CPT® Code Lookup Tool
LIST OF CPT/HCPCS CODES USED TO DEFINE DESIGNATED HEALTH SERVICE CATEGORY: Clinical Laboratory Services
This code list is effective August 1, 2023
| HCPCS/CPT | Description | National Avg. Reimbursement |
|---|---|---|
| 36415 | Routine venipuncture | $ 3.00 |
| 80047 | Metabolic panel ionized ca | $ 13.73 |
| 80048 | Metabolic panel total ca | $ 8.46 |
| 80051 | Electrolyte panel | $ 7.01 |
| 80053 | Comprehen metabolic panel | $ 10.56 |
| 80061 | Lipid panel | $ 13.39 |
| 80069 | Renal function panel | $ 8.68 |
| 80074 | Acute hepatitis panel | $ 47.63 |
| 80076 | Hepatic function panel | $ 8.17 |
| 80150 | Assay of amikacin | $ 15.08 |
| 80155 | Drug assay caffeine | $ 38.57 |
| 80156 | Assay carbamazepine total | $ 14.57 |
| 80157 | Assay carbamazepine free | $ 13.25 |
| 80158 | Drug assay cyclosporine | $ 18.05 |
| 80159 | Drug assay clozapine | $ 20.15 |
| 80162 | Assay of digoxin total | $ 13.28 |
| 80163 | Assay of digoxin free | $ 13.28 |
| 80164 | Assay dipropylacetic acd tot | $ 13.54 |
| 80165 | Dipropylacetic acid free | $ 13.54 |
| 80168 | Assay of ethosuximide | $ 16.34 |
| 80169 | Drug assay everolimus | $ 13.73 |
| 80170 | Assay of gentamicin | $ 16.38 |
| 80171 | Drug screen quant gabapentin | $ 21.67 |
| 80173 | Assay of haloperidol | $ 15.78 |
| 80175 | Drug screen quan lamotrigine | $ 13.25 |
| 80176 | Assay of lidocaine | $ 14.69 |
| 80177 | Drug scrn quan levetiracetam | $ 13.25 |
| 80178 | Assay of lithium | $ 6.61 |
| 80180 | Drug scrn quan mycophenolate | $ 18.05 |
| 80183 | Drug scrn quant oxcarbazepin | $ 13.25 |
| 80184 | Assay of phenobarbital | $ 15.30 |
| 80185 | Assay of phenytoin total | $ 13.25 |
| 80186 | Assay of phenytoin free | $ 13.76 |
| 80188 | Assay of primidone | $ 16.59 |
| 80190 | Assay of procainamide | $ 60.00 |
| 80192 | Assay of procainamide | $ 16.75 |
| 80194 | Assay of quinidine | $ 14.60 |
| 80195 | Assay of sirolimus | $ 13.73 |
| 80197 | Assay of tacrolimus | $ 13.73 |
| 80198 | Assay of theophylline | $ 14.14 |
| 80199 | Drug screen quant tiagabine | $ 27.11 |
| 80200 | Assay of tobramycin | $ 16.13 |
| 80201 | Assay of topiramate | $ 11.92 |
| 80202 | Assay of vancomycin | $ 13.54 |
| 80203 | Drug screen quant zonisamide | $ 13.25 |
| 80299 | Quantitative assay drug | $ 18.64 |
| 80400 | Acth stimulation panel | $ 32.62 |
| 80402 | Acth stimulation panel | $ 86.96 |
| 80406 | Acth stimulation panel | $ 78.26 |
| 80408 | Aldosterone suppression eval | $ 125.50 |
| 80410 | Calcitonin stimul panel | $ 80.37 |
| 80412 | Crh stimulation panel | $ 801.62 |
| 80414 | Testosterone response panel | $ 51.64 |
| 80415 | Tot estradiol response panel | $ 55.89 |
| 80416 | Renin stimulation panel | $ 209.32 |
| 80417 | Renin stimulation panel | $ 43.99 |
| 80418 | Pituitary evaluation panel | $ 579.48 |
| 80420 | Dexamethasone panel | $ 161.88 |
| 80422 | Glucagon tolerance panel | $ 46.07 |
| 80424 | Glucagon tolerance panel | $ 50.50 |
| 80426 | Gonadotropin hormone panel | $ 148.41 |
| 80428 | Growth hormone panel | $ 66.70 |
| 80430 | Growth hormone panel | $ 129.33 |
| 80432 | Insulin suppression panel | $ 165.61 |
| 80434 | Insulin tolerance panel | $ 285.03 |
| 80435 | Insulin tolerance panel | $ 103.00 |
| 80436 | Metyrapone panel | $ 91.16 |
| 80438 | Trh stimulation panel | $ 50.41 |
| 80439 | Trh stimulation panel | $ 67.21 |
| 81000 | Urinalysis nonauto w/scope | $ 4.02 |
| 81001 | Urinalysis auto w/scope | $ 3.17 |
| 81002 | Urinalysis nonauto w/o scope | $ 3.48 |
| 81003 | Urinalysis auto w/o scope | $ 2.25 |
| 81005 | Urinalysis | $ 2.17 |
| 81007 | Urine screen for bacteria | $ 29.98 |
| 81015 | Microscopic exam of urine | $ 3.05 |
| 81020 | Urinalysis glass test | $ 4.70 |
| 81025 | Urine pregnancy test | $ 8.61 |
| 81050 | Urinalysis volume measure | $ 3.64 |
| 81161 | Dmd dup/delet analysis | $ 279.00 |
| 81206 | Bcr/abl1 gene major bp | $ 163.96 |
| 81207 | Bcr/abl1 gene minor bp | $ 144.84 |
| 81208 | Bcr/abl1 gene other bp | $ 214.62 |
| 81210 | Braf gene | $ 175.40 |
| 81212 | Brca1&2 185&5385&6174 vrnt | $ 440.00 |
| 81215 | Brca1 gene known famil vrnt | $ 375.25 |
| 81217 | Brca2 gene known famil vrnt | $ 375.25 |
| 81225 | Cyp2c19 gene com variants | $ 291.36 |
| 81226 | Cyp2d6 gene com variants | $ 450.91 |
| 81227 | Cyp2c9 gene com variants | $ 174.81 |
| 81235 | Egfr gene com variants | $ 324.58 |
| 81240 | F2 gene | $ 65.69 |
| 81241 | F5 gene | $ 73.37 |
| 81245 | Flt3 gene | $ 165.51 |
| 81246 | Flt3 gene analysis | $ 83.00 |
| 81256 | Hfe gene | $ 65.36 |
| 81261 | Igh gene rearrange amp meth | $ 197.99 |
| 81262 | Igh gene rearrang dir probe | $ 68.55 |
| 81263 | Igh vari regional mutation | $ 294.52 |
| 81264 | Igk rearrangeabn clonal pop | $ 172.73 |
| 81265 | Str markers specimen anal | $ 233.07 |
| 81267 | Chimerism anal no cell selec | $ 207.46 |
| 81268 | Chimerism anal w/cell select | $ 260.79 |
| 81270 | Jak2 gene | $ 91.66 |
| 81275 | Kras gene variants exon 2 | $ 193.25 |
| 81287 | Mgmt gene prmtr mthyltn alys | $ 124.64 |
| 81288 | Mlh1 gene | $ 192.32 |
| 81291 | Mthfr gene | $ 65.34 |
| 81292 | Mlh1 gene full seq | $ 675.40 |
| 81293 | Mlh1 gene known variants | $ 331.00 |
| 81294 | Mlh1 gene dup/delete variant | $ 202.40 |
| 81295 | Msh2 gene full seq | $ 381.70 |
| 81296 | Msh2 gene known variants | $ 337.73 |
| 81297 | Msh2 gene dup/delete variant | $ 213.30 |
| 81298 | Msh6 gene full seq | $ 641.85 |
| 81299 | Msh6 gene known variants | $ 308.00 |
| 81300 | Msh6 gene dup/delete variant | $ 238.00 |
| 81301 | Microsatellite instability | $ 348.56 |
| 81310 | Npm1 gene | $ 246.52 |
| 81313 | Pca3/klk3 antigen | $ 255.05 |
| 81315 | Pml/raralpha com breakpoints | $ 207.31 |
| 81316 | Pml/raralpha 1 breakpoint | $ 207.31 |
| 81317 | Pms2 gene full seq analysis | $ 676.50 |
| 81318 | Pms2 known familial variants | $ 331.00 |
| 81319 | Pms2 gene dup/delet variants | $ 203.50 |
| 81321 | Pten gene full sequence | $ 600.00 |
| 81322 | Pten gene known fam variant | $ 46.60 |
| 81323 | Pten gene dup/delet variant | $ 300.00 |
| 81332 | Serpina1 gene | $ 43.65 |
| 81340 | Trb@ gene rearrange amplify | $ 208.92 |
| 81341 | Trb@ gene rearrange dirprobe | $ 49.59 |
| 81342 | Trg gene rearrangement anal | $ 201.50 |
| 81370 | Hla i & ii typing lr | $ 402.12 |
| 81371 | Hla i & ii type verify lr | $ 404.52 |
| 81372 | Hla i typing complete lr | $ 403.59 |
| 81373 | Hla i typing 1 locus lr | $ 127.43 |
| 81374 | Hla i typing 1 antigen lr | $ 74.33 |
| 81375 | Hla ii typing ag equiv lr | $ 220.74 |
| 81376 | Hla ii typing 1 locus lr | $ 122.22 |
| 81377 | Hla ii type 1 ag equiv lr | $ 94.74 |
| 81378 | Hla i & ii typing hr | $ 345.57 |
| 81379 | Hla i typing complete hr | $ 335.38 |
| 81380 | Hla i typing 1 locus hr | $ 177.25 |
| 81381 | Hla i typing 1 allele hr | $ 169.90 |
| 81382 | Hla ii typing 1 loc hr | $ 123.68 |
| 81383 | Hla ii typing 1 allele hr | $ 109.13 |
| 81410 | Aortic dysfunction/dilation | $ 504.00 |
| 81411 | Aortic dysfunction/dilation | $ 1,350.19 |
| 81415 | Exome sequence analysis | $ 4,780.00 |
| 81416 | Exome sequence analysis | $ 12,000.00 |
| 81417 | Exome re-evaluation | $ 320.00 |
| 81420 | Fetal chrmoml aneuploidy | $ 759.05 |
| 81425 | Genome sequence analysis | $ 5,031.20 |
| 81426 | Genome sequence analysis | $ 2,709.95 |
| 81427 | Genome re-evaluation | $ 2,337.65 |
| 81430 | Hearing loss sequence analys | $ 1,625.00 |
| 81431 | Hearing loss dup/del analys | $ 679.57 |
| 81435 | Hereditary colon ca dsordrs | $ 584.90 |
| 81436 | Hereditary colon ca dsordrs | $ 584.90 |
| 81440 | Mitochondrial gene | $ 3,324.00 |
| 81445 | Tgsap so neo 5-50dna/dna&rna | $ 597.91 |
| 81450 | Tgsap hl neo 5-50dna/dna&rna | $ 759.53 |
| 81455 | Tgsap so/hl 51/> dna/dna&rna | $ 2,919.60 |
| 81460 | Whole mitochondrial genome | $ 1,287.00 |
| 81465 | Whole mitochondrial genome | $ 936.00 |
| 81470 | X-linked intellectual dblt | $ 914.00 |
| 81471 | X-linked intellectual dblt | $ 914.00 |
| 81528 | Oncology colorectal scr | $ 508.87 |
| 82009 | Test for acetone/ketones | $ 4.52 |
| 82010 | Acetone assay | $ 8.17 |
| 82013 | Acetylcholinesterase assay | $ 12.29 |
| 82016 | Acylcarnitines qual | $ 16.49 |
| 82017 | Acylcarnitines quant | $ 16.87 |
| 82024 | Assay of acth | $ 38.62 |
| 82030 | Assay of adp & amp | $ 25.80 |
| 82040 | Assay of serum albumin | $ 4.95 |
| 82042 | Other source albumin quan ea | $ 7.78 |
| 82043 | Ur albumin quantitative | $ 5.78 |
| 82044 | Ur albumin semiquantitative | $ 6.23 |
| 82045 | Albumin ischemia modified | $ 33.94 |
| 82075 | Assay of breath ethanol | $ 30.00 |
| 82085 | Assay of aldolase | $ 9.71 |
| 82088 | Assay of aldosterone | $ 40.75 |
| 82103 | Alpha-1-antitrypsin total | $ 13.44 |
| 82104 | Alpha-1-antitrypsin pheno | $ 14.46 |
| 82105 | Alpha-fetoprotein serum | $ 16.77 |
| 82106 | Alpha-fetoprotein amniotic | $ 17.00 |
| 82107 | Alpha-fetoprotein l3 | $ 64.41 |
| 82108 | Assay of aluminum | $ 25.48 |
| 82120 | Amines vaginal fluid qual | $ 5.99 |
| 82127 | Amino acid single qual | $ 14.18 |
| 82128 | Amino acids mult qual | $ 13.87 |
| 82131 | Amino acids single quant | $ 22.98 |
| 82135 | Assay aminolevulinic acid | $ 16.45 |
| 82136 | Amino acids quant 2-5 | $ 19.61 |
| 82139 | Amino acids quan 6 or more | $ 16.87 |
| 82140 | Assay of ammonia | $ 14.57 |
| 82143 | Amniotic fluid scan | $ 9.35 |
| 82150 | Assay of amylase | $ 6.48 |
| 82154 | Androstanediol glucuronide | $ 28.83 |
| 82157 | Assay of androstenedione | $ 29.28 |
| 82160 | Assay of androsterone | $ 25.55 |
| 82163 | Assay of angiotensin ii | $ 20.52 |
| 82164 | Angiotensin i enzyme test | $ 14.60 |
| 82172 | Assay of apolipoprotein | $ 21.09 |
| 82175 | Assay of arsenic | $ 18.97 |
| 82180 | Assay of ascorbic acid | $ 9.89 |
| 82190 | Atomic absorption | $ 15.90 |
| 82232 | Assay of beta-2 protein | $ 16.18 |
| 82239 | Bile acids total | $ 17.12 |
| 82240 | Bile acids cholylglycine | $ 26.58 |
| 82247 | Bilirubin total | $ 5.02 |
| 82248 | Bilirubin direct | $ 5.02 |
| 82252 | Fecal bilirubin test | $ 4.56 |
| 82261 | Assay of biotinidase | $ 16.87 |
| 82270 | Occult blood feces | $ 4.38 |
| 82271 | Occult blood other sources | $ 5.32 |
| 82272 | Occult bld feces 1-3 tests | $ 4.23 |
| 82274 | Assay test for blood fecal | $ 15.92 |
| 82286 | Assay of bradykinin | $ 5.16 |
| 82300 | Assay of cadmium | $ 23.64 |
| 82306 | Vitamin d 25 hydroxy | $ 29.60 |
| 82308 | Assay of calcitonin | $ 26.79 |
| 82310 | Assay of calcium | $ 5.16 |
| 82330 | Assay of calcium | $ 13.68 |
| 82331 | Calcium infusion test | $ 13.34 |
| 82340 | Assay of calcium in urine | $ 6.03 |
| 82355 | Calculus analysis qual | $ 11.58 |
| 82360 | Calculus assay quant | $ 12.87 |
| 82365 | Calculus spectroscopy | $ 12.90 |
| 82370 | X-ray assay calculus | $ 12.52 |
| 82373 | Assay c-d transfer measure | $ 18.06 |
| 82374 | Assay blood carbon dioxide | $ 4.88 |
| 82375 | Assay carboxyhb quant | $ 12.32 |
| 82376 | Assay carboxyhb qual | $ 14.07 |
| 82378 | Carcinoembryonic antigen | $ 18.96 |
| 82379 | Assay of carnitine | $ 16.87 |
| 82380 | Assay of carotene | $ 9.22 |
| 82382 | Assay urine catecholamines | $ 27.30 |
| 82383 | Assay blood catecholamines | $ 29.08 |
| 82384 | Assay three catecholamines | $ 25.25 |
| 82387 | Assay of cathepsin-d | $ 18.06 |
| 82390 | Assay of ceruloplasmin | $ 10.74 |
| 82397 | Chemiluminescent assay | $ 14.12 |
| 82415 | Assay of chloramphenicol | $ 12.67 |
| 82435 | Assay of blood chloride | $ 4.60 |
| 82436 | Assay of urine chloride | $ 5.75 |
| 82438 | Assay other fluid chlorides | $ 5.00 |
| 82441 | Test for chlorohydrocarbons | $ 6.01 |
| 82465 | Assay bld/serum cholesterol | $ 4.35 |
| 82480 | Assay serum cholinesterase | $ 7.87 |
| 82482 | Assay rbc cholinesterase | $ 9.81 |
| 82485 | Assay chondroitin sulfate | $ 20.65 |
| 82495 | Assay of chromium | $ 20.28 |
| 82507 | Assay of citrate | $ 27.80 |
| 82523 | Collagen crosslinks | $ 18.68 |
| 82525 | Assay of copper | $ 12.41 |
| 82528 | Assay of corticosterone | $ 22.52 |
| 82530 | Cortisol free | $ 16.71 |
| 82533 | Total cortisol | $ 16.30 |
| 82540 | Assay of creatine | $ 4.64 |
| 82542 | Col chromotography qual/quan | $ 24.09 |
| 82550 | Assay of ck (cpk) | $ 6.51 |
| 82552 | Assay of cpk in blood | $ 13.39 |
| 82553 | Creatine mb fraction | $ 11.55 |
| 82554 | Creatine isoforms | $ 11.87 |
| 82565 | Assay of creatinine | $ 5.12 |
| 82570 | Assay of urine creatinine | $ 5.18 |
| 82575 | Creatinine clearance test | $ 9.46 |
| 82585 | Assay of cryofibrinogen | $ 14.14 |
| 82595 | Assay of cryoglobulin | $ 6.47 |
| 82600 | Assay of cyanide | $ 19.40 |
| 82607 | Vitamin b-12 | $ 15.08 |
| 82608 | B-12 binding capacity | $ 14.32 |
| 82610 | Cystatin c | $ 18.52 |
| 82615 | Test for urine cystines | $ 9.55 |
| 82626 | Dehydroepiandrosterone | $ 25.27 |
| 82627 | Dehydroepiandrosterone | $ 22.23 |
| 82633 | Desoxycorticosterone | $ 30.98 |
| 82634 | Deoxycortisol | $ 29.28 |
| 82638 | Assay of dibucaine number | $ 12.25 |
| 82652 | Vit d 1 25-dihydroxy | $ 38.50 |
| 82656 | El-1 fecal qual/semiq | $ 11.53 |
| 82657 | Enzyme cell activity | $ 22.17 |
| 82658 | Enzyme cell activity ra | $ 44.03 |
| 82664 | Electrophoretic test | $ 61.50 |
| 82668 | Assay of erythropoietin | $ 18.79 |
| 82670 | Assay of total estradiol | $ 27.94 |
| 82671 | Assay of estrogens | $ 32.30 |
| 82672 | Assay of estrogen | $ 21.70 |
| 82677 | Assay of estriol | $ 24.18 |
| 82679 | Assay of estrone | $ 24.95 |
| 82693 | Assay of ethylene glycol | $ 14.90 |
| 82696 | Assay of etiocholanolone | $ 26.24 |
| 82705 | Fats/lipids feces qual | $ 5.10 |
| 82710 | Fats/lipids feces quant | $ 16.80 |
| 82715 | Assay of fecal fat | $ 22.97 |
| 82725 | Assay of blood fatty acids | $ 18.77 |
| 82726 | Long chain fatty acids | $ 19.75 |
| 82728 | Assay of ferritin | $ 13.63 |
| 82731 | Assay of fetal fibronectin | $ 64.41 |
| 82735 | Assay of fluoride | $ 18.54 |
| 82746 | Assay of folic acid serum | $ 14.70 |
| 82747 | Assay of folic acid rbc | $ 17.65 |
| 82757 | Assay of semen fructose | $ 17.34 |
| 82759 | Assay of rbc galactokinase | $ 21.48 |
| 82760 | Assay of galactose | $ 11.20 |
| 82775 | Assay galactose transferase | $ 21.07 |
| 82776 | Galactose transferase test | $ 11.74 |
| 82777 | Galectin-3 | $ 44.25 |
| 82784 | Assay iga/igd/igg/igm each | $ 9.30 |
| 82785 | Assay of ige | $ 16.46 |
| 82787 | Igg 1 2 3 or 4 each | $ 8.02 |
| 82800 | Blood ph | $ 11.00 |
| 82803 | Blood gases any combination | $ 26.07 |
| 82805 | Blood gases w/o2 saturation | $ 78.77 |
| 82810 | Blood gases o2 sat only | $ 9.77 |
| 82820 | Hemoglobin-oxygen affinity | $ 13.34 |
| 82930 | Gastric analy w/ph ea spec | $ 6.71 |
| 82938 | Gastrin test | $ 17.69 |
| 82941 | Assay of gastrin | $ 17.63 |
| 82943 | Assay of glucagon | $ 14.29 |
| 82945 | Glucose other fluid | $ 3.93 |
| 82946 | Glucagon tolerance test | $ 17.77 |
| 82947 | Assay glucose blood quant | $ 3.93 |
| 82948 | Reagent strip/blood glucose | $ 5.04 |
| 82950 | Glucose test | $ 4.75 |
| 82951 | Glucose tolerance test (gtt) | $ 12.87 |
| 82952 | Gtt-added samples | $ 3.92 |
| 82955 | Assay of g6pd enzyme | $ 9.70 |
| 82960 | Test for g6pd enzyme | $ 6.05 |
| 82962 | Glucose blood test | $ 3.28 |
| 82963 | Assay of glucosidase | $ 21.48 |
| 82965 | Assay of gdh enzyme | $ 13.15 |
| 82977 | Assay of ggt | $ 7.20 |
| 82978 | Assay of glutathione | $ 15.45 |
| 82979 | Assay rbc glutathione | $ 9.44 |
| 82985 | Assay of glycated protein | $ 16.76 |
| 83001 | Assay of gonadotropin (fsh) | $ 18.58 |
| 83002 | Assay of gonadotropin (lh) | $ 18.52 |
| 83003 | Assay growth hormone (hgh) | $ 16.67 |
| 83006 | Growth stimulation gene 2 | $ 75.60 |
| 83009 | H pylori (c-13) blood | $ 67.36 |
| 83010 | Assay of haptoglobin quant | $ 12.58 |
| 83012 | Assay of haptoglobins | $ 26.89 |
| 83013 | H pylori (c-13) breath | $ 67.36 |
| 83014 | H pylori drug admin | $ 7.86 |
| 83015 | Heavy metal qual any anal | $ 20.94 |
| 83018 | Heavy metal quant each nes | $ 21.96 |
| 83020 | Hemoglobin electrophoresis | $ 12.87 |
| 83021 | Hemoglobin chromotography | $ 18.06 |
| 83026 | Hemoglobin copper sulfate | $ 4.01 |
| 83030 | Hemoglobin f fetal chemical | $ 10.74 |
| 83033 | Hemoglobin ftl f assay qual | $ 8.00 |
| 83036 | Hemoglobin glycosylated a1c | $ 9.71 |
| 83037 | Hb glycosylated a1c home dev | $ 9.71 |
| 83045 | Hgb methemoglobin qual | $ 6.49 |
| 83050 | Hgb methemoglobin quan | $ 8.20 |
| 83051 | Hemoglobin plasma | $ 7.31 |
| 83060 | Hgb sulfhemoglobin quan | $ 8.80 |
| 83065 | Hemoglobin thermolabile | $ 9.00 |
| 83068 | Hemoglobin unstable screen | $ 9.47 |
| 83069 | Hemoglobin urine | $ 3.95 |
| 83070 | Assay of hemosiderin qual | $ 4.75 |
| 83080 | Assay of b hexosaminidase ea | $ 16.87 |
| 83088 | Assay of histamine | $ 29.53 |
| 83090 | Assay of homocysteine | $ 17.92 |
| 83150 | Assay of homovanillic acid | $ 22.41 |
| 83491 | Asy hydroxycorticosteroids17 | $ 17.90 |
| 83497 | Assay of 5-hiaa | $ 12.90 |
| 83498 | Asy hydroxyprogesterone 17-d | $ 27.17 |
| 83500 | Assay free hydroxyproline | $ 22.65 |
| 83505 | Assay total hydroxyproline | $ 24.30 |
| 83516 | Immunoassay nonantibody | $ 11.53 |
| 83518 | Immunoassay dipstick | $ 9.64 |
| 83519 | Ria nonantibody | $ 18.40 |
| 83520 | Immunoassay quant nos nonab | $ 17.27 |
| 83525 | Assay of insulin | $ 11.43 |
| 83527 | Assay of insulin | $ 12.95 |
| 83528 | Assay of intrinsic factor | $ 19.82 |
| 83540 | Assay of iron | $ 6.47 |
| 83550 | Iron binding test | $ 8.74 |
| 83570 | Assay of idh enzyme | $ 8.85 |
| 83582 | Assay of ketogenic steroids | $ 15.47 |
| 83586 | Assay 17- ketosteroids | $ 12.80 |
| 83593 | Fractionation ketosteroids | $ 28.50 |
| 83605 | Assay of lactic acid | $ 11.57 |
| 83615 | Lactate (ld) (ldh) enzyme | $ 6.04 |
| 83625 | Assay of ldh enzymes | $ 12.79 |
| 83630 | Lactoferrin fecal (qual) | $ 19.70 |
| 83631 | Lactoferrin fecal (quant) | $ 19.63 |
| 83632 | Placental lactogen | $ 20.22 |
| 83633 | Test urine for lactose | $ 11.25 |
| 83655 | Assay of lead | $ 12.11 |
| 83661 | L/s ratio fetal lung | $ 21.99 |
| 83662 | Foam stability fetal lung | $ 18.91 |
| 83663 | Fluoro polarize fetal lung | $ 18.91 |
| 83664 | Lamellar bdy fetal lung | $ 19.32 |
| 83670 | Assay of lap enzyme | $ 9.81 |
| 83690 | Assay of lipase | $ 6.89 |
| 83695 | Assay of lipoprotein(a) | $ 14.32 |
| 83698 | Assay lipoprotein pla2 | $ 46.31 |
| 83700 | Lipopro bld electrophoretic | $ 11.26 |
| 83701 | Lipoprotein bld hr fraction | $ 33.86 |
| 83704 | Lipoprotein bld quan part | $ 34.19 |
| 83718 | Assay of lipoprotein | $ 8.19 |
| 83719 | Assay of blood lipoprotein | $ 12.75 |
| 83721 | Assay of blood lipoprotein | $ 10.50 |
| 83727 | Assay of lrh hormone | $ 17.19 |
| 83735 | Assay of magnesium | $ 6.70 |
| 83775 | Assay malate dehydrogenase | $ 7.37 |
| 83785 | Assay of manganese | $ 26.65 |
| 83789 | Mass spectrometry qual/quan | $ 24.11 |
| 83825 | Assay of mercury | $ 16.26 |
| 83835 | Assay of metanephrines | $ 16.94 |
| 83857 | Assay of methemalbumin | $ 10.74 |
| 83861 | Microfluid analy tears | $ 22.48 |
| 83864 | Mucopolysaccharides | $ 28.50 |
| 83872 | Assay synovial fluid mucin | $ 5.86 |
| 83873 | Assay of csf protein | $ 17.20 |
| 83874 | Assay of myoglobin | $ 12.92 |
| 83876 | Assay myeloperoxidase | $ 50.86 |
| 83880 | Assay of natriuretic peptide | $ 39.26 |
| 83883 | Assay nephelometry not spec | $ 13.60 |
| 83885 | Assay of nickel | $ 24.51 |
| 83915 | Assay of nucleotidase | $ 11.15 |
| 83916 | Oligoclonal bands | $ 27.39 |
| 83918 | Organic acids total quant | $ 23.60 |
| 83919 | Organic acids qual each | $ 16.45 |
| 83921 | Organic acid single quant | $ 21.21 |
| 83930 | Assay of blood osmolality | $ 6.61 |
| 83935 | Assay of urine osmolality | $ 6.82 |
| 83937 | Assay of osteocalcin | $ 29.85 |
| 83945 | Assay of oxalate | $ 14.45 |
| 83950 | Oncoprotein her-2/neu | $ 64.41 |
| 83951 | Oncoprotein dcp | $ 64.41 |
| 83970 | Assay of parathormone | $ 41.28 |
| 83986 | Assay ph body fluid nos | $ 3.58 |
| 83987 | Exhaled breath condensate | $ 3.58 |
| 83993 | Assay for calprotectin fecal | $ 19.63 |
| 84030 | Assay of blood pku | $ 5.50 |
| 84035 | Assay of phenylketones | $ 3.98 |
| 84060 | Assay acid phosphatase | $ 7.64 |
| 84066 | Assay prostate phosphatase | $ 9.66 |
| 84075 | Assay alkaline phosphatase | $ 5.18 |
| 84078 | Assay alkaline phosphatase | $ 8.26 |
| 84080 | Assay alkaline phosphatases | $ 14.78 |
| 84081 | Assay phosphatidylglycerol | $ 16.52 |
| 84085 | Assay of rbc pg6d enzyme | $ 9.44 |
| 84087 | Assay phosphohexose enzymes | $ 10.73 |
| 84100 | Assay of phosphorus | $ 4.74 |
| 84105 | Assay of urine phosphorus | $ 5.78 |
| 84106 | Test for porphobilinogen | $ 5.82 |
| 84110 | Assay of porphobilinogen | $ 8.44 |
| 84112 | Eval amniotic fluid protein | $ 98.11 |
| 84119 | Test urine for porphyrins | $ 13.36 |
| 84120 | Assay of urine porphyrins | $ 14.71 |
| 84126 | Assay of feces porphyrins | $ 39.11 |
| 84132 | Assay of serum potassium | $ 4.76 |
| 84133 | Assay of urine potassium | $ 4.73 |
| 84134 | Assay of prealbumin | $ 14.59 |
| 84135 | Assay of pregnanediol | $ 21.27 |
| 84138 | Assay of pregnanetriol | $ 21.05 |
| 84140 | Assay of pregnenolone | $ 20.67 |
| 84143 | Assay of 17-hydroxypregneno | $ 22.81 |
| 84144 | Assay of progesterone | $ 20.86 |
| 84145 | Procalcitonin (pct) | $ 27.22 |
| 84146 | Assay of prolactin | $ 19.38 |
| 84150 | Assay of prostaglandin | $ 41.77 |
| 84152 | Assay of psa complexed | $ 18.39 |
| 84153 | Assay of psa total | $ 18.39 |
| 84154 | Assay of psa free | $ 18.39 |
| 84155 | Assay of protein serum | $ 3.67 |
| 84156 | Assay of protein urine | $ 3.67 |
| 84157 | Assay of protein other | $ 4.00 |
| 84160 | Assay of protein any source | $ 5.61 |
| 84163 | Pappa serum | $ 15.05 |
| 84165 | Protein e-phoresis serum | $ 10.74 |
| 84166 | Protein e-phoresis/urine/csf | $ 17.83 |
| 84181 | Western blot test | $ 17.03 |
| 84182 | Protein western blot test | $ 29.21 |
| 84202 | Assay rbc protoporphyrin | $ 14.35 |
| 84203 | Test rbc protoporphyrin | $ 9.74 |
| 84206 | Assay of proinsulin | $ 26.69 |
| 84207 | Assay of vitamin b-6 | $ 28.10 |
| 84210 | Assay of pyruvate | $ 14.48 |
| 84220 | Assay of pyruvate kinase | $ 9.44 |
| 84228 | Assay of quinine | $ 11.63 |
| 84233 | Assay of estrogen | $ 87.88 |
| 84234 | Assay of progesterone | $ 64.88 |
| 84235 | Assay of endocrine hormone | $ 71.23 |
| 84238 | Assay nonendocrine receptor | $ 36.57 |
| 84244 | Assay of renin | $ 21.99 |
| 84252 | Assay of vitamin b-2 | $ 20.24 |
| 84255 | Assay of selenium | $ 25.53 |
| 84260 | Assay of serotonin | $ 30.98 |
| 84270 | Assay of sex hormone globul | $ 21.73 |
| 84275 | Assay of sialic acid | $ 13.44 |
| 84285 | Assay of silica | $ 25.21 |
| 84295 | Assay of serum sodium | $ 4.81 |
| 84300 | Assay of urine sodium | $ 5.06 |
| 84302 | Assay of sweat sodium | $ 4.86 |
| 84305 | Assay of somatomedin | $ 21.26 |
| 84307 | Assay of somatostatin | $ 18.28 |
| 84311 | Spectrophotometry | $ 8.10 |
| 84315 | Body fluid specific gravity | $ 3.28 |
| 84375 | Chromatogram assay sugars | $ 39.00 |
| 84376 | Sugars single qual | $ 5.50 |
| 84377 | Sugars multiple qual | $ 5.50 |
| 84378 | Sugars single quant | $ 11.53 |
| 84379 | Sugars multiple quant | $ 11.53 |
| 84392 | Assay of urine sulfate | $ 5.49 |
| 84402 | Assay of free testosterone | $ 25.47 |
| 84403 | Assay of total testosterone | $ 25.81 |
| 84425 | Assay of vitamin b-1 | $ 21.23 |
| 84430 | Assay of thiocyanate | $ 11.63 |
| 84431 | Thromboxane urine | $ 35.11 |
| 84432 | Assay of thyroglobulin | $ 16.06 |
| 84436 | Assay of total thyroxine | $ 6.87 |
| 84437 | Assay of neonatal thyroxine | $ 6.47 |
| 84439 | Assay of free thyroxine | $ 9.02 |
| 84442 | Assay of thyroid activity | $ 14.78 |
| 84443 | Assay thyroid stim hormone | $ 16.80 |
| 84445 | Assay of tsi globulin | $ 50.86 |
| 84446 | Assay of vitamin e | $ 14.18 |
| 84449 | Assay of transcortin | $ 18.00 |
| 84450 | Transferase (ast) (sgot) | $ 5.18 |
| 84460 | Alanine amino (alt) (sgpt) | $ 5.30 |
| 84466 | Assay of transferrin | $ 12.76 |
| 84478 | Assay of triglycerides | $ 5.74 |
| 84479 | Assay of thyroid (t3 or t4) | $ 6.47 |
| 84480 | Assay triiodothyronine (t3) | $ 14.18 |
| 84481 | Free assay (ft-3) | $ 16.94 |
| 84482 | T3 reverse | $ 15.76 |
| 84484 | Assay of troponin quant | $ 12.47 |
| 84485 | Assay duodenal fluid trypsin | $ 7.20 |
| 84488 | Test feces for trypsin | $ 7.30 |
| 84490 | Assay of feces for trypsin | $ 9.93 |
| 84510 | Assay of tyrosine | $ 10.63 |
| 84512 | Assay of troponin qual | $ 10.09 |
| 84520 | Assay of urea nitrogen | $ 3.95 |
| 84525 | Urea nitrogen semi-quant | $ 5.13 |
| 84540 | Assay of urine/urea-n | $ 5.56 |
| 84545 | Urea-n clearance test | $ 7.20 |
| 84550 | Assay of blood/uric acid | $ 4.52 |
| 84560 | Assay of urine/uric acid | $ 5.08 |
| 84577 | Assay of feces/urobilinogen | $ 16.80 |
| 84578 | Test urine urobilinogen | $ 4.47 |
| 84580 | Assay of urine urobilinogen | $ 9.55 |
| 84583 | Assay of urine urobilinogen | $ 6.05 |
| 84585 | Assay of urine vma | $ 15.50 |
| 84586 | Assay of vip | $ 35.33 |
| 84588 | Assay of vasopressin | $ 33.94 |
| 84590 | Assay of vitamin a | $ 11.61 |
| 84591 | Assay of nos vitamin | $ 17.06 |
| 84597 | Assay of vitamin k | $ 13.72 |
| 84600 | Assay of volatiles | $ 17.11 |
| 84620 | Xylose tolerance test | $ 12.91 |
| 84630 | Assay of zinc | $ 11.39 |
| 84681 | Assay of c-peptide | $ 20.81 |
| 84702 | Chorionic gonadotropin test | $ 15.05 |
| 84703 | Chorionic gonadotropin assay | $ 7.52 |
| 84704 | Hcg free betachain test | $ 15.29 |
| 84830 | Ovulation tests | $ 12.70 |
| 85002 | Bleeding time test | $ 4.82 |
| 85004 | Automated diff wbc count | $ 6.47 |
| 85007 | Bl smear w/diff wbc count | $ 3.80 |
| 85008 | Bl smear w/o diff wbc count | $ 3.43 |
| 85009 | Manual diff wbc count b-coat | $ 5.07 |
| 85013 | Spun microhematocrit | $ 7.00 |
| 85014 | Hematocrit | $ 2.37 |
| 85018 | Hemoglobin | $ 2.37 |
| 85025 | Complete cbc w/auto diff wbc | $ 7.77 |
| 85027 | Complete cbc automated | $ 6.47 |
| 85032 | Manual cell count each | $ 4.31 |
| 85041 | Automated rbc count | $ 3.02 |
| 85044 | Manual reticulocyte count | $ 4.31 |
| 85045 | Automated reticulocyte count | $ 3.99 |
| 85046 | Reticyte/hgb concentrate | $ 5.57 |
| 85048 | Automated leukocyte count | $ 2.54 |
| 85049 | Automated platelet count | $ 4.48 |
| 85055 | Reticulated platelet assay | $ 35.74 |
| 85130 | Chromogenic substrate assay | $ 11.89 |
| 85170 | Blood clot retraction | $ 16.30 |
| 85175 | Blood clot lysis time | $ 20.37 |
| 85210 | Clot factor ii prothrom spec | $ 12.98 |
| 85220 | Blooc clot factor v test | $ 17.65 |
| 85230 | Clot factor vii proconvertin | $ 17.90 |
| 85240 | Clot factor viii ahg 1 stage | $ 17.90 |
| 85244 | Clot factor viii reltd antgn | $ 20.42 |
| 85245 | Clot factor viii vw ristoctn | $ 22.94 |
| 85246 | Clot factor viii vw antigen | $ 22.94 |
| 85247 | Clot factor viii multimetric | $ 22.94 |
| 85250 | Clot factor ix ptc/chrstmas | $ 19.04 |
| 85260 | Clot factor x stuart-power | $ 17.90 |
| 85270 | Clot factor xi pta | $ 17.90 |
| 85280 | Clot factor xii hageman | $ 19.35 |
| 85290 | Clot factor xiii fibrin stab | $ 16.34 |
| 85291 | Clot factor xiii fibrin scrn | $ 9.11 |
| 85292 | Clot factor fletcher fact | $ 18.93 |
| 85293 | Clot factor wght kininogen | $ 18.93 |
| 85300 | Antithrombin iii activity | $ 11.85 |
| 85301 | Antithrombin iii antigen | $ 10.81 |
| 85302 | Clot inhibit prot c antigen | $ 12.01 |
| 85303 | Clot inhibit prot c activity | $ 13.84 |
| 85305 | Clot inhibit prot s total | $ 11.61 |
| 85306 | Clot inhibit prot s free | $ 15.32 |
| 85307 | Assay activated protein c | $ 15.32 |
| 85335 | Factor inhibitor test | $ 12.87 |
| 85337 | Thrombomodulin | $ 17.27 |
| 85345 | Coagulation time lee & white | $ 4.69 |
| 85347 | Coagulation time activated | $ 4.28 |
| 85348 | Coagulation time otr method | $ 4.49 |
| 85360 | Euglobulin lysis | $ 8.41 |
| 85362 | Fibrin degradation products | $ 6.89 |
| 85366 | Fibrinogen test | $ 80.46 |
| 85370 | Fibrinogen test | $ 12.43 |
| 85378 | Fibrin degrade semiquant | $ 9.72 |
| 85379 | Fibrin degradation quant | $ 10.18 |
| 85380 | Fibrin degradj d-dimer | $ 10.18 |
| 85384 | Fibrinogen activity | $ 9.72 |
| 85385 | Fibrinogen antigen | $ 14.46 |
| 85390 | Fibrinolysins screen i&r | $ 15.48 |
| 85397 | Clotting funct activity | $ 30.86 |
| 85400 | Fibrinolytic plasmin | $ 7.71 |
| 85410 | Fibrinolytic antiplasmin | $ 7.71 |
| 85415 | Fibrinolytic plasminogen | $ 17.19 |
| 85420 | Fibrinolytic plasminogen | $ 6.53 |
| 85421 | Fibrinolytic plasminogen | $ 10.18 |
| 85441 | Heinz bodies direct | $ 4.20 |
| 85445 | Heinz bodies induced | $ 6.82 |
| 85460 | Hemoglobin fetal | $ 7.73 |
| 85461 | Hemoglobin fetal | $ 9.36 |
| 85475 | Hemolysin acid | $ 8.87 |
| 85520 | Heparin assay | $ 13.09 |
| 85525 | Heparin neutralization | $ 11.84 |
| 85530 | Heparin-protamine tolerance | $ 13.09 |
| 85536 | Iron stain peripheral blood | $ 6.88 |
| 85540 | Wbc alkaline phosphatase | $ 8.60 |
| 85547 | Rbc mechanical fragility | $ 8.60 |
| 85549 | Muramidase | $ 18.75 |
| 85555 | Rbc osmotic fragility | $ 7.47 |
| 85557 | Rbc osmotic fragility | $ 13.36 |
| 85576 | Blood platelet aggregation | $ 24.91 |
| 85597 | Phospholipid pltlt neutraliz | $ 17.98 |
| 85598 | Hexagnal phosph pltlt neutrl | $ 17.98 |
| 85610 | Prothrombin time | $ 4.29 |
| 85611 | Prothrombin test | $ 3.94 |
| 85612 | Viper venom prothrombin time | $ 17.49 |
| 85613 | Russell viper venom diluted | $ 9.58 |
| 85635 | Reptilase test | $ 9.85 |
| 85651 | Rbc sed rate nonautomated | $ 4.27 |
| 85652 | Rbc sed rate automated | $ 2.70 |
| 85660 | Rbc sickle cell test | $ 5.51 |
| 85670 | Thrombin time plasma | $ 5.77 |
| 85675 | Thrombin time titer | $ 6.85 |
| 85705 | Thromboplastin inhibition | $ 9.63 |
| 85730 | Thromboplastin time partial | $ 6.01 |
| 85732 | Thromboplastin time partial | $ 6.47 |
| 85810 | Blood viscosity examination | $ 11.67 |
| 86000 | Agglutinins febrile antigen | $ 6.98 |
| 86001 | Allergen specific igg | $ 7.82 |
| 86003 | Allg spec ige crude xtrc ea | $ 5.22 |
| 86005 | Allg spec ige multiallg scr | $ 7.97 |
| 86021 | Wbc antibody identification | $ 15.05 |
| 86022 | Platelet antibodies | $ 18.37 |
| 86023 | Immunoglobulin assay | $ 12.46 |
| 86038 | Antinuclear antibodies | $ 12.09 |
| 86039 | Antinuclear antibodies (ana) | $ 11.16 |
| 86060 | Antistreptolysin o titer | $ 7.30 |
| 86063 | Antistreptolysin o screen | $ 5.77 |
| 86140 | C-reactive protein | $ 5.18 |
| 86141 | C-reactive protein hs | $ 12.95 |
| 86146 | Beta-2 glycoprotein antibody | $ 25.45 |
| 86147 | Cardiolipin antibody ea ig | $ 25.45 |
| 86148 | Anti-phospholipid antibody | $ 16.07 |
| 86152 | Cell enumeration & id | $ 250.78 |
| 86155 | Chemotaxis assay | $ 15.99 |
| 86156 | Cold agglutinin screen | $ 8.07 |
| 86157 | Cold agglutinin titer | $ 8.06 |
| 86160 | Complement antigen | $ 12.00 |
| 86161 | Complement/function activity | $ 12.00 |
| 86162 | Complement total (ch50) | $ 20.32 |
| 86171 | Complement fixation each | $ 10.01 |
| 86200 | Ccp antibody | $ 12.95 |
| 86215 | Deoxyribonuclease antibody | $ 13.25 |
| 86225 | Dna antibody native | $ 13.74 |
| 86226 | Dna antibody single strand | $ 12.11 |
| 86235 | Nuclear antigen antibody | $ 17.93 |
| 86255 | Fluorescent antibody screen | $ 12.05 |
| 86256 | Fluorescent antibody titer | $ 12.05 |
| 86277 | Growth hormone antibody | $ 15.74 |
| 86280 | Hemagglutination inhibition | $ 8.19 |
| 86294 | Immunoassay tumor qual | $ 25.57 |
| 86300 | Immunoassay tumor ca 15-3 | $ 20.81 |
| 86301 | Immunoassay tumor ca 19-9 | $ 20.81 |
| 86304 | Immunoassay tumor ca 125 | $ 20.81 |
| 86305 | Human epididymis protein 4 | $ 20.81 |
| 86308 | Heterophile antibody screen | $ 5.18 |
| 86309 | Heterophile antibody titer | $ 6.47 |
| 86310 | Heterophile antibody absrbj | $ 7.37 |
| 86316 | Immunoassay tumor other | $ 20.81 |
| 86317 | Immunoassay infectious agent | $ 14.99 |
| 86318 | Ia infectious agent antibody | $ 18.09 |
| 86320 | Serum immunoelectrophoresis | $ 29.92 |
| 86325 | Other immunoelectrophoresis | $ 23.13 |
| 86327 | Immunoelectrophoresis assay | $ 29.92 |
| 86329 | Immunodiffusion nes | $ 14.05 |
| 86331 | Immunodiffusion ouchterlony | $ 11.98 |
| 86332 | Immune complex assay | $ 24.37 |
| 86334 | Immunofix e-phoresis serum | $ 22.34 |
| 86335 | Immunfix e-phorsis/urine/csf | $ 29.35 |
| 86336 | Inhibin a | $ 15.59 |
| 86337 | Insulin antibodies | $ 21.41 |
| 86340 | Intrinsic factor antibody | $ 15.08 |
| 86341 | Islet cell antibody | $ 23.57 |
| 86343 | Leukocyte histamine release | $ 12.46 |
| 86344 | Leukocyte phagocytosis | $ 10.39 |
| 86352 | Cell function assay w/stim | $ 135.86 |
| 86353 | Lymphocyte transformation | $ 49.03 |
| 86355 | B cells total count | $ 37.73 |
| 86356 | Mononuclear cell antigen | $ 26.78 |
| 86357 | Nk cells total count | $ 37.73 |
| 86359 | T cells total count | $ 37.73 |
| 86360 | T cell absolute count/ratio | $ 46.98 |
| 86361 | T cell absolute count | $ 26.78 |
| 86367 | Stem cells total count | $ 77.78 |
| 86376 | Microsomal antibody each | $ 14.55 |
| 86382 | Neutralization test viral | $ 16.91 |
| 86384 | Nitroblue tetrazolium dye | $ 13.61 |
| 86386 | Nuclear matrix protein 22 | $ 21.78 |
| 86403 | Particle agglut antbdy scrn | $ 11.54 |
| 86406 | Particle agglut antbdy titr | $ 10.64 |
| 86430 | Rheumatoid factor test qual | $ 6.14 |
| 86431 | Rheumatoid factor quant | $ 5.67 |
| 86480 | Tb test cell immun measure | $ 61.98 |
| 86481 | Tb ag response t-cell susp | $ 100.00 |
| 86590 | Streptokinase antibody | $ 12.66 |
| 86592 | Syphilis test non-trep qual | $ 4.27 |
| 86593 | Syphilis test non-trep quant | $ 4.40 |
| 86602 | Antinomyces antibody | $ 10.18 |
| 86603 | Adenovirus antibody | $ 12.87 |
| 86606 | Aspergillus antibody | $ 15.05 |
| 86609 | Bacterium antibody | $ 12.88 |
| 86611 | Bartonella antibody | $ 10.18 |
| 86612 | Blastomyces antibody | $ 12.90 |
| 86615 | Bordetella antibody | $ 13.19 |
| 86617 | Lyme disease antibody | $ 15.49 |
| 86618 | Lyme disease antibody | $ 17.03 |
| 86619 | Borrelia antibody | $ 13.38 |
| 86622 | Brucella antibody | $ 8.93 |
| 86625 | Campylobacter antibody | $ 13.12 |
| 86628 | Candida antibody | $ 12.01 |
| 86631 | Chlamydia antibody | $ 11.82 |
| 86632 | Chlamydia igm antibody | $ 12.68 |
| 86635 | Coccidioides antibody | $ 11.47 |
| 86638 | Q fever antibody | $ 12.12 |
| 86641 | Cryptococcus antibody | $ 14.41 |
| 86644 | Cmv antibody | $ 14.39 |
| 86645 | Cmv antibody igm | $ 16.85 |
| 86648 | Diphtheria antibody | $ 15.21 |
| 86651 | Encephalitis californ antbdy | $ 13.19 |
| 86652 | Encephaltis east eqne anbdy | $ 13.19 |
| 86653 | Encephaltis st louis antbody | $ 13.19 |
| 86654 | Encephaltis west eqne antbdy | $ 13.19 |
| 86658 | Enterovirus antibody | $ 13.03 |
| 86663 | Epstein-barr antibody | $ 13.12 |
| 86664 | Epstein-barr nuclear antigen | $ 15.29 |
| 86665 | Epstein-barr capsid vca | $ 18.14 |
| 86666 | Ehrlichia antibody | $ 10.18 |
| 86668 | Francisella tularensis | $ 14.16 |
| 86671 | Fungus nes antibody | $ 12.25 |
| 86674 | Giardia lamblia antibody | $ 14.72 |
| 86677 | Helicobacter pylori antibody | $ 16.85 |
| 86682 | Helminth antibody | $ 13.01 |
| 86684 | Hemophilus influenza antibdy | $ 15.84 |
| 86687 | Htlv-i antibody | $ 9.09 |
| 86688 | Htlv-ii antibody | $ 14.00 |
| 86689 | Htlv/hiv confirmj antibody | $ 19.35 |
| 86692 | Hepatitis delta agent antbdy | $ 17.16 |
| 86694 | Herpes simplex nes antbdy | $ 14.39 |
| 86695 | Herpes simplex type 1 test | $ 13.19 |
| 86696 | Herpes simplex type 2 test | $ 19.35 |
| 86698 | Histoplasma antibody | $ 13.79 |
| 86701 | Hiv-1antibody | $ 8.89 |
| 86702 | Hiv-2 antibody | $ 13.52 |
| 86703 | Hiv-1/hiv-2 1 result antbdy | $ 13.71 |
| 86704 | Hep b core antibody total | $ 12.05 |
| 86705 | Hep b core antibody igm | $ 11.77 |
| 86706 | Hep b surface antibody | $ 10.74 |
| 86707 | Hepatitis be antibody | $ 11.57 |
| 86708 | Hepatitis a antibody | $ 12.39 |
| 86709 | Hepatitis a igm antibody | $ 11.26 |
| 86710 | Influenza virus antibody | $ 13.55 |
| 86711 | John cunningham antibody | $ 16.89 |
| 86713 | Legionella antibody | $ 15.30 |
| 86717 | Leishmania antibody | $ 12.25 |
| 86720 | Leptospira antibody | $ 16.20 |
| 86723 | Listeria monocytogenes | $ 13.19 |
| 86727 | Lymph choriomeningitis ab | $ 12.87 |
| 86732 | Mucormycosis antibody | $ 15.00 |
| 86735 | Mumps antibody | $ 13.05 |
| 86738 | Mycoplasma antibody | $ 13.24 |
| 86741 | Neisseria meningitidis | $ 13.19 |
| 86744 | Nocardia antibody | $ 15.99 |
| 86747 | Parvovirus antibody | $ 15.03 |
| 86750 | Malaria antibody | $ 13.19 |
| 86753 | Protozoa antibody nos | $ 12.39 |
| 86756 | Respiratory virus antibody | $ 15.89 |
| 86757 | Rickettsia antibody | $ 19.35 |
| 86759 | Rotavirus antibody | $ 18.23 |
| 86762 | Rubella antibody | $ 14.39 |
| 86765 | Rubeola antibody | $ 12.88 |
| 86768 | Salmonella antibody | $ 13.19 |
| 86771 | Shigella antibody | $ 24.48 |
| 86774 | Tetanus antibody | $ 14.80 |
| 86777 | Toxoplasma antibody | $ 14.39 |
| 86778 | Toxoplasma antibody igm | $ 14.41 |
| 86780 | Treponema pallidum | $ 13.24 |
| 86784 | Trichinella antibody | $ 12.56 |
| 86787 | Varicella-zoster antibody | $ 12.88 |
| 86788 | West nile virus ab igm | $ 16.85 |
| 86789 | West nile virus antibody | $ 14.39 |
| 86790 | Virus antibody nos | $ 12.88 |
| 86793 | Yersinia antibody | $ 13.19 |
| 86800 | Thyroglobulin antibody | $ 15.91 |
| 86803 | Hepatitis c ab test | $ 14.27 |
| 86804 | Hep c ab test confirm | $ 15.49 |
| 86805 | Lymphocytotoxicity assay | $ 189.51 |
| 86806 | Lymphocytotoxicity assay | $ 47.59 |
| 86807 | Cytotoxic antibody screening | $ 78.65 |
| 86808 | Cytotoxic antibody screening | $ 29.68 |
| 86812 | Hla typing a b or c | $ 25.81 |
| 86813 | Hla typing a b or c | $ 58.00 |
| 86816 | Hla typing dr/dq | $ 30.17 |
| 86817 | Hla typing dr/dq | $ 106.14 |
| 86821 | Lymphocyte culture mixed | $ 36.56 |
| 86825 | Hla x-math non-cytotoxic | $ 109.49 |
| 86826 | Hla x-match noncytotoxc addl | $ 36.53 |
| 86828 | Hla class i&ii antibody qual | $ 64.19 |
| 86829 | Hla class i/ii antibody qual | $ 64.19 |
| 86830 | Hla class i phenotype qual | $ 95.52 |
| 86831 | Hla class ii phenotype qual | $ 81.88 |
| 86832 | Hla class i high defin qual | $ 323.75 |
| 86833 | Hla class ii high defin qual | $ 325.80 |
| 86834 | Hla class i semiquant panel | $ 357.56 |
| 86835 | Hla class ii semiquant panel | $ 322.96 |
| 86880 | Coombs test direct | $ 5.39 |
| 86885 | Coombs test indirect qual | $ 5.72 |
| 86886 | Coombs test indirect titer | $ 5.18 |
| 86900 | Blood typing serologic abo | $ 2.99 |
| 86901 | Blood typing serologic rh(d) | $ 2.99 |
| 86902 | Blood type antigen donor ea | $ 6.35 |
| 86904 | Blood typing patient serum | $ 16.34 |
| 86905 | Blood typing rbc antigens | $ 3.83 |
| 86906 | Bld typing serologic rh phnt | $ 7.75 |
| 86940 | Hemolysins/agglutinins auto | $ 8.77 |
| 86941 | Hemolysins/agglutinins | $ 12.11 |
| 87003 | Small animal inoculation | $ 16.84 |
| 87015 | Specimen infect agnt concntj | $ 6.68 |
| 87040 | Blood culture for bacteria | $ 10.32 |
| 87045 | Feces culture aerobic bact | $ 9.44 |
| 87046 | Stool cultr aerobic bact ea | $ 9.44 |
| 87070 | Culture othr specimn aerobic | $ 8.62 |
| 87071 | Culture aerobic quant other | $ 9.89 |
| 87073 | Culture bacteria anaerobic | $ 9.66 |
| 87075 | Cultr bacteria except blood | $ 9.47 |
| 87076 | Culture anaerobe ident each | $ 8.08 |
| 87077 | Culture aerobic identify | $ 8.08 |
| 87081 | Culture screen only | $ 6.63 |
| 87084 | Culture of specimen by kit | $ 27.07 |
| 87086 | Urine culture/colony count | $ 8.07 |
| 87088 | Urine bacteria culture | $ 8.09 |
| 87101 | Skin fungi culture | $ 7.71 |
| 87102 | Fungus isolation culture | $ 8.41 |
| 87103 | Blood fungus culture | $ 20.46 |
| 87106 | Fungi identification yeast | $ 10.32 |
| 87107 | Fungi identification mold | $ 10.32 |
| 87109 | Mycoplasma | $ 15.39 |
| 87110 | Chlamydia culture | $ 19.60 |
| 87116 | Mycobacteria culture | $ 10.80 |
| 87118 | Mycobacteric identification | $ 14.61 |
| 87140 | Culture type immunofluoresc | $ 5.57 |
| 87143 | Culture typing glc/hplc | $ 12.52 |
| 87147 | Culture type immunologic | $ 5.18 |
| 87149 | Dna/rna direct probe | $ 20.05 |
| 87150 | Dna/rna amplified probe | $ 35.09 |
| 87152 | Culture type pulse field gel | $ 7.74 |
| 87153 | Dna/rna sequencing | $ 115.36 |
| 87158 | Culture typing added method | $ 7.74 |
| 87164 | Dark field examination | $ 10.74 |
| 87166 | Dark field examination | $ 11.30 |
| 87168 | Macroscopic exam arthropod | $ 4.27 |
| 87169 | Macroscopic exam parasite | $ 4.31 |
| 87172 | Pinworm exam | $ 4.27 |
| 87176 | Tissue homogenization cultr | $ 5.88 |
| 87177 | Ova and parasites smears | $ 8.90 |
| 87181 | Microbe susceptible diffuse | $ 4.75 |
| 87184 | Microbe susceptible disk | $ 7.48 |
| 87185 | Microbe susceptible enzyme | $ 4.75 |
| 87186 | Microbe susceptible mic | $ 8.65 |
| 87187 | Microbe susceptible mlc | $ 40.17 |
| 87188 | Microbe suscept macrobroth | $ 6.64 |
| 87190 | Microbe suscept mycobacteri | $ 7.31 |
| 87197 | Bactericidal level serum | $ 15.02 |
| 87205 | Smear gram stain | $ 4.27 |
| 87206 | Smear fluorescent/acid stai | $ 5.39 |
| 87207 | Smear special stain | $ 5.99 |
| 87209 | Smear complex stain | $ 17.98 |
| 87210 | Smear wet mount saline/ink | $ 5.82 |
| 87220 | Tissue exam for fungi | $ 4.27 |
| 87230 | Assay toxin or antitoxin | $ 19.74 |
| 87250 | Virus inoculate eggs/animal | $ 19.56 |
| 87252 | Virus inoculation tissue | $ 26.07 |
| 87253 | Virus inoculate tissue addl | $ 20.20 |
| 87254 | Virus inoculation shell via | $ 19.56 |
| 87255 | Genet virus isolate hsv | $ 33.86 |
| 87260 | Adenovirus ag if | $ 14.43 |
| 87265 | Pertussis ag if | $ 11.98 |
| 87267 | Enterovirus antibody dfa | $ 13.42 |
| 87269 | Giardia ag if | $ 13.61 |
| 87270 | Chlamydia trachomatis ag if | $ 11.98 |
| 87271 | Cytomegalovirus dfa | $ 13.42 |
| 87272 | Cryptosporidium ag if | $ 11.98 |
| 87273 | Herpes simplex 2 ag if | $ 11.98 |
| 87274 | Herpes simplex 1 ag if | $ 11.98 |
| 87275 | Influenza b ag if | $ 12.25 |
| 87276 | Influenza a ag if | $ 16.07 |
| 87278 | Legion pneumophilia ag if | $ 15.60 |
| 87279 | Parainfluenza ag if | $ 16.43 |
| 87280 | Respiratory syncytial ag if | $ 13.42 |
| 87281 | Pneumocystis carinii ag if | $ 11.98 |
| 87283 | Rubeola ag if | $ 60.80 |
| 87285 | Treponema pallidum ag if | $ 12.18 |
| 87290 | Varicella zoster ag if | $ 13.42 |
| 87299 | Antibody detection nos if | $ 16.10 |
| 87300 | Ag detection polyval if | $ 11.98 |
| 87301 | Adenovirus ag ia | $ 11.98 |
| 87305 | Aspergillus ag ia | $ 11.98 |
| 87320 | Chlmyd trach ag ia | $ 15.00 |
| 87324 | Clostridium ag ia | $ 11.98 |
| 87327 | Cryptococcus neoform ag ia | $ 13.42 |
| 87328 | Cryptosporidium ag ia | $ 13.82 |
| 87329 | Giardia ag ia | $ 11.98 |
| 87332 | Cytomegalovirus ag ia | $ 11.98 |
| 87335 | E coli 0157 ag ia | $ 12.66 |
| 87336 | Entamoeb hist dispr ag ia | $ 16.00 |
| 87337 | Entamoeb hist group ag ia | $ 11.98 |
| 87338 | Hpylori stool ag ia | $ 14.38 |
| 87339 | H pylori ag ia | $ 16.00 |
| 87340 | Hepatitis b surface ag ia | $ 10.33 |
| 87341 | Hep b surface ag neutrlzj ia | $ 10.33 |
| 87350 | Hepatitis be ag ia | $ 11.53 |
| 87380 | Hepatitis delta agent ag ia | $ 18.36 |
| 87385 | Histoplasma capsul ag ia | $ 13.25 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | $ 24.08 |
| 87390 | Hiv-1 ag ia | $ 24.06 |
| 87391 | Hiv-2 ag ia | $ 21.90 |
| 87400 | Influenza a/b each ag ia | $ 14.13 |
| 87420 | Resp syncytial virus ag ia | $ 13.91 |
| 87425 | Rotavirus ag ia | $ 11.98 |
| 87427 | Shiga-like toxin ag ia | $ 11.98 |
| 87430 | Strep a ag ia | $ 16.81 |
| 87449 | Nos each organism ag ia | $ 11.98 |
| 87451 | Polyvalent mult org ea ag ia | $ 10.51 |
| 87471 | Bartonella dna amp probe | $ 35.09 |
| 87472 | Bartonella dna quant | $ 42.84 |
| 87475 | Lyme dis dna dir probe | $ 20.05 |
| 87476 | Lyme dis dna amp probe | $ 35.09 |
| 87480 | Candida dna dir probe | $ 20.05 |
| 87481 | Candida dna amp probe | $ 35.09 |
| 87482 | Candida dna quant | $ 55.74 |
| 87485 | Chlmyd pneum dna dir probe | $ 20.05 |
| 87486 | Chlmyd pneum dna amp probe | $ 35.09 |
| 87487 | Chlmyd pneum dna quant | $ 42.84 |
| 87490 | Chlmyd trach dna dir probe | $ 22.75 |
| 87491 | Chlmyd trach dna amp probe | $ 35.09 |
| 87492 | Chlmyd trach dna quant | $ 53.47 |
| 87493 | C diff amplified probe | $ 37.27 |
| 87495 | Cytomeg dna dir probe | $ 30.03 |
| 87496 | Cytomeg dna amp probe | $ 35.09 |
| 87497 | Cytomeg dna quant | $ 42.84 |
| 87498 | Enterovirus probe&revrs trns | $ 35.09 |
| 87500 | Vanomycin dna amp probe | $ 35.09 |
| 87501 | Influenza dna amp prob 1+ | $ 51.31 |
| 87502 | Influenza dna amp probe | $ 95.80 |
| 87503 | Influenza dna amp prob addl | $ 29.22 |
| 87505 | Nfct agent detection gi | $ 128.29 |
| 87506 | Iadna-dna/rna probe tq 6-11 | $ 262.99 |
| 87507 | Iadna-dna/rna probe tq 12-25 | $ 416.78 |
| 87510 | Gardner vag dna dir probe | $ 20.05 |
| 87511 | Gardner vag dna amp probe | $ 35.09 |
| 87512 | Gardner vag dna quant | $ 41.76 |
| 87516 | Hepatitis b dna amp probe | $ 35.09 |
| 87517 | Hepatitis b dna quant | $ 42.84 |
| 87520 | Hepatitis c rna dir probe | $ 31.22 |
| 87521 | Hepatitis c probe&rvrs trnsc | $ 35.09 |
| 87522 | Hepatitis c revrs trnscrpj | $ 42.84 |
| 87525 | Hepatitis g dna dir probe | $ 29.80 |
| 87526 | Hepatitis g dna amp probe | $ 39.26 |
| 87527 | Hepatitis g dna quant | $ 41.76 |
| 87528 | Hsv dna dir probe | $ 20.05 |
| 87529 | Hsv dna amp probe | $ 35.09 |
| 87530 | Hsv dna quant | $ 42.84 |
| 87531 | Hhv-6 dna dir probe | $ 58.00 |
| 87532 | Hhv-6 dna amp probe | $ 35.09 |
| 87533 | Hhv-6 dna quant | $ 41.76 |
| 87534 | Hiv-1 dna dir probe | $ 21.92 |
| 87535 | Hiv-1 probe&reverse trnscrpj | $ 35.09 |
| 87536 | Hiv-1 quant&revrse trnscrpj | $ 85.10 |
| 87537 | Hiv-2 dna dir probe | $ 21.92 |
| 87538 | Hiv-2 probe&revrse trnscripj | $ 35.09 |
| 87539 | Hiv-2 quant&revrse trnscripj | $ 58.62 |
| 87540 | Legion pneumo dna dir prob | $ 20.05 |
| 87541 | Legion pneumo dna amp prob | $ 35.09 |
| 87542 | Legion pneumo dna quant | $ 41.76 |
| 87550 | Mycobacteria dna dir probe | $ 20.05 |
| 87551 | Mycobacteria dna amp probe | $ 48.24 |
| 87552 | Mycobacteria dna quant | $ 42.84 |
| 87555 | M.tuberculo dna dir probe | $ 26.88 |
| 87556 | M.tuberculo dna amp probe | $ 41.68 |
| 87557 | M.tuberculo dna quant | $ 42.84 |
| 87560 | M.avium-intra dna dir prob | $ 27.29 |
| 87561 | M.avium-intra dna amp prob | $ 35.09 |
| 87562 | M.avium-intra dna quant | $ 42.84 |
| 87580 | M.pneumon dna dir probe | $ 20.05 |
| 87581 | M.pneumon dna amp probe | $ 35.09 |
| 87582 | M.pneumon dna quant | $ 302.62 |
| 87590 | N.gonorrhoeae dna dir prob | $ 26.88 |
| 87591 | N.gonorrhoeae dna amp prob | $ 35.09 |
| 87592 | N.gonorrhoeae dna quant | $ 42.84 |
| 87623 | Hpv low-risk types | $ 35.09 |
| 87624 | Hpv high-risk types | $ 35.09 |
| 87625 | Hpv types 16 & 18 only | $ 40.55 |
| 87631 | Resp virus 3-5 targets | $ 142.63 |
| 87632 | Resp virus 6-11 targets | $ 218.06 |
| 87633 | Resp virus 12-25 targets | $ 416.78 |
| 87640 | Staph a dna amp probe | $ 35.09 |
| 87641 | Mr-staph dna amp probe | $ 35.09 |
| 87650 | Strep a dna dir probe | $ 20.05 |
| 87651 | Strep a dna amp probe | $ 35.09 |
| 87652 | Strep a dna quant | $ 41.76 |
| 87653 | Strep b dna amp probe | $ 35.09 |
| 87660 | Trichomonas vagin dir probe | $ 20.05 |
| 87661 | Trichomonas vaginalis amplif | $ 35.09 |
| 87797 | Detect agent nos dna dir | $ 30.03 |
| 87798 | Detect agent nos dna amp | $ 35.09 |
| 87799 | Detect agent nos dna quant | $ 42.84 |
| 87800 | Detect agnt mult dna direc | $ 43.67 |
| 87801 | Detect agnt mult dna ampli | $ 70.20 |
| 87802 | Strep b assay w/optic | $ 12.73 |
| 87803 | Clostridium toxin a w/optic | $ 16.00 |
| 87804 | Influenza assay w/optic | $ 16.55 |
| 87806 | Hiv ag w/hiv1&2 antb w/optic | $ 32.77 |
| 87807 | Rsv assay w/optic | $ 13.10 |
| 87808 | Trichomonas assay w/optic | $ 15.29 |
| 87809 | Adenovirus assay w/optic | $ 21.76 |
| 87810 | Chlmyd trach assay w/optic | $ 35.29 |
| 87850 | N. gonorrhoeae assay w/optic | $ 24.56 |
| 87880 | Strep a assay w/optic | $ 16.53 |
| 87899 | Agent nos assay w/optic | $ 16.07 |
| 87900 | Phenotype infect agent drug | $ 130.35 |
| 87901 | Nfct agt gntyp alys hiv1 rev | $ 257.45 |
| 87902 | Nfct agt gntyp alys hep c | $ 257.45 |
| 87903 | Phenotype dna hiv w/culture | $ 488.66 |
| 87904 | Phenotype dna hiv w/clt add | $ 26.07 |
| 87905 | Sialidase enzyme assay | $ 12.22 |
| 87906 | Nfct agt gntyp alys hiv1 | $ 128.73 |
| 87910 | Nfct agt gntyp alys cmv | $ 257.45 |
| 87912 | Nfct agt gntyp alys hep b | $ 257.45 |
| 88130 | Sex chromatin identification | $ 17.98 |
| 88140 | Sex chromatin identification | $ 7.99 |
| 88142 | Cytopath c/v thin layer | $ 20.26 |
| 88143 | Cytopath c/v thin layer redo | $ 23.04 |
| 88147 | Cytopath c/v automated | $ 50.56 |
| 88148 | Cytopath c/v auto rescreen | $ 17.31 |
| 88150 | Cytopath c/v manual | $ 17.31 |
| 88152 | Cytopath c/v auto redo | $ 27.64 |
| 88153 | Cytopath c/v redo | $ 24.03 |
| 88155 | Cytopath c/v index add-on | $ 14.65 |
| 88164 | Cytopath tbs c/v manual | $ 17.31 |
| 88165 | Cytopath tbs c/v redo | $ 42.22 |
| 88166 | Cytopath tbs c/v auto redo | $ 17.31 |
| 88167 | Cytopath tbs c/v select | $ 17.31 |
| 88174 | Cytopath c/v auto in fluid | $ 25.37 |
| 88175 | Cytopath c/v auto fluid redo | $ 26.61 |
| 88230 | Tissue culture lymphocyte | $ 116.49 |
| 88233 | Tissue culture skin/biopsy | $ 140.73 |
| 88235 | Tissue culture placenta | $ 150.30 |
| 88237 | Tissue culture bone marrow | $ 143.75 |
| 88239 | Tissue culture tumor | $ 147.52 |
| 88240 | Cell cryopreserve/storage | $ 13.07 |
| 88241 | Frozen cell preparation | $ 12.09 |
| 88245 | Chromosome analysis 20-25 | $ 173.17 |
| 88248 | Chromosome analysis 50-100 | $ 173.17 |
| 88249 | Chromosome analysis 100 | $ 173.17 |
| 88261 | Chromosome analysis 5 | $ 264.34 |
| 88262 | Chromosome analysis 15-20 | $ 125.49 |
| 88263 | Chromosome analysis 45 | $ 150.29 |
| 88264 | Chromosome analysis 20-25 | $ 144.61 |
| 88267 | Chromosome analys placenta | $ 188.57 |
| 88269 | Chromosome analys amniotic | $ 173.66 |
| 88271 | Cytogenetics dna probe | $ 21.42 |
| 88272 | Cytogenetics 3-5 | $ 40.70 |
| 88273 | Cytogenetics 10-30 | $ 34.81 |
| 88274 | Cytogenetics 25-99 | $ 42.38 |
| 88275 | Cytogenetics 100-300 | $ 51.19 |
| 88280 | Chromosome karyotype study | $ 33.47 |
| 88283 | Chromosome banding study | $ 68.60 |
| 88285 | Chromosome count additional | $ 26.91 |
| 88289 | Chromosome study additional | $ 34.43 |
| 88371 | Protein western blot tissue | $ 22.23 |
| 88372 | Protein analysis w/probe | $ 26.22 |
| 88720 | Bilirubin total transcut | $ 5.02 |
| 88738 | Hgb quant transcutaneous | $ 5.02 |
| 88740 | Transcutaneous carboxyhb | $ 9.37 |
| 88741 | Transcutaneous methb | $ 9.37 |
| 89050 | Body fluid cell count | $ 4.72 |
| 89051 | Body fluid cell count | $ 5.60 |
| 89055 | Leukocyte assessment fecal | $ 4.27 |
| 89060 | Exam synovial fluid crystals | $ 7.33 |
| 89125 | Specimen fat stain | $ 5.88 |
| 89160 | Exam feces for meat fibers | $ 4.85 |
| 89190 | Nasal smear for eosinophils | $ 5.79 |
| 89300 | Semen analysis w/huhner | $ 9.84 |
| 89310 | Semen analysis w/count | $ 8.61 |
| 89320 | Semen anal vol/count/mot | $ 12.31 |
| 89321 | Semen anal sperm detection | $ 12.05 |
| 89322 | Semen anal strict criteria | $ 15.50 |
| 89325 | Sperm antibody test | $ 10.67 |
| 89329 | Sperm evaluation test | $ 19.59 |
| 89330 | Evaluation cervical mucus | $ 10.38 |
| 89331 | Retrograde ejaculation anal | $ 19.59 |
| G0027 | Semen analysis | $ 6.50 |
| G0103 | Psa screening | $ 19.31 |
| G0123 | Screen cerv/vag thin layer | $ 20.26 |
| G0143 | Scr c/v cyto,thinlayer,rescr | $ 27.05 |
| G0144 | Scr c/v cyto,thinlayer,rescr | $ 43.97 |
| G0145 | Scr c/v cyto,thinlayer,rescr | $ 26.49 |
| G0147 | Scr c/v cyto, automated sys | $ 17.31 |
| G0148 | Scr c/v cyto, autosys, rescr | $ 31.94 |
| G0306 | Cbc/diffwbc w/o platelet | $ 7.77 |
| G0307 | Cbc without platelet | $ 6.47 |
| G0327 | Colon ca scrn;bld-bsd biomrk | $ - |
| G0328 | Fecal blood scrn immunoassay | $ 18.05 |
| G0432 | Eia hiv-1/hiv-2 screen | $ 19.57 |
| G0433 | Elisa hiv-1/hiv-2 screen | $ 18.29 |
| G0435 | Oral hiv-1/hiv-2 screen | $ 11.98 |
| G0471 | Ven blood coll snf/hha | $ 10.57 |
| G0476 | Hpv combo assay ca screen | $ 35.09 |
| G0499 | Hepb screen high risk indiv | $ 28.27 |
| G2023 | #N/A | $ - |
| G2024 | #N/A | $ - |
| G9143 | Warfarin respon genetic test | $ 120.72 |
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1 CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
2 This list ONLY includes codes for the following designated health service (DHS) categories: clinical laboratory services. This list DOES NOT include codes for the following DHS categories: physical therapy services, occupational therapy services, outpatient speech-language pathology services, radiology, durable medical equipment and supplies; parenteral and enteral nutrients, equipment and supplies; prosthetics, orthotics, and prosthetic devices and supplies; home health services; outpatient prescription drugs; and inpatient and outpatient hospital services. For the definitions of these DHS categories, refer to §411.351. For more information, refer to the CMS website at http://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/List_of_Codes.html.
3 Information in this table should not be used to determine coverage. Phytest does not represent or warrant, whether expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose the results of the CPT Code Lookup Tool (“Results”). Results are provided as “DESCRIPTION” and do not guarantee approval or payment for services.
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