amplified probe87495 55.02 Cytomeg dna dir probe87496 96.28 Cytomeg dna amp probe87497 117.52 Cytomeg dna quant87498 96.28 Enterovirus probe&revrs trns87500 96.28 Vanomycin dna amp probe87501 140.78 Influenza dna amp prob 1+87502 233.46 Influenza dna amp probe87502 233.46 Influenza dna amp probe87503 56.98 Influenza dna amp prob addl87505 351.96 Nfct agent detection gi87506 585.54 Iadna-dna/rna probe tq 6-1187507 1143.44 Iadna-dna/rna probe tq 12-2587510 55.02 Gardner vag dna dir probe87511 96.28 Gardner vag dna amp probe87512 45.18 Gardner vag dna quant87515 55.02 Hepatitis b dna dir probe87516 96.28 Hepatitis b dna amp probe87517 117.52 Hepatitis b dna quant87520 55.02 Hepatitis c rna dir probe87521 96.28 Hepatitis c probe&rvrs trnsc87522 117.52 Hepatitis c revrs trnscrpj87525 55.02 Hepatitis g dna dir probe87526 96.28 Hepatitis g dna amp probe

87527 45.18 Hepatitis g dna quant87528 55.02 Hsv dna dir probe87529 96.28 Hsv dna amp probe87530 117.52 Hsv dna quant87531 55.02 Hhv-6 dna dir probe87532 96.28 Hhv-6 dna amp probe87533 45.18 Hhv-6 dna quant87534 55.02 Hiv-1 dna dir probe87535 96.28 Hiv-1 probe&reverse trnscrpj87536 233.46 Hiv-1 quant&revrse trnscrpj87537 55.02 Hiv-2 dna dir probe87538 96.28 Hiv-2 probe&revrse trnscripj87539 45.18 Hiv-2 quant&revrse trnscripj87540 55.02 Legion pneumo dna dir prob87541 96.28 Legion pneumo dna amp prob87542 45.18 Legion pneumo dna quant87550 55.02 Mycobacteria dna dir probe87551 96.28 Mycobacteria dna amp probe87552 117.52 Mycobacteria dna quant87555 55.02 M.tuberculo dna dir probe87556 96.28 M.tuberculo dna amp probe87557 117.52 M.tuberculo dna quant87560 55.02 M.avium-intra dna dir prob87561 96.28 M.avium-intra dna amp prob87562 117.52 M.avium-intra dna quant87580 55.02 M.pneumon dna dir probe87581 96.28 M.pneumon dna amp probe87582 45.18 M.pneumon dna quant87590 55.02 N.gonorrhoeae dna dir prob87591 96.28 N.gonorrhoeae dna amp prob87592 45.18 N.gonorrhoeae dna quant87623 96.28 Hpv low-risk types87624 96.28 Hpv high-risk types87625 96.28 Hpv types 16 & 18 only87631 351.96 Resp virus 3-11 targets87631 351.96 Resp virus 3-5 targets87632 585.54 Resp virus 6-11 targets87633 1143.44 Resp virus 12-25 targets87640 96.28 Staph a dna amp probe87641 96.28 Mr-staph dna amp probe87650 55.02 Strep a dna dir probe87650 55.02 Strep a dna dir probe87651 96.28 Strep a dna amp probe87651 96.28 Strep a dna amp probe

87652 45.18 Strep a dna quant87653 96.28 Strep b dna amp probe87660 55.02 Trichomonas vagin dir probe87661 96.28 Trichomonas vaginalis amplif87797 55.02 Detect agent nos dna dir87798 96.28 Detect agent nos dna amp87799 117.52 Detect agent nos dna quant87800 110.06 Detect agnt mult dna direc87801 192.58 Detect agnt mult dna ampli87802 24.72 Strep b assay w/optic87803 24.72 Clostridium toxin a w/optic87804 24.72 Influenza assay w/optic87804 24.72 Influenza assay w/optic87806 66.06 Hiv antigen w/hiv antibodies87806 66.06 Hiv antigen w/hiv antibodies87807 24.72 Rsv assay w/optic87807 24.72 Rsv assay w/optic87808 24.72 Trichomonas assay w/optic87808 24.72 Trichomonas assay w/optic87809 24.72 Adenovirus assay w/optic87809 24.72 Adenovirus assay w/optic87810 24.72 Chylmd trach assay w/optic87850 24.72 N. gonorrhoeae assay w/optic87880 24.72 Strep a assay w/optic87880 24.72 Strep a assay w/optic87899 24.72 Agent nos assay w/optic87899 24.72 Agent nos assay w/optic87900 357.60 Phenotype infect agent drug87901 706.30 Genotype dna hiv reverse t87902 706.30 Genotype dna/rna hep c87903 1340.62 Phenotype dna hiv w/culture87904 71.52 Phenotype dna hiv w/clt add87905 33.52 Sialidase enzyme assay87905 33.52 Sialidase enzyme assay87906 353.16 Genotype dna/rna hiv87910 706.30 Genotype cytomegalovirus87912 706.30 Genotype dna hepatitis b88130 41.30 Sex chromatin identification88140 21.92 Sex chromatin identification88142 41.42 Cytopath c/v thin layer88143 37.74 Cytopath c/v thin layer redo88147 28.98 Cytopath c/v automated88148 28.98 Cytopath c/v auto rescreen88150 28.98 Cytopath c/v manual

88152 28.98 Cytopath c/v auto redo88153 28.98 Cytopath c/v redo88154 28.98 Cytopath c/v select88155 16.44 Cytopath c/v index add-on88164 28.98 Cytopath tbs c/v manual88165 28.98 Cytopath tbs c/v redo88166 28.98 Cytopath tbs c/v auto redo88167 28.98 Cytopath tbs c/v select88174 40.04 Cytopath c/v auto in fluid88175 50.50 Cytopath c/v auto fluid redo88230 175.34 Tissue culture lymphocyte88233 175.34 Tissue culture skin/biopsy88235 175.34 Tissue culture placenta88237 175.34 Tissue culture bone marrow88239 175.34 Tissue culture tumor88240 27.70 Cell cryopreserve/storage88241 27.70 Frozen cell preparation88245 175.34 Chromosome analysis 20-2588248 475.10 Chromosome analysis 50-10088249 475.10 Chromosome analysis 10088261 484.90 Chromosome analysis 588262 341.96 Chromosome analysis 15-2088263 175.34 Chromosome analysis 4588264 341.96 Chromosome analysis 20-2588267 493.22 Chromosome analys placenta88269 456.32 Chromosome analys amniotic88271 58.76 Cytogenetics dna probe88272 73.46 Cytogenetics 3-588273 88.14 Cytogenetics 10-3088274 95.50 Cytogenetics 25-9988275 110.18 Cytogenetics 100-30088280 68.84 Chromosome karyotype study88283 76.56 Chromosome banding study88285 52.12 Chromosome count additional88289 94.46 Chromosome study additional88371 60.98 Protein western blot tissue88372 62.40 Protein analysis w/probe88720 13.76 Bilirubin total transcut88738 13.76 Hgb quant transcutaneous88740 13.76 Transcutaneous carboxyhb88741 13.76 Transcutaneous methb89050 12.96 Body fluid cell count89051 15.10 Body fluid cell count89055 11.72 Leukocyte assessment fecal

89060 19.62 Exam synovial fluid crystals89125 11.86 Specimen fat stain89160 10.12 Exam feces for meat fibers89190 13.02 Nasal smear for eosinophils89300 24.50 Semen analysis w/huhner89300 24.50 Semen analysis w/huhner89310 23.62 Semen analysis w/count89320 33.06 Semen anal vol/count/mot89321 33.06 Semen anal sperm detection89321 33.06 Semen anal sperm detection89322 42.52 Semen anal strict criteria89325 29.28 Sperm antibody test89329 57.52 Sperm evaluation test89330 27.14 Evaluation cervical mucus89331 53.74 Retrograde ejaculation analATP02 12.40 Auto.Test Panel Pricing Code, 1-2 TestsATP03 18.24 Auto.Test Panel Pricing Code, 3 TestsATP04 19.24 Auto.Test Panel Pricing Code, 4 TestsATP05 21.46 Auto.Test Panel Pricing Code, 5 TestsATP06 21.52 Auto.Test Panel Pricing Code, 6 TestsATP07 22.42 Auto.Test Panel Pricing Code, 7 TestsATP08 23.20 Auto.Test Panel Pricing Code, 8 TestsATP09 23.82 Auto.Test Panel Pricing Code, 9 TestsATP10 23.82 Auto.Test Panel Pricing Code, 10 TestsATP11 24.24 Auto.Test Panel Pricing Code, 11 TestsATP12 24.78 Auto.Test Panel Pricing Code, 12 TestsATP16 28.98 Auto Test Panel Pricing Code 13-16 TestATP18 29.20 Auto Test Panel Pricing Code, 17-18 TestATP19 30.36 Auto Test Panel Pricing Code, 19 TestsATP20 31.32 Auto Test Panel Pricing Code, 20 TestsATP21 32.32 Auto Test Panel Pricing Code, 21 TestsATP22 33.28 Auto.Test Panel Pricing Code, 22+ TestsATP23 33.28 Auto.Test Panel Pricing Code, 23+ TestsG0027 17.84 Semen analysisG0103 50.46 PSA screeningG0123 41.42 Screen cerv/vag thin layerG0143 37.74 Scr c/v cyto,thinlayer,rescrG0144 40.04 Scr c/v cyto,thinlayer,rescrG0145 50.50 Scr c/v cyto,thinlayer,rescrG0147 28.98 Scr c/v cyto, automated sysG0148 28.98 Scr c/v cyto, autosys, rescrG0306 21.32 CBC/diffwbc w/o plateletG0307 17.74 CBC without plateletG0328 43.64 Fecal blood scrn immunoassay

G0328 43.64 Fecal blood scrn immunoassayG0432 37.60 EIA HIV-1/HIV-2 screenG0433 37.60 ELISA HIV-1/HIV-2 screenG0433 37.60 ELISA HIV-1/HIV-2 screenG0435 24.72 Oral HIV-1/HIV-2 screenG0471 10.00 Ven blood coll SNF/HHAG0472 39.14 Hep c screen high risk/otherG0472 39.14 Hep c screen high risk/otherG0475 66.06 Hiv combination assayG0476 96.28 Hpv combo assay ca screenG0480 235.30 Drug test def 1-7 classesG0481 321.98 Drug test def 8-14 classesG0482 408.68 Drug test def 15-21 classesG0483 507.74 Drug test def 22+ classesG0659 159.62 Drug test def simple all clG9143 331.18 Warfarin respon genetic testP2038 13.80 Blood mucoproteinP3000 28.98 Screen pap by tech w md supvP9612 6.00 Catheterize for urine specP9615 6.00 Urine specimen collect multQ0111 11.72 Wet mounts/ w preparationsQ0112 9.46 Potassium hydroxide prepsQ0113 14.84 Pinworm examinationsQ0114 19.62 Fern testQ0115 27.14 Post-coital mucous exam

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