2020 clinical diagnostic laboratory fee schedule · 0066u $30.58 pamg-1 ia cervico-vag fluid 0067u...

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



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








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



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








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




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







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



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



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




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



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



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


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


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



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



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



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





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


88249 $346.34 Chromosome analysis 100





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



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



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

2020 clinical diagnostic laboratory fee schedule · 0066u $30.58 pamg-1 ia cervico-vag fluid 0067u...

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