2016 Clinical Diagnostic Laboratory Fee Schedule

CLFS_2016 2016 Clinical Diagnostic Laboratory Fee Schedule CPT codes, descriptions and other data only are copyright 2016 American Medical Associatio...
Author: Hector Dorsey
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CLFS_2016

2016 Clinical Diagnostic Laboratory Fee Schedule CPT codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).

HCPCS 0006M 0007M 0008M 0009M 0010M 36415 78267 78268 80047 80047 80048 80048 80051 80051 80053 80053 80055 80061 80061 80069 80069 80074 80076 80081 80150 80155 80156 80157 80158 80159 80162 80163 80164 80165 80168 80169 80170 80171 80173 80175

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National Mid Point Limit 0.00 0.00 3419.42 0.00 0.00 0.00 10.71 91.75 11.52 11.52 11.52 11.52 9.55 9.55 14.39 14.39 65.12 0.00 0.00 11.83 11.83 0.00 11.13 101.97 20.54 19.27 19.84 18.06 24.59 25.19 18.09 18.09 18.46 18.46 22.26 18.71 22.32 18.06 19.84 18.06

0.00 0.00 3419.42 0.00 0.00 0.00 14.47 123.99 15.57 15.57 15.57 15.57 12.91 12.91 19.45 19.45 88.01 0.00 0.00 15.99 15.99 0.00 15.04 137.80 27.75 26.04 26.81 24.40 33.23 34.04 24.44 24.44 24.94 24.94 30.08 25.28 30.16 24.40 26.81 24.40

Floor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

PA 12502 LOC 00 0.00 0.00 3419.42 0.00 0.00 3.00 10.71 59.15 11.52 11.52 11.52 11.52 9.55 9.55 14.39 14.39 65.12 18.24 18.24 11.83 11.83 64.89 11.13 101.97 20.54 19.27 19.84 18.06 24.59 25.19 18.09 18.09 18.46 18.46 22.26 18.71 22.32 18.06 19.84 18.06

Page 1

SHORTDESC Onc hep gene risk classifier Onc gastro 51 gene nomogram Onc breast risk score Fetal aneuploidy trisom risk Onc prostate prob score Routine venipuncture Breath tst attain/anal c-14 Breath test analysis c-14 Metabolic panel ionized ca Metabolic panel ionized ca Metabolic panel total ca Metabolic panel total ca Electrolyte panel Electrolyte panel Comprehen metabolic panel Comprehen metabolic panel Obstetric panel Lipid panel Lipid panel Renal function panel Renal function panel Acute hepatitis panel Hepatic function panel Obstetric panel Assay of amikacin Drug screen quant caffeine Assay carbamazepine total Assay carbamazepine free Assay of cyclosporine Drug screen quant clozapine Assay of digoxin Assay of digoxin free Assay dipropylacetic acid Dipropylacetic acid free Assay of ethosuximide Drug screen quant everolimus Assay of gentamicin Drug screen quant gabapentin Assay of haloperidol Drug screen quan lamotrigine

CLFS_2016

80176 80177 80178 80178 80180 80183 80184 80185 80186 80188 80190 80192 80194 80195 80197 80198 80199 80200 80201 80202 80203 80299 80400 80402 80406 80408 80410 80412 80414 80415 80416 80417 80418 80420 80422 80424 80426 80428 80430 80432 80434 80435 80436 80438 80439 81000 81001

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20.01 18.06 9.01 9.01 24.59 18.06 15.60 18.06 18.75 22.61 22.82 22.82 19.89 18.71 18.71 19.27 24.60 21.96 16.24 18.46 18.06 18.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.32 4.32

27.04 24.40 12.17 12.17 33.23 24.40 21.08 24.40 25.34 30.55 30.84 30.84 26.88 25.28 25.28 26.04 33.24 29.68 21.95 24.94 24.40 25.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.84 5.84

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

20.01 18.06 9.01 9.01 24.59 18.06 15.60 18.06 18.75 22.61 22.82 22.82 19.89 18.71 18.71 19.27 24.60 21.96 16.24 18.46 18.06 18.66 44.43 118.45 106.60 170.95 109.44 449.02 70.34 76.13 179.76 59.92 789.53 98.14 62.76 68.79 202.16 90.86 106.91 184.03 137.82 140.33 95.12 68.67 91.56 4.32 4.32 Page 2

Assay of lidocaine Drug scrn quan levetiracetam Assay of lithium Assay of lithium Drug scrn quan mycophenolate Drug scrn quant oxcarbazepin Assay of phenobarbital Assay of phenytoin total Assay of phenytoin free Assay of primidone Assay of procainamide Assay of procainamide Assay of quinidine Assay of sirolimus Assay of tacrolimus Assay of theophylline Drug screen quant tiagabine Assay of tobramycin Assay of topiramate Assay of vancomycin Drug screen quant zonisamide Quantitative assay drug Acth stimulation panel Acth stimulation panel Acth stimulation panel Aldosterone suppression eval Calcitonin stimul panel CRH stimulation panel Testosterone response Estradiol response panel Renin stimulation panel Renin stimulation panel Pituitary evaluation panel Dexamethasone panel Glucagon tolerance panel Glucagon tolerance panel Gonadotropin hormone panel Growth hormone panel Growth hormone panel Insulin suppression panel Insulin tolerance panel Insulin tolerance panel Metyrapone panel TRH stimulation panel TRH stimulation panel Urinalysis nonauto w/scope Urinalysis auto w/scope

CLFS_2016

81002 81003 81003 81005 81007 81007 81015 81020 81025 81050 81161 81162 81170 81206 81207 81208 81210 81211 81212 81213 81214 81215 81217 81218 81219 81225 81226 81227 81235 81240 81241 81245 81246 81256 81261 81262 81263 81264 81265 81267 81268 81270 81272 81273 81275 81276 81287

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3.48 3.06 3.06 2.95 3.49 3.49 4.15 5.02 8.61 4.09 140.14 2485.86 329.51 223.35 197.30 219.10 178.98 2180.22 176.44 581.84 1435.97 93.10 93.10 329.51 165.68 291.36 450.91 174.81 329.51 67.03 83.24 165.68 83.04 89.04 269.70 59.46 401.19 203.41 292.94 282.60 355.24 124.87 329.51 124.87 197.19 197.19 83.09

4.70 4.13 4.13 3.99 4.72 4.72 5.61 6.79 11.64 5.53 140.14 2485.86 329.51 223.35 197.30 219.10 178.98 2180.22 176.44 581.84 1435.97 93.10 93.10 329.51 165.68 291.36 450.91 174.81 329.51 67.03 83.24 165.68 83.04 89.04 269.70 59.46 401.19 203.41 292.94 282.60 355.24 124.87 329.51 124.87 197.19 197.19 83.09

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

3.48 3.06 3.06 2.95 3.49 3.49 4.15 4.70 8.61 4.09 140.14 2485.86 329.51 223.35 197.30 219.10 178.98 2180.22 176.44 581.84 1435.97 93.10 93.10 329.51 165.68 291.36 450.91 174.81 329.51 67.03 83.24 165.68 83.04 89.04 269.70 59.46 401.19 203.41 292.94 282.60 355.24 124.87 329.51 124.87 197.19 197.19 83.09 Page 3

Urinalysis nonauto w/o scope Urinalysis auto w/o scope Urinalysis auto w/o scope Urinalysis Urine screen for bacteria Urine screen for bacteria Microscopic exam of urine Urinalysis glass test Urine pregnancy test Urinalysis volume measure Dmd dup/delet analysis Brca1&2 seq & full dup/del Abl1 gene Bcr/abl1 gene major bp Bcr/abl1 gene minor bp Bcr/abl1 gene other bp Braf gene Brca1&2 seq & com dup/del Brca1&2 185&5385&6174 var Brca1&2 uncom dup/del var Brca1 full seq & com dup/del Brca1 gene known fam variant Brca2 gene known fam variant Cebpa gene full sequence Calr gene com variants Cyp2c19 gene com variants Cyp2d6 gene com variants Cyp2c9 gene com variants Egfr gene com variants F2 gene F5 gene Flt3 gene Flt3 gene analysis Hfe gene Igh gene rearrange amp meth Igh gene rearrang dir probe Igh vari regional mutation Igk rearrangeabn clonal pop Str markers specimen anal Chimerism anal no cell selec Chimerism anal w/cell select Jak2 gene Kit gene targeted seq analys Kit gene analys d816 variant Kras gene Kras gene addl variants Mgmt gene methylation anal

CLFS_2016

81288 81291 81292 81293 81294 81295 81296 81297 81298 81299 81300 81301 81310 81311 81313 81314 81315 81316 81317 81318 81319 81321 81322 81323 81332 81340 81341 81342 81370 81371 81372 81373 81374 81375 81376 81377 81378 81379 81380 81381 81382 81383 81410 81411 81412 81415 81416

159.64 59.46 645.26 258.67 190.39 151.48 129.34 151.48 287.40 161.00 161.44 394.44 246.77 295.79 260.26 329.51 282.40 430.74 780.12 184.33 221.33 599.80 58.31 87.47 59.46 284.59 67.55 274.48 547.78 327.87 300.91 151.70 99.10 300.70 166.49 125.06 470.73 456.86 241.45 128.84 168.48 148.66 0.00 0.00 0.00 0.00 0.00

159.64 59.46 645.26 258.67 190.39 151.48 129.34 151.48 287.40 161.00 161.44 394.44 246.77 295.79 260.26 329.51 282.40 430.74 780.12 184.33 221.33 599.80 58.31 87.47 59.46 284.59 67.55 274.48 547.78 327.87 300.91 151.70 99.10 300.70 166.49 125.06 470.73 456.86 241.45 128.84 168.48 148.66 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

159.64 59.46 645.26 258.67 190.39 151.48 129.34 151.48 287.40 161.00 161.44 394.44 246.77 295.79 260.26 329.51 282.40 430.74 780.12 184.33 221.33 599.80 58.31 87.47 59.46 284.59 67.55 274.48 547.78 327.87 300.91 151.70 99.10 300.70 166.49 125.06 470.73 456.86 241.45 128.84 168.48 148.66 0.00 0.00 0.00 0.00 0.00 Page 4

Mlh1 gene Mthfr gene Mlh1 gene full seq Mlh1 gene known variants Mlh1 gene dup/delete variant Msh2 gene full seq Msh2 gene known variants Msh2 gene dup/delete variant Msh6 gene full seq Msh6 gene known variants Msh6 gene dup/delete variant Microsatellite instability Npm1 gene Nras gene variants exon 2&3 Pca3/klk3 antigen Pdgfra gene Pml/raralpha com breakpoints Pml/raralpha 1 breakpoint Pms2 gene full seq analysis Pms2 known familial variants Pms2 gene dup/delet variants Pten gene full sequence Pten gene known fam variant Pten gene dup/delet variant Serpina1 gene Trb@ gene rearrange amplify Trb@ gene rearrange dirprobe Trg gene rearrangement anal Hla i & ii typing lr Hla i & ii type verify lr Hla i typing complete lr Hla i typing 1 locus lr Hla i typing 1 antigen lr Hla ii typing ag equiv lr Hla ii typing 1 locus lr Hla ii type 1 ag equiv lr Hla i & ii typing hr Hla i typing complete hr Hla i typing 1 locus hr Hla i typing 1 allele hr Hla ii typing 1 loc hr Hla ii typing 1 allele hr Aortic dysfunction/dilation Aortic dysfunction/dilation Ashkenazi jewish assoc dis Exome sequence analysis Exome sequence analysis

CLFS_2016

81417 81420 81425 81426 81427 81430 81431 81432 81433 81434 81435 81436 81437 81438 81440 81442 81445 81450 81455 81460 81465 81470 81471 81490 81493 81519 81525 81528 81535 81536 81538 81540 81545 81595 82009 82010 82010 82013 82016 82017 82024 82030 82040 82040 82042 82042 82043

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0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 796.75 796.75 0.00 0.00 0.00 0.00 597.91 648.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3419.42 0.00 508.87 579.46 177.56 0.00 0.00 0.00 0.00 6.16 11.13 11.13 15.21 18.89 22.97 52.61 35.14 6.74 6.74 7.05 7.05 7.87

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 796.75 796.75 0.00 0.00 0.00 0.00 597.91 648.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3419.42 0.00 508.87 783.06 239.94 0.00 0.00 0.00 0.00 8.32 15.04 15.04 20.56 25.53 31.05 71.10 47.49 9.11 9.11 9.53 9.53 10.64

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 796.75 796.75 0.00 0.00 0.00 0.00 597.91 648.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3419.42 0.00 501.77 579.46 177.56 0.00 0.00 0.00 0.00 6.16 9.80 9.80 14.19 18.89 22.97 52.61 35.14 6.74 6.74 2.40 2.40 7.87 Page 5

Exome re-evaluation Fetal chrmoml aneuploidy Genome sequence analysis Genome sequence analysis Genome re-evaluation Hearing loss sequence analys Hearing loss dup/del analys Hrdtry brst ca-rlatd dsordrs Hrdtry brst ca-rlatd dsordrs Hereditary retinal disorders Hereditary colon cancer Hereditary colon ca synd Heredtry nurondcrn tum dsrdr Heredtry nurondcrn tum dsrdr Mitochondrial gene Noonan spectrum disorders Targeted genomic seq analys Targeted genomic seq analys Targeted genomic seq analys Whole mitochondrial genome Whole mitochondrial genome X-linked intellectual dblt X-linked intellectual dblt Autoimmune rheumatoid arthr Cor artery disease mrna Oncology breast mrna Oncology colon mrna Oncology colorectal scr Oncology gynecologic Oncology gynecologic Oncology lung Oncology tum unknown origin Oncology thyroid Cardiology hrt trnspl mrna Test for acetone/ketones Acetone assay Acetone assay Acetylcholinesterase assay Acylcarnitines qual Acylcarnitines quant Assay of acth Assay of adp & amp Assay of serum albumin Assay of serum albumin Assay of urine albumin Assay of urine albumin Microalbumin quantitative

CLFS_2016

82043 82044 82044 82045 82075 82085 82088 82103 82104 82105 82106 82107 82108 82120 82120 82127 82128 82131 82135 82136 82139 82140 82143 82150 82150 82154 82157 82160 82163 82164 82172 82175 82180 82190 82232 82239 82240 82247 82247 82248 82252 82261 82270 82271 82271 82272 82272

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7.87 6.23 6.23 46.24 16.41 13.22 55.51 18.30 19.70 22.85 22.85 87.74 34.71 5.13 5.13 18.89 18.89 22.98 22.41 22.97 22.97 19.85 9.35 8.83 8.83 39.28 39.88 34.06 27.96 19.89 21.11 25.84 13.46 20.31 22.04 23.33 36.21 6.83 6.83 6.83 6.20 22.97 4.43 4.43 4.43 4.43 4.43

10.64 8.42 8.42 62.48 22.18 17.87 75.01 24.73 26.62 30.88 30.88 118.57 46.90 6.93 6.93 25.53 25.53 31.05 30.29 31.05 31.05 26.83 12.64 11.93 11.93 53.08 53.89 46.03 37.78 26.88 28.53 34.92 18.19 27.44 29.78 31.53 48.93 9.24 9.24 9.24 8.38 31.05 5.99 5.99 5.99 5.99 5.99

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

7.87 3.45 3.45 46.24 16.41 13.22 55.51 18.30 19.70 22.85 22.85 87.74 34.71 3.92 3.92 18.89 18.89 22.98 22.41 22.97 22.97 19.85 7.84 8.83 8.83 39.28 39.88 34.06 23.69 19.89 21.11 25.84 13.46 20.31 22.04 23.33 23.69 6.83 6.83 6.83 6.20 22.97 4.43 4.43 4.43 4.43 4.43 Page 6

Microalbumin quantitative Microalbumin semiquant Microalbumin semiquant Albumin ischemia modified Assay of breath ethanol Assay of aldolase Assay of aldosterone Alpha-1-antitrypsin total Alpha-1-antitrypsin pheno Alpha-fetoprotein serum Alpha-fetoprotein amniotic Alpha-fetoprotein l3 Assay of aluminum Amines vaginal fluid qual Amines vaginal fluid qual Amino acid single qual Amino acids mult qual Amino acids single quant Assay aminolevulinic acid Amino acids quant 2-5 Amino acids quan 6 or more Assay of ammonia Amniotic fluid scan Assay of amylase Assay of amylase Androstanediol glucuronide Assay of androstenedione Assay of androsterone Assay of angiotensin II Angiotensin I enzyme test Assay of apolipoprotein Assay of arsenic Assay of ascorbic acid Atomic absorption Assay of beta-2 protein Bile acids total Bile acids cholylglycine Bilirubin total Bilirubin total Bilirubin direct Fecal bilirubin test Assay of biotinidase Occult blood feces Occult blood other sources Occult blood other sources Occult bld feces 1-3 tests Occult bld feces 1-3 tests

CLFS_2016

82274 82274 82286 82300 82306 82308 82310 82310 82330 82330 82331 82340 82355 82360 82365 82370 82373 82374 82374 82375 82376 82378 82379 82380 82382 82383 82384 82387 82390 82397 82415 82435 82435 82436 82438 82441 82465 82465 82480 82482 82485 82495 82507 82523 82523 82525 82528

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21.67 21.67 9.38 31.52 40.33 36.49 7.03 7.03 18.63 18.63 7.05 8.21 15.77 17.53 17.56 17.06 24.60 6.66 6.66 16.78 8.16 25.84 22.97 12.57 23.42 34.14 34.40 28.35 14.63 19.24 17.26 6.26 6.26 6.85 6.66 8.18 5.92 5.92 10.73 10.46 28.13 27.63 37.87 25.46 25.46 16.90 30.67

29.28 29.28 12.68 42.60 54.50 49.31 9.50 9.50 25.17 25.17 9.53 11.10 21.31 23.69 23.73 23.06 33.24 9.00 9.00 22.68 11.03 34.92 31.05 16.98 31.65 46.13 46.48 38.31 19.77 26.00 23.32 8.47 8.47 9.26 9.00 11.05 8.01 8.01 14.50 14.13 38.01 37.34 51.18 34.40 34.40 22.84 41.45

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21.67 21.67 9.38 27.75 40.33 36.49 7.03 7.03 18.63 18.63 7.05 8.21 15.77 17.53 17.56 17.06 24.60 6.66 6.66 7.11 5.61 25.84 22.97 12.57 23.42 34.14 34.40 28.35 14.63 19.24 17.26 6.26 6.26 6.85 6.66 8.18 5.92 5.92 10.73 10.46 28.13 9.53 37.87 14.79 14.79 16.90 30.67 Page 7

Assay test for blood fecal Assay test for blood fecal Assay of bradykinin Assay of cadmium Vitamin d 25 hydroxy Assay of calcitonin Assay of calcium Assay of calcium Assay of calcium Assay of calcium Calcium infusion test Assay of calcium in urine Calculus analysis qual Calculus assay quant Calculus spectroscopy X-ray assay calculus Assay c-d transfer measure Assay blood carbon dioxide Assay blood carbon dioxide Assay carboxyhb quant Assay carboxyhb qual Carcinoembryonic antigen Assay of carnitine Assay of carotene Assay urine catecholamines Assay blood catecholamines Assay three catecholamines Assay of cathepsin-d Assay of ceruloplasmin Chemiluminescent assay Assay of chloramphenicol Assay of blood chloride Assay of blood chloride Assay of urine chloride Assay other fluid chlorides Test for chlorohydrocarbons Assay bld/serum cholesterol Assay bld/serum cholesterol Assay serum cholinesterase Assay rbc cholinesterase Assay chondroitin sulfate Assay of chromium Assay of citrate Collagen crosslinks Collagen crosslinks Assay of copper Assay of corticosterone

CLFS_2016

82530 82533 82540 82542 82550 82550 82552 82553 82554 82565 82565 82570 82570 82575 82585 82595 82600 82607 82608 82610 82615 82626 82627 82633 82634 82638 82652 82656 82657 82658 82664 82668 82670 82671 82672 82677 82679 82679 82693 82696 82705 82710 82715 82725 82726 82728 82731

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22.76 22.21 6.32 24.60 8.87 8.87 18.25 15.73 16.17 6.98 6.98 7.05 7.05 12.88 11.69 8.81 26.43 20.54 19.51 18.52 11.12 34.42 30.29 42.20 39.88 16.68 52.44 15.71 24.60 24.60 46.80 25.60 38.06 44.00 29.56 32.94 34.00 34.00 20.29 32.12 6.93 22.89 23.44 18.13 24.60 18.57 87.74

30.76 30.01 8.54 33.24 11.99 11.99 24.66 21.26 21.85 9.44 9.44 9.53 9.53 17.41 15.80 11.91 35.71 27.75 26.36 25.03 15.03 46.52 40.93 57.03 53.89 22.54 70.87 21.23 33.24 33.24 63.24 34.60 51.43 59.46 39.94 44.52 45.94 45.94 27.43 43.41 9.37 30.93 31.68 24.50 33.24 25.09 118.57

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

22.76 22.21 6.32 24.60 8.87 8.87 18.25 10.49 16.17 6.98 6.98 7.05 7.05 12.88 11.69 8.81 26.43 20.54 19.51 18.52 11.12 34.42 30.29 42.20 25.35 15.86 52.44 14.99 24.60 24.60 46.80 23.69 38.06 44.00 29.56 32.94 34.00 34.00 16.67 32.12 6.93 22.89 11.91 15.86 24.60 18.57 87.74 Page 8

Cortisol free Total cortisol Assay of creatine Column chromotography quant Assay of ck (cpk) Assay of ck (cpk) Assay of cpk in blood Creatine mb fraction Creatine isoforms Assay of creatinine Assay of creatinine Assay of urine creatinine Assay of urine creatinine Creatinine clearance test Assay of cryofibrinogen Assay of cryoglobulin Assay of cyanide Vitamin B-12 B-12 binding capacity Cystatin c Test for urine cystines Dehydroepiandrosterone Dehydroepiandrosterone Desoxycorticosterone Deoxycortisol Assay of dibucaine number Vit d 1 25-dihydroxy Pancreatic elastase fecal Enzyme cell activity Enzyme cell activity ra Electrophoretic test Assay of erythropoietin Assay of estradiol Assay of estrogens Assay of estrogen Assay of estriol Assay of estrone Assay of estrone Assay of ethylene glycol Assay of etiocholanolone Fats/lipids feces qual Fats/lipids feces quant Assay of fecal fat Assay of blood fatty acids Long chain fatty acids Assay of ferritin Assay of fetal fibronectin

CLFS_2016

82735 82746 82747 82757 82759 82760 82775 82776 82777 82784 82785 82787 82800 82803 82805 82810 82820 82930 82938 82941 82943 82945 82946 82947 82947 82948 82950 82950 82951 82951 82952 82952 82955 82960 82962 82963 82965 82977 82977 82978 82979 82985 82985 83001 83001 83002 83002

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25.25 20.03 23.59 23.62 29.27 15.25 28.70 11.43 29.96 12.67 22.43 10.92 11.53 26.36 38.65 11.89 13.61 7.42 24.10 24.02 19.46 5.35 20.54 5.35 5.35 4.32 6.47 6.47 17.53 17.53 5.34 5.34 13.21 8.24 3.19 29.27 10.52 9.81 9.81 19.42 9.38 20.54 20.54 25.31 25.31 25.22 25.22

34.12 27.07 31.89 31.92 39.55 20.61 38.78 15.44 40.49 17.12 30.31 14.76 15.58 35.62 52.24 16.07 18.39 10.03 32.57 32.46 26.30 7.23 27.75 7.23 7.23 5.84 8.74 8.74 23.69 23.69 7.22 7.22 17.85 11.14 4.31 39.55 14.22 13.26 13.26 26.24 12.68 27.75 27.75 34.20 34.20 34.08 34.08

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

25.25 20.03 23.46 23.62 29.27 15.25 3.67 11.43 29.96 12.67 22.43 10.92 11.53 26.36 38.65 11.89 13.61 7.42 24.10 24.02 19.46 5.35 20.54 5.35 5.35 4.32 6.47 6.47 17.53 17.53 3.92 3.92 13.21 8.24 3.19 29.27 10.52 9.81 9.81 8.11 9.38 19.77 19.77 25.31 25.31 25.22 25.22 Page 9

Assay of fluoride Assay of folic acid serum Assay of folic acid rbc Assay of semen fructose Assay of rbc galactokinase Assay of galactose Assay galactose transferase Galactose transferase test Galectin-3 Assay iga/igd/igg/igm each Assay of ige Igg 1 2 3 or 4 each Blood pH Blood gases any combination Blood gases w/o2 saturation Blood gases o2 sat only Hemoglobin-oxygen affinity Gastric analy w/ph ea spec Gastrin test Assay of gastrin Assay of glucagon Glucose other fluid Glucagon tolerance test Assay glucose blood quant Assay glucose blood quant Reagent strip/blood glucose Glucose test Glucose test Glucose tolerance test (GTT) Glucose tolerance test (GTT) GTT-added samples GTT-added samples Assay of g6pd enzyme Test for G6PD enzyme Glucose blood test Assay of glucosidase Assay of gdh enzyme Assay of GGT Assay of GGT Assay of glutathione Assay rbc glutathione Assay of glycated protein Assay of glycated protein Assay of gonadotropin (fsh) Assay of gonadotropin (fsh) Assay of gonadotropin (lh) Assay of gonadotropin (lh)

CLFS_2016

83003 83006 83009 83010 83012 83013 83014 83015 83018 83020 83021 83026 83030 83033 83036 83036 83037 83037 83045 83050 83051 83060 83065 83068 83069 83070 83080 83088 83090 83150 83491 83497 83498 83499 83500 83505 83516 83516 83518 83518 83519 83520 83520 83525 83527 83528 83540

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22.72 29.96 91.75 17.13 23.42 91.75 10.71 25.65 29.92 17.53 24.60 3.22 11.26 8.12 13.22 13.22 13.22 13.22 6.75 9.98 9.96 11.26 9.38 11.53 5.38 6.47 22.97 40.23 22.98 26.36 23.87 17.56 37.01 34.34 30.85 33.12 15.71 15.71 11.54 11.54 18.40 17.63 17.63 15.57 17.64 21.67 8.82

30.70 40.49 123.99 23.15 31.65 123.99 14.47 34.66 40.43 23.69 33.24 4.35 15.22 10.97 17.87 17.87 17.87 17.87 9.12 13.49 13.46 15.22 12.68 15.58 7.27 8.74 31.05 54.36 31.05 35.62 32.25 23.73 50.01 46.41 41.69 44.75 21.23 21.23 15.60 15.60 24.87 23.83 23.83 21.04 23.84 29.28 11.92

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22.72 29.96 59.15 17.13 23.42 59.15 10.71 13.70 29.92 17.38 24.60 3.22 11.26 7.86 13.22 13.22 13.22 13.22 3.92 6.41 6.33 3.92 9.38 3.19 5.38 6.47 22.97 40.23 22.98 15.86 23.87 17.38 37.01 19.77 30.85 33.12 14.99 14.99 11.54 11.54 18.40 17.63 17.63 15.57 17.64 21.67 8.82 Page 10

Assay growth hormone (hgh) Growth stimulation gene 2 H pylori (c-13) blood Assay of haptoglobin quant Assay of haptoglobins H pylori (c-13) breath H pylori drug admin Heavy metal screen Quantitative screen metals Hemoglobin electrophoresis Hemoglobin chromotography Hemoglobin copper sulfate Fetal hemoglobin chemical Fetal hemoglobin assay qual Glycosylated hemoglobin test Glycosylated hemoglobin test Glycosylated hb home device Glycosylated hb home device Blood methemoglobin test Blood methemoglobin assay Assay of plasma hemoglobin Blood sulfhemoglobin assay Assay of hemoglobin heat Hemoglobin stability screen Assay of urine hemoglobin Assay of hemosiderin qual Assay of b hexosaminidase Assay of histamine Assay of homocystine Assay of homovanillic acid Assay of corticosteroids 17 Assay of 5-hiaa Assay of progesterone 17-d Assay of progesterone 20Assay free hydroxyproline Assay total hydroxyproline Immunoassay nonantibody Immunoassay nonantibody Immunoassay dipstick Immunoassay dipstick Ria nonantibody Immunoassay quant nos nonab Immunoassay quant nos nonab Assay of insulin Assay of insulin Assay of intrinsic factor Assay of iron

CLFS_2016

83550 83570 83582 83586 83593 83605 83605 83615 83625 83630 83631 83632 83633 83655 83655 83661 83662 83663 83664 83670 83690 83695 83698 83700 83701 83704 83718 83718 83719 83721 83721 83727 83735 83775 83785 83789 83825 83835 83857 83861 83861 83864 83872 83873 83874 83876 83880

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11.91 12.05 19.31 17.44 35.82 14.55 14.55 8.22 17.43 26.74 26.74 27.54 7.49 16.49 16.49 29.95 25.76 25.76 25.76 12.48 9.38 17.63 46.24 15.33 33.82 42.98 11.16 11.16 15.85 13.00 13.00 23.42 9.12 10.04 33.51 24.60 22.14 23.07 14.63 22.50 22.50 27.13 7.98 23.44 17.59 46.24 46.24

16.10 16.29 26.09 23.57 48.41 19.66 19.66 11.11 23.56 36.14 36.14 37.22 10.12 22.28 22.28 40.47 34.82 34.82 34.82 16.87 12.68 23.83 62.48 20.72 45.70 58.08 15.08 15.08 21.42 17.57 17.57 31.65 12.33 13.57 45.28 33.24 29.93 31.18 19.77 30.41 30.41 36.66 10.79 31.67 23.77 62.48 62.48

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11.91 12.05 19.31 17.44 31.48 14.55 14.55 8.22 17.43 26.74 26.74 27.54 7.49 16.49 16.49 29.95 25.76 25.76 25.76 12.48 9.38 17.63 46.24 15.33 33.82 42.98 11.16 11.16 15.85 13.00 13.00 23.42 9.12 10.04 12.80 24.60 22.14 23.07 14.63 22.50 22.50 27.13 7.98 23.44 17.59 46.24 46.24 Page 11

Iron binding test Assay of idh enzyme Assay of ketogenic steroids Assay 17- ketosteroids Fractionation ketosteroids Assay of lactic acid Assay of lactic acid Lactate (LD) (LDH) enzyme Assay of ldh enzymes Lactoferrin fecal (qual) Lactoferrin fecal (quant) Placental lactogen Test urine for lactose Assay of lead Assay of lead L/s ratio fetal lung Foam stability fetal lung Fluoro polarize fetal lung Lamellar bdy fetal lung Assay of lap enzyme Assay of lipase Assay of lipoprotein(a) Assay lipoprotein pla2 Lipopro bld electrophoretic Lipoprotein bld hr fraction Lipoprotein bld by nmr Assay of lipoprotein Assay of lipoprotein Assay of blood lipoprotein Assay of blood lipoprotein Assay of blood lipoprotein Assay of lrh hormone Assay of magnesium Assay malate dehydrogenase Assay of manganese Mass spectrometry quant Assay of mercury Assay of metanephrines Assay of methemalbumin Microfluid analy tears Microfluid analy tears Mucopolysaccharides Assay synovial fluid mucin Assay of csf protein Assay of myoglobin Assay myeloperoxidase Assay of natriuretic peptide

CLFS_2016

83880 83883 83885 83915 83916 83918 83919 83921 83930 83935 83937 83945 83950 83951 83970 83986 83986 83987 83992 83993 84030 84035 84060 84061 84066 84075 84075 84078 84080 84081 84085 84087 84100 84105 84106 84110 84112 84119 84120 84126 84132 84132 84133 84134 84135 84138 84140

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46.24 18.52 33.38 15.19 27.39 22.41 22.41 22.41 9.01 9.29 40.66 17.53 87.74 87.74 56.23 4.88 4.88 21.63 20.02 26.74 7.49 4.99 10.06 10.77 13.16 7.05 7.05 9.95 20.14 22.50 9.18 14.07 6.46 7.05 5.83 11.50 87.74 11.74 20.04 34.70 6.26 6.26 5.86 19.87 26.06 25.79 28.16

62.48 25.03 45.11 20.53 37.02 30.29 30.29 30.29 12.17 12.55 54.94 23.69 118.57 118.57 75.98 6.59 6.59 29.24 27.06 36.14 10.12 6.74 13.60 14.56 17.79 9.53 9.53 13.44 27.22 30.41 12.41 19.01 8.73 9.53 7.88 15.54 118.57 15.86 27.08 46.89 8.47 8.47 7.92 26.85 35.22 34.85 38.06

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

46.24 18.52 27.75 15.19 27.39 22.41 22.41 22.41 9.01 9.29 40.66 17.53 87.74 87.74 56.23 3.79 3.79 21.63 20.02 26.74 7.49 4.99 10.06 10.77 13.16 7.05 7.05 9.95 20.14 22.50 9.18 14.07 6.46 7.05 5.83 11.50 87.74 9.91 17.12 23.69 6.26 6.26 5.86 19.87 26.06 24.59 28.16 Page 12

Assay of natriuretic peptide Assay nephelometry not spec Assay of nickel Assay of nucleotidase Oligoclonal bands Organic acids total quant Organic acids qual each Organic acid single quant Assay of blood osmolality Assay of urine osmolality Assay of osteocalcin Assay of oxalate Oncoprotein her-2/neu Oncoprotein dcp Assay of parathormone Assay ph body fluid nos Assay ph body fluid nos Exhaled breath condensate Assay for phencyclidine Assay for calprotectin fecal Assay of blood pku Assay of phenylketones Assay acid phosphatase Phosphatase forensic exam Assay prostate phosphatase Assay alkaline phosphatase Assay alkaline phosphatase Assay alkaline phosphatase Assay alkaline phosphatases Assay phosphatidylglycerol Assay of rbc pg6d enzyme Assay phosphohexose enzymes Assay of phosphorus Assay of urine phosphorus Test for porphobilinogen Assay of porphobilinogen Placenta alpha micro ig c/v Test urine for porphyrins Assay of urine porphyrins Assay of feces porphyrins Assay of serum potassium Assay of serum potassium Assay of urine potassium Assay of prealbumin Assay of pregnanediol Assay of pregnanetriol Assay of pregnenolone

CLFS_2016

84143 84144 84145 84146 84150 84152 84153 84154 84155 84155 84156 84157 84157 84160 84163 84165 84166 84181 84182 84202 84203 84206 84207 84210 84220 84228 84233 84234 84235 84238 84244 84252 84255 84260 84270 84275 84285 84295 84295 84300 84302 84305 84307 84311 84315 84375 84376

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31.08 28.42 36.49 26.40 34.00 25.06 25.06 25.06 5.00 5.00 5.00 5.00 5.00 7.05 20.51 14.63 24.29 23.20 24.52 19.54 11.73 24.26 38.27 14.79 12.86 15.85 87.74 88.38 71.30 49.82 29.96 27.57 34.78 42.20 29.61 18.30 32.07 6.56 6.56 6.63 6.63 28.96 24.90 9.52 3.42 26.71 7.49

42.00 38.40 49.31 35.68 45.94 33.86 33.86 33.86 6.75 6.75 6.75 6.75 6.75 9.53 27.72 19.77 32.83 31.35 33.13 26.41 15.85 32.79 51.72 19.98 17.38 21.42 118.57 119.43 96.35 67.32 40.49 37.26 47.00 57.03 40.01 24.73 43.34 8.86 8.86 8.96 8.96 39.14 33.65 12.87 4.62 36.10 10.12

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

31.08 28.42 36.49 26.40 25.35 25.06 25.06 25.06 5.00 5.00 5.00 5.00 5.00 7.05 19.76 14.63 24.29 23.20 24.52 19.54 11.73 24.26 38.27 14.79 12.86 15.85 87.74 88.38 71.30 49.82 29.96 27.57 34.78 42.20 26.88 18.30 27.75 6.56 6.56 6.63 6.63 26.76 24.90 9.52 3.42 26.71 7.49 Page 13

Assay of 17-hydroxypregneno Assay of progesterone Procalcitonin (pct) Assay of prolactin Assay of prostaglandin Assay of psa complexed Assay of psa total Assay of psa free Assay of protein serum Assay of protein serum Assay of protein urine Assay of protein other Assay of protein other Assay of protein any source Pappa serum Protein e-phoresis serum Protein e-phoresis/urine/csf Western blot test Protein western blot test Assay RBC protoporphyrin Test RBC protoporphyrin Assay of proinsulin Assay of vitamin b-6 Assay of pyruvate Assay of pyruvate kinase Assay of quinine Assay of estrogen Assay of progesterone Assay of endocrine hormone Assay nonendocrine receptor Assay of renin Assay of vitamin b-2 Assay of selenium Assay of serotonin Assay of sex hormone globul Assay of sialic acid Assay of silica Assay of serum sodium Assay of serum sodium Assay of urine sodium Assay of sweat sodium Assay of somatomedin Assay of somatostatin Spectrophotometry Body fluid specific gravity Chromatogram assay sugars Sugars single qual

CLFS_2016

84377 84378 84379 84392 84402 84403 84425 84430 84431 84432 84436 84437 84439 84442 84443 84443 84445 84446 84449 84450 84450 84460 84460 84466 84478 84478 84479 84480 84481 84482 84484 84485 84488 84490 84510 84512 84520 84520 84525 84540 84545 84550 84550 84560 84577 84578 84580

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7.49 15.70 15.70 6.47 34.69 35.17 28.92 15.85 22.89 21.88 9.35 8.81 12.28 20.14 22.89 22.89 69.27 19.31 24.52 7.05 7.05 7.22 7.22 17.39 7.83 7.83 8.81 19.31 23.07 21.47 13.40 10.23 9.95 10.35 14.17 10.49 5.38 5.38 5.13 6.47 9.00 6.16 6.16 6.47 17.00 4.43 9.66

10.12 21.22 21.22 8.74 46.88 47.53 39.08 21.42 30.93 29.57 12.64 11.91 16.60 27.22 30.93 30.93 93.61 26.10 33.13 9.53 9.53 9.75 9.75 23.50 10.58 10.58 11.91 26.10 31.18 29.01 18.11 13.83 13.44 13.99 19.15 14.17 7.27 7.27 6.93 8.74 12.16 8.32 8.32 8.74 22.97 5.99 13.06

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

7.49 15.70 15.70 6.47 34.69 35.17 28.92 6.33 22.89 21.88 9.35 8.81 12.28 20.14 22.89 22.89 69.27 19.31 24.52 7.05 7.05 7.22 7.22 17.39 7.83 7.83 8.81 19.31 23.07 21.47 11.87 10.23 9.95 10.35 14.17 10.49 5.38 5.38 3.92 6.47 9.00 6.16 6.16 4.70 17.00 3.92 9.66 Page 14

Sugars multiple qual Sugars single quant Sugars multiple quant Assay of urine sulfate Assay of free testosterone Assay of total testosterone Assay of vitamin b-1 Assay of thiocyanate Thromboxane urine Assay of thyroglobulin Assay of total thyroxine Assay of neonatal thyroxine Assay of free thyroxine Assay of thyroid activity Assay thyroid stim hormone Assay thyroid stim hormone Assay of tsi globulin Assay of vitamin e Assay of transcortin Transferase (AST) (SGOT) Transferase (AST) (SGOT) Alanine amino (ALT) (SGPT) Alanine amino (ALT) (SGPT) Assay of transferrin Assay of triglycerides Assay of triglycerides Assay of thyroid (t3 or t4) Assay triiodothyronine (t3) Free assay (FT-3) T3 reverse Assay of troponin quant Assay duodenal fluid trypsin Test feces for trypsin Assay of feces for trypsin Assay of tyrosine Assay of troponin qual Assay of urea nitrogen Assay of urea nitrogen Urea nitrogen semi-quant Assay of urine/urea-n Urea-N clearance test Assay of blood/uric acid Assay of blood/uric acid Assay of urine/uric acid Assay of feces/urobilinogen Test urine urobilinogen Assay of urine urobilinogen

CLFS_2016

84583 84585 84586 84588 84590 84591 84597 84600 84620 84630 84681 84702 84703 84703 84704 84830 85002 85004 85007 85008 85009 85013 85014 85014 85018 85018 85025 85027 85032 85041 85044 85045 85046 85048 85049 85055 85130 85170 85175 85210 85220 85230 85240 85244 85245 85246 85247

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6.85 21.11 48.13 46.24 15.81 15.81 18.69 21.90 16.14 15.51 28.35 20.51 10.24 10.24 20.51 13.66 6.14 8.81 4.68 4.68 5.07 3.23 3.23 3.23 3.23 3.23 10.59 8.81 5.86 4.11 5.86 5.45 7.59 3.46 6.10 36.47 16.20 4.93 6.20 17.69 24.04 24.39 24.39 27.82 31.25 31.25 31.25

9.26 28.53 65.04 62.48 21.36 21.36 25.25 29.60 21.81 20.96 38.31 27.72 13.84 13.84 27.72 18.46 8.30 11.91 6.33 6.33 6.85 4.36 4.36 4.36 4.36 4.36 14.31 11.91 7.92 5.56 7.92 7.36 10.26 4.67 8.24 49.29 21.89 6.66 8.38 23.90 32.48 32.96 32.96 37.59 42.23 42.23 42.23

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6.85 21.11 48.13 46.24 15.81 15.81 18.69 21.90 16.14 15.51 28.35 19.76 10.24 10.24 19.76 13.66 6.14 8.81 4.68 4.68 5.07 3.23 3.23 3.23 3.23 3.23 10.59 8.81 5.86 4.11 5.86 5.45 7.59 3.46 6.10 36.47 16.20 4.93 6.20 7.86 24.04 24.39 24.39 27.82 31.25 31.25 31.25 Page 15

Assay of urine urobilinogen Assay of urine vma Assay of vip Assay of vasopressin Assay of vitamin a Assay of nos vitamin Assay of vitamin k Assay of volatiles Xylose tolerance test Assay of zinc Assay of c-peptide Chorionic gonadotropin test Chorionic gonadotropin assay Chorionic gonadotropin assay Hcg free betachain test Ovulation tests Bleeding time test Automated diff wbc count Bl smear w/diff wbc count Bl smear w/o diff wbc count Manual diff wbc count b-coat Spun microhematocrit Hematocrit Hematocrit Hemoglobin Hemoglobin Complete cbc w/auto diff wbc Complete cbc automated Manual cell count each Automated rbc count Manual reticulocyte count Automated reticulocyte count Reticyte/hgb concentrate Automated leukocyte count Automated platelet count Reticulated platelet assay Chromogenic substrate assay Blood clot retraction Blood clot lysis time Clot factor ii prothrom spec Blooc clot factor v test Clot factor vii proconvertin Clot factor viii ahg 1 stage Clot factor viii reltd antgn Clot factor viii vw ristoctn Clot factor viii vw antigen Clot factor viii multimetric

CLFS_2016

85250 85260 85270 85280 85290 85291 85292 85293 85300 85301 85302 85303 85305 85306 85307 85335 85337 85345 85347 85348 85360 85362 85366 85370 85378 85379 85380 85384 85385 85390 85397 85400 85410 85415 85420 85421 85441 85445 85460 85461 85475 85520 85525 85530 85536 85540 85547

25.94 24.39 24.39 26.36 22.26 12.12 25.80 25.80 16.15 14.73 16.37 18.84 15.81 20.88 20.88 17.53 14.20 5.86 5.80 5.08 11.45 9.38 11.74 15.47 9.72 13.87 13.87 11.57 11.57 7.04 31.25 12.05 10.50 23.42 8.90 13.88 5.73 9.29 10.54 9.04 12.09 17.83 16.13 19.31 8.81 11.72 11.72

35.05 32.96 32.96 35.62 30.08 16.38 34.86 34.86 21.82 19.90 22.12 25.47 21.36 28.21 28.21 23.69 19.19 7.92 7.84 6.86 15.47 12.68 15.86 20.90 13.13 18.74 18.74 15.64 15.64 9.52 42.23 16.29 14.19 31.65 12.03 18.75 7.74 12.55 14.24 12.21 16.34 24.10 21.80 26.10 11.91 15.84 15.84

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

25.94 24.39 24.39 26.36 11.03 11.03 25.80 25.80 11.91 14.73 16.37 18.84 15.81 20.88 20.88 7.86 14.20 5.86 5.80 5.08 10.26 9.38 11.74 11.03 9.72 11.03 11.03 11.57 11.57 7.04 31.25 12.05 10.50 19.79 8.90 13.88 5.73 7.86 10.54 9.04 12.09 7.86 16.13 13.92 8.81 11.72 11.72 Page 16

Clot factor ix ptc/chrstmas Clot factor x stuart-power Clot factor xi pta Clot factor xii hageman Clot factor xiii fibrin stab Clot factor xiii fibrin scrn Clot factor fletcher fact Clot factor wght kininogen Antithrombin iii activity Antithrombin iii antigen Clot inhibit prot c antigen Clot inhibit prot c activity Clot inhibit prot s total Clot inhibit prot s free Assay activated protein c Factor inhibitor test Thrombomodulin Coagulation time lee & white Coagulation time activated Coagulation time otr method Euglobulin lysis Fibrin degradation products Fibrinogen test Fibrinogen test Fibrin degrade semiquant Fibrin degradation quant Fibrin degradj d-dimer Fibrinogen activity Fibrinogen antigen Fibrinolysins screen i&r Clotting funct activity Fibrinolytic plasmin Fibrinolytic antiplasmin Fibrinolytic plasminogen Fibrinolytic plasminogen Fibrinolytic plasminogen Heinz bodies direct Heinz bodies induced Hemoglobin fetal Hemoglobin fetal Hemolysin acid Heparin assay Heparin neutralization Heparin-protamine tolerance Iron stain peripheral blood Wbc alkaline phosphatase RBC mechanical fragility

CLFS_2016

85549 85555 85557 85576 85576 85597 85598 85610 85610 85611 85612 85613 85635 85651 85652 85660 85670 85675 85705 85730 85732 85810 86000 86001 86003 86005 86021 86022 86023 86038 86039 86060 86063 86140 86141 86146 86147 86148 86152 86155 86156 86157 86160 86161 86162 86171 86185

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25.54 9.10 18.20 29.27 29.27 24.49 24.49 5.36 5.36 5.37 13.05 13.05 13.41 4.83 3.68 7.51 7.86 9.32 13.11 8.18 8.81 15.90 9.51 7.11 7.11 10.86 20.51 25.02 16.97 16.47 15.20 9.95 7.86 7.05 17.63 34.66 34.66 21.89 334.70 21.78 9.12 10.98 16.35 16.35 27.68 13.64 12.19

34.52 12.30 24.59 39.55 39.55 33.09 33.09 7.24 7.24 7.26 17.63 17.63 18.12 6.53 4.97 10.15 10.62 12.60 17.72 11.05 11.91 21.49 12.85 9.61 9.61 14.67 27.72 33.81 22.93 22.25 20.55 13.44 10.62 9.53 23.83 46.84 46.84 29.58 334.70 29.43 12.33 14.84 22.09 22.09 37.41 18.43 16.47

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19.77 7.11 18.20 29.27 29.27 24.49 24.49 5.36 5.36 5.37 13.05 13.05 9.53 4.83 3.68 7.01 7.86 9.32 11.59 8.18 8.74 15.90 9.51 7.11 7.11 3.95 11.91 11.91 16.97 16.47 15.20 9.95 7.86 7.05 17.63 34.66 34.66 21.89 334.70 21.78 8.69 10.98 16.35 16.35 27.68 11.91 12.19 Page 17

Muramidase RBC osmotic fragility RBC osmotic fragility Blood platelet aggregation Blood platelet aggregation Phospholipid pltlt neutraliz Hexagnal phosph pltlt neutrl Prothrombin time Prothrombin time Prothrombin test Viper venom prothrombin time Russell viper venom diluted Reptilase test Rbc sed rate nonautomated Rbc sed rate automated RBC sickle cell test Thrombin time plasma Thrombin time titer Thromboplastin inhibition Thromboplastin time partial Thromboplastin time partial Blood viscosity examination Agglutinins febrile antigen Allergen specific igg Allergen specific IgE Allergen specific IgE WBC antibody identification Platelet antibodies Immunoglobulin assay Antinuclear antibodies Antinuclear antibodies (ANA) Antistreptolysin o titer Antistreptolysin o screen C-reactive protein C-reactive protein hs Beta-2 glycoprotein antibody Cardiolipin antibody ea ig Anti-phospholipid antibody Cell enumeration & id Chemotaxis assay Cold agglutinin screen Cold agglutinin titer Complement antigen Complement/function activity Complement total (ch50) Complement fixation each Counterimmunoelectrophoresis

CLFS_2016

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17.63 18.05 18.71 16.49 24.43 27.95 16.41 16.41 21.44 11.16 26.73 26.73 28.35 28.35 28.35 28.35 7.05 7.05 8.81 10.04 28.35 20.42 17.63 17.63 30.53 30.47 30.91 19.13 16.32 33.20 30.44 39.97 21.23 29.16 20.54 26.95 16.98 10.88 185.07 66.79 51.39 36.47 51.39 51.39 64.01 36.47 51.39

23.83 24.39 25.29 22.29 33.01 37.77 22.18 22.18 28.97 15.08 26.73 26.73 38.31 38.31 38.31 38.31 9.53 9.53 11.91 13.57 38.31 27.60 23.83 23.83 41.26 41.17 41.77 25.86 22.05 44.86 41.13 54.02 21.23 39.41 27.75 36.42 22.94 14.70 250.10 90.25 69.45 49.29 69.45 69.45 86.50 49.29 69.45

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17.63 18.05 18.71 16.49 24.43 27.95 16.41 11.91 21.44 11.16 16.76 16.76 28.35 28.35 28.35 28.35 7.05 7.05 8.81 10.04 28.35 20.42 17.63 17.63 30.53 30.47 30.91 19.13 16.32 33.20 30.44 39.97 18.41 19.01 20.54 26.95 16.98 10.88 185.07 66.79 51.39 36.47 51.39 51.39 64.01 36.47 51.39 Page 18

Ccp antibody Deoxyribonuclease antibody Dna antibody native Dna antibody single strand Nuclear antigen antibody Fc receptor Fluorescent antibody screen Fluorescent antibody titer Growth hormone antibody Hemagglutination inhibition Immunoassay tumor qual Immunoassay tumor qual Immunoassay tumor ca 15-3 Immunoassay tumor ca 19-9 Immunoassay tumor ca 125 Human epididymis protein 4 Heterophile antibody screen Heterophile antibody screen Heterophile antibody titer Heterophile antibody absrbj Immunoassay tumor other Immunoassay infectious agent Immunoassay infectious agent Immunoassay infectious agent Serum immunoelectrophoresis Other immunoelectrophoresis Immunoelectrophoresis assay Immunodiffusion nes Immunodiffusion ouchterlony Immune complex assay Immunofix e-phoresis serum Immunfix e-phorsis/urine/csf Inhibin A Insulin antibodies Intrinsic factor antibody Islet cell antibody Leukocyte histamine release Leukocyte phagocytosis Cell function assay w/stim Lymphocyte transformation B cells total count Mononuclear cell antigen Nk cells total count T cells total count T cell absolute count/ratio T cell absolute count Stem cells total count

CLFS_2016

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19.82 26.83 23.04 15.51 21.76 21.76 13.88 14.49 7.73 7.73 84.43 102.07 15.04 5.82 5.99 13.87 17.52 20.51 17.55 13.87 17.58 17.97 21.10 23.20 23.20 18.22 12.17 17.87 16.35 16.11 17.28 15.63 16.51 19.63 19.61 22.95 20.72 17.97 17.97 17.97 17.97 17.75 17.87 20.84 24.72 13.87 14.17

26.78 36.25 31.13 20.96 29.40 29.40 18.76 19.58 10.44 10.44 114.09 137.93 20.33 7.86 8.10 18.74 23.68 27.72 23.71 18.74 23.75 24.28 28.52 31.35 31.35 24.63 16.45 24.15 22.10 21.77 23.36 21.12 22.32 26.53 26.50 31.01 28.00 24.28 24.28 24.28 24.28 23.98 24.15 28.16 33.40 18.74 19.15

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Microsomal antibody each Migration inhibitory factor Neutralization test viral Nitroblue tetrazolium dye Nuclear matrix protein 22 Nuclear matrix protein 22 Particle agglut antbdy scrn Particle agglut antbdy titr Rheumatoid factor test qual Rheumatoid factor quant Tb test cell immun measure Tb ag response t-cell susp Streptokinase antibody Syphilis test non-trep qual Syphilis test non-trep quant Antinomyces antibody Adenovirus antibody Aspergillus antibody Bacterium antibody Bartonella antibody Blastomyces antibody Bordetella antibody Lyme disease antibody Lyme disease antibody Lyme disease antibody Borrelia antibody Brucella antibody Campylobacter antibody Candida antibody Chlamydia antibody Chlamydia igm antibody Coccidioides antibody Q fever antibody Cryptococcus antibody CMV antibody Cmv antibody igm Diphtheria antibody Encephalitis californ antbdy Encephaltis east eqne anbdy Encephaltis st louis antbody Encephaltis west eqne antbdy Enterovirus antibody Epstein-barr antibody Epstein-barr nuclear antigen Epstein-barr capsid vca Ehrlichia antibody Francisella tularensis

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22.56 27.10 26.71 23.94 29.16 15.45 25.78 35.63 31.59 26.50 24.28 35.63 23.01 16.36 16.36 24.88 25.24 22.18 21.68 19.77 21.30 22.80 20.72 24.95 26.50 28.17 22.55 24.28 24.28 23.68 21.99 24.28 24.02 24.38 24.28 24.28 27.68 24.28 22.80 23.72 35.63 24.28 26.50 23.71 24.28 24.28 27.24

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16.69 20.05 19.77 17.72 21.58 11.43 14.39 26.37 23.38 19.61 17.97 26.37 17.02 12.11 12.11 14.39 18.67 16.41 16.04 14.63 15.76 16.87 15.33 18.46 19.61 20.85 16.68 17.97 17.97 17.52 11.90 17.97 17.77 18.04 17.97 17.97 20.48 17.97 16.87 17.55 26.37 17.97 19.61 13.34 17.97 17.97 20.16 Page 20

Fungus nes antibody Giardia lamblia antibody Helicobacter pylori antibody Helminth antibody Hemophilus influenza antibdy Htlv-i antibody Htlv-ii antibody Htlv/hiv confirmj antibody Hepatitis delta agent antbdy Herpes simplex nes antbdy Herpes simplex type 1 test Herpes simplex type 2 test Histoplasma antibody Hiv-1antibody Hiv-1antibody Hiv-2 antibody Hiv-1/hiv-2 1 result antbdy Hep b core antibody total Hep b core antibody igm Hep b surface antibody Hepatitis be antibody Hepatitis a total antibody Hepatitis a igm antibody Influenza virus antibody John cunningham antibody Legionella antibody Leishmania antibody Leptospira antibody Listeria monocytogenes Lymph choriomeningitis ab Lympho venereum antibody Mucormycosis antibody Mumps antibody Mycoplasma antibody Neisseria meningitidis Nocardia antibody Parvovirus antibody Malaria antibody Protozoa antibody nos Respiratory virus antibody Rickettsia antibody Rotavirus antibody Rubella antibody Rubeola antibody Salmonella antibody Shigella antibody Tetanus antibody

CLFS_2016

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19.61 19.62 18.03 18.03 17.11 17.55 22.95 19.61 17.55 17.97 21.67 19.44 19.44 21.10 71.23 64.83 53.91 40.43 35.16 79.00 37.95 87.70 76.91 49.80 109.41 36.47 53.91 40.43 109.98 94.27 172.83 157.12 487.07 439.93 5.21 7.33 7.80 7.05 4.07 4.07 5.21 12.96 5.21 10.55 11.17 16.49 22.93

26.50 26.52 24.37 24.37 23.12 23.71 31.01 26.50 23.71 24.28 29.28 26.27 26.27 28.52 96.26 87.61 72.85 54.63 47.51 106.76 51.28 118.52 103.93 67.30 147.85 49.29 72.85 54.63 148.62 127.39 233.55 212.33 658.21 594.51 7.04 9.91 10.54 9.53 5.50 5.50 7.04 17.51 7.04 14.26 15.10 22.29 30.99

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19.61 19.62 18.03 18.03 17.11 17.55 22.95 19.61 17.55 11.82 21.67 19.44 19.44 21.10 45.87 45.87 53.91 40.43 35.16 79.00 37.95 87.70 76.91 49.80 109.41 36.47 53.91 40.43 104.96 89.96 164.93 149.94 464.81 419.83 3.41 7.33 7.80 7.05 4.07 4.07 3.41 12.96 3.41 10.55 8.16 14.22 22.93 Page 21

Toxoplasma antibody Toxoplasma antibody igm Treponema pallidum Treponema pallidum Trichinella antibody Varicella-zoster antibody West nile virus ab igm West nile virus antibody Virus antibody nos Yersinia antibody Thyroglobulin antibody Hepatitis c ab test Hepatitis c ab test Hep c ab test confirm Lymphocytotoxicity assay Lymphocytotoxicity assay Cytotoxic antibody screening Cytotoxic antibody screening Hla typing a b or c Hla typing a b or c Hla typing dr/dq Hla typing dr/dq Lymphocyte culture mixed Lymphocyte culture primed Hla x-math non-cytotoxic Hla x-match noncytotoxc addl Hla class i&ii antibody qual Hla class i/ii antibody qual Hla class i phenotype qual Hla class ii phenotype qual Hla class i high defin qual Hla class ii high defin qual Hla class i semiquant panel Hla class ii semiquant panel Rbc antibody screen Coombs test direct Coombs test indirect qual Coombs test indirect titer Blood typing abo Blood typing rh (d) Blood type antigen donor ea Blood typing patient serum Blood typing rbc antigens Blood typing rh phenotype Hemolysins/agglutinins auto Hemolysins/agglutinins Small animal inoculation

CLFS_2016

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Specimen infect agnt concntj Blood culture for bacteria Feces culture aerobic bact Stool cultr aerobic bact ea Culture othr specimn aerobic Culture aerobic quant other Culture bacteria anaerobic Cultr bacteria except blood Culture anaerobe ident each Culture aerobic identify Culture aerobic identify Culture screen only Culture of specimen by kit Urine culture/colony count Urine bacteria culture Skin fungi culture Fungus isolation culture Blood fungus culture Fungi identification yeast Fungi identification mold Mycoplasma Chlamydia culture Mycobacteria culture Mycobacteric identification Culture type immunofluoresc Culture typing glc/hplc Culture type immunologic Dna/rna direct probe Dna/rna amplified probe Culture type pulse field gel Dna/rna sequencing Culture typing added method Dark field examination Dark field examination Macroscopic exam arthropod Macroscopic exam parasite Pinworm exam Tissue homogenization cultr Ova and parasites smears Microbe susceptible diffuse Microbe susceptible disk Microbe susceptible enzyme Microbe susceptible mic Microbe susceptible mlc Microbe suscept macrobroth Microbe suscept mycobacteri Bactericidal level serum

CLFS_2016

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5.82 6.33 8.16 24.49 5.82 5.82 4.70 23.76 26.65 35.51 27.52 26.65 46.13 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 Page 23

Smear gram stain Smear fluorescent/acid stai Smear special stain Smear complex stain Smear wet mount saline/ink Smear wet mount saline/ink Tissue exam for fungi Assay toxin or antitoxin Virus inoculate eggs/animal Virus inoculation tissue Virus inoculate tissue addl Virus inoculation shell via Genet virus isolate hsv Adenovirus ag if Pertussis ag if Enterovirus antibody dfa Giardia ag if Chlamydia trachomatis ag if Cytomegalovirus dfa Cryptosporidium ag if Herpes simplex 2 ag if Herpes simplex 1 ag if Influenza b ag if Influenza a ag if Legionella micdadei ag if Legion pneumophilia ag if Parainfluenza ag if Respiratory syncytial ag if Pneumocystis carinii ag if Rubeola ag if Treponema pallidum ag if Varicella zoster ag if Antibody detection nos if Ag detection polyval if Adenovirus ag eia Aspergillus ag eia Chylmd trach ag eia Clostridium ag eia Cryptococcus neoform ag eia Cryptosporidium ag eia Giardia ag eia Cytomegalovirus ag eia E coli 0157 ag eia Entamoeb hist dispr ag eia Entamoeb hist group ag eia Hpylori stool eia H pylori ag eia

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14.07 14.07 15.70 22.36 16.33 32.80 32.80 24.03 24.03 16.33 16.33 16.33 16.33 16.33 16.33 16.33 13.07 13.07 27.32 47.80 58.35 27.32 47.80 58.35 27.32 47.80 56.88 27.32 47.80 58.35 27.32 47.80 47.62 47.80 27.32 47.80 58.35 47.80 47.80 69.90 115.92 115.92 28.29 174.76 290.74 567.75 27.32

19.02 19.02 21.22 30.21 22.07 44.33 44.33 32.47 32.47 22.07 22.07 22.07 22.07 22.07 22.07 22.07 17.66 17.66 36.92 64.60 78.85 36.92 64.60 78.85 36.92 64.60 76.86 36.92 64.60 78.85 36.92 64.60 64.35 64.60 36.92 64.60 78.85 64.60 64.60 94.46 156.65 156.65 38.23 236.16 392.89 767.23 36.92

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Hepatitis b surface ag eia Hepatitis b surface ag eia Hepatitis be ag eia Hepatitis delta ag eia Histoplasma capsul ag eia Hiv-1 ag w/hiv-1 & hiv-2 ab Hiv-1 ag w/hiv-1 & hiv-2 ab Hiv-1 ag eia Hiv-2 ag eia Influenza a/b ag eia Resp syncytial ag eia Rotavirus ag eia Shiga-like toxin ag eia Strep a ag eia Ag detect nos eia mult Ag detect nos eia mult Ag detect nos eia single Ag detect polyval eia mult Bartonella dna dir probe Bartonella dna amp probe Bartonella dna quant Lyme dis dna dir probe Lyme dis dna amp probe Lyme dis dna quant Candida dna dir probe Candida dna amp probe Candida dna quant Chylmd pneum dna dir probe Chylmd pneum dna amp probe Chylmd pneum dna quant Chylmd trach dna dir probe Chylmd trach dna amp probe Chylmd trach dna quant C diff amplified probe Cytomeg dna dir probe Cytomeg dna amp probe Cytomeg dna quant Enterovirus probe&revrs trns Vanomycin dna amp probe Influenza dna amp prob 1+ Influenza dna amp probe Influenza dna amp probe Influenza dna amp prob addl Nfct agent detection gi Iadna-dna/rna probe tq 6-11 Iadna-dna/rna probe tq 12-25 Gardner vag dna dir probe

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64.60 76.86 36.92 64.60 78.85 36.92 64.60 78.85 36.92 64.60 76.86 36.92 64.60 78.85 36.92 64.60 76.86 36.92 64.60 156.65 36.92 64.60 78.85 36.92 64.60 76.86 36.92 64.60 78.85 36.92 64.60 78.85 36.92 64.60 78.85 36.92 64.60 76.86 36.92 64.60 78.85 64.60 64.60 64.60 236.16 392.89 767.23

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47.80 56.88 27.32 47.80 58.35 27.32 47.80 58.35 27.32 47.80 56.88 27.32 47.80 58.35 27.32 47.80 56.88 27.32 47.80 115.92 27.32 47.80 58.35 27.32 47.80 56.88 27.32 47.80 58.35 27.32 47.80 58.35 27.32 47.80 58.35 27.32 47.80 56.88 27.32 47.80 58.35 47.80 47.80 47.80 174.76 290.74 567.75 Page 25

Gardner vag dna amp probe Gardner vag dna quant Hepatitis b dna dir probe Hepatitis b dna amp probe Hepatitis b dna quant Hepatitis c rna dir probe Hepatitis c probe&rvrs trnsc Hepatitis c revrs trnscrpj Hepatitis g dna dir probe Hepatitis g dna amp probe Hepatitis g dna quant Hsv dna dir probe Hsv dna amp probe Hsv dna quant Hhv-6 dna dir probe Hhv-6 dna amp probe Hhv-6 dna quant Hiv-1 dna dir probe Hiv-1 probe&reverse trnscrpj Hiv-1 quant&revrse trnscrpj Hiv-2 dna dir probe Hiv-2 probe&revrse trnscripj Hiv-2 quant&revrse trnscripj Legion pneumo dna dir prob Legion pneumo dna amp prob Legion pneumo dna quant Mycobacteria dna dir probe Mycobacteria dna amp probe Mycobacteria dna quant M.tuberculo dna dir probe M.tuberculo dna amp probe M.tuberculo dna quant M.avium-intra dna dir prob M.avium-intra dna amp prob M.avium-intra dna quant M.pneumon dna dir probe M.pneumon dna amp probe M.pneumon dna quant N.gonorrhoeae dna dir prob N.gonorrhoeae dna amp prob N.gonorrhoeae dna quant Hpv low-risk types Hpv high-risk types Hpv types 16 & 18 only Resp virus 3-11 targets Resp virus 6-11 targets Resp virus 12-25 targets

CLFS_2016

87640 87641 87650 87650 87651 87651 87652 87653 87660 87661 87797 87798 87799 87800 87801 87802 87803 87804 87804 87806 87806 87807 87807 87808 87808 87809 87809 87810 87850 87880 87880 87899 87899 87900 87901 87902 87903 87904 87905 87905 87906 87910 87912 88130 88140 88142 88143

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47.80 47.80 27.32 27.32 47.80 47.80 56.88 47.80 27.32 47.80 27.32 47.80 58.35 54.64 95.62 16.33 16.33 16.33 16.33 32.80 32.80 16.33 16.33 16.33 16.33 16.33 16.33 16.33 16.33 16.33 16.33 16.33 16.33 177.56 350.69 350.69 665.64 35.51 16.64 16.64 175.35 350.69 350.69 20.51 10.89 27.60 27.60

64.60 64.60 36.92 36.92 64.60 64.60 76.86 64.60 36.92 64.60 36.92 64.60 78.85 73.84 129.22 22.07 22.07 22.07 22.07 44.33 44.33 22.07 22.07 22.07 22.07 22.07 22.07 22.07 22.07 22.07 22.07 22.07 22.07 239.94 473.91 473.91 899.52 47.99 22.49 22.49 236.96 473.91 473.91 27.71 14.71 27.60 27.60

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.39 14.39

47.80 47.80 27.32 27.32 47.80 47.80 56.88 47.80 27.32 47.80 27.32 47.80 58.35 54.64 95.62 14.99 14.99 14.99 14.99 32.80 32.80 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 14.99 177.56 350.69 350.69 665.64 35.51 16.64 16.64 175.35 350.69 350.69 20.51 10.89 27.60 27.60 Page 26

Staph a dna amp probe Mr-staph dna amp probe Strep a dna dir probe Strep a dna dir probe Strep a dna amp probe Strep a dna amp probe Strep a dna quant Strep b dna amp probe Trichomonas vagin dir probe Trichomonas vaginalis amplif Detect agent nos dna dir Detect agent nos dna amp Detect agent nos dna quant Detect agnt mult dna direc Detect agnt mult dna ampli Strep b assay w/optic Clostridium toxin a w/optic Influenza assay w/optic Influenza assay w/optic Hiv antigen w/hiv antibodies Hiv antigen w/hiv antibodies Rsv assay w/optic Rsv assay w/optic Trichomonas assay w/optic Trichomonas assay w/optic Adenovirus assay w/optic Adenovirus assay w/optic Chylmd trach assay w/optic N. gonorrhoeae assay w/optic Strep a assay w/optic Strep a assay w/optic Agent nos assay w/optic Agent nos assay w/optic Phenotype infect agent drug Genotype dna hiv reverse t Genotype dna/rna hep c Phenotype dna hiv w/culture Phenotype dna hiv w/clt add Sialidase enzyme assay Sialidase enzyme assay Genotype dna/rna hiv Genotype cytomegalovirus Genotype dna hepatitis b Sex chromatin identification Sex chromatin identification Cytopath c/v thin layer Cytopath c/v thin layer redo

CLFS_2016

88147 88148 88150 88152 88153 88154 88155 88164 88165 88166 88167 88174 88175 88230 88233 88235 88237 88239 88240 88241 88245 88248 88249 88261 88262 88263 88264 88267 88269 88271 88272 88273 88274 88275 88280 88283 88285 88289 88371 88372 88720 88738 88740 88741 89050 89051 89055

15.50 20.70 14.39 14.39 14.39 14.39 8.16 14.39 14.39 14.39 14.39 29.11 36.09 158.69 191.70 200.60 172.06 200.95 13.76 13.76 202.78 235.90 235.90 240.76 169.79 204.73 169.79 244.89 226.57 29.17 36.47 43.77 47.42 54.70 34.19 93.45 25.88 46.91 30.27 30.98 6.83 6.83 6.83 6.83 6.44 7.50 5.82

15.50 20.70 9.53 9.53 9.53 9.53 11.03 9.53 9.53 9.53 9.53 29.11 36.09 214.45 259.06 271.08 232.51 271.56 18.59 18.59 274.03 318.79 318.79 325.35 229.45 276.66 229.45 330.93 306.18 39.42 49.29 59.15 64.08 73.92 46.20 126.28 34.97 63.39 40.91 41.87 9.24 9.24 9.24 9.24 8.70 10.13 7.86

14.39 14.39 14.39 14.39 14.39 14.39 0.00 14.39 14.39 14.39 14.39 14.39 14.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

15.50 18.58 14.39 14.39 14.39 14.39 8.16 14.39 14.39 14.39 14.39 29.11 36.03 158.69 191.70 200.60 172.06 200.95 13.76 13.76 202.78 235.90 235.90 240.76 169.79 204.73 169.79 244.89 226.57 16.44 24.65 34.50 44.36 54.21 34.19 93.45 25.88 46.91 30.27 30.98 6.83 6.83 6.83 6.83 6.44 7.50 5.82 Page 27

Cytopath c/v automated Cytopath c/v auto rescreen Cytopath c/v manual Cytopath c/v auto redo Cytopath c/v redo Cytopath c/v select Cytopath c/v index add-on Cytopath tbs c/v manual Cytopath tbs c/v redo Cytopath tbs c/v auto redo Cytopath tbs c/v select Cytopath c/v auto in fluid Cytopath c/v auto fluid redo Tissue culture lymphocyte Tissue culture skin/biopsy Tissue culture placenta Tissue culture bone marrow Tissue culture tumor Cell cryopreserve/storage Frozen cell preparation Chromosome analysis 20-25 Chromosome analysis 50-100 Chromosome analysis 100 Chromosome analysis 5 Chromosome analysis 15-20 Chromosome analysis 45 Chromosome analysis 20-25 Chromosome analys placenta Chromosome analys amniotic Cytogenetics dna probe Cytogenetics 3-5 Cytogenetics 10-30 Cytogenetics 25-99 Cytogenetics 100-300 Chromosome karyotype study Chromosome banding study Chromosome count additional Chromosome study additional Protein western blot tissue Protein analysis w/probe Bilirubin total transcut Hgb quant transcutaneous Transcutaneous carboxyhb Transcutaneous methb Body fluid cell count Body fluid cell count Leukocyte assessment fecal

CLFS_2016

89060 89125 89160 89190 89300 89300 89310 89320 89321 89321 89322 89325 89329 89330 89331 ATP02 ATP03 ATP04 ATP05 ATP06 ATP07 ATP08 ATP09 ATP10 ATP11 ATP12 ATP16 ATP18 ATP19 ATP20 ATP21 ATP22 ATP23 G0027 G0103 G0123 G0143 G0144 G0145 G0147 G0148 G0306 G0307 G0328 G0328 G0432 G0433

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9.75 5.88 5.02 6.47 12.16 12.16 11.73 16.41 16.41 16.41 21.11 14.54 28.56 13.48 26.69 7.10 9.05 9.55 10.66 10.68 11.13 11.52 11.83 11.83 12.04 12.30 14.39 14.50 15.08 15.55 16.05 16.52 16.52 8.86 25.06 27.60 27.60 29.11 36.09 15.50 20.70 10.59 8.81 21.67 21.67 18.67 18.67

13.17 7.95 6.79 8.74 16.43 16.43 15.85 22.18 22.18 22.18 28.53 19.65 38.60 18.21 36.07 9.59 12.23 12.91 14.40 14.44 15.04 15.57 15.99 15.99 16.27 16.62 19.45 19.59 20.38 21.01 21.69 22.33 22.33 11.97 33.86 27.60 27.60 29.11 36.09 15.50 20.70 14.31 11.91 29.28 29.28 25.24 25.24

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.39 14.39 14.39 14.39 14.39 14.39 0.00 0.00 0.00 0.00 0.00 0.00

9.75 5.88 5.02 6.47 12.16 12.16 11.73 16.41 16.41 16.41 21.11 14.54 28.56 13.48 26.69 7.10 9.05 9.55 10.66 10.68 11.13 11.52 11.83 11.83 12.04 12.30 14.39 14.50 15.08 15.55 16.05 16.52 16.52 8.86 25.06 27.60 27.60 29.11 36.03 15.50 18.58 10.59 8.81 21.67 21.67 18.67 18.67 Page 28

Exam synovial fluid crystals Specimen fat stain Exam feces for meat fibers Nasal smear for eosinophils Semen analysis w/huhner Semen analysis w/huhner Semen analysis w/count Semen anal vol/count/mot Semen anal sperm detection Semen anal sperm detection Semen anal strict criteria Sperm antibody test Sperm evaluation test Evaluation cervical mucus Retrograde ejaculation anal Auto.Test Panel Pricing Code, 1-2 Tests Auto.Test Panel Pricing Code, 3 Tests Auto.Test Panel Pricing Code, 4 Tests Auto.Test Panel Pricing Code, 5 Tests Auto.Test Panel Pricing Code, 6 Tests Auto.Test Panel Pricing Code, 7 Tests Auto.Test Panel Pricing Code, 8 Tests Auto.Test Panel Pricing Code, 9 Tests Auto.Test Panel Pricing Code, 10 Tests Auto.Test Panel Pricing Code, 11 Tests Auto.Test Panel Pricing Code, 12 Tests Auto Test Panel Pricing Code 13-16 Test Auto Test Panel Pricing Code, 17-18 Test Auto Test Panel Pricing Code, 19 Tests Auto Test Panel Pricing Code, 20 Tests Auto Test Panel Pricing Code, 21 Tests Auto.Test Panel Pricing Code, 22+ Tests Auto.Test Panel Pricing Code, 23+ Tests Semen analysis PSA screening Screen cerv/vag thin layer Scr c/v cyto,thinlayer,rescr Scr c/v cyto,thinlayer,rescr Scr c/v cyto,thinlayer,rescr Scr c/v cyto, automated sys Scr c/v cyto, autosys, rescr CBC/diffwbc w/o platelet CBC without platelet Fecal blood scrn immunoassay Fecal blood scrn immunoassay EIA HIV-1/HIV-2 screen ELISA HIV-1/HIV-2 screen

CLFS_2016

G0433 G0435 G0471 G0472 G0472 G0477 G0478 G0479 G0480 G0481 G0482 G0483 G9143 P2038 P3000 P9612 P9615 Q0111 Q0112 Q0113 Q0114 Q0115

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18.67 16.33 0.00 19.44 19.44 14.86 19.81 79.25 79.94 122.99 166.03 215.23 164.44 6.85 14.39 0.00 0.00 5.82 5.82 7.37 9.75 13.48

25.24 22.07 0.00 26.27 26.27 20.08 26.78 107.10 108.03 166.20 224.37 290.85 222.21 9.26 9.53 0.00 0.00 7.86 7.86 9.96 13.17 18.21

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 14.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00

18.67 14.99 5.00 19.44 19.44 14.86 19.81 79.25 79.94 122.99 166.03 215.23 164.44 6.85 14.39 3.00 3.00 5.82 4.70 7.37 9.75 13.48

Page 29

ELISA HIV-1/HIV-2 screen Oral HIV-1/HIV-2 screen Ven blood coll SNF/HHA Hep c screen high risk/other Hep c screen high risk/other Drug test presump optical Drug test presump opt inst Drug test presump not opt Drug test def 1-7 classes Drug test def 8-14 classes Drug test def 15-21 classes Drug test def 22+ classes Warfarin respon genetic test Blood mucoprotein Screen pap by tech w md supv Catheterize for urine spec Urine specimen collect mult Wet mounts/ w preparations Potassium hydroxide preps Pinworm examinations Fern test Post-coital mucous exam