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Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets
$338.00 Standard Charge See All Rates |
Vitamin D; 25 hydroxy, includes fraction(s), if performed
$139.00 Standard Charge See All Rates |
Apolipoprotein, each
$75.00 Standard Charge See All Rates |
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy
$31.00 Standard Charge See All Rates |
Lactate (lactic acid)
$139.00 Standard Charge See All Rates |
Complete blood cell count, with differential white blood cells, automated
$80.00 Standard Charge See All Rates |
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service
$148.00 Standard Charge See All Rates |
Urine pregnancy test, by visual color comparison methods
$60.00 Standard Charge See All Rates |
Lipoprotein (a)
$140.00 Standard Charge See All Rates |
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique
$128.00 Standard Charge See All Rates |
Amylase
$64.00 Standard Charge See All Rates |
Liver function blood test panel
$111.00 Standard Charge See All Rates |
Magnesium
$64.00 Standard Charge See All Rates |
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy
$31.00 Standard Charge See All Rates |
General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)
$344.00 Standard Charge See All Rates |
Kidney function panel test
$162.00 Standard Charge See All Rates |
Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates
$100.00 Standard Charge See All Rates |
Blood test, clotting time
$43.00 Standard Charge See All Rates |
Testosterone; total
$157.00 Standard Charge See All Rates |
Sedimentation rate, erythrocyte; automated
$36.00 Standard Charge See All Rates |
Blood typing, serologic; ABO
$52.00 Standard Charge See All Rates |
Complete blood count, automated
$66.00 Standard Charge See All Rates |
Fibrin degradation products, D-dimer; quantitative
$77.00 Standard Charge See All Rates |
Blood typing, serologic; Rh (D)
$52.00 Standard Charge See All Rates |
Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)
$107.00 Standard Charge See All Rates |
Basic metabolic panel
$141.00 Standard Charge See All Rates |
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique
$128.00 Standard Charge See All Rates |
Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate
$71.00 Standard Charge See All Rates |
Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types
$41.00 Standard Charge See All Rates |
Ferritin
$110.00 Standard Charge See All Rates |
Coagulation assessment blood test
$64.00 Standard Charge See All Rates |
Blood test, comprehensive group o blood chemicals
$198.00 Standard Charge See All Rates |
Blood test, lipids (cholesterol and triglycerides)
$109.00 Standard Charge See All Rates |
Creatine kinase (CK), (CPK); total
$71.00 Standard Charge See All Rates |
Albumin; urine (eg, microalbumin), quantitative
$55.00 Standard Charge See All Rates |
Creatinine; blood
$61.00 Standard Charge See All Rates |
Cyanocobalamin (Vitamin B-12);
$103.00 Standard Charge See All Rates |
C-reactive protein
$83.00 Standard Charge See All Rates |
Procalcitonin (PCT)
$135.00 Standard Charge See All Rates |
Uric acid; blood
$46.00 Standard Charge See All Rates |
Calcium; total
$49.00 Standard Charge See All Rates |
Hepatitis C antibody;
$117.00 Standard Charge See All Rates |
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate
$59.00 Standard Charge See All Rates |
Culture, bacterial; quantitative colony count, urine
$88.00 Standard Charge See All Rates |
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique
$142.00 Standard Charge See All Rates |
Hemoglobin; glycosylated (A1C)
$77.00 Standard Charge See All Rates |
Blood test, thyroid stimulating hormone (TSH)
$137.00 Standard Charge See All Rates |
Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);
$175.00 Standard Charge See All Rates |
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza
$82.00 Standard Charge See All Rates |
Folic acid; serum
$100.00 Standard Charge See All Rates |
Lipase
$72.00 Standard Charge See All Rates |
Phosphorus inorganic (phosphate);
$45.00 Standard Charge See All Rates |
PSA (prostate specific antigen)
$150.00 Standard Charge See All Rates |
Protein, total, except by refractometry; serum, plasma or whole blood
$40.00 Standard Charge See All Rates |
Protein; electrophoretic fractionation and quantitation, serum
$104.00 Standard Charge See All Rates |
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus
$114.00 Standard Charge See All Rates |
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A
$49.00 Standard Charge See All Rates |
Iron binding capacity
$72.00 Standard Charge See All Rates |
Natriuretic peptide
$231.00 Standard Charge See All Rates |
Thyroxine; free
$82.00 Standard Charge See All Rates |
Troponin, quantitative
$155.00 Standard Charge See All Rates |
Iron
$71.00 Standard Charge See All Rates |