| 88300 |
D0472 |
$60.00 |
Gross exam only |
| 88104 |
N/A |
$125.00 |
Cytology |
| 88304 |
D0473 |
$200.00 |
Soft tissue lipoma, Mucocele, Neuroma |
| 88305 |
D0473 |
$200.00 |
Soft tissue, cysts, some bone, and other |
| 88307 |
D0474 |
$350.00 |
Bone (fragments/tumor), Odontogenic tumor, Salivary gland |
| 88309 |
N/A |
$310.00 |
Soft tissue tumor, Extensive resection, Tongue/tonsil resection for tumor |
| 88311 |
D0475 |
$50.00 |
Decalcification |
| 88312 |
D0476 |
$150.00 |
Special stains, group I for microorganisms (PAS, AFB, GMS) |
| 88313 |
D0476 |
$150.00 |
Special stains, group II, all other (iron, trichrome), except ICC |
| 88321 |
D0484 |
$350.00 |
Consultation, slides prepared elsewhere |
| 88323 |
D0485 |
$350.00 |
Consultation/report, slides prepared here |
| 88346 |
D0482 |
$110.00 |
Direct Immunofluorescence (DIF), each antibody, (5 antibody panel = $550) |
| 88342 |
D0478 |
$150 |
Immunocytochemistry, first antibody per slide |
| 88341 |
D0478 |
$150 |
Immunocytochemistry, each additional antibody per slide |
| Multiple Specimens: Billed in full price for specimens A, B, C, etc. |