Medical Procedure Costs

87073

Bacterial culture and colony count for anaerobic bacteria

Pathology/Laboratory

$10

—

87075

Bacterial culture, any source, except blood, anaerobic

Pathology/Laboratory

$9

—

87076

Bacterial culture for anaerobic isolates

Pathology/Laboratory

$8

—

87077

Bacterial culture for aerobic isolates

Pathology/Laboratory

$8

—

87081

Screening test for pathogenic organisms

Pathology/Laboratory

$7

—

87084

Screening test for pathogenic organisms with colony count

Pathology/Laboratory

$27

—

87086

Bacterial colony count, urine

Pathology/Laboratory

$8

—

87088

Bacterial urine culture

Pathology/Laboratory

$8

—

87101

Fungal culture (mold or yeast) of skin, hair, or nail

Pathology/Laboratory

$8

—

87102

Fungal culture (mold or yeast)

Pathology/Laboratory

$8

—

87103

Fungal blood culture (mold or yeast)

Pathology/Laboratory

$20

—

87106

Fungal culture, yeast

Pathology/Laboratory

$10

—

87107

Culture for identification of yeast

Pathology/Laboratory

$10

—

87109

Mycoplasma culture

Pathology/Laboratory

$15

—

87110

Culture for chlamydia

Pathology/Laboratory

$20

—

87116

Culture for acid-fast bacilli

Pathology/Laboratory

$11

—

87118

Identification of mycobacteria (TB or TB like organism)

Pathology/Laboratory

$15

—

87127080160

CHLORZOXAZONE 250 MG TABLET

Prescription Drug - Generic

$3

—

87127080260

DICLOFENAC POT 25 MG TABLET

Prescription Drug - Generic

$4

—

87140

Identification of organisms by immunologic analysis, immunofluorescent method

Pathology/Laboratory

$6

—

87143

Identification of organism using chromatography

Pathology/Laboratory

$13

—

87147

Identification of organisms by immunologic analysis, other than

Pathology/Laboratory

$5

—

87149

Identification of organisms by genetic analysis, direct probe technique

Pathology/Laboratory

$20

—

87150

Identification of organisms by genetic analysis, amplified probe technique

Pathology/Laboratory

$35

—

87152

Identification of organism by pulse field gel typing

Pathology/Laboratory

$8

—

87153

Identification of organisms by nucleic acid sequencing method

Pathology/Laboratory

$115

—

87154

Amplifed nucleic acid probe typing of disease agent in blood culture specimen

Pathology/Laboratory

$218

—

87158

Microbial identification

Pathology/Laboratory

$8

—

87164

Dark field microscopic examination for organism, includes specimen collection

Pathology/Laboratory

$11

—

87166

Dark field microscopic examination for organism, without collection

Pathology/Laboratory

$11

—

87168

Macroscopic examination (visual inspection) of insect

Pathology/Laboratory

$4

—

87169

Macroscopic examination (visual inspection) of parasite

Pathology/Laboratory

$4

—

87172

Pinworm test

Pathology/Laboratory

$4

—

87176

Tissue preparation for culture

Pathology/Laboratory

$6

—

87177

Smear for parasites

Pathology/Laboratory

$9

—

87181

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar

Pathology/Laboratory

$5

—

87183

Susceptibility studies by amplified probe technique to detect antibiotic

Pathology/Laboratory

$35

—

87184

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)

Pathology/Laboratory

$7

—

87185

Detection of antimicrobial drug (antibiotic, antifungal, antiviral)

Pathology/Laboratory

$5

—

87186

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral),

Pathology/Laboratory

$9

—

87187

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral),

Pathology/Laboratory

$40

—

87188

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral),

Pathology/Laboratory

$7

—

87190

Antimicrobial study, mycobacteria (TB organism family)

Pathology/Laboratory

$7

—

87197

Evaluation of antibiotic therapy

Pathology/Laboratory

$15

—

87205

Special Gram or Giemsa stain for microorganism

Pathology/Laboratory

$4

—

87206

Special fluorescent and/or acid fast stain for microorganism

Pathology/Laboratory

$5

—

87207

Special stain for inclusion bodies or parasites

Pathology/Laboratory

$6

—

87209

Special stain for parasites

Pathology/Laboratory

$18

—

87210

Smear for infectious agents

Pathology/Laboratory

$6

—

87220

Tissue fungi or parasites

Pathology/Laboratory

$4

—

My Cost List