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CPT™ codes, descriptions and other data only are copyright 2021 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA). The codes, descriptions and other data are subject to change at the sole discretion of AMA.

YEAR	HCPCS	MOD	EFF DATE	INDICATOR	RATE 2021	SHORT DESC	LONG DESC
2021	0001U		20210101	N	$720.00	Rbc dna hea 35 ag 11 bld grp	Red blood cell typing
2021	0002M		20210101	N	$503.40	Liver dis 10 assays w/ash	Liver disease, ten biochemical assays (alt, a2-macroglobulin, apolipoprotein
2021	0002U		20210101	N	$25.00	Onc clrct 3 ur metab alg plp	Measurement of substances in urine to predict likelihood of polyps in large
2021	0003M		20210101	N	$503.40	Liver dis 10 assays w/nash	Liver disease, ten biochemical assays (alt, a2-macroglobulin, apolipoprotein
2021	0003U		20210101	N	$950.00	Onc ovar 5 prtn ser alg scor	Measurement of proteins associated with ovarian cancer in serum
2021	0004M		20210101	N	$79.00	Scoliosis dna alys	Scoliosis, dna analysis of 53 single nucleotide polymorphisms (snps), using
2021	0005U		20210101	N	$760.00	Onco prst8 3 gene ur alg	Test for detecting genes associated with prostate cancer in urine
2021	0006M		20210101	N	$150.00	Onc hep gene risk classifier	Oncology (hepatic), mrna expression levels of 161 genes, utilizing fresh
2021	0007M		20210101	N	$375.00	Onc gastro 51 gene nomogram	Oncology (gastrointestinal neuroendocrine tumors), real-time pcr expression
2021	0007U		20210101	N	$114.43	Rx test prsmv ur w/def conf	Testing for presence of drug in urine
2021	0008U		20210101	N	$597.91	Hpylori detcj abx rstnc dna	Test for detecting Helicobacter pylori genes associated with antibiotic
2021	0009U		20210101	N	$107.00	Onc brst ca erbb2 amp/nonamp	Gene analysis of breast tumor tissue
2021	0010U		20210101	N	$427.26	Nfct ds strn typ whl gen seq	Typing of bacterial strain
2021	0011M		20210101	N	$760.00	Onc prst8 ca mrna 12 gen alg	Oncology, prostate cancer, mrna expression assay of 12 genes (10 content and 2
2021	0011U		20210101	N	$114.43	Rx mntr lc-ms/ms oral fluid	Prescription drug monitoring in oral fluid
2021	0012M		20210101	N	$760.00	Onc mrna 5 gen rsk urthl ca	Oncology (urothelial), mrna, gene expression profiling by real-time
2021	0012U		20210101	N	$2,515.60	Germln do gene reargmt detcj	Gene analysis for germline disorder
2021	0013M		20210101	N	$760.00	Onc mrna 5 gen recr urthl ca	Oncology (urothelial), mrna, gene expression profiling by real-time
2021	0013U		20210101	N	$2,515.60	Onc sld org neo gene reargmt	Gene analysis of solid organ tumor tissue
2021	0014M		20210101	N	$176.19	Liver ds alys 3 bmrk srm alg	Liver disease, analysis of 3 biomarkers (hyaluronic acid [ha], procollagen iii
2021	0014U		20210101	N	$2,515.60	Hem hmtlmf neo gene reargmt	DNA test for detecting gene abnormality associated with blood and lymphatic
2021	0015M		20210101	L	$-	Adrnl cortcl tum bchm asy 25	Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing
2021	0016M		20210101	L	$-	Onc bladder mrna 209 gen alg	Oncology (bladder), mrna, microarray gene expression profiling of 209 genes,
2021	0016U		20210101	N	$163.96	Onc hmtlmf neo rna bcr/abl1	RNA test for detecting gene abnormality associated with blood and lymphatic
2021	0017U		20210101	N	$91.66	Onc hmtlmf neo jak2 mut dna	JAK2 mutation test for detecting gene abnormality associated with blood and
2021	0018U		20210101	N	$3,002.09	Onc thyr 10 microrna seq alg	MicroRNA gene analysis of thyroid nodule tissue
2021	0019U		20210101	N	$3,675.00	Onc rna tiss predict alg	RNA gene analysis of tumor tissue
2021	0021U		20210101	N	$760.00	Onc prst8 detcj 8 autoantb	Detection of 8 autoantibodies in prostate tissue
2021	0022U		20210101	N	$1,950.00	Trgt gen seq dna&rna 23 gene	DNA and RNA gene analysis for non-small cell lung cancer
2021	0023U		20210101	N	$248.51	Onc aml dna detcj/nondetcj	DNA gene analysis for acute myelogenous leukemia
2021	0024U		20210101	N	$34.19	Glyca nuc mr spectrsc quan	Measurement of glycosylated acute phase proteins
2021	0025U		20210101	N	$85.77	Tenofovir liq chrom ur quan	Measurement of tenovir in urine
2021	0026U		20210101	N	$3,600.00	Onc thyr dna&mrna 112 genes	DNA and microRNA gene analysis of thyroid nodule tissue
2021	0027U		20210101	N	$121.91	Jak2 gene trgt seq alys	Gene analysis (Janus kinase 2) of targeted sequence exons 12-15
2021	0029U		20210101	N	$742.27	Rx metab advrs trgt seq alys	Gene analysis of targeted sequences for adverse drug reactions and drug response
2021	0030U		20210101	N	$134.13	Rx metab warf trgt seq alys	Gene analysis of targeted sequences for warfarin drug response
2021	0031U		20210101	N	$174.81	Cyp1a2 gene	Gene analysis (cytochrome P450 family 1, subfamily A, member 2) for common
2021	0032U		20210101	N	$174.81	Comt gene	Gene analysis (catechol-O-methyltransferase) for c.472G>A (rs4680) variant
2021	0033U		20210101	N	$349.62	Htr2a htr2c genes	Gene analysis (5-hydroxytryptamine receptor 2A) for common variants
2021	0034U		20210101	N	$466.17	Tpmt nudt15 genes	Gene analysis (thiopurine S-methyltransferase) for common variants
2021	0035U		20210101	N	$540.99	Neuro csf prion prtn qual	Testing for presence of prion protein in cerebrospinal fluid
2021	0036U		20210101	N	$4,780.00	Xome tum & nml spec seq alys	Exome gene analysis for somatic mutation in tumor tissue
2021	0037U		20210101	N	$3,500.00	Trgt gen seq dna 324 genes	DNA gene analysis of 324 genes in solid organ tumor tissue
2021	0038U		20210101	N	$29.60	Vitamin d srm microsamp quan	Measurement of vitamin D in serum
2021	0039U		20210101	N	$13.74	Dna antb 2strand hi avidity	Testing for anti-DNA antibody
2021	0040U		20210101	N	$409.90	Bcr/abl1 gene major bp quan	Gene analysis (t(9;22)) for translocation analysis
2021	0041U		20210101	N	$17.21	B brgdrferi antb 5 prtn igm	IgM antibody detection test for Borrelia burgdorferi
2021	0042U		20210101	N	$17.21	B brgdrferi antb 12 prtn igg	IgG antibody detection test for Borrelia burgdorferi
2021	0043U		20210101	N	$14.86	Tbrf b grp antb 4 prtn igm	IgM antibody detection test for Tick-Borne Relapsing Fever Borrelia group (IgM)
2021	0044U		20210101	N	$14.86	Tbrf b grp antb 4 prtn igg	IgM antibody detection test for Tick-Borne Relapsing Fever Borrelia group (IgG)
2021	0045U		20210101	N	$3,873.00	Onc brst dux carc is 12 gene	mRNA gene analysis of 12 genes in breast ductal carcinoma in situ tumor tissue
2021	0046U		20210101	N	$407.43	Flt3 gene itd variants quan	Gene analysis (fms-related tyrosine kinase 3) for internal tandem duplication
2021	0047U		20210101	N	$3,873.00	Onc prst8 mrna 17 gene alg	mRNA gene analysis of 17 genes in prostate tumor tissue
2021	0048U		20210101	N	$2,919.60	Onc sld org neo dna 468 gene	DNA gene analysis of 468 genes in solid organ tumor tissue
2021	0049U		20210101	N	$407.43	Npm1 gene analysis quan	Gene analysis (nucleophosmin)
2021	0050U		20210101	N	$2,916.60	Trgt gen seq dna 194 genes	DNA gene analysis of targeted sequences in 194 genes for acute myelogenous
2021	0051U		20210101	N	$193.71	Rx mntr lc-ms/ms ur 31 pnl	Testing for presence of 31 prescription drugs in urine
2021	0052U		20210101	N	$33.86	Lpoprtn bld w/5 maj classes	Measurement of all five major lipoprotein classes and subclasses in blood
2021	0053U		20210101	N	$2,030.00	Onc prst8 ca fish alys 4 gen	FISH analysis of 4 genes in prostate needle biopsy specimen
2021	0054U		20210101	N	$148.96	Rx mntr 14+ drugs & sbsts	Measurement of 14 or more drug classes in capillary blood
2021	0055U		20210101	N	$3,240.00	Card hrt trnspl 96 dna seq	DNA gene analysis of 96 target sequences in plasma for heart transplant
2021	0056U		20210101	N	$2,515.60	Hem aml dna gene reargmt	Whole genome sequencing in blood or bone marrow for acute myelogenous leukemia
2021	0058U		20210101	N	$322.96	Onc merkel cll carc srm quan	Measurement of antibodies to Merkel cell polyoma virus oncoprotein in serum
2021	0059U		20210101	N	$322.96	Onc merkel cll carc srm +/-	Test for presence of antibodies to Merkel cell polyoma virus oncoprotein in
2021	0060U		20210101	N	$759.05	Twn zyg gen seq alys chrms2	Gene analysis for identical twins in maternal blood
2021	0061U		20210101	N	$25.10	Tc meas 5 bmrk sfdi m-s alys	Spatial frequency domain imaging of skin
2021	0062U		20210101	N	$380.72	Ai sle igg&igm alys 80 bmrk	IgG and IgM analysis of 80 biomarkers of systemic lupus erythematosus in serum
2021	0063U		20210101	N	$750.00	Neuro autism 32 amines alg	Testing for amines associated with autism spectrum disorder in plasma
2021	0064U		20210101	N	$31.33	Antb tp total&rpr ia qual	Antibody testing for syphilis
2021	0065U		20210101	N	$18.09	Syfls tst nontreponemal antb	Non-antibody testing for syphilis
2021	0066U		20210101	N	$15.29	Pamg-1 ia cervico-vag fluid	Measurement of placental alpha-micro globulin-1 (PAMG-1) in cervical/vaginal
2021	0067U		20210101	N	$1,897.00	Onc brst imhchem prfl 4 bmrk	Protein expression profiling of 4 biomarkers of breast cancer in precancerous
2021	0068U		20210101	N	$142.63	Candida species pnl amp prb	Detection of Candida species by amplified probe
2021	0069U		20210101	N	$380.00	Onc clrct microrna mir-31-3p	mRNA expression profiling of miR-31-3 in colon tumor tissue
2021	0070U		20210101	N	$676.37	Cyp2d6 gen com&slct rar vrnt	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) for
2021	0071U		20210101	N	$301.35	Cyp2d6 full gene sequence	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) full
2021	0072U		20210101	N	$450.91	Cyp2d6 gen cyp2d6-2d7 hybrid	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted
2021	0073U		20210101	N	$450.91	Cyp2d6 gen cyp2d7-2d6 hybrid	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted
2021	0074U		20210101	N	$450.91	Cyp2d6 nonduplicated gene	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted
2021	0075U		20210101	N	$450.91	Cyp2d6 5' gene dup/mlt	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted
2021	0076U		20210101	N	$450.91	Cyp2d6 3' gene dup/mlt	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) targeted
2021	0077U		20210101	N	$43.43	Ig paraprotein qual bld/ur	Detection of Immunoglobulin paraprotein (M-protein) in blood or urine
2021	0078U		20210101	N	$450.91	Pain mgt opi use gnotyp pnl	Gene analysis of 16 genes to evaluate risk of opioid-use disorder
2021	0080U		20210101	N	$3,520.00	Onc lng 5 clin rsk factr alg	Analysis of galectin-3-binding protein and scavenger receptor cysteine-rich
2021	0082U		20210101	N	$246.92	Rx test def 90+ rx/sbsts ur	Definitive drug testing for 90 or more drugs in urine
2021	0083U		20210101	N	$167.35	Onc rspse chemo cntrst tomog	Evaluation of response to chemotherapy drugs using motility contrast tomography
2021	0084U		20210101	N	$720.00	Rbc dna gnotyp 10 bld groups	DNA red blood cell antigen typing
2021	0086U		20210101	N	$200.00	Nfct ds bact&fng org id 6+	FISH identification of organisms in blood culture
2021	0087U		20210101	N	$3,159.42	Crd hrt trnspl mrna 1283 gen	mRNA gene expression profiling of genes in heart transplant biopsy tissue to
2021	0088U		20210101	N	$3,159.42	Trnsplj kdn algrft rej 1494	mRNA gene expression profiling of genes in kidney transplant tissue to evaluate
2021	0089U		20210101	N	$760.00	Onc mlnma prame & linc00518	Gene expression profiling of melanoma in superficial sample collected by
2021	0090U		20210101	N	$1,755.00	Onc cutan mlnma mrna 23 gene	mRNA gene expression profiling of 23 genes in skin melanoma tissue sample
2021	0092U		20210101	N	$2,488.00	Onc lng 3 prtn bmrk plsm alg	Measurement of 3 protein biomarkers for lung cancer in plasma
2021	0093U		20210101	N	$62.14	Rx mntr 65 com drugs urine	Prescription drug monitoring for 65 common drugs in urine
2021	0094U		20210101	N	$7,582.20	Genome rapid sequence alys	Rapid sequence gene testing
2021	0095U		20210101	N	$771.98	Inflm ee elisa alys alg	Test for markers of eosinophilic inflammation of esophagus
2021	0096U		20210101	N	$35.09	Hpv hi risk types male urine	Test for detection of high-risk human papillomavirus in male urine
2021	0097U		20210101	N	$363.04	Gi pathogen 22 targets	Test for detection of gastrointestinal disease-causing organism using amplified
2021	0098U		20210101	N	$247.82	Respir pathogen 14 targets	Test for detection of respiratory disease-causing organism using amplified
2021	0099U		20210101	N	$275.35	Respir pathogen 20 targets	Test for detection of respiratory disease-causing organism using amplified
2021	0100U		20210101	N	$298.60	Respir pathogen 21 targets	Test for detection of respiratory disease-causing organism using amplified
2021	0101U		20210101	N	$1,169.80	Hered colon ca do 15 genes	Gene sequence analysis panel of 15 genes associated with hereditary colon
2021	0102U		20210101	N	$1,117.98	Hered brst ca rltd do 17 gen	Gene sequence analysis panel of 17 genes associated with hereditary breast
2021	0103U		20210101	N	$1,117.98	Hered ova ca pnl 24 genes	Gene sequence analysis panel of 24 genes associated with hereditary ovarian
2021	0105U		20210101	N	$950.00	Neph ckd mult eclia tum nec	Measurement of tumor necrosis factor receptor 1A, receptor superfamily 2
2021	0106U		20210101	N	$874.49	Gstr emptg 7 timed brth spec	Evaluation of gastric emptying by measurement of radiolabeled carbon monoxide
2021	0107U		20210101	N	$16.00	C diff tox ag detcj ia stool	Antigen test for detection of Clostridium difficile toxin in stool
2021	0108U		20210101	N	$2,513.25	Gi barrett esoph 9 prtn bmrk	Computer-assisted digital imaging of esophagus specimen slides to evaluate risk
2021	0109U		20210101	N	$142.63	Id aspergillus dna 4 species	DNA test for detection of 4 Aspergillus species
2021	0110U		20210101	N	$27.11	Rx mntr 1+oral onc rx&sbsts	Monitoring of anti-cancer drugs in patient blood, serum, or plasma
2021	0111U		20210101	N	$682.29	Onc colon ca kras&nras alys	Gene analysis (KRAS and NRAS) in prostate tumor tissue
2021	0112U		20210101	N	$356.13	Iadi 16s&18s rrna genes	Gene analysis for detection of infectious agent and drug resistance gene
2021	0113U		20210101	N	$760.00	Onc prst8 pca3&tmprss2-erg	Measurement of PCA3 gene in urine and prostate-specific antigen (PSA) in serum
2021	0114U		20210101	N	$1,938.01	Gi barretts esoph vim&ccna1	Gene analysis (VIM and CCNA1 methylation) in esophageal cells to evaluate
2021	0115U		20210101	N	$275.35	Respir iadna 18 viral&2 bact	Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral
2021	0116U		20210101	N	$246.92	Rx mntr nzm ia 35+oral flu	Analysis of 35 or more drugs in mouth fluid to evaluate risk of prescription
2021	0117U		20210101	N	$840.65	Pain mgmt 11 endogenous anal	Analysis of 11 biochemical substances in urine to evaluate likelihood of
2021	0118U		20210101	N	$2,753.25	Trnsplj don-drv cll-fr dna	Measurement of transplant donor cell-free DNA in transplant recipient plasma
2021	0119U		20210101	N	$83.76	Crd ceramides liq chrom plsm	Measurement of ceramides for assessment of heart disease risk
2021	0120U		20210101	N	$2,510.21	Onc b cll lymphm mrna 58 gen	mRNA, gene expression profiling of 58 genes in tissue sample for B-cell
2021	0121U		20210101	N	$509.20	Sc dis vcam-1 whole blood	Blood test for sickle cells using VCAM-1
2021	0122U		20210101	N	$526.23	Sc dis p-selectin whl blood	Blood test for sickle cells using P-Selectin
2021	0123U		20210101	N	$357.63	Mchnl fragility rbc prflg	Test for fragility of red blood cells
2021	0129U		20210101	N	$1,117.98	Hered brst ca rltd do panel	Gene analysis of genes associated with hereditary breast cancer and related
2021	0130U		20210101	N	$584.90	Hered colon ca do mrna pnl	Targeted mRNA sequence analysis of genes associated with hereditary colon
2021	0131U		20210101	N	$710.00	Hered brst ca rltd do pnl 13	Targeted mRNA sequence analysis of 13 genes associated with hereditary breast
2021	0132U		20210101	N	$741.64	Hered ova ca rltd do pnl 17	Targeted mRNA sequence analysis of 17 genes associated with hereditary ovarian
2021	0133U		20210101	N	$690.29	Hered prst8 ca rltd do 11	Targeted mRNA sequence analysis of 11 genes associated with hereditary prostate
2021	0134U		20210101	N	$748.39	Hered pan ca mrna pnl 18 gen	Targeted mRNA sequence analysis of 18 genes associated with hereditary pan
2021	0135U		20210101	N	$700.56	Hered gyn ca mrna pnl 12 gen	Targeted mRNA sequence analysis of 12 genes associated with hereditary
2021	0136U		20210101	N	$407.43	Atm mrna seq alys	mRNA gene analysis (ataxia telangiectasia mutated)
2021	0137U		20210101	N	$282.88	Palb2 mrna seq alys	mRNA gene analysis (partner and localizer of BRCA2)
2021	0138U		20210101	N	$468.33	Brca1 brca2 mrna seq alys	mRNA gene analysis (BRCA1, DNA repair associated and BRCA2, DNA repair
2021	0139U		20210101	L	$-	Neuro austm meas 6 c metablt	Measurement of 6 central carbon metabolite biomarkers for autism spectrum
2021	0140U		20210101	L	$-	Nfct ds fungi dna 15 trgt	Amplifed DNA probe detection of fungus in blood culture specimen
2021	0141U		20210101	L	$-	Nfct ds bact&fng gram pos	Amplifed DNA probe detection of 20 gram-positive bacterial targets, 4
2021	0142U		20210101	L	$-	Nfct ds bact&fng gram neg	Amplifed DNA probe detection of 20 gram-positive bacterial targets, 6
2021	0143U		20210101	L	$-	Drug assay 120+ rx/metablt	Measurement of 120 or more drugs or metabolites in urine specimen
2021	0144U		20210101	L	$-	Drug assay 160+ rx/metablt	Measurement of 160 or more drugs or metabolites in urine specimen
2021	0145U		20210101	N	$85.77	Drug assay 65+ rx/metablt	Measurement of 65 or more drugs or metabolites in urine specimen
2021	0146U		20210101	N	$85.77	Drug assay 80+ rx/metablt	Measurement of 80 or more drugs or metabolites in urine specimen
2021	0147U		20210101	N	$85.77	Drug assay 85+ rx/metablt	Measurement of 85 or more drugs or metabolites in urine specimen
2021	0148U		20210101	N	$85.77	Drug assay 100+ rx/metablt	Measurement of 100 or more drugs or metabolites in urine specimen
2021	0149U		20210101	N	$85.77	Drug assay 60+ rx/metablt	Measurement of 60 or more drugs or metabolites in urine specimen
2021	0150U		20210101	N	$85.77	Drug assay 120+ rx/metablt	Measurement of 120 or more drugs or metabolites in urine specimen
2021	0151U		20210101	L	$-	Nfct bct/vir resp nfctj 33	Test for detection of respiratory disease-causing organisms in sputum or
2021	0152U		20210101	L	$-	Nfct ds dna untrgt ngnrj seq	Test for detection of disease-causing organisms, >1,000 target microbial
2021	0153U		20210101	L	$-	Onc breast mrna 101 genes	mRNA gene expression profiling of 101 genes in breast growth tissue specimen
2021	0154U		20210101	N	$207.31	Onc urthl ca rna fgfr3 gene	RNA gene analysis for detection of fibroblast growth factor receptor 3 gene
2021	0155U		20210101	N	$274.83	Onc brst ca dna pik3ca gene	DNA analysis for detection of PIK3CA gene mutation in breast growth tissue
2021	0156U		20210101	L	$-	Copy number sequence alys	Gene analysis copy number sequence analysis
2021	0157U		20210101	L	$-	Apc mrna seq alys	mRNA gene analysis of APC regulator of WNT signaling pathway
2021	0158U		20210101	L	$-	Mlh1 mrna seq alys	mRNA gene analysis of mutL homolog 1
2021	0159U		20210101	L	$-	Msh2 mrna seq alys	mRNA gene analysis of mutS homolog 2
2021	0160U		20210101	L	$-	Msh6 mrna seq alys	mRNA gene analysis of mutS homolog 6
2021	0161U		20210101	L	$-	Pms2 mrna seq alys	mRNA gene analysis of PMS1 homolog 2, mismatch repair system component
2021	0162U		20210101	L	$-	Hered colon ca trgt mrna pnl	Targeted mRNA sequence analysis for genes associated with hereditary colon
2021	0163U		20210101	L	$-	Onc clrct scr 3 prtn alg	Screening test for 3 protein biomarkers of colorectal cancer in serum or plasma
2021	0164U		20210101	L	$-	Gi ibs ia anti-cdtb&vinculin	Test for detection of antibodies associated with irritable bowel syndrome in
2021	0165U		20210101	L	$-	Peanut allg asmt epi	Test for detection of antigens associated with peanut allergy in blood
2021	0166U		20210101	N	$503.40	Liver ds 10 biochem asy srm	Liver disease test panel in serum specimen
2021	0167U		20210101	N	$7.52	Chornc gonadotropin hcg ia	Test for detection of human chorionic gonadotropin (pregnancy hormone) in blood
2021	0168U		20210101	N	$759.05	Ftl aneuploidy dna seq alys	DNA analysis for detection of abnormal chromosome number of fetus in maternal
2021	0169U		20210101	N	$466.17	Nudt15&tpmt gene com vrnt	Gene analysis (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase)
2021	0170U		20210101	N	$1,755.00	Neuro asd rna next gen seq	RNA gene sequencing for probability of autism spectrum disorder in saliva
2021	0171U		20210101	L	$-	Trgt gen seq alys pnl dna 23	DNA analysis of targeted sequences in 23 genes for detection of abnormalites
2021	0172U		20210101	N	$3,030.00	Onc sld tum alys brca1 brca2	DNA gene analysis (BRCA1, DNA repair associated and BRCA2, DNA repair
2021	0173U		20210101	L	$-	Psyc gen alys panel 14 genes	Gene analysis panel for detection of variants in 14 genes associated with
2021	0174U		20210101	L	$-	Onc solid tumor 30 prtn trgt	Mass spectrometry testing for 30 protein targets in tissue specimen to predict
2021	0175U		20210101	L	$-	Psyc gen alys panel 15 genes	Gene analysis panel for detection of variants in 15 genes associated with
2021	0176U		20210101	N	$64.19	Cdtb&vinculin igg antb ia	Test for detection of IgG antibodies associated with irritable bowel syndrome
2021	0177U		20210101	N	$246.52	Onc brst ca dna pik3ca 11	DNA gene analysis (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic
2021	0178U		20210101	L	$-	Peanut allg asmt epi clin rx	Test for detection of antigens associated with peanut allergy in blood
2021	0179U		20210101	L	$-	Onc nonsm cll lng ca alys 23	Cell-free DNA analysis of targeted sequences in 23 genes for detection of
2021	0180U		20210101	L	$-	Abo gnotyp abo 7 exons	Red blood cell antigen genotyping, ABO blood group
2021	0181U		20210101	N	$185.20	Co gnotyp aqp1 exon 1	Red blood cell antigen genotyping, Colton blood group
2021	0182U		20210101	N	$301.35	Crom gnotyp cd55 exons 1-10	Red blood cell antigen genotyping, CD55 molecule [Cromer blood group] exons 1-10
2021	0183U		20210101	N	$185.20	Di gnotyp slc4a1 exon 19	Red blood cell antigen genotyping, solute carrier family 4 member 1 [Diego
2021	0184U		20210101	N	$185.20	Do gnotyp art4 exon 2	Red blood cell antigen genotyping, ADP-ribosyltransferase 4 [Dombrock blood
2021	0185U		20210101	N	$185.20	Fut1 gnotyp fut1 exon 4	Red blood cell antigen genotyping, fucosyltransferase 1 [H blood group] exon 4
2021	0186U		20210101	N	$185.20	Fut2 gnotyp fut2 exon 2	Red blood cell antigen genotyping, fucosyltransferase 2 [H blood group] exon 2
2021	0187U		20210101	N	$274.83	Fy gnotyp ackr1 exons 1-2	Red blood cell antigen genotyping, atypical chemokine receptor 1 [Duffy blood
2021	0188U		20210101	N	$274.83	Ge gnotyp gypc exons 1-4	Red blood cell antigen genotyping, glycophorin C [Gerbich blood group] exons 1-4
2021	0189U		20210101	N	$274.83	Gypa gnotyp ntrns 1 5 exon 2	Red blood cell antigen genotyping, glycophorin A [MNS blood group] introns 1,
2021	0190U		20210101	N	$274.83	Gypb gnotyp ntrns 1 5 seux 3	Red blood cell antigen genotyping, glycophorin B [MNS blood group] introns 1,
2021	0191U		20210101	N	$274.83	In gnotyp cd44 exons 2 3 6	Red blood cell antigen genotyping, CD44 molecule [Indian blood group] exons 2,
2021	0192U		20210101	N	$274.83	Jk gnotyp slc14a1 exon 9	Red blood cell antigen genotyping, solute carrier family 14 member 1 [Kidd
2021	0193U		20210101	N	$282.88	Jr gnotyp abcg2 exons 2-26	Red blood cell antigen genotyping, ATP binding cassette subfamily G member 2
2021	0194U		20210101	N	$185.20	Kel gnotyp kel exon 8	Red blood cell antigen genotyping, Kell metallo-endopeptidase [Kell blood
2021	0195U		20210101	N	$375.25	Klf1 targeted sequencing	Gene analysis (Kruppel-like factor 1) targeted sequence analysis
2021	0196U		20210101	N	$185.20	Lu gnotyp bcam exon 3	Red blood cell antigen genotyping, basal cell adhesion molecule [Lutheran blood
2021	0197U		20210101	N	$185.20	Lw gnotyp icam4 exon 1	Red blood cell antigen genotyping, intercellular adhesion molecule 4
2021	0198U		20210101	N	$282.88	Rhd&rhce gntyp rhd1-10&rhce5	Red blood cell antigen genotyping, Rh blood group D antigen exons 1-10 and Rh
2021	0199U		20210101	N	$274.83	Sc gnotyp ermap exons 4 12	Red blood cell antigen genotyping, erythroblast membrane associated protein
2021	0200U		20210101	N	$274.83	Xk gnotyp xk exons 1-3	Red blood cell antigen genotyping, X-linked Kx blood group exons 1-3
2021	0201U		20210101	N	$185.20	Yt gnotyp ache exon 2	Red blood cell antigen genotyping, acetylcholinesterase [Cartwright blood
2021	0202U		20210101	N	$416.78	Nfct ds 22 trgt sars-cov-2	Test for detection of respiratory disease-causing organisms from back of nose
2021	0203U		20210101	N	$760.00	Ai ibd mrna xprsn prfl 17	mRNA gene expression profiling of 17 genes in whole blood specimen for
2021	0204U		20210101	N	$2,919.60	Onc thyr mrna xprsn alys 593	mRNA gene analysis of 539 genes in fine needle aspiration thyroid specimen,
2021	0205U		20210101	N	$47.00	Oph amd alys 3 gene variants	Gene analysis for detection of variants in 3 genes in cheek swab specimen for
2021	0206U		20210101	L	$-	Neuro alzheimer cell aggregj	Cell aggregation testing of cultured skin cells for Alzheimer disease, reported
2021	0207U		20210101	L	$-	Neuro alzheimer quan imaging	Immunofluorescence testing of cultured skin cells for Alzheimer disease,
2021	0208U		20210101	L	$-	Onc mtc mrna xprsn alys 108	mRNA gene analysis of 108 genes in fine needle aspiration thyroid specimen,
2021	0209U		20210101	L	$-	Cytog const alys interrog	Cytogenomic analysis of whole genome for abnormal chromosomes
2021	0210U		20210101	N	$18.63	Syphilis tst antb ia quan	Measurement of nontreponemal antibodies associated with syphilis
2021	0211U		20210101	N	$8,455.00	Onc pan-tum dna&rna gnrj seq	Next-generation sequencing of DNA and RNA in tumor tissue specimen with
2021	0212U		20210101	L	$-	Rare ds gen dna alys proband	Rare diseases genetic testing of complete DNA of first affected person in family
2021	0213U		20210101	L	$-	Rare ds gen dna alys ea comp	Rare diseases genetic testing of complete DNA of relative of affected person in
2021	0214U		20210101	L	$-	Rare ds xom dna alys proband	Rare diseases genetic testing of protein coding genes of first affected person
2021	0215U		20210101	L	$-	Rare ds xom dna alys ea comp	Rare diseases genetic testing of protein coding genes of relative of affected
2021	0216U		20210101	L	$-	Neuro inh ataxia dna 12 com	DNA analysis of gene sequence of 12 genes for identification and
2021	0217U		20210101	L	$-	Neuro inh ataxia dna 51 gene	DNA analysis of gene sequence of 51 genes for identification and
2021	0218U		20210101	N	$2,279.00	Neuro musc dys dmd seq alys	DNA analysis of gene sequence for identification and characterization of
2021	0219U		20210101	L	$-	Nfct agt hiv gnrj seq alys	Gene analysis of human immunodeficiency virus targeted sequence analysis for
2021	0220U		20210101	L	$-	Onc brst ca ai assmt 12 feat	Image analysis of breast cancer cell specimen with artificial intelligence
2021	0221U		20210101	L	$-	Abo gnotyp next gnrj seq abo	Red blood cell antigen genotyping, ABO, alpha
2021	0222U		20210101	L	$-	Rhd&rhce gntyp next gnrj seq	Red blood cell antigen genotyping, RH proximal promoter, exons 1-10, portions
2021	0223U		20210101	L	$-	Nfct ds 22 trgt sars-cov-2	Test for detection of respiratory disease-causing organisms from back of nose
2021	0224U		20210101	L	$-	Antibody sars-cov-2 titer(s)	Measurement of antibody to severe acute respiratory syndrome coronavirus 2
2021	0225U		20210101	L	$-	Nfct ds dna&rna 21 sarscov2	Test for detection of respiratory disease-causing organisms, 21 target
2021	0226U		20210101	L	$-	Svnt sarscov2 elisa plsm srm	Surrogate viral neutralization test (sVNT) for detection of antibodies to
2021	0227U		20210101	L	$-	Rx asy prsmv 30+rx/metablt	Drug assay, presumptive, 30 or more drugs or metabolites, urine, liquid
2021	0228U		20210101	L	$-	Onc prst8 ma molec prfl alg	Oncology (prostate), multianalyte molecular profile by photometric detection of
2021	0229U		20210101	L	$-	Bcat1 promoter mthyltn alys	Bcat1 (branched chain amino acid transaminase 1) or ikzf1 (ikaros family zinc
2021	0230U		20210101	L	$-	Ar full sequence analysis	Ar (androgen receptor) (eg, spinal and bulbar muscular atrophy, kennedy
2021	0231U		20210101	L	$-	Cacna1a full gene analysis	Cacna1a (calcium voltage-gated channel subunit alpha 1a) (eg, spinocerebellar
2021	0232U		20210101	L	$-	Cstb full gene analysis	Cstb (cystatin b) (eg, progressive myoclonic epilepsy type 1a,
2021	0233U		20210101	L	$-	Fxn gene analysis	Fxn (frataxin) (eg, friedreich ataxia), gene analysis, including small sequence
2021	0234U		20210101	L	$-	Mecp2 full gene analysis	Mecp2 (methyl cpg binding protein 2) (eg, rett syndrome), full gene analysis,
2021	0235U		20210101	L	$-	Pten full gene analysis	Pten (phosphatase and tensin homolog) (eg, cowden syndrome, pten hamartoma
2021	0236U		20210101	L	$-	Smn1&smn2 full gene analysis	Smn1 (survival of motor neuron 1, telomeric) and smn2 (survival of motor neuron
2021	0237U		20210101	L	$-	Car ion chnlpthy gen seq pnl	Cardiac ion channelopathies (eg, brugada syndrome, long qt syndrome, short qt
2021	0238U		20210101	L	$-	Onc lnch syn gen dna seq aly	Oncology (lynch syndrome), genomic dna sequence analysis of mlh1, msh2, msh6,
2021	0239U		20210101	L	$-	Trgt gen seq alys pnl 311+	Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free dna,
2021	0240U		20210101	L	$-	Nfct ds vir resp rna 3 trgt	Infectious disease (viral respiratory tract infection), pathogen-specific rna,
2021	0241U		20210101	L	$-	Nfct ds vir resp rna 4 trgt	Infectious disease (viral respiratory tract infection), pathogen-specific rna,
2021	36415		20210101	N	$3.00	Routine venipuncture	Insertion of needle into vein for collection of blood sample
2021	78267		20210101	N	$11.06	Breath tst attain/anal c-14	Nuclear medicine study of digestive tract, acquisition
2021	78268		20210101	N	$94.41	Breath test analysis c-14	Nuclear medicine study of digestive tract, analysis
2021	80047		20210101	N	$13.73	Metabolic panel ionized ca	Blood test, basic group of blood chemicals (Calcium, ionized)
2021	80047	QW	20210101	N	$13.73	Metabolic panel ionized ca	Blood test, basic group of blood chemicals (Calcium, ionized)
2021	80048		20210101	N	$8.46	Metabolic panel total ca	Blood test, basic group of blood chemicals (Calcium, total)
2021	80048	QW	20210101	N	$8.46	Metabolic panel total ca	Blood test, basic group of blood chemicals (Calcium, total)
2021	80051		20210101	N	$7.01	Electrolyte panel	Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
2021	80051	QW	20210101	N	$7.01	Electrolyte panel	Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
2021	80053		20210101	N	$10.56	Comprehen metabolic panel	Blood test, comprehensive group of blood chemicals
2021	80053	QW	20210101	N	$10.56	Comprehen metabolic panel	Blood test, comprehensive group of blood chemicals
2021	80055		20210101	N	$47.81	Obstetric panel	Obstetric blood test panel
2021	80061		20210101	N	$13.39	Lipid panel	Blood test, lipids (cholesterol and triglycerides)
2021	80061	QW	20210101	N	$13.39	Lipid panel	Blood test, lipids (cholesterol and triglycerides)
2021	80069		20210101	N	$8.68	Renal function panel	Kidney function blood test panel
2021	80069	QW	20210101	N	$8.68	Renal function panel	Kidney function blood test panel
2021	80074		20210101	N	$47.63	Acute hepatitis panel	Acute hepatitis panel
2021	80076		20210101	N	$8.17	Hepatic function panel	Liver function blood test panel
2021	80081		20210101	N	$74.86	Obstetric panel	Blood test panel for obstetrics ( cbc, differential wbc count, hepatitis b,
2021	80143		20210101	N	$18.64	Drug assay acetaminophen	Measurement of acetaminophen
2021	80145		20210101	N	$38.57	Drug assay adalimumab	Measurement of adalimumab
2021	80150		20210101	N	$15.08	Assay of amikacin	Amikacin (antibiotic) level
2021	80151		20210101	N	$18.64	Drug assay amiodarone	Measurement of amiodarone
2021	80155		20210101	N	$38.57	Drug assay caffeine	Caffeine level
2021	80156		20210101	N	$14.57	Assay carbamazepine total	Carbamazepine level, total
2021	80157		20210101	N	$13.25	Assay carbamazepine free	Carbamazepine level, free
2021	80158		20210101	N	$18.05	Drug assay cyclosporine	Cyclosporine level
2021	80159		20210101	N	$20.15	Drug assay clozapine	Clozapine level
2021	80161		20210101	N	$18.64	Asy carbamazepin 10,11-epxid	Measurement of carbamazepine-10,11-epoxide
2021	80162		20210101	N	$13.28	Assay of digoxin total	Digoxin level, total
2021	80163		20210101	N	$13.28	Assay of digoxin free	Digoxin level, free
2021	80164		20210101	N	$13.54	Assay dipropylacetic acd tot	Valproic acid level, total
2021	80165		20210101	N	$13.54	Dipropylacetic acid free	Valproic acid level, free
2021	80167		20210101	N	$18.64	Drug assay felbamate	Measurement of felbamate
2021	80168		20210101	N	$16.34	Assay of ethosuximide	Ethosuximide level
2021	80169		20210101	N	$13.73	Drug assay everolimus	Everolimus level
2021	80170		20210101	N	$16.38	Assay of gentamicin	Gentamicin (antibiotic) level
2021	80171		20210101	N	$21.67	Drug screen quant gabapentin	Gabapentin level
2021	80173		20210101	N	$15.78	Assay of haloperidol	Haloperidol level
2021	80175		20210101	N	$13.25	Drug screen quan lamotrigine	Lamotrigine level
2021	80176		20210101	N	$14.69	Assay of lidocaine	Lidocaine level
2021	80177		20210101	N	$13.25	Drug scrn quan levetiracetam	Levetiracetam level
2021	80178		20210101	N	$6.61	Assay of lithium	Lithium level
2021	80178	QW	20210101	N	$6.61	Assay of lithium	Lithium level
2021	80179		20210101	N	$18.64	Drug assay salicylate	Measurement of salicylate
2021	80180		20210101	N	$18.05	Drug scrn quan mycophenolate	Mycophenolate (mycophenolic acid) level
2021	80181		20210101	N	$18.64	Drug assay flecainide	Measurement of flecainide
2021	80183		20210101	N	$13.25	Drug scrn quant oxcarbazepin	Oxcarbazepine level
2021	80184		20210101	N	$15.30	Assay of phenobarbital	Phenobarbital level
2021	80185		20210101	N	$13.25	Assay of phenytoin total	Phenytoin level, total
2021	80186		20210101	N	$13.76	Assay of phenytoin free	Phenytoin level, free
2021	80187		20210101	N	$27.11	Drug assay posaconazole	Measurement of posaconazole
2021	80188		20210101	N	$16.59	Assay of primidone	Primidone level
2021	80189		20210101	N	$27.11	Drug assay itraconzaole	Measurement of itraconazole
2021	80190		20210101	N	$60.00	Assay of procainamide	Procainamide level
2021	80192		20210101	N	$16.75	Assay of procainamide	Procainamide level, with metabolites
2021	80193		20210101	N	$38.57	Drug assay leflunomide	Measurement of leflunomide
2021	80194		20210101	N	$14.60	Assay of quinidine	Quinidine level
2021	80195		20210101	N	$13.73	Assay of sirolimus	Sirolimus level
2021	80197		20210101	N	$13.73	Assay of tacrolimus	Tacrolimus level
2021	80198		20210101	N	$14.14	Assay of theophylline	Theophylline level
2021	80199		20210101	N	$27.11	Drug screen quant tiagabine	Tiagabine level
2021	80200		20210101	N	$16.13	Assay of tobramycin	Tobramycin (antibiotic) level
2021	80201		20210101	N	$11.92	Assay of topiramate	Topiramate level
2021	80202		20210101	N	$13.54	Assay of vancomycin	Vancomycin (antibiotic) level
2021	80203		20210101	N	$13.25	Drug screen quant zonisamide	Zonisamide level
2021	80204		20210101	N	$38.57	Drug assay methotrexate	Measurement of methotrexate
2021	80210		20210101	N	$27.11	Drug assay rufinamide	Measurement of rufinamide
2021	80230		20210101	N	$38.57	Drug assay infliximab	Measurement of infliximab
2021	80235		20210101	N	$27.11	Drug assay lacosamide	Measurement of lacosamide
2021	80280		20210101	N	$38.57	Drug assay vedolizumab	Measurement of vedolizumab
2021	80285		20210101	N	$27.11	Drug assay voriconazole	Measurement of voriconazole
2021	80299		20210101	N	$18.64	Quantitative assay drug	Quantitation of therapeutic drug
2021	80305		20210101	N	$12.60	Drug test prsmv dir opt obs	Testing for presence of drug, read by direct observation
2021	80305	QW	20210101	N	$12.60	Drug test prsmv dir opt obs	Testing for presence of drug, read by direct observation
2021	80306		20210101	N	$17.14	Drug test prsmv instrmnt	Testing for presence of drug, read by instrument assisted observation
2021	80307		20210101	N	$62.14	Drug test prsmv chem anlyzr	Testing for presence of drug, by chemistry analyzers
2021	80400		20210101	N	$32.62	Acth stimulation panel	Hormonal panel for adrenal gland assessment (adrenal gland insufficiency)
2021	80402		20210101	N	$86.96	Acth stimulation panel	Hormone panel for adrenal gland assessment (21 hydroxylase deficiency)
2021	80406		20210101	N	$78.26	Acth stimulation panel	Hormone panel adrenal gland assessment (3 beta-hydroxydehydrogenase deficiency)
2021	80408		20210101	N	$125.50	Aldosterone suppression eval	Aldosterone suppression evaluation panel
2021	80410		20210101	N	$80.37	Calcitonin stimul panel	Calcitonin stimulation panel
2021	80412		20210101	N	$801.62	Crh stimulation panel	Adrenal gland stimulation panel
2021	80414		20210101	N	$51.64	Testosterone response panel	Reproductive hormone panel (testosterone)
2021	80415		20210101	N	$55.89	Tot estradiol response panel	Reproductive hormone panel (estradiol)
2021	80416		20210101	N	$209.32	Renin stimulation panel	Renal vein renin (kidney enzyme) stimulation panel
2021	80417		20210101	N	$43.99	Renin stimulation panel	Peripheral vein renin (kidney enzyme) stimulation panel
2021	80418		20210101	N	$579.48	Pituitary evaluation panel	Anterior pituitary gland evaluation panel
2021	80420		20210101	N	$161.88	Dexamethasone panel	Dexamethasone (steroid) suppression evaluation panel, 48 hour
2021	80422		20210101	N	$46.07	Glucagon tolerance panel	Glucagon (hormone) tolerance panel to evaluate for insulinoma (pancreatic tumor)
2021	80424		20210101	N	$50.50	Glucagon tolerance panel	Glucagon (hormone) tolerance panel to evaluate for pheochromocytoma (adrenal
2021	80426		20210101	N	$148.41	Gonadotropin hormone panel	Gonadotropin releasing hormone (reproductive hormone) panel
2021	80428		20210101	N	$66.70	Growth hormone panel	Growth hormone stimulation panel
2021	80430		20210101	N	$129.33	Growth hormone panel	Growth hormone suppression panel
2021	80432		20210101	N	$165.61	Insulin suppression panel	Insulin-induced C-peptide (protein) suppression panel
2021	80434		20210101	N	$285.03	Insulin tolerance panel	Insulin tolerance panel for ACTH (adrenal gland hormone) insufficiency
2021	80435		20210101	N	$103.00	Insulin tolerance panel	Insulin tolerance panel for growth hormone deficiency
2021	80436		20210101	N	$91.16	Metyrapone panel	Metyrapone (hormone antibody) panel
2021	80438		20210101	N	$50.41	Trh stimulation panel	Thyrotropin releasing hormone (TRH) (hypothalamus hormone) stimulation panel, 1
2021	80439		20210101	N	$67.21	Trh stimulation panel	Thyrotropin releasing hormone (TRH) (hypothalamus hormone) stimulation panel, 2
2021	81000		20210101	N	$4.02	Urinalysis nonauto w/scope	Manual urinalysis test with examination using microscope, non-automated
2021	81001		20210101	N	$3.17	Urinalysis auto w/scope	Manual urinalysis test with examination using microscope, automated
2021	81002		20210101	N	$3.48	Urinalysis nonauto w/o scope	Urinalysis, manual test
2021	81003		20210101	N	$2.25	Urinalysis auto w/o scope	Automated urinalysis test
2021	81003	QW	20210101	N	$2.25	Urinalysis auto w/o scope	Automated urinalysis test
2021	81005		20210101	N	$2.17	Urinalysis	Analysis of urine, except immunoassays
2021	81007		20210101	N	$29.98	Urine screen for bacteria	Urinalysis for bacteria
2021	81007	QW	20210101	N	$29.98	Urine screen for bacteria	Urinalysis for bacteria
2021	81015		20210101	N	$3.05	Microscopic exam of urine	Urinalysis using microscope
2021	81020		20210101	N	$4.70	Urinalysis glass test	Urinalysis, 2 or 3 glass test
2021	81025		20210101	N	$8.61	Urine pregnancy test	Urine pregnancy test
2021	81050		20210101	N	$3.64	Urinalysis volume measure	Urine volume measurement
2021	81105		20210101	N	$122.22	Hpa-1 genotyping	Gene analysis (Human Platelet Antigen 1) for common variant
2021	81106		20210101	N	$122.22	Hpa-2 genotyping	Gene analysis (Human Platelet Antigen 2) for common variant
2021	81107		20210101	N	$122.22	Hpa-3 genotyping	Gene analysis (Human Platelet Antigen 3) for common variant
2021	81108		20210101	N	$122.22	Hpa-4 genotyping	Gene analysis (Human Platelet Antigen 4) for common variant
2021	81109		20210101	N	$122.22	Hpa-5 genotyping	Gene analysis (Human Platelet Antigen 5) for common variant
2021	81110		20210101	N	$122.22	Hpa-6 genotyping	Gene analysis (Human Platelet Antigen 6) for common variant
2021	81111		20210101	N	$122.22	Hpa-9 genotyping	Gene analysis (Human Platelet Antigen 9) for common variant
2021	81112		20210101	N	$122.22	Hpa-15 genotyping	Gene analysis (Human Platelet Antigen 15) for common variant
2021	81120		20210101	N	$193.25	Idh1 common variants	Gene analysis (isocitrate dehydrogenase 1 [NADP+], soluble) for common variants
2021	81121		20210101	N	$295.79	Idh2 common variants	Gene analysis (isocitrate dehydrogenase 2 [NADP+], mitochondrial) for common
2021	81161		20210101	N	$279.00	Dmd dup/delet analysis	Gene analysis (dystrophin)
2021	81162		20210101	N	$1,824.88	Brca1&2 gen full seq dup/del	Gene analysis (breast cancer 1 and 2) of full sequence and analysis for
2021	81163		20210101	N	$468.00	Brca1&2 gene full seq alys	Gene analysis (breast cancer 1 and 2) of full sequence
2021	81164		20210101	N	$584.23	Brca1&2 gen ful dup/del alys	Gene analysis (breast cancer 1 and 2) for duplication or deletion variants
2021	81165		20210101	N	$282.88	Brca1 gene full seq alys	Gene analysis (breast cancer 1) of full sequence
2021	81166		20210101	N	$301.35	Brca1 gene full dup/del alys	Gene analysis (breast cancer 1) for duplication or deletion variants
2021	81167		20210101	N	$282.88	Brca2 gene full dup/del alys	Gene analysis (breast cancer 2) for duplication or deletion variants
2021	81168		20210101	N	$207.31	Ccnd1/igh translocation alys	Gene analysis (CCND1/IGH (t(11;14))) translocation analysis
2021	81170		20210101	N	$300.00	Abl1 gene	Gene analysis (ABL proto-oncogene 1, non-receptor tyrosine kinase)
2021	81171		20210101	N	$137.00	Aff2 gene detc abnor alleles	Gene analysis (fragile X mental retardation 2) for abnormal alleles
2021	81172		20210101	N	$274.83	Aff2 gene charac alleles	Gene analysis (fragile X mental retardation 2) for characterization of alleles
2021	81173		20210101	N	$301.35	Ar gene full gene sequence	Gene analysis (androgen receptor) of full sequence
2021	81174		20210101	N	$185.20	Ar gene known famil variant	Gene analysis (androgen receptor) for known familial variant
2021	81175		20210101	N	$676.50	Asxl1 full gene sequence	Gene analysis (additional sex combs like 1, transcriptional regulator) full
2021	81176		20210101	N	$241.90	Asxl1 gene target seq alys	Gene analysis (additional sex combs like 1, transcriptional regulator) targeted
2021	81177		20210101	N	$137.00	Atn1 gene detc abnor alleles	Gene analysis (atropin 1) for abnormal alleles
2021	81178		20210101	N	$137.00	Atxn1 gene detc abnor allele	Gene analysis (ataxin 1) for abnormal alleles
2021	81179		20210101	N	$137.00	Atxn2 gene detc abnor allele	Gene analysis (ataxin 2) for abnormal alleles
2021	81180		20210101	N	$137.00	Atxn3 gene detc abnor allele	Gene analysis (ataxin 3) for abnormal alleles
2021	81181		20210101	N	$137.00	Atxn7 gene detc abnor allele	Gene analysis (ataxin 7) for abnormal alleles
2021	81182		20210101	N	$137.00	Atxn8os gen detc abnor allel	Gene analysis (ataxin 8 opposite strand [non-protein coding]) for abnormal
2021	81183		20210101	N	$137.00	Atxn10 gene detc abnor allel	Gene analysis (ataxin 10) for abnormal alleles
2021	81184		20210101	N	$137.00	Cacna1a gen detc abnor allel	Gene analysis (calcium voltage-gated channel subunit alpha1 A) for abnormal
2021	81185		20210101	N	$846.27	Cacna1a gene full gene seq	Gene analysis (calcium voltage-gated channel subunit alpha1 A) of full sequence
2021	81186		20210101	N	$185.20	Cacna1a gen known famil vrnt	Gene analysis (calcium voltage-gated channel subunit alpha1 A) for known
2021	81187		20210101	N	$137.00	Cnbp gene detc abnor allele	Gene analysis (CCH-type zinc finger nucleic acid binding protein) for abnormal
2021	81188		20210101	N	$137.00	Cstb gene detc abnor allele	Gene analysis (cystatin B) for abnormal alleles
2021	81189		20210101	N	$274.83	Cstb gene full gene sequence	Gene analysis (cystatin B) of full sequence
2021	81190		20210101	N	$185.20	Cstb gene known famil vrnt	Gene analysis (cystatin B) for known familial variants
2021	81191		20210101	N	$207.31	Ntrk1 translocation analysis	Gene analysis (neurotrophic receptor tyrosine kinase 1) translocation analysis
2021	81192		20210101	N	$207.31	Ntrk2 translocation analysis	Gene analysis (neurotrophic receptor tyrosine kinase 2) translocation analysis
2021	81193		20210101	N	$207.31	Ntrk3 translocation analysis	Gene analysis (neurotrophic receptor tyrosine kinase 3) translocation analysis
2021	81194		20210101	N	$518.28	Ntrk translocation analysis	Gene analysis (neurotrophic receptor tyrosine kinase 1, 2, and 3) translocation
2021	81200		20210101	N	$47.25	Aspa gene	Gene analysis (aspartoacylase)
2021	81201		20210101	N	$780.00	Apc gene full sequence	Gene analysis (adenomatous polyposis coli), full gene sequence
2021	81202		20210101	N	$280.00	Apc gene known fam variants	Gene analysis (adenomatous polyposis coli), known familial variants
2021	81203		20210101	N	$200.00	Apc gene dup/delet variants	Gene analysis (adenomatous polyposis coli), duplication or deletion variants
2021	81204		20210101	N	$137.00	Ar gene charac alleles	Gene analysis (androgen receptor) for characterization of alleles
2021	81205		20210101	N	$94.99	Bckdhb gene	Gene analysis (branched-chain keto acid dehydrogenase E1, beta polypeptide)
2021	81206		20210101	N	$163.96	Bcr/abl1 gene major bp	Translocation analysis (BCR/ABL1) major breakpoint
2021	81207		20210101	N	$144.84	Bcr/abl1 gene minor bp	Translocation analysis (BCR/ABL1) minor breakpoint
2021	81208		20210101	N	$214.62	Bcr/abl1 gene other bp	Translocation analysis (BCR/ABL1) other breakpoint
2021	81209		20210101	N	$39.31	Blm gene	Gene analysis (Bloom syndrome, RecQ helicase-like)
2021	81210		20210101	N	$175.40	Braf gene	Gene analysis (v-raf murine sarcoma viral oncogene homolog B1)
2021	81212		20210101	N	$440.00	Brca1&2 185&5385&6174 vrnt	Gene analysis (breast cancer 1 and 2) for 185delAG, 5385insC, 6174delT variants
2021	81215		20210101	N	$375.25	Brca1 gene known famil vrnt	Gene analysis (breast cancer 1) for known familial variant
2021	81216		20210101	N	$185.12	Brca2 gene full seq alys	Gene analysis (breast cancer 2) of full sequence
2021	81217		20210101	N	$375.25	Brca2 gene known famil vrnt	Gene analysis (breast cancer 2) for known familial variant
2021	81218		20210101	N	$241.90	Cebpa gene full sequence	Gene analysis (ccaat/enhancer binding protein ©, alpha) full gene sequence
2021	81219		20210101	N	$121.63	Calr gene com variants	Gene analysis (calreticulin), common variants
2021	81220		20210101	N	$556.60	Cftr gene com variants	Gene analysis (cystic fibrosis transmembrane conductance regular) common
2021	81221		20210101	N	$97.22	Cftr gene known fam variants	Gene analysis (cystic fibrosis transmembrane conductance regular) known
2021	81222		20210101	N	$435.07	Cftr gene dup/delet variants	Gene analysis (cystic fibrosis transmembrane conductance regular) duplication
2021	81223		20210101	N	$499.00	Cftr gene full sequence	Gene analysis (cystic fibrosis transmembrane conductance regular) full gene
2021	81224		20210101	N	$168.75	Cftr gene intron poly t	Gene analysis (cystic fibrosis transmembrane conductance regular) intron 8
2021	81225		20210101	N	$291.36	Cyp2c19 gene com variants	Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 19) common
2021	81226		20210101	N	$450.91	Cyp2d6 gene com variants	Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common
2021	81227		20210101	N	$174.81	Cyp2c9 gene com variants	Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 9) common
2021	81228		20210101	N	$900.00	Cytogen micrarray copy nmbr	Genome-wide microarray analysis for copy number variants
2021	81229		20210101	N	$1,160.00	Cytogen m array copy no&snp	Genome-wide microarray analysis for copy number and single nucleotide
2021	81230		20210101	N	$174.81	Cyp3a4 gene common variants	Gene analysis (cytochrome P450 family 3 subfamily A member 4) for common variant
2021	81231		20210101	N	$174.81	Cyp3a5 gene common variants	Gene analysis (cytochrome P450 family 3 subfamily A member 5) for common variant
2021	81232		20210101	N	$174.81	Dpyd gene common variants	Gene analysis (dihydropyrimidine dehydrogenase) for common variant
2021	81233		20210101	N	$175.40	Btk gene common variants	Gene analysis (Bruton's tyrosine kinase) for common variants
2021	81234		20210101	N	$137.00	Dmpk gene detc abnor allele	Gene analysis (DM1 protein kinase) for abnormal alleles
2021	81235		20210101	N	$324.58	Egfr gene com variants	Gene analysis (epidermal growth factor receptor), common variants
2021	81236		20210101	N	$282.88	Ezh2 gene full gene sequence	Gene analysis (enhancer of zeste 2 polycomb repressive complex 2 subunit) of
2021	81237		20210101	N	$175.40	Ezh2 gene common variants	Gene analysis (enhancer of zeste 2 polycomb repressive complex 2 subunit) for
2021	81238		20210101	N	$600.00	F9 full gene sequence	Gene analysis (coagulation factor IX) full sequence analysis
2021	81239		20210101	N	$274.83	Dmpk gene charac alleles	Gene analysis (DM1 protein kinase) for characterization of alleles
2021	81240		20210101	N	$65.69	F2 gene	Gene analysis (prothrombin, coagulation factor II) A variant
2021	81241		20210101	N	$73.37	F5 gene	Gene analysis (coagulation factor V) Leiden variant
2021	81242		20210101	N	$36.62	Fancc gene	Gene analysis (Fanconi anemia, complementation group C) common variant
2021	81243		20210101	N	$57.04	Fmr1 gene detection	Gene analysis (fragile X mental retardation) abnormal alleles
2021	81244		20210101	N	$44.89	Fmr1 gene charac alleles	Gene analysis (fragile X mental retardation 1) for characterization of alleles
2021	81245		20210101	N	$165.51	Flt3 gene	Gene analysis (fms-related tyrosine kinase 3) internal tandem duplication
2021	81246		20210101	N	$83.00	Flt3 gene analysis	Test for detecting genes associated with blood cancer
2021	81247		20210101	N	$174.81	G6pd gene alys cmn variant	Gene analysis (glucose-6-phosphate dehydrogenase) for common variant
2021	81248		20210101	N	$375.25	G6pd known familial variant	Gene analysis (glucose-6-phosphate dehydrogenase) for known familial variant
2021	81249		20210101	N	$600.00	G6pd full gene sequence	Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis
2021	81250		20210101	N	$58.49	G6pc gene	Gene analysis (glucose-6-phosphatase, catalytic subunit) common variants
2021	81251		20210101	N	$47.25	Gba gene	Gene analysis (glucosidase, beta, acid) common variants
2021	81252		20210101	N	$101.12	Gjb2 gene full sequence	Gene analysis (gap junction protein, beta 2, 26kda, connexin 26), full gene
2021	81253		20210101	N	$61.52	Gjb2 gene known fam variants	Gene analysis (gap junction protein, beta 2, 26kda, connexin 26), known
2021	81254		20210101	N	$35.00	Gjb6 gene com variants	Gene analysis (gap junction protein, beta 6, 30kda, connexin 30), common
2021	81255		20210101	N	$51.45	Hexa gene	Gene analysis (hexosaminidase A) common variants
2021	81256		20210101	N	$65.36	Hfe gene	Gene analysis (hemochromatosis) common variants
2021	81257		20210101	N	$102.26	Hba1/hba2 gene	Gene analysis (alpha globin 1 and alpha globin 2) for common deletions or
2021	81258		20210101	N	$375.25	Hba1/hba2 gene fam vrnt	Gene analysis (alpha globin 1 and alpha globin 2) for known familial variant
2021	81259		20210101	N	$600.00	Hba1/hba2 full gene sequence	Gene analysis (alpha globin 1 and alpha globin 2) full sequence analysis
2021	81260		20210101	N	$39.31	Ikbkap gene	Gene analysis (inhibitor of kappa light polypeptide gene enhancer in B-cells,
2021	81261		20210101	N	$197.99	Igh gene rearrange amp meth	Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect
2021	81262		20210101	N	$68.55	Igh gene rearrang dir probe	Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect
2021	81263		20210101	N	$294.52	Igh vari regional mutation	Gene rearrangement analysis (immunoglobulin heavy chain locus), variable region
2021	81264		20210101	N	$172.73	Igk rearrangeabn clonal pop	Gene rearrangement analysis (immunoglobulin kappa light chain locus) to detect
2021	81265		20210101	N	$233.07	Str markers specimen anal	Comparative analysis using Short Tandem Repeat (STR) markers of patient and
2021	81266		20210101	N	$304.81	Str markers spec anal addl	Comparative analysis using Short Tandem Repeat (STR) markers of patient and
2021	81267		20210101	N	$207.46	Chimerism anal no cell selec	Chimerism analysis post transplantation, without cell selection
2021	81268		20210101	N	$260.79	Chimerism anal w/cell select	Chimerism analysis post transplantation, with cell selection
2021	81269		20210101	N	$202.40	Hba1/hba2 gene dup/del vrnts	Gene analysis (alpha globin 1 and alpha globin 2) for duplication/deletion
2021	81270		20210101	N	$91.66	Jak2 gene	Gene analysis (Janus kinase 2) variant
2021	81271		20210101	N	$137.00	Htt gene detc abnor alleles	Gene analysis (Huntingtin) for abnormal alleles
2021	81272		20210101	N	$329.51	Kit gene targeted seq analys	Gene analysis (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog),
2021	81273		20210101	N	$124.87	Kit gene analys d816 variant	Gene analysis (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog),
2021	81274		20210101	N	$274.83	Htt gene charac alleles	Gene analysis (Huntingtin) for characterization of alleles
2021	81275		20210101	N	$193.25	Kras gene variants exon 2	Gene analysis (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) variants in codons
2021	81276		20210101	N	$193.25	Kras gene addl variants	Gene analysis (Kirsten rat sarcoma viral oncogene homolog), additional variants
2021	81277		20210101	N	$1,160.00	Cytogenomic neo microra alys	Cancer cytogenomic array gene analysis
2021	81278		20210101	N	$207.31	[email protected]/bcl2 translocation alys	Gene analysis ([email protected]/BCL2 (t(14;18)) translocation analysis
2021	81279		20210101	N	$185.20	Jak2 gene trgt sequence alys	Gene analysis (Janus kinase 2) targeted sequence analysis
2021	81283		20210101	N	$73.37	Ifnl3 gene	Gene analysis (interferon, lambda 3) for rs12979860 variant
2021	81284		20210101	N	$137.00	Fxn gene detc abnor alleles	Gene analysis (frataxin) for abnormal alleles
2021	81285		20210101	N	$274.83	Fxn gene charac alleles	Gene analysis (frataxin) for characterization of alleles
2021	81286		20210101	N	$274.83	Fxn gene full gene sequence	Gene analysis (frataxin) of full sequence
2021	81287		20210101	N	$124.64	Mgmt gene prmtr mthyltn alys	Gene analysis (O-6-methylguanine-DNA methyltransferase) for promoter methylation
2021	81288		20210101	N	$192.32	Mlh1 gene	Test for detecting genes associated with colon cancer, promoter methylation
2021	81289		20210101	N	$185.20	Fxn gene known famil variant	Gene analysis (frataxin) for known familial variants
2021	81290		20210101	N	$39.31	Mcoln1 gene	Gene analysis (mucolipin 1) common variants
2021	81291		20210101	N	$65.34	Mthfr gene	Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants
2021	81292		20210101	N	$675.40	Mlh1 gene full seq	Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) full sequence
2021	81293		20210101	N	$331.00	Mlh1 gene known variants	Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) known
2021	81294		20210101	N	$202.40	Mlh1 gene dup/delete variant	Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) duplication
2021	81295		20210101	N	$381.70	Msh2 gene full seq	Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) full sequence
2021	81296		20210101	N	$337.73	Msh2 gene known variants	Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) known
2021	81297		20210101	N	$213.30	Msh2 gene dup/delete variant	Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) duplication
2021	81298		20210101	N	$641.85	Msh6 gene full seq	Gene analysis (mutS homolog 6 [E coli]) full sequence analysis
2021	81299		20210101	N	$308.00	Msh6 gene known variants	Gene analysis (mutS homolog 6 [E coli]) known familial variants
2021	81300		20210101	N	$238.00	Msh6 gene dup/delete variant	Gene analysis (mutS homolog 6 [E coli]) duplication or deletion variants
2021	81301		20210101	N	$348.56	Microsatellite instability	Microsatellite instability analysis
2021	81302		20210101	N	$527.87	Mecp2 gene full seq	Gene analysis (methyl CpG binding protein 2) full sequence analysis
2021	81303		20210101	N	$120.00	Mecp2 gene known variant	Gene analysis (methyl CpG binding protein 2) known familial variant
2021	81304		20210101	N	$150.00	Mecp2 gene dup/delet variant	Gene analysis (methyl CpG binding protein 2) duplication or deletion variants
2021	81305		20210101	N	$175.40	Myd88 gene p.leu265pro vrnt	Gene analysis (myeloid differentiation primary response 88) for p.Leu265Pro
2021	81306		20210101	N	$291.36	Nudt15 gene common variants	Gene analysis (nudix hydrolase 15) for common variants
2021	81307		20210101	N	$676.50	Palb2 gene full gene seq	Gene analysis (partner and localizer of BRCA2) full sequence analysis
2021	81308		20210101	N	$301.35	Palb2 gene known famil vrnt	Gene analysis (partner and localizer of BRCA2) for detection of known familial
2021	81309		20210101	N	$274.83	Pik3ca gene trgt seq alys	Gene analysis (partner and localizer of BRCA2) targeted sequence analysis
2021	81310		20210101	N	$246.52	Npm1 gene	Gene analysis (nucleophosmin) exon 12 variants
2021	81311		20210101	N	$295.79	Nras gene variants exon 2&3	Gene analysis for cancer (neuroblastoma)
2021	81312		20210101	N	$137.00	Pabpn1 gene detc abnor allel	Gene analysis (poly[A] binding protein nuclear 1) for abnormal alleles
2021	81313		20210101	N	$255.05	Pca3/klk3 antigen	Test for detecting genes associated with prostate cancer
2021	81314		20210101	N	$329.51	Pdgfra gene	Gene analysis ((platelet-derived growth factor receptor, alpha polypeptide)
2021	81315		20210101	N	$207.31	Pml/raralpha com breakpoints	Translocation analysis (PML-RARA regulated adaptor molecule 1) common breakpoint
2021	81316		20210101	N	$207.31	Pml/raralpha 1 breakpoint	Translocation analysis (PML-RARA regulated adaptor molecule 1) single breakpoint
2021	81317		20210101	N	$676.50	Pms2 gene full seq analysis	Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) full
2021	81318		20210101	N	$331.00	Pms2 known familial variants	Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) known
2021	81319		20210101	N	$203.50	Pms2 gene dup/delet variants	Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) duplication
2021	81320		20210101	N	$291.36	Plcg2 gene common variants	Gene analysis (phospholipase C gamma 2) for common variants
2021	81321		20210101	N	$600.00	Pten gene full sequence	Gene analysis (phosphatase and tensin homolog), full sequence analysis
2021	81322		20210101	N	$46.60	Pten gene known fam variant	Gene analysis (phosphatase and tensin homolog), known familial variant
2021	81323		20210101	N	$300.00	Pten gene dup/delet variant	Gene analysis (phosphatase and tensin homolog), duplication or deletion variant
2021	81324		20210101	N	$758.36	Pmp22 gene dup/delet	Gene analysis (peripheral myelin protein 22), duplication or deletion analysis
2021	81325		20210101	N	$769.58	Pmp22 gene full sequence	Gene analysis (peripheral myelin protein 22), full sequence analysis
2021	81326		20210101	N	$46.60	Pmp22 gene known fam variant	Gene analysis (peripheral myelin protein 22), known familial variant
2021	81327		20210101	N	$192.00	Sept9 gen prmtr mthyltn alys	Gene analysis (Septin9) for promoter methylation
2021	81328		20210101	N	$174.81	Slco1b1 gene com variants	Gene analysis (solute carrier organic anion transporter family, member 1B1) for
2021	81329		20210101	N	$137.00	Smn1 gene dos/deletion alys	Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion
2021	81330		20210101	N	$47.00	Smpd1 gene common variants	Gene analysis (sphingomyelin phosphodiesterase 1, acid lysosomal) common
2021	81331		20210101	N	$51.07	Snrpn/ube3a gene	Methylation analysis (small nuclear ribonucleoprotein polypeptide N and
2021	81332		20210101	N	$43.65	Serpina1 gene	Gene analysis (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase,
2021	81333		20210101	N	$137.00	Tgfbi gene common variants	Gene analysis (transforming growth factor beta-induced) for common variants
2021	81334		20210101	N	$329.51	Runx1 gene targeted seq alys	Gene analysis (runt related transcription factor 1) targeted sequence analysis
2021	81335		20210101	N	$174.81	Tpmt gene com variants	Gene analysis (thiopurine S-methyltransferase) for common variant
2021	81336		20210101	N	$301.35	Smn1 gene full gene sequence	Gene analysis (survival of motor neuron 1, telomeric) of full sequence
2021	81337		20210101	N	$185.20	Smn1 gen nown famil seq vrnt	Gene analysis (survival of motor neuron 1, telomeric) for known familial
2021	81338		20210101	N	$150.33	Mpl gene common variants	Gene analysis (MPL proto-oncogene, thrombopoietin receptor) for detection of
2021	81339		20210101	N	$185.20	Mpl gene seq alys exon 10	Gene analysis (MPL proto-oncogene, thrombopoietin receptor) sequence analysis
2021	81340		20210101	N	$208.92	[email protected] gene rearrange amplify	Gene analysis (T cell antigen receptor beta) amplification methodology
2021	81341		20210101	N	$49.59	[email protected] gene rearrange dirprobe	Gene rearrangement analysis detection abnormal clonal population (T cell
2021	81342		20210101	N	$201.50	Trg gene rearrangement anal	Gene rearrangement analysis detection abnormal clonal population (T cell
2021	81343		20210101	N	$137.00	Ppp2r2b gen detc abnor allel	Gene analysis (protein phosphatase 2 regulatory subunit Bbeta) for abnormal
2021	81344		20210101	N	$137.00	Tbp gene detc abnor alleles	Gene analysis (TATA box binding protein) for abnormal alleles
2021	81345		20210101	N	$185.20	Tert gene targeted seq alys	Gene analysis (telomerase reverse transcriptase) targeted sequence analysis
2021	81346		20210101	N	$174.81	Tyms gene com variants	Gene analysis (thymidylate synthetase) for common variant
2021	81347		20210101	N	$193.25	Sf3b1 gene common variants	Gene analysis (splicing factor [3b] subunit B1) for detection of common variants
2021	81348		20210101	N	$175.40	Srsf2 gene common variants	Gene analysis (serine and arginine-rich splicing factor 2) for detection of
2021	81350		20210101	N	$234.00	Ugt1a1 gene common variants	Gene analysis (UDP glucuronosyltransferase 1 family, polypeptide A1) for
2021	81351		20210101	N	$641.85	Tp53 gene full gene sequence	Gene analysis (tumor protein 53) full sequence analysis
2021	81352		20210101	N	$329.51	Tp53 gene trgt sequence alys	Gene analysis (tumor protein 53) targeted sequence analysis
2021	81353		20210101	N	$308.00	Tp53 gene known famil vrnt	Gene analysis (tumor protein 53) targeted sequence analysis for detection of
2021	81355		20210101	N	$88.20	Vkorc1 gene	Gene analysis (vitamin K epoxide reductase complex subunit 1) common variants
2021	81357		20210101	N	$193.25	U2af1 gene common variants	Gene analysis (U2 small nuclear RNA auxiliary factor 1) for detection of common
2021	81360		20210101	N	$193.25	Zrsr2 gene common variants	Gene analysis (zinc finger CCCH-type, RNA binding motif and
2021	81361		20210101	N	$174.81	Hbb gene com variants	Gene analysis (hemoglobin, subunit beta) for common variant
2021	81362		20210101	N	$375.25	Hbb gene known fam variant	Gene analysis (hemoglobin, subunit beta) for known familial variant
2021	81363		20210101	N	$202.40	Hbb gene dup/del variants	Gene analysis (hemoglobin, subunit beta) for duplication/deletion variant
2021	81364		20210101	N	$324.58	Hbb full gene sequence	Gene analysis (hemoglobin, subunit beta) full sequence analysis
2021	81370		20210101	N	$402.12	Hla i & ii typing lr	HLA class I and II typing low resolution HLA-A, -B, -C, -DRB1/3/4/5 and -DQB1
2021	81371		20210101	N	$404.52	Hla i & ii type verify lr	HLA class I and II typing, low resolution HLA-A, -B, and -DRB1
2021	81372		20210101	N	$403.59	Hla i typing complete lr	HLA class I typing low resolution
2021	81373		20210101	N	$127.43	Hla i typing 1 locus lr	HLA class I typing low resolution one locus
2021	81374		20210101	N	$74.33	Hla i typing 1 antigen lr	HLA class I typing, low resolution one antigen equivalent
2021	81375		20210101	N	$220.74	Hla ii typing ag equiv lr	HLA class II typing low resolution HLA-DRB1/3/4/5 and -DQB1
2021	81376		20210101	N	$122.22	Hla ii typing 1 locus lr	HLA class II typing low resolution one locus
2021	81377		20210101	N	$94.74	Hla ii type 1 ag equiv lr	HLA class II typing low resolution one antigen equivalent
2021	81378		20210101	N	$345.57	Hla i & ii typing hr	HLA class I and II typing high resolution HLA-A, -B, -C, and -DRB1
2021	81379		20210101	N	$335.38	Hla i typing complete hr	HLA Class I typing high resolution
2021	81380		20210101	N	$177.25	Hla i typing 1 locus hr	HLA class I typing high resolution one locus
2021	81381		20210101	N	$169.90	Hla i typing 1 allele hr	HLA class I typing high resolution one allele or allele group
2021	81382		20210101	N	$123.68	Hla ii typing 1 loc hr	HLA class II typing high resolution one locus
2021	81383		20210101	N	$109.13	Hla ii typing 1 allele hr	HLA class II typing high resolution one allele or allele group
2021	81400		20210101	N	$63.96	Mopath procedure level 1	Molecular pathology procedure level 1
2021	81401		20210101	N	$137.00	Mopath procedure level 2	Molecular pathology procedure level 2
2021	81402		20210101	N	$150.33	Mopath procedure level 3	Molecular pathology procedure level 3
2021	81403		20210101	N	$185.20	Mopath procedure level 4	Molecular pathology procedure level 4
2021	81404		20210101	N	$274.83	Mopath procedure level 5	Molecular pathology procedure level 5
2021	81405		20210101	N	$301.35	Mopath procedure level 6	Molecular pathology procedure level 6
2021	81406		20210101	N	$282.88	Mopath procedure level 7	Molecular pathology procedure level 7
2021	81407		20210101	N	$846.27	Mopath procedure level 8	Molecular pathology procedure level 8
2021	81408		20210101	N	$2,000.00	Mopath procedure level 9	Molecular pathology procedure level 9
2021	81410		20210101	N	$504.00	Aortic dysfunction/dilation	Test for detecting genes associated with heart disease, genomic sequence
2021	81411		20210101	N	$1,350.19	Aortic dysfunction/dilation	Test for detecting genes associated with heart disease, duplication/deletion
2021	81412		20210101	N	$2,448.56	Ashkenazi jewish assoc dis	Test for detecting genes for disorders related to Ashkenazi Jews, genomic
2021	81413		20210101	N	$584.90	Car ion chnnlpath inc 10 gns	Test for detecting genes associated with heart disease, genomic sequence
2021	81414		20210101	N	$584.90	Car ion chnnlpath inc 2 gns	Test for detecting genes associated with heart disease, duplication/deletion
2021	81415		20210101	N	$4,780.00	Exome sequence analysis	Test for detecting exome, sequence analysis
2021	81416		20210101	N	$12,000.00	Exome sequence analysis	Test for detecting exome, sequence analysis, each comparator exome
2021	81417		20210101	N	$320.00	Exome re-evaluation	Reevaluation test of previously obtained exome sequence
2021	81419		20210101	N	$2,448.56	Epilepsy gen seq alys panel	Gene analysis panel for evaluation of genes associated with epilepsy
2021	81420		20210101	N	$759.05	Fetal chrmoml aneuploidy	Test for detecting genes associated with fetal disease, aneuploidy genomic
2021	81422		20210101	N	$759.05	Fetal chrmoml microdeltj	Test for detecting genes associated with fetal disease, microdeletion(s)
2021	81425		20210101	N	$5,031.20	Genome sequence analysis	Test for detecting genes associated with disease, genome sequence analysis
2021	81426		20210101	N	$2,709.95	Genome sequence analysis	Test for detecting genes associated with disease, genome sequence analysis,
2021	81427		20210101	N	$2,337.65	Genome re-evaluation	Reevaluation test of previously obtained genome sequence
2021	81430		20210101	N	$1,625.00	Hearing loss sequence analys	Test for detecting genes causing hearing loss genomic sequence analysis panel,
2021	81431		20210101	N	$679.57	Hearing loss dup/del analys	Test for detecting genes causing hearing loss, duplication/deletion analysis
2021	81432		20210101	N	$679.05	Hrdtry brst ca-rlatd dsordrs	Test for detecting genes associated with inherited breast cancer-related
2021	81433		20210101	N	$438.93	Hrdtry brst ca-rlatd dsordrs	Gene analysis (breast and related cancers), duplication or deletion variants
2021	81434		20210101	N	$597.91	Hereditary retinal disorders	Gene analysis (retinal disorders), genomic sequence
2021	81435		20210101	N	$584.90	Hereditary colon ca dsordrs	Test for detecting genes associated with colon cancer, genomic sequence
2021	81436		20210101	N	$584.90	Hereditary colon ca dsordrs	Test for detecting genes associated with colon cancer, duplication/deletion
2021	81437		20210101	N	$438.93	Heredtry nurondcrn tum dsrdr	Gene analysis (neuroendocrine tumors), genomic sequence
2021	81438		20210101	N	$438.93	Heredtry nurondcrn tum dsrdr	Gene analysis (neuroendocrine tumors), duplication and deletion variants
2021	81439		20210101	N	$584.90	Hrdtry cardmypy gene panel	Test for detecting genes associated with inherited disease of heart muscle
2021	81440		20210101	N	$3,324.00	Mitochondrial gene	Test for detecting genes
2021	81442		20210101	N	$2,143.60	Noonan spectrum disorders	Gene analysis (noonan syndrome) genomic sequence analysis
2021	81443		20210101	N	$2,448.56	Genetic tstg severe inh cond	Genomic sequence analysis panel for severe inherited conditions with sequencing
2021	81445		20210101	N	$597.91	Targeted genomic seq analys	Test for detecting genes associated with cancer of body organ
2021	81448		20210101	N	$584.90	Hrdtry perph neurphy panel	Gene analysis panel for hereditary disorders of the peripheral nervous system
2021	81450		20210101	N	$759.53	Targeted genomic seq analys	Test for detecting genes associated with blood related cancer
2021	81455		20210101	N	$2,919.60	Targeted genomic seq analys	Test for detecting genes associated with cancer
2021	81460		20210101	N	$1,287.00	Whole mitochondrial genome	Test for detecting genes associated with disease, genomic sequence, must
2021	81465		20210101	N	$936.00	Whole mitochondrial genome	Test for detecting genes associated with disease, whole mitochondrial genome
2021	81470		20210101	N	$914.00	X-linked intellectual dblt	Test for detecting genes associated with intellectual disability, genomic
2021	81471		20210101	N	$914.00	X-linked intellectual dblt	Test for detecting genes associated with intellectual disability,
2021	81490		20210101	N	$840.65	Autoimmune rheumatoid arthr	Test for detecting genes associated with rheumatoid arthritis using immunoassay
2021	81493		20210101	N	$1,050.00	Cor artery disease mrna	Test for detecting genes associated with heart vessels diseases
2021	81500		20210101	N	$260.50	Onco (ovar) two proteins	Genetic profiling on oncology biopsy of ovarian lesions, assays of two proteins
2021	81503		20210101	N	$897.00	Onco (ovar) five proteins	Genetic profiling on oncology biopsy of ovarian lesions, assays of five proteins
2021	81504		20210101	N	$520.00	Oncology tissue of origin	Genetic profiling on oncology biopsy lesions
2021	81506		20210101	N	$68.92	Endo assay seven anal	Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose,
2021	81507		20210101	N	$795.00	Fetal aneuploidy trisom risk	DNA analysis using maternal plasma
2021	81508		20210101	N	$54.30	Ftl cgen abnor two proteins	Fetal congenital abnormalities, biochemical assays of two proteins (papp-a, hcg
2021	81509		20210101	N	$1,487.37	Ftl cgen abnor 3 proteins	Fetal congenital abnormalities, biochemical assays of three proteins (papp-a,
2021	81510		20210101	N	$55.54	Ftl cgen abnor three anal	Fetal congenital abnormalities, biochemical assays of three analytes (afp, ue3,
2021	81511		20210101	N	$153.50	Ftl cgen abnor four anal	Fetal congenital abnormalities, biochemical assays of four analytes (afp, ue3,
2021	81512		20210101	N	$69.52	Ftl cgen abnor five anal	Fetal congenital abnormalities, biochemical assays of five analytes (afp, ue3,
2021	81513		20210101	N	$142.63	Nfct ds bv rna vag flu alg	Measurement of RNA of bacteria in vaginal fluid specimen
2021	81514		20210101	N	$262.99	Nfct ds bv&vaginitis dna alg	Measurement of DNA of bacteria in vaginal fluid specimen
2021	81518		20210101	N	$3,873.00	Onc brst mrna 11 genes	mRNA gene analysis of 11 genes in breast tumor tissue
2021	81519		20210101	N	$3,873.00	Oncology breast mrna	Test for detecting genes associated with breast cancer
2021	81520		20210101	N	$2,510.21	Onc breast mrna 58 genes	Gene analysis of breast tumor tissue, profiling by hybrid capture of 58 genes
2021	81521		20210101	N	$3,873.00	Onc breast mrna 70 genes	Gene analysis of breast tumor tissue, profiling of 70 content genes and 465
2021	81522		20210101	N	$3,873.00	Onc breast mrna 12 genes	mRNA gene expression analysis of 12 genes in breast tumor tissue
2021	81525		20210101	N	$3,116.00	Oncology colon mrna	Gene analysis (colon related cancer)
2021	81528		20210101	N	$508.87	Oncology colorectal scr	Gene analysis (colorectal cancer)
2021	81529		20210101	N	$7,193.00	Onc cutan mlnma mrna 31 gene	mRNA gene analysis of 31 genes in skin melanoma tissue specimen
2021	81535		20210101	N	$579.46	Oncology gynecologic	Culture of live tumor cells and chemotherapy drug response by staining, first
2021	81536		20210101	N	$177.56	Oncology gynecologic	Culture of live tumor cells and chemotherapy drug response by staining, each
2021	81538		20210101	N	$2,871.00	Oncology lung	Testing of lung tumor cells for prediction of survival
2021	81539		20210101	N	$760.00	Oncology prostate prob score	Measurement of proteins associated with prostate cancer
2021	81540		20210101	N	$3,750.00	Oncology tum unknown origin	Gene analysis (cancer)
2021	81541		20210101	N	$3,873.00	Onc prostate mrna 46 genes	Gene analysis of prostate tumor tissue, profiling by real-time RT-PCR of 46
2021	81542		20210101	N	$3,873.00	Onc prostate mrna 22 cnt gen	mRNA gene expression analysis of 22 genes in prostate tumor tissue
2021	81545		20210101	N	$3,600.00	Oncology thyroid	Gene analysis (thyroid cancer)
2021	81546		20210101	N	$3,600.00	Onc thyr mrna 10,196 gen alg	mRNA gene analysis of 10,196 genes in fine needle aspiration thyroid specimen,
2021	81551		20210101	N	$2,030.00	Onc prostate 3 genes	Gene analysis of prostate tumor tissue, profiling by real-time PCR of 3 genes
2021	81552		20210101	N	$7,776.00	Onc uveal mlnma mrna 15 gene	mRNA gene expression analysis of 15 genes in eye melanoma o tissue or fine
2021	81554		20210101	N	$5,500.00	Pulm ds ipf mrna 190 gen alg	mRNA gene analysis of 190 genes associated with lung disease (idiopathic
2021	81595		20210101	N	$3,240.00	Cardiology hrt trnspl mrna	Test for detecting genes associated with heart diseases
2021	81596		20210101	N	$72.19	Nfct ds chrnc hcv 6 assays	Biochemical assays for evaluation of chronic Hepatitis C virus infection
2021	82009		20210101	N	$4.52	Test for acetone/ketones	Ketone bodies analysis, qualitative
2021	82010		20210101	N	$8.17	Acetone assay	Ketone bodies analysis, quantitative
2021	82010	QW	20210101	N	$8.17	Acetone assay	Ketone bodies analysis, quantitative
2021	82013		20210101	N	$12.29	Acetylcholinesterase assay	Acetylcholinesterase (enzyme) level
2021	82016		20210101	N	$16.49	Acylcarnitines qual	Chemical analysis for genetic disorder
2021	82017		20210101	N	$16.87	Acylcarnitines quant	Chemical test for genetic disorder
2021	82024		20210101	N	$38.62	Assay of acth	Adrenocorticotropic hormone (ACTH) level
2021	82030		20210101	N	$25.80	Assay of adp & amp	Adenosine, 5-monophosphate, cyclic (cyclic AMP) level
2021	82040		20210101	N	$4.95	Assay of serum albumin	Albumin (protein) level
2021	82040	QW	20210101	N	$4.95	Assay of serum albumin	Albumin (protein) level
2021	82042		20210101	N	$7.78	Other source albumin quan ea	Cerebrospinal fluid, or amniotic fluid albumin (protein) level
2021	82042	QW	20210101	N	$7.78	Other source albumin quan ea	Cerebrospinal fluid, or amniotic fluid albumin (protein) level
2021	82043		20210101	N	$5.78	Ur albumin quantitative	Urine microalbumin (protein) level
2021	82043	QW	20210101	N	$5.78	Ur albumin quantitative	Urine microalbumin (protein) level
2021	82044		20210101	N	$6.23	Ur albumin semiquantitative	Urine microalbumin (protein) analysis
2021	82044	QW	20210101	N	$6.23	Ur albumin semiquantitative	Urine microalbumin (protein) analysis
2021	82045		20210101	N	$33.94	Albumin ischemia modified	Albumin (protein) level related to restricted heart blood flow
2021	82075		20210101	N	$30.00	Assay of breath ethanol	Measurement of alcohol level in breath specimen
2021	82077		20210101	N	$17.27	Assay spec xcp ur&breath ia	Measurement of alcohol level in specimen other than breath or urine
2021	82085		20210101	N	$9.71	Assay of aldolase	Aldolase (enzyme) level
2021	82088		20210101	N	$40.75	Assay of aldosterone	Aldosterone hormone level
2021	82103		20210101	N	$13.44	Alpha-1-antitrypsin total	Alpha-1-antitrypsin (protein) blood test, total
2021	82104		20210101	N	$14.46	Alpha-1-antitrypsin pheno	Alpha-1-antitrypsin (protein) blood test, phenotype
2021	82105		20210101	N	$16.77	Alpha-fetoprotein serum	Alpha-fetoprotein (AFP) level, serum
2021	82106		20210101	N	$17.00	Alpha-fetoprotein amniotic	Alpha-fetoprotein (AFP) level, amniotic fluid
2021	82107		20210101	N	$64.41	Alpha-fetoprotein l3	Alpha-fetoprotein (AFP) analysis
2021	82108		20210101	N	$25.48	Assay of aluminum	Aluminum level
2021	82120		20210101	N	$5.99	Amines vaginal fluid qual	Vaginal fluid chemical analysis for bacteria
2021	82120	QW	20210101	N	$5.99	Amines vaginal fluid qual	Vaginal fluid chemical analysis for bacteria
2021	82127		20210101	N	$14.18	Amino acid single qual	Amino acid analysis, qualitative, each specimen
2021	82128		20210101	N	$13.87	Amino acids mult qual	Amino acid analysis, multiple amino acids, qualitative, each specimen
2021	82131		20210101	N	$22.98	Amino acids single quant	Amino acid analysis, quantitative, each specimen
2021	82135		20210101	N	$16.45	Assay aminolevulinic acid	Aminolevulinic acid (protein) level
2021	82136		20210101	N	$19.61	Amino acids quant 2-5	Amino acid level, 2 to 5 amino acids, quantitative, each specimen
2021	82139		20210101	N	$16.87	Amino acids quan 6 or more	Amino acid level, 6 or more amino acids, quantitative, each specimen
2021	82140		20210101	N	$14.57	Assay of ammonia	Ammonia level
2021	82143		20210101	N	$9.35	Amniotic fluid scan	Amniotic fluid scan
2021	82150		20210101	N	$6.48	Assay of amylase	Amylase (enzyme) level
2021	82150	QW	20210101	N	$6.48	Assay of amylase	Amylase (enzyme) level
2021	82154		20210101	N	$28.83	Androstanediol glucuronide	Androstanediol glucuronide (hormone) level
2021	82157		20210101	N	$29.28	Assay of androstenedione	Androstenedione (hormone) level
2021	82160		20210101	N	$25.55	Assay of androsterone	Androsterone (hormone) level
2021	82163		20210101	N	$20.52	Assay of angiotensin ii	Angiotensin ll (protein) level
2021	82164		20210101	N	$14.60	Angiotensin i enzyme test	Angiotensin l - converting enzyme (ACE) level
2021	82172		20210101	N	$21.09	Assay of apolipoprotein	Apolipoprotein level
2021	82175		20210101	N	$18.97	Assay of arsenic	Arsenic level
2021	82180		20210101	N	$9.89	Assay of ascorbic acid	Ascorbic acid (Vitamin C) level, blood
2021	82190		20210101	N	$15.90	Atomic absorption	Measurement of substance using spectroscopy (light)
2021	82232		20210101	N	$16.18	Assay of beta-2 protein	Beta-2 microglobulin (protein) level
2021	82239		20210101	N	$17.12	Bile acids total	Bile acids level, total
2021	82240		20210101	N	$26.58	Bile acids cholylglycine	Bile acids level, cholylglycine
2021	82247		20210101	N	$5.02	Bilirubin total	Bilirubin level, total
2021	82247	QW	20210101	N	$5.02	Bilirubin total	Bilirubin level, total
2021	82248		20210101	N	$5.02	Bilirubin direct	Bilirubin level, direct
2021	82252		20210101	N	$4.56	Fecal bilirubin test	Stool analysis for bilirubin
2021	82261		20210101	N	$16.87	Assay of biotinidase	Biotinidase (enzyme) level
2021	82270		20210101	N	$4.38	Occult blood feces	Stool analysis for blood to screen for colon tumors
2021	82271		20210101	N	$5.32	Occult blood other sources	Specimen analysis for blood
2021	82271	QW	20210101	N	$5.32	Occult blood other sources	Specimen analysis for blood
2021	82272		20210101	N	$4.23	Occult bld feces 1-3 tests	Stool analysis for blood, by peroxidase activity
2021	82274		20210101	N	$15.92	Assay test for blood fecal	Stool analysis for blood, by fecal hemoglobin determination by immunoassay
2021	82274	QW	20210101	N	$15.92	Assay test for blood fecal	Stool analysis for blood, by fecal hemoglobin determination by immunoassay
2021	82286		20210101	N	$5.16	Assay of bradykinin	Bradykinin (protein) level
2021	82300		20210101	N	$23.64	Assay of cadmium	Cadmium level
2021	82306		20210101	N	$29.60	Vitamin d 25 hydroxy	Vitamin D-3 level
2021	82308		20210101	N	$26.79	Assay of calcitonin	Calcitonin (hormone) level
2021	82310		20210101	N	$5.16	Assay of calcium	Calcium level, total
2021	82310	QW	20210101	N	$5.16	Assay of calcium	Calcium level, total
2021	82330		20210101	N	$13.68	Assay of calcium	Calcium level, ionized
2021	82330	QW	20210101	N	$13.68	Assay of calcium	Calcium level, ionized
2021	82331		20210101	N	$13.34	Calcium infusion test	Calcium level, after calcium infusion test
2021	82340		20210101	N	$6.03	Assay of calcium in urine	Urine calcium level
2021	82355		20210101	N	$11.58	Calculus analysis qual	Analysis of stone
2021	82360		20210101	N	$12.87	Calculus assay quant	Chemical analysis of stone
2021	82365		20210101	N	$12.90	Calculus spectroscopy	Infrared analysis of stone
2021	82370		20210101	N	$12.52	X-ray assay calculus	X-ray analysis of stone
2021	82373		20210101	N	$18.06	Assay c-d transfer measure	Carbohydrate deficient transferrin (protein) level
2021	82374		20210101	N	$4.88	Assay blood carbon dioxide	Carbon dioxide (bicarbonate) level
2021	82374	QW	20210101	N	$4.88	Assay blood carbon dioxide	Carbon dioxide (bicarbonate) level
2021	82375		20210101	N	$12.32	Assay carboxyhb quant	Carboxyhemoglobin (protein) level
2021	82376		20210101	N	$14.07	Assay carboxyhb qual	Carboxyhemoglobin (protein) analysis
2021	82378		20210101	N	$18.96	Carcinoembryonic antigen	Carcinoembryonic antigen (CEA) protein level
2021	82379		20210101	N	$16.87	Assay of carnitine	Carnitine level
2021	82380		20210101	N	$9.22	Assay of carotene	Carotene level
2021	82382		20210101	N	$27.30	Assay urine catecholamines	Catecholamines (organic nitrogen) urine level
2021	82383		20210101	N	$29.08	Assay blood catecholamines	Catecholamines organic nitrogen blood level
2021	82384		20210101	N	$25.25	Assay three catecholamines	Catecholamines (organic nitrogen) level
2021	82387		20210101	N	$18.06	Assay of cathepsin-d	Cathepsin-D (enzyme) level
2021	82390		20210101	N	$10.74	Assay of ceruloplasmin	Ceruloplasmin (protein) level
2021	82397		20210101	N	$14.12	Chemiluminescent assay	Analysis using chemiluminescent technique (light and chemical )reaction
2021	82415		20210101	N	$12.67	Assay of chloramphenicol	Chloramphenicol level
2021	82435		20210101	N	$4.60	Assay of blood chloride	Blood chloride level
2021	82435	QW	20210101	N	$4.60	Assay of blood chloride	Blood chloride level
2021	82436		20210101	N	$5.75	Assay of urine chloride	Urine chloride level
2021	82438		20210101	N	$5.00	Assay other fluid chlorides	Chloride level
2021	82441		20210101	N	$6.01	Test for chlorohydrocarbons	Screening test for chlorinated hydrocarbons
2021	82465		20210101	N	$4.35	Assay bld/serum cholesterol	Cholesterol level
2021	82465	QW	20210101	N	$4.35	Assay bld/serum cholesterol	Cholesterol level
2021	82480		20210101	N	$7.87	Assay serum cholinesterase	Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease
2021	82482		20210101	N	$9.81	Assay rbc cholinesterase	Cholinesterase (enzyme) level
2021	82485		20210101	N	$20.65	Assay chondroitin sulfate	Chondroitin B sulfate (protein) level
2021	82495		20210101	N	$20.28	Assay of chromium	Chromium level to test for poisoning or deficiency
2021	82507		20210101	N	$27.80	Assay of citrate	Citrate level
2021	82523		20210101	N	$18.68	Collagen crosslinks	Collagen cross links test, (urine test to evaluate bone health)
2021	82523	QW	20210101	N	$18.68	Collagen crosslinks	Collagen cross links test, (urine test to evaluate bone health)
2021	82525		20210101	N	$12.41	Assay of copper	Copper level
2021	82528		20210101	N	$22.52	Assay of corticosterone	Corticosterone (hormone) level
2021	82530		20210101	N	$16.71	Cortisol free	Cortisol (hormone) measurement, free
2021	82533		20210101	N	$16.30	Total cortisol	Cortisol (hormone) measurement, total
2021	82540		20210101	N	$4.64	Assay of creatine	Creatine measurement
2021	82542		20210101	N	$24.09	Col chromotography qual/quan	Chemical analysis using chromatography technique
2021	82550		20210101	N	$6.51	Assay of ck (cpk)	Creatine kinase (cardiac enzyme) level, total
2021	82550	QW	20210101	N	$6.51	Assay of ck (cpk)	Creatine kinase (cardiac enzyme) level, total
2021	82552		20210101	N	$13.39	Assay of cpk in blood	Creatine kinase (cardiac enzyme) level, isoenzymes
2021	82553		20210101	N	$11.55	Creatine mb fraction	Creatine kinase (cardiac enzyme) level, MB fraction only
2021	82554		20210101	N	$11.87	Creatine isoforms	Creatine kinase (cardiac enzyme) level, isoforms
2021	82565		20210101	N	$5.12	Assay of creatinine	Blood creatinine level
2021	82565	QW	20210101	N	$5.12	Assay of creatinine	Blood creatinine level
2021	82570		20210101	N	$5.18	Assay of urine creatinine	Creatinine level to test for kidney function or muscle injury
2021	82570	QW	20210101	N	$5.18	Assay of urine creatinine	Creatinine level to test for kidney function or muscle injury
2021	82575		20210101	N	$9.46	Creatinine clearance test	Creatinine clearance measurement to test for kidney function
2021	82585		20210101	N	$14.14	Assay of cryofibrinogen	Cryofibrinogen (protein) level
2021	82595		20210101	N	$6.47	Assay of cryoglobulin	Cryoglobulin (protein) measurement
2021	82600		20210101	N	$19.40	Assay of cyanide	Cyanide measurement
2021	82607		20210101	N	$15.08	Vitamin b-12	Cyanocobalamin (vitamin B-12) level
2021	82608		20210101	N	$14.32	B-12 binding capacity	Cyanocobalamin (vitamin B-12) level, unsaturated binding capacity
2021	82610		20210101	N	$18.52	Cystatin c	Cystatin C (enzyme inhibitor) level
2021	82615		20210101	N	$9.55	Test for urine cystines	Cystine and homocystine (amino acids) analysis
2021	82626		20210101	N	$25.27	Dehydroepiandrosterone	Dehydroepiandrosterone (DHEA) hormone level
2021	82627		20210101	N	$22.23	Dehydroepiandrosterone	Dehydroepiandrosterone (DHEA-S) hormone level
2021	82633		20210101	N	$30.98	Desoxycorticosterone	Desoxycorticosterone, 11 (hormone) level
2021	82634		20210101	N	$29.28	Deoxycortisol	Deoxycortisol, 11 (hormone) level
2021	82638		20210101	N	$12.25	Assay of dibucaine number	Dibucaine number (enzyme) measurement
2021	82642		20210101	N	$29.28	Dihydrotestosterone	Measurement of dihydrotestosterone
2021	82652		20210101	N	$38.50	Vit d 1 25-dihydroxy	Dihydroxyvitamin D, 1, 25 level
2021	82656		20210101	N	$11.53	Pancreatic elastase fecal	Pancreatic elastase (enzyme) measurement
2021	82657		20210101	N	$22.17	Enzyme cell activity	Enzyme activity measurement, nonradioactive substrate
2021	82658		20210101	N	$44.03	Enzyme cell activity ra	Enzyme activity measurement, radioactive substrate
2021	82664		20210101	N	$61.50	Electrophoretic test	Electrophoresis, laboratory testing technique
2021	82668		20210101	N	$18.79	Assay of erythropoietin	Erythropoietin (protein) level
2021	82670		20210101	N	$27.94	Assay of total estradiol	Measurement of total estradiol (hormone)
2021	82671		20210101	N	$32.30	Assay of estrogens	Estrogen analysis, fractionated
2021	82672		20210101	N	$21.70	Assay of estrogen	Estrogen analysis, total
2021	82677		20210101	N	$24.18	Assay of estriol	Estriol (hormone) level
2021	82679		20210101	N	$24.95	Assay of estrone	Estrone (hormone) level
2021	82679	QW	20210101	N	$24.95	Assay of estrone	Estrone (hormone) level
2021	82681		20210101	N	$27.94	Assay dir meas fr estradiol	Direct measurement of free estradiol (hormone)
2021	82693		20210101	N	$14.90	Assay of ethylene glycol	Ethylene glycol (antifreeze) measurement
2021	82696		20210101	N	$26.24	Assay of etiocholanolone	Etiocholanolone (testosterone byproduct) level
2021	82705		20210101	N	$5.10	Fats/lipids feces qual	Stool fat or lipids analysis, qualitative
2021	82710		20210101	N	$16.80	Fats/lipids feces quant	Stool fat or lipids analysis, quantitative
2021	82715		20210101	N	$22.97	Assay of fecal fat	Stool fat differential measurement, quantitative
2021	82725		20210101	N	$18.77	Assay of blood fatty acids	Fatty acids measurement
2021	82726		20210101	N	$19.75	Long chain fatty acids	Very long chain fatty acids level
2021	82728		20210101	N	$13.63	Assay of ferritin	Ferritin (blood protein) level
2021	82731		20210101	N	$64.41	Assay of fetal fibronectin	Fetal fibronectin (protein) analysis
2021	82735		20210101	N	$18.54	Assay of fluoride	Fluoride level
2021	82746		20210101	N	$14.70	Assay of folic acid serum	Folic acid level, serum
2021	82747		20210101	N	$17.65	Assay of folic acid rbc	Folic acid level, RBC
2021	82757		20210101	N	$17.34	Assay of semen fructose	Semen fructose (carbohydrate) level
2021	82759		20210101	N	$21.48	Assay of rbc galactokinase	Galactokinase (enzyme) level
2021	82760		20210101	N	$11.20	Assay of galactose	Galactose (carbohydrate) level
2021	82775		20210101	N	$21.07	Assay galactose transferase	Galactose-1-phosphate uridyl transferase (enzyme) level
2021	82776		20210101	N	$11.74	Galactose transferase test	Galactose-1-phosphate uridyl transferase screening test
2021	82777		20210101	N	$44.25	Galectin-3	Galectin-3 level
2021	82784		20210101	N	$9.30	Assay iga/igd/igg/igm each	Gammaglobulin (immune system protein) measurement
2021	82785		20210101	N	$16.46	Assay of ige	IgE (immune system protein) level
2021	82787		20210101	N	$8.02	Igg 1 2 3 or 4 each	Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses
2021	82800		20210101	N	$11.00	Blood ph	Blood pH level
2021	82803		20210101	N	$26.07	Blood gases any combination	Blood gases measurement
2021	82805		20210101	N	$78.77	Blood gases w/o2 saturation	Blood gases measurement, with O2 saturation
2021	82810		20210101	N	$9.77	Blood gases o2 sat only	Blood gas, oxygen saturation measurement
2021	82820		20210101	N	$13.34	Hemoglobin-oxygen affinity	Hemoglobin-oxygen affinity measurement
2021	82930		20210101	N	$6.71	Gastric analy w/ph ea spec	Gastric acid analysis
2021	82938		20210101	N	$17.69	Gastrin test	Gastrin (GI tract hormone) level, after secretin stimulation
2021	82941		20210101	N	$17.63	Assay of gastrin	Gastrin (GI tract hormone) level
2021	82943		20210101	N	$14.29	Assay of glucagon	Glucagon (pancreatic hormone) level
2021	82945		20210101	N	$3.93	Glucose other fluid	Glucose (sugar) level on body fluid
2021	82946		20210101	N	$17.77	Glucagon tolerance test	Glucagon (pancreatic hormone) tolerance test
2021	82947		20210101	N	$3.93	Assay glucose blood quant	Blood glucose (sugar) level
2021	82947	QW	20210101	N	$3.93	Assay glucose blood quant	Blood glucose (sugar) level
2021	82948		20210101	N	$5.04	Reagent strip/blood glucose	Blood glucose (sugar) measurement using reagent strip
2021	82950		20210101	N	$4.75	Glucose test	Blood glucose (sugar) level after receiving dose of glucose
2021	82950	QW	20210101	N	$4.75	Glucose test	Blood glucose (sugar) level after receiving dose of glucose
2021	82951		20210101	N	$12.87	Glucose tolerance test (gtt)	Blood glucose (sugar) tolerance test, 3 specimens
2021	82951	QW	20210101	N	$12.87	Glucose tolerance test (gtt)	Blood glucose (sugar) tolerance test, 3 specimens
2021	82952		20210101	N	$3.92	Gtt-added samples	Blood glucose (sugar) tolerance test, each additional beyond 3 specimens
2021	82952	QW	20210101	N	$3.92	Gtt-added samples	Blood glucose (sugar) tolerance test, each additional beyond 3 specimens
2021	82955		20210101	N	$9.70	Assay of g6pd enzyme	G6PD (enzyme) level
2021	82960		20210101	N	$6.05	Test for g6pd enzyme	G6PD (enzyme) screening test
2021	82962		20210101	N	$3.28	Glucose blood test	Blood glucose (sugar) test performed by hand-held instrument
2021	82963		20210101	N	$21.48	Assay of glucosidase	Glucosidase (sugar enzyme) measurement
2021	82965		20210101	N	$13.15	Assay of gdh enzyme	Glutamate dehydrogenase (enzyme) measurement
2021	82977		20210101	N	$7.20	Assay of ggt	Glutamyltransferase (liver enzyme) level
2021	82977	QW	20210101	N	$7.20	Assay of ggt	Glutamyltransferase (liver enzyme) level
2021	82978		20210101	N	$15.45	Assay of glutathione	Glutathione (protein) level
2021	82979		20210101	N	$9.44	Assay rbc glutathione	Glutathione reductase (enzyme) level
2021	82985		20210101	N	$16.76	Assay of glycated protein	Glycated protein level
2021	82985	QW	20210101	N	$16.76	Assay of glycated protein	Glycated protein level
2021	83001		20210101	N	$18.58	Assay of gonadotropin (fsh)	Gonadotropin, follicle stimulating (reproductive hormone) level
2021	83001	QW	20210101	N	$18.58	Assay of gonadotropin (fsh)	Gonadotropin, follicle stimulating (reproductive hormone) level
2021	83002		20210101	N	$18.52	Assay of gonadotropin (lh)	Gonadotropin, luteinizing (reproductive hormone) level
2021	83002	QW	20210101	N	$18.52	Assay of gonadotropin (lh)	Gonadotropin, luteinizing (reproductive hormone) level
2021	83003		20210101	N	$16.67	Assay growth hormone (hgh)	Human growth hormone level
2021	83006		20210101	N	$75.60	Growth stimulation gene 2	Test for detecting genes associated with growth stimulation
2021	83009		20210101	N	$67.36	H pylori (c-13) blood	Blood test analysis for helicobacter pylori
2021	83010		20210101	N	$12.58	Assay of haptoglobin quant	Haptoglobin (serum protein) level
2021	83012		20210101	N	$26.89	Assay of haptoglobins	Haptoglobin (serum protein) measurement
2021	83013		20210101	N	$67.36	H pylori (c-13) breath	Breath test analysis for helicobacter pylori
2021	83014		20210101	N	$7.86	H pylori drug admin	Administration of drug for helicobacter pylori
2021	83015		20210101	N	$20.94	Heavy metal qual any anal	Heavy metal screening test
2021	83018		20210101	N	$21.96	Heavy metal quant each nes	Heavy metal level
2021	83020		20210101	N	$12.87	Hemoglobin electrophoresis	Hemoglobin analysis and measurement, electrophoresis
2021	83021		20210101	N	$18.06	Hemoglobin chromotography	Hemoglobin analysis and measurement, chromatography
2021	83026		20210101	N	$4.01	Hemoglobin copper sulfate	Hemoglobin level
2021	83030		20210101	N	$10.74	Fetal hemoglobin chemical	Fetal hemoglobin level
2021	83033		20210101	N	$8.00	Fetal hemoglobin assay qual	Fetal hemoglobin analysis
2021	83036		20210101	N	$9.71	Glycosylated hemoglobin test	Hemoglobin A1C level
2021	83036	QW	20210101	N	$9.71	Glycosylated hemoglobin test	Hemoglobin A1C level
2021	83037		20210101	N	$9.71	Glycosylated hb home device	Hemoglobin A1C level, by device for home use
2021	83037	QW	20210101	N	$9.71	Glycosylated hb home device	Hemoglobin A1C level, by device for home use
2021	83045		20210101	N	$6.49	Blood methemoglobin test	Methemoglobin (hemoglobin) analysis, qualitative
2021	83050		20210101	N	$8.20	Blood methemoglobin assay	Methemoglobin (hemoglobin) analysis, quantitative
2021	83051		20210101	N	$7.31	Assay of plasma hemoglobin	Plasma hemoglobin level
2021	83060		20210101	N	$8.80	Blood sulfhemoglobin assay	Sulfhemoglobin (hemoglobin) level
2021	83065		20210101	N	$9.00	Assay of hemoglobin heat	Thermolabile (heat sensitive) hemoglobin level
2021	83068		20210101	N	$9.47	Hemoglobin stability screen	Screening test for unstable hemoglobin
2021	83069		20210101	N	$3.95	Assay of urine hemoglobin	Urine hemoglobin level
2021	83070		20210101	N	$4.75	Assay of hemosiderin qual	Hemosiderin (hemoglobin breakdown product) analysis
2021	83080		20210101	N	$16.87	Assay of b hexosaminidase	b-Hexosaminidase (enzyme) level
2021	83088		20210101	N	$29.53	Assay of histamine	Histamine (immune system substance) level
2021	83090		20210101	N	$17.92	Assay of homocystine	Homocysteine (amino acid) level
2021	83150		20210101	N	$22.41	Assay of homovanillic acid	Homovanillic acid (organic acid) level
2021	83491		20210101	N	$17.90	Assay of corticosteroids 17	Hydroxycorticosteroids, 17 (adrenal gland hormone) level
2021	83497		20210101	N	$12.90	Assay of 5-hiaa	Hydroxyindolacetic acid (product of metabolism) level
2021	83498		20210101	N	$27.17	Assay of progesterone 17-d	Hydroxyprogesterone, 17-D (synthetic hormone) level
2021	83500		20210101	N	$22.65	Assay free hydroxyproline	Hydroxyproline (amino acid) measurement, free
2021	83505		20210101	N	$24.30	Assay total hydroxyproline	Hydroxyproline (amino acid) measurement, total
2021	83516		20210101	N	$11.53	Immunoassay nonantibody	Analysis of substance using immunoassay technique, multiple step method
2021	83516	QW	20210101	N	$11.53	Immunoassay nonantibody	Analysis of substance using immunoassay technique, multiple step method
2021	83518		20210101	N	$9.64	Immunoassay dipstick	Analysis of substance using immunoassay technique, single step method
2021	83518	QW	20210101	N	$9.64	Immunoassay dipstick	Analysis of substance using immunoassay technique, single step method
2021	83519		20210101	N	$18.40	Ria nonantibody	Measurement of substance using immunoassay technique, by radioimmunoassay
2021	83520		20210101	N	$17.27	Immunoassay quant nos nonab	Measurement of substance using immunoassay technique
2021	83520	QW	20210101	N	$17.27	Immunoassay quant nos nonab	Measurement of substance using immunoassay technique
2021	83525		20210101	N	$11.43	Assay of insulin	Insulin measurement, total
2021	83527		20210101	N	$12.95	Assay of insulin	Insulin measurement, free
2021	83528		20210101	N	$19.82	Assay of intrinsic factor	Intrinsic factor (stomach protein) level
2021	83540		20210101	N	$6.47	Assay of iron	Iron level
2021	83550		20210101	N	$8.74	Iron binding test	Iron binding capacity
2021	83570		20210101	N	$8.85	Assay of idh enzyme	Isocitric dehydrogenase (enzyme) level
2021	83582		20210101	N	$15.47	Assay of ketogenic steroids	Ketogenic steroids (hormone) measurement
2021	83586		20210101	N	$12.80	Assay 17- ketosteroids	Ketosteroids, 17 (hormone) measurement, total
2021	83593		20210101	N	$28.50	Fractionation ketosteroids	Ketosteroids, 17 (hormone) measurement, fractionation
2021	83605		20210101	N	$11.57	Assay of lactic acid	Lactic acid level
2021	83605	QW	20210101	N	$11.57	Assay of lactic acid	Lactic acid level
2021	83615		20210101	N	$6.04	Lactate (ld) (ldh) enzyme	Lactate dehydrogenase (enzyme) level
2021	83625		20210101	N	$12.79	Assay of ldh enzymes	Lactate dehydrogenase (enzyme) measurement
2021	83630		20210101	N	$19.70	Lactoferrin fecal (qual)	Stool lactoferrin (immune system protein) analysis
2021	83631		20210101	N	$19.63	Lactoferrin fecal (quant)	Stool lactoferrin (immune system protein) level
2021	83632		20210101	N	$20.22	Placental lactogen	Human placental lactogen (placental hormone) level
2021	83633		20210101	N	$11.25	Test urine for lactose	Urine lactose (carbohydrate) analysis
2021	83655		20210101	N	$12.11	Assay of lead	Lead level
2021	83655	QW	20210101	N	$12.11	Assay of lead	Lead level
2021	83661		20210101	N	$21.99	L/s ratio fetal lung	Fetal lung maturity assessment, lecithin sphingomyelin (L/S) ratio
2021	83662		20210101	N	$18.91	Foam stability fetal lung	Fetal lung maturity assessment, foam stability test
2021	83663		20210101	N	$18.91	Fluoro polarize fetal lung	Fetal lung maturity assessment, fluorescence polarization
2021	83664		20210101	N	$19.32	Lamellar bdy fetal lung	Fetal lung maturity assessment, lamellar body density
2021	83670		20210101	N	$9.81	Assay of lap enzyme	Leucine aminopeptidase (enzyme) level
2021	83690		20210101	N	$6.89	Assay of lipase	Lipase (fat enzyme) level
2021	83695		20210101	N	$14.32	Assay of lipoprotein(a)	Lipoprotein (A) level
2021	83698		20210101	N	$46.31	Assay lipoprotein pla2	Lipoprotein-associated phospholipase A2 (enzyme) level
2021	83700		20210101	N	$11.26	Lipopro bld electrophoretic	Lipoprotein level, electrophoretic separation and quantitation
2021	83701		20210101	N	$33.86	Lipoprotein bld hr fraction	Lipoprotein measurement
2021	83704		20210101	N	$34.19	Lipoprotein bld quan part	Lipoprotein level, quantitation of lipoprotein particle number(s)
2021	83718		20210101	N	$8.19	Assay of lipoprotein	HDL cholesterol level
2021	83718	QW	20210101	N	$8.19	Assay of lipoprotein	HDL cholesterol level
2021	83719		20210101	N	$12.75	Assay of blood lipoprotein	VLDL cholesterol level
2021	83721		20210101	N	$10.50	Assay of blood lipoprotein	LDL cholesterol level
2021	83721	QW	20210101	N	$10.50	Assay of blood lipoprotein	LDL cholesterol level
2021	83722		20210101	N	$34.19	Lipoprtn dir meas sd ldl chl	Measurement of small dense low density lipoprotein cholesterol
2021	83727		20210101	N	$17.19	Assay of lrh hormone	Luteinizing releasing factor (reproductive hormone) level
2021	83735		20210101	N	$6.70	Assay of magnesium	Magnesium level
2021	83775		20210101	N	$7.37	Assay malate dehydrogenase	Malate dehydrogenase (enzyme) level
2021	83785		20210101	N	$26.65	Assay of manganese	Manganese (heavy metal) level
2021	83789		20210101	N	$24.11	Mass spectrometry qual/quan	Mass spectrometry (laboratory testing method)
2021	83825		20210101	N	$16.26	Assay of mercury	Mercury level
2021	83835		20210101	N	$16.94	Assay of metanephrines	Metanephrines level
2021	83857		20210101	N	$10.74	Assay of methemalbumin	Methemalbumin (protein) level
2021	83861		20210101	N	$22.48	Microfluid analy tears	Microfluid analysis of tears
2021	83861	QW	20210101	N	$22.48	Microfluid analy tears	Microfluid analysis of tears
2021	83864		20210101	N	$28.50	Mucopolysaccharides	Mucopolysaccharides (protein) level
2021	83872		20210101	N	$5.86	Assay synovial fluid mucin	Joint fluid diagnostic test
2021	83873		20210101	N	$17.20	Assay of csf protein	Myelin basic protein (nerve protein) level, spinal fluid
2021	83874		20210101	N	$12.92	Assay of myoglobin	Myoglobin (muscle protein) level
2021	83876		20210101	N	$50.86	Assay myeloperoxidase	Myeloperoxidase (white blood cell enzyme) measurement
2021	83880		20210101	N	$39.26	Assay of natriuretic peptide	Natriuretic peptide (heart and blood vessel protein) level
2021	83880	QW	20210101	N	$39.26	Assay of natriuretic peptide	Natriuretic peptide (heart and blood vessel protein) level
2021	83883		20210101	N	$13.60	Assay nephelometry not spec	Nephelometry, test method using light
2021	83885		20210101	N	$24.51	Assay of nickel	Nickel level
2021	83915		20210101	N	$11.15	Assay of nucleotidase	Nucleotidase 5' (enzyme) level
2021	83916		20210101	N	$27.39	Oligoclonal bands	Measurement of immune substance (oligoclonal bands)
2021	83918		20210101	N	$23.60	Organic acids total quant	Organic acids level
2021	83919		20210101	N	$16.45	Organic acids qual each	Organic acids analysis
2021	83921		20210101	N	$21.21	Organic acid single quant	Organic acid level
2021	83930		20210101	N	$6.61	Assay of blood osmolality	Blood osmolality (concentration) measurement
2021	83935		20210101	N	$6.82	Assay of urine osmolality	Urine osmolality (concentration) measurement
2021	83937		20210101	N	$29.85	Assay of osteocalcin	Osteocalcin (bone protein) level
2021	83945		20210101	N	$14.45	Assay of oxalate	Oxalate level
2021	83950		20210101	N	$64.41	Oncoprotein her-2/neu	HER-2 oncoprotein (cancer related gene) measurement
2021	83951		20210101	N	$64.41	Oncoprotein dcp	Oncoprotein (cancer related gene) measurement
2021	83970		20210101	N	$41.28	Assay of parathormone	Parathormone (parathyroid hormone) level
2021	83986		20210101	N	$3.58	Assay ph body fluid nos	Body fluid pH level
2021	83986	QW	20210101	N	$3.58	Assay ph body fluid nos	Body fluid pH level
2021	83987		20210101	N	$3.58	Exhaled breath condensate	pH exhaled breath
2021	83993		20210101	N	$19.63	Assay for calprotectin fecal	Stool calprotectin (protein) level
2021	84030		20210101	N	$5.50	Assay of blood pku	Phenylalanine, PKU (amino acid) level
2021	84035		20210101	N	$3.98	Assay of phenylketones	Phenylketones (ketone) analysis
2021	84060		20210101	N	$7.64	Assay acid phosphatase	Phosphatase (enzyme) measurement, acid, total
2021	84066		20210101	N	$9.66	Assay prostate phosphatase	Phosphatase, prostatic (prostate enzyme) level
2021	84075		20210101	N	$5.18	Assay alkaline phosphatase	Phosphatase (enzyme) level, alkaline
2021	84075	QW	20210101	N	$5.18	Assay alkaline phosphatase	Phosphatase (enzyme) level, alkaline
2021	84078		20210101	N	$8.26	Assay alkaline phosphatase	Phosphatase (enzyme) level, alkaline, heat stable
2021	84080		20210101	N	$14.78	Assay alkaline phosphatases	Phosphatase (enzyme) measurement, alkaline, isoenzymes
2021	84081		20210101	N	$16.52	Assay phosphatidylglycerol	Phosphatidylglycerol (amniotic fluid organic acid) level
2021	84085		20210101	N	$9.44	Assay of rbc pg6d enzyme	Phosphogluconate, 6, dehydrogenase (enzyme) level
2021	84087		20210101	N	$10.73	Assay phosphohexose enzymes	Phosphohexose isomerase (enzyme) level
2021	84100		20210101	N	$4.74	Assay of phosphorus	Phosphate level
2021	84105		20210101	N	$5.78	Assay of urine phosphorus	Urine phosphate level
2021	84106		20210101	N	$5.82	Test for porphobilinogen	Urine porphobilinogen (metabolism substance) analysis
2021	84110		20210101	N	$8.44	Assay of porphobilinogen	Urine porphobilinogen (metabolism substance) level
2021	84112		20210101	N	$98.11	Eval amniotic fluid protein	Cervicovaginal secretion of placenta protein
2021	84119		20210101	N	$13.36	Test urine for porphyrins	Urine porphyrins (metabolism substance) analysis
2021	84120		20210101	N	$14.71	Assay of urine porphyrins	Urine porphyrins (metabolism substance) measurement
2021	84126		20210101	N	$39.11	Assay of feces porphyrins	Stool porphyrins (metabolism substance) level
2021	84132		20210101	N	$4.76	Assay of serum potassium	Blood potassium level
2021	84132	QW	20210101	N	$4.76	Assay of serum potassium	Blood potassium level
2021	84133		20210101	N	$4.73	Assay of urine potassium	Urine potassium level
2021	84134		20210101	N	$14.59	Assay of prealbumin	Prealbumin (protein) level
2021	84135		20210101	N	$21.27	Assay of pregnanediol	Pregnanediol (reproductive hormone) level
2021	84138		20210101	N	$21.05	Assay of pregnanetriol	Pregnanetriol (reproductive hormone) level
2021	84140		20210101	N	$20.67	Assay of pregnenolone	Pregnenolone (reproductive hormone) level
2021	84143		20210101	N	$22.81	Assay of 17-hydroxypregneno	17-hydroxypregnenolone (hormone) level
2021	84144		20210101	N	$20.86	Assay of progesterone	Progesterone (reproductive hormone) level
2021	84145		20210101	N	$27.22	Procalcitonin (pct)	Procalcitonin (hormone) level
2021	84146		20210101	N	$19.38	Assay of prolactin	Prolactin (milk producing hormone) level
2021	84150		20210101	N	$41.77	Assay of prostaglandin	Prostaglandin (hormone) level
2021	84152		20210101	N	$18.39	Assay of psa complexed	PSA (prostate specific antigen) measurement, complexed
2021	84153		20210101	N	$18.39	Assay of psa total	PSA (prostate specific antigen) measurement, total
2021	84154		20210101	N	$18.39	Assay of psa free	PSA (prostate specific antigen) measurement, free
2021	84155		20210101	N	$3.67	Assay of protein serum	Total protein level, blood
2021	84155	QW	20210101	N	$3.67	Assay of protein serum	Total protein level, blood
2021	84156		20210101	N	$3.67	Assay of protein urine	Total protein level, urine
2021	84157		20210101	N	$4.00	Assay of protein other	Total protein level, body fluid
2021	84157	QW	20210101	N	$4.00	Assay of protein other	Total protein level, body fluid
2021	84160		20210101	N	$5.61	Assay of protein any source	Total protein level
2021	84163		20210101	N	$15.05	Pappa serum	Pregnancy-associated plasma protein-A level
2021	84165		20210101	N	$10.74	Protein e-phoresis serum	Protein measurement, serum
2021	84166		20210101	N	$17.83	Protein e-phoresis/urine/csf	Protein measurement, body fluid
2021	84181		20210101	N	$17.03	Western blot test	Protein measurement
2021	84182		20210101	N	$29.21	Protein western blot test	Protein measurement, immunological probe for band identification
2021	84202		20210101	N	$14.35	Assay rbc protoporphyrin	Protoporphyrin (metabolism substance) level
2021	84203		20210101	N	$9.74	Test rbc protoporphyrin	Protoporphyrin (metabolism substance) screening test
2021	84206		20210101	N	$26.69	Assay of proinsulin	Proinsulin (pancreatic hormone) level
2021	84207		20210101	N	$28.10	Assay of vitamin b-6	Vitamin B-6 level
2021	84210		20210101	N	$14.48	Assay of pyruvate	Pyruvate (organic acid) level
2021	84220		20210101	N	$9.44	Assay of pyruvate kinase	Pyruvate kinase (enzyme) level
2021	84228		20210101	N	$11.63	Assay of quinine	Quinine (drug) level
2021	84233		20210101	N	$87.88	Assay of estrogen	Estrogen receptor analysis
2021	84234		20210101	N	$64.88	Assay of progesterone	Progesterone (reproductive hormone) receptor analysis
2021	84235		20210101	N	$71.23	Assay of endocrine hormone	Hormone receptor analysis
2021	84238		20210101	N	$36.57	Assay nonendocrine receptor	Chemical receptor analysis
2021	84244		20210101	N	$21.99	Assay of renin	Renin (kidney enzyme) level
2021	84252		20210101	N	$20.24	Assay of vitamin b-2	Vitamin B-2 (riboflavin) level
2021	84255		20210101	N	$25.53	Assay of selenium	Selenium (vitamin) level
2021	84260		20210101	N	$30.98	Assay of serotonin	Serotonin (hormone) level
2021	84270		20210101	N	$21.73	Assay of sex hormone globul	Sex hormone binding globulin (protein) level
2021	84275		20210101	N	$13.44	Assay of sialic acid	Sialic acid (organic acid) level
2021	84285		20210101	N	$25.21	Assay of silica	Silica (silicon) level
2021	84295		20210101	N	$4.81	Assay of serum sodium	Blood sodium level
2021	84295	QW	20210101	N	$4.81	Assay of serum sodium	Blood sodium level
2021	84300		20210101	N	$5.06	Assay of urine sodium	Urine sodium level
2021	84302		20210101	N	$4.86	Assay of sweat sodium	Sodium level
2021	84305		20210101	N	$21.26	Assay of somatomedin	Somatomedin (growth factor) level
2021	84307		20210101	N	$18.28	Assay of somatostatin	Somatostatin (growth hormone inhibitor) level
2021	84311		20210101	N	$8.10	Spectrophotometry	Chemical analysis using spectrophotometry (light)
2021	84315		20210101	N	$3.28	Body fluid specific gravity	Specific gravity (liquid weight) measurement
2021	84375		20210101	N	$39.00	Chromatogram assay sugars	Carbohydrate (sugar) analysis
2021	84376		20210101	N	$5.50	Sugars single qual	Carbohydrate analysis, single qualitative
2021	84377		20210101	N	$5.50	Sugars multiple qual	Carbohydrate analysis, multiple qualitative
2021	84378		20210101	N	$11.53	Sugars single quant	Carbohydrate analysis, single quantitative
2021	84379		20210101	N	$11.53	Sugars multiple quant	Carbohydrate analysis, multiple quantitative
2021	84392		20210101	N	$5.49	Assay of urine sulfate	Urine sulfate (acid) level
2021	84402		20210101	N	$25.47	Assay of free testosterone	Testosterone (hormone) level, free
2021	84403		20210101	N	$25.81	Assay of total testosterone	Testosterone (hormone) level, total
2021	84410		20210101	N	$51.28	Testosterone bioavailable	Testosterone level
2021	84425		20210101	N	$21.23	Assay of vitamin b-1	Vitamin B-1 (thiamine) level
2021	84430		20210101	N	$11.63	Assay of thiocyanate	Thiocyanate (organic sulfur substance) level
2021	84431		20210101	N	$35.11	Thromboxane urine	Urine analysis for thromboxane (lipid)
2021	84432		20210101	N	$16.06	Assay of thyroglobulin	Thyroglobulin (thyroid related hormone) level
2021	84436		20210101	N	$6.87	Assay of total thyroxine	Thyroxine (thyroid chemical), total
2021	84437		20210101	N	$6.47	Assay of neonatal thyroxine	Thyroxine (thyroid chemical), requiring elution
2021	84439		20210101	N	$9.02	Assay of free thyroxine	Thyroxine (thyroid chemical), free
2021	84442		20210101	N	$14.78	Assay of thyroid activity	Thyroxine binding globulin (thyroid related protein) level
2021	84443		20210101	N	$16.80	Assay thyroid stim hormone	Blood test, thyroid stimulating hormone (TSH)
2021	84443	QW	20210101	N	$16.80	Assay thyroid stim hormone	Blood test, thyroid stimulating hormone (TSH)
2021	84445		20210101	N	$50.86	Assay of tsi globulin	Thyroid stimulating immune globulins (thyroid related protein) level
2021	84446		20210101	N	$14.18	Assay of vitamin e	Vitamin E level
2021	84449		20210101	N	$18.00	Assay of transcortin	Transcortin (cortisol binding protein) level
2021	84450		20210101	N	$5.18	Transferase (ast) (sgot)	Liver enzyme (SGOT), level
2021	84450	QW	20210101	N	$5.18	Transferase (ast) (sgot)	Liver enzyme (SGOT), level
2021	84460		20210101	N	$5.30	Alanine amino (alt) (sgpt)	Liver enzyme (SGPT), level
2021	84460	QW	20210101	N	$5.30	Alanine amino (alt) (sgpt)	Liver enzyme (SGPT), level
2021	84466		20210101	N	$12.76	Assay of transferrin	Transferrin (iron binding protein) level
2021	84478		20210101	N	$5.74	Assay of triglycerides	Triglycerides level
2021	84478	QW	20210101	N	$5.74	Assay of triglycerides	Triglycerides level
2021	84479		20210101	N	$6.47	Assay of thyroid (t3 or t4)	Thyroid hormone evaluation
2021	84480		20210101	N	$14.18	Assay triiodothyronine (t3)	Thyroid hormone, T3 measurement, total
2021	84481		20210101	N	$16.94	Free assay (ft-3)	Thyroid hormone, T3 measurement, free
2021	84482		20210101	N	$15.76	T3 reverse	Thyroid hormone, T3 measurement, reverse
2021	84484		20210101	N	$12.47	Assay of troponin quant	Troponin (protein) analysis, quantitative
2021	84485		20210101	N	$7.20	Assay duodenal fluid trypsin	Trypsin (pancreatic enzyme) measurement, intestinal fluid
2021	84488		20210101	N	$7.30	Test feces for trypsin	Trypsin (pancreatic enzyme) analysis, stool
2021	84490		20210101	N	$9.93	Assay of feces for trypsin	Stool trypsin (pancreatic enzyme) analysis, 24-hour collection
2021	84510		20210101	N	$10.63	Assay of tyrosine	Tyrosine (amino acid) level
2021	84512		20210101	N	$10.09	Assay of troponin qual	Troponin (protein) analysis, qualitative
2021	84520		20210101	N	$3.95	Assay of urea nitrogen	Urea nitrogen level to assess kidney function, quantitative
2021	84520	QW	20210101	N	$3.95	Assay of urea nitrogen	Urea nitrogen level to assess kidney function, quantitative
2021	84525		20210101	N	$5.13	Urea nitrogen semi-quant	Urea nitrogen level to assess kidney function, semiquantitative
2021	84540		20210101	N	$5.56	Assay of urine/urea-n	Urea nitrogen level to assess kidney function, urine
2021	84545		20210101	N	$7.20	Urea-n clearance test	Urea nitrogen level to assess kidney function, clearance
2021	84550		20210101	N	$4.52	Assay of blood/uric acid	Uric acid level, blood
2021	84550	QW	20210101	N	$4.52	Assay of blood/uric acid	Uric acid level, blood
2021	84560		20210101	N	$5.08	Assay of urine/uric acid	Uric acid level
2021	84577		20210101	N	$16.80	Assay of feces/urobilinogen	Urobilinogen (metabolism substance) level, stool
2021	84578		20210101	N	$4.47	Test urine urobilinogen	Urobilinogen (metabolism substance) analysis, urine
2021	84580		20210101	N	$9.55	Assay of urine urobilinogen	Urobilinogen (metabolism substance) level, urine
2021	84583		20210101	N	$6.05	Assay of urine urobilinogen	Urobilinogen (metabolism substance) measurement, urine
2021	84585		20210101	N	$15.50	Assay of urine vma	Urine vanillylmandelic acid
2021	84586		20210101	N	$35.33	Assay of vip	Vasoactive intestinal peptide (intestinal hormone) level
2021	84588		20210101	N	$33.94	Assay of vasopressin	ADH (antidiuretic hormone) level
2021	84590		20210101	N	$11.61	Assay of vitamin a	Vitamin A level
2021	84591		20210101	N	$17.06	Assay of nos vitamin	Vitamin measurement
2021	84597		20210101	N	$13.72	Assay of vitamin k	Vitamin K level
2021	84600		20210101	N	$17.11	Assay of volatiles	Volatile chemical measurement
2021	84620		20210101	N	$12.91	Xylose tolerance test	Xylose (carbohydrate) absorption test of blood and/or urine
2021	84630		20210101	N	$11.39	Assay of zinc	Zinc level
2021	84681		20210101	N	$20.81	Assay of c-peptide	C-peptide (protein) level
2021	84702		20210101	N	$15.05	Chorionic gonadotropin test	Gonadotropin, chorionic (reproductive hormone) level
2021	84703		20210101	N	$7.52	Chorionic gonadotropin assay	Gonadotropin (reproductive hormone) analysis
2021	84703	QW	20210101	N	$7.52	Chorionic gonadotropin assay	Gonadotropin (reproductive hormone) analysis
2021	84704		20210101	N	$15.29	Hcg free betachain test	Gonadotropin, chorionic (reproductive hormone) measurement
2021	84830		20210101	N	$12.70	Ovulation tests	Ovulation tests
2021	85002		20210101	N	$4.82	Bleeding time test	Bleeding time
2021	85004		20210101	N	$6.47	Automated diff wbc count	White blood cell count
2021	85007		20210101	N	$3.80	Bl smear w/diff wbc count	Microscopic examination for white blood cells with manual cell count
2021	85008		20210101	N	$3.43	Bl smear w/o diff wbc count	Microscopic examination for white blood cells
2021	85009		20210101	N	$5.07	Manual diff wbc count b-coat	Manual white blood cell count and evaluation
2021	85013		20210101	N	$7.00	Spun microhematocrit	Red blood cell hemoglobin concentration
2021	85014		20210101	N	$2.37	Hematocrit	Red blood cell concentration measurement
2021	85014	QW	20210101	N	$2.37	Hematocrit	Red blood cell concentration measurement
2021	85018		20210101	N	$2.37	Hemoglobin	Blood count, hemoglobin
2021	85018	QW	20210101	N	$2.37	Hemoglobin	Blood count, hemoglobin
2021	85025		20210101	N	$7.77	Complete cbc w/auto diff wbc	Complete blood cell count (red cells, white blood cell, platelets), automated
2021	85025	QW	20210101	N	$7.77	Complete cbc w/auto diff wbc	Complete blood cell count (red cells, white blood cell, platelets), automated
2021	85027		20210101	N	$6.47	Complete cbc automated	Complete blood cell count (red cells, white blood cell, platelets), automated
2021	85032		20210101	N	$4.31	Manual cell count each	Manual blood cell count
2021	85041		20210101	N	$3.02	Automated rbc count	Red blood cell count, automated test
2021	85044		20210101	N	$4.31	Manual reticulocyte count	Red blood count, manual test
2021	85045		20210101	N	$3.99	Automated reticulocyte count	Red blood count, automated test
2021	85046		20210101	N	$5.57	Reticyte/hgb concentrate	Red blood count automated, with additional calculations
2021	85048		20210101	N	$2.54	Automated leukocyte count	Automated white blood cell count
2021	85049		20210101	N	$4.48	Automated platelet count	Platelet count, automated test
2021	85055		20210101	N	$35.74	Reticulated platelet assay	Reticulated (young) platelet measurement
2021	85130		20210101	N	$11.89	Chromogenic substrate assay	Assessment of blood clotting function
2021	85170		20210101	N	$16.30	Blood clot retraction	Blood clot evaluation, (retraction time)
2021	85175		20210101	N	$20.37	Blood clot lysis time	Blood clot evaluation, (clot dissolving time)
2021	85210		20210101	N	$12.98	Clot factor ii prothrom spec	Clotting factor II prothrombin, measurement
2021	85220		20210101	N	$17.65	Blooc clot factor v test	Clotting factor V (AcG or proaccelerin) measurement
2021	85230		20210101	N	$17.90	Clot factor vii proconvertin	Clotting factor VII (proconvertin, stable factor)
2021	85240		20210101	N	$17.90	Clot factor viii ahg 1 stage	Clotting factor VIII (AHG) measurement
2021	85244		20210101	N	$20.42	Clot factor viii reltd antgn	Clotting factor VIII related antigen measurement
2021	85245		20210101	N	$22.94	Clot factor viii vw ristoctn	Clotting factor VIII (VW factor) measurement
2021	85246		20210101	N	$22.94	Clot factor viii vw antigen	Clotting factor VIII (VW factor) antigen
2021	85247		20210101	N	$22.94	Clot factor viii multimetric	Clotting factor VIII (von Willebrand factor) measurement
2021	85250		20210101	N	$19.04	Clot factor ix ptc/chrstmas	Clotting factor IX (PTC or Christmas) measurement
2021	85260		20210101	N	$17.90	Clot factor x stuart-power	Clotting factor X (Stuart-Prower) measurement
2021	85270		20210101	N	$17.90	Clot factor xi pta	Clotting factor XI (PTA) measurement
2021	85280		20210101	N	$19.35	Clot factor xii hageman	Clotting factor XII (Hageman) measurement
2021	85290		20210101	N	$16.34	Clot factor xiii fibrin stab	Clotting factor XIII (fibrin stabilizing) measurement
2021	85291		20210101	N	$9.11	Clot factor xiii fibrin scrn	Clotting factor XIII (fibrin stabilizing) screening test
2021	85292		20210101	N	$18.93	Clot factor fletcher fact	Fletcher factor (clotting factor) measurement
2021	85293		20210101	N	$18.93	Clot factor wght kininogen	Fitzgerald factor (clotting factor) measurement
2021	85300		20210101	N	$11.85	Antithrombin iii activity	Antithrombin III antigen (clotting inhibitor) activity
2021	85301		20210101	N	$10.81	Antithrombin iii antigen	Antithrombin III antigen (clotting inhibitor) level
2021	85302		20210101	N	$12.01	Clot inhibit prot c antigen	Protein C, (clotting inhibitor) activity
2021	85303		20210101	N	$13.84	Clot inhibit prot c activity	Protein C antigen (clotting inhibitor) measurement
2021	85305		20210101	N	$11.61	Clot inhibit prot s total	Protein S (clotting inhibitor) level
2021	85306		20210101	N	$15.32	Clot inhibit prot s free	Protein S (clotting inhibitor) measurement
2021	85307		20210101	N	$15.32	Assay activated protein c	Activated protein resistance assay
2021	85335		20210101	N	$12.87	Factor inhibitor test	Clotting factor inhibitor test
2021	85337		20210101	N	$17.27	Thrombomodulin	Thrombomodulin (coagulation protein) measurement
2021	85345		20210101	N	$4.69	Coagulation time lee & white	Coagulation time measurement, Lee and White
2021	85347		20210101	N	$4.28	Coagulation time activated	Coagulation time measurement, activated
2021	85348		20210101	N	$4.49	Coagulation time otr method	Coagulation time measurement, other methods
2021	85360		20210101	N	$8.41	Euglobulin lysis	Euglobulin lysis (clot dissolving) measurement
2021	85362		20210101	N	$6.89	Fibrin degradation products	Coagulation function analysis, agglutination slide, semiquantitative
2021	85366		20210101	N	$80.46	Fibrinogen test	Coagulation function measurement, paracoagulation
2021	85370		20210101	N	$12.43	Fibrinogen test	Coagulation function measurement, quantitative
2021	85378		20210101	N	$9.72	Fibrin degrade semiquant	Coagulation function measurement, qualitative or semiquantitative
2021	85379		20210101	N	$10.18	Fibrin degradation quant	Coagulation function measurement, D-dimer; quantitative
2021	85380		20210101	N	$10.18	Fibrin degradj d-dimer	Coagulation function measurement, ultrasensitive, qualitative or
2021	85384		20210101	N	$9.72	Fibrinogen activity	Fibrinogen (factor 1) activity measurement
2021	85385		20210101	N	$14.46	Fibrinogen antigen	Fibrinogen (factor 1) antigen detection
2021	85390		20210101	N	$15.48	Fibrinolysins screen i&r	Coagulation function screening test with interpretation and report
2021	85397		20210101	N	$30.86	Clotting funct activity	Measurement of blood coagulation and fibrinolysis (clot dissolving) function
2021	85400		20210101	N	$7.71	Fibrinolytic plasmin	Plasmin (fibrinolytic factor) measurement
2021	85410		20210101	N	$7.71	Fibrinolytic antiplasmin	Alpha-2 antiplasmin (factor inhibitor) measurement
2021	85415		20210101	N	$17.19	Fibrinolytic plasminogen	Plasminogen activator (fibrinolytic factor) measurement
2021	85420		20210101	N	$6.53	Fibrinolytic plasminogen	Plasminogen (fibrinolytic factor) measurement
2021	85421		20210101	N	$10.18	Fibrinolytic plasminogen	Plasminogen antigenic (factor inhibitor) measurement
2021	85441		20210101	N	$4.20	Heinz bodies direct	Evaluation of red blood cell defect (Heinz bodies), direct
2021	85445		20210101	N	$6.82	Heinz bodies induced	Evaluation of red blood cell defect (Heinz bodies), induced
2021	85460		20210101	N	$7.73	Hemoglobin fetal	Fetal hemoglobin or red blood cells measurement for assessment of
2021	85461		20210101	N	$9.36	Hemoglobin fetal	Fetal hemoglobin or red blood cells measurement for assessment of
2021	85475		20210101	N	$8.87	Hemolysin acid	Measurement of hemolysin (red blood cell destructive substance)
2021	85520		20210101	N	$13.09	Heparin assay	Heparin assay
2021	85525		20210101	N	$11.84	Heparin neutralization	Heparin neutralization test
2021	85530		20210101	N	$13.09	Heparin-protamine tolerance	Heparin therapy assessment
2021	85536		20210101	N	$6.88	Iron stain peripheral blood	Blood smear for iron
2021	85540		20210101	N	$8.60	Wbc alkaline phosphatase	White blood cell alkaline phosphatase (enzyme) measurement with cell count
2021	85547		20210101	N	$8.60	Rbc mechanical fragility	Red blood cell fragility measurement
2021	85549		20210101	N	$18.75	Muramidase	White blood cell enzyme activity measurement
2021	85555		20210101	N	$7.47	Rbc osmotic fragility	Red blood cell fragility measurement, unincubated
2021	85557		20210101	N	$13.36	Rbc osmotic fragility	Red blood cell fragility measurement, incubated
2021	85576		20210101	N	$24.91	Blood platelet aggregation	Platelet aggregation function test
2021	85576	QW	20210101	N	$24.91	Blood platelet aggregation	Platelet aggregation function test
2021	85597		20210101	N	$17.98	Phospholipid pltlt neutraliz	Platelet function test
2021	85598		20210101	N	$17.98	Hexagnal phosph pltlt neutrl	Phospholipid test
2021	85610		20210101	N	$4.29	Prothrombin time	Blood test, clotting time
2021	85610	QW	20210101	N	$4.29	Prothrombin time	Blood test, clotting time
2021	85611		20210101	N	$3.94	Prothrombin test	Blood test, clotting time, substitution
2021	85612		20210101	N	$17.49	Viper venom prothrombin time	Clotting factor X assessment test, undiluted
2021	85613		20210101	N	$9.58	Russell viper venom diluted	Clotting factor X assessment test, diluted
2021	85635		20210101	N	$9.85	Reptilase test	Blood coagulation screening test
2021	85651		20210101	N	$4.27	Rbc sed rate nonautomated	Red blood cell sedimentation rate, to detect inflammation, non-automated
2021	85652		20210101	N	$2.70	Rbc sed rate automated	Red blood cell sedimentation rate, to detect inflammation, automated
2021	85660		20210101	N	$5.51	Rbc sickle cell test	Red blood cell sickling measurement
2021	85670		20210101	N	$5.77	Thrombin time plasma	Thrombin time, fibrinogen screening test, plasma
2021	85675		20210101	N	$6.85	Thrombin time titer	Thrombin time, fibrinogen screening test, titer
2021	85705		20210101	N	$9.63	Thromboplastin inhibition	Thromboplastin inhibition (circulating anticoagulant) measurement
2021	85730		20210101	N	$6.01	Thromboplastin time partial	Coagulation assessment blood test, plasma or whole blood
2021	85732		20210101	N	$6.47	Thromboplastin time partial	Coagulation assessment blood test, substitution, plasma fractions
2021	85810		20210101	N	$11.67	Blood viscosity examination	Blood viscosity measurement
2021	86000		20210101	N	$6.98	Agglutinins febrile antigen	Measurement of antibody to infectious organism
2021	86001		20210101	N	$7.82	Allergen specific igg	Measurement of antibody (IgG) to allergic substance, each allergen
2021	86003		20210101	N	$5.22	Allg spec ige crude xtrc ea	Measurement of antibody (IgE) to allergic substance, crude allergen extract,
2021	86005		20210101	N	$7.97	Allg spec ige multiallg scr	Measurement of antibody (IgE) to allergic substance, multiallergen screen
2021	86008		20210101	N	$17.93	Allg spec ige recomb ea	Measurement of antibody (IgE) to allergic substance, recombinant or purified
2021	86021		20210101	N	$15.05	Wbc antibody identification	Antibody identification test for white blood cell antibodies
2021	86022		20210101	N	$18.37	Platelet antibodies	Antibody identification test, platelet antibodies
2021	86023		20210101	N	$12.46	Immunoglobulin assay	Antibody identification test, platelet associated immunoglobulin assay
2021	86038		20210101	N	$12.09	Antinuclear antibodies	Screening test for autoimmune disorder
2021	86039		20210101	N	$11.16	Antinuclear antibodies (ana)	Measurement of antibody for assessment of autoimmune disorder, titer
2021	86060		20210101	N	$7.30	Antistreptolysin o titer	Measurement for Strep antibody (strep throat)
2021	86063		20210101	N	$5.77	Antistreptolysin o screen	Screening test for Strep antibody (strep throat)
2021	86140		20210101	N	$5.18	C-reactive protein	Measurement C-reactive protein for detection of infection or inflammation
2021	86141		20210101	N	$12.95	C-reactive protein hs	Measurement C-reactive protein for detection of infection or inflammation, high
2021	86146		20210101	N	$25.45	Beta-2 glycoprotein antibody	Beta 2 glycoprotein 1 antibody (autoantibody) measurement
2021	86147		20210101	N	$25.45	Cardiolipin antibody ea ig	Cardiolipin antibody (tissue antibody) measurement
2021	86148		20210101	N	$16.07	Anti-phospholipid antibody	Phospholipid antibody (autoimmune antibody) measurement
2021	86152		20210101	N	$250.78	Cell enumeration & id	Cell enumeration using immunologic selection and identification in fluid
2021	86155		20210101	N	$15.99	Chemotaxis assay	Measurement of white blood cell function
2021	86156		20210101	N	$8.07	Cold agglutinin screen	Measurement of cold agglutinin (protein) to screen for infection or disease
2021	86157		20210101	N	$8.06	Cold agglutinin titer	Measurement of cold agglutinin (protein) to detect infection or disease
2021	86160		20210101	N	$12.00	Complement antigen	Measurement of complement (immune system proteins), antigen
2021	86161		20210101	N	$12.00	Complement/function activity	Measurement of complement function (immune system proteins)
2021	86162		20210101	N	$20.32	Complement total (ch50)	Measurement of complement (immune system proteins), total hemolytic
2021	86171		20210101	N	$10.01	Complement fixation each	Measurement of complement fixation tests (immune system proteins)
2021	86200		20210101	N	$12.95	Ccp antibody	Measurement of antibody for rheumatoid arthritis assessment
2021	86215		20210101	N	$13.25	Deoxyribonuclease antibody	Measurement of DNA antibody
2021	86225		20210101	N	$13.74	Dna antibody native	Measurement of DNA antibody, native or double stranded
2021	86226		20210101	N	$12.11	Dna antibody single strand	Measurement of DNA antibody, single stranded
2021	86235		20210101	N	$17.93	Nuclear antigen antibody	Measurement of antibody for assessment of autoimmune disorder, any method
2021	86255		20210101	N	$12.05	Fluorescent antibody screen	Screening test for antibody to noninfectious agent
2021	86256		20210101	N	$12.05	Fluorescent antibody titer	Measurement of antibody to noninfectious agent
2021	86277		20210101	N	$15.74	Growth hormone antibody	Measurement of growth hormone antibody
2021	86280		20210101	N	$8.19	Hemagglutination inhibition	Measurement of immune system protein
2021	86294		20210101	N	$25.57	Immunoassay tumor qual	Immunologic analysis for detection of tumor antigen, qualitative or
2021	86294	QW	20210101	N	$25.57	Immunoassay tumor qual	Immunologic analysis for detection of tumor antigen, qualitative or
2021	86300		20210101	N	$20.81	Immunoassay tumor ca 15-3	Immunologic analysis for detection of tumor antigen, quantitative; CA 15-3
2021	86301		20210101	N	$20.81	Immunoassay tumor ca 19-9	Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9
2021	86304		20210101	N	$20.81	Immunoassay tumor ca 125	Immunologic analysis for detection of tumor antigen, quantitative; CA 125
2021	86305		20210101	N	$20.81	Human epididymis protein 4	Analysis of female reproductive genetic marker
2021	86308		20210101	N	$5.18	Heterophile antibody screen	Screening test for mononucleosis (mono)
2021	86308	QW	20210101	N	$5.18	Heterophile antibody screen	Screening test for mononucleosis (mono)
2021	86309		20210101	N	$6.47	Heterophile antibody titer	Mononucleosis antibody level, titer
2021	86310		20210101	N	$7.37	Heterophile antibody absrbj	Mononucleosis antibody level, titers after absorption
2021	86316		20210101	N	$20.81	Immunoassay tumor other	Analysis for detection of tumor marker
2021	86317		20210101	N	$14.99	Immunoassay infectious agent	Detection of infectious agent antibody, quantitative
2021	86318		20210101	N	$18.09	Ia infectious agent antibody	Test for detection of infectious agent antibody, qualitative or semiquantitative
2021	86318	QW	20210101	N	$18.09	Ia infectious agent antibody	Test for detection of infectious agent antibody, qualitative or semiquantitative
2021	86320		20210101	N	$29.92	Serum immunoelectrophoresis	Immunologic analysis technique on serum
2021	86325		20210101	N	$23.13	Other immunoelectrophoresis	Immunologic analysis technique on body fluid
2021	86327		20210101	N	$29.92	Immunoelectrophoresis assay	Immunologic analysis technique, crossed
2021	86328		20210101	L	$-	Ia nfct ab sarscov2 covid19	Test for detection of severe acute respiratory syndrome coronavirus 2
2021	86329		20210101	N	$14.05	Immunodiffusion nes	Immunologic analysis technique, unspecified
2021	86331		20210101	N	$11.98	Immunodiffusion ouchterlony	Immunologic analysis for detection of antigen or antibody
2021	86332		20210101	N	$24.37	Immune complex assay	Immune complex measurement
2021	86334		20210101	N	$22.34	Immunofix e-phoresis serum	Immunologic analysis technique on serum (immunofixation)
2021	86335		20210101	N	$29.35	Immunfix e-phorsis/urine/csf	Immunologic analysis technique on body fluid, other fluids with concentration
2021	86336		20210101	N	$15.59	Inhibin a	Inhibin A (reproductive organ hormone) measurement
2021	86337		20210101	N	$21.41	Insulin antibodies	Insulin antibody measurement
2021	86340		20210101	N	$15.08	Intrinsic factor antibody	Intrinsic factor (stomach protein) antibody measurement
2021	86341		20210101	N	$23.57	Islet cell antibody	Islet cell (pancreas) antibody measurement
2021	86343		20210101	N	$12.46	Leukocyte histamine release	White blood cell histamine (immune system chemical) release test
2021	86344		20210101	N	$10.39	Leukocyte phagocytosis	White blood cell function measurement
2021	86352		20210101	N	$135.86	Cell function assay w/stim	Analysis of cell function and analysis for genetic marker
2021	86353		20210101	N	$49.03	Lymphocyte transformation	White blood cell function measurement, mitogen or antigen induced blastogenesis
2021	86355		20210101	N	$37.73	B cells total count	Total cell count for B cells (white blood cells)
2021	86356		20210101	N	$26.78	Mononuclear cell antigen	White blood cell antigen measurement
2021	86357		20210101	N	$37.73	Nk cells total count	Total cell count for natural killer cells (white blood cell)
2021	86359		20210101	N	$37.73	T cells total count	T cells count, total
2021	86360		20210101	N	$46.98	T cell absolute count/ratio	T cell count and ratio, including ratio
2021	86361		20210101	N	$26.78	T cell absolute count	T cell count and ratio
2021	86367		20210101	N	$77.78	Stem cells total count	Stem cells count, total
2021	86376		20210101	N	$14.55	Microsomal antibody each	Microsomal antibodies (autoantibody) measurement
2021	86382		20210101	N	$16.91	Neutralization test viral	Viral neutralization test to detect viral antibody level
2021	86384		20210101	N	$13.61	Nitroblue tetrazolium dye	Nitroblue tetrazolium dye test to measure white blood cell function
2021	86386		20210101	N	$21.78	Nuclear matrix protein 22	Protein test for diagnosis and monitoring of bladder cancer
2021	86386	QW	20210101	N	$21.78	Nuclear matrix protein 22	Protein test for diagnosis and monitoring of bladder cancer
2021	86403		20210101	N	$11.54	Particle agglut antbdy scrn	Screening test for presence of antibody
2021	86406		20210101	N	$10.64	Particle agglut antbdy titr	Antibody level measurement
2021	86408		20210101	L	$-	Neutrlzg antb sarscov2 scr	Screening test for detection of severe acute respiratory syndrome coronavirus 2
2021	86409		20210101	L	$-	Neutrlzg antb sarscov2 titer	Measurement of neutralizing antibody to severe acute respiratory syndrome
2021	86413		20210101	L	$-	Sars-cov-2 antb quantitative	Severe acute respiratory syndrome coronavirus 2 (sarscov-2) (coronavirus
2021	86430		20210101	N	$6.14	Rheumatoid factor test qual	Rheumatoid factor analysis
2021	86431		20210101	N	$5.67	Rheumatoid factor quant	Rheumatoid factor level
2021	86480		20210101	N	$61.98	Tb test cell immun measure	Tuberculosis test, gamma interferon
2021	86481		20210101	N	$100.00	Tb ag response t-cell susp	Tuberculosis test, enumeration of T-cells
2021	86590		20210101	N	$12.66	Streptokinase antibody	Measurement of antibody to streptokinase (enzyme)
2021	86592		20210101	N	$4.27	Syphilis test non-trep qual	Syphilis detection test
2021	86593		20210101	N	$4.40	Syphilis test non-trep quant	Syphilis test
2021	86602		20210101	N	$10.18	Antinomyces antibody	Analysis for antibody to actinomyces (bacteria)
2021	86603		20210101	N	$12.87	Adenovirus antibody	Analysis for antibody to adenovirus (respiratory virus)
2021	86606		20210101	N	$15.05	Aspergillus antibody	Analysis for antibody to aspergillus (fungus)
2021	86609		20210101	N	$12.88	Bacterium antibody	Analysis for antibody bacteria
2021	86611		20210101	N	$10.18	Bartonella antibody	Analysis for antibody to Bartonella (bacteria)
2021	86612		20210101	N	$12.90	Blastomyces antibody	Analysis for antibody to blastomyces (fungus)
2021	86615		20210101	N	$13.19	Bordetella antibody	Analysis for antibody bordetella (respiratory bacteria)
2021	86617		20210101	N	$15.49	Lyme disease antibody	Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)
2021	86618		20210101	N	$17.03	Lyme disease antibody	Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)
2021	86618	QW	20210101	N	$17.03	Lyme disease antibody	Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)
2021	86619		20210101	N	$13.38	Borrelia antibody	Analysis for antibody to Borrelia (relapsing fever bacteria)
2021	86622		20210101	N	$8.93	Brucella antibody	Analysis for antibody to Brucella (bacteria)
2021	86625		20210101	N	$13.12	Campylobacter antibody	Analysis for antibody to Campylobacter (intestinal bacteria)
2021	86628		20210101	N	$12.01	Candida antibody	Analysis for antibody to Candida (yeast)
2021	86631		20210101	N	$11.82	Chlamydia antibody	Analysis for antibody to Chlamydia (bacteria)
2021	86632		20210101	N	$12.68	Chlamydia igm antibody	Analysis for antibody (Igm) to Chlamydia (bacteria)
2021	86635		20210101	N	$11.47	Coccidioides antibody	Analysis for antibody to Coccidioides (bacteria)
2021	86638		20210101	N	$12.12	Q fever antibody	Analysis for antibody to Coxiella burnetii (Q fever bacteria)
2021	86641		20210101	N	$14.41	Cryptococcus antibody	Analysis for antibody to Cryptococcus (yeast)
2021	86644		20210101	N	$14.39	Cmv antibody	Analysis for antibody to Cytomegalovirus (CMV)
2021	86645		20210101	N	$16.85	Cmv antibody igm	Analysis for antibody (IgM) to Cytomegalovirus (CMV)
2021	86648		20210101	N	$15.21	Diphtheria antibody	Analysis for antibody to Diphtheria (bacteria)
2021	86651		20210101	N	$13.19	Encephalitis californ antbdy	Analysis for antibody to La crosse (California) virus (encephalitis causing
2021	86652		20210101	N	$13.19	Encephaltis east eqne anbdy	Analysis for antibody to Eastern equine virus (viral encephalitis)
2021	86653		20210101	N	$13.19	Encephaltis st louis antbody	Analysis for antibody to St. Louis virus (viral encephalitis)
2021	86654		20210101	N	$13.19	Encephaltis west eqne antbdy	Analysis for antibody to Western equine virus (viral encephalitis)
2021	86658		20210101	N	$13.03	Enterovirus antibody	Analysis for antibody to Enterovirus (gastrointestinal virus)
2021	86663		20210101	N	$13.12	Epstein-barr antibody	Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen
2021	86664		20210101	N	$15.29	Epstein-barr nuclear antigen	Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear
2021	86665		20210101	N	$18.14	Epstein-barr capsid vca	Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid
2021	86666		20210101	N	$10.18	Ehrlichia antibody	Analysis for antibody to Ehrlichia (bacteria transmitted by ticks)
2021	86668		20210101	N	$14.16	Francisella tularensis	Analysis for antibody to Francisella tularensis (bacteria transmitted by
2021	86671		20210101	N	$12.25	Fungus nes antibody	Analysis for antibody to fungus
2021	86674		20210101	N	$14.72	Giardia lamblia antibody	Analysis for antibody to Giardia lamblia (intestinal parasite)
2021	86677		20210101	N	$16.85	Helicobacter pylori antibody	Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)
2021	86682		20210101	N	$13.01	Helminth antibody	Analysis for antibody to helminth (intestinal worm)
2021	86684		20210101	N	$15.84	Hemophilus influenza antibdy	Analysis for antibody to Haemophilus influenza (respiratory bacteria)
2021	86687		20210101	N	$9.09	Htlv-i antibody	Analysis for antibody to Human T-cell lymphotropic virus, type 1 (HTLV-1)
2021	86688		20210101	N	$14.00	Htlv-ii antibody	Analysis for antibody to Human T-cell lymphotropic virus, type 2 (HTLV-2)
2021	86689		20210101	N	$19.35	Htlv/hiv confirmj antibody	Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV
2021	86692		20210101	N	$17.16	Hepatitis delta agent antbdy	Analysis for antibody to Hepatitis D virus
2021	86694		20210101	N	$14.39	Herpes simplex nes antbdy	Analysis for antibody to Herpes simplex virus
2021	86695		20210101	N	$13.19	Herpes simplex type 1 test	Analysis for antibody to Herpes simplex virus, type 1
2021	86696		20210101	N	$19.35	Herpes simplex type 2 test	Analysis for antibody to Herpes simplex virus, type 2
2021	86698		20210101	N	$13.79	Histoplasma antibody	Analysis for antibody to histoplasma (fungus)
2021	86701		20210101	N	$8.89	Hiv-1antibody	Analysis for antibody to HIV -1 virus
2021	86701	QW	20210101	N	$8.89	Hiv-1antibody	Analysis for antibody to HIV -1 virus
2021	86702		20210101	N	$13.52	Hiv-2 antibody	Analysis for antibody to HIV-2 virus
2021	86703		20210101	N	$13.71	Hiv-1/hiv-2 1 result antbdy	Analysis for antibody to HIV-1 and HIV-2 virus
2021	86704		20210101	N	$12.05	Hep b core antibody total	Hepatitis B core antibody measurement
2021	86705		20210101	N	$11.77	Hep b core antibody igm	Hepatitis B core antibody (IgM) measurement
2021	86706		20210101	N	$10.74	Hep b surface antibody	Hepatitis B surface antibody measurement
2021	86707		20210101	N	$11.57	Hepatitis be antibody	Hepatitis Be antibody measurement
2021	86708		20210101	N	$12.39	Hepatitis a antibody	Measurement of Hepatitis A antibody
2021	86709		20210101	N	$11.26	Hepatitis a igm antibody	Measurement of Hepatitis A antibody (IgM)
2021	86710		20210101	N	$13.55	Influenza virus antibody	Analysis for antibody to Influenza virus
2021	86711		20210101	N	$16.89	John cunningham antibody	Analysis for antibody to john cunningham virus
2021	86713		20210101	N	$15.30	Legionella antibody	Analysis for antibody to Legionella (waterborne bacteria)
2021	86717		20210101	N	$12.25	Leishmania antibody	Analysis for antibody to Leishmania (parasite)
2021	86720		20210101	N	$16.20	Leptospira antibody	Analysis for antibody to Leptospira
2021	86723		20210101	N	$13.19	Listeria monocytogenes	Analysis for antibody to Listeria monocytogenes (bacteria)
2021	86727		20210101	N	$12.87	Lymph choriomeningitis ab	Analysis for antibody to lymphocytic choriomeningitis virus (viral meningitis)
2021	86732		20210101	N	$15.00	Mucormycosis antibody	Analysis for antibody to mucormycosis (fungus)
2021	86735		20210101	N	$13.05	Mumps antibody	Analysis for antibody to mumps virus
2021	86738		20210101	N	$13.24	Mycoplasma antibody	Analysis for antibody to Mycoplasma (bacteria)
2021	86741		20210101	N	$13.19	Neisseria meningitidis	Analysis for antibody to Neisseria meningitidis (bacterial meningitis)
2021	86744		20210101	N	$15.99	Nocardia antibody	Analysis for antibody to Nocardia (bacteria)
2021	86747		20210101	N	$15.03	Parvovirus antibody	Analysis for antibody to parvovirus
2021	86750		20210101	N	$13.19	Malaria antibody	Analysis for antibody to Plasmodium (malaria parasite)
2021	86753		20210101	N	$12.39	Protozoa antibody nos	Analysis for antibody to protozoa (parasite)
2021	86756		20210101	N	$15.89	Respiratory virus antibody	Analysis for antibody to respiratory syncytial virus (RSV)
2021	86757		20210101	N	$19.35	Rickettsia antibody	Analysis for antibody to Rickettsia (bacteria)
2021	86759		20210101	N	$18.23	Rotavirus antibody	Analysis for antibody to Rotavirus (intestinal virus)
2021	86762		20210101	N	$14.39	Rubella antibody	Analysis for antibody to Rubella (German measles virus)
2021	86765		20210101	N	$12.88	Rubeola antibody	Analysis for antibody to Rubeola (measles virus)
2021	86768		20210101	N	$13.19	Salmonella antibody	Analysis for antibody to Salmonella (intestinal bacteria)
2021	86769		20210101	L	$-	Sars-cov-2 covid-19 antibody	Measure of severe acute respiratory syndrome coronavirus 2 (Covid-19) antibody
2021	86771		20210101	N	$24.48	Shigella antibody	Analysis for antibody to Shigella (intestinal bacteria)
2021	86774		20210101	N	$14.80	Tetanus antibody	Analysis for antibody to tetanus bacteria (Clostridium tetanus)
2021	86777		20210101	N	$14.39	Toxoplasma antibody	Analysis for antibody to Toxoplasma (parasite)
2021	86778		20210101	N	$14.41	Toxoplasma antibody igm	Analysis for antibody (IgM) to Toxoplasma (parasite)
2021	86780		20210101	N	$13.24	Treponema pallidum	Analysis for antibody, Treponema pallidum
2021	86780	QW	20210101	N	$13.24	Treponema pallidum	Analysis for antibody, Treponema pallidum
2021	86784		20210101	N	$12.56	Trichinella antibody	Analysis for antibody to Trichinella (worm parasite)
2021	86787		20210101	N	$12.88	Varicella-zoster antibody	Analysis for antibody to varicella-zoster virus (chicken pox)
2021	86788		20210101	N	$16.85	West nile virus ab igm	Analysis for antibody (IgM) to West Nile virus
2021	86789		20210101	N	$14.39	West nile virus antibody	Analysis for antibody to West Nile virus
2021	86790		20210101	N	$12.88	Virus antibody nos	Analysis for antibody to virus
2021	86793		20210101	N	$13.19	Yersinia antibody	Analysis for antibody to Yersinia (bacteria)
2021	86794		20210101	N	$16.85	Zika virus igm antibody	Analysis for antibody to Zika virus
2021	86800		20210101	N	$15.91	Thyroglobulin antibody	Thyroglobulin (thyroid protein) antibody measurement
2021	86803		20210101	N	$14.27	Hepatitis c ab test	Hepatitis C antibody measurement
2021	86803	QW	20210101	N	$14.27	Hepatitis c ab test	Hepatitis C antibody measurement
2021	86804		20210101	N	$15.49	Hep c ab test confirm	Confirmation test for Hepatitis C antibody
2021	86805		20210101	N	$189.51	Lymphocytotoxicity assay	Immunologic analysis for autoimmune disease, with titration
2021	86806		20210101	N	$47.59	Lymphocytotoxicity assay	Immunologic analysis for autoimmune disease, without titration
2021	86807		20210101	N	$78.65	Cytotoxic antibody screening	Transplant antibody measurement, standard method
2021	86808		20210101	N	$29.68	Cytotoxic antibody screening	Transplant antibody measurement, quick method
2021	86812		20210101	N	$25.81	Hla typing a b or c	Immunologic analysis for autoimmune disease, A, B, or C, single antigen
2021	86813		20210101	N	$58.00	Hla typing a b or c	Immunologic analysis for autoimmune disease, A, B, or C, multiple antigens
2021	86816		20210101	N	$30.17	Hla typing dr/dq	Immunologic analysis for autoimmune disease, DR/DQ, single antigen
2021	86817		20210101	N	$106.14	Hla typing dr/dq	Immunologic analysis for autoimmune disease, DR/DQ, multiple antigens
2021	86821		20210101	N	$36.56	Lymphocyte culture mixed	Immunologic analysis for autoimmune disease, lymphocyte culture, mixed
2021	86825		20210101	N	$109.49	Hla x-math non-cytotoxic	Immunologic analysis for organ transplant, first serum sample or dilution
2021	86826		20210101	N	$36.53	Hla x-match noncytotoxc addl	Immunologic analysis for organ transplant, each additional serum sample or
2021	86828		20210101	N	$64.19	Hla class i&ii antibody qual	Assessment of antibodies to Class I and Class II human leukocyte antigens (HLA)
2021	86829		20210101	N	$64.19	Hla class i/ii antibody qual	Assessment of antibodies to Class I or Class II human leukocyte antigens (HLA)
2021	86830		20210101	N	$95.52	Hla class i phenotype qual	Assessment of antibody to human leukocyte antigens (HLA) with antibody
2021	86831		20210101	N	$81.88	Hla class ii phenotype qual	Assessment of antibody to human leukocyte antigens (HLA) with antibody
2021	86832		20210101	N	$323.75	Hla class i high defin qual	Assessment of antibody to human leukocyte antigens (HLA) with high definition
2021	86833		20210101	N	$325.80	Hla class ii high defin qual	Assessment of antibody to human leukocyte antigens (HLA) with high definition
2021	86834		20210101	N	$357.56	Hla class i semiquant panel	Assessment of antibody to human leukocyte antigens (HLA), HLA class I
2021	86835		20210101	N	$322.96	Hla class ii semiquant panel	Assessment of antibody to human leukocyte antigens (HLA) with solid phase
2021	86850		20210101	N	$9.77	Rbc antibody screen	Screening test for red blood cell antibodies
2021	86880		20210101	N	$5.39	Coombs test direct	Red blood cell antibody detection test, direct
2021	86885		20210101	N	$5.72	Coombs test indirect qual	Red blood cell antibody detection test, indirect
2021	86886		20210101	N	$5.18	Coombs test indirect titer	Red blood cell antibody level
2021	86900		20210101	N	$2.99	Blood typing serologic abo	Blood group typing (ABO)
2021	86901		20210101	N	$2.99	Blood typing serologic rh(d)	Blood typing for Rh (D) antigen
2021	86902		20210101	N	$6.35	Blood type antigen donor ea	Screening test for compatible blood unit, using reagent serum
2021	86904		20210101	N	$16.34	Blood typing patient serum	Screening test for compatible blood unit, using patient serum
2021	86905		20210101	N	$3.83	Blood typing rbc antigens	Blood typing for red blood cell antigens
2021	86906		20210101	N	$7.75	Bld typing serologic rh phnt	Blood typing Rh phenotyping
2021	86940		20210101	N	$8.77	Hemolysins/agglutinins auto	Red blood cell antibody screening test
2021	86941		20210101	N	$12.11	Hemolysins/agglutinins	Red blood cell antibody measurement
2021	87003		20210101	N	$16.84	Small animal inoculation	Animal inoculation, small animal with observation and dissection
2021	87015		20210101	N	$6.68	Specimen infect agnt concntj	Concentration of specimen for infectious agents
2021	87040		20210101	N	$10.32	Blood culture for bacteria	Bacterial blood culture
2021	87045		20210101	N	$9.44	Feces culture aerobic bact	Stool culture
2021	87046		20210101	N	$9.44	Stool cultr aerobic bact ea	Stool culture, additional pathogens
2021	87070		20210101	N	$8.62	Culture othr specimn aerobic	Bacterial culture, any other source except urine, blood or stool, aerobic
2021	87071		20210101	N	$9.89	Culture aerobic quant other	Bacterial culture and colony count
2021	87073		20210101	N	$9.66	Culture bacteria anaerobic	Bacterial culture and colony count for anaerobic bacteria
2021	87075		20210101	N	$9.47	Cultr bacteria except blood	Bacterial culture, any source, except blood, anaerobic
2021	87076		20210101	N	$8.08	Culture anaerobe ident each	Bacterial culture for anaerobic isolates
2021	87077		20210101	N	$8.08	Culture aerobic identify	Bacterial culture for aerobic isolates
2021	87077	QW	20210101	N	$8.08	Culture aerobic identify	Bacterial culture for aerobic isolates
2021	87081		20210101	N	$6.63	Culture screen only	Screening test for pathogenic organisms
2021	87084		20210101	N	$27.07	Culture of specimen by kit	Screening test for pathogenic organisms with colony count
2021	87086		20210101	N	$8.07	Urine culture/colony count	Bacterial colony count, urine
2021	87088		20210101	N	$8.09	Urine bacteria culture	Bacterial urine culture
2021	87101		20210101	N	$7.71	Skin fungi culture	Fungal culture (mold or yeast) of skin, hair, or nail
2021	87102		20210101	N	$8.41	Fungus isolation culture	Fungal culture (mold or yeast)
2021	87103		20210101	N	$20.46	Blood fungus culture	Fungal blood culture (mold or yeast)
2021	87106		20210101	N	$10.32	Fungi identification yeast	Fungal culture, yeast
2021	87107		20210101	N	$10.32	Fungi identification mold	Culture for identification of yeast
2021	87109		20210101	N	$15.39	Mycoplasma	Mycoplasma culture
2021	87110		20210101	N	$19.60	Chlamydia culture	Culture for chlamydia
2021	87116		20210101	N	$10.80	Mycobacteria culture	Culture for acid-fast bacilli
2021	87118		20210101	N	$14.61	Mycobacteric identification	Identification of mycobacteria (TB or TB like organism)
2021	87140		20210101	N	$5.57	Culture type immunofluoresc	Identification of organisms by immunologic analysis, immunofluorescent method
2021	87143		20210101	N	$12.52	Culture typing glc/hplc	Identification of organism using chromatography
2021	87147		20210101	N	$5.18	Culture type immunologic	Identification of organisms by immunologic analysis, other than
2021	87149		20210101	N	$20.05	Dna/rna direct probe	Identification of organisms by genetic analysis, direct probe technique
2021	87150		20210101	N	$35.09	Dna/rna amplified probe	Identification of organisms by genetic analysis, amplified probe technique
2021	87152		20210101	N	$7.74	Culture type pulse field gel	Identification of organism by pulse field gel typing
2021	87153		20210101	N	$115.36	Dna/rna sequencing	Identification of organisms by nucleic acid sequencing method
2021	87158		20210101	N	$7.74	Culture typing added method	Microbial identification
2021	87164		20210101	N	$10.74	Dark field examination	Dark field microscopic examination for organism, includes specimen collection
2021	87166		20210101	N	$11.30	Dark field examination	Dark field microscopic examination for organism, without collection
2021	87168		20210101	N	$4.27	Macroscopic exam arthropod	Macroscopic examination (visual inspection) of insect
2021	87169		20210101	N	$4.31	Macroscopic exam parasite	Macroscopic examination (visual inspection) of parasite
2021	87172		20210101	N	$4.27	Pinworm exam	Pinworm test
2021	87176		20210101	N	$5.88	Tissue homogenization cultr	Tissue preparation for culture
2021	87177		20210101	N	$8.90	Ova and parasites smears	Smear for parasites
2021	87181		20210101	N	$4.75	Microbe susceptible diffuse	Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar
2021	87184		20210101	N	$7.48	Microbe susceptible disk	Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)
2021	87185		20210101	N	$4.75	Microbe susceptible enzyme	Detection of antimicrobial drug (antibiotic, antifungal, antiviral)
2021	87186		20210101	N	$8.65	Microbe susceptible mic	Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral),
2021	87187		20210101	N	$40.17	Microbe susceptible mlc	Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral),
2021	87188		20210101	N	$6.64	Microbe suscept macrobroth	Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral),
2021	87190		20210101	N	$7.31	Microbe suscept mycobacteri	Antimicrobial study, mycobacteria (TB organism family)
2021	87197		20210101	N	$15.02	Bactericidal level serum	Evaluation of antibiotic therapy
2021	87205		20210101	N	$4.27	Smear gram stain	Special Gram or Giemsa stain for microorganism
2021	87206		20210101	N	$5.39	Smear fluorescent/acid stai	Special fluorescent and/or acid fast stain for microorganism
2021	87207		20210101	N	$5.99	Smear special stain	Special stain for inclusion bodies or parasites
2021	87209		20210101	N	$17.98	Smear complex stain	Special stain for parasites
2021	87210		20210101	N	$5.82	Smear wet mount saline/ink	Smear for infectious agents
2021	87210	QW	20210101	N	$5.82	Smear wet mount saline/ink	Smear for infectious agents
2021	87220		20210101	N	$4.27	Tissue exam for fungi	Tissue fungi or parasites
2021	87230		20210101	N	$19.74	Assay toxin or antitoxin	Microbial toxin or antitoxin assay
2021	87250		20210101	N	$19.56	Virus inoculate eggs/animal	Inoculation of embryonated eggs, or small animal for virus isolation
2021	87252		20210101	N	$26.07	Virus inoculation tissue	Tissue culture inoculation for virus isolation
2021	87253		20210101	N	$20.20	Virus inoculate tissue addl	Tissue culture for virus isolation
2021	87254		20210101	N	$19.56	Virus inoculation shell via	Virus isolation, centrifuge enhanced
2021	87255		20210101	N	$33.86	Genet virus isolate hsv	Virus isolation
2021	87260		20210101	N	$14.43	Adenovirus ag if	Detection test for adenovirus (virus)
2021	87265		20210101	N	$11.98	Pertussis ag if	Detection test for bordetella pertussis or parapertussis (respiratory bacteria)
2021	87267		20210101	N	$13.42	Enterovirus antibody dfa	Detection test for enterovirus (intestinal virus), direct fluorescent antibody
2021	87269		20210101	N	$13.61	Giardia ag if	Detection test by immunofluorescent technique for giardia (intestinal parasite)
2021	87270		20210101	N	$11.98	Chlamydia trachomatis ag if	Detection test by immunofluorescent technique for chlamydia
2021	87271		20210101	N	$13.42	Cytomegalovirus dfa	Detection test by immunofluorescent technique for cytomegalovirus (CMV)
2021	87272		20210101	N	$11.98	Cryptosporidium ag if	Detection test by immunofluorescent technique for cryptosporidium (parasite)
2021	87273		20210101	N	$11.98	Herpes simplex 2 ag if	Detection test by immunofluorescent technique for herpes simplex virus type 2
2021	87274		20210101	N	$11.98	Herpes simplex 1 ag if	Detection test by immunofluorescent technique for herpes simplex virus type 1
2021	87275		20210101	N	$12.25	Influenza b ag if	Detection test by immunofluorescent technique for influenza B virus
2021	87276		20210101	N	$16.07	Influenza a ag if	Detection test by immunofluorescent technique for influenza A virus
2021	87278		20210101	N	$15.60	Legion pneumophilia ag if	Detection test by immunofluorescent technique for legionella pneumophila (water
2021	87279		20210101	N	$16.43	Parainfluenza ag if	Detection test by immunofluorescent technique for parainfluenza virus
2021	87280		20210101	N	$13.42	Respiratory syncytial ag if	Detection test by immunofluorescent technique for respiratory syncytial virus
2021	87281		20210101	N	$11.98	Pneumocystis carinii ag if	Detection test by immunofluorescent technique for pneumocystis carinii
2021	87283		20210101	N	$60.80	Rubeola ag if	Detection test by immunofluorescent technique for rubeola (measles virus)
2021	87285		20210101	N	$12.18	Treponema pallidum ag if	Detection test by immunofluorescent technique for treponema pallidum (syphilis
2021	87290		20210101	N	$13.42	Varicella zoster ag if	Detection test by immunofluorescent technique for varicella (chicken pox)
2021	87299		20210101	N	$16.10	Antibody detection nos if	Detection test by immunofluorescent technique for organism
2021	87300		20210101	N	$11.98	Ag detection polyval if	Detection test by immunofluorescent technique for multiple organisms
2021	87301		20210101	N	$11.98	Adenovirus ag ia	Detection test by immunoassay technique for adenovirus enteric types 40/41
2021	87305		20210101	N	$11.98	Aspergillus ag ia	Detection test by immunoassay technique for aspergillus (fungus)
2021	87320		20210101	N	$15.00	Chylmd trach ag ia	Detection test by immunoassay technique for chlamydia
2021	87324		20210101	N	$11.98	Clostridium ag ia	Detection test by immunoassay technique for clostridium difficile toxins (stool
2021	87327		20210101	N	$13.42	Cryptococcus neoform ag ia	Detection test by immunoassay technique for cryptococcus neoformans (yeast)
2021	87328		20210101	N	$13.82	Cryptosporidium ag ia	Detection test by immunoassay technique for cryptosporidium (parasite)
2021	87329		20210101	N	$11.98	Giardia ag ia	Detection test by immunoassay technique for giardia (intestinal parasite)
2021	87332		20210101	N	$11.98	Cytomegalovirus ag ia	Detection test by immunoassay technique for cytomegalovirus
2021	87335		20210101	N	$12.66	E coli 0157 ag ia	Detection test by immunoassay technique for E. coli, (escherichia coli 0157)
2021	87336		20210101	N	$16.00	Entamoeb hist dispr ag ia	Detection test by immunoassay technique for entamoeba histolytica dispar group
2021	87337		20210101	N	$11.98	Entamoeb hist group ag ia	Detection test by immunoassay technique for entamoeba histolytica group
2021	87338		20210101	N	$14.38	Hpylori stool ag ia	Qualitative or semiquantitative detection test by immunoassay technique for
2021	87338	QW	20210101	N	$14.38	Hpylori stool ag ia	Qualitative or semiquantitative detection test by immunoassay technique for
2021	87339		20210101	N	$16.00	H pylori ag ia	Detection test by immunoassay technique for helicobacter pylori (GI tract
2021	87340		20210101	N	$10.33	Hepatitis b surface ag ia	Detection test by immunoassay technique for Hepatitis B surface antigen
2021	87341		20210101	N	$10.33	Hepatitis b surface ag ia	Detection test by immunoassay technique for Hepatitis B surface antigen
2021	87350		20210101	N	$11.53	Hepatitis be ag ia	Detection test by immunoassay technique for Hepatitis Be surface antigen
2021	87380		20210101	N	$18.36	Hepatitis delta agent ag ia	Detection test by immunoassay technique for Hepatitis D
2021	87385		20210101	N	$13.25	Histoplasma capsul ag ia	Detection test by immunoassay technique for histoplasma capsulatum (parasite)
2021	87389		20210101	N	$24.08	Hiv-1 ag w/hiv-1&2 ab ag ia	Detection test by immunoassay technique for HIV-1 and HIV-2
2021	87389	QW	20210101	N	$24.08	Hiv-1 ag w/hiv-1&2 ab ag ia	Detection test by immunoassay technique for HIV-1 and HIV-2
2021	87390		20210101	N	$24.06	Hiv-1 ag ia	Detection test by immunoassay technique for HIV-1
2021	87391		20210101	N	$21.90	Hiv-2 ag ia	Detection test by immunoassay technique for HIV-2
2021	87400		20210101	N	$14.13	Influenza a/b each ag ia	Detection test by immunoassay technique for Influenza virus, A or B
2021	87420		20210101	N	$13.91	Resp syncytial virus ag ia	Detection test by immunoassay technique for respiratory syncytial virus (RSV)
2021	87425		20210101	N	$11.98	Rotavirus ag ia	Detection test by immunoassay technique for Rotavirus
2021	87426		20210101	L	$-	Sarscov coronavirus ag ia	ELISA detection of severe acute respiratory syndrome coronavirus 2 (Covid-19)
2021	87426	QW	20210101	L	$-	Sarscov coronavirus ag ia	ELISA detection of severe acute respiratory syndrome coronavirus 2 (Covid-19)
2021	87427		20210101	N	$11.98	Shiga-like toxin ag ia	Detection test by immunoassay technique for bacteria toxin (shiga-like toxin)
2021	87428		20210101	L	$-	Sarscov & inf vir a&b ag ia	Infectious agent antigen detection by immunoassay technique, (eg, enzyme
2021	87430		20210101	N	$16.81	Strep a ag ia	Detection test by immunoassay technique for Strep (Streptococcus, group A)
2021	87449		20210101	N	$11.98	Nos each organism ag ia	Immunologic analysis for detection of organism by immunoassay technique,
2021	87449	QW	20210101	N	$11.98	Nos each organism ag ia	Immunologic analysis for detection of organism by immunoassay technique,
2021	87451		20210101	N	$10.51	Polyvalent mult org ea ag ia	Immunologic analysis for detection of organism by immunoassay technique,
2021	87471		20210101	N	$35.09	Bartonella dna amp probe	Detection by nucleic acid Bartonella henselae and Bartonella quintana
2021	87472		20210101	N	$42.84	Bartonella dna quant	Detection by nucleic acid Bartonella henselae and Bartonella quintana
2021	87475		20210101	N	$20.05	Lyme dis dna dir probe	Detection by nucleic acid for borrelia burgdorferi (bacteria), direct probe
2021	87476		20210101	N	$35.09	Lyme dis dna amp probe	Detection by nucleic acid for borrelia burgdorferi (bacteria), amplified probe
2021	87480		20210101	N	$20.05	Candida dna dir probe	Detection test for candida species (yeast), direct probe technique
2021	87481		20210101	N	$35.09	Candida dna amp probe	Detection test for candida species (yeast), amplified probe technique
2021	87482		20210101	N	$55.74	Candida dna quant	Detection test for candida species (yeast), quantification
2021	87483		20210101	N	$416.78	Cns dna amp probe type 12-25	Test for detecting nucleic acid of organism causing infection of central
2021	87485		20210101	N	$20.05	Chylmd pneum dna dir probe	Detection test by nucleic acid for chlamydia pneumoniae, direct probe technique
2021	87486		20210101	N	$35.09	Chylmd pneum dna amp probe	Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe
2021	87487		20210101	N	$42.84	Chylmd pneum dna quant	Detection test by nucleic acid for chlamydia pneumoniae, quantification
2021	87490		20210101	N	$22.75	Chylmd trach dna dir probe	Detection test by nucleic acid for chlamydia, direct probe technique
2021	87491		20210101	N	$35.09	Chylmd trach dna amp probe	Detection test by nucleic acid for chlamydia trachomatis, amplified probe
2021	87492		20210101	N	$53.47	Chylmd trach dna quant	Detection test by nucleic acid for chlamydia trachomatis, quantification
2021	87493		20210101	N	$37.27	C diff amplified probe	Detection test by nucleic acid for clostridium difficile, amplified probe
2021	87495		20210101	N	$30.03	Cytomeg dna dir probe	Detection test by nucleic acid for cytomegalovirus (CMV), direct probe technique
2021	87496		20210101	N	$35.09	Cytomeg dna amp probe	Detection test by nucleic acid for Cytomegalovirus (CMV), amplified probe
2021	87497		20210101	N	$42.84	Cytomeg dna quant	Detection test by nucleic acid for cytomegalovirus, quantification
2021	87498		20210101	N	$35.09	Enterovirus probe&revrs trns	Detection test by nucleic acid for enterovirus (intestinal virus), amplified
2021	87500		20210101	N	$35.09	Vanomycin dna amp probe	Detection test by nucleic acid for Vancomycin resistance strep (VRE), amplified
2021	87501		20210101	N	$51.31	Influenza dna amp prob 1+	Detection test by nucleic acid for influenza virus, each type or subtype
2021	87502		20210101	N	$95.80	Influenza dna amp probe	Detection test by nucleic acid for multiple types influenza virus
2021	87502	QW	20210101	N	$95.80	Influenza dna amp probe	Detection test by nucleic acid for multiple types influenza virus
2021	87503		20210101	N	$29.22	Influenza dna amp prob addl	Detection test by nucleic acid for multiple types influenza virus, each
2021	87505		20210101	N	$128.29	Nfct agent detection gi	Detection test by nucleic acid for digestive tract pathogen, multiple types or
2021	87506		20210101	N	$262.99	Iadna-dna/rna probe tq 6-11	Detection test by nucleic acid for digestive tract pathogen, multiple types or
2021	87507		20210101	N	$416.78	Iadna-dna/rna probe tq 12-25	Detection test by nucleic acid for digestive tract pathogen, multiple types or
2021	87510		20210101	N	$20.05	Gardner vag dna dir probe	Detection test for gardnerella vaginalis (bacteria), direct probe technique
2021	87511		20210101	N	$35.09	Gardner vag dna amp probe	Detection test for gardnerella vaginalis (bacteria), amplified probe technique
2021	87512		20210101	N	$41.76	Gardner vag dna quant	Detection test for gardnerella vaginalis (bacteria), quantification
2021	87516		20210101	N	$35.09	Hepatitis b dna amp probe	Detection test by nucleic acid for Hepatitis B virus, amplified probe technique
2021	87517		20210101	N	$42.84	Hepatitis b dna quant	Detection test by nucleic acid for Hepatitis B virus, quantification
2021	87520		20210101	N	$31.22	Hepatitis c rna dir probe	Detection test by nucleic acid for Hepatitis C virus, direct probe technique
2021	87521		20210101	N	$35.09	Hepatitis c probe&rvrs trnsc	Detection test by nucleic acid for Hepatitis C virus, amplified probe technique
2021	87522		20210101	N	$42.84	Hepatitis c revrs trnscrpj	Detection test by nucleic acid for Hepatitis C virus, quantification
2021	87525		20210101	N	$29.80	Hepatitis g dna dir probe	Detection test by nucleic acid for Hepatitis G virus, direct probe technique
2021	87526		20210101	N	$39.26	Hepatitis g dna amp probe	Detection test by nucleic acid for Hepatitis G virus, amplified probe technique
2021	87527		20210101	N	$41.76	Hepatitis g dna quant	Detection test by nucleic acid for Hepatitis G virus, quantification
2021	87528		20210101	N	$20.05	Hsv dna dir probe	Detection test by nucleic acid for herpes simplex virus, direct probe technique
2021	87529		20210101	N	$35.09	Hsv dna amp probe	Detection test by nucleic acid for herpes simplex virus, amplified probe
2021	87530		20210101	N	$42.84	Hsv dna quant	Detection test by nucleic acid for herpes simplex virus, quantification
2021	87531		20210101	N	$58.00	Hhv-6 dna dir probe	Detection test by nucleic acid for herpes virus-6, direct probe technique
2021	87532		20210101	N	$35.09	Hhv-6 dna amp probe	Detection test by nucleic acid for herpes virus-6, amplified probe technique
2021	87533		20210101	N	$41.76	Hhv-6 dna quant	Detection test by nucleic acid for herpes virus-6, quantification
2021	87534		20210101	N	$21.92	Hiv-1 dna dir probe	Detection test by nucleic acid for HIV-1 virus, direct probe technique
2021	87535		20210101	N	$35.09	Hiv-1 probe&reverse trnscrpj	Detection test by nucleic acid for HIV-1 virus, amplified probe technique
2021	87536		20210101	N	$85.10	Hiv-1 quant&revrse trnscrpj	Detection test by nucleic acid for HIV-1 virus, quantification
2021	87537		20210101	N	$21.92	Hiv-2 dna dir probe	Detection test by nucleic acid for HIV-2 virus, direct probe technique
2021	87538		20210101	N	$35.09	Hiv-2 probe&revrse trnscripj	Detection test by nucleic acid for HIV-2 virus, amplified probe technique
2021	87539		20210101	N	$58.62	Hiv-2 quant&revrse trnscripj	Detection test by nucleic acid for HIV-2 virus, quantification
2021	87540		20210101	N	$20.05	Legion pneumo dna dir prob	Detection test by nucleic acid for legionella pneumophila (water borne
2021	87541		20210101	N	$35.09	Legion pneumo dna amp prob	Detection test by nucleic acid for legionella pneumophila (water borne
2021	87542		20210101	N	$41.76	Legion pneumo dna quant	Detection test by nucleic acid for legionella pneumophila (water borne
2021	87550		20210101	N	$20.05	Mycobacteria dna dir probe	Detection test by nucleic acid for Mycobacteria species (bacteria), direct
2021	87551		20210101	N	$48.24	Mycobacteria dna amp probe	Detection test by nucleic acid for Mycobacteria species (bacteria), amplified
2021	87552		20210101	N	$42.84	Mycobacteria dna quant	Detection test by nucleic acid for Mycobacteria species (bacteria),
2021	87555		20210101	N	$26.88	M.tuberculo dna dir probe	Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria),
2021	87556		20210101	N	$41.68	M.tuberculo dna amp probe	Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria),
2021	87557		20210101	N	$42.84	M.tuberculo dna quant	Detection test by nucleic acid for Mycobacteria tuberculosis (TB bacteria),
2021	87560		20210101	N	$27.29	M.avium-intra dna dir prob	Detection test by nucleic acid for Mycobacteria avium-intracellulare
2021	87561		20210101	N	$35.09	M.avium-intra dna amp prob	Detection test by nucleic acid for Mycobacteria avium-intracellulare
2021	87562		20210101	N	$42.84	M.avium-intra dna quant	Detection test by nucleic acid for Mycobacteria avium-intracellulare
2021	87563		20210101	N	$35.09	M. genitalium amp probe	Detection of Mycoplasma genitalium by DNA or RNA probe
2021	87580		20210101	N	$20.05	M.pneumon dna dir probe	Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), direct
2021	87581		20210101	N	$35.09	M.pneumon dna amp probe	Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified
2021	87582		20210101	N	$302.62	M.pneumon dna quant	Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria),
2021	87590		20210101	N	$26.88	N.gonorrhoeae dna dir prob	Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae
2021	87591		20210101	N	$35.09	N.gonorrhoeae dna amp prob	Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae
2021	87592		20210101	N	$42.84	N.gonorrhoeae dna quant	Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae
2021	87623		20210101	N	$35.09	Hpv low-risk types	Detection test by nucleic acid for human papillomavirus (hpv), low-risk types
2021	87624		20210101	N	$35.09	Hpv high-risk types	Detection test by nucleic acid for human papillomavirus (hpv), high-risk types
2021	87625		20210101	N	$40.55	Hpv types 16 & 18 only	Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18
2021	87631		20210101	N	$142.63	Resp virus 3-5 targets	Detection test by nucleic acid for multiple types of respiratory virus,
2021	87631	QW	20210101	N	$142.63	Resp virus 3-5 targets	Detection test by nucleic acid for multiple types of respiratory virus,
2021	87632		20210101	N	$218.06	Resp virus 6-11 targets	Detection test by nucleic acid for multiple types of respiratory virus,
2021	87633		20210101	N	$416.78	Resp virus 12-25 targets	Detection test by nucleic acid for multiple types of respiratory virus,
2021	87633	QW	20210101	N	$416.78	Resp virus 12-25 targets	Detection test by nucleic acid for multiple types of respiratory virus,
2021	87634		20210101	N	$70.20	Rsv dna/rna amp probe	Detection test by nucleic acid for respiratory syncytial virus, amplified probe
2021	87634	QW	20210101	N	$70.20	Rsv dna/rna amp probe	Detection test by nucleic acid for respiratory syncytial virus, amplified probe
2021	87635		20210101	L	$-	Sars-cov-2 covid-19 amp prb	Amplifed DNA or RNA probe detection of severe acute respiratory syndrome
2021	87635	QW	20210101	L	$-	Sars-cov-2 covid-19 amp prb	Amplifed DNA or RNA probe detection of severe acute respiratory syndrome
2021	87636		20210101	L	$-	Sarscov2 & inf a&b amp prb	Infectious agent detection by nucleic acid (dna or rna); severe acute
2021	87637		20210101	L	$-	Sarscov2&inf a&b&rsv amp prb	Infectious agent detection by nucleic acid (dna or rna); severe acute
2021	87640		20210101	N	$35.09	Staph a dna amp probe	Detection test by nucleic acid for Staphylococcus aureus (bacteria), amplified
2021	87641		20210101	N	$35.09	Mr-staph dna amp probe	Detection test by nucleic acid for Staphylococcus aureus, methicillin resistant
2021	87650		20210101	N	$20.05	Strep a dna dir probe	Detection test by nucleic acid for Strep (Streptococcus, group A), direct probe
2021	87650	QW	20210101	N	$20.05	Strep a dna dir probe	Detection test by nucleic acid for Strep (Streptococcus, group A), direct probe
2021	87651		20210101	N	$35.09	Strep a dna amp probe	Detection test by nucleic acid for Strep (Streptococcus, group A), amplified
2021	87651	QW	20210101	N	$35.09	Strep a dna amp probe	Detection test by nucleic acid for Strep (Streptococcus, group A), amplified
2021	87652		20210101	N	$41.76	Strep a dna quant	Detection test by nucleic acid for Strep (Streptococcus, group A),
2021	87653		20210101	N	$35.09	Strep b dna amp probe	Detection test by nucleic acid for Strep (Streptococcus, group B), amplified
2021	87660		20210101	N	$20.05	Trichomonas vagin dir probe	Detection test by nucleic acid for Trichomonas vaginalis (genital parasite),
2021	87661		20210101	N	$35.09	Trichomonas vaginalis amplif	Infectious agent detection by nucleic acid (dna or rna); trichomonas vaginalis,
2021	87662		20210101	N	$51.31	Zika virus dna/rna amp probe	Detection test by nucleic acid for Zika virus, amplified probe technique
2021	87797		20210101	N	$30.03	Detect agent nos dna dir	Detection test by nucleic acid for organism, direct probe technique
2021	87798		20210101	N	$35.09	Detect agent nos dna amp	Detection test by nucleic acid for organism, amplified probe technique
2021	87799		20210101	N	$42.84	Detect agent nos dna quant	Detection test by nucleic acid for organism, quantification
2021	87800		20210101	N	$43.67	Detect agnt mult dna direc	Detection test by nucleic acid for multiple organisms, direct probe(s) technique
2021	87801		20210101	N	$70.20	Detect agnt mult dna ampli	Detection test by nucleic acid for multiple organisms, amplified probe(s)
2021	87801	QW	20210101	N	$70.20	Detect agnt mult dna ampli	Detection test by nucleic acid for multiple organisms, amplified probe(s)
2021	87802		20210101	N	$12.73	Strep b assay w/optic	Detection test by immunoassay for Streptococcus, group B (bacteria)
2021	87803		20210101	N	$16.00	Clostridium toxin a w/optic	Detection test by immunoassay for clostridium difficile toxin A (bacteria)
2021	87804		20210101	N	$16.55	Influenza assay w/optic	Detection test by immunoassay for influenza virus
2021	87804	QW	20210101	N	$16.55	Influenza assay w/optic	Detection test by immunoassay for influenza virus
2021	87806		20210101	N	$32.77	Hiv w/hiv1&2 antb w/optic	Detection test by immunoassay for HIV-1
2021	87806	QW	20210101	N	$32.77	Hiv w/hiv1&2 antb w/optic	Detection test by immunoassay for HIV-1
2021	87807		20210101	N	$13.10	Rsv assay w/optic	Detection test by immunoassay for respiratory syncytial virus (RSV)
2021	87807	QW	20210101	N	$13.10	Rsv assay w/optic	Detection test by immunoassay for respiratory syncytial virus (RSV)
2021	87808		20210101	N	$15.29	Trichomonas assay w/optic	Detection test by immunoassay for Trichomonas vaginal (genital parasite)
2021	87808	QW	20210101	N	$15.29	Trichomonas assay w/optic	Detection test by immunoassay for Trichomonas vaginal (genital parasite)
2021	87809		20210101	N	$21.76	Adenovirus assay w/optic	Detection test by immunoassay for adenovirus
2021	87809	QW	20210101	N	$21.76	Adenovirus assay w/optic	Detection test by immunoassay for adenovirus
2021	87810		20210101	N	$35.29	Chylmd trach assay w/optic	Detection test by immunoassay for Chlamydia trachomatis
2021	87811		20210101	L	$-	Sars-cov-2 covid19 w/optic	Infectious agent antigen detection by immunoassay with direct optical (ie,
2021	87850		20210101	N	$24.56	N. gonorrhoeae assay w/optic	Detection test by immunoassay for Neisseria gonorrhoeae (gonorrhoeae)
2021	87880		20210101	N	$16.53	Strep a assay w/optic	Strep test by immunoassay for Streptococcus
2021	87880	QW	20210101	N	$16.53	Strep a assay w/optic	Strep test by immunoassay for Streptococcus
2021	87899		20210101	N	$16.07	Agent nos assay w/optic	Detection test by immunoassay for identification of organism
2021	87899	QW	20210101	N	$16.07	Agent nos assay w/optic	Detection test by immunoassay for identification of organism
2021	87900		20210101	N	$130.35	Phenotype infect agent drug	Infectious agent drug susceptibility analysis
2021	87901		20210101	N	$257.45	Genotype dna hiv reverse t	Analysis test by nucleic acid for HIV-1 virus
2021	87902		20210101	N	$257.45	Genotype dna/rna hep c	Analysis test by nucleic acid for Hepatitis C virus
2021	87903		20210101	N	$488.66	Phenotype dna hiv w/culture	Analysis test by nucleic acid for HIV-1 virus, first through 10 drugs tested
2021	87904		20210101	N	$26.07	Phenotype dna hiv w/clt add	Analysis test by nucleic acid for HIV-1 virus, each additional drug tested
2021	87905		20210101	N	$12.22	Sialidase enzyme assay	Infectious agent enzymatic activity to detect organism
2021	87905	QW	20210101	N	$12.22	Sialidase enzyme assay	Infectious agent enzymatic activity to detect organism
2021	87906		20210101	N	$128.73	Genotype dna/rna hiv	Analysis test by nucleic acid for HIV-1 virus, other region
2021	87910		20210101	N	$257.45	Genotype cytomegalovirus	Analysis test by nucleic acid for cytomegalovirus, cytomegalovirus
2021	87912		20210101	N	$257.45	Genotype dna hepatitis b	Analysis test by nucleic acid for hepatitis b virus
2021	88130		20210101	N	$17.98	Sex chromatin identification	Sex identification, Barr bodies
2021	88140		20210101	N	$7.99	Sex chromatin identification	Sex identification, peripheral blood smear
2021	88142		20210101	N	$20.26	Cytopath c/v thin layer	Pap test, manual screening
2021	88143		20210101	N	$23.04	Cytopath c/v thin layer redo	Pap test, manual screening and rescreening
2021	88147		20210101	N	$50.56	Cytopath c/v automated	Pap test (Pap smear), automated system
2021	88148		20210101	N	$16.00	Cytopath c/v auto rescreen	Pap test (Pap smear), automated system with manual rescreening
2021	88150		20210101	N	$15.15	Cytopath c/v manual	Pap test, slides, manual screening
2021	88152		20210101	N	$27.64	Cytopath c/v auto redo	Pap test, slides, automated system with computer-assisted rescreening
2021	88153		20210101	N	$24.03	Cytopath c/v redo	Pap test, slides, manual screening and rescreening
2021	88155		20210101	N	$14.65	Cytopath c/v index add-on	Pap test, slides, definitive hormonal evaluation
2021	88164		20210101	N	$15.15	Cytopath tbs c/v manual	Pap test, slides, manual screening (the Bethesda System)
2021	88165		20210101	N	$42.22	Cytopath tbs c/v redo	Pap test, slides, manual screening and rescreening (the Bethesda System)
2021	88166		20210101	N	$15.15	Cytopath tbs c/v auto redo	Pap test, slides, manual screening and computer-assisted rescreening (the
2021	88167		20210101	N	$15.15	Cytopath tbs c/v select	Pap test, slides, manual screening and computer-assisted rescreening using cell
2021	88174		20210101	N	$25.37	Cytopath c/v auto in fluid	Pap test, automated thin layer preparation; automated system
2021	88175		20210101	N	$26.61	Cytopath c/v auto fluid redo	Pap test, automated thin layer preparation; automated system and manual
2021	88230		20210101	N	$116.49	Tissue culture lymphocyte	Tissue culture to identify white blood cell disorders
2021	88233		20210101	N	$140.73	Tissue culture skin/biopsy	Tissue culture to identify skin disorders
2021	88235		20210101	N	$150.30	Tissue culture placenta	Tissue culture for disorders of amniotic fluid or placenta cells
2021	88237		20210101	N	$143.75	Tissue culture bone marrow	Tissue culture for tumor disorders of bone marrow and blood cells
2021	88239		20210101	N	$147.52	Tissue culture tumor	Tissue culture for tumor disorders
2021	88240		20210101	N	$13.07	Cell cryopreserve/storage	Cryopreservation, freezing and storage of cells
2021	88241		20210101	N	$12.09	Frozen cell preparation	Thawing and expansion of frozen cells
2021	88245		20210101	N	$173.17	Chromosome analysis 20-25	Chromosome analysis for genetic defects, baseline Sister Chromatid Exchange
2021	88248		20210101	N	$173.17	Chromosome analysis 50-100	Chromosome analysis for genetic defects, baseline breakage, score 50-100 cells,
2021	88249		20210101	N	$173.17	Chromosome analysis 100	Chromosome analysis for genetic defects, score 100 cells, clastogen stress
2021	88261		20210101	N	$264.34	Chromosome analysis 5	Chromosome analysis for genetic defects, count 5 cells
2021	88262		20210101	N	$125.49	Chromosome analysis 15-20	Chromosome analysis for genetic defects, count 15-20 cells
2021	88263		20210101	N	$150.29	Chromosome analysis 45	Chromosome analysis for genetic defects, count 45 cells for mosaicism
2021	88264		20210101	N	$144.61	Chromosome analysis 20-25	Chromosome analysis for genetic defects, analyze 20-25 cells
2021	88267		20210101	N	$188.57	Chromosome analys placenta	Chromosome analysis of amniotic fluid or placenta for genetic defects
2021	88269		20210101	N	$173.66	Chromosome analys amniotic	Chromosome analysis of amniotic fluid for genetic defects
2021	88271		20210101	N	$21.42	Cytogenetics dna probe	DNA testing for genetic defects
2021	88272		20210101	N	$40.70	Cytogenetics 3-5	Chromosome analysis for genetic defects, analyze 3-5 cells
2021	88273		20210101	N	$34.81	Cytogenetics 10-30	Chromosome analysis for genetic defects, analyze 10-30 cells
2021	88274		20210101	N	$42.38	Cytogenetics 25-99	Chromosome analysis for genetic defects, analyze 25-99 cells
2021	88275		20210101	N	$51.19	Cytogenetics 100-300	Chromosome analysis for genetic defects, analyze 100-300 cells
2021	88280		20210101	N	$33.47	Chromosome karyotype study	Chromosome analysis for genetic defects, additional karyotypes, each study
2021	88283		20210101	N	$68.60	Chromosome banding study	Chromosome analysis for genetic defects, additional specialized banding
2021	88285		20210101	N	$26.91	Chromosome count additional	Chromosome analysis for genetic defects, additional cells counted, each study
2021	88289		20210101	N	$34.43	Chromosome study additional	Chromosome analysis for genetic defects, additional high resolution study
2021	88371		20210101	N	$22.23	Protein western blot tissue	Protein analysis of tissue with interpretation and report
2021	88372		20210101	N	$26.22	Protein analysis w/probe	Protein analysis of tissue by western blot, with interpretation and report
2021	88720		20210101	N	$5.02	Bilirubin total transcut	Measurement of bilirubin
2021	88738		20210101	N	$5.02	Hgb quant transcutaneous	Hemoglobin measurement
2021	88740		20210101	N	$9.37	Transcutaneous carboxyhb	Hemoglobin measurement, per day
2021	88741		20210101	N	$9.37	Transcutaneous methb	Hemoglobin measurement, per day, methemoglobin
2021	89050		20210101	N	$4.72	Body fluid cell count	Body fluid cell count
2021	89051		20210101	N	$5.60	Body fluid cell count	Body fluid cell count with cell identification
2021	89055		20210101	N	$4.27	Leukocyte assessment fecal	White blood cell measure, stool specimen
2021	89060		20210101	N	$7.33	Exam synovial fluid crystals	Crystal identification from tissue or body fluid
2021	89125		20210101	N	$5.88	Specimen fat stain	Fat stain of stool, urine, or respiratory secretions
2021	89160		20210101	N	$4.85	Exam feces for meat fibers	Examination of stool for meat fibers
2021	89190		20210101	N	$5.79	Nasal smear for eosinophils	Nasal smear for eosinophils (allergy related white blood cells)
2021	89300		20210101	N	$9.84	Semen analysis w/huhner	Semen analysis presence and/or motility of sperm
2021	89300	QW	20210101	N	$9.84	Semen analysis w/huhner	Semen analysis presence and/or motility of sperm
2021	89310		20210101	N	$8.61	Semen analysis w/count	Semen analysis motility and count
2021	89320		20210101	N	$12.31	Semen anal vol/count/mot	Semen evaluation volume, sperm count, motility and analysis
2021	89321		20210101	N	$12.05	Semen anal sperm detection	Semen analysis for sperm presence
2021	89321	QW	20210101	N	$12.05	Semen anal sperm detection	Semen analysis for sperm presence
2021	89322		20210101	N	$15.50	Semen anal strict criteria	Semen evaluation, volume, sperm count, motility, and analysis
2021	89325		20210101	N	$10.67	Sperm antibody test	Sperm antibody measurement
2021	89329		20210101	N	$19.59	Sperm evaluation test	Sperm evaluation, hamster penetration test
2021	89330		20210101	N	$10.38	Evaluation cervical mucus	Sperm evaluation, cervical mucus penetration test
2021	89331		20210101	N	$19.59	Retrograde ejaculation anal	Sperm evaluation, for reverse ejaculation, urine specimen
2021	G0027		20210101	N	$6.50	Semen analysis	Semen analysis; presence and/or motility of sperm excluding huhner
2021	G0103		20210101	N	$19.31	Psa screening	Prostate cancer screening; prostate specific antigen test (psa)
2021	G0123		20210101	N	$20.26	Screen cerv/vag thin layer	Screening cytopathology, cervical or vaginal (any reporting system), collected
2021	G0143		20210101	N	$27.05	Scr c/v cyto,thinlayer,rescr	Screening cytopathology, cervical or vaginal (any reporting system), collected
2021	G0144		20210101	N	$43.97	Scr c/v cyto,thinlayer,rescr	Screening cytopathology, cervical or vaginal (any reporting system), collected
2021	G0145		20210101	N	$26.49	Scr c/v cyto,thinlayer,rescr	Screening cytopathology, cervical or vaginal (any reporting system), collected
2021	G0147		20210101	N	$15.15	Scr c/v cyto, automated sys	Screening cytopathology smears, cervical or vaginal, performed by automated
2021	G0148		20210101	N	$31.94	Scr c/v cyto, autosys, rescr	Screening cytopathology smears, cervical or vaginal, performed by automated
2021	G0306		20210101	N	$7.77	Cbc/diffwbc w/o platelet	Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and
2021	G0307		20210101	N	$6.47	Cbc without platelet	Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)
2021	G0328		20210101	N	$18.05	Fecal blood scrn immunoassay	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3
2021	G0328	QW	20210101	N	$18.05	Fecal blood scrn immunoassay	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3
2021	G0432		20210101	N	$19.57	Eia hiv-1/hiv-2 screen	Infectious agent antibody detection by enzyme immunoassay (eia) technique,
2021	G0433		20210101	N	$18.29	Elisa hiv-1/hiv-2 screen	Infectious agent antibody detection by enzyme-linked immunosorbent assay
2021	G0433	QW	20210101	N	$18.29	Elisa hiv-1/hiv-2 screen	Infectious agent antibody detection by enzyme-linked immunosorbent assay
2021	G0435		20210101	N	$11.98	Oral hiv-1/hiv-2 screen	Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2,
2021	G0471		20210101	N	$5.00	Ven blood coll snf/hha	Collection of venous blood by venipuncture or urine sample by catheterization
2021	G0472		20210101	N	$46.35	Hep c screen high risk/other	Hepatitis c antibody screening, for individual at high risk and other covered
2021	G0472	QW	20210101	N	$46.35	Hep c screen high risk/other	Hepatitis c antibody screening, for individual at high risk and other covered
2021	G0475		20210101	N	$24.08	Hiv combination assay	Hiv antigen/antibody, combination assay, screening
2021	G0475	QW	20210101	N	$24.08	Hiv combination assay	Hiv antigen/antibody, combination assay, screening
2021	G0476		20210101	N	$35.09	Hpv combo assay ca screen	Infectious agent detection by nucleic acid (dna or rna); human papillomavirus
2021	G0480		20210101	N	$114.43	Drug test def 1-7 classes	Drug test(s), definitive, utilizing (1) drug identification methods able to
2021	G0481		20210101	N	$156.59	Drug test def 8-14 classes	Drug test(s), definitive, utilizing (1) drug identification methods able to
2021	G0482		20210101	N	$198.74	Drug test def 15-21 classes	Drug test(s), definitive, utilizing (1) drug identification methods able to
2021	G0483		20210101	N	$246.92	Drug test def 22+ classes	Drug test(s), definitive, utilizing (1) drug identification methods able to
2021	G0499		20210101	N	$28.27	Hepb screen high risk indiv	Hepatitis b screening in non-pregnant, high risk individual includes hepatitis
2021	G0659		20210101	N	$62.14	Drug test def simple all cl	Drug test(s), definitive, utilizing drug identification methods able to
2021	G2023		20210101	N	$23.46	Specimen collect covid-19	Specimen collection for severe acute respiratory syndrome coronavirus 2
2021	G2024		20210101	N	$25.46	Spec coll snf/lab covid-19	Specimen collection for severe acute respiratory syndrome coronavirus 2
2021	G9143		20210101	N	$120.72	Warfarin respon genetic test	Warfarin responsiveness testing by genetic technique using any method, any
2021	P2028		20210101	N	$4.95	Cephalin floculation test	Cephalin floculation, blood
2021	P2029		20210101	N	$4.95	Congo red blood test	Congo red, blood
2021	P2031		20210101	N	$4.95	Hair analysis	Hair analysis (excluding arsenic)
2021	P2033		20210101	N	$4.95	Blood thymol turbidity	Thymol turbidity, blood
2021	P2038		20210101	N	$4.95	Blood mucoprotein	Mucoprotein, blood (seromucoid) (medical necessity procedure)
2021	P3000		20210101	N	$15.15	Screen pap by tech w md supv	Screening papanicolaou smear, cervical or vaginal, up to three smears, by
2021	P9612		20210101	N	$3.00	Catheterize for urine spec	Catheterization for collection of specimen, single patient, all places of
2021	P9615		20210101	N	$3.00	Urine specimen collect mult	Catheterization for collection of specimen(s) (multiple patients)
2021	Q0111		20210101	N	$15.15	Wet mounts/ w preparations	Wet mounts, including preparations of vaginal, cervical or skin specimens
2021	Q0112		20210101	N	$5.83	Potassium hydroxide preps	All potassium hydroxide (koh) preparations
2021	Q0113		20210101	N	$4.27	Pinworm examinations	Pinworm examinations
2021	Q0114		20210101	N	$9.74	Fern test	Fern test
2021	Q0115		20210101	N	$25.00	Post-coital mucous exam	Post-coital direct, qualitative examinations of vaginal or cervical mucous
2021	U0001		20210101	L	$-	2019-ncov diagnostic p	Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel
2021	U0002		20210101	L	$-	Covid-19 lab test non-cdc	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple
2021	U0002	QW	20210101	L	$-	Covid-19 lab test non-cdc	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple
2021	U0003		20210101	N	$75.00	Cov-19 amp prb hgh thruput	Infectious agent detection by nucleic acid (dna or rna); severe acute
2021	U0004		20210101	N	$75.00	Cov-19 test non-cdc hgh thru	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple
2021	U0005		20210101	N	$25.00	Infec agen detec ampli probe	Infectious agent detection by nucleic acid (dna or rna); severe acute