Medical Procedure Costs

0488U

DNA sequence analysis for detection of fetal presence of antigen(s)

Pathology/Laboratory

$759

—

0489U

Single-gene noninvasive prenatal test to determine fetal risk score for

Pathology/Laboratory

$1,154

—

0490U

Testing for antigen and protein biomarkers in melanoma(s)

Pathology/Laboratory

$2,435

—

0491U

Testing for protein biomarkers and quantification of estrogen receptor protein

Pathology/Laboratory

$2,435

—

0492U

Testing for protein biomarkers and quantification of PD-L1 protein biomarker

Pathology/Laboratory

$2,435

—

0493U

Testing of donor-derived cell-free DNA, reported as percentage of donor-derived

Pathology/Laboratory

$2,753

—

0494U

Red blood cell antigen testing in pregnant individuals known to be RhD negative

Pathology/Laboratory

$759

—

0495U

Analysis of proteins to determine risk of clinically significant prostate cancer

Pathology/Laboratory

$760

—

0496U

Analysis of genes and proteins to determine risk of colorectal cancer or

Pathology/Laboratory

$486

—

0497U

mRNA gene-expression profiling of 6 genes to determine risk for prostate cancer

Pathology/Laboratory

$3,873

—

0498U

Next-generation sequencing for mutation detection in 43 genes and methylation

Pathology/Laboratory

$1,345

—

0499U

Next-generation sequencing for mutation detection in 8 genes in colorectal

Pathology/Laboratory

$598

—

0500U

Testing for gene mutations in VEXAS syndrome

Pathology/Laboratory

$175

—

0501U

Measurement of cell-free DNA in colorectal cancer

Pathology/Laboratory

$192

—

0502U

Testing for high-risk markers in human papillomavirus

Pathology/Laboratory

$35

—

0503U

Testing for beta-amyloid and tau-protein to determine likelihood for amyloid

Pathology/Laboratory

$750

—

0504U

Testing for detection of 17 pathologic organism for urinary tract infection

Pathology/Laboratory

$417

—

0505U

Detection of 32 pathogenic organisms in vaginal infection

Pathology/Laboratory

$680

—

0506U

Next-generation sequencing of at least 89 genomic regions to determine

Pathology/Laboratory

$1,938

—

0507U

Whole-genome DNA sequencing for detection of ovarian cancer

Pathology/Laboratory

$1,160

—

0509T

Pattern erg w/i&r

Other

$78

—

0510U

Augmentative algorithmic analysis of 16 genes using previously sequenced RNA

Pathology/Laboratory

$474

—

0511U

Testing of tumor cell culture for a 36 or more drug panel to determine

Pathology/Laboratory

$3,034

—

0512U

Augmentative algorithmic analysis of digitized whole-slide imaging of tissue

Pathology/Laboratory

$706

—

0513U

Augmentative algorithmic analysis of digitized whole-slide imaging of tissue

Pathology/Laboratory

$706

—

0514U

Testing for adalimumab levels in patients undergoing adalimumab therapy for

Pathology/Laboratory

$39

—

0515U

Testing for infliximab patients undergoing infliximab therapy for irritable

Pathology/Laboratory

$39

—

0516U

Pharmacogenomic genotyping of 40 genes reported as metabolizer status for drug

Pathology/Laboratory

$417

—

0517U

Testing for 80 or more psychoactive drugs or substances, minimally and

Pathology/Laboratory

$247

—

0518U

Testing for 90 or more pain and mental health drugs or substances, minimally

Pathology/Laboratory

$247

—

0519U

Testing for 110 or more medications for pain, depression, and anxiety,

Pathology/Laboratory

$247

—

0520U

Testing for 200 or more drugs or substances, minimally effective range of

Pathology/Laboratory

$247

—

0521U

Test for markers of rheumatoid arthritis

Pathology/Laboratory

$52

—

0522U

Test for markers of Sjogren's syndrome

Pathology/Laboratory

$261

—

0523U

DNA next generation sequencing of 22 genes in solid tumor cancers

Pathology/Laboratory

$1,352

—

0524U

Test to predict preeclampsia

Pathology/Laboratory

$129

—

0525U

Testing for 11 cancer drugs to predict response to each drug

Pathology/Laboratory

$3,034

—

0527U

Amplified probe technique testing for Herpes simplex virus types 1 and 2 and

Pathology/Laboratory

$143

—

0528U

Amplified probe technique testing for infectious agents in lower respiratory

Pathology/Laboratory

$635

—

0530U

DNA next generation sequencing of 77 genes in pan-solid tumor cancers

Pathology/Laboratory

$2,920

—

0532U

Rapid whole genome and mitochondrial DNA sequencing for rare diseases

Pathology/Laboratory

$5,031

—

0533U

Genotyping of 16 genes reported as metabolizer status and transporter function

Pathology/Laboratory

$417

—

0535U

Testing for perfluoroalkyl substances (PFAS)

Pathology/Laboratory

$62

—

0536U

Red blood cell antigen (fetal RhD) testing in pregnant individuals known to be

Pathology/Laboratory

$192

—

0537U

DNA next-generation sequencing of more than 2500 differentiated methylated

Pathology/Laboratory

$1,495

—

0538U

DNA next generation sequencing of 600 genes, reported as actionable variant in

Pathology/Laboratory

$2,990

—

0539U

DNA next-generation sequencing of 152 genes reported as actionable variant in

Pathology/Laboratory

$3,289

—

0540U

DNA next-generation sequencing reported as a percentage of donor-derived

Pathology/Laboratory

$2,753

—

0543U

DNA next-generation sequencing of 517 genes in solid tumor cancers

Pathology/Laboratory

$2,990

—

0545U

Testing for acetylcholine receptor (AChR) antibodies, reported as positive or

Pathology/Laboratory

$38

—

My Cost List