Outpatient Lab Charges
Our Commitment to Quality
Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Lear
n more about our quality awards and recognition.
NOTE: When reviewing the pricing for Lab or Pathology tests, if the section below a test is blank, the test is repeated again and these are additional charges (for example - Glucose four-hour tolerance test will have the test repeated one hour, two hours and then three hours after the initial blood work is collected for a total of four hours. Each test is charged separately). If your lab work is a panel, then several tests may be performed from one blood sample. You may be charged for each test separately
| Order Code | Description | Billing Code | Charge | CPT Code |
|---|---|---|---|---|
| MBID | MYCOBACTERIUM IDENTIFICATION | 40300034 | $138.37 | 87118 |
| MBP | MYELIN BASIC PROTEIN (MBP) | 40200286 | $96.60 | 83873 |
| MBPR | MYCOBACTERIUM PROBE | 40300058 | $230.28 | 87550 |
| MBSE | MYCOBACTERIUM SENSITIVITY | 40300037 | $45.45 | 87190 |
| 40300037 | $45.45 | 87190 | ||
| 40300037 | $45.45 | 87190 | ||
| 40300037 | $45.45 | 87190 | ||
| 40300037 | $45.45 | 87190 | ||
| 40300037 | $45.45 | 87190 | ||
| 40300037 | $45.45 | 87190 | ||
| 40300037 | $45.45 | 87190 | ||
| MCED | ALLERGEN - MOUNTAIN CEDAR | 40200062 | $39.43 | 86003 |
| MDIF | MANUAL DIFFERENTIAL | 40500142 | $22.83 | 85007 |
| MEA | MEASLES (RUBEOLA) SEROLOGY | 40300021 | $101.68 | 86765 |
| MEAE | MEASLES (RUBEOLA) IMMUNE STATUS | 40300021 | $101.68 | 86765 |
| MEAM | MEASLES (RUBEOLA) IGM | 40200335 | $101.68 | 86765 |
| MECON | MECONIUM DRUG PANEL | 30100413 | $240.00 | 80307 |
| MELD | ALLERGEN - MARSH ELDER | 40200062 | $39.43 | 86003 |
| MER | MERCURY - BLOOD | 40200004 | $55.46 | 83825 |
| METP | METANEPHRINES, PLASMA (FREE) | 40200053 | $338.10 | 83835 |
| METU | METANEPHRINES, URINE | 40200053 | $95.55 | 83835 |
| MEX | MEXILETINE | 30100338 | $99.75 | 80299 |
| MFES | ALLERGEN - MEADOW FESCUE | 40200062 | $39.43 | 86003 |
| MG | MAGNESIUM SERUM | 40500109 | $37.35 | 83735 |
| MGPQ | MYASTHENIA GRAVIS PANEL | 30100148 | $46.37 | 83516 |
| 30100148 | $46.37 | 83516 | ||
| 30100148 | $46.37 | 83516 | ||
| 30100150 | $139.15 | 83519 | ||
| 30200021 | $139.13 | 86255 | ||
| 30200022 | $139.13 | 86256 | ||
| MLK | ALLERGEN - MILK, COW | 40200062 | $39.43 | 86003 |
| MMAL | METHYLMALONIC ACID | 40200288 | $290.53 | 83921 |
| MMIC | MICAFUNGIN MIC | 40300036 | $475.71 | 87186 |
| MMRS | MRSA PCR GeneXPert | 40300002 | $179.78 | 87641 |
| MON | MONOTEST | 40400011 | $83.02 | 86318 |
| MPMG | MYCOPLASMA PNEUMONIAE, IGG | 40200403 | $49.68 | 86738 |
| MPMM | MYCOPLASMA PNEUMONIAE IGM | 40200403 | $49.68 | 86738 |
| MPOA | MYELOPEROX ABS, IGG | 40200027 | $69.30 | 83876 |
| MPOB | MPO REFLEX BILLING | 40200027 | $69.30 | 83876 |
| MPP | HEALTHCARE PROFESSIONAL PANEL | 30100411 | $151.20 | 80307 |
| MPPR | MPO/PR-3 (ANCA) ANTIBODIES | 40200135 | $69.30 | 83516 |
| 40200027 | $69.30 | 83876 | ||
| MPRC | PREOP MRSA/SA SCREEN CULTURE | 30600008 | $40.40 | 87081 |
| MQSC | MATERNAL QUAD SCREEN | 40200170 | $64.84 | 82577 |
| 40200313 | $64.84 | 86336 | ||
| 40200216 | $64.84 | 82105 | ||
| 40200306 | $64.84 | 84702 | ||
| MRAC | ALLERGEN - MUCOR RACEMOSUS | 40200062 | $39.43 | 86003 |
| MRSC | MRSA SCREEN | 40300029 | $40.40 | 87081 |
| MTAD | M TUBERCULOSIS PCR - CSF | 40200386 | $850.50 | 87556 |
| MTBS | M TUBERCULOSIS BY PCR SPUTUM | 30600073 | $60.00 | 87556 |
| 30100417 | $40.00 | 87798 | ||
| MTMU | MTHFR MUTATION PANEL | 30100312 | $327.60 | 81291 |
| MTRX | METHOTREXATE SERUM | 30100338 | $123.90 | 80299 |
| MUM | MUMPS SEROLOGY | 40200332 | $38.85 | 86735 |
| MUSK | MUSK ANTIBODY | 40200073 | $1,945.65 | 83519 |
| MYG | MYOGLOBIN | 40500015 | $43.43 | 83874 |
| MYOR | MYOSITIS ASSESS R PLUS JO-1 | 40200312 | $252.00 | 86235 |
| 40200135 | $252.00 | 83516 | ||
| 40200083 | $252.00 | 8351691 | ||
| 40200083 | $252.00 | 8351691 | ||
| 40200083 | $252.00 | 8351691 | ||
| 40200083 | $252.00 | 8351691 | ||
| 40200083 | $252.00 | 8351691 | ||
| 40200083 | $250.95 | 8351691 | ||
| NA | SODIUM SERUM | 40500122 | $24.91 | 84295 |
| NBNP | NT-ProBNP | 40500020 | $100.00 | 83880 |
| NBSC | NEWBORN METABOLIC SCREENING | 40800002 | $140.76 | S3620 |
| NICM | NICOTINE AND METABOLITES SERUM | 30100409 | $278.25 | 80323 |
| NICU | NICOTINE AND METABOLITES, URINE | 30100409 | $60.00 | 80323 |
| NIDA | DRUG PROFILE - NIDA5 | 30100411 | $189.00 | 80307 |
| NMLP | NMR LIPOPROTEIN | 40200093 | $184.80 | 83704 |
| NOCG | NOSE CULTURE GS | 40300026 | $51.89 | 87070 |
| 40300038 | $24.91 | 87205 | ||
| NOR | NORTRIPTYLINE | 30100415 | $49.35 | 80335 |
| NOSC | NOSE CULTURE | 40300026 | $51.89 | 87070 |
| NSE | NEURON SPECIFIC ENOLASE | 40200110 | $153.56 | 86316 |
| NUCL | NUCLEOTIDASE, 5' SERUM | 40200224 | $72.45 | 83915 |
| NUTP | ALLERGEN - NUT PANEL IGE | 40200062 | $39.43 | 86003 |
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| OACT | ACTIVATED CLOTTING TIME - OR | 40500031 | $74.74 | 85347 |
| OAKT | ALLERGEN - OAK TREE | 40200062 | $39.43 | 86003 |
| OAKV | ALLERGEN - OAK, VIRGINIA LIVE | 40200062 | $39.43 | 86003 |
| OAT | ALLERGEN - OAT | 40200062 | $39.43 | 86003 |
| OAUR | ORGANIC ACIDS, URINE | 40200248 | $525.00 | 83918 |
| OBG | OCCULT BLOOD - GASTRIC | 40300004 | $9.09 | 82271 |
| OBS | OCCULT BLOOD - STOOL | 40300001 | $12.12 | 82272 |
| OBS3 | OCCULT BLOOD - STOOL X 3 | 40300003 | $35.35 | 82270 |
| OCA | OR - CA ION | 40500032 | $120.36 | 82330 |
| OGL | GLUCOSE - OR | 40500035 | $32.32 | 82947 |
| OH | HEMOGLOBIN - OR | 40500033 | $43.43 | 85018 |
| OHBO | ABG + OTHERS - OR | 40500009 | $140.39 | 82805 |
| 40500031 | $74.74 | 85347 | ||
| 40500032 | $37.37 | 82330 | ||
| 40500033 | $43.43 | 85018 | ||
| 40500122 | $33.33 | 84295 | ||
| 40500035 | $52.52 | 82947 | ||
| 40500115 | $33.33 | 84132 | ||
| OK | OR POTASSIUM* | 40500115 | $32.32 | 84132 |
| OLBD | OLIGOCLONAL BANDING | 40200287 | $70.14 | 83916 |
| 40200142 | $70.14 | 82784 | ||
| 40200142 | $70.14 | 82784 | ||
| 40200268 | $70.14 | 82040 | ||
| 40200269 | $70.14 | 82042 | ||
| ONA | OR - NA | 40500122 | $32.32 | 84295 |
| ONAK | NA & K - OR | 40500122 | $32.32 | 84295 |
| 40500115 | $32.32 | 84132 | ||
| ONION | ALLERGEN, FOOD, ONION | 40200062 | $39.43 | 86003 |
| ORBG | OR - ABG | 40500009 | $96.80 | 82805 |
| ORGE | ALLERGEN - ORANGE | 40200062 | $39.43 | 86003 |
| ORO | K, NA, GLUC, & CA ++ - OR | 40500032 | $120.36 | 82330 |
| 40500122 | $24.91 | 84295 | ||
| 40500115 | $26.96 | 84132 | ||
| 40500035 | $22.83 | 82947 | ||
| OSMF | OSMOLALITY, FECAL | 40200375 | $105.00 | 84999 |
| OSMO | OSMOLALITY SERUM | 40500110 | $49.79 | 83930 |
| OTEG | TEG ANALYSIS | 40500031 | $27.27 | 85347 |
| 40500151 | $48.48 | 85384 | ||
| 40500153 | $106.05 | 85576 | ||
| 40500148 | $29.29 | 85175 | ||
| OVAP | OVA & PARASITE EXAM | 40200388 | $124.95 | 87177 |
| 40200389 | $124.95 | 87209 | ||
| OXAU | OXALATE, URINE | 40200179 | $91.35 | 83945 |
| OYST | ALLERGEN - OYSTER | 40200062 | $39.43 | 86003 |
| P45G | PAI 4G5G MUTATION | 30100323 | $717.15 | 81400 |
| PAB | PLATELET ANTIBODIES, INDIRECT | 40200235 | $361.20 | 86022 |
| PABD | PLATELET ASSOC. ABS, DIRECT | 40200263 | $157.73 | 86023 |
| 40200264 | $157.73 | 86023 | ||
| PALB | PREALBUMIN - SERUM | 40500117 | $77.77 | 84134 |
| PANE | PANCREATIC ELASTASE, FECAL BY ELISA | 40200023 | $520.65 | 83520 |
| PARAN | PARANEOPLASTIC REFLEXIVE PANEL | 40200191 | $400.00 | 86255 |
| 40200083 | $400.00 | 83516 | ||
| PB19 | PARVOVIRUS B19 ANTIBODIES | 40200196 | $141.11 | 86747 |
| 40200196 | $141.11 | 86747 | ||
| PBQU | PORPHOBILINOGEN QUANT. URINE | 40200227 | $134.40 | 84110 |
| PCAB | PARIETAL CELL AB | 40200191 | $108.15 | 86255 |
| PCAN | ALLERGEN - PECAN NUT | 40200062 | $39.43 | 86003 |
| PCHE | CHOLINESTERASE | 40200072 | $46.20 | 82480 |
| PE24 | PROTEIN ELECTROPHOR 24HR URINE | 40500038 | $38.38 | 84166 |
| PEA | ALLERGEN, FOOD PEA | 40200062 | $39.43 | 86003 |
| PEAR | ALLERGEN, FOOD, PEAR | 40200062 | $39.43 | 86003 |
| PECH | ALLERGEN, FOOD, PEACH | 40200062 | $39.43 | 86003 |
| PECN | ALLERGEN - PECAN TREE | 40200062 | $39.43 | 86003 |
| PEI | PROTEIN ELECTROPHOR-SERUM | 40500039 | $66.42 | 84165 |
| PERU | PROTEIN ELECTROPH RANDOM URINE | 40500038 | $40.40 | 84166 |
| PFHG | HEMOGLOBIN PLASMA (FREE HGB) | 40200180 | $73.50 | 83051 |
| PFP | ALLERGEN - PEDIATRIC FOOD GRP | 40200062 | $39.43 | 86003 |
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| PGMU | PROTHROMBIN GENE MUTATION | 30100311 | $266.70 | 81240 |
| PH | BLOOD PH | 40500092 | $91.31 | 82800 |
| PHAF | pH, AMNIOTIC FLUID | 40300008 | $24.24 | 83986 |
| PHBF | pH - BODY FLUID | 40500045 | $57.57 | 83986 |
| PHEN | PHENOBARBITAL | 40500061 | $80.94 | 80184 |
| PHEY | PHENYTOIN (DILANTIN) | 40500062 | $76.80 | 80185 |
| PHLE | PHLEBOTOMY, THERAPEUTIC | 40400022 | $90.80 | 99195 |
| PHOS | PHOSPHOROUS | 40500113 | $28.28 | 84100 |
| PIGW | ALLERGEN - PIGWEED | 40200062 | $39.43 | 86003 |
| PINA | ALLERGEN - PINEAPPLE | 40200062 | $39.43 | 86003 |
| PINE | ALLERGEN, FOOD, PINE NUT | 40200062 | $39.43 | 86003 |
| PITH | INTRAOPERATIVE INTACT PTH | 40500003 | $334.13 | 83970 |
| PKAL | ALLERGEN, PORK | 40200062 | $39.43 | 86003 |
| PLAK | POTASSIUM PLASMA | 40500115 | $57.57 | 84132 |
| PLTB | PLATELET COUNT | 40500147 | $9.09 | 85049 |
| PLTO | PLATELET COUNT | 40500147 | $9.09 | 85049 |
| PM1 | PM-1 ANTIBODY | 40200312 | $296.10 | 86235 |
| PMAP | PLATELET MAPPING ASSAY | 40500151 | $47.47 | 85384 |
| 40500153 | $151.50 | 85576 | ||
| 40500153 | $151.50 | 8557691 | ||
| 40500153 | $151.50 | 8557691 | ||
| 40500031 | $27.27 | 85347 | ||
| PNAG | STREP PNEUMONIA URINARY ANTIGEN | 30100399 | $66.00 | 87899 |
| PNHR | PNH, RBC | 40200153 | $284.55 | 88184 |
| 40200154 | $284.55 | 88185 | ||
| 40200154 | $284.55 | 88185 | ||
| PNHW | PNH, WBC | 40200153 | $375.90 | 88184 |
| 40200154 | $375.90 | 88185 | ||
| 40200154 | $375.90 | 88185 | ||
| PNTM | ALLERGEN - PENICILLIUM NOTATUM | 40200062 | $39.43 | 86003 |
| PNUB | PNEUMOCOCCAL ABS, IGG | 40200054 | $45.67 | 86317 |
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| 40200055 | $45.67 | 86317 | ||
| PNUT | ALLERGEN - PEANUT | 40200062 | $39.43 | 86003 |
| POCE | POC OACT ELITE | 40800008 | $75.48 | 85347 |
| POCG | GLUCOSE POINT OF CARE | 41000003 | $20.40 | 36416 |
| 40800006 | $52.02 | 82947 | ||
| POCH | POC URINE HCG | 40800007 | $41.51 | 84703 |
| POCR | POC ACT RESPONSE | 40800008 | $74.00 | 85347 |
| POCU | POC URINALYSIS | 40800004 | $18.68 | 81003 |
| PORF | PORPHYRINS, URINE | 40200228 | $119.70 | 84120 |
| POTW | ALLERGEN - POTATO, WHITE | 40200062 | $39.43 | 86003 |
| PPR6 | PRO-PREDICTR 6MP METABOLITES | 40200221 | $497.70 | 82491 |
| 40200350 | $497.70 | 82491 | ||
| PPTI | POC PT WITH INR | 40800005 | $29.05 | 85610 |
| PPUL | ALLERGEN A. PULLULANS | 40200062 | $39.43 | 86003 |
| PR3 | SERINE PROTEASE 3, IGG | 40200135 | $69.30 | 83516 |
| PR3B | PR3 REFLEX BILLING | 40200135 | $69.30 | 83516 |
| PRCAL | PROCALCITONIN | 30100419 | $57.57 | 84145 |
| PRE3 | OBSTETRIC PANEL *** R | 41000008 | $129.28 | 80055 |
| PRGR | ALLERGEN - PERENNIAL RYE GRASS | 40200062 | $39.43 | 86003 |
| PRMD | PRIMIDONE AND METABOLITE | 40200057 | $80.94 | 80184 |
| PRIMIDONE AND METABOLITE | 40200058 | $80.94 | 80188 | |
| PRNA | PROCAINAMIDE (PRONESTYL) | 40200034 | $57.16 | 80192 |
| PROG | PROGESTERONE | 40500118 | $103.76 | 84144 |
| PROL | PROLACTIN | 40500119 | $114.16 | 84146 |
| PRPL | PROTEIN PLEURAL FLUID | 40500047 | $12.12 | 84157 |
| PRPT | PRE APHERESIS PLATELET | 40500047 | $12.12 | 84157 |
| PRPTF | PROTEIN PERITONEAL FLUID | 40500047 | $12.12 | 84157 |
| PSAA | PROSTATE SPECIFIC ANTIGEN | 40500120 | $124.52 | 84153 |
| PSAF | PSA FRACTIONATED(INC TOT & FREE) | 40200295 | $124.52 | 84154 |
| 40200294 | $124.52 | 84153 | ||
| PSAS | PROSTATE SPECIFIC ANTIGEN | 40500173 | $124.52 | G0103 |
| PSTC | ALLERGEN - PISTACHIO | 40200062 | $39.43 | 86003 |
| PTC | PROTEIN C ANTIGEN | 40200239 | $176.41 | 85302 |
| PTCA | PROTEIN C ACTIVITY | 40200200 | $115.50 | 85303 |
| PTHP | PTH RELATED PEPTIDE (PTHrP) | 40200073 | $770.70 | 83519 |
| PTHT | PTH, INTACT | 40500003 | $334.13 | 83970 |
| PTI | PT PROTHROMBIN TIME WITH INR | 40500154 | $29.05 | 85610 |
| PTS | PROTEIN S ANTIGEN | 40200236 | $120.36 | 85305 |
| PTST | PROTEIN S ACTIVITY | 40200201 | $186.90 | 85306 |
| PTT | PTT PARTIAL THROMBOPLASTIN | 40500158 | $35.29 | 85730 |
| PTTX | PTT 1:1 MIX | 40500159 | $85.85 | 85732 |
| PTX | PT 1:1 MIX | 40500155 | $64.64 | 85611 |
| PVET | ALLERGEN - PRIVET TREE | 40200062 | $39.43 | 86003 |
| QHIV | HIV-1 RNA QNT | 40200346 | $409.50 | 87536 |
| QTBG | QUANTIFERON TB GOLD IN TUBE | 40200380 | $262.50 | 86480 |
| QUIN | QUINIDINE SERUM | 40200064 | $95.47 | 80194 |
| RABG | BLOOD GAS ARTERIAL - RECOVERY ROOM | 40500009 | $96.80 | 82805 |
| RAGW | ALLERGEN RAGWEED COMMON/SHORT | 40200062 | $39.43 | 86003 |
| RAMPH | REFLEX AMPHETAMINES CONFIRMATION BIL | 30100401 | $354.90 | 80324 |
| RAPH | AMPHETAMINE CONF MECONIUM | 30100401 | $292.50 | 80324 |
| 30100481 | $292.50 | 80359 | ||
| RAS | RA RHEUMATOID ARTHRITIS | 40500163 | $39.43 | 86431 |
| RBA | BARBITURATES CONF MECONIUM | 30100404 | $581.10 | 80345 |
| RBAM | AMPHETAMINE, S/P, QUANT | 30100401 | $354.90 | 80324 |
| RBARB | REFLEX BARBITURATES CONFIRMATION BIL | 30100404 | $216.30 | 80345 |
| RBBR | REFLEX BARBITURATES CONFIRMATION BIL | 30100404 | $216.30 | 80345 |
| RBBZ | REFLEX BENZODIAZEPINE CONFIRMATION B | 30100403 | $179.55 | 80346 |
| RBCO | BZE, COCAINE, S/P, QUANT | 30100405 | $264.60 | 80353 |
| RBE | BENZODIAZEPINE CONF MECONIUM | 30100403 | $565.50 | 80346 |
| RBEN | BENZODIAZEPINES CONFIRMATION | 30100403 | $556.50 | 80346 |
| RBENZ | REFLEX BENZODIAZEPINES CONFIRMATION | 30100403 | $179.55 | 80346 |
| RBGE | BLOOD GAS & OTHERS - RECOVERY | 40500032 | $120.36 | 82330 |
| 40500009 | $96.80 | 82805 | ||
| 40500115 | $26.96 | 84132 | ||
| 40500122 | $24.91 | 84295 | ||
| 40500035 | $32.32 | 82947 | ||
| RBMD | METHADONE, S/P, QUANT | 30100400 | $298.20 | 80358 |
| RBMJ | 11-NOR-9 CARBOXY-THC, S/P, QUANT | 30100406 | $281.40 | 80349 |
| RBMTD | REFLEX METHADONE CONFIRMATION BILL | 30100400 | $298.20 | 80358 |
| RBOP | REFLEX OPIATE CONFIRMATION BILL | 30100407 | $495.60 | 80361 |
| RBPC | PHENCYCLIDINE, PCP, S/P, QUANT | 40200106 | $290.85 | 83992 |
| RBPX | REFLEX PROPOXYPHENE CONFIRMATION BIL | 30100408 | $402.15 | 80367 |
| RBUP | REFLEX BUP & METABOLITES CONFIRMATIO | 30200131 | $259.39 | 80348 |
| RC | BACTERIAL/WOUND CULTURE | 40300026 | $51.89 | 87070 |
| RCB | BACTERIAL CULTURE IN BOTTLES | 40300026 | $51.89 | 87070 |
| RCG | BACTERIAL/WOUND CULTURE GS | 40300026 | $51.89 | 87070 |
| 40300038 | $24.91 | 87205 | ||
| RCO | COCAINE CONFIRM MECONIUM | 30100405 | $442.65 | 80353 |
| RCV2 | CV2.1 ANTIBODY TITER, IGG | 40200092 | $1,200.00 | 86256 |
| RELE | NA, K, GLUCOSE - RECOVERY | 40500115 | $32.32 | 84132 |
| 40500122 | $32.32 | 84295 | ||
| 40500035 | $32.32 | 82947 | ||
| RENN | RENIN ACTIVITY | 40200212 | $128.67 | 84244 |
| RFOP | RBC FOLATE PACKAGE | 40200280 | $95.47 | 82747 |
| RFP | RENAL FUNCTION PANEL | 40500004 | $154.53 | 80069 |
| RHGB | RETICULOCYTES HEMOGLOBIN | 40200387 | $60.90 | 85046 |
| RHOW | RHOGAM WORKUP | 40400017 | $20.00 | 86901 |
| 40400016 | $13.00 | 86900 | ||
| 40400012 | $38.00 | 86850 | ||
| RICE | ALLERGEN - RICE | 40200062 | $39.43 | 86003 |
| RMAJ | MARIJUANA CONFIRM MECONIUM | 30100406 | $446.55 | 80349 |
| RMAPH | REFLEX AMPHETAMINES MECONIUM | 30100401 | $292.50 | 80324 |
| 30100481 | $292.50 | 80359 | ||
| RMBA | REFLEX BARBITURATES MECONIUM | 30100404 | $581.00 | 80345 |
| RMBN | REFLEX BUPRENORPHINE MECONIUM | 30100425 | $370.50 | 80348 |
| RMCO | REFLEX COCAINE CONF BILL ONLY | 30100405 | $442.65 | 80353 |
| RMED | METHADONE CONF MECONIUM | 30100400 | $446.55 | 80358 |
| RMMAJ | REFLEX MARIJUANA CONF BILL ONLY | 30100413 | $446.55 | 80349 |
| RMMED | REFLEX METHADONE MECONIUM | 30100400 | $446.55 | 80358 |
| RMOP | REFLEX OPIATES CONF BILL ONLY | 30100407 | $223.27 | 80361 |
| 30100476 | $223.28 | 80365 | ||
| RMPC | REFLEX PHENCYCLIDINE MECONIUM | 40200106 | $565.50 | 83992 |
| RMSF | ROCKY MT. SPOTTED FEVER IGG | 40200231 | $74.73 | 86757 |
| RNEUR | NEURONAL NUC AB IGG,IMMUNOBLOT | 40200083 | $500.00 | 83516 |
| RNIG | ALLERGEN - RHIZOPUS NIGRICANS | 40200062 | $39.43 | 86003 |
| RNNA | REFLEX NEURONAL NUCLEAR AB | 40200092 | $500.00 | 86256 |
| ROP | OPIATES CONFIRM MECONIUM | 30100407 | $223.18 | 80361 |
| 30100476 | $223.17 | 80365 | ||
| ROPIS | REFLEX OPIATES CONFIRMATION BILL ONL | 30100407 | $495.60 | 80361 |
| RPC | PHENCYCLIDINE CONF MECONIUM | 30100213 | $565.50 | 83992 |
| RPRS | RPR | 40300016 | $24.91 | 86592 |
| RPRT | RPR TITER | 40300017 | $31.13 | 86593 |
| RPTH | RAPID PTH, INTACT | 40500003 | $70.70 | 83970 |
| RPUR | PURKINJE CELL AB TITER IGG | 40200092 | $500.00 | 86256 |
| RSC | RESPIRATORY CULTURE | 40300026 | $51.89 | 87070 |
| RSCG | RESPIRATORY CULTURE GS | 40300026 | $51.89 | 87070 |
| 40300038 | $24.91 | 87205 | ||
| RSST | REDUCING SUBSTANCES STOOL | 40500124 | $37.37 | 84376 |
| RSVA | RSV ANTIGEN DETECTION | 40300054 | $49.49 | 87420 |
| RTAB | RETICULIN AB, IGA W/REFLEX | 40200191 | $72.45 | 86255 |
| RTBO | RETICULIN IGA REFLEX BILL ONLY | 40200092 | $192.15 | 86256 |
| RTC | RETICULOCYTE COUNT | 40500145 | $20.75 | 85045 |
| RTV | ROTAVIRUS ANTIGEN DETECTION | 40300055 | $41.41 | 87425 |
| RUBL | RUBELLA IMMUNE STATUS | 40500167 | $53.97 | 86762 |
| RUBX | RUBELLA IGG | 40500167 | $25.25 | 86762 |
| RVVB | DRVV BILL MIX REFLEX | 40200014 | $53.55 | 85613 |
| SAL | SALICYLATE LEVEL | 30100418 | $27.27 | 80329 |
| SBOT | ALLERGEN STEMPHYLIUM BOTRYOSUM | 40200062 | $39.43 | 86003 |
| SCL | CHLORIDE STOOL | 40200184 | $66.15 | 82438 |
| SCLR | SCLERODERMA AB (SCL-70) | 40200312 | $105.85 | 86235 |
| SCP | SICKLE CELL SCREENING TEST | 40400009 | $29.05 | 85660 |
| SDIF | DIFF (DR. SHLAER) | 40500142 | $22.83 | 85007 |
| SDRG | DRUG SCREEN, SERUM OR PLASMA | 30100412 | $259.88 | 80307 |
| SEAF | SEAFOOD ALLERGEN GROUP | 40200062 | $39.43 | 86003 |
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| 40200062 | $39.43 | 86003 | ||
| SELN | SELENIUM, SERUM | 40200357 | $87.08 | 84255 |
| SERO | SEROTONIN (5-HYDROXY-TRYPTAMINE)-BLO | 40200225 | $163.80 | 84260 |
| SERS | SEROTONIN, SERUM | 40200225 | $163.80 | 84260 |
| SES | ALLERGEN - SESAME SEED | 40200062 | $39.43 | 86003 |
| SFOL | FOLATE | 40500090 | $95.47 | 82746 |
| SGBF | SPECIFIC GRAVITY - BODY FLUID | 40500046 | $9.09 | 84315 |
| SHBG | SEX HORMONE BINDING GLOBULIN | 40200299 | $149.41 | 84270 |
| SHEP | ALLERGEN - SHEEP SORREL | 40200062 | $39.43 | 86003 |
| SHMP | ALLERGEN - SHRIMP | 40200062 | $39.43 | 86003 |
| SIRL | SIROLIMUS | 40200155 | $217.35 | 80195 |
| SLMN | ALLERGEN - SALMON | 40200062 | $39.43 | 86003 |
| SMNP | SENSORIMOTOR NEUROPATHY PANEL | 40200085 | $647.85 | 83520 |
| 40200086 | $647.85 | 8352091 | ||
| 40200086 | $647.85 | 8352091 | ||
| 40200086 | $647.85 | 8352091 | ||
| 40200086 | $647.85 | 8352091 | ||
| 40200086 | $647.85 | 8352091 | ||
| 40200086 | $647.85 | 8352091 | ||
| SNFL | ALLERGEN, FOOD, SUNFLOWER | 40200062 | $39.43 | 86003 |
| SOMA | SOMATOMEDIN-C | 40200296 | $86.10 | 84305 |
| SOY | ALLERGEN - SOYBEAN | 40200062 | $39.43 | 86003 |
| SPH | PH STOOL | 40500045 | $58.58 | 83986 |
| SPT | PT INHIBITOR STUDY | 40500155 | $26.96 | 85611 |
| 40500155 | $26.96 | 85611 | ||
| 40500155 | $26.96 | 85611 | ||
| 40500155 | $26.96 | 85611 | ||
| 40500155 | $26.96 | 85611 | ||
| 40500155 | $26.96 | 85611 | ||
| 40500155 | $26.96 | 85611 | ||
| 40500155 | $26.96 | 85611 | ||
| SPTT | PTT INHIBITOR STUDY | 40500159 | $25.25 | 85732 |
| 40500159 | $25.25 | 85732 | ||
| 40500159 | $25.25 | 85732 | ||
| 40500159 | $25.25 | 85732 | ||
| 40500159 | $25.25 | 85732 | ||
| 40500159 | $25.25 | 85732 | ||
| 40500159 | $25.25 | 85732 | ||
| 40500159 | $25.25 | 85732 | ||
| SSAB | SS-A & SS-B ANTIBODIES | 40200312 | $105.85 | 86235 |
| 40200312 | $105.85 | 86235 | ||
| STAY | LUPUS ANTICOAGULANT (STACLOT) | 40200013 | $359.10 | 85597 |
| STBO | STREPTOZYME REFLEX BILL ONLY | 40200316 | $120.75 | 86406 |
| STC | STREP CULTURE | 40300029 | $33.20 | 87081 |
| STCG | STOOL CULTURE GS | 40300024 | $62.27 | 87045 |
| STCG | STOOL CULTURE GS | 40300038 | $24.91 | 87205 |
| 40300025 | $19.19 | 87046 | ||
| STFR | SOLUBLE TRANSFERRIN RECEPTOR | 40200298 | $257.33 | 84238 |
| STLC | STOOL CULTURE | 40300024 | $62.27 | 87045 |
| 40300025 | $19.19 | 87046 | ||
| STLK | POTASSIUM, FECAL | 40200360 | $54.60 | 84999 |
| STMB | STRIATED MUSCLE REFLEX BILL ONLY | 40200092 | $192.15 | 86256 |
| STN | SODIUM, FECAL | 40200359 | $54.60 | 84302 |
| STON | CALCULI (STONE) ANALYSIS | 40200376 | $117.60 | 82365 |
| STPC | STREP CULTURE CERVIX | 40300029 | $33.20 | 87081 |
| STPT | STREP CULTURE THROAT | 40300029 | $33.20 | 87081 |
| STRP | STREP (RAPID SCREEN) | 40400021 | $31.13 | 87880 |
| STRPCR | STREP A BY PCR | 30600075 | $100.00 | 87651 |
| STRR | STRIATED MUSCLE AB, IGG REFLEX | 40200191 | $79.80 | 86255 |
| STZR | STREPTOZYME W/REFLEX TO TITER | 40200233 | $43.05 | 86403 |
| SVGR | ALLERGEN - SWEET VERNAL GRASS | 40200062 | $39.43 | 86003 |
| SWBY | ALLERGEN - STRAWBERRY | 40200062 | $39.43 | 86003 |
| SWGT | ALLERGEN - SWEET GUM TREE | 40200062 | $39.43 | 86003 |
| SWPT | ALLERGEN, FOOD, SWEET POTATO | 40200062 | $39.43 | 86003 |
| SYCA | ALLERGEN - SYCAMORE TREE | 40200062 | $39.43 | 86003 |
| T3FR | FREE T3 | 40500022 | $128.67 | 84481 |
| T3RE | TRIIODOTHYRONINE (T3) REVERSE | 40200245 | $103.95 | 84482 |
| T3TO | T3 TOTAL (TRIIODOTHYRONINE) | 30100154 | $87.17 | 84480 |
| T3U | THBR (T-UPTAKE) | 40500133 | $43.58 | 84479 |
| TACR | TACROLIMUS | 40200267 | $226.80 | 80197 |
| TBC | AFB CULTURE | 40300033 | $40.40 | 87116 |
| TBG | THYROXINE BINDING GLOBULIN-TBG | 40200303 | $134.89 | 84442 |
| TBIL | BILIRUBIN TOTAL | 40500077 | $78.93 | 82247 |
| TBS | AFB SMEAR | 40300039 | $74.73 | 87206 |
| TBSC | AFB SMEAR - CULTURE | 40300033 | $40.40 | 87116 |
| 40300039 | $14.14 | 87206 | ||
| TCGE | T CELL GENE REARRANGEMENT | 30100325 | $2,142.00 | 81342 |
| TCHR | CHROMOSOME ANALYSIS-TISSUE | 40200138 | $660.86 | 88262 |
| 40200139 | $660.86 | 88291 | ||
| 31000036 | $660.86 | 88233 | ||
| TES | TESTOSTERONE - SERUM | 40500125 | $153.56 | 84403 |
| TESB | TESTOSTERONE-FREE AND WEAKLY BOUND | 40200261 | $118.29 | 84402 |
| 40200300 | $153.56 | 84403 | ||
| 40200299 | $149.41 | 84270 | ||
| TESX | TESTOSTERONE (FREE AND WEAKLY BOUND | 40200261 | $118.29 | 84402 |
| 40200300 | $153.56 | 84403 | ||
| 40200299 | $149.41 | 84270 | ||
| TGPL | TRIGLYCERIDES PLEURAL FLUID | 40500132 | $67.67 | 84478 |
| TGPT | TRIGLYCERIDES PERITONEAL FLUID | 40500132 | $67.67 | 84478 |
| TGQB | THYROGLOBULIN | 40200302 | $143.18 | 84432 |
| 40200234 | $155.66 | 86800 | ||
| TH4 | T4 (THYROXINE, TOTAL) | 40500126 | $37.37 | 84436 |
| THAB | THYROID AUTOANTIBODIES | 40200234 | $155.66 | 86800 |
| 40200315 | $51.89 | 86376 | ||
| THCY | THIOCYANATE SERUM | 40200226 | $122.85 | 84430 |
| THEO | THEOPHYLLINE (AMINOPHYLLINE) | 40500064 | $78.86 | 80198 |
| THRC | THROAT CULTURE | 40300026 | $51.89 | 87070 |
| THTM | THROMBIN TIME | 40500157 | $57.57 | 85670 |
| TIBF | IRON (TOTAL) AND TIBC | 40500018 | $56.04 | 83550 |
| 40500019 | $58.10 | 83540 | ||
| TIMG | ALLERGEN - TIMOTHY GRASS | 40200062 | $39.43 | 86003 |
| TIPC | CATH TIP CULTURE | 40300026 | $51.89 | 87070 |
| TIT2 | ANTIBODY TITER | 40400015 | $14.86 | 86886 |
| TIT3 | ANTIBODY TITER | 40400015 | $14.86 | 86886 |
| TITR | ANTIBODY TITER | 40400016 | $14.86 | 86900 |
| 40400017 | $14.86 | 86901 | ||
| 40400012 | $38.00 | 86850 | ||
| 40400013 | $55.13 | 86870 | ||
| 40400015 | $14.86 | 86886 | ||
| TOBP | TOBRAMYCIN PEAK | 40500065 | $80.94 | 80200 |
| TOBT | TOBRAMYCIN TROUGH | 40500065 | $80.94 | 80200 |
| TOMT | ALLERGEN - TOMATO | 40200062 | $39.43 | 86003 |
| TOPM | TOPIRAMATE | 40200056 | $101.68 | 80201 |
| TORC | TORCH TITERS | 40200195 | $93.39 | 86777 |
| 40200334 | $53.97 | 86762 | ||
| 40200329 | $85.10 | 86694 | ||
| 40200018 | $105.85 | 86644 | ||
| TOX | TOXOPLASMA IGG ANTIBODY | 40200195 | $93.39 | 86777 |
| TOXM | TOXOPLASMA IGM ANTIBODY | 40200257 | $130.73 | 86778 |
| TP | PROTEIN TOTAL SERUM | 40500121 | $39.43 | 84155 |
| TPMG | TPMT GENETICS | 30100324 | $1,456.35 | 81401 |
| TPMR | TPMT, RBC | 40200358 | $42.54 | 82657 |
| TPSF | PROTEIN, TOTAL - CSF | 40500047 | $11.00 | 84157 |
| TRAB | TRICHINELLA ANTIBODIES | 40200337 | $213.15 | 86784 |
| TRCY | TRICYCLICS | 40500010 | $142.41 | 80101 |
| TRF | TRANSFERRIN | 40500129 | $122.21 | 84466 |
| TRIG | TRIGLYCERIDES | 40500132 | $31.13 | 84478 |
| TRIL | TRILEPTAL | 30100346 | $153.00 | 80183 |
| TRON | ESTRONE | 40200255 | $201.31 | 82679 |
| TRPI | TROPONIN I | 40500135 | $48.48 | 84484 |
| TRXN | TRANSFUSION REACTION EVAL | 40400010 | $126.54 | 86078 |
| TRYP | TRYPSIN SERUM | 40200073 | $100.80 | 83519 |
| TRYT | TRYPTASE | 40200023 | $569.10 | 83520 |
| TSH | TSH | 40500128 | $91.31 | 84443 |
| TSHR | TSH WITH REFLEX | 40500128 | $34.34 | 84443 |
| TSIG | THYROID STIMULATING IG | 40200215 | $313.95 | 84445 |
| TTA | TETANUS ANTIBODY | 40200336 | $112.08 | 86774 |
| TTAB | TISSUE TRANSGLUTAMINASE, IGA | 40200135 | $58.80 | 83516 |
| TTBO | TT AB REFLEX BILL ONLY | 40200092 | $192.15 | 86256 |
| TTGB | TISSUE TRANSGLUTAMINASE, IGG | 40200135 | $135.45 | 83516 |
| TTR | TISSUE TRANS AB, IGA W/RFLX ENDO AB | 40200135 | $58.80 | 83516 |
| TUNA | ALLERGEN - TUNA | 40200062 | $39.43 | 86003 |
| TVPCR | TRICHOMONAS VAGINALIS BY PCR | 30600076 | $76.00 | 87661 |
| TYHD | TYPE AND SCREEN | 40400017 | $20.00 | 86901 |
| 40400012 | $38.00 | 86850 | ||
| 40400016 | $13.00 | 86900 | ||
| U2AM | AMYLASE 2HR URINE | 40500076 | $35.29 | 82150 |
| UA | URINALYSIS | 40500067 | $18.68 | 81003 |
| UAAS | AMINO ACID PANEL RANDOM URINE | 40200181 | $430.50 | 82139 |
| UACS | UA & CULTURE SCREEN W/RFLX CULT. | 40500067 | $13.13 | 81003 |
| UAEO | EOSINOPHILS URINE | 40500169 | $24.91 | 87205 |
| UALB | PROTEIN, TOTAL - RANDOM URINE | 40500008 | $15.15 | 84156 |
| UAPC | URINE DIPSTICK POINT OF CARE | 40800004 | $14.14 | 81003 |
| UC | URINE CULTURE | 40300030 | $41.51 | 87086 |
| UCA | CALCIUM URINE | 40500079 | $41.51 | 82340 |
