$ 32.51 Drug scrn quant oxcarbazepin $ 28.08 of phenobarbital 80185 $ 32.51 of phenytoin total 80186 $ 33.75 of phenytoin free 80188 $ 40.70 Assay of primidone 80190 $ 41.08 Assay of procainamide $ 41.08 of procainamide 80194 $ 35.80 Assay of quinidine 80195 $ 33.68 Assay of sirolimus $ 33.68 Assay of tacrolimus 80198 $ 34.69 of theophylline $ 44.28 Drug screen quant tiagabine 80200 $ 39.53 of tobramycin $ 29.23 Assay of topiramate 80202 $ 33.23 Assay of vancomycin 80203 $ 32.51 Drug screen quant zonisamide $ 33.59 Quantitative assay drug 80400 $ 79.97 Acth stimulation panel 80402 $ 213.21 Acth stimulation panel 80406 $ 153.16 Acth stimulation panel 80408 $ 307.71 Aldosterone suppression eval 80410 $ 196.99 Calcitonin stimul panel $ 808.24 CRH stimulation panel 80414 $ 126.61 Testosterone response 80415 $ 137.03 Estradiol response panel 80416 $ 323.57 Renin stimulation panel 80417 $ 107.86 stimulation panel $ 1,421.15 Pituitary evaluation panel 80420 $ 176.65 Dexamethasone panel $ 112.97 Glucagon tolerance 80424 $ 123.82 Glucagon tolerance 80426 $ 363.89 Gonadotropin hormone panel 80428 $ 163.55 Growth hormone panel 80430 $ 192.44 Growth hormone panel 80432 $ 289.26 Insulin suppression panel 80434 $ 248.08 Insulin tolerance panel $ 252.59 Insulin tolerance panel 80436 $ 223.52 Metyrapone panel 80438 $ 123.61 TRH stimulation panel $ 164.81 TRH stimulation panel
81373 $ 273.06 Hla i typing 1 locus lr 81374 $ 178.38 Hla i typing 1 antigen lr 81375 $ 541.26 Hla ii typing ag equiv lr 81376 $ 299.68 Hla ii typing 1 locus lr 81377 $ 225.11 Hla ii type 1 ag equiv lr $ 847.31 Hla i & ii typing hr 81379 $ 822.35 Hla i typing complete hr 81380 $ 434.61 Hla i typing 1 locus hr $ 231.91 Hla i typing 1 allele hr 81382 $ 303.26 Hla ii typing 1 loc hr $ 267.59 Hla ii typing 1 allele hr 81410 $ - Aortic dysfunction/dilation $ - Aortic dysfunction/dilation $ - Ashkenazi jewish assoc dis 81415 $ - Exome sequence analysis $ - Exome sequence analysis 81417 $ - Exome re-evaluation $ - Fetal chrmoml aneuploidy $ - Genome sequence analysis 81426 $ - Genome sequence analysis 81427 $ - Genome re-evaluation 81430 $ - Hearing loss sequence analys 81431 $ - Hearing loss dup/del analys $ - Hrdtry brst ca-rlatd dsordrs 81433 $ - Hrdtry brst dsordrs 81434 $ - Hereditary retinal disorders 81435 $ 1,434.15 Hereditary cancer 81436 $ 1,434.15 Hereditary ca synd 81437 $ - Heredtry nurondcrn tum dsrdr 81438 $ - Heredtry nurondcrn tum dsrdr 81440 $ - Mitochondrial gene 81442 $ - Noonan spectrum disorders 81445 $ 1,076.24 Targeted genomic seq analys 81450 $ 1,167.12 Targeted genomic seq analys 81455 $ - Targeted genomic seq analys 81460 $ - mitochondrial genome 81465 $ - Whole mitochondrial genome $ - X-linked intellectual dblt 81471 $ - X-linked intellectual dblt 81490 $ - Autoimmune rheumatoid arthr
81493 $ - Cor artery disease mrna 81519 $ 6,154.96 Oncology breast mrna 81525 $ - Oncology colon mrna 81528 $ 915.97 Oncology colorectal scr 81535 $ 1,043.03 Oncology gynecologic 81536 $ 319.61 Oncology gynecologic 81538 $ - Oncology lung 81540 $ - Oncology tum unknown origin 81545 $ - Oncology thyroid 81595 $ - Cardiology hrt trnspl mrna 82009 $ 11.09 Test for acetone/ketones 82010 $ 20.03 Acetone assay 82010 QW $ 20.03 Acetone assay 82013 $ 27.38 Acetylcholinesterase assay 82016 $ 34.00 Acylcarnitines qual 82017 $ 6.46 Acylcarnitines quant $ 94.70 of acth 82030 $ 34.74 Assay of adp & amp $ 12.13 Assay of serum albumin 82040 QW $ 12.13 Assay of serum albumin 82042 $ 7.11 Assay of urine albumin 82042 QW $ 7.11 Assay of urine albumin 82043 $ 14.17 Microalbumin quantitative 82043 QW $ 14.17 Microalbumin quantitative 82044 $ 11.21 Microalbumin semiquant 82044 QW $ 11.21 Microalbumin semiquant 82045 $ 79.96 Albumin ischemia modified $ 29.54 Assay of breath ethanol 82085 $ 23.80 Assay of aldolase 82088 $ 99.92 Assay of aldosterone 82103 $ 32.94 Alpha-1-antitrypsin total 82104 $ 35.46 pheno 82105 $ 41.13 Alpha-fetoprotein serum 82106 $ 41.13 Alpha-fetoprotein amniotic $ 157.93 Alpha-fetoprotein l3 $ 62.48 Assay of aluminum $ 4.23 Amines vaginal fluid qual 82120 QW $ 4.23 Amines vaginal fluid qual 82127 $ 34.00 Amino acid single qual 82128 $ 34.00 Amino acids mult qual
82131 $ 41.36 Amino acids single quant $ 40.34 Assay aminolevulinic acid $ 6.46 Amino acids quant 2-5 82139 $ 6.46 Amino acids quan 6 or more 82140 $ 35.73 Assay of ammonia 82143 $ 16.83 Amniotic scan 82150 $ 15.89 Assay of amylase 82150 QW $ 15.89 Assay of amylase 82154 $ 36.59 Androstanediol glucuronide 82157 $ 71.78 of androstenedione 82160 $ 61.31 Assay of androsterone 82163 $ 50.33 Assay of angiotensin II 82164 $ 35.80 Angiotensin I enzyme test 82172 $ 38.00 Assay of apolipoprotein 82175 $ 46.51 Assay of arsenic 82180 $ 24.23 Assay of ascorbic acid 82190 $ 36.56 Atomic absorption 82232 $ 39.67 Assay of beta-2 protein $ 20.68 Bile acids total 82240 $ 31.37 Bile acids cholylglycine $ 12.29 Bilirubin total 82247 QW $ 12.29 Bilirubin total $ 12.29 Bilirubin direct 82252 $ 3.44 bilirubin test 82261 $ 6.46 Assay of biotinidase 82270 $ 7.97 Occult blood feces 82271 $ 7.97 Occult blood other sources 82271 QW $ 7.97 Occult blood other sources 82272 $ 7.97 Occult bld feces 1-3 tests QW $ 7.97 Occult bld feces 1-3 tests 82274 $ 39.01 Assay test for blood fecal 82274 QW $ 39.01 Assay test for blood fecal 82286 $ 16.88 Assay of bradykinin 82300 $ 56.74 Assay of cadmium 82306 $ 72.59 Vitamin d 25 hydroxy 82308 $ 65.68 Assay of calcitonin 82310 $ 12.65 Assay of calcium 82310 QW $ 12.65 Assay of calcium 82330 $ 33.53 Assay of calcium 82330 QW $ 33.53 Assay of calcium
82725 $ 32.63 Assay of blood fatty acids 82726 $ 44.28 Long chain fatty acids 82728 $ 33.43 Assay of ferritin $ 157.93 Assay of fetal fibronectin 82735 $ 45.45 Assay of fluoride 82746 $ 36.05 Assay of folic acid serum 82747 $ 42.19 Assay of folic acid rbc $ 19.12 Assay of semen fructose 82759 $ 38.20 of rbc galactokinase 82760 $ 27.45 Assay of galactose 82775 $ 51.66 galactose transferase $ 13.99 Galactose transferase test 82777 $ 53.93 Galectin-3 82784 $ 13.99 Assay iga/igd/igg/igm each 82785 $ 40.37 Assay of ige 82787 $ 11.27 Igg 1 2 3 or 4 each 82800 $ 20.75 Blood pH 82803 $ 47.45 Blood gases any combination 82805 $ 69.57 gases w/o2 saturation 82810 $ 21.40 Blood gases o2 sat only $ 23.76 Hemoglobin-oxygen affinity 82930 $ 13.36 Gastric analy w/ph ea spec $ 43.38 Gastrin test $ 43.24 Assay of gastrin 82943 $ 35.03 Assay of glucagon 82945 $ 9.63 Glucose fluid 82946 $ 32.69 Glucagon tolerance test 82947 $ 9.63 Assay glucose blood quant 82947 QW $ 9.63 Assay glucose blood quant 82948 $ 7.78 Reagent glucose $ 11.65 Glucose test QW $ 11.65 Glucose test 82951 $ 15.73 Glucose tolerance test (GTT) QW $ 15.73 Glucose tolerance test (GTT) 82952 $ 9.61 GTT-added samples 82952 QW $ 9.61 samples 82955 $ 23.78 Assay of g6pd enzyme 82960 $ 14.83 Test for G6PD enzyme 82962 $ 4.41 Glucose blood test 82963 $ 52.69 Assay of glucosidase
$ 9.00 Assay of protein serum 84155 QW $ 9.00 Assay of protein serum 84156 $ 9.00 Assay of protein urine 84157 $ 9.00 Assay of protein other 84157 QW $ 9.00 Assay of protein other 84160 $ 12.69 Assay of protein any source 84163 $ 36.92 serum $ 26.33 Protein e-phoresis 84166 $ 43.72 Protein e-phoresis/urine/csf $ 41.76 Western blot test 84182 $ 44.14 Protein western blot test 84202 $ 35.17 Assay RBC protoporphyrin 84203 $ 21.11 Test RBC protoporphyrin $ 43.54 Assay of proinsulin $ 68.89 Assay of vitamin b-6 $ 26.62 Assay of pyruvate 84220 $ 23.15 Assay of pyruvate kinase 84228 $ 28.53 Assay of quinine 84233 $ 157.93 Assay of estrogen $ 159.08 Assay of progesterone 84235 $ 128.34 Assay of endocrine hormone 84238 $ 89.68 Assay nonendocrine receptor 84244 $ 53.93 of renin $ 49.63 Assay of vitamin b-2 $ 62.60 Assay of selenium $ 45.59 Assay of serotonin $ 53.30 Assay of sex hormone globul 84275 $ 32.94 Assay of sialic acid 84285 $ 57.73 Assay of silica 84295 $ 11.81 of serum sodium 84295 QW $ 11.81 Assay of serum sodium 84300 $ 11.93 Assay of urine sodium 84302 $ 11.93 Assay of sweat sodium 84305 $ 48.15 Assay of somatomedin 84307 $ 44.82 Assay of somatostatin 84311 $ 17.14 Spectrophotometry 84315 $ 6.16 Body fluid specific gravity 84375 $ 5.87 Chromatogram assay sugars 84376 $ 13.48 Sugars single qual 84377 $ 13.48 Sugars multiple qual
86301 $ 51.03 Immunoassay tumor ca 19-9 $ 51.03 Immunoassay tumor ca 125 $ 51.03 Human epididymis protein 4 86308 $ 12.69 Heterophile antibody screen 86308 QW $ 12.69 Heterophile antibody screen 86309 $ 15.86 Heterophile antibody titer 86310 $ 18.07 Heterophile antibody absrbj 86316 $ 51.03 Immunoassay other 86317 $ 36.76 Immunoassay infectious agent 86318 $ 31.73 Immunoassay infectious agent QW $ 31.73 Immunoassay infectious agent 86320 $ 54.95 Serum immunoelectrophoresis 86325 $ 54.85 Other immunoelectrophoresis 86327 $ 55.64 Immunoelectrophoresis assay $ 34.43 Immunodiffusion nes $ 29.38 Immunodiffusion ouchterlony 86332 $ 42.23 Immune complex 86334 $ 54.79 Immunofix e-phoresis serum 86335 $ 71.95 Immunfix e-phorsis/urine/csf 86336 $ 31.77 Inhibin A 86337 $ 52.49 Insulin antibodies $ 36.97 Intrinsic factor antibody 86341 $ 32.92 Islet cell antibody 86343 $ 30.56 Leukocyte histamine release 86344 $ 19.58 Leukocyte phagocytosis 86352 $ 333.13 Cell function assay w/stim $ 120.22 Lymphocyte transformation 86355 $ 43.54 B cells total count 86356 $ 44.37 Mononuclear cell antigen $ 43.54 Nk total count 86359 $ 43.54 T cells total count $ 87.07 T cell absolute count/ratio 86361 $ 44.37 T cell absolute count 86367 $ 43.54 Stem cells total count 86376 $ 35.68 Microsomal antibody each 86378 $ 48.29 Migration inhibitory factor 86382 $ 41.47 Neutralization test viral 86384 $ 27.92 Nitroblue tetrazolium dye 86386 $ 39.17 Nuclear matrix protein 22 86386 QW $ 39.17 Nuclear matrix protein 22
86403 $ 17.14 Particle agglut antbdy scrn 86406 $ 26.08 Particle agglut antbdy titr 86430 $ 13.91 Rheumatoid factor test qual 86431 $ 13.91 Rheumatoid factor quant $ 151.97 Tb test cell immun measure $ 183.73 Tb ag response t-cell susp 86590 $ 26.10 Streptokinase antibody 86592 $ 10.48 Syphilis test non-trep qual 86593 $ 10.78 Syphilis test non-trep $ 24.97 Antinomyces antibody 86603 $ 27.50 Adenovirus antibody 86606 $ 34.49 Aspergillus antibody $ 31.59 Bacterium antibody 86611 $ 24.97 Bartonella antibody 86612 $ 27.50 Blastomyces antibody $ 32.35 Bordetella antibody 86617 $ 37.98 Lyme disease antibody $ 41.76 Lyme disease antibody 86618 QW $ 41.76 Lyme disease antibody 86619 $ 32.80 Borrelia antibody 86622 $ 20.05 Brucella antibody 86625 $ 32.17 Campylobacter antibody 86628 $ 29.43 Candida antibody 86631 $ 29.00 Chlamydia antibody 86632 $ 31.10 Chlamydia igm antibody 86635 $ 27.50 Coccidioides antibody 86638 $ 27.50 Q antibody 86641 $ 17.14 Cryptococcus antibody 86644 $ 35.30 CMV antibody 86645 $ 35.01 Cmv antibody igm $ 37.30 Diphtheria antibody 86651 $ 32.35 Encephalitis californ antbdy 86652 $ 32.35 Encephaltis east eqne anbdy 86653 $ 32.35 Encephaltis st louis antbody 86654 $ 32.35 Encephaltis west eqne antbdy 86658 $ 27.50 Enterovirus antibody 86663 $ 32.17 Epstein-barr antibody 86664 $ 35.01 Epstein-barr nuclear antigen 86665 $ 35.01 Epstein-barr capsid vca 86666 $ 24.97 Ehrlichia antibody
86834 $ 876.73 Hla class i semiquant panel 86835 $ 791.87 Hla class ii semiquant panel 86850 $ 9.38 Rbc antibody screen 86880 $ 13.19 Coombs test direct 86885 $ 14.04 Coombs test indirect qual 86886 $ 12.69 Coombs test indirect titer 86900 $ 7.33 Blood typing abo 86901 $ 7.33 Blood typing rh (d) $ 9.38 Blood type antigen donor ea 86904 $ 23.33 Blood typing patient serum 86905 $ 9.38 Blood typing rbc antigens 86906 $ 15.73 Blood typing rh phenotype 86940 $ 20.11 Hemolysins/agglutinins auto 86941 $ 29.68 Hemolysins/agglutinins 87003 $ 41.27 Small animal inoculation 87015 $ 16.36 Specimen infect agnt concntj 87040 $ 25.33 Blood culture for bacteria 87045 $ 23.15 Feces culture aerobic bact 87046 $ 23.15 Stool cultr aerobic bact ea 87070 $ 21.13 Culture othr specimn aerobic $ 23.15 Culture aerobic quant other 87073 $ 23.15 Culture bacteria anaerobic $ 23.22 bacteria except blood $ 17.37 Culture anaerobe ident each 87077 $ 17.37 Culture aerobic identify QW $ 17.37 Culture aerobic identify 87081 $ 16.25 Culture screen only 87084 $ 21.13 Culture of specimen by kit $ 19.80 Urine culture/colony count 87088 $ 19.85 Urine bacteria culture 87101 $ 18.90 Skin fungi culture 87102 $ 20.61 Fungus isolation culture $ 22.10 fungus culture 87106 $ 25.33 Fungi identification yeast 87107 $ 25.33 Fungi identification mold 87109 $ 37.73 Mycoplasma 87110 $ 48.04 Chlamydia culture 87116 $ 26.48 Mycobacteria culture 87118 $ 26.84 Mycobacteric identification 87140 $ 13.66 Culture type immunofluoresc
87143 $ 30.71 Culture typing glc/hplc 87147 $ 12.69 Culture type immunologic 87149 $ 49.18 Dna/rna direct probe 87150 $ 86.04 Dna/rna amplified probe 87152 $ 12.83 Culture type field gel 87153 $ 282.85 Dna/rna sequencing 87158 $ 12.83 Culture typing added method 87164 $ 26.33 Dark field examination 87166 $ 27.68 Dark field examination $ 10.48 Macroscopic exam arthropod 87169 $ 10.48 Macroscopic exam parasite 87172 $ 10.48 Pinworm exam $ 14.42 Tissue homogenization cultr 87177 $ 21.82 Ova and parasites smears $ 11.65 Microbe susceptible diffuse 87184 $ 16.90 Microbe susceptible disk $ 11.65 Microbe susceptible enzyme 87186 $ 21.20 Microbe susceptible mic $ 25.42 Microbe susceptible mlc 87188 $ 16.27 Microbe suscept macrobroth 87190 $ 10.42 Microbe suscept mycobacteri $ 36.85 Bactericidal level serum 87205 $ 10.48 Smear gram stain 87206 $ 13.19 fluorescent/acid stai 87207 $ 13.99 Smear special stain 87209 $ 41.96 complex stain 87210 $ 10.48 Smear wet mount saline/ink 87210 QW $ 10.48 Smear wet mount saline/ink 87220 $ 10.48 Tissue exam for fungi $ 48.42 Assay toxin or antitoxin 87250 $ 47.97 Virus inoculate eggs/animal $ 63.92 Virus inoculation tissue 87253 $ 49.54 inoculate tissue addl 87254 $ 47.97 Virus inoculation shell via $ 83.03 Genet virus isolate hsv 87260 $ 29.39 Adenovirus ag if 87265 $ 29.39 Pertussis ag if 87267 $ 29.39 Enterovirus antibody dfa 87269 $ 29.39 Giardia ag if 87270 $ 29.39 Chlamydia trachomatis ag if
88272 $ 65.65 Cytogenetics 3-5 88273 $ 78.79 Cytogenetics 10-30 88274 $ 85.36 Cytogenetics 25-99 88275 $ 98.46 Cytogenetics 100-300 88280 $ 61.54 Chromosome karyotype study 88283 $ 168.21 Chromosome banding study 88285 $ 46.58 Chromosome count additional 88289 $ 84.44 Chromosome study additional 88371 $ 54.45 Protein western blot tissue 88372 $ 48.44 Protein analysis w/probe 88720 $ 12.29 Bilirubin total transcut 88738 $ 12.29 Hgb quant transcutaneous 88740 $ 12.29 Transcutaneous carboxyhb 88741 $ 12.29 Transcutaneous methb 89050 $ 10.42 Body cell count 89051 $ 13.50 Body fluid cell count 89055 $ 10.48 Leukocyte assessment fecal $ 17.55 Exam synovial fluid crystals 89125 $ 10.58 Specimen fat stain 89160 $ 8.73 Exam feces for meat fibers 89190 $ 8.73 Nasal smear for eosinophils 89300 $ 21.89 Semen analysis w/huhner QW $ 21.89 analysis w/huhner 89310 $ 15.59 analysis w/count $ 29.54 Semen anal vol/count/mot 89321 $ 29.54 Semen anal sperm detection 89321 QW $ 29.54 anal sperm detection $ 38.00 anal strict criteria 89325 $ 19.12 Sperm antibody test 89329 $ 51.41 Sperm evaluation test 89330 $ 24.26 Evaluation cervical mucus 89331 $ 48.04 Retrograde ejaculation anal 0006M $ - Onc hep gene risk classifier 0007M $ - Onc gastro 51 gene nomogram 0008M $ 6,154.96 Onc breast risk score 0009M $ - Fetal aneuploidy trisom risk 0010M $ - Onc prostate prob score $ 12.78 Auto.Test Pricing Code, 1-2 Tests $ 16.29 Auto.Test Panel Pricing Code, 3 Tests ATP04 $ 17.19 Auto.Test Panel Pricing Code, 4 Tests