2019 Clinical Diagnostic Laboratory Fee Schedule80305 $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 $129.30

2019 Clinical Diagnostic Laboratory Fee Schedule CPT codes, descriptions and other data only are copyright 2019 American Medical Association.

All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).

HCPCS RATE2019 SHORTDESC

0001U $1,440.00 Rbn 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

0009M $265.72 Fetal aneuploidy trisom risk

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 $364.36 Onc hmtlmf neo rna bcr/abl1

0017U $203.70 Onc hmtlmf neo jak2 mut dna

0018U $0.00 Onc thyr 10 microrna seq alg

0019U $0.00 Onc rna tiss predict alg

0021U $0.00 Onc prst8 detcj 8 autoantb

0022U $0.00 Trgt gen seq dna&rna 23 gene

0023U $0.00 Onc aml dna detcj/nondetcj

0024U $70.12 Glyca nuc mr spectrsc quan

0025U $190.60 Tenofovir liq chrom ur quan

0026U $7,200.00 Onc thyr dna&mrna 112 genes

0027U $301.04 Jak2 gene trgt seq alys

0029U $0.00 Rx metab advrs trgt seq alys

0030U $0.00 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 $0.00 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 $65.78 Vitamin d srm microsamp quan

0039U $30.54 Dna antb 2strand hi avidity

0040U $910.90 Bcr/abl1 gene major bp quan

0041U $0.00 B brgdrferi antb 5 prtn igm

0042U $0.00 B brgdrferi antb 12 prtn igg

0043U $0.00 Tbrf b grp antb 4 prtn igm

0044U $0.00 Tbrf b grp antb 4 prtn igg

0045U $7,746.00 Onc brst dux carc is 12 gene

0046U $331.02 Flt3 gene itd variants quan

0047U $7,746.00 Onc prst8 mrna 17 gene alg

0048U $0.00 Onc sld org neo dna 468 gene

0049U $493.04 Npm1 gene analysis quan

0050U $0.00 Trgt gen seq dna 194 genes

0051U $411.26 Rx mntr lc-ms/ms ur 31 pnl

0052U $67.72 Lpoprtn bld w/5 maj classes

0053U $0.00 Onc prst8 ca fish alys 4 gen

0054U $331.04 Rx mntr 14+ drugs & sbsts

0055U $0.00 Card hrt trnspl 96 dna seq

0056U $0.00 Hem aml dna gene reargmt

0057U $0.00 Onc sld org neo mrna 51 gene

0058U $717.70 Onc merkel cll carc srm quan

0059U $717.70 Onc merkel cll carc srm +/-

0060U $1,518.10 Twn zyg gen seq alys chrms2

0061U $55.70 Tc meas 5 bmrk sfdi m-s alys

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 $18.80 Metabolic panel total ca

80048 $18.80 Metabolic panel total ca

80051 $15.58 Electrolyte panel

80051 $15.58 Electrolyte panel

80053 $23.48 Comprehen metabolic panel

80053 $23.48 Comprehen metabolic panel

80055 $106.24 Obstetric panel

80061 $29.76 Lipid panel

80061 $29.76 Lipid panel

80069 $19.30 Renal function panel

80069 $19.30 Renal function panel

80074 $105.86 Acute hepatitis panel

80076 $18.16 Hepatic function panel

80081 $166.36 Obstetric panel

80150 $33.50 Assay of amikacin

80155 $77.14 Drug assay caffeine


80156 $32.36 Assay carbamazepine total

80157 $29.46 Assay carbamazepine free

80158 $40.12 Drug assay cyclosporine

80159 $41.10 Drug assay clozapine

80162 $29.50 Assay of digoxin total

80163 $29.50 Assay of digoxin free

80164 $30.10 Assay dipropylacetic acd tot

80165 $30.10 Dipropylacetic acid free

80168 $36.30 Assay of ethosuximide

80169 $30.52 Drug assay everolimus

80170 $36.40 Assay of gentamicin

80171 $43.34 Drug screen quant gabapentin

80173 $32.36 Assay of haloperidol

80175 $29.46 Drug screen quan lamotrigine

80176 $32.64 Assay of lidocaine

80177 $29.46 Drug scrn quan levetiracetam

80178 $14.70 Assay of lithium

80178 $14.70 Assay of lithium

80180 $40.12 Drug scrn quan mycophenolate

80183 $29.46 Drug scrn quant oxcarbazepin

80184 $30.60 Assay of phenobarbital

80185 $29.46 Assay of phenytoin total

80186 $30.58 Assay of phenytoin free

80188 $36.88 Assay of primidone

80190 $120.00 Assay of procainamide

80192 $37.22 Assay of procainamide

80194 $32.44 Assay of quinidine

80195 $30.52 Assay of sirolimus

80197 $30.52 Assay of tacrolimus

80198 $31.42 Assay of theophylline

80199 $54.22 Drug screen quant tiagabine

80200 $35.84 Assay of tobramycin

80201 $26.48 Assay of topiramate

80202 $30.10 Assay of vancomycin

80203 $29.46 Drug screen quant zonisamide

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 $129.30 Drug test prsmv chem anlyzr

80400 $72.48 Acth stimulation panel



80408 $278.88 Aldosterone suppression eval

80410 $178.62 Calcitonin stimul panel

80412 $1,603.24 Crh stimulation panel


80414 $114.74 Testosterone response

80415 $124.18 Estradiol response panel

80416 $418.64 Renin stimulation panel

80417 $97.76 Renin stimulation panel

80418 $1,287.68 Pituitary evaluation panel

80420 $323.76 Dexamethasone panel

80422 $102.38 Glucagon tolerance panel

80424 $112.22 Glucagon tolerance panel

80426 $329.80 Gonadotropin hormone panel

80428 $148.24 Growth hormone panel

80430 $258.66 Growth hormone panel

80432 $331.22 Insulin suppression panel

80434 $570.06 Insulin tolerance panel

80435 $228.90 Insulin tolerance panel

80436 $202.58 Metyrapone panel

80438 $112.02 Trh stimulation panel

80439 $149.36 Trh stimulation panel

81000 $8.04 Urinalysis nonauto w/scope

81001 $7.04 Urinalysis auto w/scope

81002 $6.96 Urinalysis nonauto w/o scope

81003 $4.98 Urinalysis auto w/o scope

81003 $4.98 Urinalysis auto w/o scope

81005 $4.82 Urinalysis

81007 $59.96 Urine screen for bacteria

81007 $59.96 Urine screen for bacteria

81015 $6.78 Microscopic exam of urine

81020 $9.40 Urinalysis glass test

81025 $17.22 Urine pregnancy test

81050 $7.28 Urinalysis volume measure

81105 $271.60 Hpa-1 genotyping








81120 $386.50 Idh1 common variants

81121 $591.58 Idh2 common variants

81161 $558.00 Dmd dup/delet analysis

81162 $4,055.28 Brca1&2 gen full seq dup/del

81163 $936.00 Brca1&2 gene full seq alys

81164 $1,168.46 Brca1&2 gen ful dup/del alys

81165 $565.76 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 $537.54 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 $364.36 Bcr/abl1 gene major bp

81207 $321.86 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 $537.54 Cebpa gene full sequence

81219 $270.28 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 $145.24 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 $439.98 Igh gene rearrange amp meth

81262 $137.10 Igh gene rearrang dir probe

81263 $654.48 Igh vari regional mutation

81264 $345.46 Igk rearrangeabn clonal pop

81265 $477.88 Str markers specimen anal

81266 $609.62 Str markers spec anal addl

81267 $461.02 Chimerism anal no cell selec

81268 $579.52 Chimerism anal w/cell select

81269 $404.80 Hba1/hba2 gene dup/del vrnts

81270 $203.70 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

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

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 $460.70 Pml/raralpha com breakpoints

81316 $460.70 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 $95.12 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 $95.12 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 $97.00 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 $464.26 Trb@ gene rearrange amplify

81341 $110.20 Trb@ gene rearrange dirprobe

81342 $447.76 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

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 $893.60 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 $161.66 Hla i typing 1 antigen lr

81375 $490.54 Hla ii typing ag equiv lr

81376 $271.60 Hla ii typing 1 locus lr

81377 $204.02 Hla ii type 1 ag equiv lr

81378 $767.92 Hla i & ii typing hr

81379 $745.30 Hla i typing complete hr

81380 $393.88 Hla i typing 1 locus hr

81381 $339.80 Hla i typing 1 allele hr

81382 $274.84 Hla ii typing 1 loc hr

81383 $242.52 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 $1,299.78 Car ion chnnlpath inc 10 gns

81414 $1,299.78 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 $1,509.00 Hrdtry brst ca-rlatd dsordrs

81433 $975.40 Hrdtry brst ca-rlatd dsordrs

81434 $1,195.82 Hereditary retinal disorders

81435 $1,299.78 Hereditary colon ca dsordrs

81436 $1,299.78 Hereditary colon ca dsordrs

81437 $975.40 Heredtry nurondcrn tum dsrdr

81438 $975.40 Heredtry nurondcrn tum dsrdr

81439 $1,299.78 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 $1,299.78 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 $149.34 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 $5,578.24 Onc breast mrna 58 genes

81521 $7,746.00 Onc breast mrna 70 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

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 $10.04 Test for acetone/ketones

82010 $18.16 Acetone assay

82010 $18.16 Acetone assay

82013 $24.82 Acetylcholinesterase assay

82016 $32.98 Acylcarnitines qual

82017 $37.48 Acylcarnitines quant

82024 $85.82 Assay of acth

82030 $57.34 Assay of adp & amp

82040 $11.00 Assay of serum albumin

82040 $11.00 Assay of serum albumin

82042 $15.56 Other source albumin quan ea

82042 $15.56 Other source albumin quan ea

82043 $12.84 Ur albumin quantitative

82043 $12.84 Ur albumin quantitative

82044 $12.46 Ur albumin semiquantitative

82044 $12.46 Ur albumin semiquantitative

82045 $75.42 Albumin ischemia modified

82075 $60.00 Assay of breath ethanol

82085 $21.58 Assay of aldolase

82088 $90.56 Assay of aldosterone

82103 $29.86 Alpha-1-antitrypsin total

82104 $32.14 Alpha-1-antitrypsin pheno

82105 $37.28 Alpha-fetoprotein serum

82106 $37.28 Alpha-fetoprotein amniotic

82107 $143.14 Alpha-fetoprotein l3

82108 $56.62 Assay of aluminum

82120 $11.98 Amines vaginal fluid qual

82120 $11.98 Amines vaginal fluid qual

82127 $30.82 Amino acid single qual

82128 $30.82 Amino acids mult qual

82131 $45.96 Amino acids single quant


82135 $36.56 Assay aminolevulinic acid

82136 $39.22 Amino acids quant 2-5

82139 $37.48 Amino acids quan 6 or more

82140 $32.38 Assay of ammonia

82143 $18.70 Amniotic fluid scan

82150 $14.40 Assay of amylase

82150 $14.40 Assay of amylase

82154 $64.08 Androstanediol glucuronide

82157 $65.06 Assay of androstenedione

82160 $55.56 Assay of androsterone

82163 $45.60 Assay of angiotensin ii

82164 $32.44 Angiotensin i enzyme test

82172 $42.18 Assay of apolipoprotein

82175 $42.16 Assay of arsenic

82180 $21.96 Assay of ascorbic acid

82190 $33.12 Atomic absorption

82232 $35.94 Assay of beta-2 protein

82239 $38.06 Bile acids total

82240 $59.06 Bile acids cholylglycine

82247 $11.14 Bilirubin total

82247 $11.14 Bilirubin total

82248 $11.14 Bilirubin direct

82252 $10.12 Fecal bilirubin test

82261 $37.48 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 $35.34 Assay test for blood fecal

82274 $35.34 Assay test for blood fecal

82286 $11.46 Assay of bradykinin

82300 $51.44 Assay of cadmium

82306 $65.78 Vitamin d 25 hydroxy

82308 $59.54 Assay of calcitonin

82310 $11.46 Assay of calcium




82331 $26.68 Calcium infusion test

82340 $13.40 Assay of calcium in urine

82355 $25.72 Calculus analysis qual

82360 $28.60 Calculus assay quant

82365 $28.66 Calculus spectroscopy

82370 $27.84 X-ray assay calculus

82373 $40.12 Assay c-d transfer measure

82374 $10.86 Assay blood carbon dioxide


82374 $10.86 Assay blood carbon dioxide

82375 $27.38 Assay carboxyhb quant

82376 $28.14 Assay carboxyhb qual

82378 $42.14 Carcinoembryonic antigen

82379 $37.48 Assay of carnitine

82380 $20.50 Assay of carotene

82382 $54.60 Assay urine catecholamines

82383 $58.16 Assay blood catecholamines

82384 $56.12 Assay three catecholamines

82387 $40.12 Assay of cathepsin-d

82390 $23.86 Assay of ceruloplasmin

82397 $31.38 Chemiluminescent assay

82415 $28.16 Assay of chloramphenicol

82435 $10.22 Assay of blood chloride

82435 $10.22 Assay of blood chloride

82436 $11.50 Assay of urine chloride

82438 $10.86 Assay other fluid chlorides

82441 $13.34 Test for chlorohydrocarbons

82465 $9.68 Assay bld/serum cholesterol

82465 $9.68 Assay bld/serum cholesterol

82480 $17.50 Assay serum cholinesterase

82482 $19.62 Assay rbc cholinesterase

82485 $45.90 Assay chondroitin sulfate

82495 $45.06 Assay of chromium

82507 $61.78 Assay of citrate

82523 $41.52 Collagen crosslinks

82523 $41.52 Collagen crosslinks

82525 $27.58 Assay of copper

82528 $50.04 Assay of corticosterone

82530 $37.14 Cortisol free

82533 $36.22 Total cortisol

82540 $10.30 Assay of creatine

82542 $48.18 Col chromotography qual/quan

82550 $14.46 Assay of ck (cpk)

82550 $14.46 Assay of ck (cpk)

82552 $29.76 Assay of cpk in blood

82553 $25.66 Creatine mb fraction

82554 $26.38 Creatine isoforms

82565 $11.38 Assay of creatinine

82565 $11.38 Assay of creatinine

82570 $11.50 Assay of urine creatinine

82570 $11.50 Assay of urine creatinine

82575 $21.02 Creatinine clearance test

82585 $28.28 Assay of cryofibrinogen

82595 $14.36 Assay of cryoglobulin

82600 $43.10 Assay of cyanide


82607 $33.50 Vitamin b-12

82608 $31.82 B-12 binding capacity

82610 $37.04 Cystatin c

82615 $19.10 Test for urine cystines

82626 $56.16 Dehydroepiandrosterone

82627 $49.42 Dehydroepiandrosterone

82633 $68.86 Desoxycorticosterone

82634 $65.06 Deoxycortisol

82638 $27.22 Assay of dibucaine number

82642 $65.06 Dihydrotestosterone

82652 $85.56 Vit d 1 25-dihydroxy

82656 $25.62 Pancreatic elastase fecal

82657 $44.34 Enzyme cell activity

82658 $88.06 Enzyme cell activity ra

82664 $123.00 Electrophoretic test

82668 $41.76 Assay of erythropoietin

82670 $62.08 Assay of estradiol

82671 $71.78 Assay of estrogens

82672 $48.22 Assay of estrogen

82677 $53.74 Assay of estriol

82679 $55.46 Assay of estrone

82679 $55.46 Assay of estrone

82693 $33.12 Assay of ethylene glycol

82696 $52.48 Assay of etiocholanolone

82705 $11.32 Fats/lipids feces qual

82710 $37.34 Fats/lipids feces quant

82715 $45.94 Assay of fecal fat

82725 $37.54 Assay of blood fatty acids

82726 $40.12 Long chain fatty acids

82728 $30.30 Assay of ferritin

82731 $143.14 Assay of fetal fibronectin

82735 $41.20 Assay of fluoride

82746 $32.68 Assay of folic acid serum

82747 $38.50 Assay of folic acid rbc

82757 $38.52 Assay of semen fructose

82759 $47.74 Assay of rbc galactokinase

82760 $24.88 Assay of galactose

82775 $46.82 Assay galactose transferase

82776 $23.48 Galactose transferase test

82777 $88.50 Galectin-3

82784 $20.68 Assay iga/igd/igg/igm each

82785 $36.58 Assay of ige

82787 $17.82 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 $39.32 Gastrin test

82941 $39.18 Assay of gastrin

82943 $31.76 Assay of glucagon

82945 $8.74 Glucose other fluid

82946 $35.54 Glucagon tolerance test

82947 $8.74 Assay glucose blood quant

82947 $8.74 Assay glucose blood quant

82948 $10.08 Reagent strip/blood glucose

82950 $10.54 Glucose test

82950 $10.54 Glucose test

82951 $28.60 Glucose tolerance test (gtt)

82951 $28.60 Glucose tolerance test (gtt)

82952 $8.72 Gtt-added samples

82952 $8.72 Gtt-added samples

82955 $21.54 Assay of g6pd enzyme

82960 $13.44 Test for g6pd enzyme

82962 $6.56 Glucose blood test

82963 $47.74 Assay of glucosidase

82965 $26.30 Assay of gdh enzyme

82977 $16.00 Assay of ggt

82977 $16.00 Assay of ggt

82978 $31.68 Assay of glutathione

82979 $20.98 Assay rbc glutathione

82985 $33.52 Assay of glycated protein

82985 $33.52 Assay of glycated protein

83001 $41.30 Assay of gonadotropin (fsh)

83001 $41.30 Assay of gonadotropin (fsh)

83002 $41.14 Assay of gonadotropin (lh)

83002 $41.14 Assay of gonadotropin (lh)

83003 $37.04 Assay growth hormone (hgh)

83006 $151.20 Growth stimulation gene 2

83009 $149.68 H pylori (c-13) blood

83010 $27.94 Assay of haptoglobin quant

83012 $53.78 Assay of haptoglobins

83013 $149.68 H pylori (c-13) breath

83014 $17.46 H pylori drug admin

83015 $41.88 Heavy metal qual any anal

83018 $48.82 Heavy metal quant each nes

83020 $28.60 Hemoglobin electrophoresis

83021 $40.12 Hemoglobin chromotography

83026 $8.02 Hemoglobin copper sulfate

83030 $21.48 Fetal hemoglobin chemical

83033 $16.00 Fetal hemoglobin assay qual


83036 $21.58 Glycosylated hemoglobin test

83036 $21.58 Glycosylated hemoglobin test

83037 $21.58 Glycosylated hb home device

83037 $21.58 Glycosylated hb home device

83045 $12.98 Blood methemoglobin test

83050 $16.40 Blood methemoglobin assay

83051 $16.24 Assay of plasma hemoglobin

83060 $18.38 Blood sulfhemoglobin assay

83065 $18.00 Assay of hemoglobin heat

83068 $18.94 Hemoglobin stability screen

83069 $8.78 Assay of urine hemoglobin

83070 $10.54 Assay of hemosiderin qual

83080 $37.48 Assay of b hexosaminidase

83088 $65.62 Assay of histamine

83090 $37.48 Assay of homocystine

83150 $44.82 Assay of homovanillic acid

83491 $38.94 Assay of corticosteroids 17

83497 $28.66 Assay of 5-hiaa

83498 $60.38 Assay of progesterone 17-d

83500 $50.34 Assay free hydroxyproline

83505 $54.02 Assay total hydroxyproline

83516 $25.62 Immunoassay nonantibody

83516 $25.62 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 $25.40 Assay of insulin

83527 $28.78 Assay of insulin

83528 $39.64 Assay of intrinsic factor

83540 $14.38 Assay of iron

83550 $19.42 Iron binding test

83570 $19.66 Assay of idh enzyme

83582 $31.50 Assay of ketogenic steroids

83586 $28.44 Assay 17- ketosteroids

83593 $58.44 Fractionation ketosteroids

83605 $23.74 Assay of lactic acid

83605 $23.74 Assay of lactic acid

83615 $13.42 Lactate (ld) (ldh) enzyme

83625 $28.44 Assay of ldh enzymes

83630 $43.62 Lactoferrin fecal (qual)

83631 $43.62 Lactoferrin fecal (quant)

83632 $44.94 Placental lactogen

83633 $22.50 Test urine for lactose

83655 $26.90 Assay of lead


83655 $26.90 Assay of lead

83661 $48.86 L/s ratio fetal lung

83662 $42.02 Foam stability fetal lung

83663 $42.02 Fluoro polarize fetal lung

83664 $42.02 Lamellar bdy fetal lung

83670 $20.36 Assay of lap enzyme

83690 $15.30 Assay of lipase

83695 $28.78 Assay of lipoprotein(a)

83698 $92.62 Assay lipoprotein pla2

83700 $25.02 Lipopro bld electrophoretic

83701 $67.72 Lipoprotein bld hr fraction

83704 $70.12 Lipoprotein bld quan part

83718 $18.20 Assay of lipoprotein

83718 $18.20 Assay of lipoprotein

83719 $25.86 Assay of blood lipoprotein



83722 $70.12 Lipoprtn dir meas sd ldl chl

83727 $38.20 Assay of lrh hormone

83735 $14.88 Assay of magnesium

83775 $16.38 Assay malate dehydrogenase

83785 $54.66 Assay of manganese

83789 $48.22 Mass spectrometry qual/quan

83825 $36.12 Assay of mercury

83835 $37.64 Assay of metanephrines

83857 $23.86 Assay of methemalbumin

83861 $44.96 Microfluid analy tears

83861 $44.96 Microfluid analy tears

83864 $57.00 Mucopolysaccharides

83872 $13.02 Assay synovial fluid mucin

83873 $38.24 Assay of csf protein

83874 $28.70 Assay of myoglobin

83876 $101.72 Assay myeloperoxidase

83880 $78.52 Assay of natriuretic peptide

83880 $78.52 Assay of natriuretic peptide

83883 $30.22 Assay nephelometry not spec

83885 $54.46 Assay of nickel

83915 $24.78 Assay of nucleotidase

83916 $54.78 Oligoclonal bands

83918 $47.20 Organic acids total quant

83919 $36.56 Organic acids qual each

83921 $42.42 Organic acid single quant

83930 $14.70 Assay of blood osmolality

83935 $15.14 Assay of urine osmolality

83937 $66.32 Assay of osteocalcin

83945 $28.90 Assay of oxalate


83950 $143.14 Oncoprotein her-2/neu

83951 $143.14 Oncoprotein dcp

83970 $91.72 Assay of parathormone

83986 $7.96 Assay ph body fluid nos

83986 $7.96 Assay ph body fluid nos

83987 $7.96 Exhaled breath condensate

83993 $43.62 Assay for calprotectin fecal

84030 $12.22 Assay of blood pku

84035 $8.14 Assay of phenylketones

84060 $16.42 Assay acid phosphatase

84066 $21.46 Assay prostate phosphatase

84075 $11.50 Assay alkaline phosphatase



84080 $32.86 Assay alkaline phosphatases

84081 $36.70 Assay phosphatidylglycerol

84085 $20.98 Assay of rbc pg6d enzyme

84087 $22.94 Assay phosphohexose enzymes

84100 $10.54 Assay of phosphorus

84105 $11.56 Assay of urine phosphorus

84106 $11.64 Test for porphobilinogen

84110 $18.76 Assay of porphobilinogen

84112 $196.22 Eval amniotic fluid protein

84119 $26.72 Test urine for porphyrins

84120 $32.70 Assay of urine porphyrins

84126 $78.22 Assay of feces porphyrins

84132 $10.22 Assay of serum potassium

84132 $10.22 Assay of serum potassium

84133 $9.58 Assay of urine potassium

84134 $32.42 Assay of prealbumin

84135 $42.54 Assay of pregnanediol

84138 $42.10 Assay of pregnanetriol

84140 $45.94 Assay of pregnenolone

84143 $50.68 Assay of 17-hydroxypregneno

84144 $46.36 Assay of progesterone

84145 $59.54 Procalcitonin (pct)

84146 $43.06 Assay of prolactin

84150 $83.54 Assay of prostaglandin

84152 $40.88 Assay of psa complexed

84153 $40.88 Assay of psa total

84154 $40.88 Assay of psa free

84155 $8.14 Assay of protein serum

84155 $8.14 Assay of protein serum

84156 $8.14 Assay of protein urine

84157 $8.14 Assay of protein other

84157 $8.14 Assay of protein other


84160 $11.50 Assay of protein any source

84163 $33.46 Pappa serum

84165 $23.86 Protein e-phoresis serum

84166 $39.62 Protein e-phoresis/urine/csf

84181 $37.84 Western blot test

84182 $58.42 Protein western blot test

84202 $31.88 Assay rbc protoporphyrin

84203 $19.48 Test rbc protoporphyrin

84206 $53.38 Assay of proinsulin

84207 $62.44 Assay of vitamin b-6

84210 $28.96 Assay of pyruvate

84220 $20.98 Assay of pyruvate kinase

84228 $25.86 Assay of quinine

84233 $175.76 Assay of estrogen

84234 $144.18 Assay of progesterone

84235 $142.46 Assay of endocrine hormone

84238 $81.26 Assay nonendocrine receptor

84244 $48.88 Assay of renin


84255 $56.74 Assay of selenium

84260 $68.86 Assay of serotonin

84270 $48.30 Assay of sex hormone globul

84275 $29.86 Assay of sialic acid

84285 $52.30 Assay of silica

84295 $10.70 Assay of serum sodium

84295 $10.70 Assay of serum sodium

84300 $10.80 Assay of urine sodium

84302 $10.80 Assay of sweat sodium

84305 $47.26 Assay of somatomedin

84307 $40.62 Assay of somatostatin

84311 $16.20 Spectrophotometry

84315 $6.56 Body fluid specific gravity

84375 $78.00 Chromatogram assay sugars

84376 $12.22 Sugars single qual

84377 $12.22 Sugars multiple qual

84378 $25.62 Sugars single quant

84379 $25.62 Sugars multiple quant

84392 $10.98 Assay of urine sulfate

84402 $56.60 Assay of free testosterone

84403 $57.36 Assay of total testosterone

84410 $113.96 Testosterone bioavailable


84430 $25.86 Assay of thiocyanate

84431 $70.22 Thromboxane urine

84432 $35.68 Assay of thyroglobulin

84436 $15.26 Assay of total thyroxine


84437 $14.36 Assay of neonatal thyroxine

84439 $20.04 Assay of free thyroxine

84442 $32.86 Assay of thyroid activity

84443 $37.34 Assay thyroid stim hormone

84443 $37.34 Assay thyroid stim hormone

84445 $113.02 Assay of tsi globulin

84446 $31.50 Assay of vitamin e

84449 $40.00 Assay of transcortin

84450 $11.50 Transferase (ast) (sgot)

84450 $11.50 Transferase (ast) (sgot)

84460 $11.78 Alanine amino (alt) (sgpt)

84460 $11.78 Alanine amino (alt) (sgpt)

84466 $28.36 Assay of transferrin

84478 $12.76 Assay of triglycerides

84478 $12.76 Assay of triglycerides

84479 $14.36 Assay of thyroid (t3 or t4)

84480 $31.50 Assay triiodothyronine (t3)

84481 $37.64 Free assay (ft-3)

84482 $35.02 T3 reverse

84484 $24.94 Assay of troponin quant

84485 $16.00 Assay duodenal fluid trypsin

84488 $16.22 Test feces for trypsin

84490 $19.86 Assay of feces for trypsin

84510 $23.12 Assay of tyrosine

84512 $20.18 Assay of troponin qual

84520 $8.78 Assay of urea nitrogen

84520 $8.78 Assay of urea nitrogen

84525 $10.26 Urea nitrogen semi-quant

84540 $11.12 Assay of urine/urea-n

84545 $14.70 Urea-n clearance test

84550 $10.04 Assay of blood/uric acid

84550 $10.04 Assay of blood/uric acid

84560 $10.54 Assay of urine/uric acid

84577 $37.34 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 $34.44 Assay of urine vma

84586 $78.52 Assay of vip

84588 $75.42 Assay of vasopressin

84590 $25.80 Assay of vitamin a

84591 $34.12 Assay of nos vitamin

84597 $30.48 Assay of vitamin k

84600 $35.74 Assay of volatiles

84620 $26.32 Xylose tolerance test

84630 $25.30 Assay of zinc


84681 $46.26 Assay of c-peptide

84702 $33.46 Chorionic gonadotropin test

84703 $16.72 Chorionic gonadotropin assay

84703 $16.72 Chorionic gonadotropin assay

84704 $33.46 Hcg free betachain test

84830 $25.40 Ovulation tests

85002 $10.02 Bleeding time test

85004 $14.36 Automated diff wbc count

85007 $7.64 Bl smear w/diff wbc count

85008 $7.64 Bl smear w/o diff wbc count

85009 $10.14 Manual diff wbc count b-coat

85013 $14.00 Spun microhematocrit

85014 $5.26 Hematocrit

85014 $5.26 Hematocrit

85018 $5.26 Hemoglobin

85018 $5.26 Hemoglobin

85025 $17.26 Complete cbc w/auto diff wbc

85025 $17.26 Complete cbc w/auto diff wbc

85027 $14.36 Complete cbc automated

85032 $9.58 Manual cell count each

85041 $6.70 Automated rbc count

85044 $9.58 Manual reticulocyte count

85045 $8.88 Automated reticulocyte count

85046 $12.38 Reticyte/hgb concentrate

85048 $5.64 Automated leukocyte count

85049 $9.94 Automated platelet count

85055 $71.48 Reticulated platelet assay

85130 $26.42 Chromogenic substrate assay

85170 $32.60 Blood clot retraction

85175 $40.74 Blood clot lysis time

85210 $28.86 Clot factor ii prothrom spec

85220 $39.22 Blooc clot factor v test

85230 $39.78 Clot factor vii proconvertin

85240 $39.78 Clot factor viii ahg 1 stage

85244 $45.38 Clot factor viii reltd antgn

85245 $50.98 Clot factor viii vw ristoctn

85246 $50.98 Clot factor viii vw antigen

85247 $50.98 Clot factor viii multimetric

85250 $42.32 Clot factor ix ptc/chrstmas

85260 $39.78 Clot factor x stuart-power

85270 $39.78 Clot factor xi pta

85280 $43.00 Clot factor xii hageman

85290 $36.30 Clot factor xiii fibrin stab

85291 $19.76 Clot factor xiii fibrin scrn

85292 $42.08 Clot factor fletcher fact

85293 $42.08 Clot factor wght kininogen


85300 $26.34 Antithrombin iii activity

85301 $24.02 Antithrombin iii antigen

85302 $26.70 Clot inhibit prot c antigen

85303 $30.74 Clot inhibit prot c activity

85305 $25.80 Clot inhibit prot s total

85306 $34.06 Clot inhibit prot s free

85307 $34.06 Assay activated protein c

85335 $28.60 Factor inhibitor test

85337 $34.54 Thrombomodulin

85345 $9.58 Coagulation time lee & white

85347 $9.46 Coagulation time activated

85348 $8.98 Coagulation time otr method

85360 $18.68 Euglobulin lysis

85362 $15.30 Fibrin degradation products

85366 $160.92 Fibrinogen test

85370 $25.24 Fibrinogen test

85378 $19.44 Fibrin degrade semiquant

85379 $22.62 Fibrin degradation quant

85380 $22.62 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 $17.12 Fibrinolytic plasmin

85410 $17.12 Fibrinolytic antiplasmin

85415 $38.20 Fibrinolytic plasminogen



85441 $9.34 Heinz bodies direct

85445 $15.14 Heinz bodies induced

85460 $17.18 Hemoglobin fetal

85461 $18.72 Hemoglobin fetal

85475 $19.72 Hemolysin acid

85520 $29.10 Heparin assay

85525 $26.30 Heparin neutralization

85530 $29.10 Heparin-protamine tolerance

85536 $14.36 Iron stain peripheral blood

85540 $19.12 Wbc alkaline phosphatase

85547 $19.12 Rbc mechanical fragility

85549 $41.66 Muramidase

85555 $14.94 Rbc osmotic fragility

85557 $29.68 Rbc osmotic fragility

85576 $49.82 Blood platelet aggregation

85576 $49.82 Blood platelet aggregation

85597 $39.94 Phospholipid pltlt neutraliz

85598 $39.94 Hexagnal phosph pltlt neutrl


85610 $8.74 Prothrombin time

85610 $8.74 Prothrombin time

85611 $8.76 Prothrombin test

85612 $34.98 Viper venom prothrombin time

85613 $21.28 Russell viper venom diluted

85635 $21.88 Reptilase test

85651 $8.54 Rbc sed rate nonautomated

85652 $6.00 Rbc sed rate automated

85660 $12.24 Rbc sickle cell test

85670 $12.82 Thrombin time plasma

85675 $15.22 Thrombin time titer

85705 $21.40 Thromboplastin inhibition

85730 $13.34 Thromboplastin time partial

85732 $14.36 Thromboplastin time partial

85810 $25.94 Blood viscosity examination

86000 $15.52 Agglutinins febrile antigen

86001 $15.64 Allergen specific igg

86003 $11.60 Allg spec ige crude xtrc ea

86005 $17.70 Allg spec ige multiallg scr

86008 $39.86 Allg spec ige recomb ea

86021 $33.46 Wbc antibody identification

86022 $40.82 Platelet antibodies

86023 $27.68 Immunoglobulin assay

86038 $26.86 Antinuclear antibodies

86039 $24.80 Antinuclear antibodies (ana)

86060 $16.22 Antistreptolysin o titer

86063 $12.82 Antistreptolysin o screen

86140 $11.50 C-reactive protein

86141 $28.78 C-reactive protein hs

86146 $56.56 Beta-2 glycoprotein antibody

86147 $56.56 Cardiolipin antibody ea ig

86148 $35.70 Anti-phospholipid antibody

86152 $546.00 Cell enumeration & id

86155 $35.52 Chemotaxis assay

86156 $16.14 Cold agglutinin screen

86157 $17.92 Cold agglutinin titer

86160 $26.66 Complement antigen

86161 $26.66 Complement/function activity

86162 $45.16 Complement total (ch50)

86171 $22.24 Complement fixation each

86200 $28.78 Ccp antibody

86215 $29.44 Deoxyribonuclease antibody

86225 $30.54 Dna antibody native

86226 $26.90 Dna antibody single strand

86235 $39.86 Nuclear antigen antibody

86255 $26.78 Fluorescent antibody screen


86256 $26.78 Fluorescent antibody titer

86277 $34.98 Growth hormone antibody

86280 $18.20 Hemagglutination inhibition

86294 $51.14 Immunoassay tumor qual

86294 $51.14 Immunoassay tumor qual

86300 $46.26 Immunoassay tumor ca 15-3

86301 $46.26 Immunoassay tumor ca 19-9

86304 $46.26 Immunoassay tumor ca 125

86305 $46.26 Human epididymis protein 4

86308 $11.50 Heterophile antibody screen

86308 $11.50 Heterophile antibody screen

86309 $14.36 Heterophile antibody titer

86310 $16.38 Heterophile antibody absrbj

86316 $46.26 Immunoassay tumor other

86317 $33.30 Immunoassay infectious agent



86320 $59.84 Serum immunoelectrophoresis

86325 $49.70 Other immunoelectrophoresis

86327 $59.84 Immunoelectrophoresis assay

86329 $31.22 Immunodiffusion nes

86331 $26.62 Immunodiffusion ouchterlony

86332 $54.16 Immune complex assay

86334 $49.66 Immunofix e-phoresis serum

86335 $65.22 Immunfix e-phorsis/urine/csf

86336 $34.64 Inhibin a

86337 $47.58 Insulin antibodies

86340 $33.50 Intrinsic factor antibody

86341 $47.14 Islet cell antibody

86343 $27.68 Leukocyte histamine release

86344 $20.78 Leukocyte phagocytosis

86352 $301.92 Cell function assay w/stim

86353 $108.94 Lymphocyte transformation

86355 $83.84 B cells total count

86356 $59.50 Mononuclear cell antigen

86357 $83.84 Nk cells total count

86359 $83.84 T cells total count

86360 $104.40 T cell absolute count/ratio

86361 $59.50 T cell absolute count

86367 $155.56 Stem cells total count

86376 $32.34 Microsomal antibody each

86382 $37.58 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 $23.64 Particle agglut antbdy titr

86430 $12.60 Rheumatoid factor test qual

86431 $12.60 Rheumatoid factor quant

86480 $137.74 Tb test cell immun measure

86481 $200.00 Tb ag response t-cell susp

86590 $25.32 Streptokinase antibody

86592 $9.50 Syphilis test non-trep qual

86593 $9.78 Syphilis test non-trep quant

86602 $22.62 Antinomyces antibody

86603 $28.60 Adenovirus antibody

86606 $33.46 Aspergillus antibody

86609 $28.62 Bacterium antibody

86611 $22.62 Bartonella antibody

86612 $28.68 Blastomyces antibody

86615 $29.30 Bordetella antibody

86617 $34.42 Lyme disease antibody



86619 $29.72 Borrelia antibody

86622 $19.84 Brucella antibody

86625 $29.16 Campylobacter antibody

86628 $26.68 Candida antibody

86631 $26.28 Chlamydia antibody

86632 $28.18 Chlamydia igm antibody

86635 $25.50 Coccidioides antibody

86638 $26.94 Q fever antibody

86641 $32.02 Cryptococcus antibody

86644 $31.98 Cmv antibody

86645 $37.44 Cmv antibody igm

86648 $33.80 Diphtheria antibody

86651 $29.30 Encephalitis californ antbdy

86652 $29.30 Encephaltis east eqne anbdy

86653 $29.30 Encephaltis st louis antbody

86654 $29.30 Encephaltis west eqne antbdy

86658 $28.94 Enterovirus antibody

86663 $29.16 Epstein-barr antibody

86664 $33.98 Epstein-barr nuclear antigen

86665 $40.32 Epstein-barr capsid vca

86666 $22.62 Ehrlichia antibody

86668 $28.32 Francisella tularensis

86671 $27.24 Fungus nes antibody

86674 $32.70 Giardia lamblia antibody

86677 $33.70 Helicobacter pylori antibody

86682 $28.90 Helminth antibody

86684 $35.20 Hemophilus influenza antibdy

86687 $18.64 Htlv-i antibody


86688 $31.12 Htlv-ii antibody

86689 $43.02 Htlv/hiv confirmj antibody

86692 $38.14 Hepatitis delta agent antbdy

86694 $31.98 Herpes simplex nes antbdy

86695 $29.30 Herpes simplex type 1 test

86696 $43.02 Herpes simplex type 2 test

86698 $27.76 Histoplasma antibody

86701 $19.74 Hiv-1antibody

86701 $19.74 Hiv-1antibody

86702 $30.04 Hiv-2 antibody

86703 $30.46 Hiv-1/hiv-2 1 result antbdy

86704 $26.78 Hep b core antibody total

86705 $26.16 Hep b core antibody igm

86706 $23.86 Hep b surface antibody

86707 $25.70 Hepatitis be antibody

86708 $27.52 Hepatitis a antibody

86709 $25.02 Hepatitis a igm antibody

86710 $30.12 Influenza virus antibody

86711 $33.78 John cunningham antibody

86713 $34.00 Legionella antibody

86717 $27.22 Leishmania antibody

86720 $32.40 Leptospira antibody

86723 $29.30 Listeria monocytogenes

86727 $28.60 Lymph choriomeningitis ab

86732 $30.00 Mucormycosis antibody

86735 $29.00 Mumps antibody

86738 $29.42 Mycoplasma antibody

86741 $29.30 Neisseria meningitidis

86744 $31.98 Nocardia antibody

86747 $33.40 Parvovirus antibody

86750 $29.30 Malaria antibody

86753 $27.52 Protozoa antibody nos

86756 $31.78 Respiratory virus antibody

86757 $43.02 Rickettsia antibody

86759 $36.46 Rotavirus antibody

86762 $31.98 Rubella antibody

86765 $28.62 Rubeola antibody

86768 $29.30 Salmonella antibody

86771 $48.96 Shigella antibody

86774 $32.88 Tetanus antibody

86777 $31.98 Toxoplasma antibody

86778 $32.02 Toxoplasma antibody igm

86780 $29.42 Treponema pallidum

86780 $29.42 Treponema pallidum

86784 $27.92 Trichinella antibody

86787 $28.62 Varicella-zoster antibody


86788 $37.44 West nile virus ab igm

86789 $31.98 West nile virus antibody

86790 $28.62 Virus antibody nos

86793 $29.30 Yersinia antibody

86794 $37.44 Zika virus igm antibody

86800 $35.34 Thyroglobulin antibody

86803 $31.70 Hepatitis c ab test

86803 $31.70 Hepatitis c ab test

86804 $34.42 Hep c ab test confirm

86805 $379.02 Lymphocytotoxicity assay

86806 $105.76 Lymphocytotoxicity assay

86807 $157.30 Cytotoxic antibody screening

86808 $65.96 Cytotoxic antibody screening

86812 $57.34 Hla typing a b or c

86813 $128.88 Hla typing a b or c

86816 $61.90 Hla typing dr/dq

86817 $212.28 Hla typing dr/dq

86821 $81.24 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 $794.58 Hla class i semiquant panel

86835 $717.70 Hla class ii semiquant panel

86850 $19.54 Rbc antibody screen

86880 $11.98 Coombs test direct

86885 $12.72 Coombs test indirect qual

86886 $11.50 Coombs test indirect titer

86900 $6.64 Blood typing serologic abo

86901 $6.64 Blood typing serologic rh(d)

86902 $12.70 Blood type antigen donor ea

86904 $32.68 Blood typing patient serum

86905 $8.50 Blood typing rbc antigens

86906 $17.22 Bld typing serologic rh phnt

86940 $18.22 Hemolysins/agglutinins auto

86941 $26.90 Hemolysins/agglutinins

87003 $37.42 Small animal inoculation

87015 $14.84 Specimen infect agnt concntj

87040 $22.94 Blood culture for bacteria

87045 $20.98 Feces culture aerobic bact

87046 $20.98 Stool cultr aerobic bact ea

87070 $19.14 Culture othr specimn aerobic


87071 $20.98 Culture aerobic quant other

87073 $20.98 Culture bacteria anaerobic

87075 $21.04 Cultr bacteria except blood

87076 $17.94 Culture anaerobe ident each

87077 $17.94 Culture aerobic identify

87077 $17.94 Culture aerobic identify

87081 $14.72 Culture screen only

87084 $54.14 Culture of specimen by kit

87086 $17.94 Urine culture/colony count

87088 $17.98 Urine bacteria culture

87101 $17.12 Skin fungi culture

87102 $18.68 Fungus isolation culture

87103 $40.92 Blood fungus culture

87106 $22.94 Fungi identification yeast

87107 $22.94 Fungi identification mold

87109 $34.20 Mycoplasma

87110 $43.54 Chlamydia culture

87116 $24.00 Mycobacteria culture

87118 $29.22 Mycobacteric identification

87140 $12.38 Culture type immunofluoresc

87143 $27.84 Culture typing glc/hplc

87147 $11.50 Culture type immunologic

87149 $44.56 Dna/rna direct probe

87150 $77.98 Dna/rna amplified probe

87152 $15.48 Culture type pulse field gel

87153 $256.34 Dna/rna sequencing

87158 $15.48 Culture typing added method

87164 $23.86 Dark field examination

87166 $25.12 Dark field examination

87168 $9.50 Macroscopic exam arthropod

87169 $9.50 Macroscopic exam parasite

87172 $9.50 Pinworm exam

87176 $13.08 Tissue homogenization cultr

87177 $19.78 Ova and parasites smears

87181 $10.54 Microbe susceptible diffuse

87184 $15.32 Microbe susceptible disk

87185 $10.54 Microbe susceptible enzyme

87186 $19.22 Microbe susceptible mic

87187 $80.34 Microbe susceptible mlc

87188 $14.76 Microbe suscept macrobroth

87190 $14.62 Microbe suscept mycobacteri

87197 $33.38 Bactericidal level serum

87205 $9.50 Smear gram stain

87206 $11.98 Smear fluorescent/acid stai

87207 $13.32 Smear special stain

87209 $39.94 Smear complex stain


87210 $11.64 Smear wet mount saline/ink

87210 $11.64 Smear wet mount saline/ink

87220 $9.50 Tissue exam for fungi

87230 $43.86 Assay toxin or antitoxin

87250 $43.46 Virus inoculate eggs/animal

87252 $57.94 Virus inoculation tissue

87253 $44.90 Virus inoculate tissue addl

87254 $43.46 Virus inoculation shell via

87255 $75.24 Genet virus isolate hsv

87260 $28.86 Adenovirus ag if

87265 $26.64 Pertussis ag if

87267 $26.84 Enterovirus antibody dfa

87269 $27.22 Giardia ag if

87270 $26.64 Chlamydia trachomatis ag if

87271 $26.84 Cytomegalovirus dfa

87272 $26.64 Cryptosporidium ag if

87273 $26.64 Herpes simplex 2 ag if

87274 $26.64 Herpes simplex 1 ag if

87275 $26.64 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 $26.64 Pneumocystis carinii ag if

87283 $121.60 Rubeola ag if

87285 $26.64 Treponema pallidum ag if

87290 $26.84 Varicella zoster ag if

87299 $32.20 Antibody detection nos if

87300 $26.64 Ag detection polyval if

87301 $26.64 Adenovirus ag ia

87305 $26.64 Aspergillus ag ia

87320 $30.00 Chylmd trach ag ia

87324 $26.64 Clostridium ag ia

87327 $26.84 Cryptococcus neoform ag ia

87328 $27.64 Cryptosporidium ag ia

87329 $26.64 Giardia ag ia

87332 $26.64 Cytomegalovirus ag ia

87335 $26.64 E coli 0157 ag ia

87336 $32.00 Entamoeb hist dispr ag ia

87337 $26.64 Entamoeb hist group ag ia

87338 $31.96 Hpylori stool ia

87338 $31.96 Hpylori stool ia

87339 $32.00 H pylori ag ia

87340 $22.96 Hepatitis b surface ag ia

87341 $22.96 Hepatitis b surface ag ia

87350 $25.62 Hepatitis be ag ia


87380 $36.72 Hepatitis delta ag ia

87385 $26.64 Histoplasma capsul ag ia

87389 $53.50 Hiv-1 ag w/hiv-1 & hiv-2 ab

87389 $53.50 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 $26.64 Rotavirus ag ia

87427 $26.64 Shiga-like toxin ag ia

87430 $33.62 Strep a ag ia

87449 $26.64 Ag detect nos ia mult

87449 $26.64 Ag detect nos ia mult

87450 $21.32 Ag detect nos ia single

87451 $21.32 Ag detect polyval ia mult

87471 $77.98 Bartonella dna amp probe

87472 $95.20 Bartonella dna quant

87475 $44.56 Lyme dis dna dir probe

87476 $77.98 Lyme dis dna amp probe

87480 $44.56 Candida dna dir probe

87481 $77.98 Candida dna amp probe

87482 $111.48 Candida dna quant

87483 $926.18 Cns dna amp probe type 12-25

87485 $44.56 Chylmd pneum dna dir probe

87486 $77.98 Chylmd pneum dna amp probe

87487 $95.20 Chylmd pneum dna quant

87490 $45.50 Chylmd trach dna dir probe

87491 $77.98 Chylmd trach dna amp probe

87492 $106.94 Chylmd trach dna quant

87493 $77.98 C diff amplified probe

87495 $60.06 Cytomeg dna dir probe

87496 $77.98 Cytomeg dna amp probe

87497 $95.20 Cytomeg dna quant

87498 $77.98 Enterovirus probe&revrs trns

87500 $77.98 Vanomycin dna amp probe

87501 $114.04 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 $285.08 Nfct agent detection gi

87506 $525.98 Iadna-dna/rna probe tq 6-11

87507 $926.18 Iadna-dna/rna probe tq 12-25

87510 $44.56 Gardner vag dna dir probe

87511 $77.98 Gardner vag dna amp probe

87512 $92.80 Gardner vag dna quant

87516 $77.98 Hepatitis b dna amp probe


87517 $95.20 Hepatitis b dna quant

87520 $62.44 Hepatitis c rna dir probe

87521 $77.98 Hepatitis c probe&rvrs trnsc

87522 $95.20 Hepatitis c revrs trnscrpj

87525 $59.60 Hepatitis g dna dir probe

87526 $78.52 Hepatitis g dna amp probe

87527 $92.80 Hepatitis g dna quant

87528 $44.56 Hsv dna dir probe

87529 $77.98 Hsv dna amp probe

87530 $95.20 Hsv dna quant

87531 $116.00 Hhv-6 dna dir probe

87532 $77.98 Hhv-6 dna amp probe

87533 $92.80 Hhv-6 dna quant

87534 $44.56 Hiv-1 dna dir probe

87535 $77.98 Hiv-1 probe&reverse trnscrpj

87536 $189.10 Hiv-1 quant&revrse trnscrpj

87537 $44.56 Hiv-2 dna dir probe

87538 $77.98 Hiv-2 probe&revrse trnscripj

87539 $117.24 Hiv-2 quant&revrse trnscripj

87540 $44.56 Legion pneumo dna dir prob

87541 $77.98 Legion pneumo dna amp prob

87542 $92.80 Legion pneumo dna quant

87550 $44.56 Mycobacteria dna dir probe

87551 $96.48 Mycobacteria dna amp probe

87552 $95.20 Mycobacteria dna quant

87555 $53.76 M.tuberculo dna dir probe

87556 $83.36 M.tuberculo dna amp probe

87557 $95.20 M.tuberculo dna quant

87560 $54.58 M.avium-intra dna dir prob

87561 $77.98 M.avium-intra dna amp prob

87562 $95.20 M.avium-intra dna quant

87580 $44.56 M.pneumon dna dir probe

87581 $77.98 M.pneumon dna amp probe

87582 $605.24 M.pneumon dna quant

87590 $53.76 N.gonorrhoeae dna dir prob

87591 $77.98 N.gonorrhoeae dna amp prob

87592 $95.20 N.gonorrhoeae dna quant

87623 $77.98 Hpv low-risk types

87624 $77.98 Hpv high-risk types

87625 $81.10 Hpv types 16 & 18 only

87631 $285.26 Resp virus 3-5 targets





87634 $155.98 Rsv dna/rna amp probe


87634 $155.98 Rsv dna/rna amp probe

87640 $77.98 Staph a dna amp probe

87641 $77.98 Mr-staph dna amp probe

87650 $44.56 Strep a dna dir probe

87650 $44.56 Strep a dna dir probe

87651 $77.98 Strep a dna amp probe

87651 $77.98 Strep a dna amp probe

87652 $92.80 Strep a dna quant

87653 $77.98 Strep b dna amp probe

87660 $44.56 Trichomonas vagin dir probe

87661 $77.98 Trichomonas vaginalis amplif

87662 $114.04 Zika virus dna/rna amp probe

87797 $60.06 Detect agent nos dna dir

87798 $77.98 Detect agent nos dna amp

87799 $95.20 Detect agent nos dna quant

87800 $89.14 Detect agnt mult dna direc

87801 $155.98 Detect agnt mult dna ampli

87801 $155.98 Detect agnt mult dna ampli

87802 $26.64 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 $26.64 Rsv assay w/optic

87807 $26.64 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 $289.66 Phenotype infect agent drug

87901 $572.10 Genotype dna hiv reverse t

87902 $572.10 Genotype dna/rna hep c

87903 $1,085.90 Phenotype dna hiv w/culture

87904 $57.94 Phenotype dna hiv w/clt add

87905 $27.16 Sialidase enzyme assay

87905 $27.16 Sialidase enzyme assay

87906 $286.06 Genotype dna/rna hiv

87910 $572.10 Genotype cytomegalovirus

87912 $572.10 Genotype dna hepatitis b


88130 $39.94 Sex chromatin identification

88140 $17.76 Sex chromatin identification

88142 $45.02 Cytopath c/v thin layer

88143 $46.08 Cytopath c/v thin layer redo

88147 $101.12 Cytopath c/v automated

88148 $33.76 Cytopath c/v auto rescreen

88150 $29.98 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 $29.98 Cytopath tbs c/v manual

88165 $84.44 Cytopath tbs c/v redo

88166 $29.98 Cytopath tbs c/v auto redo

88167 $29.98 Cytopath tbs c/v select

88174 $50.74 Cytopath c/v auto in fluid

88175 $58.88 Cytopath c/v auto fluid redo

88230 $258.88 Tissue culture lymphocyte

88233 $312.72 Tissue culture skin/biopsy

88235 $327.26 Tissue culture placenta

88237 $287.50 Tissue culture bone marrow

88239 $327.82 Tissue culture tumor

88240 $26.14 Cell cryopreserve/storage

88241 $24.18 Frozen cell preparation

88245 $384.84 Chromosome analysis 20-25


88249 $384.84 Chromosome analysis 100





88267 $399.50 Chromosome analys placenta

88269 $369.62 Chromosome analys amniotic

88271 $47.60 Cytogenetics dna probe

88272 $81.40 Cytogenetics 3-5

88273 $71.40 Cytogenetics 10-30

88274 $84.76 Cytogenetics 25-99

88275 $102.38 Cytogenetics 100-300

88280 $66.94 Chromosome karyotype study

88283 $152.44 Chromosome banding study

88285 $53.82 Chromosome count additional

88289 $76.52 Chromosome study additional

88371 $49.40 Protein western blot tissue

88372 $52.44 Protein analysis w/probe

88720 $11.14 Bilirubin total transcut

88738 $11.14 Hgb quant transcutaneous

88740 $18.74 Transcutaneous carboxyhb


88741 $18.74 Transcutaneous methb

89050 $10.50 Body fluid cell count

89051 $12.24 Body fluid cell count

89055 $9.50 Leukocyte assessment fecal

89060 $15.90 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 $19.84 Semen analysis w/huhner

89300 $19.84 Semen analysis w/huhner

89310 $19.14 Semen analysis w/count

89320 $26.78 Semen anal vol/count/mot

89321 $26.78 Semen anal sperm detection

89321 $26.78 Semen anal sperm detection

89322 $34.44 Semen anal strict criteria

89325 $23.72 Sperm antibody test

89329 $43.52 Sperm evaluation test

89330 $21.98 Evaluation cervical mucus

89331 $43.52 Retrograde ejaculation anal

G0027 $14.46 Semen analysis

G0103 $40.88 Psa screening

G0123 $45.02 Screen cerv/vag thin layer

G0143 $54.10 Scr c/v cyto,thinlayer,rescr



G0147 $29.98 Scr c/v cyto, automated sys

G0148 $63.88 Scr c/v cyto, autosys, rescr

G0306 $17.26 Cbc/diffwbc w/o platelet

G0307 $14.36 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 $26.64 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 $53.50 Hiv combination assay

G0475 $53.50 Hiv combination assay

G0476 $77.98 Hpv combo assay ca screen

G0480 $228.86 Drug test def 1-7 classes



G0483 $493.84 Drug test def 22+ classes

G0499 $62.82 Hepb screen high risk indiv


G0659 $129.30 Drug test def simple all cl

G9143 $268.26 Warfarin respon genetic test

P2028 $11.00 Cephalin floculation test

P2029 $11.00 Congo red blood test

P2031 $11.00 Hair analysis

P2033 $11.00 Blood thymol turbidity

P2038 $11.00 Blood mucoprotein

P3000 $29.98 Screen pap by tech w md supv

P9612 $6.00 Catheterize for urine spec

P9615 $6.00 Urine specimen collect mult

Q0111 $29.98 Wet mounts/ w preparations

Q0112 $11.66 Potassium hydroxide preps

Q0113 $9.50 Pinworm examinations

Q0114 $19.48 Fern test

Q0115 $50.00 Post-coital mucous exam

Documents

2019 Clinical Diagnostic Laboratory Fee Schedule80305 $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 $129.30