Medical Procedure Costs

87230

Microbial toxin or antitoxin assay

Pathology/Laboratory

$20

—

87250

Inoculation of embryonated eggs, or small animal for virus isolation

Pathology/Laboratory

$20

—

87252

Tissue culture inoculation for virus isolation

Pathology/Laboratory

$26

—

87253

Tissue culture for virus isolation

Pathology/Laboratory

$20

—

87254

Virus isolation, centrifuge enhanced

Pathology/Laboratory

$20

—

87255

Virus isolation

Pathology/Laboratory

$34

—

87260

Detection test for adenovirus (virus)

Pathology/Laboratory

$14

—

87265

Detection test for bordetella pertussis or parapertussis (respiratory bacteria)

Pathology/Laboratory

$12

—

87267

Detection test for enterovirus (intestinal virus), direct fluorescent antibody

Pathology/Laboratory

$13

—

87269

Detection test by immunofluorescent technique for giardia (intestinal parasite)

Pathology/Laboratory

$14

—

87270

Detection test by immunofluorescent technique for chlamydia

Pathology/Laboratory

$12

—

87271

Detection test by immunofluorescent technique for cytomegalovirus (CMV)

Pathology/Laboratory

$13

—

87272

Detection test by immunofluorescent technique for cryptosporidium (parasite)

Pathology/Laboratory

$12

—

87273

Detection test by immunofluorescent technique for herpes simplex virus type 2

Pathology/Laboratory

$12

—

87274

Detection test by immunofluorescent technique for herpes simplex virus type 1

Pathology/Laboratory

$12

—

87275

Detection test by immunofluorescent technique for influenza B virus

Pathology/Laboratory

$12

—

87276

Detection test by immunofluorescent technique for influenza A virus

Pathology/Laboratory

$16

—

87278

Detection test by immunofluorescent technique for legionella pneumophila (water

Pathology/Laboratory

$16

—

87279

Detection test by immunofluorescent technique for parainfluenza virus

Pathology/Laboratory

$16

—

87280

Detection test by immunofluorescent technique for respiratory syncytial virus

Pathology/Laboratory

$13

—

87281

Detection test by immunofluorescent technique for pneumocystis carinii

Pathology/Laboratory

$12

—

87283

Detection test by immunofluorescent technique for rubeola (measles virus)

Pathology/Laboratory

$61

—

87285

Detection test by immunofluorescent technique for treponema pallidum (syphilis

Pathology/Laboratory

$12

—

87290

Detection test by immunofluorescent technique for varicella (chicken pox)

Pathology/Laboratory

$13

—

87299

Detection test by immunofluorescent technique for organism

Pathology/Laboratory

$16

—

87300

Detection test by immunofluorescent technique for multiple organisms

Pathology/Laboratory

$12

—

87301

Detection test by immunoassay technique for adenovirus enteric types 40/41

Pathology/Laboratory

$12

—

87305

Detection test by immunoassay technique for aspergillus (fungus)

Pathology/Laboratory

$12

—

87320

Detection test by immunoassay technique for Chlamydia trachomatis

Pathology/Laboratory

$15

—

87324

Detection test by immunoassay technique for clostridium difficile toxins (stool

Pathology/Laboratory

$12

—

87327

Detection test by immunoassay technique, multistep method, for Cryptococcus

Pathology/Laboratory

$13

—

87328

Detection test by immunoassay technique for cryptosporidium (parasite)

Pathology/Laboratory

$14

—

87329

Detection test by immunoassay technique for giardia (intestinal parasite)

Pathology/Laboratory

$12

—

87332

Detection test by immunoassay technique for cytomegalovirus

Pathology/Laboratory

$12

—

87335

Detection test by immunoassay technique for Escherichia coli 0157 (E. coli)

Pathology/Laboratory

$13

—

87336

Detection test by immunoassay technique for entamoeba histolytica dispar group

Pathology/Laboratory

$16

—

87337

Detection test by immunoassay technique for entamoeba histolytica group

Pathology/Laboratory

$12

—

87338

Detection test by immunoassay technique for Helicobacter pylori (GI tract

Pathology/Laboratory

$14

—

87339

Detection test by immunoassay technique for helicobacter pylori (GI tract

Pathology/Laboratory

$16

—

87340

Detection test by immunoassay technique for Hepatitis B surface antigen

Pathology/Laboratory

$10

—

87341

Detection test by immunoassay technique for Hepatitis B surface antigen

Pathology/Laboratory

$10

—

87350

Detection test by immunoassay technique for Hepatitis Be surface antigen

Pathology/Laboratory

$12

—

87380

Detection test by immunoassay technique for Hepatitis D

Pathology/Laboratory

$18

—

87385

Detection test by immunoassay technique for histoplasma capsulatum (parasite)

Pathology/Laboratory

$13

—

87389

Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2

Pathology/Laboratory

$24

—

87390

Detection test by immunoassay technique for HIV-1 antigen

Pathology/Laboratory

$24

—

87391

Detection test by immunoassay technique for HIV-2 antigen

Pathology/Laboratory

$22

—

87400

Detection test by immunoassay technique for influenza virus

Pathology/Laboratory

$14

—

87420

Detection test by immunoassay technique for respiratory syncytial virus (RSV)

Pathology/Laboratory

$14

—

87425

Detection test by immunoassay technique for Rotavirus

Pathology/Laboratory

$12

—

My Cost List