CodeMap®  150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


2020 Printed Publications Early Bird Sale on Now through August 30, 2019!



User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019-April
2019-January

ASC Fee Schedule

2019-April
2019-January

APC Codes

2019-April
2019-January

DRG Codes

2019
2018

ASP Drug Pricing Files

April 2019
January 2019


CMS Transmittals



--

2017 Laboratory Fee Schedule
Revision file posted 12/23 dated 12/8.
Selected Fee Schedule:
Procedure
Short Descriptor
2017 Lab Fee
Schedule
0006M
Onc hep gene risk classifier
$XXX.XX
0007M
Onc gastro 51 gene nomogram
$XXX.XX
0008M
Onc breast risk score
$XXX.XX
0009M
Fetal aneuploidy trisom risk
$XXX.XX
36415
Routine venipuncture
$XXX.XX
78267
Breath tst attain/anal c-14
$XXX.XX
78268
Breath test analysis c-14
$XXX.XX
80047
Metabolic panel ionized ca
$XXX.XX
80048
Metabolic panel total ca
$XXX.XX
80051
Electrolyte panel
$XXX.XX
80053
Comprehen metabolic panel
$XXX.XX
80055
Obstetric panel
$XXX.XX
80061
Lipid panel
$XXX.XX
80069
Renal function panel
$XXX.XX
80074
Acute hepatitis panel
$XXX.XX
80076
Hepatic function panel
$XXX.XX
80081
Obstetric panel
$XXX.XX
80150
Assay of amikacin
$XXX.XX
80155
Drug assay caffeine
$XXX.XX
80156
Assay carbamazepine total
$XXX.XX
80157
Assay carbamazepine free
$XXX.XX
80158
Drug assay cyclosporine
$XXX.XX
80159
Drug assay clozapine
$XXX.XX
80162
Assay of digoxin total
$XXX.XX
80163
Assay of digoxin free
$XXX.XX
80164
Assay dipropylacetic acd tot
$XXX.XX
80165
Dipropylacetic acid free
$XXX.XX
80168
Assay of ethosuximide
$XXX.XX
80169
Drug assay everolimus
$XXX.XX
80170
Assay of gentamicin
$XXX.XX
80171
Drug screen quant gabapentin
$XXX.XX
80173
Assay of haloperidol
$XXX.XX
80175
Drug screen quan lamotrigine
$XXX.XX
80176
Assay of lidocaine
$XXX.XX
80177
Drug scrn quan levetiracetam
$XXX.XX
80178
Assay of lithium
$XXX.XX
80180
Drug scrn quan mycophenolate
$XXX.XX
80183
Drug scrn quant oxcarbazepin
$XXX.XX
80184
Assay of phenobarbital
$XXX.XX
80185
Assay of phenytoin total
$XXX.XX
80186
Assay of phenytoin free
$XXX.XX
80188
Assay of primidone
$XXX.XX
80190
Assay of procainamide
$XXX.XX
80192
Assay of procainamide
$XXX.XX
80194
Assay of quinidine
$XXX.XX
80195
Assay of sirolimus
$XXX.XX
80197
Assay of tacrolimus
$XXX.XX
80198
Assay of theophylline
$XXX.XX
80199
Drug screen quant tiagabine
$XXX.XX
80200
Assay of tobramycin
$XXX.XX
80201
Assay of topiramate
$XXX.XX
80202
Assay of vancomycin
$XXX.XX
80203
Drug screen quant zonisamide
$XXX.XX
80299
Quantitative assay drug
$XXX.XX
80305
New for 2017
Drug test prsmv dir opt obs
$XXX.XX
80306
New for 2017
Drug test prsmv instrmnt
$XXX.XX
80307
New for 2017
Drug test prsmv chem anlyzr
$XXX.XX
80400
Acth stimulation panel
$XXX.XX
80402
Acth stimulation panel
$XXX.XX
80406
Acth stimulation panel
$XXX.XX
80408
Aldosterone suppression eval
$XXX.XX
80410
Calcitonin stimul panel
$XXX.XX
80412
Crh stimulation panel
$XXX.XX
80414
Testosterone response
$XXX.XX
80415
Estradiol response panel
$XXX.XX
80416
Renin stimulation panel
$XXX.XX
80417
Renin stimulation panel
$XXX.XX
80418
Pituitary evaluation panel
$XXX.XX
80420
Dexamethasone panel
$XXX.XX
80422
Glucagon tolerance panel
$XXX.XX
80424
Glucagon tolerance panel
$XXX.XX
80426
Gonadotropin hormone panel
$XXX.XX
80428
Growth hormone panel
$XXX.XX
80430
Growth hormone panel
$XXX.XX
80432
Insulin suppression panel
$XXX.XX
80434
Insulin tolerance panel
$XXX.XX
80435
Insulin tolerance panel
$XXX.XX
80436
Metyrapone panel
$XXX.XX
80438
Trh stimulation panel
$XXX.XX
80439
Trh stimulation panel
$XXX.XX
81000
Urinalysis nonauto w/scope
$XXX.XX
81001
Urinalysis auto w/scope
$XXX.XX
81002
Urinalysis nonauto w/o scope
$XXX.XX
81003
Urinalysis auto w/o scope
$XXX.XX
81005
Urinalysis
$XXX.XX
81007
Urine screen for bacteria
$XXX.XX
81015
Microscopic exam of urine
$XXX.XX
81020
Urinalysis glass test
$XXX.XX
81025
Urine pregnancy test
$XXX.XX
81050
Urinalysis volume measure
$XXX.XX
81161
Dmd dup/delet analysis
$XXX.XX
81162
Brca1&2 seq & full dup/del
$XXX.XX
81170
Abl1 gene
$XXX.XX
81206
Bcr/abl1 gene major bp
$XXX.XX
81207
Bcr/abl1 gene minor bp
$XXX.XX
81208
Bcr/abl1 gene other bp
$XXX.XX
81210
Braf gene
$XXX.XX
81211
Brca1&2 seq & com dup/del
$XXX.XX
81212
Brca1&2 185&5385&6174 var
$XXX.XX
81213
Brca1&2 uncom dup/del var
$XXX.XX
81214
Brca1 full seq & com dup/del
$XXX.XX
81215
Brca1 gene known fam variant
$XXX.XX
81217
Brca2 gene known fam variant
$XXX.XX
81218
Cebpa gene full sequence
$XXX.XX
81219
Calr gene com variants
$XXX.XX
81225
Cyp2c19 gene com variants
$XXX.XX
81226
Cyp2d6 gene com variants
$XXX.XX
81227
Cyp2c9 gene com variants
$XXX.XX
81235
Egfr gene com variants
$XXX.XX
81240
F2 gene
$XXX.XX
81241
F5 gene
$XXX.XX
81245
Flt3 gene
$XXX.XX
81246
Flt3 gene analysis
$XXX.XX
81256
Hfe gene
$XXX.XX
81261
Igh gene rearrange amp meth
$XXX.XX
81262
Igh gene rearrang dir probe
$XXX.XX
81263
Igh vari regional mutation
$XXX.XX
81264
Igk rearrangeabn clonal pop
$XXX.XX
81265
Str markers specimen anal
$XXX.XX
81267
Chimerism anal no cell selec
$XXX.XX
81268
Chimerism anal w/cell select
$XXX.XX
81270
Jak2 gene
$XXX.XX
81272
Kit gene targeted seq analys
$XXX.XX
81273
Kit gene analys d816 variant
$XXX.XX
81275
Kras gene variants exon 2
$XXX.XX
81276
Kras gene addl variants
$XXX.XX
81287
Mgmt gene methylation anal
$XXX.XX
81288
Mlh1 gene
$XXX.XX
81291
Mthfr gene
$XXX.XX
81292
Mlh1 gene full seq
$XXX.XX
81293
Mlh1 gene known variants
$XXX.XX
81294
Mlh1 gene dup/delete variant
$XXX.XX
81295
Msh2 gene full seq
$XXX.XX
81296
Msh2 gene known variants
$XXX.XX
81297
Msh2 gene dup/delete variant
$XXX.XX
81298
Msh6 gene full seq
$XXX.XX
81299
Msh6 gene known variants
$XXX.XX
81300
Msh6 gene dup/delete variant
$XXX.XX
81301
Microsatellite instability
$XXX.XX
81310
Npm1 gene
$XXX.XX
81311
Nras gene variants exon 2&3
$XXX.XX
81313
Pca3/klk3 antigen
$XXX.XX
81314
Pdgfra gene
$XXX.XX
81315
Pml/raralpha com breakpoints
$XXX.XX
81316
Pml/raralpha 1 breakpoint
$XXX.XX
81317
Pms2 gene full seq analysis
$XXX.XX
81318
Pms2 known familial variants
$XXX.XX
81319
Pms2 gene dup/delet variants
$XXX.XX
81321
Pten gene full sequence
$XXX.XX
81322
Pten gene known fam variant
$XXX.XX
81323
Pten gene dup/delet variant
$XXX.XX
81327
New for 2017
Sept9 methylation analysis
$XXX.XX
81332
Serpina1 gene
$XXX.XX
81340
Trb@ gene rearrange amplify
$XXX.XX
81341
Trb@ gene rearrange dirprobe
$XXX.XX
81342
Trg gene rearrangement anal
$XXX.XX
81370
Hla i & ii typing lr
$XXX.XX
81371
Hla i & ii type verify lr
$XXX.XX
81372
Hla i typing complete lr
$XXX.XX
81373
Hla i typing 1 locus lr
$XXX.XX
81374
Hla i typing 1 antigen lr
$XXX.XX
81375
Hla ii typing ag equiv lr
$XXX.XX
81376
Hla ii typing 1 locus lr
$XXX.XX
81377
Hla ii type 1 ag equiv lr
$XXX.XX
81378
Hla i & ii typing hr
$XXX.XX
81379
Hla i typing complete hr
$XXX.XX
81380
Hla i typing 1 locus hr
$XXX.XX
81381
Hla i typing 1 allele hr
$XXX.XX
81382
Hla ii typing 1 loc hr
$XXX.XX
81383
Hla ii typing 1 allele hr
$XXX.XX
81410
Aortic dysfunction/dilation
$XXX.XX
81411
Aortic dysfunction/dilation
$XXX.XX
81412
Ashkenazi jewish assoc dis
$XXX.XX
81413
New for 2017
Car ion chnnlpath inc 10 gns
$XXX.XX
81414
New for 2017
Car ion chnnlpath inc 2 gns
$XXX.XX
81415
Exome sequence analysis
$XXX.XX
81416
Exome sequence analysis
$XXX.XX
81417
Exome re-evaluation
$XXX.XX
81420
Fetal chrmoml aneuploidy
$XXX.XX
81422
New for 2017
Fetal chrmoml microdeltj
$XXX.XX
81425
Genome sequence analysis
$XXX.XX
81426
Genome sequence analysis
$XXX.XX
81427
Genome re-evaluation
$XXX.XX
81430
Hearing loss sequence analys
$XXX.XX
81431
Hearing loss dup/del analys
$XXX.XX
81432
Hrdtry brst ca-rlatd dsordrs
$XXX.XX
81433
Hrdtry brst ca-rlatd dsordrs
$XXX.XX
81434
Hereditary retinal disorders
$XXX.XX
81435
Hereditary colon ca dsordrs
$XXX.XX
81436
Hereditary colon ca dsordrs
$XXX.XX
81437
Heredtry nurondcrn tum dsrdr
$XXX.XX
81438
Heredtry nurondcrn tum dsrdr
$XXX.XX
81439
New for 2017
Inherited cardmypthy 5 gns
$XXX.XX
81440
Mitochondrial gene
$XXX.XX
81442
Noonan spectrum disorders
$XXX.XX
81445
Targeted genomic seq analys
$XXX.XX
81450
Targeted genomic seq analys
$XXX.XX
81455
Targeted genomic seq analys
$XXX.XX
81460
Whole mitochondrial genome
$XXX.XX
81465
Whole mitochondrial genome
$XXX.XX
81470
X-linked intellectual dblt
$XXX.XX
81471
X-linked intellectual dblt
$XXX.XX
81490
Autoimmune rheumatoid arthr
$XXX.XX
81493
Cor artery disease mrna
$XXX.XX
81519
Oncology breast mrna
$XXX.XX
81525
Oncology colon mrna
$XXX.XX
81528
Oncology colorectal scr
$XXX.XX
81535
Oncology gynecologic
$XXX.XX
81536
Oncology gynecologic
$XXX.XX
81538
Oncology lung
$XXX.XX
81539
New for 2017
Oncology prostate prob score
$XXX.XX
81540
Oncology tum unknown origin
$XXX.XX
81545
Oncology thyroid
$XXX.XX
81595
Cardiology hrt trnspl mrna
$XXX.XX
82009
Test for acetone/ketones
$XXX.XX
82010
Acetone assay
$XXX.XX
82013
Acetylcholinesterase assay
$XXX.XX
82016
Acylcarnitines qual
$XXX.XX
82017
Acylcarnitines quant
$XXX.XX
82024
Assay of acth
$XXX.XX
82030
Assay of adp & amp
$XXX.XX
82040
Assay of serum albumin
$XXX.XX
82042
Assay of urine albumin
$XXX.XX
82043
Microalbumin quantitative
$XXX.XX
82044
Microalbumin semiquant
$XXX.XX
82045
Albumin ischemia modified
$XXX.XX
82075
Assay of breath ethanol
$XXX.XX
82085
Assay of aldolase
$XXX.XX
82088
Assay of aldosterone
$XXX.XX
82103
Alpha-1-antitrypsin total
$XXX.XX
82104
Alpha-1-antitrypsin pheno
$XXX.XX
82105
Alpha-fetoprotein serum
$XXX.XX
82106
Alpha-fetoprotein amniotic
$XXX.XX
82107
Alpha-fetoprotein l3
$XXX.XX
82108
Assay of aluminum
$XXX.XX
82120
Amines vaginal fluid qual
$XXX.XX
82127
Amino acid single qual
$XXX.XX
82128
Amino acids mult qual
$XXX.XX
82131
Amino acids single quant
$XXX.XX
82135
Assay aminolevulinic acid
$XXX.XX
82136
Amino acids quant 2-5
$XXX.XX
82139
Amino acids quan 6 or more
$XXX.XX
82140
Assay of ammonia
$XXX.XX
82143
Amniotic fluid scan
$XXX.XX
82150
Assay of amylase
$XXX.XX
82154
Androstanediol glucuronide
$XXX.XX
82157
Assay of androstenedione
$XXX.XX
82160
Assay of androsterone
$XXX.XX
82163
Assay of angiotensin ii
$XXX.XX
82164
Angiotensin i enzyme test
$XXX.XX
82172
Assay of apolipoprotein
$XXX.XX
82175
Assay of arsenic
$XXX.XX
82180
Assay of ascorbic acid
$XXX.XX
82190
Atomic absorption
$XXX.XX
82232
Assay of beta-2 protein
$XXX.XX
82239
Bile acids total
$XXX.XX
82240
Bile acids cholylglycine
$XXX.XX
82247
Bilirubin total
$XXX.XX
82248
Bilirubin direct
$XXX.XX
82252
Fecal bilirubin test
$XXX.XX
82261
Assay of biotinidase
$XXX.XX
82270
Occult blood feces
$XXX.XX
82271
Occult blood other sources
$XXX.XX
82272
Occult bld feces 1-3 tests
$XXX.XX
82274
Assay test for blood fecal
$XXX.XX
82286
Assay of bradykinin
$XXX.XX
82300
Assay of cadmium
$XXX.XX
82306
Vitamin d 25 hydroxy
$XXX.XX
82308
Assay of calcitonin
$XXX.XX
82310
Assay of calcium
$XXX.XX
82330
Assay of calcium
$XXX.XX
82331
Calcium infusion test
$XXX.XX
82340
Assay of calcium in urine
$XXX.XX
82355
Calculus analysis qual
$XXX.XX
82360
Calculus assay quant
$XXX.XX
82365
Calculus spectroscopy
$XXX.XX
82370
X-ray assay calculus
$XXX.XX
82373
Assay c-d transfer measure
$XXX.XX
82374
Assay blood carbon dioxide
$XXX.XX
82375
Assay carboxyhb quant
$XXX.XX
82376
Assay carboxyhb qual
$XXX.XX
82378
Carcinoembryonic antigen
$XXX.XX
82379
Assay of carnitine
$XXX.XX
82380
Assay of carotene
$XXX.XX
82382
Assay urine catecholamines
$XXX.XX
82383
Assay blood catecholamines
$XXX.XX
82384
Assay three catecholamines
$XXX.XX
82387
Assay of cathepsin-d
$XXX.XX
82390
Assay of ceruloplasmin
$XXX.XX
82397
Chemiluminescent assay
$XXX.XX
82415
Assay of chloramphenicol
$XXX.XX
82435
Assay of blood chloride
$XXX.XX
82436
Assay of urine chloride
$XXX.XX
82438
Assay other fluid chlorides
$XXX.XX
82441
Test for chlorohydrocarbons
$XXX.XX
82465
Assay bld/serum cholesterol
$XXX.XX
82480
Assay serum cholinesterase
$XXX.XX
82482
Assay rbc cholinesterase
$XXX.XX
82485
Assay chondroitin sulfate
$XXX.XX
82495
Assay of chromium
$XXX.XX
82507
Assay of citrate
$XXX.XX
82523
Collagen crosslinks
$XXX.XX
82525
Assay of copper
$XXX.XX
82528
Assay of corticosterone
$XXX.XX
82530
Cortisol free
$XXX.XX
82533
Total cortisol
$XXX.XX
82540
Assay of creatine
$XXX.XX
82542
Col chromotography qual/quan
$XXX.XX
82550
Assay of ck (cpk)
$XXX.XX
82552
Assay of cpk in blood
$XXX.XX
82553
Creatine mb fraction
$XXX.XX
82554
Creatine isoforms
$XXX.XX
82565
Assay of creatinine
$XXX.XX
82570
Assay of urine creatinine
$XXX.XX
82575
Creatinine clearance test
$XXX.XX
82585
Assay of cryofibrinogen
$XXX.XX
82595
Assay of cryoglobulin
$XXX.XX
82600
Assay of cyanide
$XXX.XX
82607
Vitamin b-12
$XXX.XX
82608
B-12 binding capacity
$XXX.XX
82610
Cystatin c
$XXX.XX
82615
Test for urine cystines
$XXX.XX
82626
Dehydroepiandrosterone
$XXX.XX
82627
Dehydroepiandrosterone
$XXX.XX
82633
Desoxycorticosterone
$XXX.XX
82634
Deoxycortisol
$XXX.XX
82638
Assay of dibucaine number
$XXX.XX
82652
Vit d 1 25-dihydroxy
$XXX.XX
82656
Pancreatic elastase fecal
$XXX.XX
82657
Enzyme cell activity
$XXX.XX
82658
Enzyme cell activity ra
$XXX.XX
82664
Electrophoretic test
$XXX.XX
82668
Assay of erythropoietin
$XXX.XX
82670
Assay of estradiol
$XXX.XX
82671
Assay of estrogens
$XXX.XX
82672
Assay of estrogen
$XXX.XX
82677
Assay of estriol
$XXX.XX
82679
Assay of estrone
$XXX.XX
82693
Assay of ethylene glycol
$XXX.XX
82696
Assay of etiocholanolone
$XXX.XX
82705
Fats/lipids feces qual
$XXX.XX
82710
Fats/lipids feces quant
$XXX.XX
82715
Assay of fecal fat
$XXX.XX
82725
Assay of blood fatty acids
$XXX.XX
82726
Long chain fatty acids
$XXX.XX
82728
Assay of ferritin
$XXX.XX
82731
Assay of fetal fibronectin
$XXX.XX
82735
Assay of fluoride
$XXX.XX
82746
Assay of folic acid serum
$XXX.XX
82747
Assay of folic acid rbc
$XXX.XX
82757
Assay of semen fructose
$XXX.XX
82759
Assay of rbc galactokinase
$XXX.XX
82760
Assay of galactose
$XXX.XX
82775
Assay galactose transferase
$XXX.XX
82776
Galactose transferase test
$XXX.XX
82777
Galectin-3
$XXX.XX
82784
Assay iga/igd/igg/igm each
$XXX.XX
82785
Assay of ige
$XXX.XX
82787
Igg 1 2 3 or 4 each
$XXX.XX
82800
Blood ph
$XXX.XX
82803
Blood gases any combination
$XXX.XX
82805
Blood gases w/o2 saturation
$XXX.XX
82810
Blood gases o2 sat only
$XXX.XX
82820
Hemoglobin-oxygen affinity
$XXX.XX
82930
Gastric analy w/ph ea spec
$XXX.XX
82938
Gastrin test
$XXX.XX
82941
Assay of gastrin
$XXX.XX
82943
Assay of glucagon
$XXX.XX
82945
Glucose other fluid
$XXX.XX
82946
Glucagon tolerance test
$XXX.XX
82947
Assay glucose blood quant
$XXX.XX
82948
Reagent strip/blood glucose
$XXX.XX
82950
Glucose test
$XXX.XX
82951
Glucose tolerance test (gtt)
$XXX.XX
82952
Gtt-added samples
$XXX.XX
82955
Assay of g6pd enzyme
$XXX.XX
82960
Test for g6pd enzyme
$XXX.XX
82962
Glucose blood test
$XXX.XX
82963
Assay of glucosidase
$XXX.XX
82965
Assay of gdh enzyme
$XXX.XX
82977
Assay of ggt
$XXX.XX
82978
Assay of glutathione
$XXX.XX
82979
Assay rbc glutathione
$XXX.XX
82985
Assay of glycated protein
$XXX.XX
83001
Assay of gonadotropin (fsh)
$XXX.XX
83002
Assay of gonadotropin (lh)
$XXX.XX
83003
Assay growth hormone (hgh)
$XXX.XX
83006
Growth stimulation gene 2
$XXX.XX
83009
H pylori (c-13) blood
$XXX.XX
83010
Assay of haptoglobin quant
$XXX.XX
83012
Assay of haptoglobins
$XXX.XX
83013
H pylori (c-13) breath
$XXX.XX
83014
H pylori drug admin
$XXX.XX
83015
Heavy metal qual any anal
$XXX.XX
83018
Heavy metal quant each nes
$XXX.XX
83020
Hemoglobin electrophoresis
$XXX.XX
83021
Hemoglobin chromotography
$XXX.XX
83026
Hemoglobin copper sulfate
$XXX.XX
83030
Fetal hemoglobin chemical
$XXX.XX
83033
Fetal hemoglobin assay qual
$XXX.XX
83036
Glycosylated hemoglobin test
$XXX.XX
83037
Glycosylated hb home device
$XXX.XX
83045
Blood methemoglobin test
$XXX.XX
83050
Blood methemoglobin assay
$XXX.XX
83051
Assay of plasma hemoglobin
$XXX.XX
83060
Blood sulfhemoglobin assay
$XXX.XX
83065
Assay of hemoglobin heat
$XXX.XX
83068
Hemoglobin stability screen
$XXX.XX
83069
Assay of urine hemoglobin
$XXX.XX
83070
Assay of hemosiderin qual
$XXX.XX
83080
Assay of b hexosaminidase
$XXX.XX
83088
Assay of histamine
$XXX.XX
83090
Assay of homocystine
$XXX.XX
83150
Assay of homovanillic acid
$XXX.XX
83491
Assay of corticosteroids 17
$XXX.XX
83497
Assay of 5-hiaa
$XXX.XX
83498
Assay of progesterone 17-d
$XXX.XX
83499
Assay of progesterone 20-
$XXX.XX
83500
Assay free hydroxyproline
$XXX.XX
83505
Assay total hydroxyproline
$XXX.XX
83516
Immunoassay nonantibody
$XXX.XX
83518
Immunoassay dipstick
$XXX.XX
83519
Ria nonantibody
$XXX.XX
83520
Immunoassay quant nos nonab
$XXX.XX
83525
Assay of insulin
$XXX.XX
83527
Assay of insulin
$XXX.XX
83528
Assay of intrinsic factor
$XXX.XX
83540
Assay of iron
$XXX.XX
83550
Iron binding test
$XXX.XX
83570
Assay of idh enzyme
$XXX.XX
83582
Assay of ketogenic steroids
$XXX.XX
83586
Assay 17- ketosteroids
$XXX.XX
83593
Fractionation ketosteroids
$XXX.XX
83605
Assay of lactic acid
$XXX.XX
83615
Lactate (ld) (ldh) enzyme
$XXX.XX
83625
Assay of ldh enzymes
$XXX.XX
83630
Lactoferrin fecal (qual)
$XXX.XX
83631
Lactoferrin fecal (quant)
$XXX.XX
83632
Placental lactogen
$XXX.XX
83633
Test urine for lactose
$XXX.XX
83655
Assay of lead
$XXX.XX
83661
L/s ratio fetal lung
$XXX.XX
83662
Foam stability fetal lung
$XXX.XX
83663
Fluoro polarize fetal lung
$XXX.XX
83664
Lamellar bdy fetal lung
$XXX.XX
83670
Assay of lap enzyme
$XXX.XX
83690
Assay of lipase
$XXX.XX
83695
Assay of lipoprotein(a)
$XXX.XX
83698
Assay lipoprotein pla2
$XXX.XX
83700
Lipopro bld electrophoretic
$XXX.XX
83701
Lipoprotein bld hr fraction
$XXX.XX
83704
Lipoprotein bld quan part
$XXX.XX
83718
Assay of lipoprotein
$XXX.XX
83719
Assay of blood lipoprotein
$XXX.XX
83721
Assay of blood lipoprotein
$XXX.XX
83727
Assay of lrh hormone
$XXX.XX
83735
Assay of magnesium
$XXX.XX
83775
Assay malate dehydrogenase
$XXX.XX
83785
Assay of manganese
$XXX.XX
83789
Mass spectrometry qual/quan
$XXX.XX
83825
Assay of mercury
$XXX.XX
83835
Assay of metanephrines
$XXX.XX
83857
Assay of methemalbumin
$XXX.XX
83861
Microfluid analy tears
$XXX.XX
83864
Mucopolysaccharides
$XXX.XX
83872
Assay synovial fluid mucin
$XXX.XX
83873
Assay of csf protein
$XXX.XX
83874
Assay of myoglobin
$XXX.XX
83876
Assay myeloperoxidase
$XXX.XX
83880
Assay of natriuretic peptide
$XXX.XX
83883
Assay nephelometry not spec
$XXX.XX
83885
Assay of nickel
$XXX.XX
83915
Assay of nucleotidase
$XXX.XX
83916
Oligoclonal bands
$XXX.XX
83918
Organic acids total quant
$XXX.XX
83919
Organic acids qual each
$XXX.XX
83921
Organic acid single quant
$XXX.XX
83930
Assay of blood osmolality
$XXX.XX
83935
Assay of urine osmolality
$XXX.XX
83937
Assay of osteocalcin
$XXX.XX
83945
Assay of oxalate
$XXX.XX
83950
Oncoprotein her-2/neu
$XXX.XX
83951
Oncoprotein dcp
$XXX.XX
83970
Assay of parathormone
$XXX.XX
83986
Assay ph body fluid nos
$XXX.XX
83987
Exhaled breath condensate
$XXX.XX
83992
Assay for phencyclidine
$XXX.XX
83993
Assay for calprotectin fecal
$XXX.XX
84030
Assay of blood pku
$XXX.XX
84035
Assay of phenylketones
$XXX.XX
84060
Assay acid phosphatase
$XXX.XX
84061
Phosphatase forensic exam
$XXX.XX
84066
Assay prostate phosphatase
$XXX.XX
84075
Assay alkaline phosphatase
$XXX.XX
84078
Assay alkaline phosphatase
$XXX.XX
84080
Assay alkaline phosphatases
$XXX.XX
84081
Assay phosphatidylglycerol
$XXX.XX
84085
Assay of rbc pg6d enzyme
$XXX.XX
84087
Assay phosphohexose enzymes
$XXX.XX
84100
Assay of phosphorus
$XXX.XX
84105
Assay of urine phosphorus
$XXX.XX
84106
Test for porphobilinogen
$XXX.XX
84110
Assay of porphobilinogen
$XXX.XX
84112
Eval amniotic fluid protein
$XXX.XX
84119
Test urine for porphyrins
$XXX.XX
84120
Assay of urine porphyrins
$XXX.XX
84126
Assay of feces porphyrins
$XXX.XX
84132
Assay of serum potassium
$XXX.XX
84133
Assay of urine potassium
$XXX.XX
84134
Assay of prealbumin
$XXX.XX
84135
Assay of pregnanediol
$XXX.XX
84138
Assay of pregnanetriol
$XXX.XX
84140
Assay of pregnenolone
$XXX.XX
84143
Assay of 17-hydroxypregneno
$XXX.XX
84144
Assay of progesterone
$XXX.XX
84145
Procalcitonin (pct)
$XXX.XX
84146
Assay of prolactin
$XXX.XX
84150
Assay of prostaglandin
$XXX.XX
84152
Assay of psa complexed
$XXX.XX
84153
Assay of psa total
$XXX.XX
84154
Assay of psa free
$XXX.XX
84155
Assay of protein serum
$XXX.XX
84156
Assay of protein urine
$XXX.XX
84157
Assay of protein other
$XXX.XX
84160
Assay of protein any source
$XXX.XX
84163
Pappa serum
$XXX.XX
84165
Protein e-phoresis serum
$XXX.XX
84166
Protein e-phoresis/urine/csf
$XXX.XX
84181
Western blot test
$XXX.XX
84182
Protein western blot test
$XXX.XX
84202
Assay rbc protoporphyrin
$XXX.XX
84203
Test rbc protoporphyrin
$XXX.XX
84206
Assay of proinsulin
$XXX.XX
84207
Assay of vitamin b-6
$XXX.XX
84210
Assay of pyruvate
$XXX.XX
84220
Assay of pyruvate kinase
$XXX.XX
84228
Assay of quinine
$XXX.XX
84233
Assay of estrogen
$XXX.XX
84234
Assay of progesterone
$XXX.XX
84235
Assay of endocrine hormone
$XXX.XX
84238
Assay nonendocrine receptor
$XXX.XX
84244
Assay of renin
$XXX.XX
84252
Assay of vitamin b-2
$XXX.XX
84255
Assay of selenium
$XXX.XX
84260
Assay of serotonin
$XXX.XX
84270
Assay of sex hormone globul
$XXX.XX
84275
Assay of sialic acid
$XXX.XX
84285
Assay of silica
$XXX.XX
84295
Assay of serum sodium
$XXX.XX
84300
Assay of urine sodium
$XXX.XX
84302
Assay of sweat sodium
$XXX.XX
84305
Assay of somatomedin
$XXX.XX
84307
Assay of somatostatin
$XXX.XX
84311
Spectrophotometry
$XXX.XX
84315
Body fluid specific gravity
$XXX.XX
84375
Chromatogram assay sugars
$XXX.XX
84376
Sugars single qual
$XXX.XX
84377
Sugars multiple qual
$XXX.XX
84378
Sugars single quant
$XXX.XX
84379
Sugars multiple quant
$XXX.XX
84392
Assay of urine sulfate
$XXX.XX
84402
Assay of free testosterone
$XXX.XX
84403
Assay of total testosterone
$XXX.XX
84410
New for 2017
Testosterone bioavailable
$XXX.XX
84425
Assay of vitamin b-1
$XXX.XX
84430
Assay of thiocyanate
$XXX.XX
84431
Thromboxane urine
$XXX.XX
84432
Assay of thyroglobulin
$XXX.XX
84436
Assay of total thyroxine
$XXX.XX
84437
Assay of neonatal thyroxine
$XXX.XX
84439
Assay of free thyroxine
$XXX.XX
84442
Assay of thyroid activity
$XXX.XX
84443
Assay thyroid stim hormone
$XXX.XX
84445
Assay of tsi globulin
$XXX.XX
84446
Assay of vitamin e
$XXX.XX
84449
Assay of transcortin
$XXX.XX
84450
Transferase (ast) (sgot)
$XXX.XX
84460
Alanine amino (alt) (sgpt)
$XXX.XX
84466
Assay of transferrin
$XXX.XX
84478
Assay of triglycerides
$XXX.XX
84479
Assay of thyroid (t3 or t4)
$XXX.XX
84480
Assay triiodothyronine (t3)
$XXX.XX
84481
Free assay (ft-3)
$XXX.XX
84482
T3 reverse
$XXX.XX
84484
Assay of troponin quant
$XXX.XX
84485
Assay duodenal fluid trypsin
$XXX.XX
84488
Test feces for trypsin
$XXX.XX
84490
Assay of feces for trypsin
$XXX.XX
84510
Assay of tyrosine
$XXX.XX
84512
Assay of troponin qual
$XXX.XX
84520
Assay of urea nitrogen
$XXX.XX
84525
Urea nitrogen semi-quant
$XXX.XX
84540
Assay of urine/urea-n
$XXX.XX
84545
Urea-n clearance test
$XXX.XX
84550
Assay of blood/uric acid
$XXX.XX
84560
Assay of urine/uric acid
$XXX.XX
84577
Assay of feces/urobilinogen
$XXX.XX
84578
Test urine urobilinogen
$XXX.XX
84580
Assay of urine urobilinogen
$XXX.XX
84583
Assay of urine urobilinogen
$XXX.XX
84585
Assay of urine vma
$XXX.XX
84586
Assay of vip
$XXX.XX
84588
Assay of vasopressin
$XXX.XX
84590
Assay of vitamin a
$XXX.XX
84591
Assay of nos vitamin
$XXX.XX
84597
Assay of vitamin k
$XXX.XX
84600
Assay of volatiles
$XXX.XX
84620
Xylose tolerance test
$XXX.XX
84630
Assay of zinc
$XXX.XX
84681
Assay of c-peptide
$XXX.XX
84702
Chorionic gonadotropin test
$XXX.XX
84703
Chorionic gonadotropin assay
$XXX.XX
84704
Hcg free betachain test
$XXX.XX
84830
Ovulation tests
$XXX.XX
85002
Bleeding time test
$XXX.XX
85004
Automated diff wbc count
$XXX.XX
85007
Bl smear w/diff wbc count
$XXX.XX
85008
Bl smear w/o diff wbc count
$XXX.XX
85009
Manual diff wbc count b-coat
$XXX.XX
85013
Spun microhematocrit
$XXX.XX
85014
Hematocrit
$XXX.XX
85018
Hemoglobin
$XXX.XX
85025
Complete cbc w/auto diff wbc
$XXX.XX
85027
Complete cbc automated
$XXX.XX
85032
Manual cell count each
$XXX.XX
85041
Automated rbc count
$XXX.XX
85044
Manual reticulocyte count
$XXX.XX
85045
Automated reticulocyte count
$XXX.XX
85046
Reticyte/hgb concentrate
$XXX.XX
85048
Automated leukocyte count
$XXX.XX
85049
Automated platelet count
$XXX.XX
85055
Reticulated platelet assay
$XXX.XX
85130
Chromogenic substrate assay
$XXX.XX
85170
Blood clot retraction
$XXX.XX
85175
Blood clot lysis time
$XXX.XX
85210
Clot factor ii prothrom spec
$XXX.XX
85220
Blooc clot factor v test
$XXX.XX
85230
Clot factor vii proconvertin
$XXX.XX
85240
Clot factor viii ahg 1 stage
$XXX.XX
85244
Clot factor viii reltd antgn
$XXX.XX
85245
Clot factor viii vw ristoctn
$XXX.XX
85246
Clot factor viii vw antigen
$XXX.XX
85247
Clot factor viii multimetric
$XXX.XX
85250
Clot factor ix ptc/chrstmas
$XXX.XX
85260
Clot factor x stuart-power
$XXX.XX
85270
Clot factor xi pta
$XXX.XX
85280
Clot factor xii hageman
$XXX.XX
85290
Clot factor xiii fibrin stab
$XXX.XX
85291
Clot factor xiii fibrin scrn
$XXX.XX
85292
Clot factor fletcher fact
$XXX.XX
85293
Clot factor wght kininogen
$XXX.XX
85300
Antithrombin iii activity
$XXX.XX
85301
Antithrombin iii antigen
$XXX.XX
85302
Clot inhibit prot c antigen
$XXX.XX
85303
Clot inhibit prot c activity
$XXX.XX
85305
Clot inhibit prot s total
$XXX.XX
85306
Clot inhibit prot s free
$XXX.XX
85307
Assay activated protein c
$XXX.XX
85335
Factor inhibitor test
$XXX.XX
85337
Thrombomodulin
$XXX.XX
85345
Coagulation time lee & white
$XXX.XX
85347
Coagulation time activated
$XXX.XX
85348
Coagulation time otr method
$XXX.XX
85360
Euglobulin lysis
$XXX.XX
85362
Fibrin degradation products
$XXX.XX
85366
Fibrinogen test
$XXX.XX
85370
Fibrinogen test
$XXX.XX
85378
Fibrin degrade semiquant
$XXX.XX
85379
Fibrin degradation quant
$XXX.XX
85380
Fibrin degradj d-dimer
$XXX.XX
85384
Fibrinogen activity
$XXX.XX
85385
Fibrinogen antigen
$XXX.XX
85390
Fibrinolysins screen i&r
$XXX.XX
85397
Clotting funct activity
$XXX.XX
85400
Fibrinolytic plasmin
$XXX.XX
85410
Fibrinolytic antiplasmin
$XXX.XX
85415
Fibrinolytic plasminogen
$XXX.XX
85420
Fibrinolytic plasminogen
$XXX.XX
85421
Fibrinolytic plasminogen
$XXX.XX
85441
Heinz bodies direct
$XXX.XX
85445
Heinz bodies induced
$XXX.XX
85460
Hemoglobin fetal
$XXX.XX
85461
Hemoglobin fetal
$XXX.XX
85475
Hemolysin acid
$XXX.XX
85520
Heparin assay
$XXX.XX
85525
Heparin neutralization
$XXX.XX
85530
Heparin-protamine tolerance
$XXX.XX
85536
Iron stain peripheral blood
$XXX.XX
85540
Wbc alkaline phosphatase
$XXX.XX
85547
Rbc mechanical fragility
$XXX.XX
85549
Muramidase
$XXX.XX
85555
Rbc osmotic fragility
$XXX.XX
85557
Rbc osmotic fragility
$XXX.XX
85576
Blood platelet aggregation
$XXX.XX
85597
Phospholipid pltlt neutraliz
$XXX.XX
85598
Hexagnal phosph pltlt neutrl
$XXX.XX
85610
Prothrombin time
$XXX.XX
85611
Prothrombin test
$XXX.XX
85612
Viper venom prothrombin time
$XXX.XX
85613
Russell viper venom diluted
$XXX.XX
85635
Reptilase test
$XXX.XX
85651
Rbc sed rate nonautomated
$XXX.XX
85652
Rbc sed rate automated
$XXX.XX
85660
Rbc sickle cell test
$XXX.XX
85670
Thrombin time plasma
$XXX.XX
85675
Thrombin time titer
$XXX.XX
85705
Thromboplastin inhibition
$XXX.XX
85730
Thromboplastin time partial
$XXX.XX
85732
Thromboplastin time partial
$XXX.XX
85810
Blood viscosity examination
$XXX.XX
86000
Agglutinins febrile antigen
$XXX.XX
86001
Allergen specific igg
$XXX.XX
86003
Allergen specific ige
$XXX.XX
86005
Allergen specific ige
$XXX.XX
86021
Wbc antibody identification
$XXX.XX
86022
Platelet antibodies
$XXX.XX
86023
Immunoglobulin assay
$XXX.XX
86038
Antinuclear antibodies
$XXX.XX
86039
Antinuclear antibodies (ana)
$XXX.XX
86060
Antistreptolysin o titer
$XXX.XX
86063
Antistreptolysin o screen
$XXX.XX
86140
C-reactive protein
$XXX.XX
86141
C-reactive protein hs
$XXX.XX
86146
Beta-2 glycoprotein antibody
$XXX.XX
86147
Cardiolipin antibody ea ig
$XXX.XX
86148
Anti-phospholipid antibody
$XXX.XX
86152
Cell enumeration & id
$XXX.XX
86155
Chemotaxis assay
$XXX.XX
86156
Cold agglutinin screen
$XXX.XX
86157
Cold agglutinin titer
$XXX.XX
86160
Complement antigen
$XXX.XX
86161
Complement/function activity
$XXX.XX
86162
Complement total (ch50)
$XXX.XX
86171
Complement fixation each
$XXX.XX
86185
Counterimmunoelectrophoresis
$XXX.XX
86200
Ccp antibody
$XXX.XX
86215
Deoxyribonuclease antibody
$XXX.XX
86225
Dna antibody native
$XXX.XX
86226
Dna antibody single strand
$XXX.XX
86235
Nuclear antigen antibody
$XXX.XX
86243
Fc receptor
$XXX.XX
86255
Fluorescent antibody screen
$XXX.XX
86256
Fluorescent antibody titer
$XXX.XX
86277
Growth hormone antibody
$XXX.XX
86280
Hemagglutination inhibition
$XXX.XX
86294
Immunoassay tumor qual
$XXX.XX
86300
Immunoassay tumor ca 15-3
$XXX.XX
86301
Immunoassay tumor ca 19-9
$XXX.XX
86304
Immunoassay tumor ca 125
$XXX.XX
86305
Human epididymis protein 4
$XXX.XX
86308
Heterophile antibody screen
$XXX.XX
86309
Heterophile antibody titer
$XXX.XX
86310
Heterophile antibody absrbj
$XXX.XX
86316
Immunoassay tumor other
$XXX.XX
86317
Immunoassay infectious agent
$XXX.XX
86318
Immunoassay infectious agent
$XXX.XX
86320
Serum immunoelectrophoresis
$XXX.XX
86325
Other immunoelectrophoresis
$XXX.XX
86327
Immunoelectrophoresis assay
$XXX.XX
86329
Immunodiffusion nes
$XXX.XX
86331
Immunodiffusion ouchterlony
$XXX.XX
86332
Immune complex assay
$XXX.XX
86334
Immunofix e-phoresis serum
$XXX.XX
86335
Immunfix e-phorsis/urine/csf
$XXX.XX
86336
Inhibin a
$XXX.XX
86337
Insulin antibodies
$XXX.XX
86340
Intrinsic factor antibody
$XXX.XX
86341
Islet cell antibody
$XXX.XX
86343
Leukocyte histamine release
$XXX.XX
86344
Leukocyte phagocytosis
$XXX.XX
86352
Cell function assay w/stim
$XXX.XX
86353
Lymphocyte transformation
$XXX.XX
86355
B cells total count
$XXX.XX
86356
Mononuclear cell antigen
$XXX.XX
86357
Nk cells total count
$XXX.XX
86359
T cells total count
$XXX.XX
86360
T cell absolute count/ratio
$XXX.XX
86361
T cell absolute count
$XXX.XX
86367
Stem cells total count
$XXX.XX
86376
Microsomal antibody each
$XXX.XX
86378
Migration inhibitory factor
$XXX.XX
86382
Neutralization test viral
$XXX.XX
86384
Nitroblue tetrazolium dye
$XXX.XX
86386
Nuclear matrix protein 22
$XXX.XX
86403
Particle agglut antbdy scrn
$XXX.XX
86406
Particle agglut antbdy titr
$XXX.XX
86430
Rheumatoid factor test qual
$XXX.XX
86431
Rheumatoid factor quant
$XXX.XX
86480
Tb test cell immun measure
$XXX.XX
86481
Tb ag response t-cell susp
$XXX.XX
86590
Streptokinase antibody
$XXX.XX
86592
Syphilis test non-trep qual
$XXX.XX
86593
Syphilis test non-trep quant
$XXX.XX
86602
Antinomyces antibody
$XXX.XX
86603
Adenovirus antibody
$XXX.XX
86606
Aspergillus antibody
$XXX.XX
86609
Bacterium antibody
$XXX.XX
86611
Bartonella antibody
$XXX.XX
86612
Blastomyces antibody
$XXX.XX
86615
Bordetella antibody
$XXX.XX
86617
Lyme disease antibody
$XXX.XX
86618
Lyme disease antibody
$XXX.XX
86619
Borrelia antibody
$XXX.XX
86622
Brucella antibody
$XXX.XX
86625
Campylobacter antibody
$XXX.XX
86628
Candida antibody
$XXX.XX
86631
Chlamydia antibody
$XXX.XX
86632
Chlamydia igm antibody
$XXX.XX
86635
Coccidioides antibody
$XXX.XX
86638
Q fever antibody
$XXX.XX
86641
Cryptococcus antibody
$XXX.XX
86644
Cmv antibody
$XXX.XX
86645
Cmv antibody igm
$XXX.XX
86648
Diphtheria antibody
$XXX.XX
86651
Encephalitis californ antbdy
$XXX.XX
86652
Encephaltis east eqne anbdy
$XXX.XX
86653
Encephaltis st louis antbody
$XXX.XX
86654
Encephaltis west eqne antbdy
$XXX.XX
86658
Enterovirus antibody
$XXX.XX
86663
Epstein-barr antibody
$XXX.XX
86664
Epstein-barr nuclear antigen
$XXX.XX
86665
Epstein-barr capsid vca
$XXX.XX
86666
Ehrlichia antibody
$XXX.XX
86668
Francisella tularensis
$XXX.XX
86671
Fungus nes antibody
$XXX.XX
86674
Giardia lamblia antibody
$XXX.XX
86677
Helicobacter pylori antibody
$XXX.XX
86682
Helminth antibody
$XXX.XX
86684
Hemophilus influenza antibdy
$XXX.XX
86687
Htlv-i antibody
$XXX.XX
86688
Htlv-ii antibody
$XXX.XX
86689
Htlv/hiv confirmj antibody
$XXX.XX
86692
Hepatitis delta agent antbdy
$XXX.XX
86694
Herpes simplex nes antbdy
$XXX.XX
86695
Herpes simplex type 1 test
$XXX.XX
86696
Herpes simplex type 2 test
$XXX.XX
86698
Histoplasma antibody
$XXX.XX
86701
Hiv-1antibody
$XXX.XX
86702
Hiv-2 antibody
$XXX.XX
86703
Hiv-1/hiv-2 1 result antbdy
$XXX.XX
86704
Hep b core antibody total
$XXX.XX
86705
Hep b core antibody igm
$XXX.XX
86706
Hep b surface antibody
$XXX.XX
86707
Hepatitis be antibody
$XXX.XX
86708
Hepatitis a antibody
$XXX.XX
86709
Hepatitis a igm antibody
$XXX.XX
86710
Influenza virus antibody
$XXX.XX
86711
John cunningham antibody
$XXX.XX
86713
Legionella antibody
$XXX.XX
86717
Leishmania antibody
$XXX.XX
86720
Leptospira antibody
$XXX.XX
86723
Listeria monocytogenes
$XXX.XX
86727
Lymph choriomeningitis ab
$XXX.XX
86729
Lympho venereum antibody
$XXX.XX
86732
Mucormycosis antibody
$XXX.XX
86735
Mumps antibody
$XXX.XX
86738
Mycoplasma antibody
$XXX.XX
86741
Neisseria meningitidis
$XXX.XX
86744
Nocardia antibody
$XXX.XX
86747
Parvovirus antibody
$XXX.XX
86750
Malaria antibody
$XXX.XX
86753
Protozoa antibody nos
$XXX.XX
86756
Respiratory virus antibody
$XXX.XX
86757
Rickettsia antibody
$XXX.XX
86759
Rotavirus antibody
$XXX.XX
86762
Rubella antibody
$XXX.XX
86765
Rubeola antibody
$XXX.XX
86768
Salmonella antibody
$XXX.XX
86771
Shigella antibody
$XXX.XX
86774
Tetanus antibody
$XXX.XX
86777
Toxoplasma antibody
$XXX.XX
86778
Toxoplasma antibody igm
$XXX.XX
86780
Treponema pallidum
$XXX.XX
86784
Trichinella antibody
$XXX.XX
86787
Varicella-zoster antibody
$XXX.XX
86788
West nile virus ab igm
$XXX.XX
86789
West nile virus antibody
$XXX.XX
86790
Virus antibody nos
$XXX.XX
86793
Yersinia antibody
$XXX.XX
86800
Thyroglobulin antibody
$XXX.XX
86803
Hepatitis c ab test
$XXX.XX
86804
Hep c ab test confirm
$XXX.XX
86805
Lymphocytotoxicity assay
$XXX.XX
86806
Lymphocytotoxicity assay
$XXX.XX
86807
Cytotoxic antibody screening
$XXX.XX
86808
Cytotoxic antibody screening
$XXX.XX
86812
Hla typing a b or c
$XXX.XX
86813
Hla typing a b or c
$XXX.XX
86816
Hla typing dr/dq
$XXX.XX
86817
Hla typing dr/dq
$XXX.XX
86821
Lymphocyte culture mixed
$XXX.XX
86822
Lymphocyte culture primed
$XXX.XX
86825
Hla x-math non-cytotoxic
$XXX.XX
86826
Hla x-match noncytotoxc addl
$XXX.XX
86828
Hla class i&ii antibody qual
$XXX.XX
86829
Hla class i/ii antibody qual
$XXX.XX
86830
Hla class i phenotype qual
$XXX.XX
86831
Hla class ii phenotype qual
$XXX.XX
86832
Hla class i high defin qual
$XXX.XX
86833
Hla class ii high defin qual
$XXX.XX
86834
Hla class i semiquant panel
$XXX.XX
86835
Hla class ii semiquant panel
$XXX.XX
86850
Rbc antibody screen
$XXX.XX
86880
Coombs test direct
$XXX.XX
86885
Coombs test indirect qual
$XXX.XX
86886
Coombs test indirect titer
$XXX.XX
86900
Blood typing serologic abo
$XXX.XX
86901
Blood typing serologic rh(d)
$XXX.XX
86902
Blood type antigen donor ea
$XXX.XX
86904
Blood typing patient serum
$XXX.XX
86905
Blood typing rbc antigens
$XXX.XX
86906
Bld typing serologic rh phnt
$XXX.XX
86940
Hemolysins/agglutinins auto
$XXX.XX
86941
Hemolysins/agglutinins
$XXX.XX
87003
Small animal inoculation
$XXX.XX
87015
Specimen infect agnt concntj
$XXX.XX
87040
Blood culture for bacteria
$XXX.XX
87045
Feces culture aerobic bact
$XXX.XX
87046
Stool cultr aerobic bact ea
$XXX.XX
87070
Culture othr specimn aerobic
$XXX.XX
87071
Culture aerobic quant other
$XXX.XX
87073
Culture bacteria anaerobic
$XXX.XX
87075
Cultr bacteria except blood
$XXX.XX
87076
Culture anaerobe ident each
$XXX.XX
87077
Culture aerobic identify
$XXX.XX
87081
Culture screen only
$XXX.XX
87084
Culture of specimen by kit
$XXX.XX
87086
Urine culture/colony count
$XXX.XX
87088
Urine bacteria culture
$XXX.XX
87101
Skin fungi culture
$XXX.XX
87102
Fungus isolation culture
$XXX.XX
87103
Blood fungus culture
$XXX.XX
87106
Fungi identification yeast
$XXX.XX
87107
Fungi identification mold
$XXX.XX
87109
Mycoplasma
$XXX.XX
87110
Chlamydia culture
$XXX.XX
87116
Mycobacteria culture
$XXX.XX
87118
Mycobacteric identification
$XXX.XX
87140
Culture type immunofluoresc
$XXX.XX
87143
Culture typing glc/hplc
$XXX.XX
87147
Culture type immunologic
$XXX.XX
87149
Dna/rna direct probe
$XXX.XX
87150
Dna/rna amplified probe
$XXX.XX
87152
Culture type pulse field gel
$XXX.XX
87153
Dna/rna sequencing
$XXX.XX
87158
Culture typing added method
$XXX.XX
87164
Dark field examination
$XXX.XX
87166
Dark field examination
$XXX.XX
87168
Macroscopic exam arthropod
$XXX.XX
87169
Macroscopic exam parasite
$XXX.XX
87172
Pinworm exam
$XXX.XX
87176
Tissue homogenization cultr
$XXX.XX
87177
Ova and parasites smears
$XXX.XX
87181
Microbe susceptible diffuse
$XXX.XX
87184
Microbe susceptible disk
$XXX.XX
87185
Microbe susceptible enzyme
$XXX.XX
87186
Microbe susceptible mic
$XXX.XX
87187
Microbe susceptible mlc
$XXX.XX
87188
Microbe suscept macrobroth
$XXX.XX
87190
Microbe suscept mycobacteri
$XXX.XX
87197
Bactericidal level serum
$XXX.XX
87205
Smear gram stain
$XXX.XX
87206
Smear fluorescent/acid stai
$XXX.XX
87207
Smear special stain
$XXX.XX
87209
Smear complex stain
$XXX.XX
87210
Smear wet mount saline/ink
$XXX.XX
87220
Tissue exam for fungi
$XXX.XX
87230
Assay toxin or antitoxin
$XXX.XX
87250
Virus inoculate eggs/animal
$XXX.XX
87252
Virus inoculation tissue
$XXX.XX
87253
Virus inoculate tissue addl
$XXX.XX
87254
Virus inoculation shell via
$XXX.XX
87255
Genet virus isolate hsv
$XXX.XX
87260
Adenovirus ag if
$XXX.XX
87265
Pertussis ag if
$XXX.XX
87267
Enterovirus antibody dfa
$XXX.XX
87269
Giardia ag if
$XXX.XX
87270
Chlamydia trachomatis ag if
$XXX.XX
87271
Cytomegalovirus dfa
$XXX.XX
87272
Cryptosporidium ag if
$XXX.XX
87273
Herpes simplex 2 ag if
$XXX.XX
87274
Herpes simplex 1 ag if
$XXX.XX
87275
Influenza b ag if
$XXX.XX
87276
Influenza a ag if
$XXX.XX
87277
Legionella micdadei ag if
$XXX.XX
87278
Legion pneumophilia ag if
$XXX.XX
87279
Parainfluenza ag if
$XXX.XX
87280
Respiratory syncytial ag if
$XXX.XX
87281
Pneumocystis carinii ag if
$XXX.XX
87283
Rubeola ag if
$XXX.XX
87285
Treponema pallidum ag if
$XXX.XX
87290
Varicella zoster ag if
$XXX.XX
87299
Antibody detection nos if
$XXX.XX
87300
Ag detection polyval if
$XXX.XX
87301
Adenovirus ag ia
$XXX.XX
87305
Aspergillus ag ia
$XXX.XX
87320
Chylmd trach ag ia
$XXX.XX
87324
Clostridium ag ia
$XXX.XX
87327
Cryptococcus neoform ag ia
$XXX.XX
87328
Cryptosporidium ag ia
$XXX.XX
87329
Giardia ag ia
$XXX.XX
87332
Cytomegalovirus ag ia
$XXX.XX
87335
E coli 0157 ag ia
$XXX.XX
87336
Entamoeb hist dispr ag ia
$XXX.XX
87337
Entamoeb hist group ag ia
$XXX.XX
87338
Hpylori stool ia
$XXX.XX
87339
H pylori ag ia
$XXX.XX
87340
Hepatitis b surface ag ia
$XXX.XX
87341
Hepatitis b surface ag ia
$XXX.XX
87350
Hepatitis be ag ia
$XXX.XX
87380
Hepatitis delta ag ia
$XXX.XX
87385
Histoplasma capsul ag ia
$XXX.XX
87389
Hiv-1 ag w/hiv-1 & hiv-2 ab
$XXX.XX
87390
Hiv-1 ag ia
$XXX.XX
87391
Hiv-2 ag ia
$XXX.XX
87400
Influenza a/b ag ia
$XXX.XX
87420
Resp syncytial ag ia
$XXX.XX
87425
Rotavirus ag ia
$XXX.XX
87427
Shiga-like toxin ag ia
$XXX.XX
87430
Strep a ag ia
$XXX.XX
87449
Ag detect nos ia mult
$XXX.XX
87450
Ag detect nos ia single
$XXX.XX
87451
Ag detect polyval ia mult
$XXX.XX
87470
Bartonella dna dir probe
$XXX.XX
87471
Bartonella dna amp probe
$XXX.XX
87472
Bartonella dna quant
$XXX.XX
87475
Lyme dis dna dir probe
$XXX.XX
87476
Lyme dis dna amp probe
$XXX.XX
87477
Lyme dis dna quant
$XXX.XX
87480
Candida dna dir probe
$XXX.XX
87481
Candida dna amp probe
$XXX.XX
87482
Candida dna quant
$XXX.XX
87483
New for 2017
Cns dna amp probe type 12-25
$XXX.XX
87485
Chylmd pneum dna dir probe
$XXX.XX
87486
Chylmd pneum dna amp probe
$XXX.XX
87487
Chylmd pneum dna quant
$XXX.XX
87490
Chylmd trach dna dir probe
$XXX.XX
87491
Chylmd trach dna amp probe
$XXX.XX
87492
Chylmd trach dna quant
$XXX.XX
87493
C diff amplified probe
$XXX.XX
87495
Cytomeg dna dir probe
$XXX.XX
87496
Cytomeg dna amp probe
$XXX.XX
87497
Cytomeg dna quant
$XXX.XX
87498
Enterovirus probe&revrs trns
$XXX.XX
87500
Vanomycin dna amp probe
$XXX.XX
87501
Influenza dna amp prob 1+
$XXX.XX
87502
Influenza dna amp probe
$XXX.XX
87503
Influenza dna amp prob addl
$XXX.XX
87505
Nfct agent detection gi
$XXX.XX
87506
Iadna-dna/rna probe tq 6-11
$XXX.XX
87507
Iadna-dna/rna probe tq 12-25
$XXX.XX
87510
Gardner vag dna dir probe
$XXX.XX
87511
Gardner vag dna amp probe
$XXX.XX
87512
Gardner vag dna quant
$XXX.XX
87515
Hepatitis b dna dir probe
$XXX.XX
87516
Hepatitis b dna amp probe
$XXX.XX
87517
Hepatitis b dna quant
$XXX.XX
87520
Hepatitis c rna dir probe
$XXX.XX
87521
Hepatitis c probe&rvrs trnsc
$XXX.XX
87522
Hepatitis c revrs trnscrpj
$XXX.XX
87525
Hepatitis g dna dir probe
$XXX.XX
87526
Hepatitis g dna amp probe
$XXX.XX
87527
Hepatitis g dna quant
$XXX.XX
87528
Hsv dna dir probe
$XXX.XX
87529
Hsv dna amp probe
$XXX.XX
87530
Hsv dna quant
$XXX.XX
87531
Hhv-6 dna dir probe
$XXX.XX
87532
Hhv-6 dna amp probe
$XXX.XX
87533
Hhv-6 dna quant
$XXX.XX
87534
Hiv-1 dna dir probe
$XXX.XX
87535
Hiv-1 probe&reverse trnscrpj
$XXX.XX
87536
Hiv-1 quant&revrse trnscrpj
$XXX.XX
87537
Hiv-2 dna dir probe
$XXX.XX
87538
Hiv-2 probe&revrse trnscripj
$XXX.XX
87539
Hiv-2 quant&revrse trnscripj
$XXX.XX
87540
Legion pneumo dna dir prob
$XXX.XX
87541
Legion pneumo dna amp prob
$XXX.XX
87542
Legion pneumo dna quant
$XXX.XX
87550
Mycobacteria dna dir probe
$XXX.XX
87551
Mycobacteria dna amp probe
$XXX.XX
87552
Mycobacteria dna quant
$XXX.XX
87555
M.tuberculo dna dir probe
$XXX.XX
87556
M.tuberculo dna amp probe
$XXX.XX
87557
M.tuberculo dna quant
$XXX.XX
87560
M.avium-intra dna dir prob
$XXX.XX
87561
M.avium-intra dna amp prob
$XXX.XX
87562
M.avium-intra dna quant
$XXX.XX
87580
M.pneumon dna dir probe
$XXX.XX
87581
M.pneumon dna amp probe
$XXX.XX
87582
M.pneumon dna quant
$XXX.XX
87590
N.gonorrhoeae dna dir prob
$XXX.XX
87591
N.gonorrhoeae dna amp prob
$XXX.XX
87592
N.gonorrhoeae dna quant
$XXX.XX
87623
Hpv low-risk types
$XXX.XX
87624
Hpv high-risk types
$XXX.XX
87625
Hpv types 16 & 18 only
$XXX.XX
87631
Resp virus 3-5 targets
$XXX.XX
87632
Resp virus 6-11 targets
$XXX.XX
87633
Resp virus 12-25 targets
$XXX.XX
87640
Staph a dna amp probe
$XXX.XX
87641
Mr-staph dna amp probe
$XXX.XX
87650
Strep a dna dir probe
$XXX.XX
87651
Strep a dna amp probe
$XXX.XX
87652
Strep a dna quant
$XXX.XX
87653
Strep b dna amp probe
$XXX.XX
87660
Trichomonas vagin dir probe
$XXX.XX
87661
Trichomonas vaginalis amplif
$XXX.XX
87797
Detect agent nos dna dir
$XXX.XX
87798
Detect agent nos dna amp
$XXX.XX
87799
Detect agent nos dna quant
$XXX.XX
87800
Detect agnt mult dna direc
$XXX.XX
87801
Detect agnt mult dna ampli
$XXX.XX
87802
Strep b assay w/optic
$XXX.XX
87803
Clostridium toxin a w/optic
$XXX.XX
87804
Influenza assay w/optic
$XXX.XX
87806
Hiv antigen w/hiv antibodies
$XXX.XX
87807
Rsv assay w/optic
$XXX.XX
87808
Trichomonas assay w/optic
$XXX.XX
87809
Adenovirus assay w/optic
$XXX.XX
87810
Chylmd trach assay w/optic
$XXX.XX
87850
N. gonorrhoeae assay w/optic
$XXX.XX
87880
Strep a assay w/optic
$XXX.XX
87899
Agent nos assay w/optic
$XXX.XX
87900
Phenotype infect agent drug
$XXX.XX
87901
Genotype dna hiv reverse t
$XXX.XX
87902
Genotype dna/rna hep c
$XXX.XX
87903
Phenotype dna hiv w/culture
$XXX.XX
87904
Phenotype dna hiv w/clt add
$XXX.XX
87905
Sialidase enzyme assay
$XXX.XX
87906
Genotype dna/rna hiv
$XXX.XX
87910
Genotype cytomegalovirus
$XXX.XX
87912
Genotype dna hepatitis b
$XXX.XX
88130
Sex chromatin identification
$XXX.XX
88140
Sex chromatin identification
$XXX.XX
88142
Cytopath c/v thin layer
$XXX.XX
88143
Cytopath c/v thin layer redo
$XXX.XX
88147
Cytopath c/v automated
$XXX.XX
88148
Cytopath c/v auto rescreen
$XXX.XX
88150
Cytopath c/v manual
$XXX.XX
88152
Cytopath c/v auto redo
$XXX.XX
88153
Cytopath c/v redo
$XXX.XX
88154
Cytopath c/v select
$XXX.XX
88155
Cytopath c/v index add-on
$XXX.XX
88164
Cytopath tbs c/v manual
$XXX.XX
88165
Cytopath tbs c/v redo
$XXX.XX
88166
Cytopath tbs c/v auto redo
$XXX.XX
88167
Cytopath tbs c/v select
$XXX.XX
88174
Cytopath c/v auto in fluid
$XXX.XX
88175
Cytopath c/v auto fluid redo
$XXX.XX
88230
Tissue culture lymphocyte
$XXX.XX
88233
Tissue culture skin/biopsy
$XXX.XX
88235
Tissue culture placenta
$XXX.XX
88237
Tissue culture bone marrow
$XXX.XX
88239
Tissue culture tumor
$XXX.XX
88240
Cell cryopreserve/storage
$XXX.XX
88241
Frozen cell preparation
$XXX.XX
88245
Chromosome analysis 20-25
$XXX.XX
88248
Chromosome analysis 50-100
$XXX.XX
88249
Chromosome analysis 100
$XXX.XX
88261
Chromosome analysis 5
$XXX.XX
88262
Chromosome analysis 15-20
$XXX.XX
88263
Chromosome analysis 45
$XXX.XX
88264
Chromosome analysis 20-25
$XXX.XX
88267
Chromosome analys placenta
$XXX.XX
88269
Chromosome analys amniotic
$XXX.XX
88271
Cytogenetics dna probe
$XXX.XX
88272
Cytogenetics 3-5
$XXX.XX
88273
Cytogenetics 10-30
$XXX.XX
88274
Cytogenetics 25-99
$XXX.XX
88275
Cytogenetics 100-300
$XXX.XX
88280
Chromosome karyotype study
$XXX.XX
88283
Chromosome banding study
$XXX.XX
88285
Chromosome count additional
$XXX.XX
88289
Chromosome study additional
$XXX.XX
88371
Protein western blot tissue
$XXX.XX
88372
Protein analysis w/probe
$XXX.XX
88720
Bilirubin total transcut
$XXX.XX
88738
Hgb quant transcutaneous
$XXX.XX
88740
Transcutaneous carboxyhb
$XXX.XX
88741
Transcutaneous methb
$XXX.XX
89050
Body fluid cell count
$XXX.XX
89051
Body fluid cell count
$XXX.XX
89055
Leukocyte assessment fecal
$XXX.XX
89060
Exam synovial fluid crystals
$XXX.XX
89125
Specimen fat stain
$XXX.XX
89160
Exam feces for meat fibers
$XXX.XX
89190
Nasal smear for eosinophils
$XXX.XX
89300
Semen analysis w/huhner
$XXX.XX
89310
Semen analysis w/count
$XXX.XX
89320
Semen anal vol/count/mot
$XXX.XX
89321
Semen anal sperm detection
$XXX.XX
89322
Semen anal strict criteria
$XXX.XX
89325
Sperm antibody test
$XXX.XX
89329
Sperm evaluation test
$XXX.XX
89330
Evaluation cervical mucus
$XXX.XX
89331
Retrograde ejaculation anal
$XXX.XX
G0027
Semen analysis
$XXX.XX
G0103
Psa screening
$XXX.XX
G0123
Screen cerv/vag thin layer
$XXX.XX
G0143
Scr c/v cyto,thinlayer,rescr
$XXX.XX
G0144
Scr c/v cyto,thinlayer,rescr
$XXX.XX
G0145
Scr c/v cyto,thinlayer,rescr
$XXX.XX
G0147
Scr c/v cyto, automated sys
$XXX.XX
G0148
Scr c/v cyto, autosys, rescr
$XXX.XX
G0306
Cbc/diffwbc w/o platelet
$XXX.XX
G0307
Cbc without platelet
$XXX.XX
G0328
Fecal blood scrn immunoassay
$XXX.XX
G0432
Eia hiv-1/hiv-2 screen
$XXX.XX
G0433
Elisa hiv-1/hiv-2 screen
$XXX.XX
G0435
Oral hiv-1/hiv-2 screen
$XXX.XX
G0471
Ven blood coll snf/hha
$XXX.XX
G0472
Hep c screen high risk/other
$XXX.XX
G0475
New for 2017
Hiv combination assay
$XXX.XX
G0476
New for 2017
Hpv combo assay ca screen
$XXX.XX
G0480
Drug test def 1-7 classes
$XXX.XX
G0481
Drug test def 8-14 classes
$XXX.XX
G0482
Drug test def 15-21 classes
$XXX.XX
G0483
Drug test def 22+ classes
$XXX.XX
G0659
New for 2017
Drug test def simple all cl
$XXX.XX
G9143
Warfarin respon genetic test
$XXX.XX
P2038
Blood mucoprotein
$XXX.XX
P3000
Screen pap by tech w md supv
$XXX.XX
P9612
Catheterize for urine spec
$XXX.XX
P9615
Urine specimen collect mult
$XXX.XX
Q0111
Wet mounts/ w preparations
$XXX.XX
Q0112
Potassium hydroxide preps
$XXX.XX
Q0113
Pinworm examinations
$XXX.XX
Q0114
Fern test
$XXX.XX
Q0115
Post-coital mucous exam
$XXX.XX



CodeMap® is a Registered Trademark of Wheaton Partners, LLC.