2015 clinical diagnostic laboratory fee schedule

CLFS_2015

2015 Clinical Diagnostic Laboratory Fee Schedule CPT codes, descriptions and other data only are copyright 2013 American Medical Association.

All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).

AR

07102

LOC 00

36415 6.00 Routine venipuncture

78267 21.40 Breath tst attain/anal c-14

78268 78.76 Breath test analysis c-14

80047 23.02 Metabolic panel ionized ca

80047 23.02 Metabolic panel ionized ca

80048 23.02 Metabolic panel total ca

80048 23.02 Metabolic panel total ca

80051 19.10 Electrolyte panel

80051 19.10 Electrolyte panel

80053 28.74 Comprehen metabolic panel

80053 28.74 Comprehen metabolic panel

80061 34.62 Lipid panel

80061 34.62 Lipid panel

80069 23.64 Renal function panel

80069 23.64 Renal function panel

80074 129.66 Acute hepatitis panel

80076 22.22 Hepatic function panel

80150 41.02 Assay of amikacin

80155 38.50 Drug screen quant caffeine

80156 39.64 Assay carbamazepine total

80157 36.08 Assay carbamazepine free

80158 49.14 Assay of cyclosporine

80159 50.34 Drug screen quant clozapine

80162 36.14 Assay of digoxin

80163 36.14 Assay of digoxin free

80164 36.88 Assay dipropylacetic acid

80165 36.88 Dipropylacetic acid free

80168 44.48 Assay of ethosuximide

80169 37.38 Drug screen quant everolimus

80170 44.60 Assay of gentamicin

80171 36.08 Drug screen quant gabapentin

80173 39.64 Assay of haloperidol

80175 36.08 Drug screen quan lamotrigine

80176 39.98 Assay of lidocaine

80177 36.08 Drug scrn quan levetiracetam

80178 18.00 Assay of lithium

80178 18.00 Assay of lithium

SHORTDESCHCPCS

CLFS_2015

80180 49.14 Drug scrn quan mycophenolate

80183 36.08 Drug scrn quant oxcarbazepin

80184 31.16 Assay of phenobarbital

80185 36.08 Assay of phenytoin total

80186 37.46 Assay of phenytoin free

80188 45.16 Assay of primidone

80190 45.60 Assay of procainamide

80192 45.60 Assay of procainamide

80194 39.74 Assay of quinidine

80195 37.38 Assay of sirolimus

80197 37.38 Assay of tacrolimus

80198 38.50 Assay of theophylline

80199 49.16 Drug screen quant tiagabine

80200 43.88 Assay of tobramycin

80201 32.46 Assay of topiramate

80202 36.88 Assay of vancomycin

80203 36.08 Drug screen quant zonisamide

80299 37.28 Quantitative assay drug

80400 88.78 Acth stimulation panel



80408 341.56 Aldosterone suppression eval

80410 218.66 Calcitonin stimul panel

80412 536.84 CRH stimulation panel

80414 140.54 Testosterone response

80415 152.10 Estradiol response panel

80416 359.16 Renin stimulation panel

80417 119.72 Renin stimulation panel

80418 1337.28 Pituitary evaluation panel

80420 196.08 Dexamethasone panel

80422 125.40 Glucagon tolerance panel

80424 137.44 Glucagon tolerance panel

80426 403.92 Gonadotropin hormone panel

80428 181.54 Growth hormone panel

80430 213.60 Growth hormone panel

80432 367.70 Insulin suppression panel

80434 275.36 Insulin tolerance panel

80435 280.38 Insulin tolerance panel

80436 248.12 Metyrapone panel

80438 137.20 TRH stimulation panel

80439 182.94 TRH stimulation panel

81000 8.62 Urinalysis nonauto w/scope

81001 8.62 Urinalysis auto w/scope

81002 6.96 Urinalysis nonauto w/o scope

CLFS_2015

81003 6.12 Urinalysis auto w/o scope

81003 6.12 Urinalysis auto w/o scope

81005 5.90 Urinalysis

81007 6.98 Urine screen for bacteria

81007 6.98 Urine screen for bacteria

81015 8.28 Microscopic exam of urine

81020 10.04 Urinalysis glass test

81025 17.22 Urine pregnancy test

81050 8.16 Urinalysis volume measure

81161 0.00 Dmd dup/delet analysis

81206 446.26 Bcr/abl1 gene major bp

81207 394.20 Bcr/abl1 gene minor bp

81208 437.76 Bcr/abl1 gene other bp

81210 357.60 Braf gene

81211 4356.08 Brca1&2 seq & com dup/del

81212 352.52 Brca1&2 185&5385&6174 var

81213 1162.52 Brca1&2 uncom dup/del var

81214 2869.08 Brca1 full seq & com dup/del

81215 186.02 Brca1 gene known fam variant

81217 186.02 Brca2 gene known fam variant

81225 582.14 Cyp2c19 gene com variants

81226 900.92 Cyp2d6 gene com variants

81227 349.28 Cyp2c9 gene com variants

81235 658.36 Egfr gene com variants

81240 133.92 F2 gene

81241 166.32 F5 gene

81245 331.02 Flt3 gene

81246 0.00 Flt3 gene analysis

81256 177.90 Hfe gene

81261 538.86 Igh gene rearrange amp meth

81262 118.80 Igh gene rearrang dir probe

81263 801.58 Igh vari regional mutation

81264 406.42 Igk rearrangeabn clonal pop

81265 585.30 Str markers specimen anal

81267 564.64 Chimerism anal no cell selec

81268 709.78 Chimerism anal w/cell select

81270 249.50 Jak2 gene

81275 393.98 Kras gene

81287 0.00 Mgmt gene methylation anal

81288 0.00 Mlh1 gene

81291 118.80 Mthfr gene

81292 1289.24 Mlh1 gene full seq

81293 516.82 Mlh1 gene known variants

81294 380.40 Mlh1 gene dup/delete variant

CLFS_2015

81295 302.66 Msh2 gene full seq

81296 258.42 Msh2 gene known variants

81297 302.66 Msh2 gene dup/delete variant

81298 574.22 Msh6 gene full seq

81299 321.68 Msh6 gene known variants

81300 322.56 Msh6 gene dup/delete variant

81301 788.10 Microsatellite instability

81310 493.04 Npm1 gene

81313 0.00 Pca3/klk3 antigen

81315 564.24 Pml/raralpha com breakpoints

81316 860.62 Pml/raralpha 1 breakpoint

81317 1558.68 Pms2 gene full seq analysis

81318 368.30 Pms2 known familial variants

81319 442.22 Pms2 gene dup/delet variants

81321 1198.40 Pten gene full sequence

81322 116.50 Pten gene known fam variant

81323 174.76 Pten gene dup/delet variant

81332 118.80 Serpina1 gene

81340 568.62 Trb@ gene rearrange amplify

81341 134.96 Trb@ gene rearrange dirprobe

81342 548.42 Trg gene rearrangement anal

81370 1094.46 Hla i & ii typing lr

81371 655.08 Hla i & ii type verify lr

81372 601.22 Hla i typing complete lr

81373 303.10 Hla i typing 1 locus lr

81374 198.00 Hla i typing 1 antigen lr

81375 600.80 Hla ii typing ag equiv lr

81376 332.64 Hla ii typing 1 locus lr

81377 249.88 Hla ii type 1 ag equiv lr

81378 940.52 Hla i & ii typing hr

81379 912.80 Hla i typing complete hr

81380 482.42 Hla i typing 1 locus hr

81381 257.42 Hla i typing 1 allele hr

81382 336.62 Hla ii typing 1 loc hr

81383 297.02 Hla ii typing 1 allele hr

81410 0.00 Aortic dysfunction/dilation

81411 0.00 Aortic dysfunction/dilation

81415 0.00 Exome sequence analysis

81416 0.00 Exome sequence analysis

81417 0.00 Exome re-evaluation

81420 0.00 Fetal chrmoml aneuploidy

81425 0.00 Genome sequence analysis

81426 0.00 Genome sequence analysis

81427 0.00 Genome re-evaluation

CLFS_2015

81430 0.00 Hearing loss sequence analys

81431 0.00 Hearing loss dup/del analys

81435 0.00 Hereditary colon cancer

81436 0.00 Hereditary colon ca synd

81440 0.00 Mitochondrial gene

81445 0.00 Targeted genomic seq analys



81460 0.00 Whole mitochondrial genome

81465 0.00 Whole mitochondrial genome

81470 0.00 X-linked intellectual dblt

81471 0.00 X-linked intellectual dblt

82009 12.30 Test for acetone/ketones

82010 19.10 Acetone assay

82010 19.10 Acetone assay

82013 30.40 Acetylcholinesterase assay

82016 36.34 Acylcarnitines qual

82017 45.90 Acylcarnitines quant

82024 45.08 Assay of acth

82030 70.22 Assay of adp & amp

82040 13.46 Assay of serum albumin

82040 13.46 Assay of serum albumin

82042 14.08 Assay of urine albumin

82042 14.08 Assay of urine albumin

82043 15.74 Microalbumin quantitative

82043 15.74 Microalbumin quantitative

82044 5.16 Microalbumin semiquant

82044 5.16 Microalbumin semiquant

82045 92.38 Albumin ischemia modified

82075 20.50 Assay of breath ethanol

82085 26.42 Assay of aldolase

82088 110.92 Assay of aldosterone

82103 36.58 Alpha-1-antitrypsin total

82104 39.36 Alpha-1-antitrypsin pheno

82105 45.66 Alpha-fetoprotein serum

82106 45.66 Alpha-fetoprotein amniotic

82107 175.30 Alpha-fetoprotein l3

82108 23.78 Assay of aluminum

82120 10.24 Amines vaginal fluid qual

82120 10.24 Amines vaginal fluid qual

82127 36.34 Amino acid single qual

82128 36.34 Amino acids mult qual

82131 45.90 Amino acids single quant

82135 44.78 Assay aminolevulinic acid

CLFS_2015

82136 45.90 Amino acids quant 2-5

82139 45.90 Amino acids quan 6 or more

82140 23.80 Assay of ammonia

82143 18.14 Amniotic fluid scan

82150 17.64 Assay of amylase

82150 17.64 Assay of amylase

82154 78.48 Androstanediol glucuronide

82157 79.68 Assay of androstenedione

82160 68.06 Assay of androsterone

82163 55.86 Assay of angiotensin II

82164 39.74 Angiotensin I enzyme test

82172 42.18 Assay of apolipoprotein

82175 51.64 Assay of arsenic

82180 26.90 Assay of ascorbic acid

82190 40.56 Atomic absorption

82232 44.04 Assay of beta-2 protein

82239 46.62 Bile acids total

82240 72.34 Bile acids cholylglycine

82247 13.66 Bilirubin total

82247 13.66 Bilirubin total

82248 13.66 Bilirubin direct

82252 7.34 Fecal bilirubin test

82261 45.90 Assay of biotinidase

82270 8.86 Occult blood feces

82271 8.86 Occult blood other sources

82271 8.86 Occult blood other sources

82272 8.86 Occult bld feces 1-3 tests

82272 8.86 Occult bld feces 1-3 tests

82274 43.30 Assay test for blood fecal

82274 43.30 Assay test for blood fecal

82286 18.76 Assay of bradykinin

82300 62.98 Assay of cadmium

82306 80.58 Vitamin d 25 hydroxy

82308 72.90 Assay of calcitonin

82310 14.04 Assay of calcium




82331 14.08 Calcium infusion test

82340 16.42 Assay of calcium in urine

82355 31.50 Calculus analysis qual

82360 35.04 Calculus assay quant

82365 35.10 Calculus spectroscopy

82370 34.10 X-ray assay calculus

CLFS_2015

82373 49.16 Assay c-d transfer measure

82374 13.30 Assay blood carbon dioxide

82374 13.30 Assay blood carbon dioxide

82375 33.54 Assay carboxyhb quant

82376 16.30 Assay carboxyhb qual

82378 51.62 Carcinoembryonic antigen

82379 45.90 Assay of carnitine

82380 25.10 Assay of carotene

82382 46.80 Assay urine catecholamines

82383 68.20 Assay blood catecholamines

82384 68.72 Assay three catecholamines

82387 56.64 Assay of cathepsin-d

82390 29.24 Assay of ceruloplasmin

82397 38.44 Chemiluminescent assay

82415 34.48 Assay of chloramphenicol

82435 12.52 Assay of blood chloride

82435 12.52 Assay of blood chloride

82436 13.70 Assay of urine chloride

82438 13.30 Assay other fluid chlorides

82441 14.66 Test for chlorohydrocarbons

82465 11.84 Assay bld/serum cholesterol

82465 11.84 Assay bld/serum cholesterol

82480 21.44 Assay serum cholinesterase

82482 20.90 Assay rbc cholinesterase

82485 13.68 Assay chondroitin sulfate

82486 49.16 Gas/liquid chromatography

82487 43.46 Paper chromatography

82488 58.14 Paper chromatography

82489 50.34 Thin layer chromatography

82491 49.16 Chromotography quant sing

82492 49.16 Chromotography quant mult

82495 19.04 Assay of chromium

82507 75.68 Assay of citrate

82523 50.86 Collagen crosslinks

82523 50.86 Collagen crosslinks

82525 33.78 Assay of copper

82528 61.28 Assay of corticosterone

82530 45.48 Cortisol free

82533 44.38 Total cortisol

82540 12.62 Assay of creatine

82541 49.16 Column chromotography qual

82542 49.16 Column chromotography quant

82543 49.16 Column chromotograph/isotope

82544 49.16 Column chromotograph/isotope

CLFS_2015

82550 17.72 Assay of ck (cpk)

82550 17.72 Assay of ck (cpk)

82552 36.46 Assay of cpk in blood

82553 31.44 Creatine mb fraction

82554 32.30 Creatine isoforms

82565 13.94 Assay of creatinine

82565 13.94 Assay of creatinine

82570 14.08 Assay of urine creatinine

82570 14.08 Assay of urine creatinine

82575 25.72 Creatinine clearance test

82585 23.36 Assay of cryofibrinogen

82595 17.62 Assay of cryoglobulin

82600 52.80 Assay of cyanide

82607 41.02 Vitamin B-12

82608 38.96 B-12 binding capacity

82610 37.00 Cystatin c

82615 22.22 Test for urine cystines

82626 68.78 Dehydroepiandrosterone

82627 60.52 Dehydroepiandrosterone

82633 84.32 Desoxycorticosterone

82634 79.68 Deoxycortisol

82638 33.32 Assay of dibucaine number

82652 104.78 Vit d 1 25-dihydroxy

82656 31.40 Pancreatic elastase fecal

82657 49.16 Enzyme cell activity

82658 49.16 Enzyme cell activity ra

82664 93.50 Electrophoretic test

82668 51.16 Assay of erythropoietin

82670 76.04 Assay of estradiol

82671 65.32 Assay of estrogens

82672 59.06 Assay of estrogen

82677 65.82 Assay of estriol

82679 67.92 Assay of estrone

82679 67.92 Assay of estrone

82693 40.54 Assay of ethylene glycol

82696 64.18 Assay of etiocholanolone

82705 13.86 Fats/lipids feces qual

82710 31.68 Fats/lipids feces quant

82715 46.84 Assay of fecal fat

82725 36.24 Assay of blood fatty acids

82726 49.16 Long chain fatty acids

82728 37.08 Assay of ferritin

82731 175.30 Assay of fetal fibronectin

82735 50.46 Assay of fluoride

CLFS_2015

82746 40.02 Assay of folic acid serum

82747 47.14 Assay of folic acid rbc

82757 47.20 Assay of semen fructose

82759 58.48 Assay of rbc galactokinase

82760 22.04 Assay of galactose

82775 57.34 Assay galactose transferase

82776 17.46 Galactose transferase test

82777 59.86 Galectin-3

82784 15.70 Assay iga/igd/igg/igm each

82785 44.06 Assay of ige

82787 21.82 Igg 1 2 3 or 4 each

82800 23.02 Blood pH

82803 52.66 Blood gases any combination

82805 77.24 Blood gases w/o2 saturation

82810 23.76 Blood gases o2 sat only

82820 27.18 Hemoglobin-oxygen affinity

82930 10.16 Gastric analy w/ph ea spec

82938 48.16 Gastrin test

82941 48.00 Assay of gastrin

82943 38.88 Assay of glucagon

82945 10.68 Glucose other fluid

82946 41.02 Glucagon tolerance test

82947 10.68 Assay glucose blood quant

82947 10.68 Assay glucose blood quant

82948 8.62 Reagent strip/blood glucose

82950 12.92 Glucose test

82950 12.92 Glucose test

82951 35.04 Glucose tolerance test (GTT)

82951 35.04 Glucose tolerance test (GTT)

82952 10.68 GTT-added samples

82952 10.68 GTT-added samples

82955 26.38 Assay of g6pd enzyme

82960 16.48 Test for G6PD enzyme

82962 6.38 Glucose blood test

82963 58.48 Assay of glucosidase

82965 19.04 Assay of gdh enzyme

82977 19.60 Assay of GGT

82977 19.60 Assay of GGT

82978 38.80 Assay of glutathione

82979 15.70 Assay rbc glutathione

82985 41.02 Assay of glycated protein

82985 41.02 Assay of glycated protein

83001 50.58 Assay of gonadotropin (fsh)

83001 50.58 Assay of gonadotropin (fsh)

CLFS_2015

83002 50.40 Assay of gonadotropin (lh)

83002 50.40 Assay of gonadotropin (lh)

83003 45.40 Assay growth hormone (hgh)

83006 59.86 Growth stimulation gene 2

83009 78.76 H pylori (c-13) blood

83010 34.24 Assay of haptoglobin quant

83012 46.80 Assay of haptoglobins

83013 78.76 H pylori (c-13) breath

83014 21.40 H pylori drug admin

83015 51.26 Heavy metal screen

83018 59.60 Quantitative screen metals

83020 35.04 Hemoglobin electrophoresis

83021 49.16 Hemoglobin chromotography

83026 6.44 Hemoglobin copper sulfate

83030 22.50 Fetal hemoglobin chemical

83033 15.46 Fetal hemoglobin assay qual

83036 26.42 Glycosylated hemoglobin test

83036 26.42 Glycosylated hemoglobin test

83037 26.42 Glycosylated hb home device

83037 26.42 Glycosylated hb home device

83045 13.48 Blood methemoglobin test

83050 15.74 Blood methemoglobin assay

83051 19.90 Assay of plasma hemoglobin

83060 22.50 Blood sulfhemoglobin assay

83065 18.76 Assay of hemoglobin heat

83068 23.02 Hemoglobin stability screen

83069 10.74 Assay of urine hemoglobin

83070 9.12 Assay of hemosiderin qual

83080 45.90 Assay of b hexosaminidase

83088 75.94 Assay of histamine

83090 45.90 Assay of homocystine

83150 24.56 Assay of homovanillic acid

83491 47.68 Assay of corticosteroids 17

83497 35.10 Assay of 5-hiaa

83498 73.94 Assay of progesterone 17-d

83499 68.62 Assay of progesterone 20-

83500 61.64 Assay free hydroxyproline

83505 66.18 Assay total hydroxyproline

83516 31.40 Immunoassay nonantibody

83516 31.40 Immunoassay nonantibody

83518 12.48 Immunoassay dipstick

83518 12.48 Immunoassay dipstick

83519 24.52 Ria nonantibody

83520 35.24 Immunoassay quant nos nonab

CLFS_2015

83520 35.24 Immunoassay quant nos nonab

83525 31.10 Assay of insulin

83527 35.24 Assay of insulin

83528 43.30 Assay of intrinsic factor

83540 17.62 Assay of iron

83550 23.80 Iron binding test

83570 24.08 Assay of idh enzyme

83582 38.56 Assay of ketogenic steroids

83586 34.86 Assay 17- ketosteroids

83593 71.58 Fractionation ketosteroids

83605 29.06 Assay of lactic acid

83605 29.06 Assay of lactic acid

83615 16.42 Lactate (LD) (LDH) enzyme

83625 34.84 Assay of ldh enzymes

83630 53.42 Lactoferrin fecal (qual)

83631 53.42 Lactoferrin fecal (quant)

83632 55.02 Placental lactogen

83633 14.96 Test urine for lactose

83655 32.94 Assay of lead

83655 32.94 Assay of lead

83661 59.84 L/s ratio fetal lung

83662 51.48 Foam stability fetal lung

83663 51.48 Fluoro polarize fetal lung

83664 51.48 Lamellar bdy fetal lung

83670 24.94 Assay of lap enzyme

83690 18.76 Assay of lipase

83695 35.24 Assay of lipoprotein(a)

83698 92.38 Assay lipoprotein pla2

83700 30.64 Lipopro bld electrophoretic

83701 66.32 Lipoprotein bld hr fraction

83704 85.86 Lipoprotein bld by nmr

83718 22.28 Assay of lipoprotein

83718 22.28 Assay of lipoprotein

83719 31.68 Assay of blood lipoprotein



83727 46.80 Assay of lrh hormone

83735 18.22 Assay of magnesium

83775 20.06 Assay malate dehydrogenase

83785 66.94 Assay of manganese

83788 49.16 Mass spectrometry qual

83789 49.16 Mass spectrometry quant

83825 44.24 Assay of mercury

83835 41.00 Assay of metanephrines

CLFS_2015

83857 29.24 Assay of methemalbumin

83861 44.96 Microfluid analy tears

83861 44.96 Microfluid analy tears

83864 54.20 Mucopolysaccharides

83872 14.20 Assay synovial fluid mucin

83873 46.82 Assay of csf protein

83874 35.16 Assay of myoglobin

83876 92.38 Assay myeloperoxidase

83880 92.38 Assay of natriuretic peptide

83880 92.38 Assay of natriuretic peptide

83883 37.00 Assay nephelometry not spec

83885 66.68 Assay of nickel

83915 30.36 Assay of nucleotidase

83916 54.74 Oligoclonal bands

83918 44.78 Organic acids total quant

83919 44.78 Organic acids qual each

83921 44.78 Organic acid single quant

83930 18.00 Assay of blood osmolality

83935 18.56 Assay of urine osmolality

83937 81.24 Assay of osteocalcin

83945 35.04 Assay of oxalate

83950 175.30 Oncoprotein her-2/neu

83951 175.30 Oncoprotein dcp

83970 112.34 Assay of parathormone

83986 9.74 Assay ph body fluid nos

83986 9.74 Assay ph body fluid nos

83987 43.22 Exhaled breath condensate

83992 37.98 Assay for phencyclidine

83993 53.42 Assay for calprotectin fecal

84030 14.90 Assay of blood pku

84035 6.56 Assay of phenylketones

84060 20.10 Assay acid phosphatase

84061 21.52 Phosphatase forensic exam

84066 26.30 Assay prostate phosphatase

84075 14.08 Assay alkaline phosphatase



84080 40.24 Assay alkaline phosphatases

84081 44.96 Assay phosphatidylglycerol

84085 17.46 Assay of rbc pg6d enzyme

84087 28.10 Assay phosphohexose enzymes

84100 12.90 Assay of phosphorus

84105 14.08 Assay of urine phosphorus

84106 11.64 Test for porphobilinogen

CLFS_2015

84110 17.46 Assay of porphobilinogen

84112 175.30 Placenta alpha micro ig c/v

84119 23.44 Test urine for porphyrins

84120 36.38 Assay of urine porphyrins

84126 69.32 Assay of feces porphyrins

84132 12.52 Assay of serum potassium

84132 12.52 Assay of serum potassium

84133 11.70 Assay of urine potassium

84134 39.68 Assay of prealbumin

84135 52.06 Assay of pregnanediol

84138 51.54 Assay of pregnanetriol

84140 56.26 Assay of pregnenolone

84143 62.10 Assay of 17-hydroxypregneno

84144 56.78 Assay of progesterone

84145 72.90 Procalcitonin (pct)

84146 52.74 Assay of prolactin

84150 67.92 Assay of prostaglandin

84152 50.06 Assay of psa complexed

84153 50.06 Assay of psa total

84154 50.06 Assay of psa free

84155 9.98 Assay of protein serum

84155 9.98 Assay of protein serum

84156 9.98 Assay of protein urine

84157 9.98 Assay of protein other

84157 9.98 Assay of protein other

84160 14.08 Assay of protein any source

84163 22.00 Pappa serum

84165 29.22 Protein e-phoresis serum

84166 48.54 Protein e-phoresis/urine/csf

84181 46.36 Western blot test

84182 48.98 Protein western blot test

84202 39.04 Assay RBC protoporphyrin

84203 17.46 Test RBC protoporphyrin

84206 48.48 Assay of proinsulin

84207 76.48 Assay of vitamin b-6

84210 29.54 Assay of pyruvate

84220 11.70 Assay of pyruvate kinase

84228 31.68 Assay of quinine

84233 175.30 Assay of estrogen

84234 176.58 Assay of progesterone

84235 142.46 Assay of endocrine hormone

84238 99.54 Assay nonendocrine receptor

84244 59.86 Assay of renin


CLFS_2015

84255 69.48 Assay of selenium

84260 84.32 Assay of serotonin

84270 59.16 Assay of sex hormone globul

84275 36.58 Assay of sialic acid

84285 64.08 Assay of silica

84295 13.10 Assay of serum sodium

84295 13.10 Assay of serum sodium

84300 13.24 Assay of urine sodium

84302 13.24 Assay of sweat sodium

84305 57.86 Assay of somatomedin

84307 49.76 Assay of somatostatin

84311 17.98 Spectrophotometry

84315 3.56 Body fluid specific gravity

84375 53.36 Chromatogram assay sugars

84376 14.96 Sugars single qual

84377 14.96 Sugars multiple qual

84378 31.38 Sugars single quant

84379 31.38 Sugars multiple quant

84392 12.92 Assay of urine sulfate

84402 69.30 Assay of free testosterone

84403 70.26 Assay of total testosterone


84430 31.68 Assay of thiocyanate

84431 45.74 Thromboxane urine

84432 43.72 Assay of thyroglobulin

84436 16.96 Assay of total thyroxine

84437 17.62 Assay of neonatal thyroxine

84439 24.54 Assay of free thyroxine

84442 40.24 Assay of thyroid activity

84443 45.74 Assay thyroid stim hormone

84443 45.74 Assay thyroid stim hormone

84445 138.40 Assay of tsi globulin

84446 38.58 Assay of vitamin e

84449 48.98 Assay of transcortin

84450 14.08 Transferase (AST) (SGOT)

84450 14.08 Transferase (AST) (SGOT)

84460 14.42 Alanine amino (ALT) (SGPT)

84460 14.42 Alanine amino (ALT) (SGPT)

84466 34.76 Assay of transferrin

84478 15.64 Assay of triglycerides

84478 15.64 Assay of triglycerides

84479 17.62 Assay of thyroid (t3 or t4)

84480 38.58 Assay triiodothyronine (t3)

84481 46.10 Free assay (FT-3)

CLFS_2015

84482 42.90 T3 reverse

84484 26.78 Assay of troponin quant

84485 14.42 Assay duodenal fluid trypsin

84488 14.94 Test feces for trypsin

84490 17.98 Assay of feces for trypsin

84510 17.46 Assay of tyrosine

84512 20.96 Assay of troponin qual

84520 10.74 Assay of urea nitrogen

84520 10.74 Assay of urea nitrogen

84525 10.24 Urea nitrogen semi-quant

84540 12.92 Assay of urine/urea-n

84545 16.74 Urea-N clearance test

84550 12.30 Assay of blood/uric acid

84550 12.30 Assay of blood/uric acid

84560 12.92 Assay of urine/uric acid

84577 33.96 Assay of feces/urobilinogen

84578 7.84 Test urine urobilinogen

84580 19.32 Assay of urine urobilinogen

84583 13.70 Assay of urine urobilinogen

84585 42.18 Assay of urine vma

84586 96.18 Assay of vip

84588 92.38 Assay of vasopressin

84590 29.06 Assay of vitamin a

84591 29.06 Assay of nos vitamin

84597 37.32 Assay of vitamin k

84600 42.02 Assay of volatiles

84620 32.24 Xylose tolerance test

84630 31.00 Assay of zinc

84681 56.64 Assay of c-peptide

84702 22.00 Chorionic gonadotropin test

84703 20.46 Chorionic gonadotropin assay

84703 20.46 Chorionic gonadotropin assay

84704 22.00 Hcg free betachain test

84830 27.30 Ovulation tests

85002 12.26 Bleeding time test

85004 17.62 Automated diff wbc count

85007 9.36 Bl smear w/diff wbc count

85008 9.36 Bl smear w/o diff wbc count

85009 10.12 Manual diff wbc count b-coat

85013 6.46 Spun microhematocrit

85014 6.46 Hematocrit

85014 6.46 Hematocrit

85018 6.46 Hemoglobin

85018 6.46 Hemoglobin

CLFS_2015

85025 21.16 Complete cbc w/auto diff wbc

85027 17.62 Complete cbc automated

85032 11.70 Manual cell count each

85041 8.22 Automated rbc count

85044 11.70 Manual reticulocyte count

85045 10.88 Automated reticulocyte count

85046 15.18 Reticyte/hgb concentrate

85048 6.92 Automated leukocyte count

85049 12.18 Automated platelet count

85055 54.80 Reticulated platelet assay

85130 16.96 Chromogenic substrate assay

85170 9.84 Blood clot retraction

85175 12.38 Blood clot lysis time

85210 17.46 Clot factor ii prothrom spec

85220 48.02 Blooc clot factor v test

85230 48.74 Clot factor vii proconvertin

85240 48.74 Clot factor viii ahg 1 stage

85244 55.58 Clot factor viii reltd antgn

85245 62.44 Clot factor viii vw ristoctn

85246 62.44 Clot factor viii vw antigen

85247 62.44 Clot factor viii multimetric

85250 51.82 Clot factor ix ptc/chrstmas

85260 48.74 Clot factor x stuart-power

85270 48.74 Clot factor xi pta

85280 52.66 Clot factor xii hageman

85290 44.48 Clot factor xiii fibrin stab

85291 24.22 Clot factor xiii fibrin scrn

85292 51.54 Clot factor fletcher fact

85293 51.54 Clot factor wght kininogen

85300 32.26 Antithrombin iii activity

85301 29.42 Antithrombin iii antigen

85302 32.70 Clot inhibit prot c antigen

85303 37.64 Clot inhibit prot c activity

85305 31.58 Clot inhibit prot s total

85306 41.70 Clot inhibit prot s free

85307 41.70 Assay activated protein c

85335 35.04 Factor inhibitor test

85337 28.38 Thrombomodulin

85345 11.70 Coagulation time lee & white

85347 10.90 Coagulation time activated

85348 10.14 Coagulation time otr method

85360 22.86 Euglobulin lysis

85362 18.76 Fibrin degradation products

85366 23.44 Fibrinogen test

CLFS_2015

85370 30.90 Fibrinogen test

85378 19.42 Fibrin degrade semiquant

85379 27.70 Fibrin degradation quant

85380 27.70 Fibrin degradj d-dimer

85384 23.12 Fibrinogen activity

85385 23.12 Fibrinogen antigen

85390 14.08 Fibrinolysins screen i&r

85397 62.44 Clotting funct activity

85400 24.08 Fibrinolytic plasmin

85410 20.98 Fibrinolytic antiplasmin

85415 46.80 Fibrinolytic plasminogen



85441 11.44 Heinz bodies direct

85445 18.56 Heinz bodies induced

85460 21.06 Hemoglobin fetal

85461 16.62 Hemoglobin fetal

85475 24.16 Hemolysin acid

85520 21.22 Heparin assay

85525 31.16 Heparin neutralization

85530 38.58 Heparin-protamine tolerance

85536 17.62 Iron stain peripheral blood

85540 23.42 Wbc alkaline phosphatase

85547 18.22 RBC mechanical fragility

85549 51.04 Muramidase

85555 18.18 RBC osmotic fragility

85557 36.36 RBC osmotic fragility

85576 58.48 Blood platelet aggregation

85576 58.48 Blood platelet aggregation

85597 48.92 Phospholipid pltlt neutraliz

85598 48.92 Hexagnal phosph pltlt neutrl

85610 10.70 Prothrombin time

85610 10.70 Prothrombin time

85611 10.72 Prothrombin test

85612 15.70 Viper venom prothrombin time

85613 15.70 Russell viper venom diluted

85635 26.78 Reptilase test

85651 9.64 Rbc sed rate nonautomated

85652 7.36 Rbc sed rate automated

85660 15.00 RBC sickle cell test

85670 15.70 Thrombin time plasma

85675 18.64 Thrombin time titer

85705 26.20 Thromboplastin inhibition

85730 16.34 Thromboplastin time partial

CLFS_2015

85732 17.62 Thromboplastin time partial

85810 31.78 Blood viscosity examination

86000 4.28 Agglutinins febrile antigen

86001 14.20 Allergen specific igg

86003 14.20 Allergen specific IgE

86005 21.70 Allergen specific IgE

86021 40.98 WBC antibody identification

86022 50.00 Platelet antibodies

86023 33.90 Immunoglobulin assay

86038 32.90 Antinuclear antibodies

86039 30.38 Antinuclear antibodies (ANA)

86060 19.88 Antistreptolysin o titer

86063 15.70 Antistreptolysin o screen

86140 14.08 C-reactive protein

86141 35.24 C-reactive protein hs

86146 69.24 Beta-2 glycoprotein antibody

86147 69.24 Cardiolipin antibody ea ig

86148 31.64 Anti-phospholipid antibody

86152 668.74 Cell enumeration & id

86155 43.52 Chemotaxis assay

86156 18.24 Cold agglutinin screen

86157 21.94 Cold agglutinin titer

86160 32.66 Complement antigen

86161 32.66 Complement/function activity

86162 55.30 Complement total (ch50)

86171 27.24 Complement fixation each

86185 23.80 Counterimmunoelectrophoresis

86200 35.24 Ccp antibody

86215 33.16 Deoxyribonuclease antibody

86225 37.38 Dna antibody native

86226 32.96 Dna antibody single strand

86235 48.82 Nuclear antigen antibody

86243 55.84 Fc receptor

86255 32.80 Fluorescent antibody screen

86256 32.80 Fluorescent antibody titer

86277 42.84 Growth hormone antibody

86280 22.28 Hemagglutination inhibition

86294 31.44 Immunoassay tumor qual

86294 31.44 Immunoassay tumor qual

86300 56.64 Immunoassay tumor ca 15-3

86301 56.64 Immunoassay tumor ca 19-9

86304 56.64 Immunoassay tumor ca 125

86305 56.64 Human epididymis protein 4

86308 14.08 Heterophile antibody screen

CLFS_2015

86308 14.08 Heterophile antibody screen

86309 17.62 Heterophile antibody titer

86310 20.06 Heterophile antibody absrbj

86316 56.64 Immunoassay tumor other

86317 40.80 Immunoassay infectious agent



86320 61.00 Serum immunoelectrophoresis

86325 60.88 Other immunoelectrophoresis

86327 61.76 Immunoelectrophoresis assay

86329 38.22 Immunodiffusion nes

86331 30.90 Immunodiffusion ouchterlony

86332 66.34 Immune complex assay

86334 60.82 Immunofix e-phoresis serum

86335 79.88 Immunfix e-phorsis/urine/csf

86336 42.42 Inhibin A

86337 58.26 Insulin antibodies

86340 41.02 Intrinsic factor antibody

86341 53.84 Islet cell antibody

86343 33.92 Leukocyte histamine release

86344 21.74 Leukocyte phagocytosis

86352 369.78 Cell function assay w/stim

86353 124.10 Lymphocyte transformation

86355 102.68 B cells total count

86356 54.80 Mononuclear cell antigen

86357 102.68 Nk cells total count

86359 102.68 T cells total count

86360 109.56 T cell absolute count/ratio

86361 54.80 T cell absolute count

86367 102.68 Stem cells total count

86376 39.60 Microsomal antibody each

86378 53.60 Migration inhibitory factor

86382 46.02 Neutralization test viral

86384 26.86 Nitroblue tetrazolium dye

86386 43.46 Nuclear matrix protein 22

86386 43.46 Nuclear matrix protein 22

86403 27.74 Particle agglut antbdy scrn

86406 28.94 Particle agglut antbdy titr

86430 15.44 Rheumatoid factor test qual

86431 15.44 Rheumatoid factor quant

86480 168.70 Tb test cell immun measure

86481 203.92 Tb ag response t-cell susp

86590 26.86 Streptokinase antibody

86592 11.62 Syphilis test non-trep qual

CLFS_2015

86593 11.98 Syphilis test non-trep quant

86602 27.70 Antinomyces antibody

86603 35.02 Adenovirus antibody

86606 40.98 Aspergillus antibody

86609 35.06 Bacterium antibody

86611 27.70 Bartonella antibody

86612 35.12 Blastomyces antibody

86615 35.90 Bordetella antibody

86617 42.16 Lyme disease antibody



86619 36.42 Borrelia antibody

86622 24.32 Brucella antibody

86625 35.72 Campylobacter antibody

86628 32.68 Candida antibody

86631 32.18 Chlamydia antibody

86632 34.54 Chlamydia igm antibody

86635 31.22 Coccidioides antibody

86638 33.00 Q fever antibody

86641 39.22 Cryptococcus antibody

86644 39.16 CMV antibody

86645 45.86 Cmv antibody igm

86648 41.38 Diphtheria antibody

86651 35.90 Encephalitis californ antbdy

86652 35.90 Encephaltis east eqne anbdy

86653 35.90 Encephaltis st louis antbody

86654 35.90 Encephaltis west eqne antbdy

86658 35.46 Enterovirus antibody

86663 35.72 Epstein-barr antibody

86664 41.64 Epstein-barr nuclear antigen

86665 49.38 Epstein-barr capsid vca

86666 27.70 Ehrlichia antibody

86668 28.32 Francisella tularensis

86671 33.36 Fungus nes antibody

86674 40.06 Giardia lamblia antibody

86677 39.48 Helicobacter pylori antibody

86682 35.40 Helminth antibody

86684 39.94 Hemophilus influenza antibdy

86687 22.84 Htlv-i antibody

86688 38.12 Htlv-ii antibody

86689 52.68 Htlv/hiv confirmj antibody

86692 46.70 Hepatitis delta agent antbdy

86694 39.16 Herpes simplex nes antbdy

86695 25.78 Herpes simplex type 1 test

CLFS_2015

86696 52.68 Herpes simplex type 2 test

86698 34.02 Histoplasma antibody

86701 24.18 Hiv-1antibody

86701 24.18 Hiv-1antibody

86702 36.78 Hiv-2 antibody

86703 37.32 Hiv-1/hiv-2 1 result antbdy

86704 32.80 Hep b core antibody total

86705 32.06 Hep b core antibody igm

86706 29.24 Hep b surface antibody

86707 31.50 Hepatitis be antibody

86708 33.72 Hepatitis a total antibody

86709 30.64 Hepatitis a igm antibody

86710 36.88 Influenza virus antibody

86711 39.16 John cunningham antibody

86713 41.64 Legionella antibody

86717 33.34 Leishmania antibody

86720 35.90 Leptospira antibody

86723 35.90 Listeria monocytogenes

86727 35.02 Lymph choriomeningitis ab

86729 32.52 Lympho venereum antibody

86732 35.90 Mucormycosis antibody

86735 35.52 Mumps antibody

86738 36.04 Mycoplasma antibody

86741 35.90 Neisseria meningitidis

86744 35.90 Nocardia antibody

86747 40.92 Parvovirus antibody

86750 35.90 Malaria antibody

86753 33.72 Protozoa antibody nos

86756 35.08 Respiratory virus antibody

86757 52.68 Rickettsia antibody

86759 35.90 Rotavirus antibody

86762 39.16 Rubella antibody

86765 35.06 Rubeola antibody

86768 35.90 Salmonella antibody

86771 35.90 Shigella antibody

86774 40.28 Tetanus antibody

86777 39.16 Toxoplasma antibody

86778 39.20 Toxoplasma antibody igm

86780 35.94 Treponema pallidum

86784 34.18 Trichinella antibody

86787 35.06 Varicella-zoster antibody

86788 45.86 West nile virus ab igm

86789 39.16 West nile virus antibody

86790 35.06 Virus antibody nos

CLFS_2015

86793 35.90 Yersinia antibody

86800 43.30 Thyroglobulin antibody

86803 38.84 Hepatitis c ab test

86803 38.84 Hepatitis c ab test

86804 42.16 Hep c ab test confirm

86805 142.32 Lymphocytotoxicity assay

86806 129.52 Lymphocytotoxicity assay

86807 63.30 Cytotoxic antibody screening

86808 63.30 Cytotoxic antibody screening

86812 70.24 Hla typing a b or c

86813 157.84 Hla typing a b or c

86816 75.82 Hla typing dr/dq

86817 175.24 Hla typing dr/dq

86821 153.66 Lymphocyte culture mixed

86822 99.50 Lymphocyte culture primed

86825 164.42 Hla x-math non-cytotoxic

86826 54.80 Hla x-match noncytotoxc addl

86828 63.30 Hla class i&ii antibody qual

86829 63.30 Hla class i/ii antibody qual

86830 219.74 Hla class i phenotype qual

86831 188.36 Hla class ii phenotype qual

86832 345.32 Hla class i high defin qual

86833 313.94 Hla class ii high defin qual

86834 973.18 Hla class i semiquant panel

86835 878.98 Hla class ii semiquant panel

86880 14.66 Coombs test direct

86885 15.58 Coombs test indirect qual

86886 14.08 Coombs test indirect titer

86900 8.12 Blood typing abo

86901 8.12 Blood typing rh (d)

86902 10.40 Blood type antigen donor ea

86904 25.88 Blood typing patient serum

86905 10.40 Blood typing rbc antigens

86906 21.10 Blood typing rh phenotype

86940 22.32 Hemolysins/agglutinins auto

86941 30.64 Hemolysins/agglutinins

87003 45.82 Small animal inoculation

87015 18.18 Specimen infect agnt concntj

87040 28.10 Blood culture for bacteria

87045 25.70 Feces culture aerobic bact

87046 25.70 Stool cultr aerobic bact ea

87070 23.44 Culture othr specimn aerobic

87071 25.70 Culture aerobic quant other

87073 25.70 Culture bacteria anaerobic

CLFS_2015

87075 23.80 Cultr bacteria except blood

87076 22.00 Culture anaerobe ident each

87077 22.00 Culture aerobic identify

87077 22.00 Culture aerobic identify

87081 18.04 Culture screen only

87084 23.44 Culture of specimen by kit

87086 21.98 Urine culture/colony count

87088 22.04 Urine bacteria culture

87101 15.70 Skin fungi culture

87102 22.86 Fungus isolation culture

87103 24.54 Blood fungus culture

87106 22.26 Fungi identification yeast

87107 22.26 Fungi identification mold

87109 41.88 Mycoplasma

87110 53.32 Chlamydia culture

87116 29.40 Mycobacteria culture

87118 29.80 Mycobacteric identification

87140 15.18 Culture type immunofluoresc

87143 34.10 Culture typing glc/hplc

87147 14.08 Culture type immunologic

87149 54.58 Dna/rna direct probe

87150 95.52 Dna/rna amplified probe

87152 14.24 Culture type pulse field gel

87153 313.96 Dna/rna sequencing

87158 14.24 Culture typing added method

87164 29.24 Dark field examination

87166 30.74 Dark field examination

87168 11.62 Macroscopic exam arthropod

87169 11.62 Macroscopic exam parasite

87172 11.62 Pinworm exam

87176 14.94 Tissue homogenization cultr

87177 24.22 Ova and parasites smears

87181 12.92 Microbe susceptible diffuse

87184 18.78 Microbe susceptible disk

87185 12.92 Microbe susceptible enzyme

87186 15.70 Microbe susceptible mic

87187 15.70 Microbe susceptible mlc

87188 12.64 Microbe suscept macrobroth

87190 15.38 Microbe suscept mycobacteri

87197 30.12 Bactericidal level serum

87205 11.62 Smear gram stain

87206 14.66 Smear fluorescent/acid stai

87207 16.30 Smear special stain

87209 48.92 Smear complex stain

CLFS_2015

87210 11.62 Smear wet mount saline/ink

87210 11.62 Smear wet mount saline/ink

87220 9.40 Tissue exam for fungi

87230 53.74 Assay toxin or antitoxin

87250 53.24 Virus inoculate eggs/animal

87252 70.96 Virus inoculation tissue

87253 54.98 Virus inoculate tissue addl

87254 53.24 Virus inoculation shell via

87255 92.16 Genet virus isolate hsv

87260 24.52 Adenovirus ag if

87265 24.52 Pertussis ag if

87267 24.52 Enterovirus antibody dfa

87269 24.52 Giardia ag if

87270 24.52 Chlamydia trachomatis ag if

87271 24.52 Cytomegalovirus dfa

87272 24.52 Cryptosporidium ag if

87273 24.52 Herpes simplex 2 ag if

87274 24.52 Herpes simplex 1 ag if

87275 24.52 Influenza b ag if

87276 24.52 Influenza a ag if

87277 24.52 Legionella micdadei ag if

87278 24.52 Legion pneumophilia ag if

87279 24.52 Parainfluenza ag if

87280 24.52 Respiratory syncytial ag if

87281 24.52 Pneumocystis carinii ag if

87283 24.52 Rubeola ag if

87285 24.52 Treponema pallidum ag if

87290 24.52 Varicella zoster ag if

87299 24.52 Antibody detection nos if

87300 24.52 Ag detection polyval if

87301 24.52 Adenovirus ag eia

87305 24.52 Aspergillus ag eia

87320 24.52 Chylmd trach ag eia

87324 24.52 Clostridium ag eia

87327 24.52 Cryptococcus neoform ag eia

87328 24.52 Cryptosporidium ag eia

87329 24.52 Giardia ag eia

87332 24.52 Cytomegalovirus ag eia

87335 24.52 E coli 0157 ag eia

87336 24.52 Entamoeb hist dispr ag eia

87337 24.52 Entamoeb hist group ag eia

87338 12.48 Hpylori stool eia

87339 24.52 H pylori ag eia

87340 28.12 Hepatitis b surface ag eia

CLFS_2015

87341 28.12 Hepatitis b surface ag eia

87350 31.38 Hepatitis be ag eia

87380 44.66 Hepatitis delta ag eia

87385 24.52 Histoplasma capsul ag eia

87389 65.54 Hiv-1 ag w/hiv-1 & hiv-2 ab

87390 48.02 Hiv-1 ag eia

87391 48.02 Hiv-2 ag eia

87400 24.52 Influenza a/b ag eia

87420 24.52 Resp syncytial ag eia

87425 24.52 Rotavirus ag eia

87427 24.52 Shiga-like toxin ag eia

87430 24.52 Strep a ag eia

87449 24.52 Ag detect nos eia mult

87449 24.52 Ag detect nos eia mult

87450 12.48 Ag detect nos eia single

87451 12.48 Ag detect polyval eia mult

87470 54.58 Bartonella dna dir probe

87471 95.52 Bartonella dna amp probe

87472 116.58 Bartonella dna quant

87475 54.58 Lyme dis dna dir probe

87476 95.52 Lyme dis dna amp probe

87477 44.82 Lyme dis dna quant

87480 54.58 Candida dna dir probe

87481 95.52 Candida dna amp probe

87482 44.82 Candida dna quant

87485 54.58 Chylmd pneum dna dir probe

87486 95.52 Chylmd pneum dna amp probe

87487 116.58 Chylmd pneum dna quant

87490 54.58 Chylmd trach dna dir probe

87491 95.52 Chylmd trach dna amp probe

87492 44.82 Chylmd trach dna quant

87493 95.52 C diff amplified probe

87495 54.58 Cytomeg dna dir probe

87496 95.52 Cytomeg dna amp probe

87497 116.58 Cytomeg dna quant

87498 95.52 Enterovirus probe&revrs trns

87500 95.52 Vanomycin dna amp probe

87501 139.66 Influenza dna amp prob 1+

87502 231.60 Influenza dna amp probe

87503 56.52 Influenza dna amp prob addl

87505 349.16 Nfct agent detection gi

87506 580.90 Iadna-dna/rna probe tq 6-11

87507 1134.36 Iadna-dna/rna probe tq 12-25

87510 54.58 Gardner vag dna dir probe

CLFS_2015

87511 95.52 Gardner vag dna amp probe

87512 44.82 Gardner vag dna quant

87515 54.58 Hepatitis b dna dir probe

87516 95.52 Hepatitis b dna amp probe

87517 116.58 Hepatitis b dna quant

87520 54.58 Hepatitis c rna dir probe

87521 95.52 Hepatitis c probe&rvrs trnsc

87522 116.58 Hepatitis c revrs trnscrpj

87525 54.58 Hepatitis g dna dir probe

87526 95.52 Hepatitis g dna amp probe

87527 44.82 Hepatitis g dna quant

87528 54.58 Hsv dna dir probe

87529 95.52 Hsv dna amp probe

87530 116.58 Hsv dna quant

87531 54.58 Hhv-6 dna dir probe

87532 95.52 Hhv-6 dna amp probe

87533 44.82 Hhv-6 dna quant

87534 54.58 Hiv-1 dna dir probe

87535 95.52 Hiv-1 probe&reverse trnscrpj

87536 231.60 Hiv-1 quant&revrse trnscrpj

87537 54.58 Hiv-2 dna dir probe

87538 95.52 Hiv-2 probe&revrse trnscripj

87539 44.82 Hiv-2 quant&revrse trnscripj

87540 54.58 Legion pneumo dna dir prob

87541 95.52 Legion pneumo dna amp prob

87542 44.82 Legion pneumo dna quant

87550 54.58 Mycobacteria dna dir probe

87551 95.52 Mycobacteria dna amp probe

87552 116.58 Mycobacteria dna quant

87555 54.58 M.tuberculo dna dir probe

87556 95.52 M.tuberculo dna amp probe

87557 116.58 M.tuberculo dna quant

87560 54.58 M.avium-intra dna dir prob

87561 95.52 M.avium-intra dna amp prob

87562 116.58 M.avium-intra dna quant

87580 54.58 M.pneumon dna dir probe

87581 95.52 M.pneumon dna amp probe

87582 44.82 M.pneumon dna quant

87590 54.58 N.gonorrhoeae dna dir prob

87591 95.52 N.gonorrhoeae dna amp prob

87592 44.82 N.gonorrhoeae dna quant

87623 95.52 Hpv low-risk types

87624 95.52 Hpv high-risk types

87625 95.52 Hpv types 16 & 18 only

CLFS_2015

87631 349.16 Resp virus 3-11 targets



87640 95.52 Staph a dna amp probe

87641 95.52 Mr-staph dna amp probe

87650 54.58 Strep a dna dir probe

87651 95.52 Strep a dna amp probe

87652 44.82 Strep a dna quant

87653 95.52 Strep b dna amp probe

87660 54.58 Trichomonas vagin dir probe

87661 95.52 Trichomonas vaginalis amplif

87797 54.58 Detect agent nos dna dir

87798 95.52 Detect agent nos dna amp

87799 116.58 Detect agent nos dna quant

87800 109.18 Detect agnt mult dna direc

87801 191.04 Detect agnt mult dna ampli

87802 24.52 Strep b assay w/optic

87803 24.52 Clostridium toxin a w/optic

87804 24.52 Influenza assay w/optic

87804 24.52 Influenza assay w/optic

87806 65.54 Hiv antigen w/hiv antibodies

87807 24.52 Rsv assay w/optic

87807 24.52 Rsv assay w/optic

87808 24.52 Trichomonas assay w/optic

87808 24.52 Trichomonas assay w/optic

87809 24.52 Adenovirus assay w/optic

87809 24.52 Adenovirus assay w/optic

87810 24.52 Chylmd trach assay w/optic

87850 24.52 N. gonorrhoeae assay w/optic

87880 24.52 Strep a assay w/optic

87880 24.52 Strep a assay w/optic

87899 24.52 Agent nos assay w/optic

87899 24.52 Agent nos assay w/optic

87900 354.76 Phenotype infect agent drug

87901 700.70 Genotype dna hiv reverse t

87902 700.70 Genotype dna/rna hep c

87903 1329.96 Phenotype dna hiv w/culture

87904 70.96 Phenotype dna hiv w/clt add

87905 33.26 Sialidase enzyme assay

87905 33.26 Sialidase enzyme assay

87906 350.36 Genotype dna/rna hiv

87910 700.70 Genotype cytomegalovirus

87912 700.70 Genotype dna hepatitis b

88130 40.96 Sex chromatin identification

CLFS_2015

88140 21.76 Sex chromatin identification

88142 41.10 Cytopath c/v thin layer

88143 37.44 Cytopath c/v thin layer redo

88147 28.76 Cytopath c/v automated

88148 28.76 Cytopath c/v auto rescreen

88150 28.76 Cytopath c/v manual

88152 28.76 Cytopath c/v auto redo

88153 28.76 Cytopath c/v redo

88154 28.76 Cytopath c/v select

88155 16.30 Cytopath c/v index add-on

88164 28.76 Cytopath tbs c/v manual

88165 28.76 Cytopath tbs c/v redo

88166 28.76 Cytopath tbs c/v auto redo

88167 28.76 Cytopath tbs c/v select

88174 39.72 Cytopath c/v auto in fluid

88175 50.08 Cytopath c/v auto fluid redo

88230 173.94 Tissue culture lymphocyte

88233 173.94 Tissue culture skin/biopsy

88235 173.94 Tissue culture placenta

88237 173.94 Tissue culture bone marrow

88239 173.94 Tissue culture tumor

88240 27.48 Cell cryopreserve/storage

88241 27.48 Frozen cell preparation

88245 173.94 Chromosome analysis 20-25


88249 471.34 Chromosome analysis 100





88267 489.28 Chromosome analys placenta

88269 452.68 Chromosome analys amniotic

88271 58.28 Cytogenetics dna probe

88272 72.88 Cytogenetics 3-5



88275 109.30 Cytogenetics 100-300

88280 68.30 Chromosome karyotype study

88283 75.94 Chromosome banding study

88285 51.72 Chromosome count additional

88289 93.72 Chromosome study additional

88371 60.48 Protein western blot tissue

88372 61.90 Protein analysis w/probe

88720 13.66 Bilirubin total transcut

CLFS_2015

88738 13.66 Hgb quant transcutaneous

88740 13.66 Transcutaneous carboxyhb

88741 13.66 Transcutaneous methb

89050 12.86 Body fluid cell count

89051 14.98 Body fluid cell count

89055 11.62 Leukocyte assessment fecal

89060 19.48 Exam synovial fluid crystals

89125 11.76 Specimen fat stain

89160 10.04 Exam feces for meat fibers

89190 12.92 Nasal smear for eosinophils

89300 24.28 Semen analysis w/huhner

89300 24.28 Semen analysis w/huhner

89310 23.42 Semen analysis w/count

89320 32.80 Semen anal vol/count/mot

89321 32.80 Semen anal sperm detection

89321 32.80 Semen anal sperm detection

89322 42.18 Semen anal strict criteria

89325 29.06 Sperm antibody test

89329 57.06 Sperm evaluation test

89330 26.92 Evaluation cervical mucus

89331 53.32 Retrograde ejaculation anal

ATP02 12.30 Auto.Test Panel Pricing Code, 1-2 Tests

ATP03 18.08 Auto.Test Panel Pricing Code, 3 Tests










ATP16 28.74 Auto Test Panel Pricing Code 13-16 Test

ATP18 28.96 Auto Test Panel Pricing Code, 17-18 Test

ATP19 30.14 Auto Test Panel Pricing Code, 19 Tests



ATP22 33.02 Auto.Test Panel Pricing Code, 22+ Tests

ATP23 33.02 Auto.Test Panel Pricing Code, 23+ Tests

G0027 17.70 Semen analysis

G0103 50.06 PSA screening

G0123 41.10 Screen cerv/vag thin layer

G0143 37.44 Scr c/v cyto,thinlayer,rescr


CLFS_2015


G0147 28.76 Scr c/v cyto, automated sys

G0148 28.76 Scr c/v cyto, autosys, rescr

G0306 21.16 CBC/diffwbc w/o platelet

G0307 17.62 CBC without platelet

G0328 43.30 Fecal blood scrn immunoassay

G0328 43.30 Fecal blood scrn immunoassay

G0431 197.92 Drug screen multiple class

G0432 37.32 EIA HIV-1/HIV-2 screen

G0433 37.32 ELISA HIV-1/HIV-2 screen

G0433 37.32 ELISA HIV-1/HIV-2 screen

G0434 39.58 Drug screen multi drug class

G0434 39.58 Drug screen multi drug class

G0435 24.52 Oral HIV-1/HIV-2 screen

G0464 985.44 Colorec ca scr, sto bas dna

G0471 10.00 Ven blood coll SNF/HHA

G6030 48.72 Assay of amitriptyline

G6031 50.34 Assay of benzodiazepines

G6032 46.84 Assay of desipramine

G6034 42.18 Assay of doxepin

G6035 44.32 Assay of gold

G6036 46.84 Assay of imipramine

G6037 36.88 Assay of nortiptyline

G6038 19.32 Assay of salicylate

G6039 55.08 Assay of acetaminophen

G6040 27.02 Assay of ethanol

G6041 81.70 Assay of urine alkaloids

G6042 42.30 Assay of amphetamines

G6043 31.16 Assay of barbiturates

G6044 41.24 Assay of cocaine

G6045 56.20 Assay of dihydrocodeinone

G6046 69.96 Assay of dihydromorphinone

G6047 70.26 Assay of dihydrotestosterone

G6048 37.70 Assay of dimethadione

G6049 58.48 Asssay of epiandrosterone

G6050 47.04 Assay of ethchlorvynol

G6051 53.88 Assay of flurazepam

G6052 47.96 Assay of meprobamate

G6053 44.44 Assay of methadone

G6054 40.32 Assay of methsuximide

G6055 64.46 Assay of nicotine

G6056 52.96 Assay of opiates

G6057 42.38 Assay of phenothiazine

G6058 36.06 Drug confirmation

CLFS_2015

G9143 328.54 Warfarin respon genetic test

P2038 13.70 Blood mucoprotein

P3000 28.76 Screen pap by tech w md supv

P9612 6.00 Catheterize for urine spec

P9615 6.00 Urine specimen collect mult

Q0111 11.62 Wet mounts/ w preparations

Q0112 9.40 Potassium hydroxide preps

Q0113 14.72 Pinworm examinations

Q0114 19.48 Fern test

Q0115 26.92 Post-coital mucous exam

2015 clinical diagnostic laboratory fee schedule

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