Friday, February 24, 2017

LAB CPT CODES AND DESCRIPTIONS


80048 Basic metabolic panel $17.86
80050 General health panel $158.13
80051 Electrolyte panel $17.86
80053 Comprehen metabolic panel $29.10
80055 Obstetric panel $114.19
80061 Lipid panel $37.44
80069 Renal function panel $24.26
80074 Acute hepatitis panel $122.16
80076 Hepatic function panel $17.86
80100 Drug screen, qualitate/multi $40.64
80101 Drug screen, single $38.48
80102 Drug confirmation $37.02
80103 Drug analysis, tissue prep $40.09
80150 Assay of amikacin $42.12
80152 Assay of amitriptyline $50.02
80154 Assay of benzodiazepines $51.68
80156 Assay, carbamazepine, total $40.68
80157 Assay, carbamazepine, free $37.04
80158 Assay of cyclosporine $48.62
80160 Assay of desipramine $48.10
80162 Assay of digoxin $37.10
80164 Assay, dipropylacetic acid $37.86
80166 Assay of doxepin $43.32
80168 Assay of ethosuximide $45.66
80170 Assay of gentamicin $45.80
80172 Assay of gold $40.56
80173 Assay of haloperidol $40.68
80174 Assay of imipramine $48.10
80176 Assay of lidocaine $41.04
80178 Assay of lithium $18.48
80182 Assay of nortriptyline $37.86
80184 Assay of phenobarbital $32.02
80185 Assay of phenytoin, total $37.04
80186 Assay of phenytoin, free $38.46
80188 Assay of primidone $46.36
80190 Assay of procainamide $46.82
80192 Assay of procainamide $46.82
80194 Assay of quinidine $40.78
80196 Assay of salicylate $19.84
80197 Assay of tacrolimus $38.34
80198 Assay of theophylline $39.54
80200 Assay of tobramycin $45.04
80201 Assay of topiramate $33.32
80202 Assay of vancomycin $37.86
80299 Quantitative assay, drug $38.26
80400 Acth stimulation panel $79.84
80402 Acth stimulation panel $231.64
80406 Acth stimulation panel $207.40
80408 Aldosterone suppression eval $350.68
80410 Calcitonin stimul panel $224.46
80412 CRH stimulation panel $887.16
80414 Testosterone response $144.32
80415 Estradiol response panel $156.16
80416 Renin stimulation panel $368.76
80417 Renin stimulation panel $122.92
80418 Pituitary evaluation panel $1,596.96
80420 Dexamethasone panel $190.00
80422 Glucagon tolerance panel $128.76
80424 Glucagon tolerance panel $141.12
80426 Gonadotropin hormone panel $414.80
80428 Growth hormone panel $186.32
80430 Growth hormone panel $219.20
80432 Insulin suppression panel $377.46
80434 Insulin tolerance panel $254.40
80435 Insulin tolerance panel $287.70
80436 Metyrapone panel $242.08
80438 TRH stimulation panel $140.82
80439 TRH stimulation panel $187.76
80440 TRH stimulation panel $162.48
80500 Lab pathology consultation $47.09
80502 Lab pathology consultation $235.89
81000 Urinalysis, nonauto w/scope $8.86
81001 Urinalysis, auto w/scope $8.86
81002 Urinalysis nonauto w/o scope $7.14
81003 Urinalysis, auto, w/o scope $6.28
81005 Urinalysis $6.06
81007 Urine screen for bacteria $7.18
81015 Microscopic exam of urine $8.48
81020 Urinalysis, glass test $10.30
81025 Urine pregnancy test $17.68
81050 Urinalysis, volume measure $8.38
81099 Urinalysis test procedure $0.00
82000 Assay of blood acetaldehyde $34.62
82003 Assay of acetaminophen $56.56
82009 Test for acetone/ketones $12.62
82010 Acetone assay $22.84
82013 Acetylcholinesterase assay $31.22
82016 Acylcarnitines, qual $38.74
82017 Acylcarnitines, quant $40.74
82024 Assay of acth $107.94
82030 Assay of adp & amp $72.10
82040 Assay of serum albumin $11.46
82042 Assay of urine albumin $14.46
82043 Microalbumin, quantitative $16.18
82044 Microalbumin, semiquant $8.10
82055 Assay of ethanol $30.20
82075 Assay of breath ethanol $33.68
82085 Assay of aldolase $27.12
82088 Assay of aldosterone $113.88
82101 Assay of urine alkaloids $33.02
82103 Alpha-1-antitrypsin, total $37.54
82104 Alpha-1-antitrypsin, pheno $40.40
82105 Alpha-fetoprotein, serum $46.88
82106 Alpha-fetoprotein, amniotic $46.88
82108 Assay of aluminum $71.20
82120 Amines, vaginal fluid qual $10.50
82127 Amino acid, single qual $38.74
82128 Amino acids, mult qual $38.74
82131 Amino acids, single quant $47.14
82135 Assay, aminolevulinic acid $46.00
82136 Amino acids, quant, 2-5 $40.74
82139 Amino acids, quan, 6 or more $40.74
82140 Assay of ammonia $32.52
82143 Amniotic fluid scan $17.66
82145 Assay of amphetamines $33.02
82150 Assay of amylase $18.12
82154 Androstanediol glucuronide $80.58
82157 Assay of androstenedione $81.12
82160 Assay of androsterone $59.66
82163 Assay of angiotensin II $57.36
82164 Angiotensin I enzyme test $40.78
82172 Assay of apolipoprotein $13.16
82175 Assay of arsenic $53.02
82180 Assay of ascorbic acid $27.62
82190 Atomic absorption $40.54
82205 Assay of barbiturates $32.02
82232 Assay of beta-2 protein $45.22
82239 Bile acids, total $39.50
82240 Bile acids, cholylglycine $9.66
82247 Bilirubin, total $14.04
82248 Bilirubin, direct $14.04
82252 Fecal bilirubin test $12.70
82261 Assay of biotinidase $40.74
82270 Test for blood, feces $9.08
82273 Test for blood, other source $9.08
82274 Assay test for blood, fecal $36.18
82286 Assay of bradykinin $19.24
82300 Assay of cadmium $64.66
82306 Assay of vitamin D $82.72
82307 Assay of vitamin D $34.06
82308 Assay of calcitonin $74.82
82310 Assay of calcium $14.40
82330 Assay of calcium $19.76
82331 Calcium infusion test $14.46
82340 Assay of calcium in urine $11.46
82355 Calculus analysis, qual $24.44
82360 Calculus assay, quant $20.78
82365 Calculus spectroscopy $36.02
82370 X-ray assay, calculus $35.02
82373 Assay, c-d transfer measure $48.68
82374 Assay, blood carbon dioxide $9.66
82375 Assay, blood carbon monoxide $34.44
82376 Test for carbon monoxide $16.74
82378 Carcinoembryonic antigen $53.02
82379 Assay of carnitine $40.74
82380 Assay of carotene $25.78
82382 Assay, urine catecholamines $48.04
82383 Assay, blood catecholamines $66.32
82384 Assay, three catecholamines $70.56
82387 Assay of cathepsin-d $47.84
82390 Assay of ceruloplasmin $30.02
82397 Chemiluminescent assay $24.96
82415 Assay of chloramphenicol $35.40
82435 Assay of blood chloride $9.66
82436 Assay of urine chloride $9.66
82438 Assay, other fluid chlorides $13.66
82441 Test for chlorohydrocarbons $16.76
82465 Assay, bld/serum cholesterol $12.16
82480 Assay, serum cholinesterase $22.02
82482 Assay, rbc cholinesterase $21.48
82485 Assay, chondroitin sulfate $57.70
82486 Gas/liquid chromatography $48.68
82487 Paper chromatography $44.60
82488 Paper chromatography $59.70
82489 Thin layer chromatography $51.68
82491 Chromotography, quant, sing $48.68
82492 Chromotography, quant, mult $48.68
82495 Assay of chromium $56.68
82507 Assay of citrate $77.70
82520 Assay of cocaine $33.02
82523 Collagen crosslinks $52.22
82525 Assay of copper $34.68
82528 Assay of corticosterone $62.90
82530 Cortisol, free $46.70
82533 Total cortisol $39.92
82540 Assay of creatine $12.96
82541 Column chromotography, qual $48.68
82542 Column chromotography, quant $48.68
82543 Column chromotograph/isotope $48.68
82544 Column chromotograph/isotope $48.68
82550 Assay of ck (cpk) $18.20
82552 Assay of cpk in blood $37.42
82553 Creatine, MB fraction $17.18
82554 Creatine, isoforms $33.16
82565 Assay of creatinine $14.32
82570 Assay of urine creatinine $14.46
82575 Creatinine clearance test $26.40
82585 Assay of cryofibrinogen $23.96
82595 Assay of cryoglobulin $18.08
82600 Assay of cyanide $54.22
82607 Vitamin B-12 $42.12
82608 B-12 binding capacity $40.02
82615 Test for urine cystines $22.82
82626 Dehydroepiandrosterone $70.62
82627 Dehydroepiandrosterone $62.14
82633 Desoxycorticosterone $81.12
82634 Deoxycortisol $81.12
82638 Assay of dibucaine number $34.22
82646 Assay of dihydrocodeinone $57.70
82649 Assay of dihydromorphinone $71.82
82651 Assay of dihydrotestosterone $72.14
82652 Assay of dihydroxyvitamin d $107.56
82654 Assay of dimethadione $38.68
82657 Enzyme cell activity $48.68
82658 Enzyme cell activity, ra $48.68
82664 Electrophoretic test $81.12
82666 Assay of epiandrosterone $60.02
82668 Assay of erythropoietin $52.52
82670 Assay of estradiol $78.08
82671 Assay of estrogens $86.84
82672 Assay of estrogen $45.52
82677 Assay of estriol $67.58
82679 Assay of estrone $69.76
82690 Assay of ethchlorvynol $48.30
82693 Assay of ethylene glycol $41.64
82696 Assay of etiocholanolone $65.90
82705 Fats/lipids, feces, qual $4.92
82710 Fats/lipids, feces, quant $32.52
82715 Assay of fecal fat $33.02
82725 Assay of blood fatty acids $21.06
82726 Long chain fatty acids $48.68
82728 Assay of ferritin $38.06
82731 Assay of fetal fibronectin $107.99
82735 Assay of fluoride $51.82
82742 Assay of flurazepam $55.32
82746 Blood folic acid serum $41.08
82747 Assay of folic acid, rbc $47.20
82757 Assay of semen fructose $48.48
82759 Assay of rbc galactokinase $60.02
82760 Assay of galactose $31.28
82775 Assay galactose transferase $58.86
82776 Galactose transferase test $23.42
82784 Assay of gammaglobulin igm $23.42
82785 Assay of gammaglobulin ige $46.02
82787 Igg 1, 2, 3 or 4, each $12.48
82800 Blood pH $23.66
82803 Blood gases: pH, pO2 & pCO2 $48.34
82805 Blood gases W/02 saturation $79.30
82810 Blood gases, O2 sat only $24.40
82820 Hemoglobin-oxygen affinity $27.78
82926 Assay of gastric acid $15.22
82928 Assay of gastric acid $18.30
82938 Gastrin test $49.44
82941 Assay of gastrin $49.28
82943 Assay of glucagon $39.94
82945 Glucose other fluid $10.96
82946 Glucagon tolerance test $42.12
82947 Assay, glucose, blood quant $10.96
82948 Reagent strip/blood glucose $8.86
82950 Glucose test $13.28
82951 Glucose tolerance test (GTT) $35.98
82952 GTT-added samples $10.96
82953 Glucose-tolbutamide test $42.32
82955 Assay of g6pd enzyme $27.10
82960 Test for G6PD enzyme $16.94
82962 Glucose blood test $6.54
82963 Assay of glucosidase $60.02
82965 Assay of gdh enzyme $21.60
82975 Assay of glutamine $44.26
82977 Assay of GGT $20.12
82978 Assay of glutathione $39.82
82979 Assay, rbc glutathione $19.24
82980 Assay of glutethimide $51.20
82985 Glycated protein $42.12
83001 Gonadotropin (FSH) $51.94
83002 Gonadotropin (LH) $51.76
83003 Assay, growth hormone (hgh) $46.58
83008 Assay of guanosine $46.90
83010 Assay of haptoglobin, quant $28.38
83012 Assay of haptoglobins $48.04
83013 H pylori analysis $188.22
83014 H pylori drug admin/collect $21.96
83015 Heavy metal screen $52.62
83018 Quantitative screen, metals $25.60
83020 Hemoglobin electrophoresis $38.99
83020.26 Hemoglobin electrophoresis $38.99
83021 Hemoglobin chromotography $48.68
83026 Hemoglobin, copper sulfate $6.60
83030 Fetal hemoglobin, chemical $23.12
83033 Fetal hemoglobin assay, qual $16.66
83036 Glycated hemoglobin test $27.12
83045 Blood methemoglobin test $13.86
83050 Blood methemoglobin assay $20.46
83051 Assay of plasma hemoglobin $14.56
83055 Blood sulfhemoglobin test $13.74
83060 Blood sulfhemoglobin assay $19.76
83065 Assay of hemoglobin heat $19.24
83068 Hemoglobin stability screen $19.76
83069 Assay of urine hemoglobin $8.04
83070 Assay of hemosiderin, qual $13.28
83071 Assay of hemosiderin, quant $19.22
83080 Assay of b hexosaminidase $40.74
83088 Assay of histamine $81.12
83090 Assay of homocystine $47.14
83150 Assay of for hva $54.08
83491 Assay of corticosteroids $48.94
83497 Assay of 5-hiaa $36.02
83498 Assay of progesterone $75.90
83499 Assay of progesterone $70.44
83500 Assay, free hydroxyproline $63.30
83505 Assay, total hydroxyproline $60.76
83516 Immunoassay, nonantibody $32.24
83518 Immunoassay, dipstick $23.70
83519 Immunoassay, nonantibody $37.76
83520 Immunoassay, RIA $36.18
83525 Assay of insulin $31.96
83527 Assay of insulin $36.18
83528 Assay of intrinsic factor $40.56
83540 Assay of iron $18.10
83550 Iron binding test $24.42
83570 Assay of idh enzyme $24.72
83582 Assay of ketogenic steroids $39.60
83586 Assay 17- ketosteroids $32.98
83593 Fractionation, ketosteroids $23.42
83605 Assay of lactic acid $29.84
83615 Lactate (LD) (LDH) enzyme $16.88
83625 Assay of ldh enzymes $35.76
83632 Placental lactogen $56.48
83633 Test urine for lactose $6.56
83634 Assay of urine for lactose $16.66
83655 Assay of lead $33.82
83661 L/s ratio, fetal lung $52.90
83662 Foam stability, fetal lung $37.66
83663 Fluoro polarize, fetal lung $37.66
83664 Lamellar bdy, fetal lung $32.75
83670 Assay of lap enzyme $25.60
83690 Assay of lipase $10.66
83715 Assay of blood lipoproteins $31.46
83716 Assay of blood lipoproteins $45.26
83718 Assay of lipoprotein $22.88
83719 Assay of blood lipoprotein $32.52
83721 Assay of blood lipoprotein $26.66
83727 Assay of lrh hormone $48.04
83735 Assay of magnesium $18.72
83775 Assay of md enzyme $20.60
83785 Assay of manganese $68.72
83788 Mass spectrometry qual $48.68
83789 Mass spectrometry quant $48.68
83805 Assay of meprobamate $49.26
83825 Assay of mercury $45.44
83835 Assay of metanephrines $47.34
83840 Assay of methadone $45.62
83857 Assay of methemalbumin $30.02
83858 Assay of methsuximide $41.42
83864 Mucopolysaccharides $55.64
83866 Mucopolysaccharides screen $27.52
83872 Assay synovial fluid mucin $16.38
83873 Assay of csf protein $48.08
83874 Assay of myoglobin $36.08
83880 Natriuretic peptide $81.12
83883 Assay, nephelometry not spec $33.59
83885 Assay of nickel $68.46
83887 Assay of nicotine $66.18
83890 Molecule isolate $11.20
83891 Molecule isolate nucleic $11.20
83892 Molecular diagnostics $11.20
83893 Molecule dot/slot/blot $11.20
83894 Molecule gel electrophor $11.20
83896 Molecular diagnostics $11.20
83897 Molecule nucleic transfer $11.20
83898 Molecule nucleic ampli $46.84
83901 Molecule nucleic ampli $46.84
83902 Molecular diagnostics $39.66
83903 Molecule mutation scan $46.84
83904 Molecule mutation identify $46.84
83905 Molecule mutation identify $46.84
83906 Molecule mutation identify $46.84
83912 Genetic examination $38.30
83912.26 Genetic examination $38.30
83915 Assay of nucleotidase $31.16
83916 Oligoclonal bands $56.18
83918 Organic acids, total, quant $46.00
83919 Organic acids, qual, each $46.00
83921 Organic acid, single, quant $46.00
83925 Assay of opiates $54.38
83930 Assay of blood osmolality $18.48
83935 Assay of urine osmolality $15.34
83937 Assay of osteocalcin $83.42
83945 Assay of oxalate $35.98
83950 Oncoprotein, her-2/neu $179.98
83970 Assay of parathormone $115.34
83986 Assay of body fluid acidity $8.04
83992 Assay for phencyclidine $41.08
84022 Assay of phenothiazine $43.52
84030 Assay of blood pku $15.38
84035 Assay of phenylketones $10.22
84060 Assay acid phosphatase $20.64
84061 Phosphatase, forensic exam $22.12
84066 Assay prostate phosphatase $27.00
84075 Assay alkaline phosphatase $14.46
84078 Assay alkaline phosphatase $20.40
84080 Assay alkaline phosphatases $41.32
84081 Amniotic fluid enzyme test $46.18
84085 Assay of rbc pg6d enzyme $18.84
84087 Assay phosphohexose enzymes $28.84
84100 Assay of phosphorus $13.26
84105 Assay of urine phosphorus $14.46
84106 Test for porphobilinogen $11.98
84110 Assay of porphobilinogen $23.60
84119 Test urine for porphyrins $24.06
84120 Assay of urine porphyrins $41.10
84126 Assay of feces porphyrins $41.34
84127 Assay of feces porphyrins $17.60
84132 Assay of serum potassium $12.84
84133 Assay of urine potassium $9.66
84134 Assay of prealbumin $16.06
84135 Assay of pregnanediol $53.46
84138 Assay of pregnanetriol $47.86
84140 Assay of pregnenolone $57.78
84143 Assay of 17-hydroxypregneno $63.78
84144 Assay of progesterone $58.30
84146 Assay of prolactin $54.16
84150 Assay of prostaglandin $69.76
84152 Assay of psa, complexed $51.40
84153 Assay of psa, total $51.40
84154 Assay of psa, free $51.40
84155 Assay of protein, serum $10.24
84156 Assay of protein, urine $10.24
84157 Assay of protein, other $10.24
84160 Assay of protein, any source $14.46
84165 Electrophoreisis of proteins $38.99
84165.26 Electrophoreisis of proteins $38.99
84181 Western blot test $47.60
84181.26 Western blot test $47.60
84182 Protein, western blot test $50.30
84182.26 Protein, western blot test $50.30
84202 Assay RBC protoporphyrin $40.10
84203 Test RBC protoporphyrin $24.06
84206 Assay of proinsulin $49.78
84207 Assay of vitamin b-6 $78.50
84210 Assay of pyruvate $24.94
84220 Assay of pyruvate kinase $26.36
84228 Assay of quinine $32.52
84233 Assay of estrogen $179.98
84234 Assay of progesterone $181.28
84235 Assay of endocrine hormone $33.78
84238 Assay, nonendocrine receptor $102.18
84244 Assay of renin $61.46
84252 Assay of vitamin b-2 $56.56
84255 Assay of selenium $71.34
84260 Assay of serotonin $79.54
84270 Assay of sex hormone globul $60.72
84275 Assay of sialic acid $37.54
84285 Assay of silica $65.80
84295 Assay of serum sodium $12.22
84300 Assay of urine sodium $9.66
84302 Assay of sweat sodium $9.66
84305 Assay of somatomedin $46.20
84307 Assay of somatostatin $46.20
84311 Spectrophotometry $19.54
84315 Body fluid specific gravity $3.12
84375 Chromatogram assay, sugars $54.78
84376 Sugars, single, qual $6.56
84377 Sugars, multiple, qual $6.56
84378 Sugars, single, quant $16.66
84379 Sugars multiple quant $16.66
84392 Assay of urine sulfate $13.28
84402 Assay of testosterone $71.14
84403 Assay of total testosterone $72.16
84425 Assay of vitamin b-1 $59.34
84430 Assay of thiocyanate $26.00
84432 Assay of thyroglobulin $44.88
84436 Assay of total thyroxine $19.22
84437 Assay of neonatal thyroxine $18.08
84439 Assay of free thyroxine $25.20
84442 Assay of thyroid activity $40.56
84443 Assay thyroid stim hormone $46.94
84445 Assay of tsi $142.10
84446 Assay of vitamin e $39.62
84449 Assay of transcortin $50.30
84450 Transferase (AST) (SGOT) $14.44
84460 Alanine amino (ALT) (SGPT) $14.80
84466 Assay of transferrin $35.68
84478 Assay of triglycerides $16.08
84479 Assay of thyroid (t3 or t4) $18.08
84480 Assay, triiodothyronine (t3) $27.56
84481 Free assay (FT-3) $40.56
84482 T3 reverse $39.98
84484 Assay of troponin, quant $27.50
84485 Assay duodenal fluid trypsin $20.98
84488 Test feces for trypsin $20.40
84490 Assay of feces for trypsin $10.12
84510 Assay of tyrosine $29.06
84512 Assay of troponin, qual $21.52
84520 Assay of urea nitrogen $11.02
84525 Urea nitrogen semi-quant $10.50
84540 Assay of urine/urea-n $8.04
84545 Urea-N clearance test $16.12
84550 Assay of blood/uric acid $12.62
84560 Assay of urine/uric acid $13.28
84577 Assay of feces/urobilinogen $33.02
84578 Test urine urobilinogen $9.08
84580 Assay of urine urobilinogen $19.84
84583 Assay of urine urobilinogen $14.04
84585 Assay of urine vma $29.12
84586 Assay of vip $98.74
84588 Assay of vasopressin $81.12
84590 Assay of vitamin a $32.40
84591 Assay of nos vitamin $32.40
84597 Assay of vitamin k $38.30
84600 Assay of volatiles $44.90
84620 Xylose tolerance test $33.10
84630 Assay of zinc $13.26
84681 Assay of c-peptide $58.14
84702 Chorionic gonadotropin test $19.52
84703 Chorionic gonadotropin assay $19.52
84830 Ovulation tests $28.04
84999 Clinical chemistry test $0.00
85002 Bleeding time test $12.58
85004 Automated diff wbc count $18.08
85007 Bl smear w/diff wbc count $9.62
85008 Bl smear w/o diff wbc count $9.62
85009 Manual diff wbc count b-coat $10.38
85013 Spun microhematocrit $6.62
85014 Hematocrit $6.62
85018 Hemoglobin $6.62
85025 Complete cbc w/auto diff wbc $21.72
85027 Complete cbc, automated $18.08
85032 Manual cell count, each $12.02
85041 Automated rbc count $8.40
85044 Manual reticulocyte count $12.02
85045 Automated reticulocyte count $11.18
85046 Reticyte/hgb concentrate $15.60
85048 Automated leukocyte count $7.10
85049 Automated platelet count $12.50
85055 Reticulated platelet assay $74.82
85060 Blood smear interpretation $78.11
85097 Bone marrow interpretation $184.78
85130 Chromogenic substrate assay $24.06
85170 Blood clot retraction $6.56
85175 Blood clot lysis time $6.56
85210 Blood clot factor II test $36.28
85220 Blood clot factor V test $49.32
85230 Blood clot factor VII test $50.04
85240 Blood clot factor VIII test $50.04
85244 Blood clot factor VIII test $57.06
85245 Blood clot factor VIII test $64.12
85246 Blood clot factor VIII test $64.12
85247 Blood clot factor VIII test $64.12
85250 Blood clot factor IX test $53.20
85260 Blood clot factor X test $50.04
85270 Blood clot factor XI test $50.04
85280 Blood clot factor XII test $54.08
85290 Blood clot factor XIII test $45.66
85291 Blood clot factor XIII test $24.84
85292 Blood clot factor assay $52.92
85293 Blood clot factor assay $52.92
85300 Antithrombin III test $33.10
85301 Antithrombin III test $30.22
85302 Blood clot inhibitor antigen $33.60
85303 Blood clot inhibitor test $38.64
85305 Blood clot inhibitor assay $32.40
85306 Blood clot inhibitor test $42.82
85307 Assay activated protein c $42.82
85335 Factor inhibitor test $33.02
85337 Thrombomodulin $29.12
85345 Coagulation time $12.02
85347 Coagulation time $6.56
85348 Coagulation time $10.40
85360 Euglobulin lysis $23.48
85362 Fibrin degradation products $14.80
85366 Fibrinogen test $24.06
85370 Fibrinogen test $28.34
85378 Fibrin degrade, semiquant $19.94
85379 Fibrin degradation, quant $28.44
85380 Fibrin degradation, vte $28.44
85384 Fibrinogen $22.96
85385 Fibrinogen $22.96
85390 Fibrinolysins screen $29.27
85390.26 Fibrinolysins screen $29.27
85396 Clotting assay, whole blood $66.15
85400 Fibrinolytic plasmin $6.56
85410 Fibrinolytic antiplasmin $6.56
85415 Fibrinolytic plasminogen $48.04
85420 Fibrinolytic plasminogen $15.08
85421 Fibrinolytic plasminogen $28.46
85441 Heinz bodies, direct $11.76
85445 Heinz bodies, induced $19.04
85460 Hemoglobin, fetal $8.30
85461 Hemoglobin, fetal $18.52
85475 Hemolysin $24.80
85520 Heparin assay $33.02
85525 Heparin neutralization $27.42
85530 Heparin-protamine tolerance $39.62
85536 Iron stain peripheral blood $18.08
85540 Wbc alkaline phosphatase $24.04
85547 RBC mechanical fragility $16.66
85549 Muramidase $46.30
85555 RBC osmotic fragility $16.66
85557 RBC osmotic fragility $16.66
85576 Blood platelet aggregation $60.02
85576.26 Blood platelet aggregation $60.02
85597 Platelet neutralization $16.48
85610 Prothrombin time $10.98
85611 Prothrombin test $11.02
85612 Viper venom prothrombin time $16.66
85613 Russell viper venom, diluted $16.66
85635 Reptilase test $27.52
85651 Rbc sed rate, nonautomated $9.92
85652 Rbc sed rate, automated $7.54
85660 RBC sickle cell test $14.46
85670 Thrombin time, plasma $16.14
85675 Thrombin time, titer $19.16
85705 Thromboplastin inhibition $26.90
85730 Thromboplastin time, partial $16.76
85732 Thromboplastin time, partial $18.08
85810 Blood viscosity examination $32.64
85999 Hematology procedure $0.00
86000 Agglutinins, febrile $19.50
86001 Allergen specific igg $14.60
86003 Allergen specific IgE $14.60
86005 Allergen specific IgE $22.28
86021 WBC antibody identification $25.74
86022 Platelet antibodies $14.84
86023 Immunoglobulin assay $34.80
86038 Antinuclear antibodies $33.78
86039 Antinuclear antibodies (ANA) $31.20
86060 Antistreptolysin o, titer $20.40
86063 Antistreptolysin o, screen $10.66
86077 Physician blood bank service $282.78
86078 Physician blood bank service $282.78
86079 Physician blood bank service $245.27
86140 C-reactive protein $14.46
86141 C-reactive protein, hs $36.18
86146 Glycoprotein antibody $18.22
86147 Cardiolipin antibody $18.22
86148 Phospholipid antibody $44.88
86155 Chemotaxis assay $44.66
86156 Cold agglutinin, screen $15.88
86157 Cold agglutinin, titer $18.22
86160 Complement, antigen $33.56
86161 Complement/function activity $33.56
86162 Complement, total (CH50) $56.78
86171 Complement fixation, each $24.44
86185 Counterimmunoelectrophoresis $25.00
86215 Deoxyribonuclease, antibody $37.02
86225 DNA antibody $38.40
86226 DNA antibody, single strand $33.84
86235 Nuclear antigen antibody $50.12
86243 Fc receptor $57.36
86255 Fluorescent antibody, screen $39.68
86255.26 Fluorescent antibody, screen $39.68
86256 Fluorescent antibody, titer $38.99
86256.26 Fluorescent antibody, titer $38.99
86277 Growth hormone antibody $43.98
86280 Hemagglutination inhibition $22.88
86294 Immunoassay, tumor, qual $51.76
86300 Immunoassay, tumor, ca 15-3 $58.14
86301 Immunoassay, tumor, ca 19-9 $58.14
86304 Immunoassay, tumor, ca 125 $58.14
86308 Heterophile antibodies $14.46
86309 Heterophile antibodies $18.08
86310 Heterophile antibodies $20.60
86316 Immunoassay, tumor other $58.14
86317 Immunoassay,infectious agent $41.90
86318 Immunoassay,infectious agent $36.18
86320 Serum immunoelectrophoresis $62.64
86320.26 Serum immunoelectrophoresis $62.64
86325 Other immunoelectrophoresis $62.48
86325.26 Other immunoelectrophoresis $62.48
86327 Immunoelectrophoresis assay $63.40
86327.26 Immunoelectrophoresis assay $63.40
86329 Immunodiffusion $39.24
86331 Immunodiffusion ouchterlony $33.50
86332 Immune complex assay $68.10
86334 Immunofixation procedure $62.42
86334.26 Immunofixation procedure $62.42
86336 Inhibin A $41.90
86337 Insulin antibodies $59.84
86340 Intrinsic factor antibody $42.12
86341 Islet cell antibody $55.30
86343 Leukocyte histamine release $34.82
86344 Leukocyte phagocytosis $22.32
86353 Lymphocyte transformation $81.12
86359 T cells, total count $105.40
86360 T cell, absolute count/ratio $131.30
86361 T cell, absolute count $74.82
86376 Microsomal antibody $40.66
86378 Migration inhibitory factor $55.02
86382 Neutralization test, viral $47.24
86384 Nitroblue tetrazolium dye $31.82
86403 Particle agglutination test $28.48
86406 Particle agglutination test $29.74
86430 Rheumatoid factor test $15.86
86431 Rheumatoid factor, quant $15.86
86485 Skin test, candida $41.28
86490 Coccidioidomycosis skin test $54.81
86510 Histoplasmosis skin test $41.28
86580 TB intradermal test $22.07
86585 TB tine test $20.25
86586 Skin test, unlisted $0.00
86590 Streptokinase, antibody $30.82
86592 Blood serology, qualitative $11.92
86593 Blood serology, quantitative $11.46
86602 Antinomyces antibody $28.44
86603 Adenovirus antibody $28.58
86606 Aspergillus antibody $28.58
86609 Bacterium antibody $28.58
86611 Bartonella antibody $28.44
86612 Blastomyces antibody $28.58
86615 Bordetella antibody $28.58
86617 Lyme disease antibody $43.28
86618 Lyme disease antibody $28.58
86619 Borrelia antibody $28.58
86622 Brucella antibody $24.96
86625 Campylobacter antibody $28.58
86628 Candida antibody $28.58
86631 Chlamydia antibody $28.58
86632 Chlamydia igm antibody $28.58
86635 Coccidioides antibody $28.58
86638 Q fever antibody $28.58
86641 Cryptococcus antibody $28.58
86644 CMV antibody $40.22
86645 CMV antibody, IgM $28.58
86648 Diphtheria antibody $28.58
86651 Encephalitis antibody $28.58
86652 Encephalitis antibody $28.58
86653 Encephalitis antibody $28.58
86654 Encephalitis antibody $28.58
86658 Enterovirus antibody $28.58
86663 Epstein-barr antibody $36.66
86664 Epstein-barr antibody $42.76
86665 Epstein-barr antibody $50.22
86666 Ehrlichia antibody $28.44
86668 Francisella tularensis $28.58
86671 Fungus antibody $28.58
86674 Giardia lamblia antibody $41.12
86677 Helicobacter pylori $28.58
86682 Helminth antibody $36.34
86684 Hemophilus influenza $28.58
86687 Htlv-i antibody $23.44
86688 Htlv-ii antibody $39.14
86689 HTLV/HIV confirmatory test $54.10
86692 Hepatitis, delta agent $47.96
86694 Herpes simplex test $40.22
86695 Herpes simplex test $28.58
86696 Herpes simplex type 2 $54.10
86698 Histoplasma $28.58
86701 HIV-1 $24.82
86702 HIV-2 $37.76
86703 HIV-1/HIV-2, single assay $38.34
86704 Hep b core antibody, total $33.68
86705 Hep b core antibody, igm $32.88
86706 Hep b surface antibody $30.02
86707 Hep be antibody $13.00
86708 Hep a antibody, total $34.62
86709 Hep a antibody, igm $31.46
86710 Influenza virus antibody $37.88
86713 Legionella antibody $28.58
86717 Leishmania antibody $28.58
86720 Leptospira antibody $28.58
86723 Listeria monocytogenes ab $28.58
86727 Lymph choriomeningitis ab $28.58
86729 Lympho venereum antibody $28.58
86732 Mucormycosis antibody $28.58
86735 Mumps antibody $28.58
86738 Mycoplasma antibody $37.02
86741 Neisseria meningitidis $16.24
86744 Nocardia antibody $16.24
86747 Parvovirus antibody $38.38
86750 Malaria antibody $36.86
86753 Protozoa antibody nos $16.24
86756 Respiratory virus antibody $16.24
86757 Rickettsia antibody $54.10
86759 Rotavirus antibody $24.24
86762 Rubella antibody $40.22
86765 Rubeola antibody $36.00
86768 Salmonella antibody $28.58
86771 Shigella antibody $28.58
86774 Tetanus antibody $28.58
86777 Toxoplasma antibody $40.22
86778 Toxoplasma antibody, igm $28.58
86781 Treponema pallidum, confirm $37.00
86784 Trichinella antibody $28.58
86787 Varicella-zoster antibody $28.58
86790 Virus antibody nos $28.58
86793 Yersinia antibody $28.58
86800 Thyroglobulin antibody $44.44
86803 Hepatitis c ab test $39.88
86804 Hep c ab test, confirm $43.28
86805 Lymphocytotoxicity assay $146.10
86806 Lymphocytotoxicity assay $132.98
86807 Cytotoxic antibody screening $110.58
86808 Cytotoxic antibody screening $82.94
86812 HLA typing, A, B, or C $72.12
86813 HLA typing, A, B, or C $162.04
86816 HLA typing, DR/DQ $77.84
86817 HLA typing, DR/DQ $179.90
86821 Lymphocyte culture, mixed $157.76
86822 Lymphocyte culture, primed $102.14
86849 Immunology procedure $0.00
86850 RBC antibody screen $38.12
86860 RBC antibody elution $139.48
86870 RBC antibody identification $56.40
86880 Coombs test, direct $13.26
86885 Coombs test, indirect, qual $13.00
86886 Coombs test, indirect, titer $14.46
86890 Autologous blood process $204.82
86891 Autologous blood, op salvage $282.78
86900 Blood typing, ABO $8.34
86901 Blood typing, Rh (D) $19.16
86903 Blood typing, antigen screen $26.38
86904 Blood typing, patient serum $26.56
86905 Blood typing, RBC antigens $10.68
86906 Blood typing, Rh phenotype $21.66
86910 Blood typing, paternity test $258.72
86911 Blood typing, antigen system $61.50
86920 Compatibility test $61.16
86921 Compatibility test $75.03
86922 Compatibility test $70.57
86927 Plasma, fresh frozen $68.27
86930 Frozen blood prep $477.00
86931 Frozen blood thaw $477.00
86932 Frozen blood freeze/thaw $494.30
86940 Hemolysins/agglutinins, auto $22.92
86941 Hemolysins/agglutinins $33.84
86945 Blood product/irradiation $108.71
86950 Leukacyte transfusion $306.77
86965 Pooling blood platelets $81.72
86970 RBC pretreatment $129.79
86971 RBC pretreatment $64.50
86972 RBC pretreatment $64.50
86975 RBC pretreatment, serum $167.31
86976 RBC pretreatment, serum $167.31
86977 RBC pretreatment, serum $167.31
86978 RBC pretreatment, serum $200.99
86985 Split blood or products $101.94
86999 Transfusion procedure $0.00
87001 Small animal inoculation $24.44
87003 Small animal inoculation $47.04
87015 Specimen concentration $18.66
87040 Blood culture for bacteria $28.84
87045 Feces culture, bacteria $26.00
87046 Stool cultr, bacteria, each $23.00
87070 Culture, bacteria, other $24.06
87071 Culture bacteri aerobic othr $26.00
87073 Culture bacteria anaerobic $26.00
87075 Cultr bacteria, except blood $17.40
87076 Culture anaerobe ident, each $22.58
87077 Culture aerobic identify $22.58
87081 Culture screen only $18.52
87084 Culture of specimen by kit $24.06
87086 Urine culture/colony count $22.56
87088 Urine bacteria culture $22.62
87101 Skin fungi culture $21.54
87102 Fungus isolation culture $21.06
87103 Blood fungus culture $25.20
87106 Fungi identification, yeast $28.84
87107 Fungi identification, mold $28.84
87109 Mycoplasma $38.98
87110 Chlamydia culture $32.52
87116 Mycobacteria culture $30.20
87118 Mycobacteric identification $30.58
87140 Culture type immunofluoresc $15.58
87143 Culture typing, glc/hplc $16.66
87147 Culture type, immunologic $10.66
87149 Culture type, nucleic acid $56.04
87152 Culture type pulse field gel $14.62
87158 Culture typing, added method $14.62
87164 Dark field examination $36.23
87164.26 Dark field examination $36.23
87166 Dark field examination $31.56
87168 Macroscopic exam arthropod $11.92
87169 Macroscopic exam parasite $11.92
87172 Pinworm exam $11.92
87176 Tissue homogenization, cultr $16.44
87177 Ova and parasites smears $24.86
87181 Microbe susceptible, diffuse $13.28
87184 Microbe susceptible, disk $19.26
87185 Microbe susceptible, enzyme $13.28
87186 Microbe susceptible, mic $24.16
87187 Microbe susceptible, mlc $24.42
87188 Microbe suscept, macrobroth $18.54
87190 Microbe suscept, mycobacteri $15.80
87197 Bactericidal level, serum $23.02
87205 Smear, gram stain $11.92
87206 Smear, fluorescent/acid stai $15.00
87207 Smear, special stain $29.70
87207.26 Smear, special stain $29.70
87210 Smear, wet mount, saline/ink $11.92
87220 Tissue exam for fungi $11.92
87230 Assay, toxin or antitoxin $28.12
87250 Virus inoculate, eggs/animal $54.64
87252 Virus inoculation, tissue $49.90
87253 Virus inoculate tissue, addl $56.44
87254 Virus inoculation, shell via $54.64
87255 Genet virus isolate, hsv $82.34
87260 Adenovirus ag, if $33.52
87265 Pertussis ag, if $33.52
87267 Enterovirus antibody, dfa $33.52
87269 Giardia ag, if $33.52
87270 Chlamydia trachomatis ag, if $33.52
87271 Cryptosporidum/gardia ag, if $33.52
87272 Cryptosporidium ag, if $33.52
87273 Herpes simplex 2, ag, if $33.52
87274 Herpes simplex 1, ag, if $33.52
87275 Influenza b, ag, if $33.52
87276 Influenza a, ag, if $33.52
87277 Legionella micdadei, ag, if $33.52
87278 Legion pneumophilia ag, if $33.52
87279 Parainfluenza, ag, if $33.52
87280 Respiratory syncytial ag, if $33.52
87281 Pneumocystis carinii, ag, if $33.52
87283 Rubeola, ag, if $33.52
87285 Treponema pallidum, ag, if $33.52
87290 Varicella zoster, ag, if $33.52
87299 Antibody detection, nos, if $33.52
87300 Ag detection, polyval, if $33.52
87301 Adenovirus ag, eia $33.52
87320 Chylmd trach ag, eia $33.52
87324 Clostridium ag, eia $33.52
87327 Cryptococcus neoform ag, eia $33.52
87328 Cryptosporidium ag, eia $33.52
87329 Giardia ag, eia $33.52
87332 Cytomegalovirus ag, eia $33.52
87335 E coli 0157 ag, eia $33.52
87336 Entamoeb hist dispr, ag, eia $33.52
87337 Entamoeb hist group, ag, eia $33.52
87338 Hpylori, stool, eia $40.20
87339 H pylori ag, eia $33.52
87340 Hepatitis b surface ag, eia $17.94
87341 Hepatitis b surface, ag, eia $17.94
87350 Hepatitis be ag, eia $32.20
87380 Hepatitis delta ag, eia $45.88
87385 Histoplasma capsul ag, eia $33.52
87390 Hiv-1 ag, eia $49.30
87391 Hiv-2 ag, eia $49.30
87400 Influenza a/b, ag, eia $33.52
87420 Resp syncytial ag, eia $33.52
87425 Rotavirus ag, eia $33.52
87427 Shiga-like toxin ag, eia $33.52
87430 Strep a ag, eia $33.52
87449 Ag detect nos, eia, mult $33.52
87450 Ag detect nos, eia, single $26.78
87451 Ag detect polyval, eia, mult $26.78
87470 Bartonella, dna, dir probe $56.04
87471 Bartonella, dna, amp probe $98.08
87472 Bartonella, dna, quant $119.70
87475 Lyme dis, dna, dir probe $56.04
87476 Lyme dis, dna, amp probe $98.08
87477 Lyme dis, dna, quant $119.70
87480 Candida, dna, dir probe $56.04
87481 Candida, dna, amp probe $98.08
87482 Candida, dna, quant $116.66
87485 Chylmd pneum, dna, dir probe $56.04
87486 Chylmd pneum, dna, amp probe $98.08
87487 Chylmd pneum, dna, quant $119.70
87490 Chylmd trach, dna, dir probe $56.04
87491 Chylmd trach, dna, amp probe $98.08
87492 Chylmd trach, dna, quant $97.68
87495 Cytomeg, dna, dir probe $56.04
87496 Cytomeg, dna, amp probe $98.08
87497 Cytomeg, dna, quant $119.70
87510 Gardner vag, dna, dir probe $56.04
87511 Gardner vag, dna, amp probe $98.08
87512 Gardner vag, dna, quant $116.66
87515 Hepatitis b, dna, dir probe $56.04
87516 Hepatitis b, dna, amp probe $98.08
87517 Hepatitis b, dna, quant $119.70
87520 Hepatitis c, rna, dir probe $56.04
87521 Hepatitis c, rna, amp probe $98.08
87522 Hepatitis c, rna, quant $119.70
87525 Hepatitis g, dna, dir probe $56.04
87526 Hepatitis g, dna, amp probe $98.08
87527 Hepatitis g, dna, quant $116.66
87528 Hsv, dna, dir probe $56.04
87529 Hsv, dna, amp probe $98.08
87530 Hsv, dna, quant $119.70
87531 Hhv-6, dna, dir probe $56.04
87532 Hhv-6, dna, amp probe $98.08
87533 Hhv-6, dna, quant $116.66
87534 Hiv-1, dna, dir probe $56.04
87535 Hiv-1, dna, amp probe $98.08
87536 Hiv-1, dna, quant $237.78
87537 Hiv-2, dna, dir probe $56.04
87538 Hiv-2, dna, amp probe $98.08
87539 Hiv-2, dna, quant $119.70
87540 Legion pneumo, dna, dir prob $56.04
87541 Legion pneumo, dna, amp prob $98.08
87542 Legion pneumo, dna, quant $116.66
87550 Mycobacteria, dna, dir probe $56.04
87551 Mycobacteria, dna, amp probe $98.08
87552 Mycobacteria, dna, quant $119.70
87555 M.tuberculo, dna, dir probe $56.04
87556 M.tuberculo, dna, amp probe $98.08
87557 M.tuberculo, dna, quant $119.70
87560 M.avium-intra, dna, dir prob $56.04
87561 M.avium-intra, dna, amp prob $98.08
87562 M.avium-intra, dna, quant $119.70
87580 M.pneumon, dna, dir probe $56.04
87581 M.pneumon, dna, amp probe $98.08
87582 M.pneumon, dna, quant $116.66
87590 N.gonorrhoeae, dna, dir prob $55.76
87591 N.gonorrhoeae, dna, amp prob $98.08
87592 N.gonorrhoeae, dna, quant $119.70
87620 Hpv, dna, dir probe $56.04
87621 Hpv, dna, amp probe $98.08
87622 Hpv, dna, quant $116.66
87650 Strep a, dna, dir probe $56.04
87651 Strep a, dna, amp probe $98.08
87652 Strep a, dna, quant $116.66
87660 Trichomonas vagin, dir probe $56.04
87797 Detect agent nos, dna, dir $56.04
87798 Detect agent nos, dna, amp $98.08
87799 Detect agent nos, dna, quant $119.70
87800 Detect agnt mult, dna, direc $96.17
87801 Detect agnt mult, dna, ampli $196.14
87802 Strep b assay w/optic $33.52
87803 Clostridium toxin a w/optic $33.52
87804 Influenza assay w/optic $33.52
87810 Chylmd trach assay w/optic $33.52
87850 N. gonorrhoeae assay w/optic $33.52
87880 Strep a assay w/optic $33.52
87899 Agent nos assay w/optic $33.52
87901 Genotype, dna, hiv reverse t $719.38
87902 Genotype, dna, hepatitis C $719.38
87903 Phenotype, dna hiv w/culture $1,365.44
87904 Phenotype, dna hiv w/clt add $49.90
87999 Microbiology procedure $0.00
88000 Autopsy (necropsy), gross $650.24
88005 Autopsy (necropsy), gross $731.46
88007 Autopsy (necropsy), gross $812.53
88012 Autopsy (necropsy), gross $682.27
88014 Autopsy (necropsy), gross $682.27
88016 Autopsy (necropsy), gross $650.24
88020 Autopsy (necropsy), complete $812.53
88025 Autopsy (necropsy), complete $893.74
88027 Autopsy (necropsy), complete $974.95
88028 Autopsy (necropsy), complete $845.39
88029 Autopsy (necropsy), complete $845.39
88036 Limited autopsy $698.59
88037 Limited autopsy $569.11
88040 Forensic autopsy (necropsy) $2,113.09
88045 Coroner’s autopsy (necropsy) $0.00
88099 Necropsy (autopsy) procedure $0.00
88104 Cytopathology, fluids $94.83
88104.26 Cytopathology, fluids $59.72
88106 Cytopathology, fluids $81.11
88106.26 Cytopathology, fluids $56.40
88107 Cytopathology, fluids $108.86
88107.26 Cytopathology, fluids $70.29
88108 Cytopath, concentrate tech $98.96
88108.26 Cytopath, concentrate tech $59.72
88112 Cytopath, cell enhance tech $186.94
88112.26 Cytopath, cell enhance tech $103.09
88125 Forensic cytopathology $38.00
88125.26 Forensic cytopathology $28.02
88130 Sex chromatin identification $39.05
88140 Sex chromatin identification $22.34
88141 Cytopath, c/v, interpret $46.09
88142 Cytopath, c/v, thin layer $56.62
88143 Cytopath c/v thin layer redo $56.62
88147 Cytopath, c/v, automated $29.52
88148 Cytopath, c/v, auto rescreen $29.52
88150 Cytopath, c/v, manual $29.52
88152 Cytopath, c/v, auto redo $29.52
88153 Cytopath, c/v, redo $29.52
88154 Cytopath, c/v, select $29.52
88155 Cytopath, c/v, index add-on $16.74
88160 Cytopath smear, other source $61.23
88160.26 Cytopath smear, other source $31.90
88161 Cytopath smear, other source $94.49
88161.26 Cytopath smear, other source $50.59
88162 Cytopath smear, other source $105.63
88162.26 Cytopath smear, other source $81.53
88164 Cytopath tbs, c/v, manual $29.52
88165 Cytopath tbs, c/v, redo $29.52
88166 Cytopath tbs, c/v, auto redo $29.52
88167 Cytopath tbs, c/v, select $29.52
88172 Cytopathology eval of fna $91.62
88172.26 Cytopathology eval of fna $64.08
88173 Cytopath eval, fna, report $204.15
88173.26 Cytopath eval, fna, report $132.34
88174 Cytopath, c/v auto, in fluid $59.70
88175 Cytopath c/v auto fluid redo $71.76
88180 Cell marker study $126.37
88180.26 Cell marker study $38.24
88182 Cell marker study $130.40
88182.26 Cell marker study $63.22
88199 Cytopathology procedure $0.00
88199.26 Cytopathology procedure $0.00
88230 Tissue culture, lymphocyte $155.42
88233 Tissue culture, skin/biopsy $357.50
88235 Tissue culture, placenta $204.74
88237 Tissue culture, bone marrow $177.62
88239 Tissue culture, tumor $373.96
88240 Cell cryopreserve/storage $28.22
88241 Frozen cell preparation $28.22
88245 Chromosome analysis, 20-25 $382.15
88248 Chromosome analysis, 50-100 $483.92
88249 Chromosome analysis, 100 $483.92
88261 Chromosome analysis, 5 $480.87
88262 Chromosome analysis, 15-20 $348.28
88263 Chromosome analysis, 45 $390.36
88264 Chromosome analysis, 20-25 $300.96
88267 Chromosome analys, placenta $502.34
88269 Chromosome analys, amniotic $390.36
88271 Cytogenetics, dna probe $40.44
88272 Cytogenetics, 3-5 $74.82
88273 Cytogenetics, 10-30 $88.51
88274 Cytogenetics, 25-99 $87.40
88275 Cytogenetics, 100-300 $87.40
88280 Chromosome karyotype study $70.14
88283 Chromosome banding study $178.75
88285 Chromosome count, additional $48.35
88289 Chromosome study, additional $90.59
88291 Cyto/molecular report $18.78
88299 Cytogenetic study $0.00
88300 Surgical path, gross $25.94
88300.26 Surgical path, gross $9.07
88302 Tissue exam by pathologist $58.24
88302.26 Tissue exam by pathologist $14.18
88304 Tissue exam by pathologist $77.36
88304.26 Tissue exam by pathologist $23.66
88305 Tissue exam by pathologist $177.86
88305.26 Tissue exam by pathologist $80.10
88307 Tissue exam by pathologist $305.64
88307.26 Tissue exam by pathologist $168.64
88309 Tissue exam by pathologist $399.51
88309.26 Tissue exam by pathologist $242.54
88311 Decalcify tissue $32.38
88311.26 Decalcify tissue $25.84
88312 Special stains $80.58
88312.26 Special stains $34.52
88313 Special stains $93.65
88313.26 Special stains $25.84
88314 Histochemical stain $57.75
88314.26 Histochemical stain $28.84
88318 Chemical histochemistry $52.28
88318.26 Chemical histochemistry $26.87
88319 Enzyme histochemistry $102.65
88319.26 Enzyme histochemistry $33.66
88321 Microslide consultation $64.75
88323 Microslide consultation $121.62
88323.26 Microslide consultation $86.09
88325 Comprehensive review of data $86.28
88329 Path consult introp $84.43
88331 Path consult intraop, 1 bloc $159.42
88331.26 Path consult intraop, 1 bloc $126.38
88332 Path consult intraop, add’l $79.85
88332.26 Path consult intraop, add’l $62.64
88342 Immunohistochemistry $158.48
88342.26 Immunohistochemistry $90.32
88346 Immunofluorescent study $162.35
88346.26 Immunofluorescent study $89.37
88347 Immunofluorescent study $187.45
88347.26 Immunofluorescent study $90.38
88348 Electron microscopy $420.23
88348.26 Electron microscopy $95.74
88349 Scanning electron microscopy $448.80
88349.26 Scanning electron microscopy $48.92
88355 Analysis, skeletal muscle $193.17
88355.26 Analysis, skeletal muscle $117.58
88356 Analysis, nerve $257.78
88356.26 Analysis, nerve $190.24
88358 Analysis, tumor $159.24
88358.26 Analysis, tumor $147.49
88361 Immunohistochemistry, tumor $212.72
88361.26 Immunohistochemistry, tumor $85.53
88362 Nerve teasing preparations $422.31
88362.26 Nerve teasing preparations $205.69
88365 Tissue hybridization $134.20
88365.26 Tissue hybridization $59.43
88371 Protein, western blot tissue $50.22
88371.26 Protein, western blot tissue $50.22
88372 Protein analysis w/probe $50.22
88372.26 Protein analysis w/probe $50.22
88380 Microdissection $0.00
88380.26 Microdissection $0.00
88399 Surgical pathology procedure $0.00
88399.26 Surgical pathology procedure $0.00
88400 Bilirubin total transcut $8.42
89050 Body fluid cell count $13.22
89051 Body fluid cell count $15.40
89055 Leukocyte assessment, fecal $11.92
89060 Exam,synovial fluid crystals $23.81
89060.26 Exam,synovial fluid crystals $23.81
89100 Sample intestinal contents $76.07
89105 Sample intestinal contents $95.59
89125 Specimen fat stain $11.68
89130 Sample stomach contents $66.70
89132 Sample stomach contents $30.84
89135 Sample stomach contents $55.38
89136 Sample stomach contents $64.75
89140 Sample stomach contents $74.95
89141 Sample stomach contents $84.32
89160 Exam feces for meat fibers $9.30
89190 Nasal smear for eosinophils $12.60
89220 Sputum specimen collection $14.11
89225 Starch granules, feces $9.34
89230 Collect sweat for test $15.49
89235 Water load test $15.38
89240 Pathology lab procedure $0.00
89250 Cultr oocyte/embryo <4 days $1,218.51
89251 Cultr oocyte/embryo <4 days $400.00
89252 Assist oocyte fertilization $1,100.00
89253 Embryo hatching $575.00
89254 Oocyte identification $435.00
89255 Prepare embryo for transfer $350.00
89257 Sperm identification $0.00
89258 Cryopreservation; embryo(s) $600.00
89259 Cryopreservation, sperm $80.00
89260 Sperm isolation, simple $40.00
89261 Sperm isolation, complex $150.00
89264 Identify sperm tissue $0.00
89268 Insemination of oocytes $0.00
89272 Extended culture of oocytes $0.00
89280 Assist oocyte fertilization $0.00
89281 Assist oocyte fertilization $0.00
89290 Biopsy, oocyte polar body $0.00
89291 Biopsy, oocyte polar body $0.00
89300 Semen analysis w/huhner $24.90
89310 Semen analysis w/count $3.12
89320 Semen analysis, complete $24.44
89321 Semen analysis & motility $24.44
89325 Sperm antibody test $28.84
89329 Sperm evaluation test $58.60
89330 Evaluation, cervical mucus $27.66
89335 Cryopreserve testicular tiss $0.00
89342 Storage/year; embryo(s) $0.00
89343 Storage/year; sperm/semen $0.00
89344 Storage/year; reprod tissue $0.00
89346 Storage/year; oocyte $0.00
89350 Sputum specimen collection $27.73
89352 Thawing cryopresrved; embryo $0.00
89353 Thawing cryopresrved; sperm $0.00
89354 Thaw cryoprsvrd; reprod tiss $0.00
89355 Exam feces for starch $9.34
89356 Thawing cryopresrved; oocyte $0.00
89360 Collect sweat for test $22.65
89365 Water load test $15.38

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