Laboratory medicine MSP billing codes


Consultations And Visits

Code Description Amount
94005 EMERGENCY VISIT - LABORATORY MEDICINE $122.73
94006 LABORATORY MEDICINE, DIRECTIVE CARE $30.23
94007 LABORATORY MEDICINE, OFFICE VISIT $30.90
94008 LABORATORY MEDICINE, HOSPITAL VISIT $30.80
94009 LABORATORY MEDICINE, HOME VISIT $61.43
94010 CONSULTATION - LABORATORY MEDICINE $143.12
94012 CONSULT - LIMITED/REPEAT, LABORATORY MEDICINE $79.52

Consultations And Visits

Code Description Amount
94005 EMERGENCY VISIT - LABORATORY MEDICINE $122.73
94006 LABORATORY MEDICINE, DIRECTIVE CARE $30.23
94007 LABORATORY MEDICINE, OFFICE VISIT $30.90
94008 LABORATORY MEDICINE, HOSPITAL VISIT $30.80
94009 LABORATORY MEDICINE, HOME VISIT $61.43
94010 CONSULTATION - LABORATORY MEDICINE $143.12
94012 CONSULT - LIMITED/REPEAT, LABORATORY MEDICINE $79.52

Telehealth Service (Interactive Video Link With Patient)

Code Description Amount
94070 TELEHEALTH CONSULT - LABORATORY MEDICINE $143.12
94072 TELEHEALTH REPEAT OR LIMITED CONSULT-LAB MEDICINE $79.52
94076 TELEHEALTH DIRECTIVE CARE - LABORATORY MEDICINE $30.23
94077 TELEHEALTH SUBSEQUENT OFFICE VISIT - LAB MEDICINE $30.90
94078 TELEHEALTH SUBSEQUENT HOSPITAL VISIT-LAB MEDICINE $30.80

Telehealth Service With Direct Interactive Video Link With The Patient

Code Description Amount
94070 TELEHEALTH CONSULT - LABORATORY MEDICINE $143.12
94072 TELEHEALTH REPEAT OR LIMITED CONSULT-LAB MEDICINE $79.52
94076 TELEHEALTH DIRECTIVE CARE - LABORATORY MEDICINE $30.23
94077 TELEHEALTH SUBSEQUENT OFFICE VISIT - LAB MEDICINE $30.90
94078 TELEHEALTH SUBSEQUENT HOSPITAL VISIT-LAB MEDICINE $30.80

The Following Test Is Payable To Laboratory Facilities And Physician's Offices:

Code Description Amount
93120 E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL) $16.45

Hematology And Blood Bank

Code Description Amount
90020 ABO TYPING $16.09
90025 ABO OTHER GROUPS $33.11
90027 ACTIVATED PROTEIN C RESISTANCE (APCR $42.44
90029 ALPHA-THALASSEMIA,MOLECULAR TESTING FOR COM DEFECT $67.80
90030 ALPHA 2 ANTIPLASMIN ASSAY $45.48
90035 ANTI-DNA $20.22
90038 ANTI SACCHAROMYCES CEREVISIAE (ASCA) IgA $25.47
90039 ANTI SACCHAROMYCES CEREVISIAE (ASCA) IgG $20.56
90040 ANTI-THROMBIN III/COAGULATION PROTEINS - BYCHROMOG $33.49
90042 ANTI-XA HEPARIN ASSAY $94.12
90045 EXAMINATION - BONE MARROW $225.85
90046 BETA 2 GLYCOPROTEIN I (B2GPI) ANTIBODY SCREEN $44.65
90047 BETA 2 GLYCOPROTEIN I ANTIBODIES IgG/IgM ISOTYPE $47.26
90050 CIRCULATING ANTICOAGULANT - INCUBATED - 1+ PLASMA $57.43
90055 CIRCULATING INHIBITOR SCREEN - UNINCUBATED-SIMPLE $30.54
90060 CLOT RETRACTION $6.19
90063 COAGULATION FACTOR/CLOTTING ASSAY $45.51
90065 COLD AGGLUTININS - QUALITATIVE $14.30
90068 CYCLIC CITRULLINATED PEPTIDE ANTIBODIES $29.48
90070 COLD AGGLUTININS - QUANTITATIVE $27.40
90072 COLLAGEN BINDING ASSAY $52.51
90073 DILUTE RUSSELL VIPER VENOM TIME $14.01
90080 ANTIGLOBULIN COOMBS TEST - DIRECT $24.55
90085 DONATH-LANDSTEINER $15.00
90090 EOSINOPHIL COUNT $10.62
90095 ERYTHROPOIETIN (EPO) ASSAY $29.51
90100 ESTIMATION- B LYMPHOCYTES $96.31
90105 ESTIMATION - LYMPHOCYTE TYPES BY ROSETTE FORMATION $70.55
90110 EUGLOBULIN LYSIS TIME $16.30
90115 EXAMINATION - EOSINOPHILS/SECRETIONS/EXCRETIONS $54.08
90120 ENA (EXTRACTABLE NUCLEAR ANTIGENS)) $30.60
90123 FACTOR II ASSAY - QUANTITATIVE ONLY $53.52
90125 FACTOR V - QUANTITATIVE ONLY $52.04
90127 FACTOR V LEIDEN/PGM - 1ST GENE $76.92
90128 FACTOR V LEIDEN/PGM - 2ND GENE $48.53
90130 FACTOR VII ASSAY $51.21
90135 FACTOR VIII C ASSAY $51.58
90140 FACTOR VIII-C INHIBITOR ASSAY (BETHESDA TITRE) $89.64
90145 FACTOR IX ASSAY $58.08
90150 FACTOR XI ASSAY $51.21
90155 FACTOR X ASSAY $51.21
90160 FACTOR XII ASSAY $51.21
90165 FACTOR XIII SCREEN $16.27
90170 FIBRIN/FIBRINOGEN DEGRADATION PRODUCTS $23.27
90175 FETAL HAEMOGLOBIN $18.51
90180 FOETAL CELL STAIN $19.03
90185 GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G-6-PD) SCREENING TEST $42.91
90190 GLUCOSE-6-PHOSPHATE DEHYDROGENASE ASSAY (RED CELL) $59.02
90200 HAM TEST $27.74
90205 HAEMATOLOGY PROFILE $10.96
90210 HAEMATOLOGY SPECIAL STAINS - ROUTINE $28.76
90215 HAEMATOLOGY SPECIAL STAINS - COMPLEX $42.56
90220 HAEMOGLOBIN A2 QUANTIFICATION $14.14
90225 HAEMOGLOBIN-CYANMETHAEMOGLOBIN $3.22
90235 HAEMOGLOBIN - OTHER METHODS $1.55
90240 HEMOGLOBIN ELECTROPHORESIS $29.84
90245 HAEMOGLOBIN-H INCLUSION BODIES $67.80
90265 HLA - SINGLE ANTIGEN $40.58
90280 IMMUNOFLUORESCENT STAINING FOR AUTOANTIBODIES - FIRST AUTOANTIBODY $23.82
90285 IMMUNOFLUORESCENT STAINING FOR AUTOANTIBODIES - EACH ADDITIONAL AUTOANTIBODY $27.03
90290 IMMUNOPHENOTYPING BY FLOW CYTOMETRY- PERIPHERAL $223.42
90295 IMMUNOPHENOTYPING/FLOW CYTOMETRY - EACH ADDITIONAL $34.42
90300 COOMBS - INDIRECT $15.05
90305 SLIDE AGGLUTINATION - INFECTIOUS MONONUCLEOSIS $17.10
90310 IVY TEMPLATE - BLEEDING TIME $26.63
90315 LATEX TEST (RHEUMATOID FACTOR) $8.41
90320 LEUCOCYTE ALKALINE PHOSPHATASE $42.35
90325 LYMPHOCYTE STIMULATION TEST $106.30
90330 LYMPHOCYTE STIMULATION TEST - EACH ADDITIONAL $32.16
90335 MALARIA/OTHER PARASITES $61.82
90340 MARROW FILMS -INTERPRETATION $163.79
90345 MARROW/PERIPHERAL BLOOD STEM CELLS $104.80
90350 MIXED LEUKOCYTE CULTURE - DONOR/RECIPIENT $112.77
90355 MIXED LEUKOCYTE CULTURE - EACH ADDITIONAL $129.35
90357 NEUTROPHIL OXIDATIVE BURST ASSAY $112.77
90360 NITRO BLUE TETRAZOLIUM TEST $30.44
90365 OXYGEN DISASSOCIATION CURVE $77.96
90370 THROMBOPLASTIN TEST, PARTIAL $6.57
90375 PARTIAL THROMBOPLASTIN TIME - SUBSTITUTION TEST $42.77
90377 PHOSPHOLIPID NEUTRALIZATION TEST - CONFIRM LUPUS $42.25
90380 PLASMA HAEMOGLOBIN $16.88
90385 PLASMINOGEN ASSAY $45.87
90390 PLATELET ANTIBODIES $34.46
90400 PLATELET ESTIMATION - FILM $4.64
90405 PLATELET FUNCTION AGGREGATION $21.93
90410 PREPARATION OF PACKED CELLS, PER UNIT $16.22
90420 PROTEIN C ACTIVITY $51.33
90425 PROTEIN C ANTIGEN $56.18
90427 PROTEIN S ACTIVITY (CLOT BASED) $38.31
90430 PROTEIN S FREE ANTIGEN $43.51
90435 PROTEIN S TOTAL ANTIGEN $40.50
90440 PROTHROMBIN TIME/INR $12.07
90445 PYRUVIC KINASE ASSAY $75.52
90450 PYRUVIC KINASE TEST $13.30
90455 RAJI CELL ASSAY $50.59
90460 RBC ANTIBODY DETECTION, ALBUMIN OR ENZYME TUBES $6.89
90465 BLOOD FILM REVIEW $17.99
90475 RED CELL FRAGILITY SCREENING TEST $17.77
90480 RED CELL FRAGILITY INCUBATED $57.13
90485 REPTILASE TIME $40.88
90490 RETICULOCYTE COUNT AND/OR HEINZ BODIES $11.54
90495 RH (D) TYPING $10.38
90500 RH GENOTYPE $41.21
90505 RISTOCETIN CO-FACTOR ASSAY $77.57
90510 SALINE TUBES (PER TUBE) $7.59
90512 SECRETION SMEAR FOR EOSINOPHILS $7.41
90515 SEDIMENTATION RATE $10.61
90520 SERUM HAPTOGLOBIN $20.42
90525 SICKLE CELL IDENTIFICATION $76.41
90530 STYPVEN PROTHROMBIN TIME $27.95
90535 SUGAR WATER TEST (P.N.H.) $10.72
90540 THALASSEMIA/HEMOGLOBINOPATHY INVESTIGATION $65.46
90550 DPG ASSAY 2-3 $34.23
90555 VON WILLEBRAND FACTOR ANTIGEN $107.66
90560 VON WILLEBRAND FACTOR - MULTIMER ANALYSIS $88.77
90565 WHITE BLOOD CELLS AGGLUTININS $71.34
91130 PROTEINASE 3 ANTINEUTROPHIL CYTOPLASMIC ANTIBODY $26.19
91145 ANTICARDIOLIPIN AB, IgG $24.47
91146 ANTICARDIOLIPIN AB, IgM $24.47
91160 ANTIMYELOPEROXIDASE ANTIBODY $44.74
91355 CELL COUNT - CSF AND OTHER BODY FLUIDS $28.77
91356 CELL DIFFERENTIAL - CSF AND OTHER BODY FLUIDS $11.70

Microbiology

Code Description Amount
79080 BRONCHOPLEURAL FISTULA CLOSURE $917.08
90600 ACID FAST ORGANISMS - CULTURE $24.13
90605 ANAEROBIC CULTURE INVESTIGATION $11.77
90610 SERUM BACTERICIDAL TEST $66.41
90615 ANTIBIOTIC SUSCEPTIBILITY TEST - SEMI-QUANTITATIVE $11.61
90625 BLOOD CULTURE - AEROBIC/ANAEROBIC MEDIA $36.08
90630 C. DIFFICILE TOXIN - IMMUNOLOGICAL METHOD $16.64
90640 CANDIDA CULTURE $6.81
90645 CHLAMYDIA ANTIGEN $16.84
90650 CHLAMYDIA CULTURE $42.84
90651 CHLAMYDIA TRACHOMATIS USING NAAT - URINE $25.18
90652 CHLAMYDIA TRACHOMATIS USING NAAT -UROGENITAL SWAB $24.09
90653 GONORRHEA BY NAAT-URINE $4.76
90654 GONORRHEA BY NAAT-UROGENITAL SWAB $4.76
90655 CLOSTRIDIUM DIFFICILE TOXIN - TISSUE CULTURE $18.09
90656 C. DIFFICILE TOXIN, REAL TIME PCR $48.91
90660 DIPHTHERIA ANTIBODIES $21.14
90665 FUNGUS CULTURE $21.41
90670 FUNGUS DIRECT EXAMINATION KOH PREPARATION $13.76
90675 HEPATITIS B E ANTIGEN $14.87
90685 HEPATITIS A - IGM ANTIBODY (ANTI-HAV-IGM) $18.42
90690 HEPATITIS B CORE ANTIBODY (ANTI-HBC) $10.85
90700 HEPATITIS B SURFACE ANTIBODY (ANTI-HBS) $11.08
90715 ROTAVIRUS ANTIGEN $16.87
90720 ROUTINE CULTURE $15.30
90725 SEROLOGICAL IDENTIFICATION -MICRO-ORGANISM $15.94
90730 SMEAR - INCLUSION BODIES $12.38
90736 CERVICAL CULTURE $15.44
90737 VAGINAL CULTURE $15.40
90738 URETHERAL CULTURE $21.17
90739 COMBINED VAGINO-ANORECTAL OR VAGINAL CULTURE $15.40
90740 STAINED SMEAR $16.71
90741 GENITAL CULTURE - OTHER SITE $25.28
90745 STOOL CULTURE $16.90
90750 BIOCHEMICAL IDENTIFICATION - MICRO-ORGANISM/STOOL $14.42
90751 MOLECULAR IDENTIFICATION, STOOL ISOLATE $14.90
90755 STREPTOCOCCAL ENZYME SLIDE TEST $12.52
90760 STREPTOCOCCI - RAPID TEST $13.02
90765 ANTI-STREPTOLYSIN $11.73
90770 TETANUS ANTIBODIES $21.14
90775 THROAT OR NOSE CULTURE $18.18
90780 THROAT OR NOSE CULTURE - ADDITIONAL $18.18
90784 TRICHOMONAS ANTIGEN TEST $18.75
90785 TRICHOMONAS AND/OR CANDIDA, DIRECT EXAMINATION $11.63
90790 URINE COLONY COUNT CULTURE $19.57
90825 SMEAR/SECTION - ELECTRON MICROSCOPY $27.79

Ova & Parasites

Code Description Amount
79080 BRONCHOPLEURAL FISTULA CLOSURE $917.08
90795 PINWORM OVA - EXAMINATION $43.94
90800 STOOL EXAMINATION - CONCENTRATION METHOD $46.93
90805 PARASITE - MACROSCOPIC/MICROSCOPIC EXAM $42.96

Virology

Code Description Amount
90815 SEROLOGICAL TESTS - 1-3 ANTIGENS $36.83
90820 SEROLOGICAL TESTS - > 4 ANTIGENS $37.98
90825 SMEAR/SECTION - ELECTRON MICROSCOPY $27.79
90830 VIRUS ISOLATION $51.65
90831 HEPATITIS B VIRUS (HBV) IDENTIFICATION $60.34
90832 BK POLYOMA VIRUS IDENT BY NUC ACID AMPLIF, DIRECT $39.13
90833 CYTOMEGALOVIRUS VIRAL(CMV) IDENT BY NUCL ACID AMPL $36.92
90835 HBV DRUG RESISTANCE MUTATION ANALYSIS $129.88

Chemistry

Code Description Amount
79100 MEDIASTINUM - THYMECTOMY $765.18
91000 PRIMARY BASE FEE - CHEMISTRY $15.62
91005 PRIMARY BASE FEE (COLLECTING) - CHEMISTRY $7.02

Criteria For Chemistry Add Ons

Code Description Amount
91020 ACETYLCHOLINE RECEPTOR ANTIBODIES - QUALITATIVE $101.93
91021 ACETYLCHOLINE RECEPTOR ANTIBODIES - QUANTITATIVE $167.50
91023 ACETYL COA: A-GLUCOSAMINIDE-N-ACETYL TRANSFERASE, $93.71
91025 ACID ALPHA-1 GLYCOPROTEIN $20.40
91027 ACID LIPASE, WITE BLOOD CELLS $51.25
91030 ACID PHOSPHATASE, TOTAL $13.66
91031 ACID PHOSPHATASE, FRACTIONS - EACH $13.66
91035 ACTH, PLASMA $36.57
91036 ACTH STIMULATION TEST $45.24
91037 ACYLCARNITINE PROFILING $41.28
91040 ALBUMIN, SERUM/PLASMA $1.55
91042 ALBUMIN - TRANSUDATE/EXUDATE $1.06
91050 ALCOHOL $20.79
91055 ALDOLASE $14.12
91060 ALDOSTERONE, PLASMA/SERUM $170.92
91061 ALDOSTERONE, URINE $170.92
91065 ALANINE AMINOTRANSFERASE $1.47
91070 ALKALINE PHOSPHATASE $1.57
91075 ALLERGEN SPECIFIC IGE ASSAY $16.13
91080 ALPHA-1 ANTITRYPSIN $20.06
91090 ALPHA FETOGLOBULIN $13.03
91095 ALPHA FETOPROTEIN $24.79
91096 ALPHA-IDURONIDASE, WHITE BLOOD CELLS $51.25
91097 ALPHA-MANNOSIDASE, WHITE BLOOD CELLS $51.25
91100 ALUMINUM $49.19
91105 AMINO ACID, QUANTITATIVE, CHROMATOGRAPHY $78.42
91110 AMINO ACIDS-URINE, CHROMATOGRAPHY $54.27
91115 AMMONIA $7.41
91120 AMNIOTIC FLUID EXAMINATION/WRITTEN INTERPRETATION $55.10
91125 AMYLASE CYST $13.73
91126 AMYLASE, SERUM/PLASMA $5.27
91127 AMYLASE, TRANSUDATE/EXUDATE $13.66
91128 AMYLASE, URINE $7.53
91135 ANDROSTENEDIONE, PLASMA $36.09
91140 ANGIOTENSIN CONVERTING ENZYME (ACE)-SERUM ANALYSIS $18.72
91142 ANTI-DIURETIC HORMONE (ADH), PLASMA $113.81
91150 ANTI-ENDOMYSIUM ANTIBODIES $94.39
91155 ANTIGLOMERULAR BASEMENT MEMBRANE ANTIBODY $25.73
91162 ANTI-TISSUE TRANSGLUTAMINASE ANTIBODIES(ANTI-TTG) $24.18
91165 APOLIPOPROTEIN A - 1 $20.40
91170 APOLIPOPROTEIN B - 100 $16.60
91175 APOLIPOPROTEIN E ISOFORMS $33.57
91180 APOPROTEIN E GENOTYPING $93.90
91185 ARSENIC $43.40
91190 ARYL SULFATASE A, FIBROBLASTS $51.38
91191 ARYL SULFATASE A, WHITE BLOOD CELLS $51.38
91195 ARYL SULFATASE B, FIBROBLASTS $51.38
91196 ARYL SULFATASE B, WHITE BLOOD CELLS $51.38
91200 ARYL SULFATASE C, FIBROBLASTS $51.38
91201 ARYL SULFATASE C, WHITE BLOOD CELLS $51.38
91205 ASCORBIC ACID (VITAMIN C) $26.76
91206 ASCORBIC ACID (VITAMIN C) - URINE $8.28
91210 ASPARTATE AMINOTRANSFERASE $1.73
91215 B-GALACTOSIDASE, FIBROBLASTS $51.38
91216 B-GALACTOSIDASE, WHITE BLOOD CELLS $51.38

Other

Code Description Amount
90000 VENEPUNCTURE $7.65
90415 PLASMA PREPARATION $16.19
90545 THROMBIN TIME $8.31
90620 BIOCHEMICAL IDENTIFICATION - MICRO-ORGANISM $9.55
90710 PROSTATIC SPECIFIC ANTIGEN (PSA) $14.35
90810 STOOL EXAMINATION - AMOEBAE $46.93
91010 SPLIT BASE FEE (REFERRAL FACILITY) $7.02
91220 B-GLUCOSIDASE, FIBROBLASTS $51.38
91221 B-GLUCOSIDASE, WHITE BLOOD CELLS $51.38
91226 BARBITURATES - QUANTITATIVE $35.61
91231 BETA-GLUCURONIDASE, WHITE BLOOD CELLS $51.25
91232 BETA-MANNOSIDASE WHITE BLOOD CELLS $51.25
91235 BICARBONATE, SERUM/PLASMA $2.37
91236 BICARBONATE, URINE $1.06
91240 BILE PIGMENTS AND SALTS, QUALITATIVE, URINE $2.34
91245 BILIRUBIN TOTAL, SERUM/PLASMA $1.61
91246 BILIRUBIN TOTAL, TRANSUDATE/EXUDATE $1.05
91250 BILIRUBIN, DIRECT $1.58
91255 BLOOD, QUALITATIVE, GASTRIC $2.44
91260 BONE GLA PROTEIN (OSTEOCALCIN) $17.76
91265 BROMIDES, QUANTITATIVE $16.29
91270 BROMIDES, QUALITATIVE, URINE $10.48
91275 B-TYPE NATRIURETIC PEPTIDE(BNP OR NT-PROBNP) $42.56
91280 C - 1Q ESTERASE INHIBITORS $22.86
91285 C - 3 COMPLEMENT $9.61
91290 C - 4 COMPLEMENT $9.87
91295 C - PEPTIDE $47.42
91300 C - REACTIVE PROTEIN $10.31
91305 CA 15 - 3 $21.25
91310 CA 125 $22.72
91315 CA 19 -9 $20.88
91320 CALCITONIN $50.63
91325 CALCIUM, TIMED URINE COLLECTION $5.48
91326 CALCIUM TOTAL, SERUM/PLASMA $1.55
91327 CALCIUM, 24 HOURS EXCRETION, FECES $19.73
91328 CALCIUM, URINE RANDOM $1.05
91330 CALCULUS ANALYSIS, URINE $27.86
91335 CARBAMAZEPINE $15.32
91340 CARBON MONOXIDE, QUANTITATIVE $17.58
91345 CAROTENE $8.90
91350 CATECHOLAMINES $59.27
91351 CATECHOLAMINES FRACTIONS-SEPARATION/INTERPRETATION $40.79
91352 CATECHOLAMINES, TOTAL URINE $46.45
91353 CELLS COUNT - EXAMINATION FOR FAECES $5.46
91360 CERULOPLASMIN $10.15
91365 CHLORIDE, QUANTITATIVE, CSF/OTHER FLUIDS $7.21
91366 CHLORIDE, SERUM/PLASMA $1.49
91367 CHLORIDE, TIMED URINE COLLECTION $10.06
91368 CHLORIDE, URINE RANDOM $3.26
91369 CHLORIDE, WHOLE BLOOD $1.06
91370 CHLORIDE - IONTOPHORESIS, SWEAT $77.50
91375 CHOLESTEROL, TOTAL $6.87
91380 CHOLINESTERASE/DIBUCAINE NUMBER $30.26
91386 CHROMATOGRAPHY, KETO ACIDS $36.30
91387 CHROMATOGRAPHY, REDUCING SUBSTANCES, URINE $31.40
91388 CHROMATOGRAPHY, THIN LAYER (TLC) $32.65
91390 COMPLEMENT ASSAY $19.63
91395 COMPLEMENT, TOTAL HAEMOLYTIC (CH 100) $43.71
91400 COPPER, SERUM $49.19
91401 COPPER, TISSUE $49.77
91402 COPPER, URINE $49.78
91405 CORTISOL $13.28
91406 CORTISOL, LATE NIGHT SALIVARY TEST $77.25
91410 CREATINE, TIMED URINE COLLECTION $12.73
91415 CREATINE KINASE $1.88
91420 CREATININE, RANDOM URINE $5.10
91421 CREATININE, SERUM/PLASMA $1.52
91422 CREATININE, TIMED URINE COLLECTION $5.80
91425 CRYOFIBRINOGEN $17.38
91430 SKIN FIBROBLASTS-CULTURING/BIOCHEMICAL/DNA $603.88
91434 CYCLIC AMP, PLASMA/SERUM $44.73
91435 CYCLIC A.M.P., URINE $45.46
91440 CRYOGLOBULINS $41.92
91445 CSF - ALBUMIN $20.16
91450 CSF - IMMUNOGLOBULIN G $20.40
91455 CYCLOSPORINE $23.47
91460 DEHYDROEPIANDROSTERONE, SERUM (DHEA) $18.55
91465 DIGOXIN $18.97
91470 DISACCHARIDES, INTESTINAL $62.40
91475 DOPAMINE, QUANTITATIVE $61.91
91480 ACETAZOLAMIDE $46.68
91482 ACETAMINOPHEN (QUANTITATIVE) $11.47
91484 AMIKACIN $45.99
91486 AMIODARONE $46.53
91488 AMITRYPTYLINE $24.64
91490 AMOXAPINE $46.53
91492 CHLORPROMAZINE $46.53
91494 CITRATE, URINE $24.66
91496 CLOBAZAM $49.73
91498 CLOMIPRAMINE $49.82
91500 CLONAZEPAM $46.53
91502 CLOZAPINE $27.92
91504 CYANIDE $24.64
91506 DESIPRAMINE $24.35
91508 DESMETHYLCLOBAZAM $46.53
91510 DIAZEPAM $46.53
91512 DISOPYRAMIDE $46.53
91514 DOXEPIN $46.53
91516 FLUOXETINE $46.53
91518 FLUPENTHIXOL $46.53
91520 FLUPHENAZINE $46.53
91522 FLUVOXAMINE $46.53
91524 GENTAMYCIN $26.69
91526 HALOPERIDOL $24.63
91528 IMIPRAMINE $46.53
91530 LIDOCAINE $44.73
91532 LORAZEPAM $46.53
91534 LOXAPINE $46.53
91536 MAPROTILINE $46.53
91538 METHOTREXATE $46.53
91540 METHOTRIMEPRAZINE $46.53
91542 METHYLPHENIDATE $46.53
91544 N - ACETYL PROCAINAMIDE $46.53
91546 NETILMICIN $46.53
91548 NITRAZEPAM $46.53
91550 NORTRIPTYLINE $24.35
91552 PAROXETINE $46.53
91554 PERPHENAZINE $46.53
91556 PROCAINAMIDE $46.53
91558 PROPRANOLOL $46.53
91560 SERTRALINE $52.35
91562 THIORIDAZINE $48.47
91564 TOBRAMYCIN $26.17
91566 TRAZODONE $46.53
91568 TRIFLUOPERAZINE $46.53
91570 TRIMIPRAMINE $46.53
91572 VALPROIC ACID $16.55
91573 VANCOMYCIN $15.57
91599 DRUG ASSAY - MULTIPLE (2 OR MORE) $53.46
91600 ELECTROPHORESIS, PROTEIN, QUALITATIVE $26.54
91601 ELECTROPHORESIS, PROTEIN, QUANTITATIVE $34.58
91602 ELECTROPHORESIS, C.S.F. $31.21
91603 ELECTROPHORESIS, QUALITATIVE, URINE $31.35
91605 ERYTHROCYTE GALACTOSE 1 PHOSPHATE TRANSFERASE $70.84
91610 ESTRADIOL $22.43
91615 ESTROGENS $51.66
91620 ETHOSUXIMIDE $18.47
91630 FECAL PH $3.92
91631 FAT, MICROSCOPIC EXAM-FAECES $5.48
91635 FECAL ELASTASE $46.65
91636 FAT, BALANCE 3 DAY, FECES $92.68
91640 FATTY ACIDS, NONESTERIFIED (FREE), FECES $22.79
91645 FERRITIN, SERUM $10.12
91650 FIBRINOGEN, QUANTITATIVE, CHEMICAL $28.68
91660 FOLLICLE STIMULATING HORMONE (FSH) $13.13
91665 GALACTOCEREBROSIDASE, FIBROBLASTS $51.38
91666 GALACTOCEREBROSIDASE, WHITE BLOOD CELLS $51.38
91670 GALACTOSE, QUALITATIVE, URINE $17.13
91675 GASTRIC ACIDITY DETERMINATION, QUANTITATIVE $3.52
91680 GASTRIC ANALYSIS, INTUBATION $18.15
91681 GASTRIC ANALYSIS, ACID $0.92
91682 GASTRIC ANALYSIS, HOLLANDER INSULIN $89.43
91685 GASTRIN $63.32
91690 GLUCOSE, GESTATIONAL ASSESSMENT $10.03
91700 GLUCOSE SEMIQUANTITATIVE $3.53
91705 GLUCOSE QUANTITATIVE, CSF $6.45
91706 GLUCOSE QUANTITATIVE, JOINT FLUID $6.45
91707 GLUCOSE, QUANTITATIVE SERUM/PLASMA $1.46
91708 GLUCOSE QUANTITATIVE, TRANSUDATE/EXUDATE $6.45
91709 GLUCOSE QUANTITATIVE, URINE $1.06
91710 GLUCOSE, TIMED URINE COLLECTION $7.13
91715 GLUCOSE TOLERANCE TEST, 2 - 5 HOURS $12.94
91716 GLUCOSE TOLERANCE TEST > 6 HOURS $39.40
91717 GLUCOSE TOLERANCE TEST, INTRAVENOUS $38.90
91720 GLUCOSE PHOSPHATE ISOMERASE $14.29
91725 GLUTAMYL TRANSPEPTIDASE (GTP) $1.66
91730 GLUTATHIONE PEROXIDASE $44.32
91735 GOLD $43.91
91740 HAPTOGLOBIN $19.77
91750 HEMOGLOBIN, QUALITATIVE, URINE $2.28
91762 HEPARAN SULFAMIDASE, WHITE BLOOD CELLS $93.71
91765 HEPATITIS B SURFACE ANTIGEN $10.40
91770 HEXOSAMINIDASES $51.38
91775 HEXOSAMINIDASE, SERUM $51.38
91777 HEXOSAMINIDASE WHITE BLOOD CELLS $99.30
91780 HDL CHOLESTEROL $7.85
91785 HOMOCYSTINE, SCREENING TEST, URINE $2.28
91790 HOMOVANILLIC ACID (QUANTITATIVE) URINE $38.61
91795 HYDROXYINDOLEACETIC ACID, URINE $9.28
91796 HYDROXYINDOLEACETIC ACID, QUANTITATIVE, URINE $44.28
91800 IGA ANTI-GLIADIN ANTIBODIES $32.58
91801 IGA QUANTITATIVE, SECRETION $20.31
91802 IGA QUANTITATIVE, SERUM/PLASMA $9.83
91803 IGG QUANTITATIVE SPINAL FLUID $20.06
91805 IGF - I (SOMATOMEDIN - C). $55.08
91810 IGG1 $24.85
91811 IGG2 $24.85
91812 IGG3 $24.85
91813 IGG4 $24.85
91814 IGG BLOCKING ANTIBODY $20.40
91815 IMMUNE COMPLEX DETECTION BY C1Q BINDING METHOD $44.66
91820 IMMUNOFIXATION, CSF $105.31
91821 IMMUNOFIXATION, SERUM/PLASMA $104.12
91822 IMMUNOFIXATION, URINE $104.12
91825 IMMUNOGLOBULIN D $20.40
91830 IMMUNOGLOBULIN + SPECIFIC PROTEIN ASSAYS $20.40
91831 IMMUNOGLOBULIN, ADDITIONAL ASSAY $12.53
91835 IMMUNOREACTIVE TRYPSIN $18.80
91840 IGG - QUANTITATIVE SERUM $9.95
91845 IGM - QUANTITATIVE $10.05
91850 INCLUSION BODIES, (CYTOMEGALIC) URINE $7.77
91855 INSULIN, FIRST SPECIMEN $27.55
91856 INSULIN, ADDITIONAL SPECIMEN $19.49
91857 INSULIN TOLERANCE TEST, PER SPECIMEN $6.29
91858 INTERFERON BETA, NEUTRALIZING ANTIBODIES $205.52
91860 IONIZED CALCIUM. $14.02
91865 IRON, TOTAL AND BINDING CAPACITY, PROTEIN $7.56
91870 ISOENZYMES BY ELECTROPHORESIS $25.53
91880 KETO ACIDS, CHROMATOGRAPHY - URINE $36.90
91881 KETO ACIDS CHROMATOGRAPHY - TOTAL, CHEMICAL - URIN $10.99
91882 KETO ACIDS CHROMATOGRAPHY - SCREENING TESTS - URIN $5.44
91885 KETOGENIC STEROIDS - URINE $39.47
91890 KETOSTEROIDS, TOTAL NEUTRAL - URINE $50.17
91895 LACTATE, SERUM/PLASMA $7.64
91896 LACTATE, WHOLE BLOOD $17.89
91900 LACTATE DEHYDROGENASE, CSF $1.06
91901 LACTATE DEHYDROGENASE, SERUM/PLASMA $1.62
91902 LACTATE DEHYDROGENASE, TRANSUDATE/EXUDATE $1.05
91905 LACTOSE, QUALITATIVE, URINE $9.81
91910 LEAD $130.68
91911 LEAD, TIMED URINE COLLECTION $40.68
91912 LEAD, PORPHYRIN SCREENING TEST, URINE $6.22
91915 LECITHIN SPHINGOMYELIN RATIO $232.26
91920 LHRH STIMULATION TEST $46.22
91925 LIGHT CHAINS, FREE KAPPA AND LAMBDA $78.99
91930 LIPASE $6.62
91935 LIPOPROTEIN(A) $29.61
91936 LIPOPROTEIN (A) ISOFORMS $25.92
91940 LIPOPROTEIN ELECTROPHORESIS $56.04
91941 LIPOPROTEIN, SIZING $25.92
91945 LITHIUM, SERUM/PLASMA $14.94
91946 LITHIUM, WHOLE BLOOD $11.23
91950 LUTEINIZING HORMONE (LH) $12.41
91955 MAGNESIUM, FECAL $25.15
91956 MAGNESIUM, RED BLOOD CELL $29.51
91957 MAGNESIUM, SERUM/PLASMA $6.79
91958 MAGNESIUM, URINE $10.06
91959 MAGNESIUM, WHOLE BLOOD $23.97
91960 MELANIN, QUALITATIVE, URINE $2.35
91965 MERCURY $52.42
91970 METACHROMATIC GRANULES, URINE $16.13
91975 METANEPHRINES, QUANTITATIVE $155.77
91985 ALBUMIN CREATININE RATIO (ACR) $11.41
91990 MICROSCOPIC EXAMINATION OF FECES $5.08
91992 MITOCHONDRIAL PREPARATION-MUSCLE $90.55
91995 MUCOPOLYSACCHARIDES, URINE $59.55
91997 N-ACETYL-GALACTOSAMINE-6-SULFATE SULFATASE, WBC $93.71
92000 NITROGEN, 24 HR. EXCRETION - FECES $19.79
92001 NITROGEN - 24 HR. EXCRETION - URINE $6.43
92005 OCCULT BLOOD-FECES $6.02
92010 ORGANIC ACIDS $105.41
92015 OSMOLAR CONCENTRATION, SERUM $49.25
92016 OSMOLAR CONCENTRATION, URINE $49.41
92020 OXALATE, TIMED URINE COLLECTION $58.00
92025 OXYGEN CAPACITY OR CONTENT $20.06
92026 OXYGEN, SATURATION (PHOTOMETRIC) $10.93
92030 PARATHYROID HORMONE (INTACT) $17.52
92031 PARATHYROID HORMONE (MID MOLECULE/CARBOXYL TERMINA $25.18
92035 PENTAGASTRIN TEST, GASTRIC $67.51
92040 PEPTIDE HORMONES $25.18
92045 PH, PC02 AND P02 $36.18
92050 PHENOTHIAZINE SCREEN $7.24
92055 PHENYLALANINE, SCREENING TEST (GUTHRIE) $4.04
92056 PHENYLALANINE, QUANTITATIVE $20.56
92060 PHENYTOIN $17.13
92065 PHENYLPYRUVIC ACID, QUALITATIVE, URINE $2.35
92070 PHOSPHATES, RANDOM URINE $2.24
92071 PHOSPHATES, SERUM/PLASMA $1.62
92072 PHOSPHATE, TIMED URINE COLLECTION $3.95
92075 PIGMENTS, ABNORMAL (SPECTROSCOPIC) $14.06
92080 HOMOCYSTEINE - PLASMA $22.97
92085 PORPHOBILINOGEN, QUALITATIVE, URINE $9.70
92090 PORPHYRINS, QUALITATIVE, URINE $7.62
92091 PORPHYRINS, QUANTITATIVE - URINE $56.74
92092 PORPHYRINS, QUANTITATIVE - FECES $132.71
92095 PORPHYRINS, QUANTITATIVE - BLOOD $21.76
92100 POTASSIUM, SERUM/PLASMA $1.39
92101 POTASSIUM, TIMED URINE COLLECTION $5.57
92102 POTASSIUM, URINE RANDOM $2.84
92103 POTASSIUM, WHOLE BLOOD $1.05
92105 PRE ALBUMIN $20.16
92108 PREGNANCY TEST, IMMUNOLOGIC - URINE $15.50
92110 PREGNANCY TEST - SERUM $14.74
92115 PREGNANEDIOL, URINE $45.07
92120 PREGNANETRIOL, URINE $53.20
92125 PRIMIDONE (MYSOLENE) $18.49
92130 PROGESTERONE, SERUM/PLASMA $14.86
92135 PROLACTIN $13.49
92145 PROTEINS, TOTAL QUANTITATIVE, C.S.F. $7.14
92146 PROTEIN, TIMED URINE COLLECTION $5.95
92147 PROTEIN TOTAL, JOINT FLUID $1.05
92148 PROTEIN TOTAL, SERUM OR PLASMA $1.60
92149 PROTEIN TOTAL, TRANSUDATE/EXUDATE $1.05
92150 PROTEASE INHIBITOR $32.95
92152 DRUG ASSAY (MULTIPLE) - PYRIDINIUM CROSS LINKS $24.67
92155 PYRUVATES $17.98
92156 PRYRUVATE CARBOXYLASE, FIBROBLASTS $93.71
92157 PYRUVATE DEHYDROGENASE, FIBROBLASTS $93.71
92160 QUANTITATIVE BETA HCG $16.30
92165 QUANTITATIVE HCG (INTACT) $25.18
92170 IGE ASSAY, QUANTITATIVE (DUPLICATE) $13.72
92180 QUINIDINE $27.36
92185 RENIN, SINGLE DETERMINATION $63.87
92190 RENIN, TWO OR MORE DETERMINATIONS $98.11
92195 RESPIRATORY CHAIN ENZYMES-MUSCLE $274.56
92197 RETINOL BINDING PROTEIN $27.82
92200 SALICYLATES, QUALITATIVE, SERUM $5.24
92201 SALICYLATES, QUALITATIVE, GASTRIC $2.88
92202 SALICYLATES, QUALITATIVE, URINE $2.99
92203 SALICYLATES, QUANTITATIVE, SERUM $9.26
92204 SALICYLATES, QUANTITATIVE, URINE $9.77
92205 SCC $20.40
92210 SECRETIN - PANCREOZYMIN TEST $462.10
92215 SELENIUM $49.77
92220 SEMINAL FRUCTOSE $7.32
92225 SERUM VISCOSITY $23.17
92227 SIROLIMUS $43.01
92230 SODIUM, RANDOM URINE $2.72
92231 SODIUM, SERUM/PLASMA $1.38
92232 SODIUM, TIMED URINE COLLECTION $4.60
92233 SODIUM, WHOLE BLOOD $1.05
92235 SOMATOTROPIN, ONE SPECIMEN $30.38
92236 SOMATOTROPIN, ADDITIONAL SPECIMEN $19.36
92240 SPECIFIC PROTEIN ANALYSIS/PREPARATIVE ULTRACENTRIF $141.14
92250 SPHINGOMYELINASE, FIBROBLASTS $51.38
92251 SPHINGOMYELINASE, WHITE BLOOD CELLS $51.38
92255 SULFONAMIDES, QUANTITATIVE, URINE $3.74
92260 SWEAT TEST (MUCOVISCIDOSIS) CHEMICAL $10.20
92266 TESTOSTERONE TOTAL $15.81
92270 THALLIUM $43.91
92275 THEOPHYLLINE $42.33
92280 THYROGLOBULIN $27.90
92285 THYROGLOBULIN ANTIBODIES $20.40
92290 THYROID BINDING GLOBULIN $20.40
92305 THYROID RECEPTOR AB $22.48
92310 TOTAL T3 $12.12
92315 THYROXINE RATIO, T4 OR TOTAL $12.12
92330 FREE T4 $12.12
92335 TISSUE IRON $43.91
92340 TRANSCOBALAMINE II $20.40
92345 TRANSFERRIN $7.56
92346 TRANSFERRIN ISOELECTRIC FOCUSING(QUALITIVE) $90.49
92350 TRIGLYCERIDES, SERUM/PLASMA $6.59
92351 TRIGLYCERIDES, TRANSUDATE/EXUDATE $9.05
92353 13C TRIOLEIN BREATH TEST FOR MALABSORPTION $67.91
92355 TROPONIN $15.05
92360 TRYPSIN, QUALITATIVE, FECES $2.24
92361 TRYPSIN, QUANTITATIVE, FECES $3.96
92362 TRYPSIN, QUANTITATIVE, GASTRIC $3.96
92365 UREA, AMNIOTIC FLUID $1.06
92366 UREA, CSF $1.06
92367 UREA, NITROGEN QUANTITATIVE, URINE $7.42
92368 UREA, SERUM/PLASMA $1.57
92369 UREA, URINE RANDOM $1.76
92370 UREA, WHOLE BLOOD $1.06
92375 URIC ACID, RANDOM URINE $1.06
92376 URIC ACID, SERUM/PLASMA $1.70
92377 URIC ACID, SYNOVIAL FLUID $1.58
92378 URIC ACID, TIMED URINE COLLECTION $4.56
92382 URINALYSIS, SCREENING AND MICROSCOPIC $5.63
92385 URINALYSIS - OR ANY PART OF (SCREENING) $2.05
92391 URINALYSIS-MICROSCOPIC EXAM OF CENTRIFUGED DEPOSIT $4.19
92395 URINALYSIS, MICROSCOPIC $7.17
92400 UROBILIN, QUALITATIVE, URINE $2.35
92405 UROBILINOGEN, QUALITATIVE, URINE $4.09
92406 UROBILINOGEN, TIMED URINE COLLECTION $13.58
92420 VANILLYLMANDELIC ACID $38.61
92425 VERY LONG CHAIN FATTY ACIDS $91.69
92430 VITAMIN A $47.86
92435 VITAMIN B1 $54.30
92440 VITAMIN B2 $54.30
92445 VITAMIN B6 $54.30
92450 VITAMIN B12 $14.38
92455 VITAMIN D (1,25 DIHYDROXY) $94.49
92465 VITAMIN E $53.94
92467 WHITE BLOOD CELL PREPARATION FOR LYSOSOMAL ENZYME $42.36
92470 XYLOSE TOLERANCE $106.16
92475 ZINC $102.44
92510 METHADONE METABOLITE $6.80
92513 METHADONE $3.50
92515 BLOOD METHADONE $46.42
93010 CRYSTAL IDENTIFICATION SYNOVIAL FLUID $40.05
93015 CYTOGENETIC ANALYSIS - SHORT TERM BLOOD $301.44
93020 CYTOGENETIC ANALYSIS - BONE MARROW $516.59
93025 CYTOGENETIC ANALYSIS - CHORIONIC VILLUS $727.15
93030 CYTOGENETIC ANALYSIS - CULTURED AMNIOTIC FLUID $414.61
93035 CYTOGENETIC ANALYSIS - CULTURED TISSUE $414.49
93040 CYTOGENETIC ANALYSIS - FOETAL BLOOD SAMPLE $392.46
93045 CYTOGENETIC ANALYSIS $966.29
93050 CYTOGENETIC ANALYSIS/IN-SITU HYBRIDIZATION $466.46
93055 SPECIAL STAINING (GIEMSA II, DAPI, SCE, NOR) $30.78
93060 SPECIAL BANDING (Q-, R-, C-) $29.48
93065 AMNIOTIC CELL CULTURE - ANALYSIS ONLY $210.20
93070 CHROMOSOMAL BREAKAGE $181.80
93075 INVESTIGATION - CHROMOSOMAL MOSAICISM $114.52
93080 CHROMOSOME ANALYSIS - HIGH RESOLUTION $123.82
93085 FINE NEEDLE ASPIRATE - CYTOLOGIC EXAMINATION $94.24
93090 CYTOLOGIC INTERPRETATION OF PRE-SCREENED CYTOLOGY $65.54
93095 CYTOLOGIC INTERPRETATION - UNSCREENED CYTOLOGY $85.52
93100 ELECTRON MICROSCOPY $384.40
93105 HEPATIC GLYCOGEN (TISSUE) $32.52
93110 HEPATIC GLUCOSE - 6 PHOSPHATASE $49.10
93115 MUSCLE BIOPSY ENZYME STUDIES $195.44
93160 SEMEN - EXAMINATION - COMPLETE $82.34
93170 SEMINAL EXAMINATION $26.98
91241 BILE ACIDS, TOTAL $55.00
91695 GLUCOSE TOLERANCE TEST-GESTATIONAL PROTOCOL $15.84
91761 HELICOBACTER PYLORI STOOL ANTIGEN (HPSA) $35.64
92006 FECAL IMMUNOCHEMICAL TEST (FIT)-ANALYSIS ONLY $9.38
92007 FECAL IMMUNOCHEMICAL TEST(FIT)-COLLECTION ONLY $5.36
92151 PURINE, PYRIMIDINE AND CREATINE DISORDER SCREEN $63.34
92267 SEX HORMONE BINDING GLOBULIG (SHBG) $13.56
92320 THYROID RELEASING HORMONE (TRH) STIMULATION TEST $55.91
92397 PROTEIN CREATININE RATIO, URINE $7.67
92514 OXYCODONE, SCREENING ASSAY $12.82
93051 CYTOGENETIC ANALYSIS/FLUORESCENCE IN SITU, SINGLE $192.68
93052 CYTOGENETIC ANALYSIS/FLUORESCENCE, SUBTELOMERIC $515.49
93053 CYTOGENETIC ANALYSIS/FLUORESCENCE,UNCULTURED $389.61
91523 GABAPENTIN $24.64
91529 LAMOTRIGINE $24.64
91551 OLANZAPINE $24.64
91559 QUETIAPINE $24.64
91561 RISPERIDONE $26.46
91565 TOPIRAMATE $24.64
91576 VIGABATRIN $26.68
91574 ZOPICLONE $24.64
91575 ZUCLOPENTHIXOL $24.64
91745 HAEMOGLOBIN, A1C $12.69
91760 HELICOBACTER PILORI CARBON 13 UREA BREATH TEST $36.50
92131 PROGESTERONE, SERUM/PLASMA 17-OH $41.71
92263 TACROLIMUS $23.47
92311 T3 - FREE $9.35
92325 THYROID STIMULATING HORMONE, TSH $9.90
92332 THYROPEROXIDASE ANTIBODIES $20.22
92390 URINALYSIS, MACROSCOPIC $7.42
92396 MICROALBUMIN, SEMIQUANTATIVE - BY URINE DIPSTICK $6.68
92460 VITAMIN D (25 HYDROXY-CHOLECALCIFEROL) $61.32
92503 AMPHETAMINES $9.55
92505 BENZODIAZEPINES $8.39
92506 TETRAHYDROCANNABINOIDS (THC) $10.92
92507 COCAINE/COCAINE METABOLITE $7.10
92508 ETHANOL $6.92
92511 OPIATES $7.16
92520 1-AMPHETAMINE $70.92
92521 1-METAMPHETAMINE $70.92
92522 ANILERIDINE $70.92
92523 ANTIHISTAMINES $70.92
92524 CLONIDINE $70.92
92525 FENTANYL $70.92
92526 FUROSEMIDE $70.92
92527 HYDROCODONE $70.92
92528 HYDROMORPHONE $70.92
92529 MEPERIDINE $70.92
92530 MEPROBAMATE $70.92
92532 METHAQUALONE $70.92
92533 METHOCARBAMOL $70.92
92534 METHYLENEDIOXYAMPHETAMINE $70.92
92535 METHYLENEDIOXYMETHAMPHETAMINE $70.92
92536 N-ACETYL MORPHINE $70.92
92537 NALOXONE $70.92
92538 OXYCODONE $70.92
92539 OXYMORPHONE $70.92
92540 PENTAZOCINE $70.92
92541 PHENTERMINE $70.92
92542 PHENYLPROPANOLAMINE $70.92
92543 PROPOXYPHENE $70.92
92544 PSEUDOEPHEDRINE $70.92
92545 GC/MS CONFIRMATION OF POSITIVE SCREEN $67.92
92546 COMPREHENSIVE DRUG ANALYSIS $119.94
92550 URINE, DRUGS OF ABUSE SCREEN - PER ANALYTE $6.95