Proc Desc PRICE CPT VENIPUNCTURE $ CAP BLOOD DRAW $ BASIC METABOLIC PANEL $ GENERAL HEALTH PANEL $ 276.
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1 Proc Desc PRICE CPT VENIPUNCTURE $ CAP BLOOD DRAW $ BASIC METABOLIC PANEL $ GENERAL HEALTH PANEL $ ELECTROLYTE PANEL $ COMPREHENSIVE METABOLIC PANEL $ LIPID PROFILE $ RENAL PROFILE $ HEPATIC FUNCTION PANEL $ CORD BLOOD DRUG OF ABUSE $ CARBAMAZEPINE $ DIGOXIN $ VALPROIC ACID $ GENTAMICIN, PK $ GENTAMICIN, TR $ LAMOTRIGINE $ LITHIUM $ MYCOPHENOLIC ACID $ PHENOBARBIATL $ PHENYTOIN $ PRIMIDONE $ FK506 (TACROLIMUS) $ VANCOMYCIN, PK $ VANCOMYCIN, TR $ LEGAL DRUG SCREEN $ DRUG SCREEN 8 $ ETHANOL $ SALICYLATES $ ACETAMINOPHEN $ MVMG - URINALYSIS DIP & MICRO $ URINE EXAM $ MVMG - URINALYSIS DIP STICK $ URINALYSIS $ PREGNANCY TEST, UR $ PROTHROMBIN MUTATION $ FACTOR V LEIDEN $ MTINV $ SEVERE COMBINED IMMUNODEFICNCY $ KETONES $ ORGANIC ACID PROFILE NEWBORN $ FATTY ACID PROFILE NEWBORN $ ALBUMIN $ MICROALBUMIN, UR, RND $ ALPHA FETOPROTEIN $ QUAD AFP $ AMINO ACID PROFILE NEWBORN $
2 AMMONIA $ AMYLASE $ AMYLASE, FLD $ BILE ACIDS $ BILIRUBIN, TOT $ BILIRUBIN, FLD $ BILIRUBIN, DIRECT $ BIOTINIDASE DEFICIENCY SCREEN $ MVMG - OCCULT BLOOD, STL (SCR) $ IFOB (FIT TEST) $ VITAMIN D, 25-HYDROXY $ CALCITONIN $ CALCIUM $ CALCIUM, IONIZED $ CALCULI,URINARY NO PHOTO $ CARCINOEMBYRONIC AG $ CATECHOLAMINES, UJR, FRAC $ CORTISOL, PM $ CORTISOL, AM $ CREATINE KINASE $ CK-MB FRACTION $ CREATININE $ CREATININE, UR $ CREATININE, UR, RND $ CREATININE CLEARANCE $ VITAMIN B12 $ DHEA $ DHEA-SO4 $ VITAMIN D, 1 25-DIHYDROXY $ ERYTHROPOIETIN $ ESTRADIOL $ ESTROGENS $ ESTRIOL, UNCONJUGATED $ QUAD ESTRIOL $ ESTRONE $ FECAL FAT, QLT $ FERRITIN $ FIBRONECTIN, FETAL $ FOLATE $ FOLATE, RBC $ GALACOSE SCREEN $ IMMUNOGLOBULIN A $ IGG4, IGG SUBCLASSES $ GLUCOSE, CSF $ GLUCOSE, FLD $ GLUCOSE $ GLUCOSE CHALLENGE, PREG $
3 GLUCOSE TOLERANCE, 3 HR $ GLUCOSE TOLERANCE, 2 HR $ GAMMA GLUTAMYL TRANSFERASE $ FOLLICLE STIM HORMONE $ LUTEINIZING HORMONE $ HAPTOGLOBIN $ HELICOBCTR PYLOR, BREATH TEST $ HGB SCREEN NEONATE $ ELECTROPHORESIS, HGB $ GLYCOSYLTED HGB A1C $ HOMOCYSTINE $ HYDROXYPROGESTERONE $ ADRENAL HYPERPLASIA SCREEN $ TISSUE TRANSGLUTAMINASE AB,IGA $ TISSUE TRANSGLUTAMINASE AB,IGG $ TRYPSIN-LIKE IMMUNOREACTIVITY $ INSULIN ASSAY $ IRON $ IRON BINDING CAPACITY $ LACTIC ACID, VENOUS $ LACTATE DEHYDROGENASE $ LD, FLD $ LEAD, BLD $ LIPASE $ HDL CHOLESTEROL $ LDL CHOLESTEROL, DIRECT $ MAGNESIUM $ X-ALD $ B-TYPE NATRUIURETIC PEP,NT-PRO $ OSMOLALITY $ OSMOLALITY, UR, RND $ PTH, INTACT, WHOLE MOLECULE $ PTH, INTACT, NO CA $ ALKALINE PHOSPHATASE $ PHOSPHORUS $ POTASSIUM $ PRE-ALBUMIN $ PROGESTERONE $ PROLACTIN $ PROSTATE SPECIFIC AG $ PROTEIN, TOT $ PROTEIN, UR, QNT $ PROTEIN, UR, RND $ PROTEIN, CSF $ PROTEIN, FLD $ ELECTROPHORESIS, PROTEIN $ ELECTROPHORESIS, PROT, UR, R $
4 SEROTONIN $ SODIUM $ SODIUM, UR, RND $ TESTOSTERONE, FREE $ TESTOSTERONE, FREE $ TESTOSTERONE, TTL (ADULT MALE) $ TESTOSTERONE, TOTAL BY LCMSMS $ VITAMIN B1 WHOLE BLOOD $ THYROXIN (T4) $ T4, FREE $ TSH SCREEN, NEONATAL $ THYROID STIM HORMONE $ AST $ ALT $ TRANSFERRIN $ TRIGLYCERIDES $ T3 UPTAKE $ T3, BYICMA, TBG CORRECTED $ T3, FREE $ REVERSE T3 $ TROPONIN-I $ UREA NITROGEN $ URIC ACID $ C-PEPTIDE $ QUAD HCG $ HCG, BETA, QNT (PREGNANCY) $ PREG TEST, HCG QLT $ DIFFERENTIAL, MANUAL $ RBC MORPHOLOGY $ CBC, PLT & AUTO DIFF $ HEMOGRAM WITH PLATLET $ RETIC, HCT CORRECTED $ PLATELET COUNT $ SLIDE REVIEW PATHOLOGIST $ PERIPHERAL BLOOD SMEAR $ FACTOR V $ ANTITHROMBIN III ACTIVITY $ ANTITHROMBIN III AG $ PROTEIN C ACTIVITY $ PROTEIN S ACTIVITY $ DIMER TEST $ FIBRINOGEN $ ROSETTE TEST $ PROTHROMBIN TIME $ MVMG - PT $ LUPUS, DRVTT $ SEDIMENTATION RATE $
5 THROMBIN TIME $ PTT $ ANTINUCLEAR FA AB SCREEN $ ASO $ C-REACTIVE PROTEIN, QNT $ CRP, HIGH SENSITIVITY $ CARDIOLIPIN AB, IGG $ CARDIOLIPIN AB, IGM $ C3 $ C4 $ DNA DOUBLE STRAND AB (CRITH) $ BANAMP1 $ ANCA, TOT $ CANCER AG 125 $ INFECT MONO, DIFF $ PRENATAL RISK PRF $ THROID PEROXIDASE AB $ RHEUMATOID FACTOR, QNT $ TBGOLD $ TREP TREPONEMA PALLIDUM REFLEX $ RPRTP RPR TITER $ B. BURGDORFERI AB, IGG & IGM $ CYTOMEGALOVIRUS AB, IGG $ CYTOMEGALOVIRUS AB, IGM $ EBV EARLY ANTIGEN, AB $ EBV NUCLEAR AB $ EBV CAPSID AB, IGG $ EBV CAPSID AB, IGM $ HELICOBACTER PYLORI AB, IGG $ HSV AB, IGM $ HSV 1 AB, IGG $ HSV 2 AB, IGG $ HIV 1/HIV 2 ABS $ HEPATITIS B CORE AB, TOT $ HEPATITIS B CORE AB, IGM $ HEPATITIS B SURF AB $ HEPATITIS B SURF AB, QNT $ HEPATITIS A VIRUS, TOT $ HEPATITIS A AB, IGM $ MUMPS VIRUS AB, IGG $ PARVOVIRUS B19 AB, IGG $ PARVOVIRUS B19 AB, IGM $ RUBELLA AB, IGG $ RUBELLA AB, IGM $ RUBEOLA (MEASLES) AB, IGG $ TOXOPLASMA GONDIT AB, IGG $ TOXOPLASMA GONDIT AB, IGM $
6 TPPAP TREPONEMA PALLIDUM AB $ VARICELLA ZOSTER AB, IGG $ THYROGLOBULIN $ THYROGLOBULIN AB $ HEP C ANTIBODY TOTAL $ ABS RBC 1ST SERUM TECHNIQUE $ ABS RBC 2ND SERUM TECHNIQUE $ ABS RBC 3RD SERUM TECHNIQUE $ ANTIBODY IDENT $ COOMBS, DIRECT $ ANTIBODY D TITER $ ABO BLOOD GROUP $ RH (D) $ ANTIGEN TYPING UNITS $ ANITGEN TYPING PATIENT $ CROSSMATCH IMMEDIATE SPIN $ CROSSMATCH INCUBATION $ CROSSMATCH ANTIGLOBULIN $ RBC PRE WARM $ CULTURE, BLOOD $ CULTURE, STOOL $ CULTURE,ROUTINE $ CULTURE, ANAEROBIC $ BACTERIA ID $ HELICO PYLORI SCREEN $ CULTURE BETA STREP B SCREEN $ CULTURE,MRSA $ CULTURE, URINARY $ GBS LM PCR $ OP CONCENTRATION $ BETA LACTAMASE PRODUCTION $ SUSCEPT, GRAM NEGATIVE $ SUSCEPT, GRAM POSITIVE $ GRAM STAIN $ WET MOUNT $ MVMG - WET MOUNT & KOH PREP $ KOH PREPARATION $ CULTURE, VIRAL $ GIARDIA AG, EIA $ HELICOBACTER PYLORI STOOL AG $ HEPATITIS B SURF AG $ MVMG - INFLUENZA SCREEN $ RESPIRATORY VIRAL SCREEN $ LEGIONELLA PNEUMOPHILA AG, URI $ CANDIDA ORGANISM $ CHLAMYDIA TRACHOMATIS PCR $ CHLAMYDIA TRACHOMATIS $
7 CLOSTRIDIUM DIFFICILE DNA $ FLU A & B MOLECULAR $ GRADNERELLA VAGINALIS $ HEPATITIS C, RNA QNT $ HEPATITIS C RNA, PCR, RT, QNT $ HERPES SIMPLEX VIRUS $ NEISSERIA GONORRHOEAE PCR $ NEISSERIA GONORRHOEAE $ HPV - HIGH RISK PANEL $ HPV - 16 & 18 GENOTYPING $ BSAPCR $ GROUP BETA STREPTOCOCCUS $ TRICHOMONAS VAGINALIS $ NOROVIRUS DETECT,REAL TIME PCR $ INFECT AGENT NUCL AMPLIF PROBE $ HIV 1/2 AG/AB COMBO $ GROUP A STREP RAPID SCREEN $ MVMG - GROUP A STREP RAPID SCR $ SHIGATOXIN 1 CHARGE $ SHIGATOXIN 2 CHARGE $ NON-GYN FLUID,WASHIES OR BRUSH $ NON-GYN CENCENTR TECHN W/INTER $ NON-GYN CELL ENH TECH & INTERP $ CELLULAR ENHANCEMENT ISH MANUA $ 3, CELLULAR ENH ISH COMPUTER ASSI $ 2, NON GYN SMEARS,OTHER SOURCE $ NON GYN SMEARS,OTHER SOURCE >5 $ NON GYN RAPID ASSESS FNA FIRST $ NON GYN CYTO FINE NDL ASPIR EV $ LIQ BASE PAP SMEAR AUTO SCREEN $ NON GYN RAPID ASSESS FNA ADDTL $ FLOW CYTOMETRY 1 MARKER $ FLOW CYTOMETRY EA ADDT MARKER $ TISSUE EXAM LEVEL 1 $ TISSUE EXAM LEVEL II $ TISSUE EXAM LEVEL III $ TISSUE EXAM LEVEL IV $ TISSUE EXAM LEVEL V $ 1, TISSUE EXAM LEVEL VI $ 1, DECALCIFICATION $ SPECIAL STAIN GROUP 1 $ O & P, TRICHROME STAIN $ SPECIAL STAIN GROUP II $ CONSULT REFER MATER W/SLID PRE $ IMMUNOCYTOCHEM STAIN ADDL ANTI $ IMMUNOCYTOCHEN STAIN 1ST ANTIB $ IMMUNOCYTOCHEM STAIN COCKTAIL $
8 IMMUNOFLOURESCENT STUDY/DIRECT $ IMMUNOFLUOR ANTB ADDL STAIN $ MANUAL QUANT IMMUNOSHISTCH IHC $ COMPU QUANT IMMUNOHISTCHEM IHC $ IN-SITU HYBRIDIZAT ADDL PROBE $ IN-SITU HYBRIDIZAT 1ST PROBE $ IN-SITU HYBRIDIZ MULT PROB 1SL $ 1, COMP ASSIST MORPHOMET ANLY 1PR $ MANUAL MORPHOMET ANLYS 1 PROBE $ MANUAL MORPHOMET ANLYS ADD PRO $ COMP ASSIST MORPHOMET ADD PROB $ COMP ASST MORPHOMET MULT PROB $ 1, MANUAL MORPHOMET MULT PROB 1SL $ 2, MICRODISSECTION MANUAL $ MACROSCOPIC EXAM DISSECT/PREP $ TISS PREP FROZ SECT/INTRA CONS $ CELL COUNT, CSF $ CELL COUNT, FLD $ CELL COUNT & DIFFERENTIAL, FLD $ CELL COUNT & DIFERNETIAL, CSF $ FECAL LEUKOCYTE SMEAR $ CRYSTALS, FLD $ CHAIN OF CUSTODY $ THERAPEUTIC PHLEBOTOMY $ PSAS $ G0103 TRANSFUSION RBC LEUCOR $ P9016 TRANSFUSION FROZEN PLASMA $ P9017 TRANSFUSION PLT PHERESIS LR $ 1, P9035 TRANSFUSION LR RBC IRRADIATED $ P9040 TRANSFUSION PLT PH LR/CME-/IRR $ P9053 TRANSFUSION RBC LR/IRR/CMU- $ P9058
Test Name CPT Price Note ABO TYPE $ ACETAMINOPHEN $ 61.25
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