2023 CLIA CMS Laboratory Fee Schedule with ICD-10 and Reimbursements for LAB Tests

HCPCS Test Name RATE2023

0001U Red blood cell typing $720.00

0002M Molecular pathology test for liver disease, including alcohol liver disease $503.40

0002U Measurement of substances in urine to predict likelihood of polyps in large $25.00

0003M Molecular pathology test for liver disease, including non-alcohol liver disease $503.40

0003U Measurement of proteins associated with ovarian cancer in serum $950.00

0004M Molecular pathology test for genetic analysis of curved spine deformity $79.00

0005U Test for detecting genes associated with prostate cancer in urine $760.00

0006M Molecular pathology test for genetic analysis of liver tumor (HeproDX) $150.00

0007M Molecular pathology test for genetic analysis of tumors in the digestive system $375.00

0007U Testing for presence of drug in urine $114.43

0008U Test for detecting Helicobacter pylori genes associated with antibiotic $597.91

0009U Gene analysis of breast tumor tissue $107.00

0010U Typing of bacterial strain $427.26

0011M Molecular pathology test for genetic analysis of prostate tumor (NeoLAB $760.00

0011U Prescription drug monitoring in oral fluid $114.43

0012M Molecular pathology test for genetic analysis of bladder tumor (Cxbladder $760.00

0013M Molecular pathology test for genetic analysis of recurrent bladder tumor $760.00

0014M Molecular pathology test for risk of serious liver disease within 5 years $176.19

0015M Molecular pathology test for genetic analysis of kidney gland tumor (Adrenal $1,305.37

0016M Molecular pathology test for genetic analysis of bladder tumor (Decipher $3,489.63

0016U RNA test for detecting gene abnormality associated with blood and lymphatic $163.96

0017M mRNA gene expression profiling by fluorescent probe hybridization of 20 genes $2,510.21

0017U JAK2 mutation test for detecting gene abnormality associated with blood and $91.66

0018M Measurement of kidney donor and third-party-induced CD154+T-cytotoxic memory $640.73

0018U MicroRNA gene analysis of thyroid nodule tissue $3,002.09

0019U RNA gene analysis of tumor tissue $3,675.00

0021U Detection of 8 autoantibodies in prostate tissue $760.00

0022U DNA and RNA targeted sequencing analysis of 1-23 genes associated with $-

0023U DNA gene analysis for acute myelogenous leukemia $248.51

0024U Measurement of glycosylated acute phase proteins $34.19

0025U Measurement of tenovir in urine $85.77

0026U DNA and microRNA gene analysis of thyroid nodule tissue $3,600.00

0027U Gene analysis (Janus kinase 2) of targeted sequence exons 12-15 $121.91

0029U Gene analysis of targeted sequences for adverse drug reactions and drug response $742.27

0030U Gene analysis of targeted sequences for warfarin drug response $134.13

0031U Gene analysis (cytochrome P450 family 1, subfamily A, member 2) for common $174.81

0032U Gene analysis (catechol-O-methyltransferase) for c.472G>A (rs4680) variant $174.81

0033U Gene analysis (5-hydroxytryptamine receptor 2A) for common variants $349.62

0034U Gene analysis (thiopurine S-methyltransferase) for common variants $466.17

0035U Testing for presence of prion protein in cerebrospinal fluid $540.99

0036U Exome gene analysis for somatic mutation in tumor tissue $4,780.00

0037U DNA gene analysis of 324 genes in solid organ tumor tissue $3,500.00

0038U Measurement of vitamin D in serum $29.60

0039U Testing for anti-DNA antibody $13.74

0040U Gene analysis (t(9;22)) for translocation analysis $409.90

0041U IgM antibody detection test for Borrelia burgdorferi $17.21

0042U IgG antibody detection test for Borrelia burgdorferi $17.21

0043U IgM antibody detection test for Tick-Borne Relapsing Fever Borrelia group (IgM) $14.86

0044U IgM antibody detection test for Tick-Borne Relapsing Fever Borrelia group (IgG) $14.86

0045U mRNA gene analysis of 12 genes in breast ductal carcinoma in situ tumor tissue $3,873.00

0046U Gene analysis (fms-related tyrosine kinase 3) for internal tandem duplication $407.43

0047U mRNA gene analysis of 17 genes in prostate tumor tissue $3,873.00

0048U DNA gene analysis of 468 genes in solid organ tumor tissue $2,919.60

0049U Gene analysis (nucleophosmin) $407.43

0050U DNA gene analysis of targeted sequences in 194 genes for acute myelogenous $2,916.60

0051U Testing for presence of 31 prescription drugs in urine or blood specimen $193.71

0052U Measurement of all five major lipoprotein classes and subclasses in blood $33.86

0054U Measurement of 14 or more drug classes in capillary blood $148.96

0055U DNA gene analysis of 96 target sequences in plasma for heart transplant $3,240.00

0058U Measurement of antibodies to Merkel cell polyoma virus oncoprotein in serum $322.96

0059U Test for presence of antibodies to Merkel cell polyoma virus oncoprotein in $322.96

0060U Gene analysis for identical twins in maternal blood $759.05

0061U Spatial frequency domain imaging of skin $25.10

0062U IgG and IgM analysis of 80 biomarkers of systemic lupus erythematosus in serum $380.72

0063U Testing for amines associated with autism spectrum disorder in plasma $750.00

0064U Antibody testing for syphilis $31.33

0065U Non-antibody testing for syphilis $18.09

0066U Measurement of placental alpha-micro globulin-1 (PAMG-1) in cervical/vaginal $15.29

0067U Protein expression profiling of 4 biomarkers of breast cancer in precancerous $1,897.00

0068U Detection of Candida species by amplified probe $142.63

0069U mRNA expression profiling of miR-31-3 in colon tumor tissue $380.00

0070U Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) for $676.37

0071U Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) full $600.00

0072U Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted $450.91

0073U Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted $450.91

0074U Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted $450.91

0075U Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted $450.91

0076U Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted $450.91

0077U Detection of Immunoglobulin paraprotein (M-protein) in blood or urine $43.43

0078U Gene analysis of 16 genes to evaluate risk of opioid-use disorder $450.91

0080U Analysis of galectin-3-binding protein and scavenger receptor cysteine-rich $3,520.00

0082U Definitive drug testing for 90 or more drugs in urine $246.92

0083U Evaluation of response to chemotherapy drugs using motility contrast tomography $167.35

0084U DNA red blood cell antigen typing $720.00

0086U FISH identification of organisms in blood culture $200.00

0087U mRNA gene expression profiling of genes in heart transplant biopsy tissue to $3,159.42

0088U mRNA gene expression profiling of genes in kidney transplant tissue to evaluate $3,159.42

0089U Gene expression profiling of melanoma in superficial sample collected by $760.00

0090U mRNA gene expression profiling of 23 genes in skin melanoma tissue sample $1,755.00

0092U Measurement of 3 protein biomarkers for lung cancer in plasma $2,488.00

0093U Prescription drug monitoring for 65 common drugs in urine $62.14

0094U Rapid sequence gene testing $7,582.20

0095U Test for markers of eosinophilic inflammation of esophagus $771.98

0096U Test for detection of high-risk human papillomavirus in male urine $35.09

0101U Gene sequence analysis panel of 15 genes associated with hereditary colon $1,743.95

0102U Gene sequence analysis panel of 17 genes associated with hereditary breast $1,303.95

0103U Gene sequence analysis panel of 24 genes associated with hereditary ovarian $1,743.95

0105U Measurement of tumor necrosis factor receptor 1A, receptor superfamily 2 $950.00

0106U Evaluation of gastric emptying by measurement of radiolabeled carbon dioxide in $874.49

0107U Antigen test for detection of Clostridium difficile toxin in stool $16.00

0108U Computer-assisted digital imaging of esophagus specimen slides to evaluate risk $4,950.00

0109U DNA test for detection of 4 Aspergillus species $142.63

0110U Monitoring of anti-cancer drugs in patient blood, serum, or plasma $27.11

0111U Gene analysis (KRAS and NRAS) in prostate tumor tissue $682.29

0112U Gene analysis for detection of infectious agent and drug resistance gene $356.13

0113U Measurement of PCA3 gene in urine and prostate-specific antigen (PSA) in serum $760.00

0114U Gene analysis (VIM and CCNA1 methylation) in esophageal cells to evaluate $1,938.01

0115U Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral $275.35

0116U Analysis of 35 or more drugs in mouth fluid to evaluate risk of prescription $246.92

0117U Analysis of 11 biochemical substances in urine to evaluate likelihood of $840.65

0118U Measurement of transplant donor cell-free DNA in transplant recipient plasma $2,753.25

0119U Measurement of ceramides for assessment of heart disease risk $83.76

0120U mRNA, gene expression profiling of 58 genes in tissue sample for B-cell $2,510.21

0121U Blood test for sickle cells using VCAM-1 $509.20

0122U Blood test for sickle cells using P-Selectin $526.23

0123U Test for fragility of red blood cells $357.63

0129U Gene analysis of genes associated with hereditary breast cancer and related $1,303.95

0130U Targeted mRNA sequence analysis of genes associated with hereditary colon $584.90

0131U Targeted mRNA sequence analysis of 13 genes associated with hereditary breast $710.00

0132U Targeted mRNA sequence analysis of 17 genes associated with hereditary ovarian $741.64

0133U Targeted mRNA sequence analysis of 11 genes associated with hereditary prostate $690.29

0134U Targeted mRNA sequence analysis of 18 genes associated with hereditary pan $748.39

0135U Targeted mRNA sequence analysis of 12 genes associated with hereditary $700.56

0136U mRNA gene analysis (ataxia telangiectasia mutated) $407.43

0137U mRNA gene analysis (partner and localizer of BRCA2) $282.88

0138U mRNA gene analysis (BRCA1, DNA repair associated and BRCA2, DNA repair $468.33

0140U Amplifed DNA probe detection of fungus in blood culture specimen $156.75

0141U Amplifed DNA probe detection of 20 gram-positive bacterial targets, 4 $156.75

0142U Amplifed DNA probe detection of 20 gram-positive bacterial targets, 6 $156.75

0152U Cell-free DNA sequencing of disease-causing organisms in plasma specimen, with $2,126.20

0153U mRNA gene expression profiling of 101 genes in breast growth tissue specimen $3,159.42

0154U RNA gene analysis for detection of fibroblast growth factor receptor 3 gene $482.14

0155U DNA analysis for detection of PIK3CA gene mutation in breast growth tissue $274.83

0156U Gene analysis copy number sequence analysis $1,740.00

0157U mRNA gene analysis of APC regulator of WNT signaling pathway $282.88

0158U mRNA gene analysis of mutL homolog 1 $282.88

0159U mRNA gene analysis of mutS homolog 2 $282.88

0160U mRNA gene analysis of mutS homolog 6 $282.88

0161U mRNA gene analysis of PMS1 homolog 2, mismatch repair system component $282.88

0162U Targeted mRNA sequence analysis for genes associated with hereditary colon $486.54

0163U Screening test for 3 protein biomarkers of colorectal cancer in serum or plasma $390.75

0164U Test for detection of antibodies associated with irritable bowel syndrome in $112.02

0165U Test for detection of antigens associated with peanut allergy in blood $463.76

0166U Liver disease test panel in serum specimen $503.40

0167U Test for detection of human chorionic gonadotropin (pregnancy hormone) in blood $7.52

0169U Gene analysis (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) $466.17

0170U RNA gene sequencing for probability of autism spectrum disorder in saliva $1,755.00

0171U DNA analysis of targeted sequences in 23 genes for detection of abnormalites $1,519.06

0172U DNA gene analysis (BRCA1, DNA repair associated and BRCA2, DNA repair $3,030.00

0173U Gene analysis panel for detection of variants in 14 genes associated with $466.17

0174U Mass spectrometry testing for 30 protein targets in tissue specimen to predict $1,305.37

0175U Gene analysis panel for detection of variants in 15 genes associated with $1,336.09

0176U Test for detection of IgG antibodies associated with irritable bowel syndrome $64.19

0177U DNA gene analysis (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic $274.83

0178U Test for detection of antigens associated with peanut allergy in blood $459.86

0179U Cell-free DNA analysis of targeted sequences in 23 genes for detection of $1,943.21

0180U Red blood cell antigen genotyping, ABO blood group $274.83

0181U Red blood cell antigen genotyping, Colton blood group $185.20

0182U Red blood cell antigen genotyping, CD55 molecule [Cromer blood group] exons 1-10 $301.35

0183U Red blood cell antigen genotyping, solute carrier family 4 member 1 [Diego $185.20

0184U Red blood cell antigen genotyping, ADP-ribosyltransferase 4 [Dombrock blood $185.20

0185U Red blood cell antigen genotyping, fucosyltransferase 1 [H blood group] exon 4 $185.20

0186U Red blood cell antigen genotyping, fucosyltransferase 2 [H blood group] exon 2 $185.20

0187U Red blood cell antigen genotyping, atypical chemokine receptor 1 [Duffy blood $274.83

0188U Red blood cell antigen genotyping, glycophorin C [Gerbich blood group] exons 1-4 $274.83

0189U Red blood cell antigen genotyping, glycophorin A [MNS blood group] introns 1, $274.83

0190U Red blood cell antigen genotyping, glycophorin B [MNS blood group] introns 1, $274.83

0191U Red blood cell antigen genotyping, CD44 molecule [Indian blood group] exons 2, $274.83

0192U Red blood cell antigen genotyping, solute carrier family 14 member 1 [Kidd $274.83

0193U Red blood cell antigen genotyping, ATP binding cassette subfamily G member 2 $282.88

0194U Red blood cell antigen genotyping, Kell metallo-endopeptidase [Kell blood $185.20

0195U Gene analysis (Kruppel-like factor 1) targeted sequence analysis $375.25

0196U Red blood cell antigen genotyping, basal cell adhesion molecule [Lutheran blood $185.20

0197U Red blood cell antigen genotyping, intercellular adhesion molecule 4 $185.20

0198U Red blood cell antigen genotyping, Rh blood group D antigen exons 1-10 and Rh $282.88

0199U Red blood cell antigen genotyping, erythroblast membrane associated protein $274.83

0200U Red blood cell antigen genotyping, X-linked Kx blood group exons 1-3 $274.83

0201U Red blood cell antigen genotyping, acetylcholinesterase [Cartwright blood $185.20

0202U Test for detection of respiratory disease-causing organisms from back of nose $416.78

0203U mRNA gene expression profiling of 17 genes in whole blood specimen for $760.00

0204U mRNA gene analysis of 539 genes in fine needle aspiration thyroid specimen, $2,919.60

0205U Gene analysis for detection of variants in 3 genes in cheek swab specimen for $47.00

0206U Cell aggregation testing of cultured skin cells for Alzheimer disease, reported $2,215.40

0207U Immunofluorescence testing of cultured skin cells for Alzheimer disease, $511.20

0209U Cytogenomic analysis of whole genome for abnormal chromosomes $787.15

0210U Measurement of nontreponemal antibodies associated with syphilis $18.63

0211U Next-generation sequencing of DNA and RNA in tumor tissue specimen with $8,455.00

0212U Rare diseases genetic testing of complete DNA of first affected person in family $5,475.20

0213U Rare diseases genetic testing of complete DNA of relative of affected person in $2,709.95

0214U Rare diseases genetic testing of protein coding genes of first affected person $5,224.60

0215U Rare diseases genetic testing of protein coding genes of relative of affected $2,574.65

0216U DNA analysis of gene sequence of 12 genes for identification and $1,537.02

0217U DNA analysis of gene sequence of 51 genes for identification and $2,198.35

0218U DNA analysis of gene sequence for identification and characterization of $2,279.00

0219U Gene analysis of human immunodeficiency virus targeted sequence analysis for $725.00

0220U Image analysis of breast cancer cell specimen with artificial intelligence $706.25

0221U Red blood cell antigen genotyping, ABO, alpha $274.83

0222U Red blood cell antigen genotyping, RH proximal promoter, exons 1-10, portions $282.88

0223U Test for detection of respiratory disease-causing organisms from back of nose $416.78

0224U Measurement of antibody to severe acute respiratory syndrome coronavirus 2 $51.43

0225U Test for detection of respiratory disease-causing organisms, 21 target $416.78

0226U Surrogate viral neutralization test (sVNT) for detection of antibodies to $42.28

0227U Presumptive drug testing for 30 or more drugs in urine $62.14

0228U Detection test by photometric technique for macromolecules in urine to evaluate $173.03

0229U Gene analysis (branched chain amino acid transaminase 1 and IKAROS family zinc $384.00

0230U Gene analysis (androgen receptor), full sequence analysis $301.35

0231U Gene analysis (calcium voltage-gated channel subunit alpha 1A), full gene $846.27

0232U Gene analysis (cystatin B), full gene analysis $274.83

0233U Gene analysis (frataxin) $274.83

0234U Gene analysis (methyl CpG binding protein 2), full gene analysis $527.87

0235U Gene analysis (phosphatase and tensin homolog), full gene analysis $600.00

0236U Gene analysis (survival of motor neuron 1, telomeric and survival of motor $602.70

0237U Gene analysis for cardiac ion channelopathies, genomic sequence analysis $584.90

0238U DNA sequence analysis of MLH1, MSH2, MSH6, PMS2, and EPCAM for Lynch syndrome $584.90

0239U Gene analysis of 311 or more genes associated with solid organ cancer in $3,500.00

0240U Respiratory infectious agent detection by RNA for severe acute respiratory $142.63

0241U Respiratory infectious agent detection by RNA for severe acute respiratory $142.63

0242U Gene analysis of 55-74 genes associated with solid organ cancer in cell-free $5,000.00

0243U Time-resolved fluorescence immunoassay of placental-growth factor in maternal $64.41

0244U Gene analysis of 257 genes associated with solid organ cancer in tumor tissue $3,500.00

0245U Gene analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers, $1,266.07

0246U Blood typing for 16 or more blood groups with phenotype prediction of 51 or $720.00

0247U Quantitative measurement of insulin-like growth factor-binding protein 4 and $750.00

0248U Culture of brain cancer cells with 12 drug panel testing for tumor response $3,033.86

0249U Analysis of 32 phosphoproteins and protein analytes associated with breast $2,219.13

0250U Gene analysis of 505 genes associated with solid organ cancer in tumor tissue $2,919.60

0251U ELISA assay for hepacidin-25 in serum or plasma $17.27

0252U Analysis of fetal DNA, short tandem-repeat comparative analysis, for abnormal $759.05

0253U RNA gene expression profiling of 238 genes by next-generation sequencing $3,159.42

0254U Preimplantation genetic assessment of embryo by gene sequence analysis of 24 $759.05

0255U Evaluation of sperm using fluorescence microscopic evaluation of ganglioside $31.60

0256U Tandem mass spectroscopy (MS/MS) profile of trimethylamine/trimethylamine $159.95

0257U Evaluation of very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD) white $712.47

0258U mRNA gene expression profiling of 50-100 genes in skin surface specimen, $3,675.00

0259U Nuclear MR spectroscopy measurement of myo-inositol, valine, and creatinine, $52.71

0260U Optical genome mapping for detection of abnormalities associated with rare $1,263.53

0261U Image analysis with artificial intelligence assessment of 4 cellular and immune $4,950.00

0262U mRNA gene expression profiling of 7 gene pathways in solid organ tumor tissue $3,200.00

0263U LC-MS/MS spectroscopy of 16 central carbon metabolites associated with autism $750.00

0264U Detection of abnormalities associated with rare heritable diseases by optical $1,263.53

0265U Whole genome and mDNA sequence analysis for detection of abnormalities $5,475.80

0266U Gene expression profiling by whole transcriptone and next-generation sequencing $3,200.00

0267U Optical genome mapping and whole genome sequencing for detection of $6,739.33

0268U Genomic sequence analysis of 15 genes for detection of abnormalities associated $608.17

0269U Genomic sequence analysis of 14 genes for detection of abnormalities associated $608.17

0270U Genomic sequence analysis of 20 genes for detection of abnormalities associated $608.17

0271U Genomic sequence analysis of 23 genes for detection of abnormalities associated $608.17

0272U Comprehensive genomic sequence analysis of 51 genes for detection of $608.17

0273U Genomic sequence analysis of 9 genes for detection of abnormalities associated $608.17

0274U Genomic sequence analysis of 43 genes for detection of abnormalities associated $608.17

0275U Flow cytometry detection of platelet antibody reactivity in serum for $18.37

0276U Genomic sequence analysis of 42 genes for detection of abnormalities associated $2,448.56

0277U Genomic sequence analysis of 31 genes for detection of abnormalities associated $608.17

0278U Genomic sequence analysis of 12 genes for detection of abnormalities associated $608.17

0279U ELISA detection of von Willebrand factor (VWF) and collagen III binding in $11.53

0280U ELISA detection of von Willebrand factor (VWF) and collagen IV binding in $17.27

0281U ELISA measurement of von Willebrand propeptide in plasma specimen, diagnostic $17.27

0282U Red blood cell antigen genotyping of 12 blood group system genes to predict 44 $720.00

0283U Radioimmunoassay platelet-binding evaluation of von Willebrand factor (VWF), $18.40

0284U ELISA evaluation of von Willebrand factor (VWF), type 2N, factor VIII and VWF $17.27

0285U Evaluation of response to radiation in cell-free DNA by quantitative branched $-

0286U Gene analysis of centrosomal protein, 72-Kda (CEP72), nudix hydrolase 15 $134.13

0287U Next-generation DNA and RNA sequencing of 112 genes in tumor specimen, with $3,600.00

0288U PCR measurement of 11 genes (BAG1, BRCA1, CDC6, CDK2AP1, ERBB3, FUT3, IL11, $3,873.00

0289U mRNA gene expression profiling of 24 genes in whole blood for detection of $760.00

0290U mRNA gene expression profiling of 36 genes in whole blood for pain management $760.00

0291U mRNA gene expression profiling of 144 genes in whole blood for detection of $-

0292U mRNA gene expression profiling of 72 genes in whole blood for detection of $-

0293U mRNA gene expression profiling of 54 genes in whole blood for detection of $760.00

0294U mRNA gene expression profiling of 18 genes in whole blood for detection of $760.00

0295U Protein expression profiling by immunohistochemistry of 7 proteins (COX2, $5,435.00

0296U mRNA gene expression profiling of at least 20 molecular features in saliva, $1,755.00

0297U Whole genome sequencing of paired tumor and normal DNA specimens, in tissue, $-

0298U Whole transcriptome sequencing of paired tumor and normal DNA specimens, in $2,919.60

0299U Whole transcriptome sequencing of paired tumor and normal DNA specimens, in $-

0300U Whole genome sequencing and optical genome mapping of paired tumor and normal $-

0301U Droplet digital PCR (ddPCR) detection of Bartonella henselae and Bartonella $-

0302U Droplet digital PCR (ddPCR) detection of Bartonella henselae and Bartonella $-

0303U Functional assessment of red blood cell adhesion to endothelial/subendothelial $-

0304U Functional assessment of red blood cell adhesion to endothelial/subendothelial $-

0305U Evaluation of red blood cell functionality and deformability under shear stress $-

0306U Initial baseline gene analysis for minimum residual disease in cancer, $-

0307U Subsequent gene analysis for minimum residual disease in cancer, $-

0308U Analysis of 3 proteins (high sensitivity [hs] troponin, adiponectin, and kidney $390.75

0309U Analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of $390.75

0310U Analysis of 3 biomarkers (NT-proBNP, C-reactive protein, and T-uptake) for $390.75

0311U Measurement of bacterial susceptibility to antibiotics, reported as phenotypic $8.08

0312U Analysis of 8 IgG autoantibodies and 2 cell-bound complement activation $840.65

0313U DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of $3,600.00

0314U mRNA gene expression profiling by real-time polymerase chain reaction (RT-PCR) $-

0315U mRNA gene expression profiling by real-time polymerase chain reaction (RT-PCR) $-

0316U Evaluation of outer surface protein A (OspA) of Borrelia burgdorferi (Lyme $18.66

0317U Four-probe fluorescence in situ hybridization (FISH) (3q29, 3p22.1, 10q22.3, $2,030.00

0318U Whole genome methylation analysis by microarray for 50 or more genes associated $-

0319U RNA gene expression profiling by select transcriptome sequencing in peripheral $-

0320U RNA gene expression profiling by select transcriptome sequencing in peripheral $-

0321U Detection test by nucleic acid (DNA or RNA) multiplex amplified probe technique $634.84

0322U Measurement of 14 acyl carnitines and microbiome-derived metabolites associated $750.00

0323U DNA and mRNA next-generation sequencing analysis in cerebrospinal fluid $2,126.20

0326U Targeted genomic sequence analysis of 83 or more genes in cell free circulating $-

0327U DNA sequence analysis of selected regions for detection of abnormal fetal $795.00

0328U Definitive drug testing for 120 or more drugs and metabolites in urine specimen $114.43

0329U Exome and transcriptome sequence analysis of DNA and RNA from tumor with DNA $-

0330U Amplified nucleic acid probe for identification of 27 vaginal disease agents in $416.78

0331U Optical genome mapping of DNA from blood or bone marrow specimen, report of $-

0332U Genetic profiling of 8 epigenetic markers to evaluate probability of responding $-

0333U Survelliance for liver cancer in high risk patients using algorithm $-

0334U Targeted genomic sequence analysis of 84 or more genes for detection of $2,919.60

0335U Whole genome sequence analysis of fetal sample for detection of abnormalities $5,224.60

0336U Whole genome sequence analysis of comparator genome (parent) for detection of $2,574.65

0337U Evaluation of plasma cells for detection of abnormalities associated with $-

0338U Evaluation of circulating solid tumor cells in peripheral blood $-

0339U mRNA expression profiling of genes associated with high-grade prostate cancer $760.00

0340U DNA assays for detection of minimal residual disease in cancer $3,920.00

0341U Fetal DNA sequencing of products of conception for detection of abnormal $-

0342U Multiplex immunoassay for markers of pancreatic cancer in serum $897.00

0343U Exosome-based analysis of 442 small noncoding RNAs in urine to evaluate risk of $760.00

0344U Evaluation of 28 lipid markers for risk of nonalcoholic fatty liver disease $-

0345U Genomic analysis panel of 15 genes for detection of abnormalities assocated $1,336.09

0346U Evaluation of Beta amyloid AB40 and AB42 ratio $-

0347U DNA analysis of 16 genes involved in drug metabolism or processing $1,336.09

0348U DNA analysis of 25 genes involved in drug metabolism or processing $742.27

0349U DNA analysis of 27 genes involved in drug metabolism or processing, report $742.27

0350U DNA analysis of 27 genes involved in drug metabolism or processing, analysis $1,336.09

0351U Biochemical assays for markers of bacterial infection $260.50

0352U Detection of bacteria causing vaginosis and vaginitis by multiplex amplified $142.63

0353U Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by multiplex $70.18

0354U Human papilloma virus (HPV) by quantitative polymerase chain reaction (qPCR) $35.09

0355U Evaluation of apolipoprotein L1 risk variants $-

0356U Evaluation of 17 DNA biomarkers reported as a risk score for cancer recurrence $-

0357U Artificial intelligence (AI)-enabled evaluation of 142 pairs of glycopeptide $-

0358U Enzyme immunoassay analysis of beta-amyloid fragments in cerebral spinal fluid $-

0359U Phase separation and immunoassay evaluation of prostate-specific antigen (PSA) $-

0360U Enzyme-linked immunosorbent assay of autoantibodies in plasma to evaluate risk $-

0361U Digital immunoassay in plasma for neurofilament light chain $-

0362U Gene-expression profiling--enrichment RNA sequencing of 82 content genes and 10 $-

0363U Gene-expression profiling of 5 genes in urine reported as a risk score for $-

0364U Genomic sequence testing for presence or absence of cancer cells after $-

0365U Test for 10 protein biomarkers for bladder cancer $-

0366U Test for 10 protein biomarkers for recurrent bladder cancer $-

0367U Test for 10 protein biomarkers for rapid recurrent, recurrent, or persistent $-

0369U Test for 31 stomach and intestinal pathogens and identification of 21 $-

0370U Test for 34 surgical wound microorganisms and identification of 21 antibiotic $-

0371U Test for 16 genitourinary bacterial organisms and 1 genitourinary fungal $-

0372U Test for genitourinary pathogen antibiotic-resistance genes $-

0373U Test for 17 bacteria, 8 fungus, 13 virus, and 16 antibiotic-resistance genes $-

0374U Test for 21 bacterial and fungal genitourinary pathogens and identification of $-

0375U Test for proteins to determine risk for ovarian cancer $-

0376U Test to determine potential risk of prostate cancer spread and mortality $-

0377U Test of lipoprotein profile in cardiovascular disease $-

0378U Test for RFC1 (replication factor C subunit 1) in neurological conditions $-

0379U Genomic testing for solid organ cancer $-

0380U Test for adverse drug reactions and drug response $-

0381U Test for monitoring maple syrup urine disease $-

0382U Test for monitoring hyperphenylalaninemia $-

0383U Test for monitoring tyrosinemia type I $-

0384U Test for predictive risk of progression of high-stage kidney disease $-

0385U Testing for risk of developing diabetic kidney disease $-

0386U Testing for risk of Barrett's esophagus progression to esophageal cancer $-

0387U Tissue evaluation for proteins to report risk of skin cancer progression $-

0388U Next-generation sequencing in plasma of 37 cancer-related genes, with report $-

0389U Reverse transcription polymerase chain reaction (RT-qPCR) testing of blood for $-

0390U Immunoassay of serum for proteins, reported as a risk score for preeclampsia $-

0391U DNA and RNA next-generation sequencing of tissue for 437 genes with algorithm $-

0392U Evaluation of gene-drug interactions for 16 genes reported as impact of $-

0393U Detection of protein by seed amplification assay for neurological disorders $-

0394U Testing of plasma or serum for 16 perfluoroalkyl substances (PFAS) compounds $-

0395U Multi-omics testing of plasma reported as risk of malignancy for lung nodules $-

0396U Microarray testing of embryonic tissue for 300000 DNA single-nucleotide $-

0397U Cell-free DNA testing in plasma evaluating of at least 109 genes in non-small $-

0398U DNA methylation analysis using polymerase chain reaction testing of tissue for $-

0399U Enzyme-linked assay detection in serum of IgG-binding antibody and blocking $-

0400U Next-generation sequencing of DNA for 145 genes reported as carrier positive or $-

0401U Targeted variant genotyping using blood, saliva, or buccal swab of 9 genes for $-

36415 Insertion of needle into vein for collection of blood sample $8.57

78267 Nuclear medicine study to acquire exhaled breath samples $11.06

78268 Nuclear medicine study to assess exhaled breath samples $94.41

80047 Blood test, basic group of blood chemicals (Calcium, ionized) $13.73

80048 Blood test, basic group of blood chemicals (Calcium, total) $8.46

80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) $7.01

80053 Blood test, comprehensive group of blood chemicals $10.56

80055 Obstetric blood test panel $47.81

80061 Blood test, lipids (cholesterol and triglycerides) $13.39

80069 Kidney function blood test panel $8.68

80074 Acute hepatitis panel $47.63

80076 Liver function blood test panel $8.17

80081 Blood test panel for obstetrics ( cbc, differential wbc count, hepatitis b, $74.86

80143 Measurement of acetaminophen $18.64

80145 Measurement of adalimumab $38.57

80150 Amikacin (antibiotic) level $15.08

80151 Measurement of amiodarone $18.64

80155 Caffeine level $38.57

80156 Carbamazepine level, total $14.57

80157 Carbamazepine level, free $13.25

80158 Cyclosporine level $18.05

80159 Clozapine level $20.15

80161 Measurement of carbamazepine-10,11-epoxide $18.64

80162 Digoxin level, total $13.28

80163 Digoxin level, free $13.28

80164 Valproic acid level, total $13.54

80165 Valproic acid level, free $13.54

80167 Measurement of felbamate $18.64

80168 Ethosuximide level $16.34

80169 Everolimus level $13.73

80170 Gentamicin (antibiotic) level $16.38

80171 Gabapentin level $21.67

80173 Haloperidol level $15.78

80175 Lamotrigine level $13.25

80176 Lidocaine level $14.69

80177 Levetiracetam level $13.25

80178 Lithium level $6.61

80179 Measurement of salicylate $18.64

80180 Mycophenolate (mycophenolic acid) level $18.05

80181 Measurement of flecainide $18.64

80183 Oxcarbazepine level $13.25

80184 Phenobarbital level $15.30

80185 Phenytoin level, total $13.25

80186 Phenytoin level, free $13.76

80187 Measurement of posaconazole $27.11

80188 Primidone level $16.59

80189 Measurement of itraconazole $27.11

80190 Procainamide level $60.00

80192 Procainamide level, with metabolites $16.75

80193 Measurement of leflunomide $38.57

80194 Quinidine level $14.60

80195 Sirolimus level $13.73

80197 Tacrolimus level $13.73

80198 Theophylline level $14.14

80199 Tiagabine level $27.11

80200 Tobramycin (antibiotic) level $16.13

80201 Topiramate level $11.92

80202 Vancomycin (antibiotic) level $13.54

80203 Zonisamide level $13.25

80204 Measurement of methotrexate $38.57

80210 Measurement of rufinamide $27.11

80220 Measurement of hydroxychloroquine $18.64

80230 Measurement of infliximab $38.57

80235 Measurement of lacosamide $27.11

80280 Measurement of vedolizumab $38.57

80285 Measurement of voriconazole $27.11

80299 Quantitation of therapeutic drug $18.64

80305 Testing for presence of drug, read by direct observation $12.60

80306 Testing for presence of drug, read by instrument assisted observation $17.14

80307 Testing for presence of drug, by chemistry analyzers $62.14

80400 Hormonal panel for adrenal gland assessment (adrenal gland insufficiency) $32.62

80402 Hormone panel for adrenal gland assessment (21 hydroxylase deficiency) $86.96

80406 Hormone panel adrenal gland assessment (3 beta-hydroxydehydrogenase deficiency) $78.26

80408 Aldosterone suppression evaluation panel $125.50

80410 Calcitonin stimulation panel $80.37

80412 Adrenal gland stimulation panel $801.62

80414 Reproductive hormone panel (testosterone) $51.64

80415 Reproductive hormone panel (estradiol) $55.89

80416 Renal vein renin (kidney enzyme) stimulation panel $209.32

80417 Peripheral vein renin (kidney enzyme) stimulation panel $43.99

80418 Anterior pituitary gland evaluation panel $579.48

80420 Dexamethasone (steroid) suppression evaluation panel, 48 hour $161.88

80422 Glucagon (hormone) tolerance panel to evaluate for insulinoma (pancreatic tumor) $46.07

80424 Glucagon (hormone) tolerance panel to evaluate for pheochromocytoma (adrenal $50.50

80426 Gonadotropin releasing hormone (reproductive hormone) panel $148.41

80428 Growth hormone stimulation panel $66.70

80430 Growth hormone suppression panel $129.33

80432 Insulin-induced C-peptide (protein) suppression panel $165.61

80434 Insulin tolerance panel for ACTH (adrenal gland hormone) insufficiency $285.03

80435 Insulin tolerance panel for growth hormone deficiency $103.00

80436 Metyrapone (hormone antibody) panel $91.16

80438 Thyrotropin releasing hormone (TRH) (hypothalamus hormone) stimulation panel, 1 $50.41

80439 Thyrotropin releasing hormone (TRH) (hypothalamus hormone) stimulation panel, 2 $67.21

81000 Manual urinalysis test with examination using microscope, non-automated $4.02

81001 Manual urinalysis test with examination using microscope, automated $3.17

81002 Urinalysis, manual test $3.48

81003 Automated urinalysis test $2.25

81005 Analysis of urine, except immunoassays $2.17

81007 Urinalysis for bacteria $29.98

81015 Urinalysis using microscope $3.05

81020 Urinalysis, 2 or 3 glass test $4.70

81025 Urine pregnancy test $8.61

81050 Urine volume measurement $3.64

81105 Gene analysis (Human Platelet Antigen 1) for common variant $122.22

81106 Gene analysis (Human Platelet Antigen 2) for common variant $122.22

81107 Gene analysis (Human Platelet Antigen 3) for common variant $122.22

81108 Gene analysis (Human Platelet Antigen 4) for common variant $122.22

81109 Gene analysis (Human Platelet Antigen 5) for common variant $122.22

81110 Gene analysis (Human Platelet Antigen 6) for common variant $122.22

81111 Gene analysis (Human Platelet Antigen 9) for common variant $122.22

81112 Gene analysis (Human Platelet Antigen 15) for common variant $122.22

81120 Gene analysis (isocitrate dehydrogenase 1 [NADP+], soluble) for common variants $193.25

81121 Gene analysis (isocitrate dehydrogenase 2 [NADP+], mitochondrial) for common $295.79

81161 Gene analysis (dystrophin) $279.00

81162 Gene analysis (breast cancer 1 and 2) of full sequence and analysis for $1,824.88

81163 Gene analysis (breast cancer 1 and 2) of full sequence $468.00

81164 Gene analysis (breast cancer 1 and 2) for duplication or deletion variants $584.23

81165 Gene analysis (breast cancer 1) of full sequence $282.88

81166 Gene analysis (breast cancer 1) for duplication or deletion variants $301.35

81167 Gene analysis (breast cancer 2) for duplication or deletion variants $282.88

81168 Gene analysis (CCND1/IGH (t(11;14))) translocation analysis $207.31

81170 Gene analysis (ABL proto-oncogene 1, non-receptor tyrosine kinase) $300.00

81171 Gene analysis (fragile X mental retardation 2) for abnormal alleles $137.00

81172 Gene analysis (fragile X mental retardation 2) for characterization of alleles $274.83

81173 Gene analysis (androgen receptor) of full sequence $301.35

81174 Gene analysis (androgen receptor) for known familial variant $185.20

81175 Gene analysis (additional sex combs like 1, transcriptional regulator) full $676.50

81176 Gene analysis (additional sex combs like 1, transcriptional regulator) targeted $241.90

81177 Gene analysis (atropin 1) for abnormal alleles $137.00

81178 Gene analysis (ataxin 1) for abnormal alleles $137.00

81179 Gene analysis (ataxin 2) for abnormal alleles $137.00

81180 Gene analysis (ataxin 3) for abnormal alleles $137.00

81181 Gene analysis (ataxin 7) for abnormal alleles $137.00

81182 Gene analysis (ataxin 8 opposite strand [non-protein coding]) for abnormal $137.00

81183 Gene analysis (ataxin 10) for abnormal alleles $137.00

81184 Gene analysis (calcium voltage-gated channel subunit alpha1 A) for abnormal $137.00

81185 Gene analysis (calcium voltage-gated channel subunit alpha1 A) of full sequence $846.27

81186 Gene analysis (calcium voltage-gated channel subunit alpha1 A) for known $185.20

81187 Gene analysis (CCH-type zinc finger nucleic acid binding protein) for abnormal $137.00

81188 Gene analysis (cystatin B) for abnormal alleles $137.00

81189 Gene analysis (cystatin B) of full sequence $274.83

81190 Gene analysis (cystatin B) for known familial variants $185.20

81191 Gene analysis (neurotrophic receptor tyrosine kinase 1) translocation analysis $207.31

81192 Gene analysis (neurotrophic receptor tyrosine kinase 2) translocation analysis $207.31

81193 Gene analysis (neurotrophic receptor tyrosine kinase 3) translocation analysis $207.31

81194 Gene analysis (neurotrophic receptor tyrosine kinase 1, 2, and 3) translocation $518.28

81200 Gene analysis (aspartoacylase) $47.25

81201 Gene analysis (adenomatous polyposis coli), full gene sequence $780.00

81202 Gene analysis (adenomatous polyposis coli), known familial variants $280.00

81203 Gene analysis (adenomatous polyposis coli), duplication or deletion variants $200.00

81204 Gene analysis (androgen receptor) for characterization of alleles $137.00

81205 Gene analysis (branched-chain keto acid dehydrogenase E1, beta polypeptide) $94.99

81206 Translocation analysis (BCR/ABL1) major breakpoint $163.96

81207 Translocation analysis (BCR/ABL1) minor breakpoint $144.84

81208 Translocation analysis (BCR/ABL1) other breakpoint $214.62

81209 Gene analysis (Bloom syndrome, RecQ helicase-like) $39.31

81210 Gene analysis (v-raf murine sarcoma viral oncogene homolog B1) $175.40

81212 Gene analysis (breast cancer 1 and 2) for 185delAG, 5385insC, 6174delT variants $440.00

81215 Gene analysis (breast cancer 1) for known familial variant $375.25

81216 Gene analysis (breast cancer 2) of full sequence $185.12

81217 Gene analysis (breast cancer 2) for known familial variant $375.25

81218 Gene analysis (ccaat/enhancer binding protein [c/ebp], alpha) full gene sequence $241.90

81219 Gene analysis (calreticulin), common variants $121.63

81220 Gene analysis (cystic fibrosis transmembrane conductance regular) common $556.60

81221 Gene analysis (cystic fibrosis transmembrane conductance regular) known $97.22

81222 Gene analysis (cystic fibrosis transmembrane conductance regular) duplication $435.07

81223 Gene analysis (cystic fibrosis transmembrane conductance regular) full gene $499.00

81224 Gene analysis (cystic fibrosis transmembrane conductance regular) intron 8 $168.75

81225 Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 19) common $291.36

81226 Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common $450.91

81227 Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 9) common $174.81

81228 Genome-wide microarray analysis for copy number variants $900.00

81229 Genome-wide microarray analysis for copy number and single nucleotide $1,160.00

81230 Gene analysis (cytochrome P450 family 3 subfamily A member 4) for common variant $174.81

81231 Gene analysis (cytochrome P450 family 3 subfamily A member 5) for common variant $174.81

81232 Gene analysis (dihydropyrimidine dehydrogenase) for common variant $174.81

81233 Gene analysis (Bruton's tyrosine kinase) for common variants $175.40

81234 Gene analysis (DM1 protein kinase) for abnormal alleles $137.00

81235 Gene analysis (epidermal growth factor receptor), common variants $324.58

81236 Gene analysis (enhancer of zeste 2 polycomb repressive complex 2 subunit) of $282.88

81237 Gene analysis (enhancer of zeste 2 polycomb repressive complex 2 subunit) for $175.40

81238 Gene analysis (coagulation factor IX) full sequence analysis $600.00

81239 Gene analysis (DM1 protein kinase) for characterization of alleles $274.83

81240 Gene analysis (prothrombin, coagulation factor II) A variant $65.69

81241 Gene analysis (coagulation factor V) Leiden variant $73.37

81242 Gene analysis (Fanconi anemia, complementation group C) common variant $36.62

81243 Gene analysis (fragile X mental retardation) abnormal alleles $57.04

81244 Gene analysis (fragile X mental retardation 1) for characterization of alleles $44.89

81245 Gene analysis (fms-related tyrosine kinase 3) internal tandem duplication $165.51

81246 Test for detecting genes associated with blood cancer $83.00

81247 Gene analysis (glucose-6-phosphate dehydrogenase) for common variant $174.81

81248 Gene analysis (glucose-6-phosphate dehydrogenase) for known familial variant $375.25

81249 Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis $600.00

81250 Gene analysis (glucose-6-phosphatase, catalytic subunit) common variants $58.49

81251 Gene analysis (glucosidase, beta, acid) common variants $47.25

81252 Gene analysis (gap junction protein, beta 2, 26kda, connexin 26), full gene $101.12

81253 Gene analysis (gap junction protein, beta 2, 26kda, connexin 26), known $61.52

81254 Gene analysis (gap junction protein, beta 6, 30kda, connexin 30), common $35.00

81255 Gene analysis (hexosaminidase A) common variants $51.45

81256 Gene analysis (hemochromatosis) common variants $65.36

81257 Gene analysis (alpha globin 1 and alpha globin 2) for common deletions or $102.26

81258 Gene analysis (alpha globin 1 and alpha globin 2) for known familial variant $375.25

81259 Gene analysis (alpha globin 1 and alpha globin 2) full sequence analysis $600.00

81260 Gene analysis (inhibitor of kappa light polypeptide gene enhancer in B-cells, $39.31

81261 Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect $197.99

81262 Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect $68.55

81263 Gene rearrangement analysis (immunoglobulin heavy chain locus), variable region $294.52

81264 Gene rearrangement analysis (immunoglobulin kappa light chain locus) to detect $172.73

81265 Comparative analysis using Short Tandem Repeat (STR) markers of patient and $233.07

81266 Comparative analysis using Short Tandem Repeat (STR) markers of patient and $304.81

81267 Chimerism analysis post transplantation, without cell selection $207.46

81268 Chimerism analysis post transplantation, with cell selection $260.79

81269 Gene analysis (alpha globin 1 and alpha globin 2) for duplication/deletion $202.40

81270 Gene analysis (Janus kinase 2) variant $91.66

81271 Gene analysis (Huntingtin) for abnormal alleles $137.00

81272 Gene analysis (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog), $329.51

81273 Gene analysis (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog), $124.87

81274 Gene analysis (Huntingtin) for characterization of alleles $274.83

81275 Gene analysis (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) variants in codons $193.25

81276 Gene analysis (Kirsten rat sarcoma viral oncogene homolog), additional variants $193.25

81277 Cancer cytogenomic array gene analysis $1,160.00

81278 Gene analysis (IGH@/BCL2 (t(14;18)) translocation analysis $207.31

81279 Gene analysis (Janus kinase 2) targeted sequence analysis $185.20

81283 Gene analysis (interferon, lambda 3) for rs12979860 variant $73.37

81284 Gene analysis (frataxin) for abnormal alleles $137.00

81285 Gene analysis (frataxin) for characterization of alleles $274.83

81286 Gene analysis (frataxin) of full sequence $274.83

81287 Gene analysis (O-6-methylguanine-DNA methyltransferase) for promoter methylation $124.64

81288 Test for detecting genes associated with colon cancer, promoter methylation $192.32

81289 Gene analysis (frataxin) for known familial variants $185.20

81290 Gene analysis (mucolipin 1) common variants $39.31

81291 Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants $65.34

81292 Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) full sequence $675.40

81293 Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) known $331.00

81294 Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) duplication $202.40

81295 Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) full sequence $381.70

81296 Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) known $337.73

81297 Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) duplication $213.30

81298 Gene analysis (mutS homolog 6 [E coli]) full sequence analysis $641.85

81299 Gene analysis (mutS homolog 6 [E coli]) known familial variants $308.00

81300 Gene analysis (mutS homolog 6 [E coli]) duplication or deletion variants $238.00

81301 Microsatellite instability analysis $348.56

81302 Gene analysis (methyl CpG binding protein 2) full sequence analysis $527.87

81303 Gene analysis (methyl CpG binding protein 2) known familial variant $120.00

81304 Gene analysis (methyl CpG binding protein 2) duplication or deletion variants $150.00

81305 Gene analysis (myeloid differentiation primary response 88) for p.Leu265Pro $175.40

81306 Gene analysis (nudix hydrolase 15) for common variants $291.36

81307 Gene analysis (partner and localizer of BRCA2) full sequence analysis $676.50

81308 Gene analysis (partner and localizer of BRCA2) for detection of known familial $301.35

81309 Gene analysis (partner and localizer of BRCA2) targeted sequence analysis $274.83

81310 Gene analysis (nucleophosmin) exon 12 variants $246.52

81311 Gene analysis for cancer (neuroblastoma) $295.79

81312 Gene analysis (poly[A] binding protein nuclear 1) for abnormal alleles $137.00

81313 Test for detecting genes associated with prostate cancer $255.05

81314 Gene analysis ((platelet-derived growth factor receptor, alpha polypeptide) $329.51

81315 Translocation analysis (PML-RARA regulated adaptor molecule 1) common breakpoint $207.31

81316 Translocation analysis (PML-RARA regulated adaptor molecule 1) single breakpoint $207.31

81317 Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) full $676.50

81318 Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) known $331.00

81319 Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) duplication $203.50

81320 Gene analysis (phospholipase C gamma 2) for common variants $291.36

81321 Gene analysis (phosphatase and tensin homolog), full sequence analysis $600.00

81322 Gene analysis (phosphatase and tensin homolog), known familial variant $46.60

81323 Gene analysis (phosphatase and tensin homolog), duplication or deletion variant $300.00

81324 Gene analysis (peripheral myelin protein 22), duplication or deletion analysis $758.36

81325 Gene analysis (peripheral myelin protein 22), full sequence analysis $769.58

81326 Gene analysis (peripheral myelin protein 22), known familial variant $46.60

81327 Gene analysis (Septin9) for promoter methylation $192.00

81328 Gene analysis (solute carrier organic anion transporter family, member 1B1) for $174.81

81329 Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion $137.00

81330 Gene analysis (sphingomyelin phosphodiesterase 1, acid lysosomal) common $47.00

81331 Methylation analysis (small nuclear ribonucleoprotein polypeptide N and $51.07

81332 Gene analysis (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, $43.65

81333 Gene analysis (transforming growth factor beta-induced) for common variants $137.00

81334 Gene analysis (runt related transcription factor 1) targeted sequence analysis $329.51

81335 Gene analysis (thiopurine S-methyltransferase) for common variant $174.81

81336 Gene analysis (survival of motor neuron 1, telomeric) of full sequence $301.35

81337 Gene analysis (survival of motor neuron 1, telomeric) for known familial $185.20

81338 Gene analysis (MPL proto-oncogene, thrombopoietin receptor) for detection of $150.33

81339 Gene analysis (MPL proto-oncogene, thrombopoietin receptor) sequence analysis $185.20

81340 Gene analysis (T cell antigen receptor beta) amplification methodology $208.92

81341 Gene rearrangement analysis detection abnormal clonal population (T cell $49.59

81342 Gene rearrangement analysis detection abnormal clonal population (T cell $201.50

81343 Gene analysis (protein phosphatase 2 regulatory subunit Bbeta) for abnormal $137.00

81344 Gene analysis (TATA box binding protein) for abnormal alleles $137.00

81345 Gene analysis (telomerase reverse transcriptase) targeted sequence analysis $185.20

81346 Gene analysis (thymidylate synthetase) for common variant $174.81

81347 Gene analysis (splicing factor [3b] subunit B1) for detection of common variants $193.25

81348 Gene analysis (serine and arginine-rich splicing factor 2) for detection of $175.40

81349 Genome-wide microarray analysis for copy number and loss-of-heterozygosity $1,160.00

81350 Gene analysis (UDP glucuronosyltransferase 1 family, polypeptide A1) for $234.00

81351 Gene analysis (tumor protein 53) full sequence analysis $641.85

81352 Gene analysis (tumor protein 53) targeted sequence analysis $329.51

81353 Gene analysis (tumor protein 53) targeted sequence analysis for detection of $308.00

81355 Gene analysis (vitamin K epoxide reductase complex subunit 1) common variants $88.20

81357 Gene analysis (U2 small nuclear RNA auxiliary factor 1) for detection of common $193.25

81360 Gene analysis (zinc finger CCCH-type, RNA binding motif and $193.25

81361 Gene analysis (hemoglobin, subunit beta) for common variant $174.81

81362 Gene analysis (hemoglobin, subunit beta) for known familial variant $375.25

81363 Gene analysis (hemoglobin, subunit beta) for duplication/deletion variant $202.40

81364 Gene analysis (hemoglobin, subunit beta) full sequence analysis $324.58

81370 HLA class I and II typing low resolution HLA-A, -B, -C, -DRB1/3/4/5 and -DQB1 $402.12

81371 HLA class I and II typing, low resolution HLA-A, -B, and -DRB1 $404.52

81372 HLA class I typing low resolution $403.59

81373 HLA class I typing low resolution one locus $127.43

81374 HLA class I typing, low resolution one antigen equivalent $74.33

81375 HLA class II typing low resolution HLA-DRB1/3/4/5 and -DQB1 $220.74

81376 HLA class II typing low resolution one locus $122.22

81377 HLA class II typing low resolution one antigen equivalent $94.74

81378 HLA class I and II typing high resolution HLA-A, -B, -C, and -DRB1 $345.57

81379 HLA Class I typing high resolution $335.38

81380 HLA class I typing high resolution one locus $177.25

81381 HLA class I typing high resolution one allele or allele group $169.90

81382 HLA class II typing high resolution one locus $123.68

81383 HLA class II typing high resolution one allele or allele group $109.13

81400 Molecular pathology procedure level 1 $63.96

81401 Molecular pathology procedure level 2 $137.00

81402 Molecular pathology procedure level 3 $150.33

81403 Molecular pathology procedure level 4 $185.20

81404 Molecular pathology procedure level 5 $274.83

81405 Molecular pathology procedure level 6 genetic analysis $301.35

81406 Molecular pathology procedure level 7 $282.88

81407 Molecular pathology procedure level 8 $846.27

81408 Molecular pathology procedure level 9 $2,000.00

81410 Test for detecting genes associated with heart disease, genomic sequence $504.00

81411 Test for detecting genes associated with heart disease, duplication/deletion $1,350.19

81412 Test for detecting genes for disorders related to Ashkenazi Jews, genomic $2,448.56

81413 Test for detecting genes associated with heart disease, genomic sequence $584.90

81414 Test for detecting genes associated with heart disease, duplication/deletion $584.90

81415 Test for detecting exome, sequence analysis $4,780.00

81416 Test for detecting exome, sequence analysis, each comparator exome $12,000.00

81417 Reevaluation test of previously obtained exome sequence $320.00

81418 Genomic sequence analysis panel of at least 6 genes associated with drug $-

81419 Gene analysis panel for evaluation of genes associated with epilepsy $2,448.56

81420 Test for detecting genes associated with fetal disease, aneuploidy genomic $759.05

81422 Test for detecting genes associated with fetal disease, microdeletion(s) $759.05

81425 Test for detecting genes associated with disease, genome sequence analysis $5,031.20

81426 Test for detecting genes associated with disease, genome sequence analysis, $2,709.95

81427 Reevaluation test of previously obtained genome sequence $2,337.65

81430 Test for detecting genes causing hearing loss genomic sequence analysis panel, $1,625.00

81431 Test for detecting genes causing hearing loss, duplication/deletion analysis $679.57

81432 Test for detecting genes associated with inherited breast cancer-related $679.05

81433 Gene analysis (breast and related cancers), duplication or deletion variants $438.93

81434 Gene analysis (retinal disorders), genomic sequence $597.91

81435 Test for detecting genes associated with colon cancer, genomic sequence $584.90

81436 Test for detecting genes associated with colon cancer, duplication/deletion $584.90

81437 Gene analysis (neuroendocrine tumors), genomic sequence $438.93

81438 Gene analysis (neuroendocrine tumors), duplication and deletion variants $438.93

81439 Test for detecting genes associated with inherited disease of heart muscle $584.90

81440 Test for detecting genes $3,324.00

81441 Gene sequence analysis panel at least 30 genes associated with inherited bone $2,448.56

81442 Gene analysis (noonan syndrome) genomic sequence analysis $2,143.60

81443 Genomic sequence analysis panel for severe inherited conditions with sequencing $2,448.56

81445 Targeted genomic sequence analysis panel of DNA or combined DNA and RNA of 5-50 $597.91

81448 Gene analysis panel for hereditary disorders of the peripheral nervous system $584.90

81449 Targeted genomic sequence analysis panel of RNA of 5-50 genes associated with $597.91

81450 Targeted genomic sequence analysis panel of DNA or combine DNA and RNA of 5-50 $759.53

81451 Targeted genomic sequence analysis panel of RNA of 5-50 genes associated with $759.53

81455 Targeted genomic sequence analysis panel of DNA or combine DNA and RNA of 51 or $2,919.60

81456 Targeted genomic sequence analysis panel of RNA of 51 or greater genes $2,919.60

81460 Test for detecting genes associated with disease, genomic sequence, must $1,287.00

81465 Test for detecting genes associated with disease, whole mitochondrial genome $936.00

81470 Test for detecting genes associated with intellectual disability, genomic $914.00

81471 Test for detecting genes associated with intellectual disability, $914.00

81490 Test for detecting genes associated with rheumatoid arthritis using immunoassay $840.65

81493 Test for detecting genes associated with heart vessels diseases $1,050.00

81500 Genetic profiling on oncology biopsy of ovarian lesions, assays of two proteins $260.50

81503 Genetic profiling on oncology biopsy of ovarian lesions, assays of five proteins $897.00

81504 Genetic profiling on oncology biopsy lesions $520.00

81506 Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, $68.92

81507 DNA analysis using maternal plasma $795.00

81508 Fetal congenital abnormalities, biochemical assays of two proteins (papp-a, hcg $54.30

81509 Fetal congenital abnormalities, biochemical assays of three proteins (papp-a, $1,487.37

81510 Fetal congenital abnormalities, biochemical assays of three analytes (afp, ue3, $55.54

81511 Fetal congenital abnormalities, biochemical assays of four analytes (afp, ue3, $153.50

81512 Fetal congenital abnormalities, biochemical assays of five analytes (afp, ue3, $69.52

81513 Measurement of RNA of bacteria in vaginal fluid specimen $142.63

81514 Measurement of DNA of bacteria in vaginal fluid specimen $262.99

81518 mRNA gene analysis of 11 genes in breast tumor tissue $3,873.00

81519 Test for detecting genes associated with breast cancer $3,873.00

81520 Gene analysis of breast tumor tissue, profiling by hybrid capture of 58 genes $2,510.21

81521 Gene analysis of breast tumor tissue, profiling of 70 content genes and 465 $3,873.00

81522 mRNA gene expression analysis of 12 genes in breast tumor tissue $3,873.00

81523 Next-generation sequencing of breast cancer profiling 70 content genes and 31 $3,873.00

81525 Gene analysis (colon related cancer) $3,116.00

81528 Gene analysis (colorectal cancer) $508.87

81529 mRNA gene analysis of 31 genes in skin melanoma tissue specimen $7,193.00

81535 Culture of live tumor cells and chemotherapy drug response by staining, first $579.46

81536 Culture of live tumor cells and chemotherapy drug response by staining, each $177.56

81538 Testing of lung tumor cells for prediction of survival $2,871.00

81539 Measurement of proteins associated with prostate cancer $760.00

81540 Gene analysis (cancer) $3,750.00

81541 Gene analysis of prostate tumor tissue, profiling by real-time RT-PCR of 46 $3,873.00

81542 mRNA gene expression analysis of 22 genes in prostate tumor tissue $3,873.00

81546 mRNA gene analysis of 10,196 genes in fine needle aspiration thyroid specimen, $3,600.00

81551 Gene analysis of prostate tumor tissue, profiling by real-time PCR of 3 genes $2,030.00

81552 mRNA gene expression analysis of 15 genes in eye melanoma o tissue or fine $7,776.00

81554 mRNA gene analysis of 190 genes associated with lung disease (idiopathic $5,520.00

81560 Measurement of donor and third-party memory cells for transplantation medicine $640.73

81595 Test for detecting genes associated with heart diseases $3,240.00

81596 Biochemical assays for evaluation of chronic Hepatitis C virus infection $72.19

82009 Ketone bodies analysis, qualitative $4.52

82010 Ketone bodies analysis, quantitative $8.17

82013 Acetylcholinesterase (enzyme) level $12.29

82016 Chemical analysis for genetic disorder $16.49

82017 Chemical test for genetic disorder $16.87

82024 Adrenocorticotropic hormone (ACTH) level $38.62

82030 Adenosine, 5-monophosphate, cyclic (cyclic AMP) level $25.80

82040 Albumin (protein) level $4.95

82042 Cerebrospinal fluid, or amniotic fluid albumin (protein) level $7.78

82043 Urine microalbumin (protein) level $5.78

82044 Urine microalbumin (protein) analysis $6.23

82045 Albumin (protein) level related to restricted heart blood flow $33.94

82075 Measurement of alcohol level in breath specimen $30.00

82077 Measurement of alcohol level in specimen other than breath or urine $17.27

82085 Aldolase (enzyme) level $9.71

82088 Aldosterone hormone level $40.75

82103 Alpha-1-antitrypsin (protein) blood test, total $13.44

82104 Alpha-1-antitrypsin (protein) blood test, phenotype $14.46

82105 Alpha-fetoprotein (AFP) level, serum $16.77

82106 Alpha-fetoprotein (AFP) level, amniotic fluid $17.00

82107 Alpha-fetoprotein (AFP) analysis $64.41

82108 Aluminum level $25.48

82120 Vaginal fluid chemical analysis for bacteria $5.99

82127 Amino acid analysis, qualitative, each specimen $14.18

82128 Amino acid analysis, multiple amino acids, qualitative, each specimen $13.87

82131 Amino acid analysis, quantitative, each specimen $22.98

82135 Aminolevulinic acid (protein) level $16.45

82136 Amino acid level, 2 to 5 amino acids, quantitative, each specimen $19.61

82139 Amino acid level, 6 or more amino acids, quantitative, each specimen $16.87

82140 Ammonia level $14.57

82143 Amniotic fluid scan $9.35

82150 Amylase (enzyme) level $6.48

82154 Androstanediol glucuronide (hormone) level $28.83

82157 Androstenedione (hormone) level $29.28

82160 Androsterone (hormone) level $25.55

82163 Angiotensin ll (protein) level $20.52

82164 Angiotensin l - converting enzyme (ACE) level $14.60

82172 Apolipoprotein level $21.09

82175 Arsenic level $18.97

82180 Ascorbic acid (Vitamin C) level, blood $9.89

82190 Measurement of substance using spectroscopy (light) $15.90

82232 Beta-2 microglobulin (protein) level $16.18

82239 Bile acids level, total $17.12

82240 Bile acids level, cholylglycine $26.58

82247 Bilirubin level, total $5.02

82248 Bilirubin level, direct $5.02

82252 Stool analysis for bilirubin $4.56

82261 Biotinidase (enzyme) level $16.87

82270 Stool analysis for blood to screen for colon tumors $4.38

82271 Specimen analysis for blood $5.32

82272 Stool analysis for blood, by peroxidase activity $4.23

82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay $15.92

82286 Bradykinin (protein) level $5.16

82300 Cadmium level $23.64

82306 Vitamin D-3 level $29.60

82308 Calcitonin (hormone) level $26.79

82310 Calcium level, total $5.16

82330 Calcium level, ionized $13.68

82331 Calcium level, after calcium infusion test $13.34

82340 Urine calcium level $6.03

82355 Analysis of stone $11.58

82360 Chemical analysis of stone $12.87

82365 Infrared analysis of stone $12.90

82370 X-ray analysis of stone $12.52

82373 Carbohydrate deficient transferrin (protein) level $18.06

82374 Carbon dioxide (bicarbonate) level $4.88

82375 Carboxyhemoglobin (protein) level $12.32

82376 Carboxyhemoglobin (protein) analysis $14.07

82378 Carcinoembryonic antigen (CEA) protein level $18.96

82379 Carnitine level $16.87

82380 Carotene level $9.22

82382 Catecholamines (organic nitrogen) urine level $27.30

82383 Catecholamines organic nitrogen blood level $29.08

82384 Catecholamines (organic nitrogen) level $25.25

82387 Cathepsin-D (enzyme) level $18.06

82390 Ceruloplasmin (protein) level $10.74

82397 Analysis using chemiluminescent technique (light and chemical )reaction $14.12

82415 Chloramphenicol level $12.67

82435 Blood chloride level $4.60

82436 Urine chloride level $5.75

82438 Chloride level $5.00

82441 Screening test for chlorinated hydrocarbons $6.01

82465 Cholesterol level $4.35

82480 Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease $7.87

82482 Cholinesterase (enzyme) level $9.81

82485 Chondroitin B sulfate (protein) level $20.65

82495 Chromium level to test for poisoning or deficiency $20.28

82507 Citrate level $27.80

82523 Collagen cross links test, (urine test to evaluate bone health) $18.68

82525 Copper level $12.41

82528 Corticosterone (hormone) level $22.52

82530 Cortisol (hormone) measurement, free $16.71

82533 Cortisol (hormone) measurement, total $16.30

82540 Creatine measurement $4.64

82542 Chemical analysis using chromatography technique $24.09

82550 Creatine kinase (cardiac enzyme) level, total $6.51

82552 Creatine kinase (cardiac enzyme) level, isoenzymes $13.39

82553 Creatine kinase (cardiac enzyme) level, MB fraction only $11.55

82554 Creatine kinase (cardiac enzyme) level, isoforms $11.87

82565 Blood creatinine level $5.12

82570 Creatinine level to test for kidney function or muscle injury $5.18

82575 Creatinine clearance measurement to test for kidney function $9.46

82585 Cryofibrinogen (protein) level $14.14

82595 Cryoglobulin (protein) measurement $6.47

82600 Cyanide measurement $19.40

82607 Cyanocobalamin (vitamin B-12) level $15.08

82608 Cyanocobalamin (vitamin B-12) level, unsaturated binding capacity $14.32

82610 Cystatin C (enzyme inhibitor) level $18.52

82615 Cystine and homocystine (amino acids) analysis $9.55

82626 Dehydroepiandrosterone (DHEA) hormone level $25.27

82627 Dehydroepiandrosterone (DHEA-S) hormone level $22.23

82633 Desoxycorticosterone, 11 (hormone) level $30.98

82634 Deoxycortisol, 11 (hormone) level $29.28

82638 Dibucaine number (enzyme) measurement $12.25

82642 Measurement of dihydrotestosterone $29.28

82652 Dihydroxyvitamin D, 1, 25 level $38.50

82653 Measurement of pancreatic elastase (enzyme) in stool $22.97

82656 Detection of pancreatic elastase (enzyme) in stool $11.53

82657 Enzyme activity measurement, nonradioactive substrate $22.17

82658 Enzyme activity measurement, radioactive substrate $44.03

82664 Electrophoresis, laboratory testing technique $61.50

82668 Erythropoietin (protein) level $18.79

82670 Measurement of total estradiol (hormone) $27.94

82671 Estrogen analysis, fractionated $32.30

82672 Estrogen analysis, total $21.70

82677 Estriol (hormone) level $24.18

82679 Estrone (hormone) level $24.95

82681 Direct measurement of free estradiol (hormone) $27.94

82693 Ethylene glycol (antifreeze) measurement $14.90

82696 Etiocholanolone (testosterone byproduct) level $26.24

82705 Stool fat or lipids analysis, qualitative $5.10

82710 Stool fat or lipids analysis, quantitative $16.80

82715 Stool fat differential measurement, quantitative $22.97

82725 Fatty acids measurement $18.77

82726 Very long chain fatty acids level $19.75

82728 Ferritin (blood protein) level $13.63

82731 Fetal fibronectin (protein) analysis $64.41

82735 Fluoride level $18.54

82746 Folic acid level, serum $14.70

82747 Folic acid level, RBC $17.65

82757 Semen fructose (carbohydrate) level $17.34

82759 Galactokinase (enzyme) level $21.48

82760 Galactose (carbohydrate) level $11.20

82775 Galactose-1-phosphate uridyl transferase (enzyme) level $21.07

82776 Galactose-1-phosphate uridyl transferase screening test $11.74

82777 Galectin-3 level $44.25

82784 Gammaglobulin (immune system protein) measurement $9.30

82785 IgE (immune system protein) level $16.46

82787 Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses $8.02

82800 Blood pH level $11.00

82803 Blood gases measurement $26.07

82805 Blood gases measurement, with O2 saturation $78.77

82810 Blood gas, oxygen saturation measurement $9.77

82820 Hemoglobin-oxygen affinity measurement $13.34

82930 Gastric acid analysis $6.71

82938 Gastrin (GI tract hormone) level, after secretin stimulation $17.69

82941 Gastrin (GI tract hormone) level $17.63

82943 Glucagon (pancreatic hormone) level $14.29

82945 Glucose (sugar) level on body fluid $3.93

82946 Glucagon (pancreatic hormone) tolerance test $17.77

82947 Blood glucose (sugar) level $3.93

82948 Blood glucose (sugar) measurement using reagent strip $5.04

82950 Blood glucose (sugar) level after receiving dose of glucose $4.75

82951 Blood glucose (sugar) tolerance test, 3 specimens $12.87

82952 Blood glucose (sugar) tolerance test, each additional beyond 3 specimens $3.92

82955 G6PD (enzyme) level $9.70

82960 G6PD (enzyme) screening test $6.05

82962 Blood glucose (sugar) test performed by hand-held instrument $3.28

82963 Glucosidase (sugar enzyme) measurement $21.48

82965 Glutamate dehydrogenase (enzyme) measurement $13.15

82977 Glutamyltransferase (liver enzyme) level $7.20

82978 Glutathione (protein) level $15.45

82979 Glutathione reductase (enzyme) level $9.44

82985 Glycated protein level $16.76

83001 Gonadotropin, follicle stimulating (reproductive hormone) level $18.58

83002 Gonadotropin, luteinizing (reproductive hormone) level $18.52

83003 Human growth hormone level $16.67

83006 Test for detecting genes associated with growth stimulation $75.60

83009 Blood test analysis for helicobacter pylori $67.36

83010 Haptoglobin (serum protein) level $12.58

83012 Haptoglobin (serum protein) measurement $26.89

83013 Breath test analysis for helicobacter pylori $67.36

83014 Administration of drug for helicobacter pylori $7.86

83015 Heavy metal screening test $20.94

83018 Heavy metal level $21.96

83020 Hemoglobin analysis and measurement, electrophoresis $12.87

83021 Hemoglobin analysis and measurement, chromatography $18.06

83026 Hemoglobin level $4.01

83030 Fetal hemoglobin level $10.74

83033 Fetal hemoglobin analysis $8.00

83036 Hemoglobin A1C level $9.71

83037 Hemoglobin A1C level, by device for home use $9.71

83045 Methemoglobin (hemoglobin) analysis, qualitative $6.49

83050 Methemoglobin (hemoglobin) analysis, quantitative $8.20

83051 Plasma hemoglobin level $7.31

83060 Sulfhemoglobin (hemoglobin) level $8.80

83065 Thermolabile (heat sensitive) hemoglobin level $9.00

83068 Screening test for unstable hemoglobin $9.47

83069 Urine hemoglobin level $3.95

83070 Hemosiderin (hemoglobin breakdown product) analysis $4.75

83080 b-Hexosaminidase (enzyme) level $16.87

83088 Histamine (immune system substance) level $29.53

83090 Homocysteine (amino acid) level $17.92

83150 Homovanillic acid (organic acid) level $22.41

83491 Hydroxycorticosteroids, 17 (adrenal gland hormone) level $17.90

83497 Hydroxyindolacetic acid (product of metabolism) level $12.90

83498 Hydroxyprogesterone, 17-D (synthetic hormone) level $27.17

83500 Hydroxyproline (amino acid) measurement, free $22.65

83505 Hydroxyproline (amino acid) measurement, total $24.30

83516 Analysis of substance using immunoassay technique, multiple step method $11.53

83518 Analysis of substance using immunoassay technique, single step method $9.64

83519 Measurement of substance using immunoassay technique, by radioimmunoassay $18.40

83520 Measurement of substance using immunoassay technique $17.27

83521 Measurement of immunoglobulin light chains $17.27

83525 Insulin measurement, total $11.43

83527 Insulin measurement, free $12.95

83528 Intrinsic factor (stomach protein) level $19.82

83529 Measurement of interleukin-6 $17.27

83540 Iron level $6.47

83550 Iron binding capacity $8.74

83570 Isocitric dehydrogenase (enzyme) level $8.85

83582 Ketogenic steroids (hormone) measurement $15.47

83586 Ketosteroids, 17 (hormone) measurement, total $12.80

83593 Ketosteroids, 17 (hormone) measurement, fractionation $28.50

83605 Lactic acid level $11.57

83615 Lactate dehydrogenase (enzyme) level $6.04

83625 Lactate dehydrogenase (enzyme) measurement $12.79

83630 Stool lactoferrin (immune system protein) analysis $19.70

83631 Stool lactoferrin (immune system protein) level $19.63

83632 Human placental lactogen (placental hormone) level $20.22

83633 Urine lactose (carbohydrate) analysis $11.25

83655 Lead level $12.11

83661 Fetal lung maturity assessment, lecithin sphingomyelin (L/S) ratio $21.99

83662 Fetal lung maturity assessment, foam stability test $18.91

83663 Fetal lung maturity assessment, fluorescence polarization $18.91

83664 Fetal lung maturity assessment, lamellar body density $19.32

83670 Leucine aminopeptidase (enzyme) level $9.81

83690 Lipase (fat enzyme) level $6.89

83695 Lipoprotein (A) level $14.32

83698 Lipoprotein-associated phospholipase A2 (enzyme) level $46.31

83700 Lipoprotein level, electrophoretic separation and quantitation $11.26

83701 Lipoprotein measurement $33.86

83704 Lipoprotein level, quantitation of lipoprotein particle number(s) $34.19

83718 HDL cholesterol level $8.19

83719 VLDL cholesterol level $12.75

83721 LDL cholesterol level $10.50

83722 Measurement of small dense low density lipoprotein cholesterol $34.19

83727 Luteinizing releasing factor (reproductive hormone) level $17.19

83735 Magnesium level $6.70

83775 Malate dehydrogenase (enzyme) level $7.37

83785 Manganese (heavy metal) level $26.65

83789 Mass spectrometry (laboratory testing method) $24.11

83825 Mercury level $16.26

83835 Metanephrines level $16.94

83857 Methemalbumin (protein) level $10.74

83861 Microfluid analysis of tears $22.48

83864 Mucopolysaccharides (protein) level $28.50

83872 Joint fluid diagnostic test $5.86

83873 Myelin basic protein (nerve protein) level, spinal fluid $17.20

83874 Myoglobin (muscle protein) level $12.92

83876 Myeloperoxidase (white blood cell enzyme) measurement $50.86

83880 Natriuretic peptide (heart and blood vessel protein) level $39.26

83883 Nephelometry, test method using light $13.60

83885 Nickel level $24.51

83915 Nucleotidase 5' (enzyme) level $11.15

83916 Measurement of immune substance (oligoclonal bands) $27.39

83918 Organic acids level $23.60

83919 Organic acids analysis $16.45

83921 Organic acid level $21.21

83930 Blood osmolality (concentration) measurement $6.61

83935 Urine osmolality (concentration) measurement $6.82

83937 Osteocalcin (bone protein) level $29.85

83945 Oxalate level $14.45

83950 HER-2 oncoprotein (cancer related gene) measurement $64.41

83951 Oncoprotein (cancer related gene) measurement $64.41

83970 Parathormone (parathyroid hormone) level $41.28

83986 Body fluid pH level $3.58

83987 pH exhaled breath $3.58

83993 Stool calprotectin (protein) level $19.63

84030 Phenylalanine, PKU (amino acid) level $5.50

84035 Phenylketones (ketone) analysis $3.98

84060 Phosphatase (enzyme) measurement, acid, total $7.64

84066 Phosphatase, prostatic (prostate enzyme) level $9.66

84075 Phosphatase (enzyme) level, alkaline $5.18

84078 Phosphatase (enzyme) level, alkaline, heat stable $8.26

84080 Phosphatase (enzyme) measurement, alkaline, isoenzymes $14.78

84081 Phosphatidylglycerol (amniotic fluid organic acid) level $16.52

84085 Phosphogluconate, 6, dehydrogenase (enzyme) level $9.44

84087 Phosphohexose isomerase (enzyme) level $10.73

84100 Phosphate level $4.74

84105 Urine phosphate level $5.78

84106 Urine porphobilinogen (metabolism substance) analysis $5.82

84110 Urine porphobilinogen (metabolism substance) level $8.44

84112 Cervicovaginal secretion of placenta protein $98.11

84119 Urine porphyrins (metabolism substance) analysis $13.36

84120 Urine porphyrins (metabolism substance) measurement $14.71

84126 Stool porphyrins (metabolism substance) level $39.11

84132 Blood potassium level $4.76

84133 Urine potassium level $4.73

84134 Prealbumin (protein) level $14.59

84135 Pregnanediol (reproductive hormone) level $21.27

84138 Pregnanetriol (reproductive hormone) level $21.05

84140 Pregnenolone (reproductive hormone) level $20.67

84143 17-hydroxypregnenolone (hormone) level $22.81

84144 Progesterone (reproductive hormone) level $20.86

84145 Procalcitonin (hormone) level $27.22

84146 Prolactin (milk producing hormone) level $19.38

84150 Prostaglandin (hormone) level $41.77

84152 PSA (prostate specific antigen) measurement, complexed $18.39

84153 PSA (prostate specific antigen) measurement, total $18.39

84154 PSA (prostate specific antigen) measurement, free $18.39

84155 Total protein level, blood $3.67

84156 Total protein level, urine $3.67

84157 Total protein level, body fluid $4.00

84160 Total protein level $5.61

84163 Pregnancy-associated plasma protein-A level $15.05

84165 Protein measurement, serum $10.74

84166 Protein measurement, body fluid $17.83

84181 Protein measurement $17.03

84182 Protein measurement, immunological probe for band identification $29.21

84202 Protoporphyrin (metabolism substance) level $14.35

84203 Protoporphyrin (metabolism substance) screening test $9.74

84206 Proinsulin (pancreatic hormone) level $26.69

84207 Vitamin B-6 level $28.10

84210 Pyruvate (organic acid) level $14.48

84220 Pyruvate kinase (enzyme) level $9.44

84228 Quinine (drug) level $11.63

84233 Estrogen receptor analysis $87.88

84234 Progesterone (reproductive hormone) receptor analysis $64.88

84235 Hormone receptor analysis $71.23

84238 Chemical receptor analysis $36.57

84244 Renin (kidney enzyme) level $21.99

84252 Vitamin B-2 (riboflavin) level $20.24

84255 Selenium (vitamin) level $25.53

84260 Serotonin (hormone) level $30.98

84270 Sex hormone binding globulin (protein) level $21.73

84275 Sialic acid (organic acid) level $13.44

84285 Silica (silicon) level $25.21

84295 Blood sodium level $4.81

84300 Urine sodium level $5.06

84302 Sodium level $4.86

84305 Somatomedin (growth factor) level $21.26

84307 Somatostatin (growth hormone inhibitor) level $18.28

84311 Chemical analysis using spectrophotometry (light) $8.10

84315 Specific gravity (liquid weight) measurement $3.28

84375 Carbohydrate (sugar) analysis $39.00

84376 Carbohydrate analysis, single qualitative $5.50

84377 Carbohydrate analysis, multiple qualitative $5.50

84378 Carbohydrate analysis, single quantitative $11.53

84379 Carbohydrate analysis, multiple quantitative $11.53

84392 Urine sulfate (acid) level $5.49

84402 Testosterone (hormone) level, free $25.47

84403 Testosterone (hormone) level, total $25.81

84410 Testosterone level $51.28

84425 Vitamin B-1 (thiamine) level $21.23

84430 Thiocyanate (organic sulfur substance) level $11.63

84431 Urine analysis for thromboxane (lipid) $35.11

84432 Thyroglobulin (thyroid related hormone) level $16.06

84433 Evaluation of thiopurine S-methyltransferase (TPMT) $22.17

84436 Thyroxine (thyroid chemical), total $6.87

84437 Thyroxine (thyroid chemical), requiring elution $6.47

84439 Thyroxine (thyroid chemical), free $9.02

84442 Thyroxine binding globulin (thyroid related protein) level $14.78

84443 Blood test, thyroid stimulating hormone (TSH) $16.80

84445 Thyroid stimulating immune globulins (thyroid related protein) level $50.86

84446 Vitamin E level $14.18

84449 Transcortin (cortisol binding protein) level $18.00

84450 Liver enzyme (SGOT), level $5.18

84460 Liver enzyme (SGPT), level $5.30

84466 Transferrin (iron binding protein) level $12.76

84478 Triglycerides level $5.74

84479 Thyroid hormone evaluation $6.47

84480 Thyroid hormone, T3 measurement, total $14.18

84481 Thyroid hormone, T3 measurement, free $16.94

84482 Thyroid hormone, T3 measurement, reverse $15.76

84484 Troponin (protein) analysis, quantitative $12.47

84485 Trypsin (pancreatic enzyme) measurement, intestinal fluid $7.20

84488 Trypsin (pancreatic enzyme) analysis, stool $7.30

84490 Stool trypsin (pancreatic enzyme) analysis, 24-hour collection $9.93

84510 Tyrosine (amino acid) level $10.63

84512 Troponin (protein) analysis, qualitative $10.09

84520 Urea nitrogen level to assess kidney function, quantitative $3.95

84525 Urea nitrogen level to assess kidney function, semiquantitative $5.13

84540 Urea nitrogen level to assess kidney function, urine $5.56

84545 Urea nitrogen level to assess kidney function, clearance $7.20

84550 Uric acid level, blood $4.52

84560 Uric acid level $5.08

84577 Urobilinogen (metabolism substance) level, stool $16.80

84578 Urobilinogen (metabolism substance) analysis, urine $4.47

84580 Urobilinogen (metabolism substance) level, urine $9.55

84583 Urobilinogen (metabolism substance) measurement, urine $6.05

84585 Urine vanillylmandelic acid $15.50

84586 Vasoactive intestinal peptide (intestinal hormone) level $35.33

84588 ADH (antidiuretic hormone) level $33.94

84590 Vitamin A level $11.61

84591 Vitamin measurement $17.06

84597 Vitamin K level $13.72

84600 Volatile chemical measurement $17.11

84620 Xylose (carbohydrate) absorption test of blood and/or urine $12.91

84630 Zinc level $11.39

84681 C-peptide (protein) level $20.81

84702 Gonadotropin, chorionic (reproductive hormone) level $15.05

84703 Gonadotropin (reproductive hormone) analysis $7.52

84704 Gonadotropin, chorionic (reproductive hormone) measurement $15.29

84830 Ovulation tests $12.70

85002 Bleeding time $4.82

85004 White blood cell count $6.47

85007 Microscopic examination for white blood cells with manual cell count $3.80

85008 Microscopic examination for white blood cells $3.43

85009 Manual white blood cell count and evaluation $5.07

85013 Red blood cell hemoglobin concentration $7.00

85014 Red blood cell concentration measurement $2.37

85018 Blood count, hemoglobin $2.37

85025 Complete blood cell count (red cells, white blood cell, platelets), automated $7.77

85027 Complete blood cell count (red cells, white blood cell, platelets), automated $6.47

85032 Manual blood cell count $4.31

85041 Red blood cell count, automated test $3.02

85044 Red blood count, manual test $4.31

85045 Red blood count, automated test $3.99

85046 Red blood count automated, with additional calculations $5.57

85048 Automated white blood cell count $2.54

85049 Platelet count, automated test $4.48

85055 Reticulated (young) platelet measurement $35.74

85130 Assessment of blood clotting function $11.89

85170 Blood clot evaluation, (retraction time) $16.30

85175 Blood clot evaluation, (clot dissolving time) $20.37

85210 Clotting factor II prothrombin, measurement $12.98

85220 Clotting factor V (AcG or proaccelerin) measurement $17.65

85230 Clotting factor VII (proconvertin, stable factor) $17.90

85240 Clotting factor VIII (AHG) measurement $17.90

85244 Clotting factor VIII related antigen measurement $20.42

85245 Clotting factor VIII (VW factor) measurement $22.94

85246 Clotting factor VIII (VW factor) antigen $22.94

85247 Clotting factor VIII (von Willebrand factor) measurement $22.94

85250 Clotting factor IX (PTC or Christmas) measurement $19.04

85260 Clotting factor X (Stuart-Prower) measurement $17.90

85270 Clotting factor XI (PTA) measurement $17.90

85280 Clotting factor XII (Hageman) measurement $19.35

85290 Clotting factor XIII (fibrin stabilizing) measurement $16.34

85291 Clotting factor XIII (fibrin stabilizing) screening test $9.11

85292 Fletcher factor (clotting factor) measurement $18.93

85293 Fitzgerald factor (clotting factor) measurement $18.93

85300 Antithrombin III antigen (clotting inhibitor) activity $11.85

85301 Antithrombin III antigen (clotting inhibitor) level $10.81

85302 Protein C, (clotting inhibitor) activity $12.01

85303 Protein C antigen (clotting inhibitor) measurement $13.84

85305 Protein S (clotting inhibitor) level $11.61

85306 Protein S (clotting inhibitor) measurement $15.32

85307 Activated protein resistance assay $15.32

85335 Clotting factor inhibitor test $12.87

85337 Thrombomodulin (coagulation protein) measurement $17.27

85345 Coagulation time measurement, Lee and White $4.69

85347 Coagulation time measurement, activated $4.28

85348 Coagulation time measurement, other methods $4.49

85360 Euglobulin lysis (clot dissolving) measurement $8.41

85362 Coagulation function analysis, agglutination slide, semiquantitative $6.89

85366 Coagulation function measurement, paracoagulation $80.46

85370 Coagulation function measurement, quantitative $12.43

85378 Coagulation function measurement, qualitative or semiquantitative $9.72

85379 Coagulation function measurement, D-dimer; quantitative $10.18

85380 Coagulation function measurement, ultrasensitive, qualitative or $10.18

85384 Fibrinogen (factor 1) activity measurement $9.72

85385 Fibrinogen (factor 1) antigen detection $14.46

85390 Coagulation function screening test with interpretation and report $15.48

85397 Measurement of blood coagulation and fibrinolysis (clot dissolving) function $30.86

85400 Plasmin (fibrinolytic factor) measurement $7.71

85410 Alpha-2 antiplasmin (factor inhibitor) measurement $7.71

85415 Plasminogen activator (fibrinolytic factor) measurement $17.19

85420 Plasminogen (fibrinolytic factor) measurement $6.53

85421 Plasminogen antigenic (factor inhibitor) measurement $10.18

85441 Evaluation of red blood cell defect (Heinz bodies), direct $4.20

85445 Evaluation of red blood cell defect (Heinz bodies), induced $6.82

85460 Fetal hemoglobin or red blood cells measurement for assessment of $7.73

85461 Fetal hemoglobin or red blood cells measurement for assessment of $9.36

85475 Measurement of hemolysin (red blood cell destructive substance) $8.87

85520 Heparin assay $13.09

85525 Heparin neutralization test $11.84

85530 Heparin therapy assessment $13.09

85536 Blood smear for iron $6.88

85540 White blood cell alkaline phosphatase (enzyme) measurement with cell count $8.60

85547 Red blood cell fragility measurement $8.60

85549 White blood cell enzyme activity measurement $18.75

85555 Red blood cell fragility measurement, unincubated $7.47

85557 Red blood cell fragility measurement, incubated $13.36

85576 Platelet aggregation function test $24.91

85597 Platelet function test $17.98

85598 Phospholipid test $17.98

85610 Blood test, clotting time $4.29

85611 Blood test, clotting time, substitution $3.94

85612 Clotting factor X assessment test, undiluted $17.49

85613 Clotting factor X assessment test, diluted $9.58

85635 Blood coagulation screening test $9.85

85651 Red blood cell sedimentation rate, to detect inflammation, non-automated $4.27

85652 Red blood cell sedimentation rate, to detect inflammation, automated $2.70

85660 Red blood cell sickling measurement $5.51

85670 Thrombin time, fibrinogen screening test, plasma $5.77

85675 Thrombin time, fibrinogen screening test, titer $6.85

85705 Thromboplastin inhibition (circulating anticoagulant) measurement $9.63

85730 Coagulation assessment blood test, plasma or whole blood $6.01

85732 Coagulation assessment blood test, substitution, plasma fractions $6.47

85810 Blood viscosity measurement $11.67

86000 Measurement of antibody to infectious organism $6.98

86001 Measurement of antibody (IgG) to allergic substance, each allergen $7.82

86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, $5.22

86005 Measurement of antibody (IgE) to allergic substance, multiallergen screen $7.97

86008 Measurement of antibody (IgE) to allergic substance, recombinant or purified $17.93

86015 Measurement of Actin (smooth muscle) antibody $12.05

86021 Antibody identification test for white blood cell antibodies $15.05

86022 Antibody identification test, platelet antibodies $18.37

86023 Antibody identification test, platelet associated immunoglobulin assay $12.46

86036 Screening test for antineutrophil cytoplasmic antibody $12.05

86037 Antineutrophil cytoplasmic antibody titer $12.05

86038 Screening test for autoimmune disorder $12.09

86039 Measurement of antibody for assessment of autoimmune disorder, titer $11.16

86051 ELISA detection of aquaporin-4 (neuromyelitis optica [NMO]) antibody $11.53

86052 Cell-based immunofluorescence (CBA) detection of aquaporin-4 (neuromyelitis $12.05

86053 Flow cytometry detection of aquaporin-4 (neuromyelitis optica [NMO]) antibody $37.73

86060 Measurement for Strep antibody (strep throat) $7.30

86063 Screening test for Strep antibody (strep throat) $5.77

86140 Measurement C-reactive protein for detection of infection or inflammation $5.18

86141 Measurement C-reactive protein for detection of infection or inflammation, high $12.95

86146 Beta 2 glycoprotein 1 antibody (autoantibody) measurement $25.45

86147 Cardiolipin antibody (tissue antibody) measurement $25.45

86148 Phospholipid antibody (autoimmune antibody) measurement $16.07

86152 Cell enumeration using immunologic selection and identification in fluid $250.78

86155 Measurement of white blood cell function $15.99

86156 Measurement of cold agglutinin (protein) to screen for infection or disease $8.07

86157 Measurement of cold agglutinin (protein) to detect infection or disease $8.06

86160 Measurement of complement (immune system proteins), antigen, $12.00

86161 Measurement of complement function (immune system proteins) $12.00

86162 Measurement of complement (immune system proteins), total hemolytic $20.32

86171 Measurement of complement fixation tests (immune system proteins) $10.01

86200 Measurement of antibody for rheumatoid arthritis assessment $12.95

86215 Measurement of DNA antibody $13.25

86225 Measurement of DNA antibody, native or double stranded $13.74

86226 Measurement of DNA antibody, single stranded $12.11

86231 Detection of endomysial antibody (EMA) $12.09

86235 Measurement of antibody for assessment of autoimmune disorder, any method $17.93

86255 Screening test for antibody to noninfectious agent $12.05

86256 Measurement of antibody to noninfectious agent $12.05

86258 Detection of gliadin (deamidated) (DGP) antibody $12.05

86277 Measurement of growth hormone antibody $15.74

86280 Measurement of immune system protein $8.19

86294 Immunologic analysis for detection of tumor antigen, qualitative or $25.57

86300 Immunologic analysis for detection of tumor antigen, quantitative; CA 15-3 $20.81

86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 $20.81

86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 $20.81

86305 Analysis of female reproductive genetic marker $20.81

86308 Screening test for mononucleosis (mono) $5.18

86309 Mononucleosis antibody level, titer $6.47

86310 Mononucleosis antibody level, titers after absorption $7.37

86316 Analysis for detection of tumor marker $20.81

86317 Detection of infectious agent antibody, quantitative $14.99

86318 Test for detection of infectious agent antibody, qualitative or semiquantitative $18.09

86320 Immunologic analysis technique on serum $29.92

86325 Immunologic analysis technique on body fluid $23.13

86327 Immunologic analysis technique, crossed $29.92

86328 Test for detection of severe acute respiratory syndrome coronavirus 2 $45.28

86329 Immunologic analysis technique, unspecified $14.05

86331 Immunologic analysis for detection of antigen or antibody $11.98

86332 Immune complex measurement $24.37

86334 Immunologic analysis technique on serum (immunofixation) $22.34

86335 Immunologic analysis technique on body fluid, other fluids with concentration $29.35

86336 Inhibin A (reproductive organ hormone) measurement $15.59

86337 Insulin antibody measurement $21.41

86340 Intrinsic factor (stomach protein) antibody measurement $15.08

86341 Islet cell (pancreas) antibody measurement $23.57

86343 White blood cell histamine (immune system chemical) release test $12.46

86344 White blood cell function measurement $10.39

86352 Analysis of cell function and analysis for genetic marker $135.86

86353 White blood cell function measurement, mitogen or antigen induced blastogenesis $49.03

86355 Total cell count for B cells (white blood cells) $37.73

86356 White blood cell antigen measurement $26.78

86357 Total cell count for natural killer cells (white blood cell) $37.73

86359 T cells count, total $37.73

86360 T cell count and ratio, including ratio $46.98

86361 T cell count and ratio $26.78

86362 Cell-based immunofluorescence (CBA) detection of myelin oligodendrocyte $12.05

86363 Flow cytometry detection of myelin oligodendrocyte glycoprotein (MOG-IgG1) $37.73

86364 Measurement of tissue transglutaminase $11.53

86367 Stem cells count, total $77.78

86376 Microsomal antibodies (autoantibody) measurement $14.55

86381 Measurement of mitochondrial antibody $25.45

86382 Viral neutralization test to detect viral antibody level $16.91

86384 Nitroblue tetrazolium dye test to measure white blood cell function $13.61

86386 Protein test for diagnosis and monitoring of bladder cancer $21.78

86403 Screening test for presence of antibody $11.54

86406 Antibody level measurement $10.64

86408 Screening test for detection of severe acute respiratory syndrome coronavirus 2 $42.13

86409 Measurement of neutralizing antibody to severe acute respiratory syndrome $-

86413 Quantitative measurement of severe acute respiratory syndrome coronavirus 2 $-

86430 Rheumatoid factor analysis $6.14

86431 Rheumatoid factor level $5.67

86480 Tuberculosis test, gamma interferon $61.98

86481 Tuberculosis test, enumeration of T-cells $100.00

86590 Measurement of antibody to streptokinase (enzyme) $12.66

86592 Syphilis detection test $4.27

86593 Syphilis test $4.40

86596 Measurement of voltage-gated calcium channel antibody $12.05

86602 Analysis for antibody to actinomyces (bacteria) $10.18

86603 Analysis for antibody to adenovirus (respiratory virus) $12.87

86606 Analysis for antibody to aspergillus (fungus) $15.05

86609 Analysis for antibody bacteria $12.88

86611 Analysis for antibody to Bartonella (bacteria) $10.18

86612 Analysis for antibody to blastomyces (fungus) $12.90

86615 Analysis for antibody bordetella (respiratory bacteria) $13.19

86617 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) $15.49

86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $17.03

86619 Analysis for antibody to Borrelia (relapsing fever bacteria) $13.38

86622 Analysis for antibody to Brucella (bacteria) $8.93

86625 Analysis for antibody to Campylobacter (intestinal bacteria) $13.12

86628 Analysis for antibody to Candida (yeast) $12.01

86631 Analysis for antibody to Chlamydia (bacteria) $11.82

86632 Analysis for antibody (Igm) to Chlamydia (bacteria) $12.68

86635 Analysis for antibody to Coccidioides (bacteria) $11.47

86638 Analysis for antibody to Coxiella burnetii (Q fever bacteria) $12.12

86641 Analysis for antibody to Cryptococcus (yeast) $14.41

86644 Analysis for antibody to Cytomegalovirus (CMV) $14.39

86645 Analysis for antibody (IgM) to Cytomegalovirus (CMV) $16.85

86648 Analysis for antibody to Diphtheria (bacteria) $15.21

86651 Analysis for antibody to La crosse (California) virus (encephalitis causing $13.19

86652 Analysis for antibody to Eastern equine virus (viral encephalitis) $13.19

86653 Analysis for antibody to St. Louis virus (viral encephalitis) $13.19

86654 Analysis for antibody to Western equine virus (viral encephalitis) $13.19

86658 Analysis for antibody to Enterovirus (gastrointestinal virus) $13.03

86663 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen $13.12

86664 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear $15.29

86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid $18.14

86666 Analysis for antibody to Ehrlichia (bacteria transmitted by ticks) $10.18

86668 Analysis for antibody to Francisella tularensis (bacteria transmitted by $14.16

86671 Analysis for antibody to fungus $12.25

86674 Analysis for antibody to Giardia lamblia (intestinal parasite) $14.72

86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) $16.85

86682 Analysis for antibody to helminth (intestinal worm) $13.01

86684 Analysis for antibody to Haemophilus influenza (respiratory bacteria) $15.84

86687 Analysis for antibody to Human T-cell lymphotropic virus, type 1 (HTLV-1) $9.09

86688 Analysis for antibody to Human T-cell lymphotropic virus, type 2 (HTLV-2) $14.00

86689 Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV $19.35

86692 Analysis for antibody to Hepatitis D virus $17.16

86694 Analysis for antibody to Herpes simplex virus $14.39

86695 Analysis for antibody to Herpes simplex virus, type 1 $13.19

86696 Analysis for antibody to Herpes simplex virus, type 2 $19.35

86698 Analysis for antibody to histoplasma (fungus) $13.79

86701 Analysis for antibody to HIV -1 virus $8.89

86702 Analysis for antibody to HIV-2 virus $13.52

86703 Analysis for antibody to HIV-1 and HIV-2 virus $13.71

86704 Hepatitis B core antibody measurement $12.05

86705 Hepatitis B core antibody (IgM) measurement $11.77

86706 Hepatitis B surface antibody measurement $10.74

86707 Hepatitis Be antibody measurement $11.57

86708 Measurement of Hepatitis A antibody $12.39

86709 Measurement of Hepatitis A antibody (IgM) $11.26

86710 Analysis for antibody to Influenza virus $13.55

86711 Analysis for antibody to john cunningham virus $16.89

86713 Analysis for antibody to Legionella (waterborne bacteria) $15.30

86717 Analysis for antibody to Leishmania (parasite) $12.25

86720 Analysis for antibody to Leptospira $16.20

86723 Analysis for antibody to Listeria monocytogenes (bacteria) $13.19

86727 Analysis for antibody to lymphocytic choriomeningitis virus (viral meningitis) $12.87

86732 Analysis for antibody to mucormycosis (fungus) $15.00

86735 Analysis for antibody to mumps virus $13.05

86738 Analysis for antibody to Mycoplasma (bacteria) $13.24

86741 Analysis for antibody to Neisseria meningitidis (bacterial meningitis) $13.19

86744 Analysis for antibody to Nocardia (bacteria) $15.99

86747 Analysis for antibody to parvovirus $15.03

86750 Analysis for antibody to Plasmodium (malaria parasite) $13.19

86753 Analysis for antibody to protozoa (parasite) $12.39

86756 Analysis for antibody to respiratory syncytial virus (RSV) $15.89

86757 Analysis for antibody to Rickettsia (bacteria) $19.35

86759 Analysis for antibody to Rotavirus (intestinal virus) $18.23

86762 Analysis for antibody to Rubella (German measles virus) $14.39

86765 Analysis for antibody to Rubeola (measles virus) $12.88

86768 Analysis for antibody to Salmonella (intestinal bacteria) $13.19

86769 Measure of severe acute respiratory syndrome coronavirus 2 (Covid-19) antibody $42.13

86771 Analysis for antibody to Shigella (intestinal bacteria) $24.48

86774 Analysis for antibody to tetanus bacteria (Clostridium tetanus) $14.80

86777 Analysis for antibody to Toxoplasma (parasite) $14.39

86778 Analysis for antibody (IgM) to Toxoplasma (parasite) $14.41

86780 Analysis for antibody, Treponema pallidum $13.24

86784 Analysis for antibody to Trichinella (worm parasite) $12.56

86787 Analysis for antibody to varicella-zoster virus (chicken pox) $12.88

86788 Analysis for antibody (IgM) to West Nile virus $16.85

86789 Analysis for antibody to West Nile virus $14.39

86790 Analysis for antibody to virus $12.88

86793 Analysis for antibody to Yersinia (bacteria) $13.19

86794 Analysis for antibody to Zika virus $16.85

86800 Thyroglobulin (thyroid protein) antibody measurement $15.91

86803 Hepatitis C antibody measurement $14.27

86804 Confirmation test for Hepatitis C antibody $15.49

86805 Immunologic analysis for autoimmune disease, with titration $189.51

86806 Immunologic analysis for autoimmune disease, without titration $47.59

86807 Transplant antibody measurement, standard method $78.65

86808 Transplant antibody measurement, quick method $29.68

86812 Immunologic analysis for autoimmune disease, A, B, or C, single antigen $25.81

86813 Immunologic analysis for autoimmune disease, A, B, or C, multiple antigens $58.00

86816 Immunologic analysis for autoimmune disease, DR/DQ, single antigen $30.17

86817 Immunologic analysis for autoimmune disease, DR/DQ, multiple antigens $106.14

86821 Immunologic analysis for autoimmune disease, lymphocyte culture, mixed $36.56

86825 Immunologic analysis for organ transplant, first serum sample or dilution $109.49

86826 Immunologic analysis for organ transplant, each additional serum sample or $36.53

86828 Assessment of antibodies to Class I and Class II human leukocyte antigens (HLA) $64.19

86829 Assessment of antibodies to Class I or Class II human leukocyte antigens (HLA) $64.19

86830 Assessment of antibody to human leukocyte antigens (HLA) with antibody $95.52

86831 Assessment of antibody to human leukocyte antigens (HLA) with antibody $81.88

86832 Assessment of antibody to human leukocyte antigens (HLA) with high definition $323.75

86833 Assessment of antibody to human leukocyte antigens (HLA) with high definition $325.80

86834 Assessment of antibody to human leukocyte antigens (HLA), HLA class I $357.56

86835 Assessment of antibody to human leukocyte antigens (HLA) with solid phase $322.96

86850 Screening test for red blood cell antibodies $9.77

86880 Red blood cell antibody detection test, direct $5.39

86885 Red blood cell antibody detection test, indirect $5.72

86886 Red blood cell antibody level $5.18

86900 Blood group typing (ABO) $2.99

86901 Blood typing for Rh (D) antigen $2.99

86902 Screening test for compatible blood unit, using reagent serum $6.35

86904 Screening test for compatible blood unit, using patient serum $16.34

86905 Blood typing for red blood cell antigens $3.83

86906 Blood typing Rh phenotyping $7.75

86940 Red blood cell antibody screening test $8.77

86941 Red blood cell antibody measurement $12.11

87003 Animal inoculation, small animal with observation and dissection $16.84

87015 Concentration of specimen for infectious agents $6.68

87040 Bacterial blood culture $10.32

87045 Stool culture $9.44

87046 Stool culture, additional pathogens $9.44

87070 Bacterial culture, any other source except urine, blood or stool, aerobic $8.62

87071 Bacterial culture and colony count $9.89

87073 Bacterial culture and colony count for anaerobic bacteria $9.66

87075 Bacterial culture, any source, except blood, anaerobic $9.47

87076 Bacterial culture for anaerobic isolates $8.08

87077 Bacterial culture for aerobic isolates $8.08

87081 Screening test for pathogenic organisms $6.63

87084 Screening test for pathogenic organisms with colony count $27.07

87086 Bacterial colony count, urine $8.07

87088 Bacterial urine culture $8.09

87101 Fungal culture (mold or yeast) of skin, hair, or nail $7.71

87102 Fungal culture (mold or yeast) $8.41

87103 Fungal blood culture (mold or yeast) $20.46

87106 Fungal culture, yeast $10.32

87107 Culture for identification of yeast $10.32

87109 Mycoplasma culture $15.39

87110 Culture for chlamydia $19.60

87116 Culture for acid-fast bacilli $10.80

87118 Identification of mycobacteria (TB or TB like organism) $14.61

87140 Identification of organisms by immunologic analysis, immunofluorescent method $5.57

87143 Identification of organism using chromatography $12.52

87147 Identification of organisms by immunologic analysis, other than $5.18

87149 Identification of organisms by genetic analysis, direct probe technique $20.05

87150 Identification of organisms by genetic analysis, amplified probe technique $35.09

87152 Identification of organism by pulse field gel typing $7.74

87153 Identification of organisms by nucleic acid sequencing method $115.36

87154 Amplifed nucleic acid probe typing of disease agent in blood culture specimen $218.06

87158 Microbial identification $7.74

87164 Dark field microscopic examination for organism, includes specimen collection $10.74

87166 Dark field microscopic examination for organism, without collection $11.30

87168 Macroscopic examination (visual inspection) of insect $4.27

87169 Macroscopic examination (visual inspection) of parasite $4.31

87172 Pinworm test $4.27

87176 Tissue preparation for culture $5.88

87177 Smear for parasites $8.90

87181 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar $4.75

87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) $7.48

87185 Detection of antimicrobial drug (antibiotic, antifungal, antiviral) $4.75

87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), $8.65

87187 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), $40.17

87188 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), $6.64

87190 Antimicrobial study, mycobacteria (TB organism family) $7.31

87197 Evaluation of antibiotic therapy $15.02

87205 Special Gram or Giemsa stain for microorganism $4.27

87206 Special fluorescent and/or acid fast stain for microorganism $5.39

87207 Special stain for inclusion bodies or parasites $5.99

87209 Special stain for parasites $17.98

87210 Smear for infectious agents $5.82

87220 Tissue fungi or parasites $4.27

87230 Microbial toxin or antitoxin assay $19.74

87250 Inoculation of embryonated eggs, or small animal for virus isolation $19.56

87252 Tissue culture inoculation for virus isolation $26.07

87253 Tissue culture for virus isolation $20.20

87254 Virus isolation, centrifuge enhanced $19.56

87255 Virus isolation $33.86

87260 Detection test for adenovirus (virus) $14.43

87265 Detection test for bordetella pertussis or parapertussis (respiratory bacteria) $11.98

87267 Detection test for enterovirus (intestinal virus), direct fluorescent antibody $13.42

87269 Detection test by immunofluorescent technique for giardia (intestinal parasite) $13.61

87270 Detection test by immunofluorescent technique for chlamydia $11.98

87271 Detection test by immunofluorescent technique for cytomegalovirus (CMV) $13.42

87272 Detection test by immunofluorescent technique for cryptosporidium (parasite) $11.98

87273 Detection test by immunofluorescent technique for herpes simplex virus type 2 $11.98

87274 Detection test by immunofluorescent technique for herpes simplex virus type 1 $11.98

87275 Detection test by immunofluorescent technique for influenza B virus $12.25

87276 Detection test by immunofluorescent technique for influenza A virus $16.07

87278 Detection test by immunofluorescent technique for legionella pneumophila (water $15.60

87279 Detection test by immunofluorescent technique for parainfluenza virus $16.43

87280 Detection test by immunofluorescent technique for respiratory syncytial virus $13.42

87281 Detection test by immunofluorescent technique for pneumocystis carinii $11.98

87283 Detection test by immunofluorescent technique for rubeola (measles virus) $60.80

87285 Detection test by immunofluorescent technique for treponema pallidum (syphilis $12.18

87290 Detection test by immunofluorescent technique for varicella (chicken pox) $13.42

87299 Detection test by immunofluorescent technique for organism $16.10

87300 Detection test by immunofluorescent technique for multiple organisms $11.98

87301 Detection test by immunoassay technique for adenovirus enteric types 40/41 $11.98

87305 Detection test by immunoassay technique for aspergillus (fungus) $11.98

87320 Detection test by immunoassay technique for Chlamydia trachomatis $15.00

87324 Detection test by immunoassay technique for clostridium difficile toxins (stool $11.98

87327 Detection test by immunoassay technique, multistep method, for Cryptococcus $13.42

87328 Detection test by immunoassay technique for cryptosporidium (parasite) $13.82

87329 Detection test by immunoassay technique for giardia (intestinal parasite) $11.98

87332 Detection test by immunoassay technique for cytomegalovirus $11.98

87335 Detection test by immunoassay technique for Escherichia coli 0157 (E. coli) $12.66

87336 Detection test by immunoassay technique for entamoeba histolytica dispar group $16.00

87337 Detection test by immunoassay technique for entamoeba histolytica group $11.98

87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract $14.38

87339 Detection test by immunoassay technique for helicobacter pylori (GI tract $16.00

87340 Detection test by immunoassay technique for Hepatitis B surface antigen $10.33

87341 Detection test by immunoassay technique for Hepatitis B surface antigen $10.33

87350 Detection test by immunoassay technique for Hepatitis Be surface antigen $11.53

87380 Detection test by immunoassay technique for Hepatitis D $18.36

87385 Detection test by immunoassay technique for histoplasma capsulatum (parasite) $13.25

87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 $24.08

87390 Detection test by immunoassay technique for HIV-1 antigen $24.06

87391 Detection test by immunoassay technique for HIV-2 antigen $21.90

87400 Detection test by immunoassay technique for influenza virus $14.13

87420 Detection test by immunoassay technique for respiratory syncytial virus (RSV) $13.91

87425 Detection test by immunoassay technique for Rotavirus $11.98

87426 Detection test by immunoassay technique for severe acute respiratory syndrome $35.33

87427 Detection test by immunoassay technique for Shiga-like toxin (bacterial toxin) $11.98

87428 Detection test by immunoassay technique for severe acute respiratory syndrome $-

87430 Detection test by immunoassay technique for Streptococcus, group A (strep) $16.81

87449 Detection test by immunoassay technique for other organism $11.98

87451 Detection test by immunoassay technique for multiple organisms, each polyvalent $10.51

87467 Measurement of Hepatitis B surface antigen (HBsAg $15.05

87468 Detection of Anaplasma phagocytophilum by amplified nucleic acid probe technique $35.09

87469 Detection of Babesia microtim by amplified nucleic acid probe technique $35.09

87471 Detection by nucleic acid Bartonella henselae and Bartonella quintana $35.09

87472 Detection by nucleic acid Bartonella henselae and Bartonella quintana $42.84

87475 Detection by nucleic acid for borrelia burgdorferi (bacteria), direct probe $20.05

87476 Detection by nucleic acid for borrelia burgdorferi (bacteria), amplified probe $35.09

87478 Detection of Babesia Borrelia miyamotoi by amplified nucleic acid probe $35.09

87480 Detection test for candida species (yeast), direct probe technique $20.05

87481 Detection test for candida species (yeast), amplified probe technique $35.09

87482 Detection test for candida species (yeast), quantification $55.74

87483 Test for detecting nucleic acid of organism causing infection of central $416.78

87484 Detection of Ehrlichia chaffeensis by amplified nucleic acid probe technique $35.09

87485 Detection test by nucleic acid for chlamydia pneumoniae, direct probe technique $20.05

87486 Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe $35.09

87487 Detection test by nucleic acid for chlamydia pneumoniae, quantification $42.84

87490 Detection test by nucleic acid for chlamydia, direct probe technique $22.75

87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe $35.09

87492 Detection test by nucleic acid for chlamydia trachomatis, quantification $53.47

87493 Detection test by nucleic acid for clostridium difficile, amplified probe $37.27

87495 Detection test by nucleic acid for cytomegalovirus (CMV), direct probe technique $30.03

87496 Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe $35.09

87497 Detection test by nucleic acid for cytomegalovirus, quantification $42.84

87498 Detection test by nucleic acid for enterovirus (intestinal virus), amplified $35.09

87500 Detection test by nucleic acid for Vancomycin resistance strep (VRE), amplified $35.09

87501 Detection test by nucleic acid for influenza virus, each type or subtype $51.31

87502 Detection test by nucleic acid for multiple types influenza virus $95.80

87503 Detection test by nucleic acid for multiple types influenza virus, each $29.22

87505 Detection test by nucleic acid for digestive tract pathogen, multiple types or $128.29

87506 Detection test by nucleic acid for digestive tract pathogen, multiple types or $262.99

87507 Detection test by nucleic acid for digestive tract pathogen, multiple types or $416.78

87510 Detection test for gardnerella vaginalis (bacteria), direct probe technique $20.05

87511 Detection test for gardnerella vaginalis (bacteria), amplified probe technique $35.09

87512 Detection test for gardnerella vaginalis (bacteria), quantification $41.76

87516 Detection test by nucleic acid for Hepatitis B virus, amplified probe technique $35.09

87517 Detection test by nucleic acid for Hepatitis B virus, quantification $42.84

87520 Detection test by nucleic acid for Hepatitis C virus, direct probe technique $31.22

87521 Detection test by nucleic acid for Hepatitis C virus, amplified probe technique $35.09

87522 Detection test by nucleic acid for Hepatitis C virus, quantification $42.84

87525 Detection test by nucleic acid for Hepatitis G virus, direct probe technique $29.80

87526 Detection test by nucleic acid for Hepatitis G virus, amplified probe technique $39.26

87527 Detection test by nucleic acid for Hepatitis G virus, quantification $41.76

87528 Detection test by nucleic acid for herpes simplex virus, direct probe technique $20.05

87529 Detection test by nucleic acid for herpes simplex virus, amplified probe $35.09

87530 Detection test by nucleic acid for herpes simplex virus, quantification $42.84

87531 Detection test by nucleic acid for herpes virus-6, direct probe technique $58.00

87532 Detection test by nucleic acid for herpes virus-6, amplified probe technique $35.09

87533 Detection test by nucleic acid for herpes virus-6, quantification $41.76

87534 Detection test by nucleic acid for HIV-1 virus, direct probe technique $21.92

87535 Detection test by nucleic acid for HIV-1 virus, amplified probe technique $35.09

87536 Detection test by nucleic acid for HIV-1 virus, quantification $85.10

87537 Detection test by nucleic acid for HIV-2 virus, direct probe technique $21.92

87538 Detection test by nucleic acid for HIV-2 virus, amplified probe technique $35.09

87539 Detection test by nucleic acid for HIV-2 virus, quantification $58.62

87540 Detection test by nucleic acid for legionella pneumophila (water borne $20.05

87541 Detection test by nucleic acid for legionella pneumophila (water borne $35.09

87542 Detection test by nucleic acid for legionella pneumophila (water borne $41.76

87550 Detection test by nucleic acid for Mycobacteria species (bacteria), direct $20.05

87551 Detection test by nucleic acid for Mycobacteria species (bacteria), amplified $48.24

87552 Detection test by nucleic acid for Mycobacteria species (bacteria), $42.84

87555 Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria), $26.88

87556 Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria), $41.68

87557 Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria), $42.84

87560 Detection test by nucleic acid for Mycobacteria avium-intracellulare $27.29

87561 Detection test by nucleic acid for Mycobacteria avium-intracellulare $35.09

87562 Detection test by nucleic acid for Mycobacteria avium-intracellulare $42.84

87563 Detection of Mycoplasma genitalium by DNA or RNA probe $35.09

87580 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), direct $20.05

87581 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified $35.09

87582 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), $302.62

87590 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae $26.88

87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae $35.09

87592 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae $42.84

87593 Infectious agent detection by nucleic acid (dna or rna); orthopoxvirus (eg, $-

87623 Detection test by nucleic acid for human papillomavirus (hpv), low-risk types $35.09

87624 Detection test by nucleic acid for human papillomavirus (hpv), high-risk types $35.09

87625 Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 $40.55

87631 Detection test by nucleic acid for multiple types of respiratory virus, $142.63

87632 Detection test by nucleic acid for multiple types of respiratory virus, $218.06

87633 Detection test by nucleic acid for multiple types of respiratory virus, $416.78

87634 Detection test by nucleic acid for respiratory syncytial virus, amplified probe $70.20

87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome $51.31

87636 Detection test by multiplex amplified probe technique for severe acute $142.63

87637 Detection test by multiplex amplified probe technique for severe acute $142.63

87640 Detection test by nucleic acid for Staphylococcus aureus (bacteria), amplified $35.09

87641 Detection test by nucleic acid for Staphylococcus aureus, methicillin resistant $35.09

87650 Detection test by nucleic acid for Strep (Streptococcus, group A), direct probe $20.05

87651 Detection test by nucleic acid for Strep (Streptococcus, group A), amplified $35.09

87652 Detection test by nucleic acid for Strep (Streptococcus, group A), $41.76

87653 Detection test by nucleic acid for Strep (Streptococcus, group B), amplified $35.09

87660 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), $20.05

87661 Infectious agent detection by nucleic acid (dna or rna); trichomonas vaginalis, $35.09

87662 Detection test by nucleic acid for Zika virus, amplified probe technique $51.31

87797 Detection test by nucleic acid for organism, direct probe technique $30.03

87798 Detection test by nucleic acid for organism, amplified probe technique $35.09

87799 Detection test by nucleic acid for organism, quantification $42.84

87800 Detection test by nucleic acid for multiple organisms, direct probe(s) technique $43.67

87801 Detection test by nucleic acid for multiple organisms, amplified probe(s) $70.20

87802 Detection test by immunoassay with direct visual observation for Streptococcus, $12.73

87803 Detection test by immunoassay with direct visual observation for Clostridium $16.00

87804 Detection test by immunoassay with direct visual observation for influenza virus $16.55

87806 Detection test by immunoassay with direct visual observation for HIV-1 antigen, $32.77

87807 Detection test by immunoassay with direct visual observation for respiratory $13.10

87808 Detection test by immunoassay with direct visual observation for Trichomonas $15.29

87809 Detection test by immunoassay with direct visual observation for adenovirus $21.76

87810 Detection test by immunoassay with direct visual observation for Chlamydia $35.29

87811 Detection test by immunoassay with direct visual observation for severe acute $41.38

87850 Detection test by immunoassay with direct visual observation for Neisseria $24.56

87880 Detection test by immunoassay with direct visual observation for Streptococcus, $16.53

87899 Detection test by immunoassay with direct visual observation for other organism $16.07

87900 Infectious agent drug susceptibility analysis $130.35

87901 Analysis test by nucleic acid for HIV-1 virus $257.45

87902 Analysis test by nucleic acid for Hepatitis C virus $257.45

87903 Analysis test by nucleic acid for HIV-1 virus, first through 10 drugs tested $488.66

87904 Analysis test by nucleic acid for HIV-1 virus, each additional drug tested $26.07

87905 Infectious agent enzymatic activity to detect organism $12.22

87906 Analysis test by nucleic acid for HIV-1 virus, other region $128.73

87910 Analysis test by nucleic acid for cytomegalovirus, cytomegalovirus $257.45

87912 Analysis test by nucleic acid for hepatitis b virus $257.45

87913 Genotype analysis of severe acute respiratory syndrome coronavirus 2 (COVID-19) $257.45

88130 Sex identification, Barr bodies $17.98

88140 Sex identification, peripheral blood smear $7.99

88142 Pap test, manual screening $20.26

88143 Pap test, manual screening and rescreening $23.04

88147 Pap test (Pap smear), automated system $50.56

88148 Pap test (Pap smear), automated system with manual rescreening $17.31

88150 Pap test, slides, manual screening $17.31

88152 Pap test, slides, automated system with computer-assisted rescreening $27.64

88153 Pap test, slides, manual screening and rescreening $24.03

88155 Pap test, slides, definitive hormonal evaluation $14.65

88164 Pap test, slides, manual screening (the Bethesda System) $17.31

88165 Pap test, slides, manual screening and rescreening (the Bethesda System) $42.22

88166 Pap test, slides, manual screening and computer-assisted rescreening (the $17.31

88167 Pap test, slides, manual screening and computer-assisted rescreening using cell $17.31

88174 Pap test, automated thin layer preparation; automated system $25.37

88175 Pap test, automated thin layer preparation; automated system and manual $26.61

88230 Tissue culture to identify white blood cell disorders $116.49

88233 Tissue culture to identify skin disorders $140.73

88235 Tissue culture for disorders of amniotic fluid or placenta cells $150.30

88237 Tissue culture for tumor disorders of bone marrow and blood cells $143.75

88239 Tissue culture for tumor disorders $147.52

88240 Cryopreservation, freezing and storage of cells $13.07

88241 Thawing and expansion of frozen cells $12.09

88245 Chromosome analysis for genetic defects, baseline Sister Chromatid Exchange $173.17

88248 Chromosome analysis for genetic defects, baseline breakage, score 50-100 cells, $173.17

88249 Chromosome analysis for genetic defects, score 100 cells, clastogen stress $173.17

88261 Chromosome analysis for genetic defects, count 5 cells $264.34

88262 Chromosome analysis for genetic defects, count 15-20 cells $125.49

88263 Chromosome analysis for genetic defects, count 45 cells for mosaicism $150.29

88264 Chromosome analysis for genetic defects, analyze 20-25 cells $144.61

88267 Chromosome analysis of amniotic fluid or placenta for genetic defects $188.57

88269 Chromosome analysis of amniotic fluid for genetic defects $173.66

88271 DNA testing for genetic defects $21.42

88272 Chromosome analysis for genetic defects, analyze 3-5 cells $40.70

88273 Chromosome analysis for genetic defects, analyze 10-30 cells $34.81

88274 Chromosome analysis for genetic defects, analyze 25-99 cells $42.38

88275 Chromosome analysis for genetic defects, analyze 100-300 cells $51.19

88280 Chromosome analysis for genetic defects, additional karyotypes, each study $33.47

88283 Chromosome analysis for genetic defects, additional specialized banding $68.60

88285 Chromosome analysis for genetic defects, additional cells counted, each study $26.91

88289 Chromosome analysis for genetic defects, additional high resolution study $34.43

88371 Protein analysis of tissue with interpretation and report $22.23

88372 Protein analysis of tissue by western blot, with interpretation and report $26.22

88720 Measurement of bilirubin $5.02

88738 Hemoglobin measurement $5.02

88740 Hemoglobin measurement, per day $9.37

88741 Hemoglobin measurement, per day, methemoglobin $9.37

89050 Body fluid cell count $4.72

89051 Body fluid cell count with cell identification $5.60

89055 White blood cell measure, stool specimen $4.27

89060 Crystal identification from tissue or body fluid $7.33

89125 Fat stain of stool, urine, or respiratory secretions $5.88

89160 Examination of stool for meat fibers $4.85

89190 Nasal smear for eosinophils (allergy related white blood cells) $5.79

89300 Semen analysis presence and/or motility of sperm $9.84

89310 Semen analysis motility and count $8.61

89320 Semen evaluation volume, sperm count, motility and analysis $12.31

89321 Semen analysis for sperm presence $12.05

89322 Semen evaluation, volume, sperm count, motility, and analysis $15.50

89325 Sperm antibody measurement $10.67

89329 Sperm evaluation, hamster penetration test $19.59

89330 Sperm evaluation, cervical mucus penetration test $10.38

89331 Sperm evaluation, for reverse ejaculation, urine specimen $19.59

G0027 Semen analysis; presence and/or motility of sperm excluding huhner $6.50

G0103 Prostate cancer screening; prostate specific antigen test (psa) $19.31

G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected $20.26

G0143 Screening cytopathology, cervical or vaginal (any reporting system), collected $27.05

G0144 Screening cytopathology, cervical or vaginal (any reporting system), collected $43.97

G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected $26.49

G0147 Screening cytopathology smears, cervical or vaginal, performed by automated $17.31

G0148 Screening cytopathology smears, cervical or vaginal, performed by automated $31.94

G0306 Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and $7.77

G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) $6.47

G0327 Colorectal cancer screening; blood-based biomarker $-

G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 $18.05

G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, $19.57

G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay $18.29

G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, $11.98

G0471 Collection of venous blood by venipuncture or urine sample by catheterization $10.57

G0472 Hepatitis c antibody screening, for individual at high risk and other covered $46.35

G0475 Hiv antigen/antibody, combination assay, screening $24.08

G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus $35.09

G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to $114.43

G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to $156.59

G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to $198.74

G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to $246.92

G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis $28.27

G0659 Drug test(s), definitive, utilizing drug identification methods able to $62.14

G9143 Warfarin responsiveness testing by genetic technique using any method, any $120.72

P2028 Cephalin floculation, blood $4.95

P2029 Congo red, blood $4.95

P2031 Hair analysis (excluding arsenic) $4.95

P2033 Thymol turbidity, blood $4.95

P2038 Mucoprotein, blood (seromucoid) (medical necessity procedure) $4.95

P3000 Screening papanicolaou smear, cervical or vaginal, up to three smears, by $17.31

P9612 Catheterization for collection of specimen, single patient, all places of $8.57

P9615 Catheterization for collection of specimen(s) (multiple patients) $8.57

Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens $17.31

Q0112 All potassium hydroxide (koh) preparations $5.83

Q0113 Pinworm examinations $4.27

Q0114 Fern test $9.74

Q0115 Post-coital direct, qualitative examinations of vaginal or cervical mucous $25.00

U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel $35.92

U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple $51.31

2023 CLIA CMS Laboratory Fee Schedule with ICD-10 and Reimbursements for LAB Tests

HCPCS Test Name RATE2023

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National Clinical Lab Consultants for CLIA COLA CAP TJC

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