Medical Procedure Costs

84597

Vitamin K level

Pathology/Laboratory

$14

—

84600

Volatile chemical measurement

Pathology/Laboratory

$17

—

84620

Xylose (carbohydrate) absorption test of blood and/or urine

Pathology/Laboratory

$13

—

84630

Zinc level

Pathology/Laboratory

$11

—

84635057004

SPINOSAD 0.9% TOPICAL SUSP

Prescription Drug - Generic

$2

—

84635092904

NATROBA 0.9% TOPICAL SUSP

Prescription Drug - Brand

$2

—

84681

C-peptide (protein) level

Pathology/Laboratory

$21

—

84702

Gonadotropin, chorionic (reproductive hormone) level

Pathology/Laboratory

$15

—

84703

Gonadotropin (reproductive hormone) analysis

Pathology/Laboratory

$8

—

84704

Gonadotropin, chorionic (reproductive hormone) measurement

Pathology/Laboratory

$15

—

84830

Ovulation tests

Pathology/Laboratory

$13

—

85002

Bleeding time

Pathology/Laboratory

$5

—

85004

White blood cell count

Pathology/Laboratory

$6

—

85007

Microscopic examination for white blood cells with manual cell count

Pathology/Laboratory

$4

—

85008

Microscopic examination for white blood cells

Pathology/Laboratory

$3

—

85009

Manual white blood cell count and evaluation

Pathology/Laboratory

$5

—

85013

Red blood cell hemoglobin concentration

Pathology/Laboratory

$7

—

85014

Red blood cell concentration measurement

Pathology/Laboratory

$2

—

85018

Blood count, hemoglobin

Pathology/Laboratory

$2

—

85025

Complete blood cell count (red cells, white blood cell, platelets), automated

Pathology/Laboratory

$8

—

85027

Complete blood cell count (red cells, white blood cell, platelets), automated

Pathology/Laboratory

$6

—

85032

Manual blood cell count

Pathology/Laboratory

$4

—

85041

Red blood cell count, automated test

Pathology/Laboratory

$3

—

85044

Red blood count, manual test

Pathology/Laboratory

$4

—

85045

Red blood count, automated test

Pathology/Laboratory

$4

—

85046

Red blood count automated, with additional calculations

Pathology/Laboratory

$6

—

85048

Automated white blood cell count

Pathology/Laboratory

$3

—

85049

Platelet count, automated test

Pathology/Laboratory

$4

—

85055

Reticulated (young) platelet measurement

Pathology/Laboratory

$36

—

85060

Blood smear interpretation

Pathology/Laboratory

$19

—

85097

Bone marrow interpretation

Pathology/Laboratory

$39

—

85130

Assessment of blood clotting function

Pathology/Laboratory

$12

—

85170

Blood clot evaluation, (retraction time)

Pathology/Laboratory

$16

—

85175

Blood clot evaluation, (clot dissolving time)

Pathology/Laboratory

$20

—

85210

Clotting factor II prothrombin, measurement

Pathology/Laboratory

$13

—

85220

Clotting factor V (AcG or proaccelerin) measurement

Pathology/Laboratory

$18

—

85230

Clotting factor VII (proconvertin, stable factor)

Pathology/Laboratory

$18

—

85240

Clotting factor VIII (AHG) measurement

Pathology/Laboratory

$18

—

85244

Clotting factor VIII related antigen measurement

Pathology/Laboratory

$20

—

85245

Clotting factor VIII (VW factor) measurement

Pathology/Laboratory

$23

—

85246

Clotting factor VIII (VW factor) antigen

Pathology/Laboratory

$23

—

85247

Clotting factor VIII (von Willebrand factor) measurement

Pathology/Laboratory

$23

—

85250

Clotting factor IX (PTC or Christmas) measurement

Pathology/Laboratory

$19

—

85260

Clotting factor X (Stuart-Prower) measurement

Pathology/Laboratory

$18

—

85270

Clotting factor XI (PTA) measurement

Pathology/Laboratory

$18

—

85280

Clotting factor XII (Hageman) measurement

Pathology/Laboratory

$19

—

85290

Clotting factor XIII (fibrin stabilizing) measurement

Pathology/Laboratory

$16

—

85291

Clotting factor XIII (fibrin stabilizing) screening test

Pathology/Laboratory

$9

—

85292

Fletcher factor (clotting factor) measurement

Pathology/Laboratory

$19

—

85293

Fitzgerald factor (clotting factor) measurement

Pathology/Laboratory

$19

—

My Cost List