Lab & pathology Medicaid rates by code
2,182 lab & pathology codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.
| Code | Service | States | Median rate |
|---|---|---|---|
| 0001U | Clinical lab tests | 13 | $648.00 |
| 0002U | Clinical lab tests | 8 | $23.75 |
| 0003U | Clinical lab tests | 11 | $855.00 |
| 0005U | Clinical lab tests | 13 | $684.00 |
| 0007U | Clinical lab tests | 10 | $108.71 |
| 0008U | Clinical lab tests | 8 | $568.02 |
| 0009U | Clinical lab tests | 10 | $107.00 |
| 0010U | Clinical lab tests | 8 | $405.90 |
| 0011U | Clinical lab tests | 8 | $102.99 |
| 0016U | Clinical lab tests | 14 | $147.56 |
| 0017M | Clinical lab tests | 9 | $2,510.20 |
| 0017U | Clinical lab tests | 14 | $82.49 |
| 0018M | Clinical lab tests | 7 | $576.66 |
| 0018U | Clinical lab tests | 12 | $2,701.88 |
| 0019M | Clinical lab tests | 6 | $676.78 |
| 0019U | Clinical lab tests | 11 | $3,307.50 |
| 0021U | Clinical lab tests | 8 | $722.00 |
| 0022U | Clinical lab tests | 15 | $1,755.00 |
| 0023U | Clinical lab tests | 13 | $223.66 |
| 0024U | Clinical lab tests | 7 | $30.77 |
| 0025U | Clinical lab tests | 6 | $99.15 |
| 0026U | Clinical lab tests | 12 | $3,258.00 |
| 0027U | Clinical lab tests | 14 | $109.72 |
| 0029U | Clinical lab tests | 5 | $742.27 |
| 0030U | Clinical lab tests | 9 | $134.13 |
| 0031U | Clinical lab tests | 5 | $174.81 |
| 0032U | Clinical lab tests | 8 | $166.07 |
| 0034U | Clinical lab tests | 12 | $419.55 |
| 0035U | Clinical lab tests | 10 | $486.89 |
| 0036U | Clinical lab tests | 10 | $4,541.00 |
| 0037U | Clinical lab tests | 28 | $3,150.00 |
| 0038U | Clinical lab tests | 10 | $26.64 |
| 0039U | Clinical lab tests | 10 | $12.37 |
| 0040U | Clinical lab tests | 14 | $379.16 |
| 0041U | Clinical lab tests | 9 | $15.49 |
| 0042U | Clinical lab tests | 9 | $15.49 |
| 0043U | Clinical lab tests | 9 | $13.37 |
| 0044U | Clinical lab tests | 9 | $13.37 |
| 0045U | Clinical lab tests | 11 | $3,873.00 |
| 0046U | Clinical lab tests | 11 | $366.69 |
| 0047U | Clinical lab tests | 22 | $3,465.34 |
| 0048U | Clinical lab tests | 11 | $2,656.84 |
| 0049U | Clinical lab tests | 11 | $366.69 |
| 0050U | Clinical lab tests | 12 | $2,770.77 |
| 0051U | Clinical lab tests | 9 | $205.63 |
| 0052U | Clinical lab tests | 10 | $30.47 |
| 0054U | Clinical lab tests | 9 | $178.87 |
| 0055U | Clinical lab tests | 10 | $3,078.00 |
| 0058U | Clinical lab tests | 10 | $290.66 |
| 0059U | Clinical lab tests | 10 | $290.66 |
| 0060U | Clinical lab tests | 10 | $721.10 |
| 0061U | Clinical lab tests | 9 | $22.59 |
| 0062U | Clinical lab tests | 7 | $342.65 |
| 0063U | Clinical lab tests | 7 | $675.00 |
| 0064U | Clinical lab tests | 9 | $28.20 |
| 0065U | Clinical lab tests | 11 | $16.28 |
| 0067U | Clinical lab tests | 7 | $1,707.30 |
| 0068U | Clinical lab tests | 10 | $135.50 |
| 0069U | Clinical lab tests | 10 | $370.50 |
| 0070U | Clinical lab tests | 10 | $642.55 |
| 0071U | Clinical lab tests | 10 | $600.00 |
| 0072U | Clinical lab tests | 10 | $450.91 |
| 0073U | Clinical lab tests | 10 | $450.91 |
| 0074U | Clinical lab tests | 10 | $450.91 |
| 0075U | Clinical lab tests | 10 | $450.91 |
| 0076U | Clinical lab tests | 10 | $450.91 |
| 0077U | Clinical lab tests | 13 | $43.42 |
| 0080U | Clinical lab tests | 7 | $3,168.00 |
| 0082U | Clinical lab tests | 6 | $209.89 |
| 0083U | Clinical lab tests | 7 | $150.62 |
| 0084U | Clinical lab tests | 13 | $648.00 |
| 0086U | Clinical lab tests | 8 | $190.00 |
| 0087U | Clinical lab tests | 10 | $2,922.47 |
| 0088U | Clinical lab tests | 9 | $2,843.48 |
| 0089U | Clinical lab tests | 8 | $722.00 |
| 0090U | Clinical lab tests | 11 | $1,950.00 |
| 0092U | Clinical lab tests | 8 | $2,363.60 |
| 0093U | Clinical lab tests | 8 | $59.04 |
| 0094U | Clinical lab tests | 18 | $7,229.76 |
| 0095U | Clinical lab tests | 7 | $694.78 |
| 0096U | Clinical lab tests | 10 | $33.33 |
| 0101U | Clinical lab tests | 13 | $1,586.99 |
| 0102U | Clinical lab tests | 13 | $1,186.59 |
| 0103U | Clinical lab tests | 13 | $1,586.99 |
| 0105U | Clinical lab tests | 8 | $902.50 |
| 0106U | Clinical lab tests | 8 | $830.76 |
| 0107U | Clinical lab tests | 11 | $14.40 |
| 0108U | Clinical lab tests | 7 | $4,455.00 |
| 0109U | Clinical lab tests | 10 | $135.50 |
| 0110U | Clinical lab tests | 7 | $27.10 |
| 0111U | Clinical lab tests | 15 | $648.18 |
| 0112U | Clinical lab tests | 8 | $338.33 |
| 0113U | Clinical lab tests | 10 | $741.00 |
| 0114U | Clinical lab tests | 8 | $1,841.11 |
| 0115U | Clinical lab tests | 8 | $261.59 |
| 0116U | Clinical lab tests | 7 | $246.91 |
| 0117U | Clinical lab tests | 8 | $798.62 |
| 0118U | Clinical lab tests | 10 | $2,753.25 |
| 0119U | Clinical lab tests | 8 | $79.57 |
| 0120U | Clinical lab tests | 11 | $2,384.70 |
| 0121U | Clinical lab tests | 8 | $483.74 |
| 0122U | Clinical lab tests | 8 | $499.92 |
| 0123U | Clinical lab tests | 9 | $339.75 |
| 0129U | Clinical lab tests | 12 | $1,245.27 |
| 0130U | Clinical lab tests | 12 | $558.58 |
| 0131U | Clinical lab tests | 5 | $709.38 |
| 0132U | Clinical lab tests | 5 | $740.99 |
| 0133U | Clinical lab tests | 11 | $628.16 |
| 0134U | Clinical lab tests | 13 | $748.39 |
| 0135U | Clinical lab tests | 5 | $699.94 |
| 0136U | Clinical lab tests | 11 | $407.43 |
| 0137U | Clinical lab tests | 10 | $282.88 |
| 0138U | Clinical lab tests | 11 | $468.33 |
| 0140U | Clinical lab tests | 8 | $156.75 |
| 0141U | Clinical lab tests | 8 | $156.75 |
| 0142U | Clinical lab tests | 8 | $156.75 |
| 0152U | Clinical lab tests | 7 | $2,126.20 |
| 0153U | Clinical lab tests | 8 | $3,159.42 |
| 0154U | Clinical lab tests | 12 | $433.93 |
| 0155U | Clinical lab tests | 13 | $247.35 |
| 0156U | Clinical lab tests | 8 | $1,740.00 |
| 0157U | Clinical lab tests | 10 | $282.88 |
| 0158U | Clinical lab tests | 11 | $282.88 |
| 0159U | Clinical lab tests | 10 | $282.88 |
| 0160U | Clinical lab tests | 10 | $282.88 |
| 0161U | Clinical lab tests | 10 | $282.88 |
| 0162U | Clinical lab tests | 12 | $474.38 |
| 0163U | Clinical lab tests | 6 | $371.22 |
| 0164U | Clinical lab tests | 7 | $100.82 |
| 0165U | Clinical lab tests | 8 | $440.57 |
| 0166U | Clinical lab tests | 8 | $453.06 |
| 0169U | Clinical lab tests | 11 | $456.85 |
| 0170U | Clinical lab tests | 9 | $1,755.00 |
| 0171U | Clinical lab tests | 9 | $1,519.06 |
| 0172U | Clinical lab tests | 22 | $2,727.00 |
| 0173U | Clinical lab tests | 7 | $466.17 |
| 0174U | Clinical lab tests | 8 | $1,240.10 |
| 0175U | Clinical lab tests | 7 | $1,336.09 |
| 0176U | Clinical lab tests | 8 | $60.34 |
| 0177U | Clinical lab tests | 14 | $247.35 |
| 0178U | Clinical lab tests | 7 | $459.85 |
| 0179U | Clinical lab tests | 9 | $1,748.89 |
| 0180U | Clinical lab tests | 8 | $274.83 |
| 0181U | Clinical lab tests | 10 | $174.09 |
| 0182U | Clinical lab tests | 10 | $283.27 |
| 0183U | Clinical lab tests | 10 | $174.09 |
| 0184U | Clinical lab tests | 10 | $174.09 |
| 0185U | Clinical lab tests | 10 | $174.09 |
| 0186U | Clinical lab tests | 10 | $174.09 |
| 0187U | Clinical lab tests | 10 | $258.34 |
| 0188U | Clinical lab tests | 10 | $258.34 |
| 0189U | Clinical lab tests | 10 | $258.34 |
| 0190U | Clinical lab tests | 10 | $258.34 |
| 0191U | Clinical lab tests | 10 | $258.34 |
| 0192U | Clinical lab tests | 10 | $258.34 |
| 0193U | Clinical lab tests | 10 | $265.91 |
| 0194U | Clinical lab tests | 10 | $174.09 |
| 0195U | Clinical lab tests | 10 | $352.74 |
| 0196U | Clinical lab tests | 10 | $174.09 |
| 0197U | Clinical lab tests | 10 | $174.09 |
| 0198U | Clinical lab tests | 10 | $265.91 |
| 0199U | Clinical lab tests | 10 | $258.34 |
| 0200U | Clinical lab tests | 10 | $258.34 |
| 0201U | Clinical lab tests | 9 | $181.50 |
| 0202U | Clinical lab tests | 26 | $377.19 |
| 0203U | Clinical lab tests | 9 | $744.80 |
| 0205U | Clinical lab tests | 9 | $46.06 |
| 0206U | Clinical lab tests | 6 | $2,104.63 |
| 0207U | Clinical lab tests | 6 | $485.64 |
| 0209U | Clinical lab tests | 9 | $787.15 |
| 0210U | Clinical lab tests | 9 | $16.77 |
| 0211U | Clinical lab tests | 19 | $7,694.05 |
| 0212U | Clinical lab tests | 10 | $5,228.81 |
| 0213U | Clinical lab tests | 9 | $2,466.05 |
| 0214U | Clinical lab tests | 8 | $5,224.60 |
| 0215U | Clinical lab tests | 8 | $2,574.65 |
| 0216U | Clinical lab tests | 10 | $1,537.02 |
| 0217U | Clinical lab tests | 10 | $2,198.35 |
| 0218U | Clinical lab tests | 12 | $2,142.26 |
| 0219U | Clinical lab tests | 7 | $725.00 |
| 0220U | Clinical lab tests | 6 | $670.94 |
| 0221U | Clinical lab tests | 8 | $274.83 |
| 0222U | Clinical lab tests | 8 | $282.88 |
| 0223U | Clinical lab tests | 20 | $375.10 |
| 0224U | Clinical lab tests | 21 | $46.29 |
| 0225U | Clinical lab tests | 21 | $395.94 |
| 0226U | Clinical lab tests | 22 | $41.23 |
| 0227U | Clinical lab tests | 7 | $62.14 |
| 0228U | Clinical lab tests | 6 | $164.38 |
| 0229U | Clinical lab tests | 7 | $384.00 |
| 0230U | Clinical lab tests | 10 | $287.79 |
| 0231U | Clinical lab tests | 9 | $846.27 |
| 0232U | Clinical lab tests | 9 | $274.83 |
| 0233U | Clinical lab tests | 10 | $274.83 |
| 0234U | Clinical lab tests | 10 | $504.11 |
| 0235U | Clinical lab tests | 10 | $600.00 |
| 0236U | Clinical lab tests | 10 | $602.70 |
| 0237U | Clinical lab tests | 10 | $584.90 |
| 0238U | Clinical lab tests | 13 | $555.66 |
| 0239U | Clinical lab tests | 25 | $3,150.00 |
| 0240U | Clinical lab tests | 11 | $142.63 |
| 0241U | Clinical lab tests | 11 | $142.63 |
| 0242U | Clinical lab tests | 18 | $4,525.00 |
| 0243U | Clinical lab tests | 10 | $61.19 |
| 0244U | Clinical lab tests | 15 | $3,185.00 |
| 0245U | Clinical lab tests | 10 | $1,266.07 |
| 0246U | Clinical lab tests | 9 | $648.00 |
| 0247U | Clinical lab tests | 10 | $675.00 |
| 0248U | Clinical lab tests | 6 | $2,882.16 |
| 0249U | Clinical lab tests | 6 | $2,108.18 |
| 0250U | Clinical lab tests | 10 | $2,788.22 |
| 0251U | Clinical lab tests | 8 | $15.98 |
| 0252U | Clinical lab tests | 8 | $740.07 |
| 0253U | Clinical lab tests | 6 | $3,001.45 |
| 0254U | Clinical lab tests | 7 | $759.04 |
| 0256U | Clinical lab tests | 6 | $151.95 |
| 0257U | Clinical lab tests | 6 | $676.85 |
| 0258U | Clinical lab tests | 8 | $3,491.25 |
| 0259U | Clinical lab tests | 7 | $47.44 |
| 0260U | Clinical lab tests | 7 | $1,263.52 |
| 0261U | Clinical lab tests | 7 | $2,261.93 |
| 0262U | Clinical lab tests | 7 | $3,199.99 |
| 0263U | Clinical lab tests | 8 | $712.50 |
| 0264U | Clinical lab tests | 8 | $1,200.35 |
| 0265U | Clinical lab tests | 9 | $5,475.79 |
| 0266U | Clinical lab tests | 8 | $3,040.00 |
| 0267U | Clinical lab tests | 9 | $6,739.33 |
| 0268U | Clinical lab tests | 9 | $608.17 |
| 0269U | Clinical lab tests | 9 | $608.17 |
| 0270U | Clinical lab tests | 8 | $577.76 |
| 0271U | Clinical lab tests | 9 | $608.17 |
| 0272U | Clinical lab tests | 8 | $577.76 |
| 0273U | Clinical lab tests | 8 | $577.76 |
| 0274U | Clinical lab tests | 8 | $577.76 |
| 0275U | Clinical lab tests | 10 | $16.53 |
| 0276U | Clinical lab tests | 9 | $2,448.55 |
| 0277U | Clinical lab tests | 9 | $547.35 |
| 0278U | Clinical lab tests | 8 | $577.76 |
| 0279U | Clinical lab tests | 11 | $10.38 |
| 0280U | Clinical lab tests | 10 | $15.54 |
| 0281U | Clinical lab tests | 9 | $15.54 |
| 0282U | Clinical lab tests | 10 | $684.00 |
| 0283U | Clinical lab tests | 10 | $16.56 |
| 0284U | Clinical lab tests | 11 | $17.26 |
| 0285U | Clinical lab tests | 8 | $443.31 |
| 0286U | Clinical lab tests | 11 | $134.13 |
| 0287U | Clinical lab tests | 12 | $3,600.00 |
| 0288U | Clinical lab tests | 8 | $3,873.00 |
| 0289U | Clinical lab tests | 8 | $760.00 |
| 0290U | Clinical lab tests | 8 | $760.00 |
| 0291U | Clinical lab tests | 8 | $1,755.00 |
| 0292U | Clinical lab tests | 8 | $1,755.00 |
| 0293U | Clinical lab tests | 8 | $760.00 |
| 0294U | Clinical lab tests | 8 | $760.00 |
| 0295U | Clinical lab tests | 9 | $5,434.99 |
| 0296U | Clinical lab tests | 9 | $1,950.00 |
| 0297U | Clinical lab tests | 9 | $2,919.60 |
| 0298U | Clinical lab tests | 9 | $2,919.60 |
| 0299U | Clinical lab tests | 9 | $1,863.22 |
| 0300U | Clinical lab tests | 9 | $4,183.13 |
| 0301U | Clinical lab tests | 10 | $262.72 |
| 0302U | Clinical lab tests | 10 | $361.37 |
| 0303U | Clinical lab tests | 6 | $2,091.54 |
| 0304U | Clinical lab tests | 6 | $1,972.01 |
| 0305U | Clinical lab tests | 6 | $629.45 |
| 0306U | Clinical lab tests | 6 | $3,878.45 |
| 0307U | Clinical lab tests | 6 | $794.49 |
| 0308U | Clinical lab tests | 7 | $351.68 |
| 0309U | Clinical lab tests | 7 | $351.68 |
| 0310U | Clinical lab tests | 6 | $371.22 |
| 0311U | Clinical lab tests | 7 | $8.08 |
| 0312U | Clinical lab tests | 8 | $798.62 |
| 0313U | Clinical lab tests | 8 | $3,420.00 |
| 0314U | Clinical lab tests | 7 | $1,950.00 |
| 0315U | Clinical lab tests | 6 | $8,500.00 |
| 0316U | Clinical lab tests | 6 | $17.73 |
| 0317U | Clinical lab tests | 7 | $2,029.99 |
| 0318U | Clinical lab tests | 6 | $1,681.96 |
| 0319U | Clinical lab tests | 5 | $2,650.00 |
| 0320U | Clinical lab tests | 6 | $2,517.50 |
| 0321U | Clinical lab tests | 6 | $634.84 |
| 0322U | Clinical lab tests | 6 | $712.50 |
| 0323U | Clinical lab tests | 7 | $2,126.20 |
| 0326U | Clinical lab tests | 14 | $4,775.00 |
| 0327U | Clinical lab tests | 10 | $755.25 |
| 0328U | Clinical lab tests | 8 | $114.43 |
| 0329U | Clinical lab tests | 12 | $3,283.27 |
| 0330U | Clinical lab tests | 7 | $416.77 |
| 0331U | Clinical lab tests | 7 | $1,863.22 |
| 0332U | Clinical lab tests | 6 | $1,084.95 |
| 0333U | Clinical lab tests | 9 | $662.32 |
| 0334U | Clinical lab tests | 12 | $3,150.00 |
| 0335U | Clinical lab tests | 11 | $5,224.60 |
| 0336U | Clinical lab tests | 10 | $2,445.92 |
| 0337U | Clinical lab tests | 6 | $2,313.25 |
| 0338U | Clinical lab tests | 6 | $2,313.25 |
| 0339U | Clinical lab tests | 10 | $760.00 |
| 0340U | Clinical lab tests | 21 | $3,486.79 |
| 0341U | Clinical lab tests | 8 | $1,900.20 |
| 0342U | Clinical lab tests | 7 | $807.30 |
| 0343U | Clinical lab tests | 8 | $722.00 |
| 0344U | Clinical lab tests | 8 | $792.17 |
| 0345U | Clinical lab tests | 14 | $1,336.09 |
| 0347U | Clinical lab tests | 7 | $1,202.48 |
| 0348U | Clinical lab tests | 8 | $668.04 |
| 0349U | Clinical lab tests | 7 | $668.04 |
| 0350U | Clinical lab tests | 7 | $1,202.48 |
| 0351U | Clinical lab tests | 8 | $234.45 |
| 0355U | Clinical lab tests | 7 | $136.99 |
| 0356U | Clinical lab tests | 9 | $1,800.00 |
| 0358U | Clinical lab tests | 8 | $234.45 |
| 0359U | Clinical lab tests | 9 | $684.00 |
| 0360U | Clinical lab tests | 7 | $756.59 |
| 0362U | Clinical lab tests | 8 | $3,420.00 |
| 0363U | Clinical lab tests | 8 | $722.00 |
| 0364U | Clinical lab tests | 11 | $2,007.25 |
| 0365U | Clinical lab tests | 8 | $843.18 |
| 0366U | Clinical lab tests | 8 | $843.18 |
| 0367U | Clinical lab tests | 8 | $848.05 |
| 0368U | Clinical lab tests | 6 | $395.94 |
| 0371U | Clinical lab tests | 10 | $412.61 |
| 0372U | Clinical lab tests | 10 | $412.61 |
| 0375U | Clinical lab tests | 8 | $843.18 |
| 0376U | Clinical lab tests | 8 | $663.88 |
| 0377U | Clinical lab tests | 8 | $44.73 |
| 0378U | Clinical lab tests | 10 | $135.63 |
| 0379U | Clinical lab tests | 9 | $3,185.00 |
| 0381U | Clinical lab tests | 7 | $44.11 |
| 0382U | Clinical lab tests | 7 | $51.64 |
| 0383U | Clinical lab tests | 7 | $52.05 |
| 0384U | Clinical lab tests | 8 | $705.00 |
| 0385U | Clinical lab tests | 8 | $367.31 |
| 0387U | Clinical lab tests | 8 | $939.01 |
| 0388U | Clinical lab tests | 10 | $3,325.00 |
| 0389U | Clinical lab tests | 7 | $70.20 |
| 0390U | Clinical lab tests | 11 | $63.12 |
| 0391U | Clinical lab tests | 13 | $3,528.00 |
| 0392U | Clinical lab tests | 10 | $1,322.73 |
| 0393U | Clinical lab tests | 9 | $530.17 |
| 0394U | Clinical lab tests | 9 | $194.77 |
| 0395U | Clinical lab tests | 8 | $797.45 |
| 0398U | Clinical lab tests | 7 | $1,755.00 |
| 0399U | Clinical lab tests | 7 | $300.00 |
| 0400U | Clinical lab tests | 7 | $1,456.87 |
| 0401U | Clinical lab tests | 7 | $489.67 |
| 0402U | Clinical lab tests | 9 | $139.78 |
| 0403U | Clinical lab tests | 9 | $744.80 |
| 0404U | Clinical lab tests | 8 | $303.58 |
| 0405U | Clinical lab tests | 9 | $1,735.07 |
| 0406U | Clinical lab tests | 8 | $714.40 |
| 0407U | Clinical lab tests | 8 | $893.00 |
| 0409U | Clinical lab tests | 12 | $2,759.03 |
| 0410U | Clinical lab tests | 8 | $1,148.40 |
| 0411U | Clinical lab tests | 10 | $1,322.73 |
| 0412U | Clinical lab tests | 6 | $712.50 |
| 0413U | Clinical lab tests | 10 | $1,187.72 |
| 0414U | Clinical lab tests | 9 | $642.69 |
| 0415U | Clinical lab tests | 8 | $367.31 |
| 0417U | Clinical lab tests | 7 | $2,842.53 |
| 0418U | Clinical lab tests | 8 | $663.88 |
| 0419U | Clinical lab tests | 8 | $1,322.73 |
| 0420U | Clinical lab tests | 6 | $1,261.91 |
| 0421U | Clinical lab tests | 19 | $457.98 |
| 0422U | Clinical lab tests | 6 | $1,846.05 |
| 0424U | Clinical lab tests | 6 | $722.00 |
| 0425U | Clinical lab tests | 8 | $3,883.60 |
| 0426U | Clinical lab tests | 9 | $6,823.98 |
| 0427U | Clinical lab tests | 8 | $4.15 |
| 0429U | Clinical lab tests | 7 | $33.34 |
| 0430U | Clinical lab tests | 6 | $58.47 |
| 0431U | Clinical lab tests | 6 | $34.74 |
| 0432U | Clinical lab tests | 6 | $34.74 |
| 0433U | Clinical lab tests | 6 | $722.00 |
| 0434U | Clinical lab tests | 7 | $375.10 |
| 0435U | Clinical lab tests | 6 | $2,882.16 |
| 0436U | Clinical lab tests | 6 | $1,429.03 |
| 0437U | Clinical lab tests | 6 | $684.00 |
| 0438U | Clinical lab tests | 6 | $375.10 |
| 0439U | Clinical lab tests | 6 | $811.30 |
| 0440U | Clinical lab tests | 6 | $811.30 |
| 0441U | Clinical lab tests | 6 | $421.87 |
| 0442U | Clinical lab tests | 8 | $37.24 |
| 0443U | Clinical lab tests | 6 | $110.42 |
| 0444U | Clinical lab tests | 8 | $2,744.43 |
| 0445U | Clinical lab tests | 9 | $255.29 |
| 0446U | Clinical lab tests | 8 | $790.22 |
| 0447U | Clinical lab tests | 8 | $790.22 |
| 0449U | Clinical lab tests | 11 | $1,642.39 |
| 0452U | Clinical lab tests | 8 | $180.48 |
| 0453U | Clinical lab tests | 8 | $180.48 |
| 0454U | Clinical lab tests | 8 | $1,187.72 |
| 0455U | Clinical lab tests | 10 | $134.08 |
| 0457U | Clinical lab tests | 9 | $178.87 |
| 0458U | Clinical lab tests | 8 | $244.87 |
| 0459U | Clinical lab tests | 9 | $255.29 |
| 0462U | Clinical lab tests | 8 | $16.23 |
| 0464U | Clinical lab tests | 17 | $532.73 |
| 0465U | Clinical lab tests | 8 | $1,821.73 |
| 0467U | Clinical lab tests | 9 | $1,488.68 |
| 0468U | Clinical lab tests | 8 | $236.60 |
| 0469U | Clinical lab tests | 9 | $1,078.15 |
| 0471U | Clinical lab tests | 10 | $714.40 |
| 0473U | Clinical lab tests | 15 | $4,050.00 |
| 0474U | Clinical lab tests | 8 | $1,225.72 |
| 0475U | Clinical lab tests | 9 | $1,277.87 |
| 0476U | Clinical lab tests | 9 | $408.44 |
| 0477U | Clinical lab tests | 9 | $408.44 |
| 0479U | Clinical lab tests | 9 | $16.92 |
| 0480U | Clinical lab tests | 8 | $2,104.94 |
| 0481U | Clinical lab tests | 9 | $660.76 |
| 0482U | Clinical lab tests | 10 | $121.09 |
| 0483U | Clinical lab tests | 6 | $35.09 |
| 0484U | Clinical lab tests | 6 | $35.09 |
| 0487U | Clinical lab tests | 17 | $2,627.64 |
| 0488U | Clinical lab tests | 10 | $751.46 |
| 0490U | Clinical lab tests | 9 | $2,386.30 |
| 0491U | Clinical lab tests | 9 | $2,386.30 |
| 0492U | Clinical lab tests | 9 | $2,386.30 |
| 0493U | Clinical lab tests | 20 | $2,597.97 |
| 0494U | Clinical lab tests | 10 | $751.46 |
| 0495U | Clinical lab tests | 9 | $744.80 |
| 0497U | Clinical lab tests | 9 | $3,795.54 |
| 0498U | Clinical lab tests | 7 | $1,345.30 |
| 0499U | Clinical lab tests | 9 | $585.95 |
| 0500U | Clinical lab tests | 9 | $171.89 |
| 0502U | Clinical lab tests | 10 | $32.99 |
| 0503U | Clinical lab tests | 9 | $735.00 |
| 0504U | Clinical lab tests | 8 | $412.61 |
| 0505U | Clinical lab tests | 8 | $672.97 |
| 0506U | Clinical lab tests | 9 | $1,899.25 |
| 0507U | Clinical lab tests | 9 | $1,136.80 |
| 0511U | Clinical lab tests | 9 | $2,973.18 |
| 0512U | Clinical lab tests | 9 | $692.13 |
| 0513U | Clinical lab tests | 9 | $692.13 |
| 0514U | Clinical lab tests | 10 | $38.18 |
| 0515U | Clinical lab tests | 10 | $38.18 |
| 0516U | Clinical lab tests | 9 | $408.44 |
| 0517U | Clinical lab tests | 8 | $244.45 |
| 0518U | Clinical lab tests | 8 | $244.45 |
| 0519U | Clinical lab tests | 8 | $244.45 |
| 0520U | Clinical lab tests | 8 | $244.45 |
| 0521U | Clinical lab tests | 6 | $49.21 |
| 0522U | Clinical lab tests | 6 | $247.48 |
| 0523U | Clinical lab tests | 8 | $1,284.48 |
| 0524U | Clinical lab tests | 7 | $115.94 |
| 0525U | Clinical lab tests | 6 | $2,882.16 |
| 0527U | Clinical lab tests | 5 | $142.63 |
| 0528U | Clinical lab tests | 8 | $603.10 |
| 0530U | Clinical lab tests | 7 | $2,627.64 |
| 0532U | Clinical lab tests | 5 | $4,528.08 |
| 0533U | Clinical lab tests | 5 | $375.10 |
| 0536U | Clinical lab tests | 5 | $172.80 |
| 0537U | Clinical lab tests | 13 | $1,345.50 |
| 0538U | Clinical lab tests | 6 | $2,690.60 |
| 0539U | Clinical lab tests | 6 | $2,959.66 |
| 0540U | Clinical lab tests | 12 | $2,487.84 |
| 0543U | Clinical lab tests | 7 | $2,690.60 |
| 0549U | Clinical lab tests | 5 | $684.00 |
| 0553U | Clinical lab tests | 5 | $683.15 |
| 0554U | Clinical lab tests | 5 | $683.15 |
| 0555U | Clinical lab tests | 5 | $683.15 |
| 0557U | Clinical lab tests | 5 | $236.69 |
| 0560U | Clinical lab tests | 5 | $3,490.61 |
| 0561U | Clinical lab tests | 5 | $715.04 |
| 0562U | Clinical lab tests | 6 | $538.12 |
| 0563U | Clinical lab tests | 8 | $354.26 |
| 0564U | Clinical lab tests | 7 | $375.10 |
| 0565U | Clinical lab tests | 5 | $1,044.00 |
| 0566U | Clinical lab tests | 5 | $375.10 |
| 0567U | Clinical lab tests | 6 | $4,528.08 |
| 0571U | Clinical lab tests | 5 | $2,627.64 |
| 0575U | Clinical lab tests | 6 | $342.00 |
| 0576U | Clinical lab tests | 6 | $2,916.00 |
| 0578U | Clinical lab tests | 5 | $3,485.70 |
| 0580U | Clinical lab tests | 6 | $16.35 |
| 0582U | Clinical lab tests | 8 | $6,823.98 |
| 0583U | Clinical lab tests | 8 | $3,411.99 |
| 0585U | Clinical lab tests | 6 | $2,627.64 |
| 0586U | Clinical lab tests | 5 | $2,627.64 |
| 0588U | Clinical lab tests | 6 | $722.00 |
| 0589U | Clinical lab tests | 5 | $178.87 |
| 0592U | Clinical lab tests | 6 | $2,627.64 |
| 0593U | Clinical lab tests | 5 | $571.36 |
| 0595U | Clinical lab tests | 6 | $249.84 |
| 0598U | Clinical lab tests | 5 | $270.00 |
| 80047 | Clinical lab tests | 49 | $12.11 |
| 80048 | Clinical lab tests | 49 | $8.25 |
| 80050 | Clinical lab tests | 36 | $37.45 |
| 80051 | Clinical lab tests | 50 | $6.69 |
| 80053 | Clinical lab tests | 50 | $10.20 |
| 80055 | Clinical lab tests | 49 | $41.36 |
| 80061 | Clinical lab tests | 50 | $12.05 |
| 80069 | Clinical lab tests | 50 | $8.49 |
| 80074 | Clinical lab tests | 49 | $45.49 |
| 80076 | Clinical lab tests | 50 | $7.89 |
| 80081 | Clinical lab tests | 48 | $71.25 |
| 80143 | Clinical lab tests | 44 | $16.36 |
| 80145 | Clinical lab tests | 43 | $34.01 |
| 80150 | Clinical lab tests | 50 | $13.57 |
| 80151 | Clinical lab tests | 45 | $16.40 |
| 80155 | Clinical lab tests | 47 | $32.78 |
| 80156 | Clinical lab tests | 50 | $13.11 |
| 80157 | Clinical lab tests | 50 | $11.93 |
| 80158 | Clinical lab tests | 50 | $16.25 |
| 80159 | Clinical lab tests | 50 | $18.14 |
| 80161 | Clinical lab tests | 44 | $16.36 |
| 80162 | Clinical lab tests | 50 | $12.29 |
| 80163 | Clinical lab tests | 45 | $13.01 |
| 80164 | Clinical lab tests | 50 | $12.57 |
| 80165 | Clinical lab tests | 46 | $12.95 |
| 80167 | Clinical lab tests | 45 | $16.40 |
| 80168 | Clinical lab tests | 50 | $15.66 |
| 80169 | Clinical lab tests | 49 | $13.11 |
| 80170 | Clinical lab tests | 50 | $14.74 |
| 80171 | Clinical lab tests | 50 | $18.07 |
| 80173 | Clinical lab tests | 50 | $14.25 |
| 80175 | Clinical lab tests | 50 | $12.78 |
| 80176 | Clinical lab tests | 49 | $13.22 |
| 80177 | Clinical lab tests | 50 | $12.66 |
| 80178 | Clinical lab tests | 50 | $6.38 |
| 80179 | Clinical lab tests | 45 | $16.40 |
| 80180 | Clinical lab tests | 50 | $17.24 |
| 80181 | Clinical lab tests | 46 | $16.36 |
| 80183 | Clinical lab tests | 50 | $12.66 |
| 80184 | Clinical lab tests | 50 | $13.77 |
| 80185 | Clinical lab tests | 50 | $12.65 |
| 80186 | Clinical lab tests | 50 | $13.15 |
| 80187 | Clinical lab tests | 43 | $23.85 |
| 80188 | Clinical lab tests | 50 | $16.02 |
| 80189 | Clinical lab tests | 43 | $23.86 |
| 80190 | Clinical lab tests | 49 | $49.68 |
| 80192 | Clinical lab tests | 49 | $16.33 |
| 80193 | Clinical lab tests | 42 | $33.98 |
| 80194 | Clinical lab tests | 50 | $13.98 |
| 80195 | Clinical lab tests | 50 | $12.36 |
| 80197 | Clinical lab tests | 50 | $12.36 |
| 80198 | Clinical lab tests | 50 | $12.73 |
| 80199 | Clinical lab tests | 49 | $23.04 |
| 80200 | Clinical lab tests | 50 | $14.96 |
| 80201 | Clinical lab tests | 49 | $11.39 |
| 80202 | Clinical lab tests | 50 | $12.93 |
| 80203 | Clinical lab tests | 50 | $12.79 |
| 80204 | Clinical lab tests | 43 | $34.01 |
| 80210 | Clinical lab tests | 44 | $23.79 |
| 80220 | Clinical lab tests | 40 | $16.51 |
| 80230 | Clinical lab tests | 43 | $33.94 |
| 80235 | Clinical lab tests | 44 | $23.65 |
| 80280 | Clinical lab tests | 44 | $33.65 |
| 80285 | Clinical lab tests | 45 | $23.45 |
| 80299 | Clinical lab tests | 46 | $16.68 |
| 80305 | Clinical lab tests | 49 | $11.34 |
| 80306 | Clinical lab tests | 49 | $15.43 |
| 80307 | Clinical lab tests | 50 | $55.93 |
| 80320 | Clinical lab tests | 12 | $12.68 |
| 80321 | Clinical lab tests | 10 | $13.32 |
| 80322 | Clinical lab tests | 9 | $13.17 |
| 80323 | Clinical lab tests | 11 | $15.93 |
| 80324 | Clinical lab tests | 11 | $15.16 |
| 80325 | Clinical lab tests | 11 | $13.00 |
| 80326 | Clinical lab tests | 11 | $12.45 |
| 80327 | Clinical lab tests | 10 | $21.73 |
| 80328 | Clinical lab tests | 10 | $22.34 |
| 80329 | Clinical lab tests | 10 | $12.74 |
| 80330 | Clinical lab tests | 9 | $10.78 |
| 80331 | Clinical lab tests | 10 | $10.39 |
| 80332 | Clinical lab tests | 8 | $16.30 |
| 80333 | Clinical lab tests | 8 | $15.42 |
| 80334 | Clinical lab tests | 8 | $14.57 |
| 80335 | Clinical lab tests | 12 | $15.70 |
| 80336 | Clinical lab tests | 11 | $16.65 |
| 80337 | Clinical lab tests | 11 | $14.75 |
| 80338 | Clinical lab tests | 8 | $14.57 |
| 80339 | Clinical lab tests | 10 | $15.00 |
| 80340 | Clinical lab tests | 9 | $16.66 |
| 80341 | Clinical lab tests | 9 | $15.09 |
| 80342 | Clinical lab tests | 11 | $15.44 |
| 80343 | Clinical lab tests | 10 | $16.12 |
| 80344 | Clinical lab tests | 10 | $15.60 |
| 80345 | Clinical lab tests | 12 | $12.97 |
| 80346 | Clinical lab tests | 12 | $17.01 |
| 80347 | Clinical lab tests | 11 | $17.69 |
| 80348 | Clinical lab tests | 10 | $16.27 |
| 80349 | Clinical lab tests | 10 | $13.34 |
| 80350 | Clinical lab tests | 9 | $13.20 |
| 80351 | Clinical lab tests | 8 | $16.22 |
| 80352 | Clinical lab tests | 9 | $15.93 |
| 80353 | Clinical lab tests | 12 | $12.13 |
| 80354 | Clinical lab tests | 10 | $14.45 |
| 80355 | Clinical lab tests | 7 | $13.67 |
| 80356 | Clinical lab tests | 9 | $13.60 |
| 80357 | Clinical lab tests | 8 | $14.11 |
| 80358 | Clinical lab tests | 12 | $17.11 |
| 80359 | Clinical lab tests | 9 | $12.45 |
| 80360 | Clinical lab tests | 8 | $14.57 |
| 80361 | Clinical lab tests | 12 | $19.09 |
| 80362 | Clinical lab tests | 11 | $13.80 |
| 80363 | Clinical lab tests | 11 | $16.17 |
| 80364 | Clinical lab tests | 12 | $16.05 |
| 80365 | Clinical lab tests | 10 | $13.92 |
| 80366 | Clinical lab tests | 8 | $14.57 |
| 80367 | Clinical lab tests | 9 | $12.51 |
| 80368 | Clinical lab tests | 8 | $14.48 |
| 80369 | Clinical lab tests | 11 | $16.43 |
| 80370 | Clinical lab tests | 10 | $14.82 |
| 80371 | Clinical lab tests | 8 | $15.00 |
| 80372 | Clinical lab tests | 8 | $13.12 |
| 80373 | Clinical lab tests | 8 | $12.95 |
| 80374 | Clinical lab tests | 8 | $12.50 |
| 80375 | Clinical lab tests | 11 | $16.89 |
| 80376 | Clinical lab tests | 7 | $17.19 |
| 80377 | Clinical lab tests | 8 | $16.23 |
| 80400 | Clinical lab tests | 49 | $32.01 |
| 80402 | Clinical lab tests | 49 | $85.34 |
| 80406 | Clinical lab tests | 48 | $76.75 |
| 80408 | Clinical lab tests | 48 | $122.87 |
| 80410 | Clinical lab tests | 49 | $72.33 |
| 80412 | Clinical lab tests | 48 | $674.57 |
| 80414 | Clinical lab tests | 48 | $50.65 |
| 80415 | Clinical lab tests | 48 | $54.81 |
| 80416 | Clinical lab tests | 48 | $180.22 |
| 80417 | Clinical lab tests | 47 | $43.11 |
| 80418 | Clinical lab tests | 48 | $568.33 |
| 80420 | Clinical lab tests | 49 | $129.50 |
| 80422 | Clinical lab tests | 48 | $45.19 |
| 80424 | Clinical lab tests | 48 | $49.52 |
| 80426 | Clinical lab tests | 48 | $145.55 |
| 80428 | Clinical lab tests | 49 | $65.37 |
| 80430 | Clinical lab tests | 48 | $110.34 |
| 80432 | Clinical lab tests | 49 | $145.11 |
| 80434 | Clinical lab tests | 48 | $232.73 |
| 80435 | Clinical lab tests | 48 | $101.03 |
| 80436 | Clinical lab tests | 49 | $89.34 |
| 80438 | Clinical lab tests | 49 | $49.48 |
| 80439 | Clinical lab tests | 48 | $66.39 |
| 80503 | Clinical lab tests | 41 | $21.45 |
| 80504 | Clinical lab tests | 41 | $42.08 |
| 80505 | Clinical lab tests | 41 | $77.09 |
| 80506 | Clinical lab tests | 40 | $35.40 |
| 81000 | Clinical lab tests | 50 | $3.62 |
| 81001 | Clinical lab tests | 50 | $3.06 |
| 81002 | Clinical lab tests | 50 | $3.13 |
| 81003 | Clinical lab tests | 50 | $2.09 |
| 81005 | Clinical lab tests | 49 | $2.07 |
| 81007 | Clinical lab tests | 49 | $23.98 |
| 81015 | Clinical lab tests | 50 | $2.75 |
| 81020 | Clinical lab tests | 45 | $4.23 |
| 81025 | Clinical lab tests | 50 | $7.71 |
| 81050 | Clinical lab tests | 47 | $3.28 |
| 81099 | Clinical lab tests | 6 | $10.08 |
| 81105 | Clinical lab tests | 39 | $119.16 |
| 81106 | Clinical lab tests | 38 | $118.22 |
| 81107 | Clinical lab tests | 37 | $117.27 |
| 81108 | Clinical lab tests | 37 | $117.27 |
| 81109 | Clinical lab tests | 37 | $117.27 |
| 81110 | Clinical lab tests | 37 | $117.27 |
| 81111 | Clinical lab tests | 37 | $117.27 |
| 81112 | Clinical lab tests | 37 | $117.27 |
| 81120 | Clinical lab tests | 36 | $172.91 |
| 81121 | Clinical lab tests | 36 | $264.66 |
| 81161 | Clinical lab tests | 38 | $247.11 |
| 81162 | Clinical lab tests | 47 | $1,660.64 |
| 81163 | Clinical lab tests | 48 | $414.50 |
| 81164 | Clinical lab tests | 48 | $517.44 |
| 81165 | Clinical lab tests | 48 | $250.54 |
| 81166 | Clinical lab tests | 48 | $266.90 |
| 81167 | Clinical lab tests | 48 | $250.54 |
| 81168 | Clinical lab tests | 38 | $180.88 |
| 81170 | Clinical lab tests | 41 | $264.56 |
| 81171 | Clinical lab tests | 32 | $122.58 |
| 81172 | Clinical lab tests | 32 | $245.91 |
| 81173 | Clinical lab tests | 33 | $265.18 |
| 81174 | Clinical lab tests | 34 | $161.59 |
| 81175 | Clinical lab tests | 33 | $601.74 |
| 81176 | Clinical lab tests | 33 | $217.71 |
| 81177 | Clinical lab tests | 35 | $120.56 |
| 81178 | Clinical lab tests | 36 | $120.69 |
| 81179 | Clinical lab tests | 36 | $120.69 |
| 81180 | Clinical lab tests | 36 | $120.69 |
| 81181 | Clinical lab tests | 36 | $120.69 |
| 81182 | Clinical lab tests | 35 | $120.56 |
| 81183 | Clinical lab tests | 35 | $120.56 |
| 81184 | Clinical lab tests | 36 | $120.69 |
| 81185 | Clinical lab tests | 35 | $744.71 |
| 81186 | Clinical lab tests | 35 | $162.97 |
| 81187 | Clinical lab tests | 35 | $118.51 |
| 81188 | Clinical lab tests | 33 | $120.56 |
| 81189 | Clinical lab tests | 34 | $239.79 |
| 81190 | Clinical lab tests | 33 | $162.97 |
| 81191 | Clinical lab tests | 38 | $182.63 |
| 81192 | Clinical lab tests | 38 | $182.63 |
| 81193 | Clinical lab tests | 38 | $182.63 |
| 81194 | Clinical lab tests | 39 | $456.08 |
| 81195 | Clinical lab tests | 23 | $1,263.53 |
| 81200 | Clinical lab tests | 37 | $43.00 |
| 81201 | Clinical lab tests | 43 | $693.80 |
| 81202 | Clinical lab tests | 43 | $242.20 |
| 81203 | Clinical lab tests | 43 | $180.00 |
| 81204 | Clinical lab tests | 37 | $118.51 |
| 81205 | Clinical lab tests | 33 | $85.49 |
| 81206 | Clinical lab tests | 45 | $147.56 |
| 81207 | Clinical lab tests | 45 | $131.80 |
| 81208 | Clinical lab tests | 41 | $186.52 |
| 81209 | Clinical lab tests | 35 | $35.38 |
| 81210 | Clinical lab tests | 44 | $151.96 |
| 81212 | Clinical lab tests | 47 | $380.16 |
| 81215 | Clinical lab tests | 47 | $324.22 |
| 81216 | Clinical lab tests | 41 | $166.61 |
| 81217 | Clinical lab tests | 48 | $324.41 |
| 81218 | Clinical lab tests | 39 | $217.71 |
| 81219 | Clinical lab tests | 35 | $110.68 |
| 81220 | Clinical lab tests | 47 | $500.94 |
| 81221 | Clinical lab tests | 39 | $86.48 |
| 81222 | Clinical lab tests | 42 | $379.79 |
| 81223 | Clinical lab tests | 43 | $449.10 |
| 81224 | Clinical lab tests | 34 | $149.46 |
| 81225 | Clinical lab tests | 33 | $256.78 |
| 81226 | Clinical lab tests | 36 | $399.37 |
| 81227 | Clinical lab tests | 31 | $144.74 |
| 81228 | Clinical lab tests | 39 | $778.50 |
| 81229 | Clinical lab tests | 44 | $1,027.39 |
| 81230 | Clinical lab tests | 25 | $157.33 |
| 81231 | Clinical lab tests | 25 | $157.33 |
| 81232 | Clinical lab tests | 28 | $155.75 |
| 81233 | Clinical lab tests | 37 | $154.35 |
| 81234 | Clinical lab tests | 37 | $118.51 |
| 81235 | Clinical lab tests | 47 | $280.76 |
| 81236 | Clinical lab tests | 35 | $248.93 |
| 81237 | Clinical lab tests | 34 | $154.52 |
| 81238 | Clinical lab tests | 35 | $540.00 |
| 81239 | Clinical lab tests | 36 | $239.79 |
| 81240 | Clinical lab tests | 41 | $57.48 |
| 81241 | Clinical lab tests | 42 | $65.65 |
| 81242 | Clinical lab tests | 37 | $33.32 |
| 81243 | Clinical lab tests | 42 | $51.04 |
| 81244 | Clinical lab tests | 40 | $40.63 |
| 81245 | Clinical lab tests | 38 | $142.02 |
| 81246 | Clinical lab tests | 32 | $74.27 |
| 81247 | Clinical lab tests | 32 | $157.33 |
| 81248 | Clinical lab tests | 33 | $337.73 |
| 81249 | Clinical lab tests | 32 | $540.00 |
| 81250 | Clinical lab tests | 31 | $52.64 |
| 81251 | Clinical lab tests | 34 | $44.66 |
| 81252 | Clinical lab tests | 37 | $91.01 |
| 81253 | Clinical lab tests | 35 | $55.37 |
| 81254 | Clinical lab tests | 35 | $31.50 |
| 81255 | Clinical lab tests | 36 | $48.62 |
| 81256 | Clinical lab tests | 40 | $63.08 |
| 81257 | Clinical lab tests | 38 | $102.11 |
| 81258 | Clinical lab tests | 37 | $333.78 |
| 81259 | Clinical lab tests | 35 | $533.69 |
| 81260 | Clinical lab tests | 34 | $37.35 |
| 81261 | Clinical lab tests | 35 | $189.08 |
| 81262 | Clinical lab tests | 34 | $58.17 |
| 81263 | Clinical lab tests | 32 | $273.16 |
| 81264 | Clinical lab tests | 34 | $152.99 |
| 81265 | Clinical lab tests | 35 | $209.76 |
| 81266 | Clinical lab tests | 26 | $268.52 |
| 81267 | Clinical lab tests | 35 | $186.71 |
| 81268 | Clinical lab tests | 34 | $234.71 |
| 81269 | Clinical lab tests | 36 | $181.10 |
| 81270 | Clinical lab tests | 40 | $85.48 |
| 81271 | Clinical lab tests | 37 | $120.82 |
| 81272 | Clinical lab tests | 38 | $290.28 |
| 81273 | Clinical lab tests | 33 | $109.89 |
| 81274 | Clinical lab tests | 36 | $243.42 |
| 81275 | Clinical lab tests | 43 | $173.78 |
| 81276 | Clinical lab tests | 42 | $172.71 |
| 81277 | Clinical lab tests | 29 | $1,022.98 |
| 81278 | Clinical lab tests | 38 | $182.63 |
| 81279 | Clinical lab tests | 41 | $160.20 |
| 81283 | Clinical lab tests | 24 | $65.37 |
| 81284 | Clinical lab tests | 35 | $120.56 |
| 81285 | Clinical lab tests | 35 | $241.85 |
| 81286 | Clinical lab tests | 35 | $241.85 |
| 81287 | Clinical lab tests | 28 | $108.87 |
| 81288 | Clinical lab tests | 36 | $174.05 |
| 81289 | Clinical lab tests | 35 | $162.98 |
| 81290 | Clinical lab tests | 34 | $36.95 |
| 81291 | Clinical lab tests | 31 | $57.62 |
| 81292 | Clinical lab tests | 45 | $600.76 |
| 81293 | Clinical lab tests | 44 | $288.94 |
| 81294 | Clinical lab tests | 44 | $181.10 |
| 81295 | Clinical lab tests | 44 | $338.07 |
| 81296 | Clinical lab tests | 41 | $287.07 |
| 81297 | Clinical lab tests | 43 | $188.10 |
| 81298 | Clinical lab tests | 44 | $568.48 |
| 81299 | Clinical lab tests | 43 | $266.11 |
| 81300 | Clinical lab tests | 43 | $202.30 |
| 81301 | Clinical lab tests | 42 | $313.70 |
| 81302 | Clinical lab tests | 34 | $460.80 |
| 81303 | Clinical lab tests | 29 | $105.91 |
| 81304 | Clinical lab tests | 34 | $130.94 |
| 81305 | Clinical lab tests | 37 | $151.72 |
| 81306 | Clinical lab tests | 27 | $259.16 |
| 81307 | Clinical lab tests | 40 | $579.77 |
| 81308 | Clinical lab tests | 39 | $265.19 |
| 81309 | Clinical lab tests | 38 | $244.86 |
| 81310 | Clinical lab tests | 39 | $213.00 |
| 81311 | Clinical lab tests | 39 | $260.85 |
| 81312 | Clinical lab tests | 32 | $120.69 |
| 81313 | Clinical lab tests | 20 | $234.98 |
| 81314 | Clinical lab tests | 38 | $291.30 |
| 81315 | Clinical lab tests | 40 | $186.58 |
| 81316 | Clinical lab tests | 37 | $186.58 |
| 81317 | Clinical lab tests | 42 | $608.85 |
| 81318 | Clinical lab tests | 41 | $285.98 |
| 81319 | Clinical lab tests | 42 | $182.08 |
| 81320 | Clinical lab tests | 30 | $260.69 |
| 81321 | Clinical lab tests | 40 | $518.70 |
| 81322 | Clinical lab tests | 37 | $41.94 |
| 81323 | Clinical lab tests | 39 | $259.20 |
| 81324 | Clinical lab tests | 36 | $662.38 |
| 81325 | Clinical lab tests | 33 | $664.92 |
| 81326 | Clinical lab tests | 36 | $41.94 |
| 81327 | Clinical lab tests | 24 | $172.80 |
| 81328 | Clinical lab tests | 24 | $157.33 |
| 81329 | Clinical lab tests | 46 | $121.34 |
| 81330 | Clinical lab tests | 33 | $47.00 |
| 81331 | Clinical lab tests | 39 | $45.96 |
| 81332 | Clinical lab tests | 36 | $41.69 |
| 81333 | Clinical lab tests | 29 | $121.86 |
| 81334 | Clinical lab tests | 31 | $293.09 |
| 81335 | Clinical lab tests | 30 | $154.83 |
| 81336 | Clinical lab tests | 40 | $262.93 |
| 81337 | Clinical lab tests | 40 | $161.59 |
| 81338 | Clinical lab tests | 38 | $131.17 |
| 81339 | Clinical lab tests | 40 | $160.11 |
| 81340 | Clinical lab tests | 34 | $188.03 |
| 81341 | Clinical lab tests | 35 | $44.63 |
| 81342 | Clinical lab tests | 35 | $181.35 |
| 81343 | Clinical lab tests | 34 | $120.69 |
| 81344 | Clinical lab tests | 34 | $120.69 |
| 81345 | Clinical lab tests | 33 | $164.73 |
| 81346 | Clinical lab tests | 23 | $157.33 |
| 81347 | Clinical lab tests | 32 | $168.61 |
| 81348 | Clinical lab tests | 32 | $151.64 |
| 81349 | Clinical lab tests | 24 | $1,078.15 |
| 81350 | Clinical lab tests | 25 | $187.20 |
| 81351 | Clinical lab tests | 38 | $568.48 |
| 81352 | Clinical lab tests | 36 | $291.84 |
| 81353 | Clinical lab tests | 39 | $271.62 |
| 81354 | Clinical lab tests | 11 | $1,091.69 |
| 81355 | Clinical lab tests | 25 | $79.38 |
| 81357 | Clinical lab tests | 34 | $168.61 |
| 81360 | Clinical lab tests | 33 | $167.16 |
| 81361 | Clinical lab tests | 38 | $157.33 |
| 81362 | Clinical lab tests | 37 | $337.73 |
| 81363 | Clinical lab tests | 37 | $182.16 |
| 81364 | Clinical lab tests | 36 | $292.12 |
| 81370 | Clinical lab tests | 36 | $372.97 |
| 81371 | Clinical lab tests | 38 | $335.96 |
| 81372 | Clinical lab tests | 37 | $336.19 |
| 81373 | Clinical lab tests | 39 | $114.69 |
| 81374 | Clinical lab tests | 38 | $70.44 |
| 81375 | Clinical lab tests | 37 | $210.81 |
| 81376 | Clinical lab tests | 39 | $116.72 |
| 81377 | Clinical lab tests | 36 | $87.68 |
| 81378 | Clinical lab tests | 38 | $330.01 |
| 81379 | Clinical lab tests | 38 | $320.28 |
| 81380 | Clinical lab tests | 41 | $169.27 |
| 81381 | Clinical lab tests | 40 | $143.74 |
| 81382 | Clinical lab tests | 41 | $118.11 |
| 81383 | Clinical lab tests | 37 | $107.11 |
| 81400 | Clinical lab tests | 38 | $57.56 |
| 81401 | Clinical lab tests | 39 | $123.30 |
| 81402 | Clinical lab tests | 36 | $135.30 |
| 81403 | Clinical lab tests | 39 | $166.68 |
| 81404 | Clinical lab tests | 38 | $249.08 |
| 81405 | Clinical lab tests | 39 | $276.04 |
| 81406 | Clinical lab tests | 38 | $254.59 |
| 81407 | Clinical lab tests | 37 | $761.64 |
| 81408 | Clinical lab tests | 37 | $1,800.00 |
| 81410 | Clinical lab tests | 27 | $453.60 |
| 81411 | Clinical lab tests | 25 | $1,200.98 |
| 81412 | Clinical lab tests | 30 | $2,203.70 |
| 81413 | Clinical lab tests | 28 | $526.41 |
| 81414 | Clinical lab tests | 28 | $526.41 |
| 81415 | Clinical lab tests | 37 | $4,251.74 |
| 81416 | Clinical lab tests | 34 | $10,571.25 |
| 81417 | Clinical lab tests | 30 | $286.32 |
| 81418 | Clinical lab tests | 23 | $807.03 |
| 81419 | Clinical lab tests | 28 | $2,116.78 |
| 81420 | Clinical lab tests | 48 | $662.99 |
| 81422 | Clinical lab tests | 26 | $655.63 |
| 81425 | Clinical lab tests | 32 | $4,387.21 |
| 81426 | Clinical lab tests | 31 | $2,384.76 |
| 81427 | Clinical lab tests | 25 | $2,061.52 |
| 81430 | Clinical lab tests | 24 | $1,439.24 |
| 81431 | Clinical lab tests | 24 | $608.04 |
| 81432 | Clinical lab tests | 29 | $1,126.62 |
| 81433 | Clinical lab tests | 6 | $438.74 |
| 81434 | Clinical lab tests | 28 | $534.98 |
| 81435 | Clinical lab tests | 28 | $1,043.16 |
| 81437 | Clinical lab tests | 25 | $1,159.85 |
| 81438 | Clinical lab tests | 5 | $395.04 |
| 81439 | Clinical lab tests | 28 | $526.41 |
| 81440 | Clinical lab tests | 18 | $2,901.65 |
| 81441 | Clinical lab tests | 34 | $2,168.64 |
| 81442 | Clinical lab tests | 25 | $1,906.70 |
| 81443 | Clinical lab tests | 34 | $2,203.70 |
| 81445 | Clinical lab tests | 32 | $529.56 |
| 81448 | Clinical lab tests | 29 | $526.41 |
| 81449 | Clinical lab tests | 31 | $526.16 |
| 81450 | Clinical lab tests | 31 | $675.59 |
| 81451 | Clinical lab tests | 33 | $669.81 |
| 81455 | Clinical lab tests | 29 | $2,574.72 |
| 81456 | Clinical lab tests | 32 | $2,571.99 |
| 81457 | Clinical lab tests | 26 | $802.47 |
| 81458 | Clinical lab tests | 25 | $930.71 |
| 81459 | Clinical lab tests | 28 | $2,606.89 |
| 81460 | Clinical lab tests | 21 | $1,134.97 |
| 81462 | Clinical lab tests | 24 | $1,076.25 |
| 81463 | Clinical lab tests | 24 | $1,197.33 |
| 81464 | Clinical lab tests | 22 | $2,867.58 |
| 81465 | Clinical lab tests | 20 | $833.92 |
| 81470 | Clinical lab tests | 19 | $789.70 |
| 81471 | Clinical lab tests | 19 | $806.03 |
| 81479 | Clinical lab tests | 14 | $489.96 |
| 81490 | Clinical lab tests | 16 | $756.59 |
| 81493 | Clinical lab tests | 17 | $933.96 |
| 81500 | Clinical lab tests | 20 | $234.45 |
| 81503 | Clinical lab tests | 21 | $807.30 |
| 81504 | Clinical lab tests | 16 | $468.00 |
| 81506 | Clinical lab tests | 16 | $63.43 |
| 81507 | Clinical lab tests | 43 | $701.09 |
| 81508 | Clinical lab tests | 27 | $46.92 |
| 81509 | Clinical lab tests | 22 | $1,298.38 |
| 81510 | Clinical lab tests | 26 | $49.49 |
| 81511 | Clinical lab tests | 30 | $132.70 |
| 81512 | Clinical lab tests | 24 | $61.94 |
| 81513 | Clinical lab tests | 41 | $123.24 |
| 81514 | Clinical lab tests | 34 | $229.46 |
| 81515 | Clinical lab tests | 38 | $234.31 |
| 81517 | Clinical lab tests | 35 | $158.57 |
| 81518 | Clinical lab tests | 40 | $3,485.70 |
| 81519 | Clinical lab tests | 49 | $3,350.15 |
| 81520 | Clinical lab tests | 36 | $2,259.19 |
| 81521 | Clinical lab tests | 33 | $3,485.70 |
| 81522 | Clinical lab tests | 38 | $3,485.70 |
| 81523 | Clinical lab tests | 37 | $3,444.98 |
| 81525 | Clinical lab tests | 19 | $2,747.92 |
| 81528 | Clinical lab tests | 45 | $440.17 |
| 81529 | Clinical lab tests | 23 | $6,473.70 |
| 81535 | Clinical lab tests | 21 | $501.23 |
| 81536 | Clinical lab tests | 21 | $153.59 |
| 81538 | Clinical lab tests | 22 | $2,542.79 |
| 81539 | Clinical lab tests | 26 | $680.01 |
| 81540 | Clinical lab tests | 16 | $3,341.02 |
| 81541 | Clinical lab tests | 30 | $3,465.34 |
| 81542 | Clinical lab tests | 31 | $3,444.98 |
| 81546 | Clinical lab tests | 34 | $3,144.38 |
| 81551 | Clinical lab tests | 19 | $1,827.00 |
| 81552 | Clinical lab tests | 24 | $6,998.40 |
| 81554 | Clinical lab tests | 23 | $4,868.64 |
| 81558 | Clinical lab tests | 23 | $2,754.00 |
| 81560 | Clinical lab tests | 18 | $576.66 |
| 81595 | Clinical lab tests | 31 | $2,916.00 |
| 81596 | Clinical lab tests | 36 | $62.70 |
| 81599 | Clinical lab tests | 5 | $2,496.72 |
| 82009 | Clinical lab tests | 50 | $4.10 |
| 82010 | Clinical lab tests | 48 | $7.35 |
| 82013 | Clinical lab tests | 50 | $11.06 |
| 82016 | Clinical lab tests | 49 | $14.84 |
| 82017 | Clinical lab tests | 49 | $15.18 |
| 82024 | Clinical lab tests | 50 | $34.76 |
| 82030 | Clinical lab tests | 49 | $23.22 |
| 82040 | Clinical lab tests | 50 | $4.46 |
| 82042 | Clinical lab tests | 49 | $6.72 |
| 82043 | Clinical lab tests | 50 | $5.23 |
| 82044 | Clinical lab tests | 50 | $5.35 |
| 82045 | Clinical lab tests | 49 | $33.09 |
| 82075 | Clinical lab tests | 42 | $25.25 |
| 82077 | Clinical lab tests | 42 | $15.03 |
| 82085 | Clinical lab tests | 49 | $9.00 |
| 82088 | Clinical lab tests | 50 | $37.75 |
| 82103 | Clinical lab tests | 50 | $12.73 |
| 82104 | Clinical lab tests | 49 | $13.65 |
| 82105 | Clinical lab tests | 50 | $16.00 |
| 82106 | Clinical lab tests | 50 | $15.30 |
| 82107 | Clinical lab tests | 49 | $63.22 |
| 82108 | Clinical lab tests | 50 | $22.93 |
| 82120 | Clinical lab tests | 49 | $5.09 |
| 82127 | Clinical lab tests | 50 | $13.43 |
| 82128 | Clinical lab tests | 50 | $13.38 |
| 82131 | Clinical lab tests | 50 | $20.39 |
| 82135 | Clinical lab tests | 49 | $14.81 |
| 82136 | Clinical lab tests | 49 | $17.65 |
| 82139 | Clinical lab tests | 50 | $15.18 |
| 82140 | Clinical lab tests | 50 | $13.11 |
| 82143 | Clinical lab tests | 50 | $8.37 |
| 82150 | Clinical lab tests | 50 | $6.01 |
| 82154 | Clinical lab tests | 49 | $28.25 |
| 82157 | Clinical lab tests | 50 | $26.35 |
| 82160 | Clinical lab tests | 48 | $23.44 |
| 82163 | Clinical lab tests | 49 | $18.47 |
| 82164 | Clinical lab tests | 49 | $13.94 |
| 82166 | Clinical lab tests | 35 | $33.99 |
| 82172 | Clinical lab tests | 48 | $18.87 |
| 82175 | Clinical lab tests | 49 | $17.07 |
| 82180 | Clinical lab tests | 50 | $8.90 |
| 82190 | Clinical lab tests | 46 | $14.31 |
| 82232 | Clinical lab tests | 50 | $15.01 |
| 82233 | Clinical lab tests | 21 | $113.69 |
| 82234 | Clinical lab tests | 21 | $113.69 |
| 82239 | Clinical lab tests | 50 | $15.41 |
| 82240 | Clinical lab tests | 49 | $23.92 |
| 82247 | Clinical lab tests | 50 | $4.84 |
| 82248 | Clinical lab tests | 50 | $4.66 |
| 82252 | Clinical lab tests | 49 | $4.10 |
| 82261 | Clinical lab tests | 47 | $16.05 |
| 82270 | Clinical lab tests | 50 | $3.81 |
| 82271 | Clinical lab tests | 49 | $4.52 |
| 82272 | Clinical lab tests | 48 | $3.75 |
| 82274 | Clinical lab tests | 49 | $14.33 |
| 82286 | Clinical lab tests | 47 | $5.06 |
| 82300 | Clinical lab tests | 50 | $21.28 |
| 82306 | Clinical lab tests | 50 | $27.84 |
| 82308 | Clinical lab tests | 50 | $24.85 |
| 82310 | Clinical lab tests | 50 | $4.98 |
| 82330 | Clinical lab tests | 50 | $12.31 |
| 82331 | Clinical lab tests | 47 | $11.11 |
| 82340 | Clinical lab tests | 50 | $5.82 |
| 82355 | Clinical lab tests | 50 | $11.17 |
| 82360 | Clinical lab tests | 50 | $12.42 |
| 82365 | Clinical lab tests | 50 | $11.61 |
| 82370 | Clinical lab tests | 50 | $12.09 |
| 82373 | Clinical lab tests | 50 | $16.00 |
| 82374 | Clinical lab tests | 50 | $4.72 |
| 82375 | Clinical lab tests | 50 | $11.09 |
| 82376 | Clinical lab tests | 49 | $11.65 |
| 82378 | Clinical lab tests | 50 | $17.84 |
| 82379 | Clinical lab tests | 49 | $15.18 |
| 82380 | Clinical lab tests | 49 | $8.99 |
| 82382 | Clinical lab tests | 50 | $23.31 |
| 82383 | Clinical lab tests | 50 | $25.76 |
| 82384 | Clinical lab tests | 50 | $22.73 |
| 82387 | Clinical lab tests | 48 | $16.68 |
| 82390 | Clinical lab tests | 50 | $9.67 |
| 82397 | Clinical lab tests | 47 | $12.71 |
| 82415 | Clinical lab tests | 49 | $12.00 |
| 82435 | Clinical lab tests | 50 | $4.39 |
| 82436 | Clinical lab tests | 50 | $5.16 |
| 82438 | Clinical lab tests | 50 | $4.52 |
| 82441 | Clinical lab tests | 48 | $5.88 |
| 82465 | Clinical lab tests | 50 | $4.24 |
| 82480 | Clinical lab tests | 50 | $7.31 |
| 82482 | Clinical lab tests | 49 | $8.83 |
| 82485 | Clinical lab tests | 47 | $18.59 |
| 82495 | Clinical lab tests | 50 | $18.25 |
| 82507 | Clinical lab tests | 48 | $25.29 |
| 82523 | Clinical lab tests | 47 | $16.81 |
| 82525 | Clinical lab tests | 50 | $11.93 |
| 82528 | Clinical lab tests | 49 | $20.27 |
| 82530 | Clinical lab tests | 50 | $15.50 |
| 82533 | Clinical lab tests | 50 | $15.73 |
| 82540 | Clinical lab tests | 48 | $4.47 |
| 82542 | Clinical lab tests | 48 | $21.34 |
| 82550 | Clinical lab tests | 50 | $6.07 |
| 82552 | Clinical lab tests | 50 | $12.43 |
| 82553 | Clinical lab tests | 50 | $10.40 |
| 82554 | Clinical lab tests | 48 | $10.68 |
| 82565 | Clinical lab tests | 50 | $4.94 |
| 82570 | Clinical lab tests | 50 | $5.00 |
| 82575 | Clinical lab tests | 50 | $9.00 |
| 82585 | Clinical lab tests | 49 | $12.02 |
| 82595 | Clinical lab tests | 50 | $6.00 |
| 82600 | Clinical lab tests | 49 | $17.46 |
| 82607 | Clinical lab tests | 50 | $13.57 |
| 82608 | Clinical lab tests | 50 | $13.82 |
| 82610 | Clinical lab tests | 47 | $16.67 |
| 82615 | Clinical lab tests | 50 | $8.46 |
| 82626 | Clinical lab tests | 50 | $22.92 |
| 82627 | Clinical lab tests | 50 | $21.45 |
| 82633 | Clinical lab tests | 49 | $29.58 |
| 82634 | Clinical lab tests | 50 | $26.35 |
| 82638 | Clinical lab tests | 49 | $11.70 |
| 82642 | Clinical lab tests | 35 | $26.35 |
| 82652 | Clinical lab tests | 49 | $34.65 |
| 82653 | Clinical lab tests | 41 | $20.21 |
| 82656 | Clinical lab tests | 48 | $11.13 |
| 82657 | Clinical lab tests | 47 | $19.95 |
| 82658 | Clinical lab tests | 47 | $36.68 |
| 82664 | Clinical lab tests | 47 | $52.28 |
| 82668 | Clinical lab tests | 50 | $17.07 |
| 82670 | Clinical lab tests | 50 | $25.92 |
| 82671 | Clinical lab tests | 49 | $29.07 |
| 82672 | Clinical lab tests | 50 | $20.13 |
| 82677 | Clinical lab tests | 50 | $21.76 |
| 82679 | Clinical lab tests | 50 | $22.46 |
| 82681 | Clinical lab tests | 46 | $25.00 |
| 82693 | Clinical lab tests | 48 | $14.12 |
| 82696 | Clinical lab tests | 48 | $23.62 |
| 82705 | Clinical lab tests | 50 | $4.92 |
| 82710 | Clinical lab tests | 50 | $15.12 |
| 82715 | Clinical lab tests | 49 | $19.84 |
| 82725 | Clinical lab tests | 49 | $16.55 |
| 82726 | Clinical lab tests | 50 | $17.78 |
| 82728 | Clinical lab tests | 50 | $12.64 |
| 82731 | Clinical lab tests | 50 | $59.75 |
| 82735 | Clinical lab tests | 49 | $16.69 |
| 82746 | Clinical lab tests | 50 | $13.23 |
| 82747 | Clinical lab tests | 50 | $15.89 |
| 82757 | Clinical lab tests | 45 | $16.91 |
| 82759 | Clinical lab tests | 49 | $20.94 |
| 82760 | Clinical lab tests | 50 | $10.39 |
| 82775 | Clinical lab tests | 49 | $20.12 |
| 82776 | Clinical lab tests | 47 | $10.35 |
| 82777 | Clinical lab tests | 35 | $38.24 |
| 82784 | Clinical lab tests | 50 | $8.60 |
| 82785 | Clinical lab tests | 50 | $14.81 |
| 82787 | Clinical lab tests | 50 | $7.22 |
| 82800 | Clinical lab tests | 49 | $9.78 |
| 82803 | Clinical lab tests | 50 | $23.09 |
| 82805 | Clinical lab tests | 50 | $65.42 |
| 82810 | Clinical lab tests | 50 | $8.79 |
| 82820 | Clinical lab tests | 48 | $11.89 |
| 82930 | Clinical lab tests | 48 | $6.03 |
| 82938 | Clinical lab tests | 50 | $17.30 |
| 82941 | Clinical lab tests | 50 | $17.02 |
| 82943 | Clinical lab tests | 50 | $13.79 |
| 82945 | Clinical lab tests | 49 | $3.85 |
| 82946 | Clinical lab tests | 49 | $15.67 |
| 82947 | Clinical lab tests | 50 | $3.83 |
| 82948 | Clinical lab tests | 50 | $4.30 |
| 82950 | Clinical lab tests | 50 | $4.65 |
| 82951 | Clinical lab tests | 50 | $12.40 |
| 82952 | Clinical lab tests | 50 | $3.53 |
| 82955 | Clinical lab tests | 50 | $9.19 |
| 82960 | Clinical lab tests | 50 | $5.84 |
| 82962 | Clinical lab tests | 46 | $2.89 |
| 82963 | Clinical lab tests | 49 | $21.05 |
| 82965 | Clinical lab tests | 50 | $10.79 |
| 82977 | Clinical lab tests | 50 | $6.48 |
| 82978 | Clinical lab tests | 48 | $13.91 |
| 82979 | Clinical lab tests | 49 | $8.49 |
| 82985 | Clinical lab tests | 50 | $15.08 |
| 83001 | Clinical lab tests | 50 | $17.93 |
| 83002 | Clinical lab tests | 50 | $17.34 |
| 83003 | Clinical lab tests | 50 | $15.47 |
| 83006 | Clinical lab tests | 28 | $65.47 |
| 83009 | Clinical lab tests | 48 | $62.47 |
| 83010 | Clinical lab tests | 50 | $12.01 |
| 83012 | Clinical lab tests | 48 | $23.25 |
| 83013 | Clinical lab tests | 49 | $60.62 |
| 83014 | Clinical lab tests | 47 | $7.66 |
| 83015 | Clinical lab tests | 50 | $18.85 |
| 83018 | Clinical lab tests | 49 | $19.76 |
| 83020 | Clinical lab tests | 50 | $12.64 |
| 83021 | Clinical lab tests | 50 | $16.75 |
| 83026 | Clinical lab tests | 48 | $3.39 |
| 83030 | Clinical lab tests | 50 | $9.61 |
| 83033 | Clinical lab tests | 49 | $7.12 |
| 83036 | Clinical lab tests | 50 | $9.01 |
| 83037 | Clinical lab tests | 34 | $9.37 |
| 83045 | Clinical lab tests | 49 | $5.77 |
| 83050 | Clinical lab tests | 50 | $7.21 |
| 83051 | Clinical lab tests | 50 | $6.58 |
| 83060 | Clinical lab tests | 49 | $7.92 |
| 83065 | Clinical lab tests | 48 | $8.06 |
| 83068 | Clinical lab tests | 48 | $8.52 |
| 83069 | Clinical lab tests | 48 | $3.67 |
| 83070 | Clinical lab tests | 49 | $4.28 |
| 83080 | Clinical lab tests | 48 | $15.18 |
| 83088 | Clinical lab tests | 48 | $27.39 |
| 83090 | Clinical lab tests | 50 | $16.35 |
| 83150 | Clinical lab tests | 50 | $19.57 |
| 83491 | Clinical lab tests | 49 | $16.73 |
| 83497 | Clinical lab tests | 50 | $11.96 |
| 83498 | Clinical lab tests | 50 | $25.20 |
| 83500 | Clinical lab tests | 50 | $22.14 |
| 83505 | Clinical lab tests | 50 | $23.75 |
| 83516 | Clinical lab tests | 48 | $10.38 |
| 83518 | Clinical lab tests | 47 | $8.68 |
| 83519 | Clinical lab tests | 47 | $16.37 |
| 83520 | Clinical lab tests | 48 | $15.45 |
| 83521 | Clinical lab tests | 42 | $15.22 |
| 83525 | Clinical lab tests | 50 | $10.96 |
| 83527 | Clinical lab tests | 50 | $11.85 |
| 83528 | Clinical lab tests | 48 | $17.84 |
| 83529 | Clinical lab tests | 37 | $15.23 |
| 83540 | Clinical lab tests | 50 | $5.82 |
| 83550 | Clinical lab tests | 50 | $8.10 |
| 83570 | Clinical lab tests | 49 | $8.45 |
| 83582 | Clinical lab tests | 49 | $13.92 |
| 83586 | Clinical lab tests | 50 | $12.36 |
| 83593 | Clinical lab tests | 50 | $25.65 |
| 83605 | Clinical lab tests | 50 | $10.41 |
| 83615 | Clinical lab tests | 50 | $5.76 |
| 83625 | Clinical lab tests | 50 | $11.51 |
| 83630 | Clinical lab tests | 48 | $17.63 |
| 83631 | Clinical lab tests | 45 | $18.75 |
| 83632 | Clinical lab tests | 49 | $19.31 |
| 83633 | Clinical lab tests | 48 | $9.35 |
| 83655 | Clinical lab tests | 50 | $11.55 |
| 83661 | Clinical lab tests | 49 | $20.99 |
| 83662 | Clinical lab tests | 50 | $18.26 |
| 83663 | Clinical lab tests | 50 | $16.75 |
| 83664 | Clinical lab tests | 49 | $17.18 |
| 83670 | Clinical lab tests | 48 | $8.83 |
| 83690 | Clinical lab tests | 50 | $6.37 |
| 83695 | Clinical lab tests | 48 | $12.89 |
| 83698 | Clinical lab tests | 45 | $41.19 |
| 83700 | Clinical lab tests | 46 | $10.99 |
| 83701 | Clinical lab tests | 47 | $29.29 |
| 83704 | Clinical lab tests | 45 | $30.77 |
| 83718 | Clinical lab tests | 50 | $7.81 |
| 83719 | Clinical lab tests | 49 | $11.48 |
| 83721 | Clinical lab tests | 49 | $9.45 |
| 83722 | Clinical lab tests | 38 | $30.59 |
| 83727 | Clinical lab tests | 49 | $16.85 |
| 83735 | Clinical lab tests | 50 | $6.39 |
| 83775 | Clinical lab tests | 49 | $7.19 |
| 83785 | Clinical lab tests | 49 | $23.99 |
| 83789 | Clinical lab tests | 44 | $21.58 |
| 83825 | Clinical lab tests | 50 | $14.63 |
| 83835 | Clinical lab tests | 50 | $15.72 |
| 83857 | Clinical lab tests | 49 | $9.67 |
| 83861 | Clinical lab tests | 44 | $20.23 |
| 83864 | Clinical lab tests | 50 | $24.59 |
| 83872 | Clinical lab tests | 49 | $5.27 |
| 83873 | Clinical lab tests | 49 | $16.43 |
| 83874 | Clinical lab tests | 49 | $12.60 |
| 83876 | Clinical lab tests | 46 | $42.80 |
| 83880 | Clinical lab tests | 50 | $35.33 |
| 83883 | Clinical lab tests | 47 | $12.24 |
| 83884 | Clinical lab tests | 19 | $102.50 |
| 83885 | Clinical lab tests | 49 | $22.06 |
| 83915 | Clinical lab tests | 49 | $10.87 |
| 83916 | Clinical lab tests | 49 | $24.36 |
| 83918 | Clinical lab tests | 49 | $20.81 |
| 83919 | Clinical lab tests | 49 | $16.04 |
| 83921 | Clinical lab tests | 50 | $19.09 |
| 83930 | Clinical lab tests | 50 | $6.03 |
| 83935 | Clinical lab tests | 50 | $6.14 |
| 83937 | Clinical lab tests | 47 | $28.50 |
| 83945 | Clinical lab tests | 50 | $13.01 |
| 83950 | Clinical lab tests | 47 | $63.22 |
| 83951 | Clinical lab tests | 46 | $64.41 |
| 83970 | Clinical lab tests | 50 | $38.73 |
| 83986 | Clinical lab tests | 49 | $3.42 |
| 83987 | Clinical lab tests | 35 | $3.58 |
| 83992 | Clinical lab tests | 34 | $15.90 |
| 83993 | Clinical lab tests | 49 | $19.14 |
| 84030 | Clinical lab tests | 49 | $5.36 |
| 84035 | Clinical lab tests | 49 | $3.58 |
| 84060 | Clinical lab tests | 50 | $7.16 |
| 84066 | Clinical lab tests | 50 | $9.45 |
| 84075 | Clinical lab tests | 50 | $5.00 |
| 84078 | Clinical lab tests | 49 | $7.35 |
| 84080 | Clinical lab tests | 49 | $13.30 |
| 84081 | Clinical lab tests | 50 | $15.33 |
| 84085 | Clinical lab tests | 47 | $8.40 |
| 84087 | Clinical lab tests | 50 | $10.00 |
| 84100 | Clinical lab tests | 50 | $4.58 |
| 84105 | Clinical lab tests | 50 | $5.20 |
| 84106 | Clinical lab tests | 50 | $5.21 |
| 84110 | Clinical lab tests | 50 | $7.60 |
| 84112 | Clinical lab tests | 43 | $86.52 |
| 84119 | Clinical lab tests | 50 | $11.45 |
| 84120 | Clinical lab tests | 50 | $13.24 |
| 84126 | Clinical lab tests | 48 | $33.81 |
| 84132 | Clinical lab tests | 50 | $4.46 |
| 84133 | Clinical lab tests | 50 | $4.26 |
| 84134 | Clinical lab tests | 50 | $13.13 |
| 84135 | Clinical lab tests | 49 | $19.05 |
| 84138 | Clinical lab tests | 49 | $18.95 |
| 84140 | Clinical lab tests | 50 | $19.95 |
| 84143 | Clinical lab tests | 50 | $21.96 |
| 84144 | Clinical lab tests | 50 | $19.35 |
| 84145 | Clinical lab tests | 47 | $24.50 |
| 84146 | Clinical lab tests | 50 | $18.71 |
| 84150 | Clinical lab tests | 48 | $35.50 |
| 84152 | Clinical lab tests | 50 | $18.04 |
| 84153 | Clinical lab tests | 50 | $17.98 |
| 84154 | Clinical lab tests | 50 | $17.98 |
| 84155 | Clinical lab tests | 50 | $3.54 |
| 84156 | Clinical lab tests | 50 | $3.59 |
| 84157 | Clinical lab tests | 50 | $3.68 |
| 84160 | Clinical lab tests | 50 | $5.07 |
| 84163 | Clinical lab tests | 50 | $13.55 |
| 84165 | Clinical lab tests | 50 | $10.62 |
| 84166 | Clinical lab tests | 50 | $15.39 |
| 84181 | Clinical lab tests | 48 | $15.17 |
| 84182 | Clinical lab tests | 49 | $16.54 |
| 84202 | Clinical lab tests | 50 | $13.31 |
| 84203 | Clinical lab tests | 48 | $8.77 |
| 84206 | Clinical lab tests | 48 | $23.08 |
| 84207 | Clinical lab tests | 50 | $25.29 |
| 84210 | Clinical lab tests | 49 | $12.77 |
| 84220 | Clinical lab tests | 50 | $8.50 |
| 84228 | Clinical lab tests | 48 | $10.91 |
| 84233 | Clinical lab tests | 50 | $77.70 |
| 84234 | Clinical lab tests | 50 | $62.61 |
| 84235 | Clinical lab tests | 48 | $64.11 |
| 84238 | Clinical lab tests | 49 | $32.91 |
| 84244 | Clinical lab tests | 49 | $20.94 |
| 84252 | Clinical lab tests | 49 | $18.22 |
| 84255 | Clinical lab tests | 48 | $22.98 |
| 84260 | Clinical lab tests | 49 | $27.88 |
| 84270 | Clinical lab tests | 48 | $20.16 |
| 84275 | Clinical lab tests | 49 | $13.10 |
| 84285 | Clinical lab tests | 49 | $22.69 |
| 84295 | Clinical lab tests | 50 | $4.56 |
| 84300 | Clinical lab tests | 50 | $4.55 |
| 84302 | Clinical lab tests | 50 | $4.51 |
| 84305 | Clinical lab tests | 50 | $19.13 |
| 84307 | Clinical lab tests | 49 | $17.10 |
| 84311 | Clinical lab tests | 47 | $7.29 |
| 84315 | Clinical lab tests | 47 | $2.95 |
| 84375 | Clinical lab tests | 49 | $32.49 |
| 84376 | Clinical lab tests | 49 | $5.38 |
| 84377 | Clinical lab tests | 49 | $5.39 |
| 84378 | Clinical lab tests | 49 | $11.30 |
| 84379 | Clinical lab tests | 49 | $11.24 |
| 84392 | Clinical lab tests | 48 | $4.94 |
| 84393 | Clinical lab tests | 22 | $114.18 |
| 84394 | Clinical lab tests | 18 | $116.03 |
| 84402 | Clinical lab tests | 50 | $24.58 |
| 84403 | Clinical lab tests | 50 | $24.91 |
| 84410 | Clinical lab tests | 43 | $50.34 |
| 84425 | Clinical lab tests | 50 | $19.11 |
| 84430 | Clinical lab tests | 49 | $10.47 |
| 84431 | Clinical lab tests | 40 | $29.84 |
| 84432 | Clinical lab tests | 49 | $15.34 |
| 84433 | Clinical lab tests | 41 | $19.15 |
| 84436 | Clinical lab tests | 50 | $6.36 |
| 84437 | Clinical lab tests | 48 | $6.09 |
| 84439 | Clinical lab tests | 50 | $8.62 |
| 84442 | Clinical lab tests | 50 | $13.30 |
| 84443 | Clinical lab tests | 50 | $15.90 |
| 84445 | Clinical lab tests | 49 | $45.77 |
| 84446 | Clinical lab tests | 50 | $13.15 |
| 84449 | Clinical lab tests | 48 | $17.65 |
| 84450 | Clinical lab tests | 50 | $5.00 |
| 84460 | Clinical lab tests | 50 | $5.07 |
| 84466 | Clinical lab tests | 50 | $12.32 |
| 84478 | Clinical lab tests | 50 | $5.37 |
| 84479 | Clinical lab tests | 50 | $6.12 |
| 84480 | Clinical lab tests | 50 | $12.76 |
| 84481 | Clinical lab tests | 50 | $15.25 |
| 84482 | Clinical lab tests | 49 | $14.18 |
| 84484 | Clinical lab tests | 50 | $11.16 |
| 84485 | Clinical lab tests | 48 | $7.07 |
| 84488 | Clinical lab tests | 49 | $7.03 |
| 84490 | Clinical lab tests | 49 | $8.94 |
| 84510 | Clinical lab tests | 50 | $9.75 |
| 84512 | Clinical lab tests | 48 | $9.03 |
| 84520 | Clinical lab tests | 50 | $3.81 |
| 84525 | Clinical lab tests | 47 | $4.52 |
| 84540 | Clinical lab tests | 49 | $5.00 |
| 84545 | Clinical lab tests | 49 | $6.48 |
| 84550 | Clinical lab tests | 50 | $4.36 |
| 84560 | Clinical lab tests | 50 | $4.57 |
| 84577 | Clinical lab tests | 49 | $15.12 |
| 84578 | Clinical lab tests | 49 | $3.87 |
| 84580 | Clinical lab tests | 49 | $8.49 |
| 84583 | Clinical lab tests | 49 | $5.45 |
| 84585 | Clinical lab tests | 50 | $14.96 |
| 84586 | Clinical lab tests | 47 | $31.80 |
| 84588 | Clinical lab tests | 50 | $31.49 |
| 84590 | Clinical lab tests | 50 | $10.89 |
| 84591 | Clinical lab tests | 44 | $14.90 |
| 84597 | Clinical lab tests | 48 | $12.87 |
| 84600 | Clinical lab tests | 48 | $15.59 |
| 84620 | Clinical lab tests | 50 | $11.62 |
| 84630 | Clinical lab tests | 50 | $10.56 |
| 84681 | Clinical lab tests | 50 | $18.73 |
| 84702 | Clinical lab tests | 50 | $13.47 |
| 84703 | Clinical lab tests | 50 | $7.17 |
| 84704 | Clinical lab tests | 48 | $13.76 |
| 84830 | Clinical lab tests | 38 | $11.41 |
| 84999 | Clinical lab tests | 7 | $29.25 |
| 85002 | Clinical lab tests | 50 | $4.34 |
| 85004 | Clinical lab tests | 50 | $6.25 |
| 85007 | Clinical lab tests | 50 | $3.42 |
| 85008 | Clinical lab tests | 49 | $3.29 |
| 85009 | Clinical lab tests | 49 | $4.50 |
| 85013 | Clinical lab tests | 50 | $5.82 |
| 85014 | Clinical lab tests | 50 | $2.19 |
| 85018 | Clinical lab tests | 50 | $2.20 |
| 85025 | Clinical lab tests | 50 | $6.99 |
| 85027 | Clinical lab tests | 50 | $6.00 |
| 85032 | Clinical lab tests | 50 | $4.00 |
| 85041 | Clinical lab tests | 50 | $2.82 |
| 85044 | Clinical lab tests | 50 | $4.06 |
| 85045 | Clinical lab tests | 50 | $3.71 |
| 85046 | Clinical lab tests | 50 | $5.38 |
| 85048 | Clinical lab tests | 50 | $2.36 |
| 85049 | Clinical lab tests | 50 | $4.03 |
| 85055 | Clinical lab tests | 50 | $31.22 |
| 85060 | Clinical lab tests | 47 | $17.25 |
| 85097 | Clinical lab tests | 50 | $48.49 |
| 85130 | Clinical lab tests | 47 | $10.70 |
| 85170 | Clinical lab tests | 48 | $13.31 |
| 85175 | Clinical lab tests | 49 | $16.86 |
| 85210 | Clinical lab tests | 50 | $11.68 |
| 85220 | Clinical lab tests | 50 | $15.89 |
| 85230 | Clinical lab tests | 50 | $16.11 |
| 85240 | Clinical lab tests | 50 | $16.11 |
| 85244 | Clinical lab tests | 50 | $19.20 |
| 85245 | Clinical lab tests | 50 | $20.65 |
| 85246 | Clinical lab tests | 50 | $20.65 |
| 85247 | Clinical lab tests | 50 | $20.65 |
| 85250 | Clinical lab tests | 50 | $17.14 |
| 85260 | Clinical lab tests | 50 | $16.11 |
| 85270 | Clinical lab tests | 50 | $16.11 |
| 85280 | Clinical lab tests | 50 | $17.42 |
| 85290 | Clinical lab tests | 50 | $14.71 |
| 85291 | Clinical lab tests | 50 | $8.49 |
| 85292 | Clinical lab tests | 50 | $18.28 |
| 85293 | Clinical lab tests | 50 | $18.28 |
| 85300 | Clinical lab tests | 50 | $10.67 |
| 85301 | Clinical lab tests | 50 | $10.43 |
| 85302 | Clinical lab tests | 50 | $11.60 |
| 85303 | Clinical lab tests | 50 | $12.86 |
| 85305 | Clinical lab tests | 50 | $11.35 |
| 85306 | Clinical lab tests | 50 | $14.79 |
| 85307 | Clinical lab tests | 50 | $14.63 |
| 85335 | Clinical lab tests | 50 | $11.58 |
| 85337 | Clinical lab tests | 49 | $14.68 |
| 85345 | Clinical lab tests | 49 | $4.22 |
| 85347 | Clinical lab tests | 50 | $3.85 |
| 85348 | Clinical lab tests | 50 | $3.98 |
| 85360 | Clinical lab tests | 50 | $7.80 |
| 85362 | Clinical lab tests | 50 | $6.39 |
| 85366 | Clinical lab tests | 49 | $66.62 |
| 85370 | Clinical lab tests | 50 | $11.05 |
| 85378 | Clinical lab tests | 50 | $8.75 |
| 85379 | Clinical lab tests | 50 | $9.83 |
| 85380 | Clinical lab tests | 50 | $9.83 |
| 85384 | Clinical lab tests | 50 | $8.75 |
| 85385 | Clinical lab tests | 50 | $12.09 |
| 85390 | Clinical lab tests | 49 | $13.62 |
| 85396 | Clinical lab tests | 44 | $14.79 |
| 85397 | Clinical lab tests | 46 | $26.75 |
| 85400 | Clinical lab tests | 49 | $7.52 |
| 85410 | Clinical lab tests | 49 | $7.36 |
| 85415 | Clinical lab tests | 49 | $15.47 |
| 85420 | Clinical lab tests | 49 | $6.24 |
| 85421 | Clinical lab tests | 48 | $9.55 |
| 85441 | Clinical lab tests | 50 | $4.06 |
| 85445 | Clinical lab tests | 50 | $6.52 |
| 85460 | Clinical lab tests | 50 | $7.18 |
| 85461 | Clinical lab tests | 50 | $8.29 |
| 85475 | Clinical lab tests | 50 | $8.48 |
| 85520 | Clinical lab tests | 50 | $11.78 |
| 85525 | Clinical lab tests | 49 | $10.66 |
| 85530 | Clinical lab tests | 49 | $11.78 |
| 85536 | Clinical lab tests | 49 | $6.71 |
| 85540 | Clinical lab tests | 50 | $8.11 |
| 85547 | Clinical lab tests | 49 | $7.74 |
| 85549 | Clinical lab tests | 50 | $17.40 |
| 85555 | Clinical lab tests | 49 | $6.72 |
| 85557 | Clinical lab tests | 50 | $12.02 |
| 85576 | Clinical lab tests | 50 | $17.02 |
| 85597 | Clinical lab tests | 49 | $16.18 |
| 85598 | Clinical lab tests | 47 | $17.16 |
| 85610 | Clinical lab tests | 50 | $3.86 |
| 85611 | Clinical lab tests | 49 | $3.84 |
| 85612 | Clinical lab tests | 50 | $14.24 |
| 85613 | Clinical lab tests | 50 | $8.62 |
| 85635 | Clinical lab tests | 50 | $9.14 |
| 85651 | Clinical lab tests | 50 | $3.84 |
| 85652 | Clinical lab tests | 50 | $2.61 |
| 85660 | Clinical lab tests | 49 | $4.96 |
| 85670 | Clinical lab tests | 49 | $5.25 |
| 85675 | Clinical lab tests | 46 | $6.70 |
| 85705 | Clinical lab tests | 50 | $8.57 |
| 85730 | Clinical lab tests | 50 | $5.73 |
| 85732 | Clinical lab tests | 50 | $6.20 |
| 85810 | Clinical lab tests | 50 | $11.26 |
| 85999 | Clinical lab tests | 6 | $26.47 |
| 86000 | Clinical lab tests | 49 | $6.28 |
| 86001 | Clinical lab tests | 46 | $6.71 |
| 86003 | Clinical lab tests | 50 | $4.70 |
| 86005 | Clinical lab tests | 43 | $7.62 |
| 86008 | Clinical lab tests | 44 | $16.14 |
| 86015 | Clinical lab tests | 45 | $10.63 |
| 86021 | Clinical lab tests | 49 | $13.55 |
| 86022 | Clinical lab tests | 49 | $17.54 |
| 86023 | Clinical lab tests | 48 | $11.56 |
| 86036 | Clinical lab tests | 43 | $10.72 |
| 86037 | Clinical lab tests | 43 | $10.63 |
| 86038 | Clinical lab tests | 50 | $11.65 |
| 86039 | Clinical lab tests | 50 | $10.54 |
| 86041 | Clinical lab tests | 43 | $15.92 |
| 86042 | Clinical lab tests | 43 | $15.92 |
| 86043 | Clinical lab tests | 43 | $10.42 |
| 86051 | Clinical lab tests | 43 | $10.17 |
| 86052 | Clinical lab tests | 42 | $10.62 |
| 86053 | Clinical lab tests | 42 | $30.18 |
| 86060 | Clinical lab tests | 50 | $6.99 |
| 86063 | Clinical lab tests | 50 | $5.62 |
| 86077 | Clinical lab tests | 42 | $41.63 |
| 86078 | Clinical lab tests | 43 | $42.02 |
| 86079 | Clinical lab tests | 41 | $42.02 |
| 86140 | Clinical lab tests | 50 | $4.66 |
| 86141 | Clinical lab tests | 50 | $11.66 |
| 86146 | Clinical lab tests | 50 | $22.91 |
| 86147 | Clinical lab tests | 50 | $22.91 |
| 86148 | Clinical lab tests | 48 | $14.46 |
| 86152 | Clinical lab tests | 24 | $237.61 |
| 86153 | Clinical lab tests | 22 | $28.78 |
| 86155 | Clinical lab tests | 47 | $15.27 |
| 86156 | Clinical lab tests | 49 | $7.26 |
| 86157 | Clinical lab tests | 50 | $7.60 |
| 86160 | Clinical lab tests | 50 | $11.10 |
| 86161 | Clinical lab tests | 50 | $11.44 |
| 86162 | Clinical lab tests | 50 | $19.19 |
| 86171 | Clinical lab tests | 48 | $9.01 |
| 86200 | Clinical lab tests | 49 | $12.63 |
| 86215 | Clinical lab tests | 50 | $11.93 |
| 86225 | Clinical lab tests | 50 | $12.75 |
| 86226 | Clinical lab tests | 49 | $11.81 |
| 86231 | Clinical lab tests | 44 | $10.56 |
| 86235 | Clinical lab tests | 50 | $16.14 |
| 86255 | Clinical lab tests | 50 | $11.94 |
| 86256 | Clinical lab tests | 49 | $12.04 |
| 86258 | Clinical lab tests | 44 | $10.68 |
| 86277 | Clinical lab tests | 49 | $15.32 |
| 86280 | Clinical lab tests | 47 | $7.97 |
| 86294 | Clinical lab tests | 48 | $22.34 |
| 86300 | Clinical lab tests | 50 | $20.27 |
| 86301 | Clinical lab tests | 49 | $20.25 |
| 86304 | Clinical lab tests | 50 | $20.27 |
| 86305 | Clinical lab tests | 39 | $20.29 |
| 86308 | Clinical lab tests | 50 | $4.86 |
| 86309 | Clinical lab tests | 50 | $6.33 |
| 86310 | Clinical lab tests | 49 | $7.17 |
| 86316 | Clinical lab tests | 48 | $19.30 |
| 86317 | Clinical lab tests | 48 | $13.91 |
| 86318 | Clinical lab tests | 50 | $16.03 |
| 86320 | Clinical lab tests | 50 | $16.57 |
| 86325 | Clinical lab tests | 50 | $16.57 |
| 86327 | Clinical lab tests | 8 | $19.42 |
| 86328 | Clinical lab tests | 47 | $40.75 |
| 86329 | Clinical lab tests | 50 | $13.53 |
| 86331 | Clinical lab tests | 48 | $11.58 |
| 86332 | Clinical lab tests | 49 | $23.28 |
| 86334 | Clinical lab tests | 50 | $16.57 |
| 86335 | Clinical lab tests | 49 | $17.34 |
| 86336 | Clinical lab tests | 48 | $14.46 |
| 86337 | Clinical lab tests | 50 | $19.27 |
| 86340 | Clinical lab tests | 50 | $14.11 |
| 86341 | Clinical lab tests | 49 | $20.36 |
| 86343 | Clinical lab tests | 46 | $12.02 |
| 86344 | Clinical lab tests | 47 | $9.35 |
| 86352 | Clinical lab tests | 42 | $117.45 |
| 86353 | Clinical lab tests | 49 | $47.80 |
| 86355 | Clinical lab tests | 50 | $33.96 |
| 86356 | Clinical lab tests | 45 | $24.10 |
| 86357 | Clinical lab tests | 49 | $33.96 |
| 86359 | Clinical lab tests | 50 | $33.96 |
| 86360 | Clinical lab tests | 50 | $42.28 |
| 86361 | Clinical lab tests | 49 | $24.10 |
| 86362 | Clinical lab tests | 42 | $10.68 |
| 86363 | Clinical lab tests | 42 | $30.18 |
| 86364 | Clinical lab tests | 45 | $10.26 |
| 86366 | Clinical lab tests | 42 | $16.06 |
| 86367 | Clinical lab tests | 50 | $64.60 |
| 86376 | Clinical lab tests | 50 | $13.65 |
| 86381 | Clinical lab tests | 43 | $22.44 |
| 86382 | Clinical lab tests | 49 | $16.15 |
| 86384 | Clinical lab tests | 48 | $12.25 |
| 86386 | Clinical lab tests | 34 | $20.42 |
| 86403 | Clinical lab tests | 50 | $10.39 |
| 86406 | Clinical lab tests | 49 | $10.35 |
| 86408 | Clinical lab tests | 36 | $39.50 |
| 86409 | Clinical lab tests | 36 | $78.31 |
| 86413 | Clinical lab tests | 36 | $46.02 |
| 86430 | Clinical lab tests | 50 | $5.55 |
| 86431 | Clinical lab tests | 50 | $5.47 |
| 86480 | Clinical lab tests | 50 | $55.78 |
| 86481 | Clinical lab tests | 49 | $85.00 |
| 86485 | Clinical lab tests | 42 | $10.00 |
| 86486 | Clinical lab tests | 39 | $5.08 |
| 86490 | Clinical lab tests | 7 | $10.37 |
| 86510 | Clinical lab tests | 50 | $6.52 |
| 86580 | Clinical lab tests | 50 | $7.94 |
| 86581 | Clinical lab tests | 23 | $81.16 |
| 86590 | Clinical lab tests | 48 | $11.39 |
| 86592 | Clinical lab tests | 50 | $4.04 |
| 86593 | Clinical lab tests | 49 | $4.00 |
| 86596 | Clinical lab tests | 42 | $11.89 |
| 86602 | Clinical lab tests | 49 | $9.16 |
| 86603 | Clinical lab tests | 50 | $11.58 |
| 86606 | Clinical lab tests | 50 | $13.55 |
| 86609 | Clinical lab tests | 48 | $11.59 |
| 86611 | Clinical lab tests | 50 | $9.17 |
| 86612 | Clinical lab tests | 50 | $11.61 |
| 86615 | Clinical lab tests | 50 | $11.87 |
| 86617 | Clinical lab tests | 50 | $14.70 |
| 86618 | Clinical lab tests | 50 | $15.80 |
| 86619 | Clinical lab tests | 49 | $12.78 |
| 86622 | Clinical lab tests | 50 | $8.08 |
| 86625 | Clinical lab tests | 50 | $11.81 |
| 86628 | Clinical lab tests | 48 | $10.81 |
| 86631 | Clinical lab tests | 49 | $10.64 |
| 86632 | Clinical lab tests | 50 | $11.77 |
| 86635 | Clinical lab tests | 50 | $10.32 |
| 86638 | Clinical lab tests | 50 | $10.91 |
| 86641 | Clinical lab tests | 50 | $12.97 |
| 86644 | Clinical lab tests | 50 | $13.37 |
| 86645 | Clinical lab tests | 50 | $15.17 |
| 86648 | Clinical lab tests | 49 | $13.69 |
| 86651 | Clinical lab tests | 50 | $12.24 |
| 86652 | Clinical lab tests | 50 | $12.24 |
| 86653 | Clinical lab tests | 50 | $12.24 |
| 86654 | Clinical lab tests | 50 | $12.24 |
| 86658 | Clinical lab tests | 49 | $11.73 |
| 86663 | Clinical lab tests | 50 | $12.78 |
| 86664 | Clinical lab tests | 50 | $14.61 |
| 86665 | Clinical lab tests | 50 | $16.83 |
| 86666 | Clinical lab tests | 50 | $9.17 |
| 86668 | Clinical lab tests | 50 | $12.42 |
| 86671 | Clinical lab tests | 47 | $11.03 |
| 86674 | Clinical lab tests | 49 | $13.25 |
| 86677 | Clinical lab tests | 49 | $14.99 |
| 86682 | Clinical lab tests | 47 | $11.71 |
| 86684 | Clinical lab tests | 50 | $15.27 |
| 86687 | Clinical lab tests | 49 | $8.24 |
| 86688 | Clinical lab tests | 48 | $12.60 |
| 86689 | Clinical lab tests | 50 | $18.85 |
| 86692 | Clinical lab tests | 50 | $15.92 |
| 86694 | Clinical lab tests | 49 | $13.75 |
| 86695 | Clinical lab tests | 49 | $12.83 |
| 86696 | Clinical lab tests | 50 | $18.66 |
| 86698 | Clinical lab tests | 50 | $12.41 |
| 86701 | Clinical lab tests | 50 | $8.57 |
| 86702 | Clinical lab tests | 49 | $12.17 |
| 86703 | Clinical lab tests | 50 | $12.72 |
| 86704 | Clinical lab tests | 50 | $11.62 |
| 86705 | Clinical lab tests | 50 | $10.92 |
| 86706 | Clinical lab tests | 50 | $10.36 |
| 86707 | Clinical lab tests | 50 | $11.17 |
| 86708 | Clinical lab tests | 50 | $11.49 |
| 86709 | Clinical lab tests | 50 | $10.87 |
| 86710 | Clinical lab tests | 49 | $12.94 |
| 86711 | Clinical lab tests | 45 | $15.20 |
| 86713 | Clinical lab tests | 50 | $14.77 |
| 86717 | Clinical lab tests | 49 | $11.03 |
| 86720 | Clinical lab tests | 50 | $14.15 |
| 86723 | Clinical lab tests | 49 | $11.87 |
| 86727 | Clinical lab tests | 50 | $11.58 |
| 86732 | Clinical lab tests | 48 | $13.29 |
| 86735 | Clinical lab tests | 49 | $11.75 |
| 86738 | Clinical lab tests | 50 | $12.29 |
| 86741 | Clinical lab tests | 48 | $11.87 |
| 86744 | Clinical lab tests | 50 | $14.16 |
| 86747 | Clinical lab tests | 50 | $13.95 |
| 86750 | Clinical lab tests | 49 | $11.87 |
| 86753 | Clinical lab tests | 47 | $11.15 |
| 86756 | Clinical lab tests | 50 | $14.22 |
| 86757 | Clinical lab tests | 50 | $18.85 |
| 86759 | Clinical lab tests | 50 | $16.20 |
| 86762 | Clinical lab tests | 50 | $13.89 |
| 86765 | Clinical lab tests | 50 | $11.70 |
| 86768 | Clinical lab tests | 49 | $11.87 |
| 86769 | Clinical lab tests | 47 | $37.92 |
| 86771 | Clinical lab tests | 49 | $20.27 |
| 86774 | Clinical lab tests | 48 | $13.32 |
| 86777 | Clinical lab tests | 50 | $13.35 |
| 86778 | Clinical lab tests | 50 | $13.89 |
| 86780 | Clinical lab tests | 49 | $12.70 |
| 86784 | Clinical lab tests | 50 | $11.24 |
| 86787 | Clinical lab tests | 50 | $11.59 |
| 86788 | Clinical lab tests | 50 | $15.63 |
| 86789 | Clinical lab tests | 50 | $14.24 |
| 86790 | Clinical lab tests | 47 | $11.59 |
| 86793 | Clinical lab tests | 50 | $11.80 |
| 86794 | Clinical lab tests | 44 | $15.83 |
| 86800 | Clinical lab tests | 50 | $14.32 |
| 86803 | Clinical lab tests | 50 | $13.24 |
| 86804 | Clinical lab tests | 50 | $15.14 |
| 86805 | Clinical lab tests | 49 | $156.92 |
| 86806 | Clinical lab tests | 49 | $46.40 |
| 86807 | Clinical lab tests | 49 | $65.52 |
| 86808 | Clinical lab tests | 49 | $28.94 |
| 86812 | Clinical lab tests | 49 | $23.23 |
| 86813 | Clinical lab tests | 49 | $55.38 |
| 86816 | Clinical lab tests | 48 | $27.53 |
| 86817 | Clinical lab tests | 49 | $90.22 |
| 86821 | Clinical lab tests | 49 | $35.89 |
| 86825 | Clinical lab tests | 45 | $96.56 |
| 86826 | Clinical lab tests | 45 | $32.21 |
| 86828 | Clinical lab tests | 45 | $54.56 |
| 86829 | Clinical lab tests | 45 | $54.56 |
| 86830 | Clinical lab tests | 46 | $85.97 |
| 86831 | Clinical lab tests | 46 | $73.69 |
| 86832 | Clinical lab tests | 46 | $275.19 |
| 86833 | Clinical lab tests | 46 | $276.93 |
| 86834 | Clinical lab tests | 45 | $350.41 |
| 86835 | Clinical lab tests | 45 | $316.50 |
| 86849 | Clinical lab tests | 10 | $61.50 |
| 86850 | Clinical lab tests | 50 | $8.37 |
| 86860 | Clinical lab tests | 36 | $18.40 |
| 86870 | Clinical lab tests | 43 | $22.08 |
| 86880 | Clinical lab tests | 50 | $5.19 |
| 86885 | Clinical lab tests | 48 | $5.62 |
| 86886 | Clinical lab tests | 49 | $5.05 |
| 86890 | Clinical lab tests | 21 | $44.32 |
| 86891 | Clinical lab tests | 19 | $75.00 |
| 86900 | Clinical lab tests | 50 | $2.92 |
| 86901 | Clinical lab tests | 50 | $2.93 |
| 86902 | Clinical lab tests | 47 | $5.40 |
| 86904 | Clinical lab tests | 49 | $13.58 |
| 86905 | Clinical lab tests | 50 | $3.73 |
| 86906 | Clinical lab tests | 49 | $7.40 |
| 86910 | Clinical lab tests | 13 | $24.23 |
| 86911 | Clinical lab tests | 12 | $7.23 |
| 86920 | Clinical lab tests | 35 | $20.80 |
| 86921 | Clinical lab tests | 32 | $21.32 |
| 86922 | Clinical lab tests | 36 | $25.42 |
| 86923 | Clinical lab tests | 21 | $13.46 |
| 86927 | Clinical lab tests | 23 | $15.08 |
| 86930 | Clinical lab tests | 20 | $35.56 |
| 86931 | Clinical lab tests | 19 | $32.36 |
| 86932 | Clinical lab tests | 19 | $42.89 |
| 86940 | Clinical lab tests | 48 | $7.89 |
| 86941 | Clinical lab tests | 48 | $11.12 |
| 86945 | Clinical lab tests | 26 | $23.46 |
| 86950 | Clinical lab tests | 21 | $41.60 |
| 86960 | Clinical lab tests | 11 | $16.70 |
| 86965 | Clinical lab tests | 26 | $13.97 |
| 86970 | Clinical lab tests | 23 | $17.00 |
| 86971 | Clinical lab tests | 21 | $17.28 |
| 86972 | Clinical lab tests | 21 | $20.78 |
| 86975 | Clinical lab tests | 20 | $18.58 |
| 86976 | Clinical lab tests | 21 | $19.27 |
| 86977 | Clinical lab tests | 24 | $18.07 |
| 86978 | Clinical lab tests | 24 | $19.14 |
| 86985 | Clinical lab tests | 23 | $13.50 |
| 86999 | Clinical lab tests | 8 | $30.88 |
| 87003 | Clinical lab tests | 44 | $16.41 |
| 87015 | Clinical lab tests | 50 | $6.20 |
| 87040 | Clinical lab tests | 50 | $9.37 |
| 87045 | Clinical lab tests | 49 | $8.50 |
| 87046 | Clinical lab tests | 50 | $8.36 |
| 87070 | Clinical lab tests | 50 | $7.76 |
| 87071 | Clinical lab tests | 48 | $8.76 |
| 87073 | Clinical lab tests | 48 | $8.56 |
| 87075 | Clinical lab tests | 50 | $9.13 |
| 87076 | Clinical lab tests | 49 | $7.72 |
| 87077 | Clinical lab tests | 49 | $7.27 |
| 87081 | Clinical lab tests | 50 | $5.97 |
| 87084 | Clinical lab tests | 47 | $22.55 |
| 87086 | Clinical lab tests | 50 | $7.89 |
| 87088 | Clinical lab tests | 50 | $7.88 |
| 87101 | Clinical lab tests | 50 | $7.20 |
| 87102 | Clinical lab tests | 50 | $8.11 |
| 87103 | Clinical lab tests | 49 | $17.04 |
| 87106 | Clinical lab tests | 49 | $9.80 |
| 87107 | Clinical lab tests | 49 | $10.06 |
| 87109 | Clinical lab tests | 50 | $13.85 |
| 87110 | Clinical lab tests | 50 | $18.91 |
| 87116 | Clinical lab tests | 49 | $10.32 |
| 87118 | Clinical lab tests | 48 | $13.15 |
| 87140 | Clinical lab tests | 49 | $5.01 |
| 87143 | Clinical lab tests | 49 | $11.96 |
| 87147 | Clinical lab tests | 49 | $4.66 |
| 87149 | Clinical lab tests | 49 | $19.55 |
| 87150 | Clinical lab tests | 47 | $33.51 |
| 87152 | Clinical lab tests | 49 | $6.69 |
| 87153 | Clinical lab tests | 43 | $110.17 |
| 87154 | Clinical lab tests | 30 | $195.11 |
| 87158 | Clinical lab tests | 49 | $6.69 |
| 87164 | Clinical lab tests | 50 | $9.67 |
| 87166 | Clinical lab tests | 50 | $10.17 |
| 87168 | Clinical lab tests | 48 | $4.16 |
| 87169 | Clinical lab tests | 49 | $4.07 |
| 87172 | Clinical lab tests | 48 | $4.16 |
| 87176 | Clinical lab tests | 48 | $5.75 |
| 87177 | Clinical lab tests | 50 | $8.21 |
| 87181 | Clinical lab tests | 50 | $4.63 |
| 87183 | Clinical lab tests | 20 | $30.95 |
| 87184 | Clinical lab tests | 50 | $6.82 |
| 87185 | Clinical lab tests | 50 | $4.58 |
| 87186 | Clinical lab tests | 50 | $8.12 |
| 87187 | Clinical lab tests | 47 | $33.46 |
| 87188 | Clinical lab tests | 50 | $6.17 |
| 87190 | Clinical lab tests | 50 | $6.58 |
| 87197 | Clinical lab tests | 47 | $14.43 |
| 87205 | Clinical lab tests | 50 | $3.84 |
| 87206 | Clinical lab tests | 50 | $4.85 |
| 87207 | Clinical lab tests | 50 | $5.97 |
| 87209 | Clinical lab tests | 50 | $16.25 |
| 87210 | Clinical lab tests | 50 | $5.08 |
| 87220 | Clinical lab tests | 49 | $4.07 |
| 87230 | Clinical lab tests | 50 | $19.06 |
| 87250 | Clinical lab tests | 50 | $17.60 |
| 87252 | Clinical lab tests | 50 | $24.18 |
| 87253 | Clinical lab tests | 50 | $18.71 |
| 87254 | Clinical lab tests | 50 | $17.09 |
| 87255 | Clinical lab tests | 49 | $30.47 |
| 87260 | Clinical lab tests | 49 | $12.99 |
| 87265 | Clinical lab tests | 49 | $11.68 |
| 87267 | Clinical lab tests | 47 | $12.08 |
| 87269 | Clinical lab tests | 50 | $12.28 |
| 87270 | Clinical lab tests | 47 | $11.71 |
| 87271 | Clinical lab tests | 49 | $12.08 |
| 87272 | Clinical lab tests | 49 | $11.71 |
| 87273 | Clinical lab tests | 50 | $11.73 |
| 87274 | Clinical lab tests | 49 | $11.74 |
| 87275 | Clinical lab tests | 50 | $11.93 |
| 87276 | Clinical lab tests | 49 | $14.29 |
| 87278 | Clinical lab tests | 49 | $14.04 |
| 87279 | Clinical lab tests | 50 | $14.21 |
| 87280 | Clinical lab tests | 49 | $12.08 |
| 87281 | Clinical lab tests | 50 | $11.70 |
| 87283 | Clinical lab tests | 49 | $50.34 |
| 87285 | Clinical lab tests | 47 | $11.77 |
| 87290 | Clinical lab tests | 49 | $12.08 |
| 87299 | Clinical lab tests | 46 | $14.41 |
| 87300 | Clinical lab tests | 49 | $10.66 |
| 87301 | Clinical lab tests | 49 | $11.68 |
| 87305 | Clinical lab tests | 49 | $11.66 |
| 87320 | Clinical lab tests | 48 | $13.42 |
| 87324 | Clinical lab tests | 49 | $10.78 |
| 87327 | Clinical lab tests | 50 | $12.12 |
| 87328 | Clinical lab tests | 49 | $12.44 |
| 87329 | Clinical lab tests | 50 | $11.57 |
| 87332 | Clinical lab tests | 49 | $11.68 |
| 87335 | Clinical lab tests | 48 | $11.74 |
| 87336 | Clinical lab tests | 50 | $14.10 |
| 87337 | Clinical lab tests | 49 | $11.71 |
| 87338 | Clinical lab tests | 48 | $12.94 |
| 87339 | Clinical lab tests | 47 | $14.11 |
| 87340 | Clinical lab tests | 50 | $10.10 |
| 87341 | Clinical lab tests | 50 | $10.10 |
| 87350 | Clinical lab tests | 50 | $10.38 |
| 87380 | Clinical lab tests | 50 | $16.52 |
| 87385 | Clinical lab tests | 49 | $11.93 |
| 87389 | Clinical lab tests | 50 | $22.18 |
| 87390 | Clinical lab tests | 50 | $21.31 |
| 87391 | Clinical lab tests | 48 | $19.30 |
| 87400 | Clinical lab tests | 49 | $12.21 |
| 87420 | Clinical lab tests | 49 | $12.52 |
| 87425 | Clinical lab tests | 49 | $11.45 |
| 87426 | Clinical lab tests | 49 | $34.45 |
| 87427 | Clinical lab tests | 50 | $11.67 |
| 87428 | Clinical lab tests | 48 | $62.89 |
| 87430 | Clinical lab tests | 50 | $14.68 |
| 87449 | Clinical lab tests | 49 | $11.45 |
| 87450 | Clinical lab tests | 5 | $9.49 |
| 87451 | Clinical lab tests | 49 | $9.46 |
| 87467 | Clinical lab tests | 42 | $19.63 |
| 87468 | Clinical lab tests | 43 | $31.58 |
| 87469 | Clinical lab tests | 44 | $31.58 |
| 87471 | Clinical lab tests | 48 | $31.58 |
| 87472 | Clinical lab tests | 44 | $41.30 |
| 87475 | Clinical lab tests | 47 | $19.65 |
| 87476 | Clinical lab tests | 49 | $31.58 |
| 87478 | Clinical lab tests | 43 | $31.58 |
| 87480 | Clinical lab tests | 50 | $18.60 |
| 87481 | Clinical lab tests | 50 | $31.58 |
| 87482 | Clinical lab tests | 45 | $50.17 |
| 87483 | Clinical lab tests | 40 | $375.10 |
| 87484 | Clinical lab tests | 43 | $31.58 |
| 87485 | Clinical lab tests | 47 | $19.65 |
| 87486 | Clinical lab tests | 50 | $31.58 |
| 87487 | Clinical lab tests | 43 | $41.68 |
| 87490 | Clinical lab tests | 50 | $21.21 |
| 87491 | Clinical lab tests | 50 | $31.58 |
| 87492 | Clinical lab tests | 44 | $45.45 |
| 87493 | Clinical lab tests | 47 | $33.54 |
| 87494 | Clinical lab tests | 35 | $60.63 |
| 87495 | Clinical lab tests | 49 | $25.49 |
| 87496 | Clinical lab tests | 49 | $31.58 |
| 87497 | Clinical lab tests | 50 | $39.37 |
| 87498 | Clinical lab tests | 49 | $31.58 |
| 87500 | Clinical lab tests | 46 | $31.58 |
| 87501 | Clinical lab tests | 49 | $46.18 |
| 87502 | Clinical lab tests | 50 | $85.72 |
| 87503 | Clinical lab tests | 49 | $25.25 |
| 87505 | Clinical lab tests | 45 | $115.46 |
| 87506 | Clinical lab tests | 45 | $232.94 |
| 87507 | Clinical lab tests | 44 | $386.56 |
| 87510 | Clinical lab tests | 50 | $18.05 |
| 87511 | Clinical lab tests | 47 | $31.58 |
| 87512 | Clinical lab tests | 44 | $39.14 |
| 87513 | Clinical lab tests | 34 | $30.60 |
| 87516 | Clinical lab tests | 49 | $31.58 |
| 87517 | Clinical lab tests | 49 | $39.65 |
| 87520 | Clinical lab tests | 46 | $26.76 |
| 87521 | Clinical lab tests | 49 | $33.51 |
| 87522 | Clinical lab tests | 50 | $39.91 |
| 87523 | Clinical lab tests | 41 | $38.11 |
| 87525 | Clinical lab tests | 45 | $25.75 |
| 87526 | Clinical lab tests | 46 | $35.33 |
| 87527 | Clinical lab tests | 43 | $39.87 |
| 87528 | Clinical lab tests | 47 | $19.55 |
| 87529 | Clinical lab tests | 49 | $31.58 |
| 87530 | Clinical lab tests | 46 | $39.37 |
| 87531 | Clinical lab tests | 46 | $47.21 |
| 87532 | Clinical lab tests | 47 | $31.58 |
| 87533 | Clinical lab tests | 46 | $38.00 |
| 87534 | Clinical lab tests | 46 | $20.11 |
| 87535 | Clinical lab tests | 49 | $31.58 |
| 87536 | Clinical lab tests | 50 | $78.55 |
| 87537 | Clinical lab tests | 46 | $20.11 |
| 87538 | Clinical lab tests | 47 | $31.58 |
| 87539 | Clinical lab tests | 46 | $51.18 |
| 87540 | Clinical lab tests | 46 | $19.58 |
| 87541 | Clinical lab tests | 47 | $31.58 |
| 87542 | Clinical lab tests | 44 | $39.14 |
| 87550 | Clinical lab tests | 47 | $19.51 |
| 87551 | Clinical lab tests | 49 | $42.91 |
| 87552 | Clinical lab tests | 44 | $41.34 |
| 87555 | Clinical lab tests | 48 | $24.19 |
| 87556 | Clinical lab tests | 48 | $37.51 |
| 87557 | Clinical lab tests | 43 | $40.91 |
| 87560 | Clinical lab tests | 48 | $24.56 |
| 87561 | Clinical lab tests | 48 | $32.55 |
| 87562 | Clinical lab tests | 43 | $40.91 |
| 87563 | Clinical lab tests | 47 | $30.35 |
| 87564 | Clinical lab tests | 38 | $67.63 |
| 87580 | Clinical lab tests | 46 | $19.58 |
| 87581 | Clinical lab tests | 48 | $31.58 |
| 87582 | Clinical lab tests | 43 | $250.57 |
| 87590 | Clinical lab tests | 48 | $24.19 |
| 87591 | Clinical lab tests | 50 | $31.58 |
| 87592 | Clinical lab tests | 44 | $39.37 |
| 87593 | Clinical lab tests | 41 | $46.18 |
| 87594 | Clinical lab tests | 38 | $30.92 |
| 87623 | Clinical lab tests | 44 | $32.90 |
| 87624 | Clinical lab tests | 50 | $31.58 |
| 87625 | Clinical lab tests | 50 | $36.29 |
| 87626 | Clinical lab tests | 46 | $61.22 |
| 87627 | Clinical lab tests | 22 | $575.09 |
| 87631 | Clinical lab tests | 49 | $126.37 |
| 87632 | Clinical lab tests | 45 | $196.25 |
| 87633 | Clinical lab tests | 46 | $375.10 |
| 87634 | Clinical lab tests | 48 | $63.18 |
| 87635 | Clinical lab tests | 49 | $46.18 |
| 87636 | Clinical lab tests | 48 | $128.37 |
| 87637 | Clinical lab tests | 48 | $128.37 |
| 87640 | Clinical lab tests | 49 | $31.58 |
| 87641 | Clinical lab tests | 50 | $31.58 |
| 87650 | Clinical lab tests | 49 | $19.55 |
| 87651 | Clinical lab tests | 49 | $31.58 |
| 87652 | Clinical lab tests | 43 | $39.87 |
| 87653 | Clinical lab tests | 49 | $31.58 |
| 87660 | Clinical lab tests | 50 | $19.35 |
| 87661 | Clinical lab tests | 50 | $31.58 |
| 87662 | Clinical lab tests | 44 | $48.26 |
| 87797 | Clinical lab tests | 48 | $25.74 |
| 87798 | Clinical lab tests | 49 | $31.58 |
| 87799 | Clinical lab tests | 45 | $38.56 |
| 87800 | Clinical lab tests | 50 | $38.68 |
| 87801 | Clinical lab tests | 50 | $61.32 |
| 87802 | Clinical lab tests | 49 | $11.71 |
| 87803 | Clinical lab tests | 49 | $14.11 |
| 87804 | Clinical lab tests | 50 | $14.68 |
| 87806 | Clinical lab tests | 47 | $27.85 |
| 87807 | Clinical lab tests | 50 | $11.79 |
| 87808 | Clinical lab tests | 49 | $13.60 |
| 87809 | Clinical lab tests | 47 | $18.13 |
| 87810 | Clinical lab tests | 48 | $29.31 |
| 87811 | Clinical lab tests | 48 | $37.24 |
| 87812 | Clinical lab tests | 30 | $66.64 |
| 87850 | Clinical lab tests | 48 | $20.40 |
| 87880 | Clinical lab tests | 50 | $14.44 |
| 87899 | Clinical lab tests | 48 | $14.15 |
| 87900 | Clinical lab tests | 49 | $127.09 |
| 87901 | Clinical lab tests | 49 | $231.71 |
| 87902 | Clinical lab tests | 49 | $231.71 |
| 87903 | Clinical lab tests | 49 | $476.44 |
| 87904 | Clinical lab tests | 49 | $25.42 |
| 87905 | Clinical lab tests | 44 | $12.09 |
| 87906 | Clinical lab tests | 48 | $119.40 |
| 87910 | Clinical lab tests | 45 | $231.71 |
| 87912 | Clinical lab tests | 46 | $231.71 |
| 87913 | Clinical lab tests | 27 | $249.93 |
| 87999 | Clinical lab tests | 9 | $38.16 |
| 88104 | Clinical lab tests | 50 | $36.07 |
| 88106 | Clinical lab tests | 50 | $35.45 |
| 88108 | Clinical lab tests | 50 | $34.63 |
| 88112 | Clinical lab tests | 50 | $35.74 |
| 88120 | Clinical lab tests | 45 | $387.24 |
| 88121 | Clinical lab tests | 45 | $295.04 |
| 88125 | Clinical lab tests | 36 | $12.96 |
| 88130 | Clinical lab tests | 46 | $16.18 |
| 88140 | Clinical lab tests | 46 | $7.71 |
| 88141 | Clinical lab tests | 50 | $19.70 |
| 88142 | Clinical lab tests | 50 | $18.39 |
| 88143 | Clinical lab tests | 49 | $20.74 |
| 88147 | Clinical lab tests | 49 | $40.45 |
| 88148 | Clinical lab tests | 49 | $16.00 |
| 88150 | Clinical lab tests | 49 | $15.00 |
| 88152 | Clinical lab tests | 47 | $23.88 |
| 88153 | Clinical lab tests | 49 | $19.22 |
| 88155 | Clinical lab tests | 49 | $12.13 |
| 88160 | Clinical lab tests | 50 | $36.97 |
| 88161 | Clinical lab tests | 50 | $38.78 |
| 88162 | Clinical lab tests | 50 | $58.93 |
| 88164 | Clinical lab tests | 49 | $15.27 |
| 88165 | Clinical lab tests | 50 | $34.37 |
| 88166 | Clinical lab tests | 49 | $15.27 |
| 88167 | Clinical lab tests | 49 | $15.27 |
| 88172 | Clinical lab tests | 48 | $28.92 |
| 88173 | Clinical lab tests | 49 | $73.68 |
| 88174 | Clinical lab tests | 50 | $22.83 |
| 88175 | Clinical lab tests | 50 | $24.83 |
| 88177 | Clinical lab tests | 47 | $18.06 |
| 88182 | Clinical lab tests | 48 | $80.56 |
| 88184 | Clinical lab tests | 50 | $58.10 |
| 88185 | Clinical lab tests | 50 | $19.65 |
| 88187 | Clinical lab tests | 50 | $33.05 |
| 88188 | Clinical lab tests | 50 | $53.41 |
| 88189 | Clinical lab tests | 50 | $70.05 |
| 88199 | Clinical lab tests | 8 | $14.68 |
| 88230 | Clinical lab tests | 49 | $103.62 |
| 88233 | Clinical lab tests | 49 | $126.66 |
| 88235 | Clinical lab tests | 49 | $133.69 |
| 88237 | Clinical lab tests | 50 | $124.27 |
| 88239 | Clinical lab tests | 49 | $132.77 |
| 88240 | Clinical lab tests | 41 | $11.53 |
| 88241 | Clinical lab tests | 40 | $10.82 |
| 88245 | Clinical lab tests | 49 | $154.03 |
| 88248 | Clinical lab tests | 49 | $165.38 |
| 88249 | Clinical lab tests | 48 | $167.11 |
| 88261 | Clinical lab tests | 47 | $233.11 |
| 88262 | Clinical lab tests | 49 | $122.33 |
| 88263 | Clinical lab tests | 49 | $135.26 |
| 88264 | Clinical lab tests | 49 | $130.15 |
| 88267 | Clinical lab tests | 49 | $171.68 |
| 88269 | Clinical lab tests | 48 | $161.05 |
| 88271 | Clinical lab tests | 48 | $20.08 |
| 88272 | Clinical lab tests | 47 | $35.16 |
| 88273 | Clinical lab tests | 47 | $31.78 |
| 88274 | Clinical lab tests | 48 | $38.14 |
| 88275 | Clinical lab tests | 48 | $46.07 |
| 88280 | Clinical lab tests | 50 | $30.12 |
| 88283 | Clinical lab tests | 48 | $61.38 |
| 88285 | Clinical lab tests | 50 | $23.81 |
| 88289 | Clinical lab tests | 48 | $32.13 |
| 88291 | Clinical lab tests | 49 | $26.00 |
| 88299 | Clinical lab tests | 6 | $10.42 |
| 88300 | Clinical lab tests | 49 | $9.61 |
| 88302 | Clinical lab tests | 50 | $21.41 |
| 88304 | Clinical lab tests | 50 | $25.79 |
| 88305 | Clinical lab tests | 50 | $33.53 |
| 88307 | Clinical lab tests | 50 | $151.29 |
| 88309 | Clinical lab tests | 50 | $210.53 |
| 88311 | Clinical lab tests | 49 | $10.08 |
| 88312 | Clinical lab tests | 50 | $58.07 |
| 88313 | Clinical lab tests | 50 | $50.96 |
| 88314 | Clinical lab tests | 49 | $49.92 |
| 88319 | Clinical lab tests | 48 | $75.11 |
| 88321 | Clinical lab tests | 48 | $69.23 |
| 88323 | Clinical lab tests | 47 | $69.73 |
| 88325 | Clinical lab tests | 48 | $120.79 |
| 88329 | Clinical lab tests | 48 | $36.25 |
| 88331 | Clinical lab tests | 49 | $50.06 |
| 88332 | Clinical lab tests | 49 | $25.45 |
| 88333 | Clinical lab tests | 48 | $51.40 |
| 88334 | Clinical lab tests | 48 | $30.08 |
| 88341 | Clinical lab tests | 50 | $49.30 |
| 88342 | Clinical lab tests | 50 | $52.24 |
| 88344 | Clinical lab tests | 50 | $105.63 |
| 88346 | Clinical lab tests | 50 | $78.89 |
| 88348 | Clinical lab tests | 49 | $314.15 |
| 88350 | Clinical lab tests | 49 | $63.06 |
| 88355 | Clinical lab tests | 47 | $71.65 |
| 88356 | Clinical lab tests | 48 | $106.60 |
| 88358 | Clinical lab tests | 47 | $69.86 |
| 88360 | Clinical lab tests | 50 | $63.10 |
| 88361 | Clinical lab tests | 50 | $65.16 |
| 88362 | Clinical lab tests | 44 | $99.41 |
| 88363 | Clinical lab tests | 41 | $18.62 |
| 88364 | Clinical lab tests | 48 | $76.26 |
| 88365 | Clinical lab tests | 50 | $100.17 |
| 88366 | Clinical lab tests | 47 | $165.78 |
| 88367 | Clinical lab tests | 50 | $71.50 |
| 88368 | Clinical lab tests | 50 | $88.46 |
| 88369 | Clinical lab tests | 48 | $69.09 |
| 88371 | Clinical lab tests | 49 | $16.41 |
| 88372 | Clinical lab tests | 48 | $16.85 |
| 88373 | Clinical lab tests | 45 | $33.45 |
| 88374 | Clinical lab tests | 46 | $185.71 |
| 88375 | Clinical lab tests | 21 | $40.00 |
| 88377 | Clinical lab tests | 47 | $250.43 |
| 88380 | Clinical lab tests | 34 | $65.37 |
| 88381 | Clinical lab tests | 44 | $130.49 |
| 88387 | Clinical lab tests | 45 | $22.63 |
| 88388 | Clinical lab tests | 9 | $17.11 |
| 88399 | Clinical lab tests | 5 | $46.98 |
| 88720 | Clinical lab tests | 47 | $4.79 |
| 88738 | Clinical lab tests | 43 | $4.89 |
| 88740 | Clinical lab tests | 43 | $7.81 |
| 88741 | Clinical lab tests | 43 | $7.76 |
| 89049 | Clinical lab tests | 45 | $173.76 |
| 89050 | Clinical lab tests | 50 | $4.25 |
| 89051 | Clinical lab tests | 50 | $5.04 |
| 89055 | Clinical lab tests | 49 | $3.84 |
| 89060 | Clinical lab tests | 50 | $7.15 |
| 89125 | Clinical lab tests | 49 | $5.29 |
| 89160 | Clinical lab tests | 47 | $4.37 |
| 89190 | Clinical lab tests | 50 | $5.13 |
| 89220 | Clinical lab tests | 40 | $14.60 |
| 89230 | Clinical lab tests | 45 | $2.60 |
| 89240 | Clinical lab tests | 5 | $30.00 |
| 89300 | Clinical lab tests | 23 | $8.86 |
| 89310 | Clinical lab tests | 29 | $8.39 |
| 89320 | Clinical lab tests | 25 | $12.06 |
| 89321 | Clinical lab tests | 30 | $11.18 |
| 89322 | Clinical lab tests | 22 | $15.20 |
| 89325 | Clinical lab tests | 20 | $10.30 |
| 89329 | Clinical lab tests | 16 | $18.37 |
| 89330 | Clinical lab tests | 17 | $10.12 |
| 89331 | Clinical lab tests | 18 | $19.41 |
| G0103 | Prostate cancer screening; prostate specific antigen test | 29 | $18.80 |
| G0123 | Screening cytopathology, cervical or vaginal | 26 | $18.65 |
| G0143 | Screening cytopathology, cervical or vaginal | 19 | $25.48 |
| G0144 | Screening cytopathology, cervical or vaginal | 20 | $39.18 |
| G0145 | Screening cytopathology, cervical or vaginal | 21 | $24.93 |
| G0148 | Screening cytopathology smears, cervical or vaginal | 20 | $28.46 |
| G0306 | Complete cbc, automated (hgb, hct, rbc, wbc | 28 | $7.48 |
| G0432 | Infectious agent antibody detection by enzyme immunoassay | 24 | $17.44 |
| G0433 | Infectious agent antibody detection by enzyme-linked... | 29 | $16.46 |
| G0567 | Infectious agent detection by nucleic acid (dna or rna) | 7 | $35.09 |
| G0659 | Drug test(s), definitive | 25 | $60.59 |
| G9143 | Warfarin responsiveness testing by genetic technique using... | 10 | $120.72 |
| P2028 | Cephalin floculation, blood | 11 | $4.46 |
| P2029 | Congo red, blood | 11 | $4.46 |
| P2031 | Hair analysis (excluding arsenic) | 8 | $4.42 |
| P2033 | Thymol turbidity, blood | 11 | $4.46 |
| P2038 | Mucoprotein, blood (seromucoid) | 19 | $4.95 |
| P3000 | Screening papanicolaou smear, cervical or vaginal | 25 | $15.27 |
| P3001 | Screening papanicolaou smear, cervical or vaginal | 20 | $17.51 |
| P7001 | Culture, bacterial, urine; quantitative, sensitivity study | 14 | $15.30 |
| P9010 | Blood (whole), for transfusion, per unit | 13 | $94.00 |
| P9011 | Blood, split unit | 8 | $100.81 |
| P9012 | Cryoprecipitate, each unit | 11 | $36.40 |
| P9016 | Red blood cells, leukocytes reduced, each unit | 17 | $115.24 |
| P9017 | Fresh frozen plasma (single donor) | 13 | $52.21 |
| P9019 | Platelets, each unit | 14 | $52.28 |
| P9020 | Platelet rich plasma, each unit | 9 | $156.37 |
| P9021 | Red blood cells, each unit | 13 | $93.35 |
| P9022 | Red blood cells, washed, each unit | 12 | $174.22 |
| P9023 | Plasma, pooled multiple donor, solvent/detergent treated | 10 | $56.77 |
| P9031 | Platelets, leukocytes reduced, each unit | 9 | $71.17 |
| P9032 | Platelets, irradiated, each unit | 9 | $80.51 |
| P9033 | Platelets, leukocytes reduced, irradiated, each unit | 8 | $139.94 |
| P9034 | Platelets, pheresis, each unit | 10 | $381.70 |
| P9035 | Platelets, pheresis, leukocytes reduced, each unit | 13 | $480.75 |
| P9036 | Platelets, pheresis, irradiated, each unit | 9 | $346.37 |
| P9037 | Platelets, pheresis, leukocytes reduced, irradiated | 10 | $483.98 |
| P9038 | Red blood cells, irradiated, each unit | 9 | $97.88 |
| P9039 | Red blood cells, deglycerolized, each unit | 9 | $228.88 |
| P9040 | Red blood cells, leukocytes reduced, irradiated, each unit | 11 | $215.83 |
| P9041 | Infusion, albumin (human), 5%, 50 ml | 27 | $10.62 |
| P9044 | Plasma, cryoprecipitate reduced, each unit | 9 | $46.72 |
| P9045 | Infusion, albumin (human), 5%, 250 ml | 28 | $53.08 |
| P9046 | Infusion, albumin (human), 25%, 20 ml | 29 | $21.33 |
| P9047 | Infusion, albumin (human), 25%, 50 ml | 29 | $53.08 |
| P9048 | Infusion, plasma protein fraction (human), 5%, 250 ml | 19 | $47.86 |
| P9050 | Granulocytes, pheresis, each unit | 6 | $1,241.96 |
| P9051 | Whole blood or red blood cells, leukocytes reduced | 7 | $138.18 |
| P9052 | Platelets, hla-matched leukocytes reduced | 7 | $468.14 |
| P9053 | Platelets, pheresis, leukocytes reduced, cmv-negative | 7 | $459.47 |
| P9054 | Whole blood or red blood cells, leukocytes reduced, frozen | 7 | $218.81 |
| P9055 | Platelets, leukocytes reduced, cmv-negative | 7 | $299.27 |
| P9056 | Whole blood, leukocytes reduced, irradiated, each unit | 7 | $114.79 |
| P9057 | Red blood cells, frozen/deglycerolized/washed | 7 | $262.28 |
| P9058 | Red blood cells, leukocytes reduced, cmv-negative | 8 | $225.62 |
| P9059 | Fresh frozen plasma between 8-24 hours of collection | 7 | $61.16 |
| P9060 | Fresh frozen plasma, donor retested, each unit | 8 | $51.13 |
| P9070 | Plasma, pooled multiple donor, pathogen reduced, frozen | 5 | $58.46 |
| P9071 | Plasma (single donor), pathogen reduced, frozen, each unit | 5 | $94.42 |
| P9073 | Platelets, pheresis, pathogen-reduced, each unit | 6 | $571.10 |
| P9100 | Pathogen(s) test for platelets | 5 | $54.24 |
| P9603 | Travel allowance one way in connection with medically... | 11 | $0.83 |
| P9604 | Travel allowance one way in connection with medically... | 14 | $3.41 |
| P9612 | Catheterization for collection of specimen, single patient | 26 | $7.86 |
| P9615 | Catheterization for collection of specimen(s) | 21 | $7.56 |
| Q0113 | Pinworm examinations | 35 | $4.27 |
| Q0115 | Post-coital direct, qualitative examinations of vaginal or... | 26 | $20.35 |
| S3620 | Newborn metabolic screening panel, includes test kit | 17 | $119.42 |
| U0001 | Cdc 2019 novel coronavirus | 43 | $35.20 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna) | 11 | $75.00 |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19) | 11 | $75.00 |
Lab & pathology rates in your statesRates, managed-care rules, Medicare comparison and changes, for the codes you bill.