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The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.


Browse by tests beginning with: T
Test NumberTest NameTest InformationSpecimen Requirements*CPT CodePrice (Stats are 2x List Price)
1152T-SPOT TB TESTTesting Performed STAT and Daily Mon-Fri , Specimen must be delivered by 12pm on Friday See Lab Report for Reference Ranges 2 full- 6ml green top tubes (Sodium Heparin) 86481$100
934T3 FREETesting Performed Daily Mon-Fri Reference Range: 2.15 - 3.95 pg/mL 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84480$28
233T3 UPTAKETesting Performed STAT and Daily Reference Range: 24.3 - 39.0 % 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84479$25
817T3, TOTALTesting Performed STAT and Daily Reference Range: 0.79 - 1.49 ng/mL 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84480$30
229T4 TOTALTesting Performed STAT and Daily Reference Range: 4.5 - 11.4 ug/dL 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84436$25
984TACROLIMUSTesting Performed by Reference Lab 1 full lavender top tube (EDTA-Plasma) 80197$176
6977TAZOBACTAMSERUM/FROZEN LC/MS/MS Testing Performed STAT and Daily1 ml Frozen Serum from red top tube with no additive/ 100-300 Microliters Frozen Serum (Pediatric Samples)82542$100
51514TEMAZEPAM (RESTORIL) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: 100 - 500 ng/mL 1 full red top tube with no additive or 1 full grey top tube 82491$50
8197Testing Performed by Reference Lab 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 86003 86003$50
900TESTOSTERONETesting Performed Daily Mon-Fri Reference Range: 250 - 1100 ng/dL 1 full red top tube with no additive 84403$27
993TESTOSTERONE FREETesting Performed by Reference Lab 1 full red top tube with no additive 84402$40
230THEOPHYLLINETesting Performed STAT and Daily Mon-Fri Reference Range: 10.0 - 20.0 mg/L 1 full red top tube with no additive 80198$20.66
51527THIORIDAZINE (MELLARIL) QUALITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: 0.10 - 1.00 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$42
827THYROGLOBULINTesting Performed by Reference Lab 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84432$40
829THYROID PEROXIDASE ABTesting Performed by Reference Lab 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 86376$80
520THYROID PROFILE(T3 UPTAKE, T4, FREE THYROXINE INDEX T7) Testing Performed STAT and Daily Reference Ranges: T3 Uptake: 24.3 - 39.0% T4: 4.5 - 11.4 ug/dl T7: 1.4 - 3.8 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84479, 84436$43
2415THYROID PROFILE W/TSH(T3 UPTAKE, T4, TSH) Testing Performed STAT and Daily Reference Ranges: T3 Uptake: 24.3 - 39.0% T4: 4.5 - 11.4 ug/dl TSH: 0.50 - 5.00 mciu/ml 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84479, 84436, 84443$67
1145THYROID STIMULATING IMMUNOGLOBULINTesting Performed by Reference Lab 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84445$350
988TISSUE TRANSGLUTAMINASE IGGTesting Performed by Reference Lab 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 83516N/A
881TOPIRAMATE (TOPAMAX)Testing Performed by Reference Lab 1 full red top tube with no additive 80299$83
206TOTAL BILIRUBINTesting Performed STAT and Daily Reference Range: 0.1 - 1.3 mg/dL 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 82247$7.02
231TOTAL PROTEIN Testing Performed STAT and Daily Reference Range: 5.9 - 8.4 g/dLTesting Performed STAT and Daily Reference Range: 5.9 - 8.4 g/dL 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84155$5.12
50539TRAMADOL (ULTRAM) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed STAT and Daily Reference Range: 0.2 - 0.8 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$60
50540TRAZADONE (DESYREL) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed STAT and Daily Reference Range: 0.5 - 2.5 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$42
50546TRIAZOLAM (HALCION) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed STAT & Daily Reference Range: 5 - 30 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$50
45551TRICYCLIC ANTIDEPRESSANTS (TCA SREEN) QUANTITATIVE SERUM/BLOODLC/MS/MS (AMITRIPTYLINE, NORTRIPTYLINE, CYCLOBENZAPRINE, DOXEPIN, NORDOXEPIN, DESIPRAMINE, IMIPRAMINE, TRIMIPRAMINE, NORCLOMIPRAMINE, CLOMIPRAMINE, PROTRIPTYLINE) Testing Performed Daily 1 full red top tube with no additive 80100$50
232TRIGLYCERIDESTesting Performed STAT and Daily Reference Range: 50 - 200 mg/dL 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84478$8.04
51561TRIMIPRAMINE (SURMONTIL) QUANTITATIVESERUM/BLOOD LC/MS/MS Testing Performed Weekly Reference Range: 0.02 - 0.24 mg/L 1 full red top tube with no additive or 1 full grey top tube 82491$80
9147TROPONIN ITesting Performed STAT and Daily Reference Range: 0-0.05ng/ml1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84484$25
819TSHTesting Performed STAT and Daily Reference Range: 0.50 - 5.00 mciu/mL 1 ml serum (collect specimen in tube with gel barrier - wait until blood is clotted before centrifuging - centrifuge for 15 minutes and insure that serum is separated from the blood cells by the gel barrier) 84443$35