Medical Procedure Costs

0163U

Screening test for 3 protein biomarkers of colorectal cancer in serum or plasma

Pathology/Laboratory

$391

—

0164U

Test for detection of antibodies associated with irritable bowel syndrome in

Pathology/Laboratory

$112

—

0165U

Test for detection of antigens associated with peanut allergy in blood

Pathology/Laboratory

$464

—

0166U

Liver disease test panel in serum specimen

Pathology/Laboratory

$503

—

0169U

Gene analysis (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase)

Pathology/Laboratory

$466

—

0170U

RNA gene sequencing for probability of autism spectrum disorder in saliva

Pathology/Laboratory

$1,950

—

0171U

DNA analysis of targeted sequences in 23 genes for detection of abnormalites

Pathology/Laboratory

$1,519

—

0172U

DNA gene analysis (BRCA1, DNA repair associated and BRCA2, DNA repair

Pathology/Laboratory

$3,030

—

0173U

Gene analysis panel for detection of variants in 14 genes associated with

Pathology/Laboratory

$466

—

0174U

Mass spectrometry testing for 30 protein targets in tissue specimen to predict

Pathology/Laboratory

$1,305

—

0175U

Gene analysis panel for detection of variants in 15 genes associated with

Pathology/Laboratory

$1,336

—

0176U

Test for detection of IgG antibodies associated with irritable bowel syndrome

Pathology/Laboratory

$64

—

0177U

DNA gene analysis (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic

Pathology/Laboratory

$275

—

0178U

Test for detection of antigens associated with peanut allergy in blood

Pathology/Laboratory

$460

—

0179U

Cell-free DNA analysis of targeted sequences in 23 genes for detection of

Pathology/Laboratory

$1,943

—

0180U

Red blood cell antigen genotyping, ABO blood group

Pathology/Laboratory

$275

—

0181U

Red blood cell antigen genotyping, Colton blood group

Pathology/Laboratory

$185

—

0182U

Red blood cell antigen genotyping, CD55 molecule [Cromer blood group] exons 1-10

Pathology/Laboratory

$301

—

0183U

Red blood cell antigen genotyping, solute carrier family 4 member 1 [Diego

Pathology/Laboratory

$185

—

0184U

Red blood cell antigen genotyping, ADP-ribosyltransferase 4 [Dombrock blood

Pathology/Laboratory

$185

—

0185U

Red blood cell antigen genotyping, fucosyltransferase 1 [H blood group] exon 4

Pathology/Laboratory

$185

—

0186U

Red blood cell antigen genotyping, fucosyltransferase 2 [H blood group] exon 2

Pathology/Laboratory

$185

—

0187U

Red blood cell antigen genotyping, atypical chemokine receptor 1 [Duffy blood

Pathology/Laboratory

$275

—

0188U

Red blood cell antigen genotyping, glycophorin C [Gerbich blood group] exons 1-4

Pathology/Laboratory

$275

—

0189U

Red blood cell antigen genotyping, glycophorin A [MNS blood group] introns 1,

Pathology/Laboratory

$275

—

0190U

Red blood cell antigen genotyping, glycophorin B [MNS blood group] introns 1,

Pathology/Laboratory

$275

—

0191U

Red blood cell antigen genotyping, CD44 molecule [Indian blood group] exons 2,

Pathology/Laboratory

$275

—

0192U

Red blood cell antigen genotyping, solute carrier family 14 member 1 [Kidd

Pathology/Laboratory

$275

—

0193U

Red blood cell antigen genotyping, ATP binding cassette subfamily G member 2

Pathology/Laboratory

$283

—

0194U

Red blood cell antigen genotyping, Kell metallo-endopeptidase [Kell blood

Pathology/Laboratory

$185

—

0195U

Gene analysis (Kruppel-like factor 1) targeted sequence analysis

Pathology/Laboratory

$375

—

0196U

Red blood cell antigen genotyping, basal cell adhesion molecule [Lutheran blood

Pathology/Laboratory

$185

—

0197U

Red blood cell antigen genotyping, intercellular adhesion molecule 4

Pathology/Laboratory

$185

—

0198U

Red blood cell antigen genotyping, Rh blood group D antigen exons 1-10 and Rh

Pathology/Laboratory

$283

—

0199U

Red blood cell antigen genotyping, erythroblast membrane associated protein

Pathology/Laboratory

$275

—

0200U

Red blood cell antigen genotyping, X-linked Kx blood group exons 1-3

Pathology/Laboratory

$275

—

0201U

Red blood cell antigen genotyping, acetylcholinesterase [Cartwright blood

Pathology/Laboratory

$185

—

0202U

Test for detection of respiratory disease-causing organisms from back of nose

Pathology/Laboratory

$417

—

0203U

mRNA gene expression profiling of 17 genes in whole blood specimen for

Pathology/Laboratory

$760

—

0205U

Gene analysis for detection of variants in 3 genes in cheek swab specimen for

Pathology/Laboratory

$47

—

0206U

Cell aggregation testing of cultured skin cells for Alzheimer disease, reported

Pathology/Laboratory

$2,215

—

0207U

Immunofluorescence testing of cultured skin cells for Alzheimer disease,

Pathology/Laboratory

$511

—

0209U

Cytogenomic analysis of whole genome for abnormal chromosomes

Pathology/Laboratory

$787

—

0210U

Measurement of nontreponemal antibodies associated with syphilis

Pathology/Laboratory

$19

—

0211U

Next-generation sequencing of DNA and RNA in tumor tissue specimen with

Pathology/Laboratory

$8,455

—

0212U

Rare diseases genetic testing of complete DNA of first affected person in family

Pathology/Laboratory

$5,475

—

0213U

Rare diseases genetic testing of complete DNA of relative of affected person in

Pathology/Laboratory

$2,710

—

0214U

Rare diseases genetic testing of protein coding genes of first affected person

Pathology/Laboratory

$5,225

—

0215U

Rare diseases genetic testing of protein coding genes of relative of affected

Pathology/Laboratory

$2,575

—

0216U

DNA analysis of gene sequence of 12 genes for identification and

Pathology/Laboratory

$1,537

—

My Cost List