Acetaminophen |
80143 |
3298-7
More
|
Acetaminophen |
CCI
MUE
|
$ 18.64
|
Alanine Aminotransferase/ Aspartate Aminotransferase |
84460 |
1742-6
|
Transferase; alanine amino (ALT) (SGPT) |
CCI
MUE
|
$ 5.30
|
Albumin |
82040 |
1751-7
More
|
Albumin; serum, plasma or whole blood |
CCI
MUE
|
$ 4.95
|
Albumin/Total Protein |
84155 |
35706-1
|
Protein, total, except by refractometry; serum, plasma or whole blood |
CCI
MUE
|
$ 3.67
|
Alcohol |
82077 |
5643-2
More
|
Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) |
CCI
MUE
|
$ 17.27
|
Alkaline Phosphatase |
84075 |
6768-6
|
Phosphatase, alkaline; |
CCI
MUE
|
$ 5.18
|
ALT |
84460 |
1742-6
|
Transferase; alanine amino (ALT) (SGPT) |
CCI
MUE
|
$ 5.30
|
ALTV |
84460 |
1742-6
|
Transferase; alanine amino (ALT) (SGPT) |
CCI
MUE
|
$ 5.30
|
Ammonia |
82140 |
22763-7
More
|
Ammonia |
CCI
MUE
|
$ 14.57
|
Amylase |
82150 |
1798-8
More
|
Amylase |
CCI
MUE
|
$ 6.48
|
AST |
84450 |
1920-8
|
Transferase; aspartate amino (AST) (SGOT) |
CCI
MUE
|
$ 5.18
|
Basic Metabolic Panel |
80048 |
51990-0
|
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) |
CCI
MUE
|
$ 8.46
|
BuBc |
82248 |
33898-8
|
Bilirubin; direct |
CCI
MUE
|
$ 5.02
|
BUN/Urea |
84520 |
3094-0
More
|
Urea nitrogen; quantitative |
CCI
MUE
|
$ 3.95
|
Calcium |
82310 |
17861-6
More
|
Calcium; total |
CCI
MUE
|
$ 5.16 |
82331 |
17861-6
More
|
Calcium; after calcium infusion test |
CCI
MUE
|
$ 13.34 |
82340 |
17861-6
More
|
Calcium; urine quantitative, timed specimen |
CCI
MUE
|
$ 6.03 |
Carbamazepine |
80156 |
3432-2
More
|
Carbamazepine; total |
CCI
MUE
|
$ 14.57
|
Carbon Dioxide |
82374 |
2024-8
More
|
Carbon dioxide (bicarbonate) |
CCI
MUE
|
$ 4.88
|
Chloride |
82435 |
2075-0
More
|
Chloride; blood |
CCI
MUE
|
$ 4.60 |
82436 |
2075-0
More
|
Chloride; urine |
CCI
MUE
|
$ 5.75 |
Cholesterol |
82465 |
2093-3
More
|
Cholesterol, serum or whole blood, total |
CCI
MUE
NCD
|
$ 4.35
|
Cholinesterase |
82480 |
2098-2
|
Cholinesterase; serum |
CCI
MUE
|
$ 7.87
|
CK |
82550 |
2157-6
|
Creatine kinase (CK), (CPK); total |
CCI
MUE
|
$ 6.51
|
CK-MB |
82553 |
49551-5
|
Creatine kinase (CK), (CPK); MB fraction only |
CCI
MUE
|
$ 11.55
|
Comprehensive Metabolic Panel |
80053 |
24323-8
|
Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520) |
CCI
MUE
|
$ 10.56
|
Comprehensive Metabolic Panel |
80053 |
24323-8
|
Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520) |
CCI
MUE
|
$ 10.56
|
Creatinine |
82565 |
2160-0
More
|
Creatinine; blood |
CCI
MUE
|
$ 5.12 |
82570 |
2160-0
More
|
Creatinine; other source |
CCI
MUE
|
$ 5.18 |
CRP |
86140 |
1988-5
|
C-reactive protein; |
CCI
MUE
|
$ 5.18
|
Digoxin |
80162 |
10535-3
More
|
Digoxin; total |
CCI
MUE
NCD
|
$ 13.28
|
Direct HDL |
83718 |
9322-9
More
|
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) |
CCI
MUE
NCD
|
$ 8.19
|
Electrolytes Panel |
80051 |
55231-5
|
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) |
CCI
MUE
|
$ 7.01
|
GGT |
82977 |
2324-2
|
Glutamyltransferase, gamma (GGT) |
CCI
MUE
NCD
|
$ 7.20
|
Glucose |
82947 |
2345-7
More
|
Glucose; quantitative, blood (except reagent strip) |
CCI
MUE
NCD
|
$ 3.93
|
Glucose (csf) |
82945 |
2342-4
More
|
Glucose, body fluid, other than blood |
CCI
MUE
|
$ 3.93
|
Glucose/Calcium |
80048 |
24320-4
|
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) |
CCI
MUE
|
$ 8.46
|
Hepatic Function Panel |
80076 |
24325-3
|
Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) |
CCI
MUE
|
$ 8.17
|
Iron |
83540 |
2498-4
More
|
Iron |
CCI
MUE
NCD
|
$ 6.47
|
Lactate |
83605 |
14118-4
|
Lactate (lactic acid) |
CCI
MUE
|
$ 11.57
|
LDHi |
83615 |
14804-9
|
Lactate dehydrogenase (LD), (LDH); |
CCI
MUE
|
$ 6.04
|
Lipase |
83690 |
3040-3
|
Lipase |
CCI
MUE
|
$ 6.89
|
Lipid Panel |
80061 |
100898-6
|
Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) |
CCI
MUE
NCD
|
$ 13.39
|
Lithium |
80178 |
14334-7
|
Lithium |
CCI
MUE
|
$ 6.61
|
Magnesium |
83735 |
19123-9
More
|
Magnesium |
CCI
MUE
|
$ 6.70
|
Phenobarbital |
80184 |
3948-7
|
Phenobarbital |
CCI
MUE
|
$ 15.30
|
Phenytoin |
80185 |
3968-5
More
|
Phenytoin; total |
CCI
MUE
|
$ 13.25
|
Phosphorus |
84100 |
2777-1
More
|
Phosphorus inorganic (phosphate); |
CCI
MUE
|
$ 4.74 |
84105 |
2777-1
More
|
Phosphorus inorganic (phosphate); urine |
CCI
MUE
|
$ 5.78 |
Potassium |
84132 |
2823-3
More
|
Potassium; serum, plasma or whole blood |
CCI
MUE
|
$ 4.76 |
84133 |
2823-3
More
|
Potassium; urine |
CCI
MUE
|
$ 4.73 |
Renal Function Panel |
80069 |
24362-6
|
Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) |
CCI
MUE
|
$ 8.68
|
Salicylate |
80179 |
4024-6
More
|
Salicylate |
CCI
MUE
|
$ 18.64
|
Sodium |
84295 |
2951-2
More
|
Sodium; serum, plasma or whole blood |
CCI
MUE
|
$ 4.81 |
84300 |
2951-2
More
|
Sodium; urine |
CCI
MUE
|
$ 5.06 |
Theophylline |
80198 |
4049-3
More
|
Theophylline |
CCI
MUE
|
$ 14.14
|
TIBC |
83550 |
2500-7
More
|
Iron binding capacity |
CCI
MUE
NCD
|
$ 8.74
|
Total Bilirubin |
82247 |
1975-2
More
|
Bilirubin; total |
CCI
MUE
|
$ 5.02
|
Total Bilirubin/Alkaline Phosphatase |
82247 |
|
Bilirubin; total |
CCI
MUE
|
$ 5.02 |
84075 |
|
Phosphatase, alkaline; |
CCI
MUE
|
$ 5.18 |
Total Protein |
84155 |
2885-2
|
Protein, total, except by refractometry; serum, plasma or whole blood |
CCI
MUE
|
$ 3.67
|
Total Protein (csf) |
84157 |
2880-3
|
Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) |
CCI
MUE
|
$ 4.00
|
Triglyceride/Cholesterol |
80061 |
100898-6
|
Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) |
CCI
MUE
NCD
|
$ 13.39
|
Triglycerides |
84478 |
2571-8
More
|
Triglycerides |
CCI
MUE
NCD
|
$ 5.74
|
Urea/Creatinine |
84520 |
56997-0 |
Urea nitrogen; quantitative |
CCI
MUE
|
$ 3.95 |
82540 |
56997-0 |
Creatine |
CCI
MUE
|
$ 4.64 |
Uric Acid |
84550 |
3084-1
More
|
Uric acid; blood |
CCI
MUE
|
$ 4.52 |
84560 |
3084-1
More
|
Uric acid; other source |
CCI
MUE
|
$ 5.08 |
Urine Protein |
84156 |
2888-6
|
Protein, total, except by refractometry; urine |
CCI
MUE
|
$ 3.67
|