procedure name unit price tcipf b cells total 86355 …

Lab

PROCEDURE NAME UNIT PRICE

TCIPF B CELLS TOTAL 86355 $351.00

TCIPF NK CELLS 86357 $351.00

TCIPF T CELLS TOTAL 86359 $351.00

TCIPF CD4 CD8 ABSOLUTE COUNT 86360 $372.00

DEAMID. GLIADIN AB IGA 83516.018 $36.00

DEAMID. GLIADIN AB IGG 83516.019 $36.00

TISSUE TRANSGLUTAMINASE IGG AB 83516.034 $47.00

ANTI PARIETAL CELL ANTI 83516.003 $46.00

CHIKUNGUNYA IGG IGM AB 86790.010 $255.00

MI-2 AUTOANTIBODY 83516.030 $36.00

ANTI SMOOTH MUS AB IGG 83516.002 $159.00

HISTONE ANTIBODIES 83516.001 $48.00

ACTIVATED CLOTTING TIME 85347 $116.00

MITOCHONDRIAL AB M2 83516.029 $37.00

MYELOPEROXIDASE AB $138.00

PROTEINASE 3 AB 83516.016 $183.00

TISSUE TRANSGLUTAM. IGA 83516.023 $184.00

INFUENZA AB 87502.006 $197.00

INFLUENZA AB AND RSV 87631.004 $435.00

STREP GROUP A 87651.003 $120.00

FISH INTERP & REPORT SO 88291 $75.00

HAIR DRUG TEST $72.00

MRO REVIEW-HAIR DRUG TESTING $166.00

BREATH HYDROGEN TEST $226.00

RBC LR PROC UNIT P9016 $717.00

FRESH FRZ PLASM PROC UNITP9017 $236.00

PLATELET PHERES LEUKOREDUCED $2,317.00

PLASMA FROZEN WIN 24 HOURS P9059 $236.00

CRYOPRECIPITAT PROC UNIT P9012 $415.00

BLOOD L R CMV-NEG $76.00

PROTIME - PROTIME CLINIC 85610 $23.00

RBC ANTIGEN TYPING PT 86905 $130.00

CHLAMYDIA AB 86631 $72.00

CROSSMATCH ELECTRONIC 86923 $147.00

ARTERIAL PUNCTURE $65.00

GLUCOSE POCT 82962 $26.00

SKIN TEST CANDIDA 86485 $29.00

SKIN TEST TB INTRADERM 86580 $30.00

ED 36415 VENIPUNCTURE $17.00

MORPMET ALYS TMR IMHCEM 88361 $384.00

PSA TOTAL 84153 $140.00

PAMG-1 CERVICOVAGINAL 84112 $252.00

CARDIOLIPIN ANTIBODY IGA 86147 $69.00

BETA-2 GLYCOPROTEN IGA 86146 $69.00

RBC $28.00

CARDIOLIPIN IGG AB $66.00

of 26 Bozeman Health Deaconess Hospital 2020 pricing

Lab


CARDIOLIPIN IGM AB $66.00

BETA 2 GP1 AB IGG $66.00

BETA 2 GP1 AB IGM $66.00

EGG WHITE ALLERGEN COMPONENT PANEL 86008.003 $16.00

MILK ALLERGEN COMPONENT PANEL 86008.005 $16.00

PEANUT ALLERGEN COMPONENT PANEL 86008.006 $16.00

CBC AUTOMATED WDIFF 85025 $98.00

ESR AUTOMATED 85652 $41.00

AMYLASE 82150 $90.00

GLUCOSE 82947 $54.00

IRON 83540 $57.00

TROPONIN QUANT 84484 $114.00

TSH 84443 $160.00

COMPREHENS METABOLC PANL 80053 $59.00

LIPID PROFILE 80061 $107.00

URINALYSIS W MICROSCOPIC 81001 $25.00

FREE T4 84439 $100.00

LIPASE 83690 $60.00

CBC AUTOMATED NO DIFF 85027 $82.00

GLYCOSYLATED (A1C) HGB 83036 $79.00

C REACTIVE PROTEIN QUANT 86140 $54.00

HEP B SURF ANTIGEN HBSAG87340 $109.00

AMIKACIN 80150 $43.00

ALPHA-1-ANTITRPSIN FECA $63.00

PANCREATIC POLYPEPTIDE 83519 $140.00

SULFATIDE AUTOANTIBODY 83520 $345.00

MAGNESIUM STOOL 83735 $48.00

PHENYLALANINE 84030 $59.00

ACID PHOSPHATASE PROST 84066 $41.00

TYROSINE $98.00

ANTIDIURETIC HORMONE 84588 $82.00

FACTOR II ASSAY 85210 $101.00

ACTIVATED PROTEIN C RES 85307 $97.00

D-DIMER QUANT 85379 $126.00

NATURAL KILLER CELLS 86357 $146.00

SACCHA CEREV IGG IGA 86671 $109.00

HIV AB CONFIRM 86689 $191.00

HEP B CORE AB-IGM ONLY 86705 $49.00

HEP A ACUTE AB-HAV-IGM 86709 $126.00

RUBELLA ANTIBODY IGM 86762 $71.00

HERPES VIRU 6 AB HHV-6 86790 $110.00

MIX STUDY PROTIME $56.00

CHLAMYDIA IGM 86632 $48.00

LEAD 83655 $67.00

BETA HYDROXYBUTYRATE 82010 $29.00

CYSTATIN C $67.00


Lab


HEMOSIDERIN QUAL 83070 $62.00

SALIVA TEST $48.00

NEUROMYELITIS OPTICA IGG 86255 $223.00

PAE RFLX BILL ACH REC 83519 $51.00

SEROTONIN RELEASING ASSAY $425.00

BERYLLIUM 83018 $122.00

MYCOBACTERIA PCR 87556 $177.00

VITAMIN B2 84252 $67.00

SCHISTOSOMA AB 86682 $170.00

BETHESDA UNITS 85335 $190.00

FACTOR VIII INHIB SCR 85335 $348.00

VON WILEBRND WRKUP INTRP 85390 $65.00

F8IS FACTOR VIII INTERP 85390 $68.00

SPECIAL COAG INTERP 85390 $68.00

RENIN WITH ALDOSTERONE 84244 $218.00

CDMR CYP2D6 COMMON VAR 81226.002 $579.00

FLT3 GENE ITD VARI 81245 $500.00

PLASMINOGEN ACTIVITY 85420 $95.00

YEAST CULTURE $90.00

BRUCELLA AB SCREEN IGM $224.00

CREATININE URINE $23.00

NEUTROPHIL SPECIFIC AB 86255 $27.00

SACCH. CEREVISIAE AB IGA 83520 $27.00

SACCH. CEREVISIAE AB IGG 83520 $27.00

CLOZAPINE 80159 $45.00

PARANEOPLAST AUTO AB 86255 $70.00

PS/PT AB G,M 86148 $226.00

CONNECT TISSUE ANTINUCLEAR AB 86038.007 $37.00

CONNECT TISS CYCLIC CITRULLINATED PEPTIDE AB 86200.003 $38.00

MYASTHENIA GRAVIS ACH RECPT AB 83519 $123.00

MYASTHENIA GRAVIS STRIAT MUSCLE RECPT AB 83520 $69.00

SODIUM FECES PANEL 84302 $41.00

OSMOLALITY FECES PANEL 84999 $5.00

POTASSIUM FECES PANEL 84999 $5.00

CHLORIDE FECES PANEL 82438 $41.00

BARBITUATE 80345 G0480 $87.00

HIV 1,2 ANTIBODY HIV ANTIGEN $91.00

AZETHIOPRINE 80375 G0480 $179.00

TREPONEMA PALLIDUM ANTIBODY 86780 $82.00

LO OPIATE CONFIRM MECONIUM 80361 G0480 $103.00

LO OPIATE CONFIRM MECONIUM 80365 G0480 $103.00

AMPHETAMINE CONF MECONIUM 80324 G0480 $108.00

AMPHETAMINE CONF MECONIUM 80359 G0480 $108.00

REDUCING SUBSTANCE, FECAL 84376 $80.00

TOTAL LT CHAIN KAPPA OR LAMBDA UR 83883.005 $49.00

DRUG SCREEN PRESUMP CHEM ANALYZER 80307 $140.00


Lab


BUPRENORPHINE 80307 $214.00

PAIN CLINIC SURVEY WITH REFLEX 80307 $92.00

DRUG SCR PRESC OTC 80307 $69.00

AMPHETAMINE 80325 G0480 $44.00

HCG QUANT 84702 $126.00

AFP TUMOR MRKR 82105 $91.00

CULTUR TB ACID FST BACILL87116 $88.00

CONCENTRATION (AFB) 87015 $91.00

SMEAR FLUORES ACD FST STN87206 $49.00

OB UA DIPSTK NONAU 81002 $17.00

BLD GAS CAL O2SAT 82803 $260.00

HEMATOCRIT 85014 $28.00

HEMOGLOBIN 85018 $28.00

DIFFERENTAIL MANUAL 85007 $8.00

PROTIME 85610 $60.00

PTT 85730 $84.00

WBC 85048 $28.00

ABO 86900 $36.00

ANTIBODY SCREEN 86850 $116.00

RH 86901 $36.00

DIRECT COOMBS 86880 $54.00

ALBUMIN 82040 $54.00

ALKALINE PHOSPHATE 84075 $65.00

ALT 84460 $30.00

AST 84450 $57.00

TOTAL BILI 82247 $54.00

DIRECT BILI 82248 $28.00

BUN 84520 $54.00

CALCIUM 82310 $46.00

CARBON DIOXIDE 82374 $24.00

CHLORIDE 82435 $24.00

CHOLESTEROL 82465 $62.00

CPK 82550 $57.00

CREATININE 82565 $54.00

LDH 83615 $57.00

PHOSPHORUS 84100 $65.00

POTASSIUM 84132 $47.00

SODIUM 84295 $46.00

TRIGLYCERIDES 84478 $79.00

URIC ACID 84550 $51.00

DIGOXIN 80162 $162.00

MAGNESIUM 83735 $79.00

CKMB 82553 $105.00

SERUM KETONE 82009 $26.00

PSA 84153 $139.00

T4 84436 $88.00


Lab


MONOSCREEN 86308 $61.00

PREGNANCY TEST (URINE) 81025 $79.00

HCG QUAL 84703 $79.00

RPD GROUP A STREP SCREEN 87880 $50.00

BASIC METABOLIC PANEL 80048 $47.00

PANEL HEPATIC FUNCTION 80076 $57.00

RENAL FUNCTION PANEL 80069 $49.00

ELECTROLYTE PANEL 80051 $54.00

CAPILLARY COLLECTION 36416 $23.00

GRAM STAIN 87205 $36.00

URINALYSIS-DIPSTICK ONLY 81003 $29.00

MICROALBUMIN 82043 $54.00

VENIPUNCTURE 36415 $14.00

WET MOUNT INFECT AGENT 87210 $36.00

CULTURE ANAEROBIC 87075 $89.00

CULT STOOL SAL SHIG SCR 87045 $47.00

CULTURE URINE 87086 $66.00

OVA AND PARASITES 87177 $107.00

SENSITIVITY STUDY MIC 87186 $105.00

VITAMIN B12 82607 $156.00

CA 125 86304 $146.00

CREATININE CLEARANCE 82575 $97.00

CA 27-29 86300 $126.00

CEA 82378 $116.00

CYCLOSPORINE 80158 $48.00

PHENYTOIN 80185 $184.00

FERRITIN 82728 $151.00

RBC FETAL ROSETTE 85461 $89.00

FOLATE 82746 $151.00

H PYLORI IGG 86677 $134.00

TACROLIMUS 80197 $53.00

CARBAMAZEPINE (TEGRETOL) 80156 $184.00

CROSSMATCH ANTIGLOBULIN 86922 $146.00

GLUC TOL 3 SPEC & DOSE 82951 $146.00

HDL 83718 $41.00

GLUCOSE BODY FLD 82945 $54.00

PROTEIN TOT SER 84155 $54.00

B-TYPE NATRI PEPT 83880 $205.00

INFLUENZA A 87400 $72.00

CLINITEST DIPSTICK TABLET81002 $17.00

SPERM PRESENCE MOTILITY 89321 $39.00

CULTURE BLOOD 87040 $148.00

CULTURE VIRAL 87252 $74.00

AEROBIC DEFINITIVE ID 87077 $45.00

IRON BINDING 83550 $66.00

PHENOBARBITOL 80184 $184.00


Lab


THEOPHYLLINE 80198 $189.00

AMMONIA 82140 $144.00

CALCIUM IONIZED 82330 $105.00

CREATININE RAND UR 82570 $62.00

CREATININE 24 HR UR 82570 $79.00

GGTP (GAMMA GT) 82977 $57.00

PSA FREE 84154 $139.00

SODIUM URINE 84300 $48.00

C PEPTIDE 84681 $88.00

ANTITHROMBIN III ACTIVITY85300 $174.00

PROTEIN C ACTIVITY 85303 $229.00

PROTEIN S ACTIVITY 85306 $225.00

FIBRINOGEN QUANT ASSAY 85384 $114.00

ANTINUCLEAR ANTIBODY SCRE86038 $114.00

ANTI MITOCHONDRIAL ANTIBO86255 $142.00

RPR 86592 $51.00

MYCOPLASMA ANTIBODY TITER86738 $72.00

ANTIBODY ID 86870 $359.00

RBC ANTIGEN TYPING UNIT 86902 $57.00

LEGIONELLA ANTIGEN URINE 87450 $128.00

CELL COUNT BDY FLD WDIFF89051 $107.00

SEROQUEL (QUETIAPINE) 80342 G0480 $134.00

HOMOCYSTEINE PLASMA 83090 $109.00

PSA SCREENING G0103 $139.00

COLD AGGLUTININ 86157 $48.00

STONE ANAL 82365 $38.00

CORTISOL TOTAL SER 82533 $139.00

FSH 83001 $171.00

LUTENIZING HORMONE 83002 $206.00

INSULIN LEVEL 83525 $133.00

ESTROGEN SER TOT 82672 $144.00

LITHIUM 80178 $107.00

ACTH HIGH SENS 82024 $222.00

MUMPS IGG SCREEN 86735 $43.00

HEPATITIS B SURFACE ANTIB86706 $168.00

EPSTEIN B VIRUS AB COMPLE86665 $45.00

ELECTROPHORESIS SER 84165 $108.00

FETAL FIBRINECTIN ASSAY 82731 $510.00

RUBELLA ANTIBODY SCRN IGG86762 $50.00

CALCIUM 24 HR UR 82340 $34.00

PLATELET COUNT 85049 $61.00

IMMUNOFIX ELECT24HR URINE86335 $120.00

CA 19-9PANCREATIC CANCER86301 $113.00

VIT D 1 25-DIHYDROXY SER 82652 $207.00

VITAMIN B6 84207 $152.00

VIT D 25-HYDR 82306 $109.00


Lab


RBC FETL KLEIHAUER-BETKE 85460 $129.00

RA FACTOR QUALITATIVE 86430 $74.00

COMPLEMENT ANTIGEN EA 86160 $95.00

HEPARIN ANTI-XA ASSAY 85520 $100.00

HEPATITIS C ANTIBODY 86803 $206.00

HANDLING CHARGE DRAW AND PROCESS $59.00

VALPROIC ACID (DEPAKANE) 80164 $164.00

METHOTREXATE 80299 $152.00

SULFONYL UREA SCREEN 82542 $114.00

CYCLOSPORIN S.O. 80158 $48.00

ZARONTIN-ETHOSUXIMIDE 80168 $67.00

PRIMIDONE (MYSOLINE) 80188 $156.00

TOPIRAMATE (TOPAMAX) 80201 $177.00

AMIODARONE 80299.018 $57.00

LACOSAMIDE 80299 $189.00

FELBAMATE 80299 $140.00

LAMOTRIGINE (LAMICTAL) 80299 $132.00

SIROLIMUS (RAPAMUNE) 80195 $47.00

URINE AUTO NO MICRO SGL ANALYT $29.00

URINALYSIS DIPSTICK POCT $29.00

URINALYSIS MICRO 81015 $22.00

ACYLCARNITINE BLOOD 82017 $65.00

IGG SYN ALB CSF $34.00

ALBUMIN URIN OTHER SOURCE82042 $34.00

ALDOLASE 82085 $112.00

ALDOSTERONE 82088 $218.00

ALPHA-1-ANTITRYP 82103 $96.00

ALPHA FETOPROTEIN MAT $144.00

ALUMINUM 82108 $132.00

AMINOLEVULENIC ACID 82135 $183.00

AMINO ACID QUANT LEVEL I 82139 $203.00

AMYLASE ISO & TOTAL $87.00

ANDROSTENEDIONE 82157 $373.00

ANGIOTENSION ENZ ACE 82164 $154.00

APOLIPOPROTEIN A1 B 82172 $59.00

ARSENIC URINE 82175 $29.00

HEAVY METAL SCR ARSENIC 82175 $29.00

ASCORBIC ACID VITAMIN C 82180 $59.00

BETA 2 MICROGLOBULIN 82232 $131.00

BILE ACIDS TOTAL 82239 $98.00

BILIRUBIN AMNIOTIC FL 82247 $54.00

BIOTINIDASE SERUM 82261 $65.00

NEWBORN METAB SCR BIOTIN 82261 $65.00

OCCULT GASTRIC 82271 $19.00

OCCULT BLOOD 82272 $20.00

CADMIUM 82300 $29.00


Lab


HEAVY METAL SCR CADMIUM 82300 $29.00

CALCITONIN 82308 $257.00

CARBON MONOXIDE 82375 $105.00

CARNITINE SERUM 82379 $216.00

CATECHOLAMINE FRACT BLOOD82384 $130.00

CERULOPLASMIN 82390 $82.00

CHLORIDE URI 82436 $37.00

CHOLINSTERASE SERUM 82480 $116.00

CHROMIUM 82495 $111.00

CITRATE URINE 82507 $62.00

COPPER 82525 $110.00

CORTISOL SALIVA $139.00

CREATININE FLUID 82570 $28.00

CRYOGLOBULIN QUAL 82595 $47.00

B 12 BINDING CAPACITY 82608 $163.00

DHEA 82626 $228.00

DHEA SULFATE 82627 $120.00

TPMT ENZYME 82657 $291.00

ERYTHROPOIETIN 82668 $101.00

ESTRADIOL 82670 $145.00

ESTRONE 82679 $315.00

FECAL FAT QUANT 82710 $210.00

FOLIC ACID RBC 82747 $122.00

GALACTOSE-1-PHOS URIDYL 82775 $85.00

IGG SYN IGG CSF SERUM $68.00

IMMUNOGLOBULIN G $68.00

IGD 82784 $140.00

IGE 82785 $19.00

IGG SUBCLASS IGG 1 2 3 4 82787 $100.00

PH BLOOD 82800 $79.00

BLOOD GASES 82805 $260.00

GASTRIN 82941 $128.00

GLUCAGON $75.00

G6PD 82955 $72.00

FRUCTOSAMINE 82985 $67.00

FSH S.O. $194.00

LUTEINIZING HORMONE S.O. $183.00

GROWTH HORMONE 83003 $91.00

HAPTOGLOBIN 83010 $92.00

H PYLORI BREATH ANALYSIS 83013 $118.00

H PYLORI BREATH COL 83014 $44.00

HEAVY METAL 24 HR UA 83018 $71.00

HEMOGLOBIN ELP 83020 $48.00

NEWBORN METAB SCR HGB 83020 $48.00

HEMOGLOBIN ELP HPLC 83021 $201.00

METHEMOGLOBIN QUANT 83050 $62.00


Lab


HISTAMINE 83088 $228.00

HOMOVANILLIC ACID U 83150 $192.00

HIAA-5 24 HR URINE 83497 $140.00

HIAA-5 RANDOM URINE $140.00

HYDROXYPROGESTERONE-17 $160.00

HYDROXYPROGESTERONE 17A 83498 $160.00

NEWBORN METAB SCR 170HP 83498 $22.00

NEWBORN METAB SCR CF 83516 $45.00

TISSUE TRANSGLUT $62.00

PARNEOPLST-CA CHANL BIND 83519 $74.00

IGF BINDING PROTEIN-3 83519 $245.00

21 HYDROXYLASE AB 83519 $245.00

ACETYLCHOLINE REC BL AB 83519 $128.00

THYROTROPIN RECEPTOR AB 83519 $267.00

IBD IMMUNO QUANT 83520 $39.00

PARANEOPLAST STRIAT AB 83520 $71.00

ANTI GLOMERULAR BASEMT 83520 $67.00

ANTIGLIADIN AB IGA IGG 83516 $64.00

INTERFERON BETA AB 83520 $273.00

TRYPTASE 83520 $158.00

D-LACTATE $118.00

LACTATE (LACTIC ACID) 83605 $118.00

LDH ISOENZYME 83625 $91.00

HEAVY METAL SCR LEAD 83655 $84.00

LEAD BLOOD WITH DEMOGRAPHICS 83655 $66.00

LIPOPROTEIN A 83695 $120.00

LDL DIRECT 83721 $53.00

THIOPURINE METH TRAN 83789 $138.00

HEAVY METAL SCR MERCURY 83825 $29.00

MERCURY 83825 $86.00

METANEPHRINE 83835 $92.00

METANEPHRINES PLASMA 83835 $163.00

MUCOPOLYSACCHARIDES QNT 83864 $93.00

MYOGLOBIN URINE 83874 $264.00

MYOGLOBIN 83874 $264.00

OLIGOCLONAL BANDS 83916 $109.00

OLIGOCLONAL BAND MS 83916 $109.00

ORGANIC ACID SCR URINE 83919 $82.00

GHB-GAMMA HYDRXYBT ACID 83921 $286.00

METHYLMALONIC ACID SER 83921 $286.00

OSMOLALITY FLUID 83930 $109.00

OSMOLALITY URINE 83935 $72.00

OSTEOCALCIN $103.00

PTH INTACT 83970 $156.00

PH NONBLOOD 83986 $38.00

PKU MONITOR SPOT TEST 84030 $23.00


Lab


ALK PHOS ISO TOTAL 84075 $30.00

ALKALINE PHOS ISOENZYME 84080 $49.00

PHOSPHORUS UR 84105 $29.00

PORPHOBILINOGEN 24HR UR 84110 $110.00

K: URINE 84133 $36.00

PREALBUMIN 84134 $79.00

HYDROXYPREG-17 84143 $188.00

PROGESTERONE 84144 $129.00

PROLACTIN 84146 $206.00

PROTEIN TOT UR 84156 $54.00

PROTEIN TOT OTH 84157 $54.00

PROTEIN ELECTRO URI 84166 $140.00

PROINSULIN 84206 $189.00

PYRUVIC ACID 84210 $212.00

RENIN 84244 $119.00

SELENIUM BLOOD 84255 $116.00

SEROTONIN BLOOD 84260 $278.00

SEX HORMONE BIND GLOB 84270 $134.00

SOMATOMEDIN-C (IGF-1) 84305 $318.00

TESTOSTERONE FREE 84402 $124.00

TESTOST TOTAL COMBO 84403 $140.00

TESTOSTERONE TOTAL 84403 $158.00

VITAMIN B1 84425 $72.00

THYROGLOBULIN 84432 $62.00

NEWBORN METAB SCR T4 84437 $25.00

T4 FREE BY EQU DIR DIAL $100.00

TBG-THYROXIN BDG GLOB 84442 $79.00

THYROID STIM IMMUNOGLOB 84445 $290.00

TOCOPHERAL ALPHA (VIT E) 84446 $147.00

TRANSFERRIN 84466 $85.00

T3 UPTAKE 84479 $134.00

T3 TOTAL (TRIIODOTHYRON) 84480 $41.00

T3 FREE 84481 $92.00

T3 REVERSE 84482 $155.00

UREA NITROGEN URINE 84540 $62.00

URIC ACID OTHER 84560 $27.00

VMA 24HR UR 84585 $122.00

VASOACTIVE INT PEPTIDE 84586 $122.00

VITAMIN A 84590 $156.00

VITAMIN K 84597 $218.00

ZINC 84630 $80.00

OSMOLALITY STOOL 84999 $3,087.00

K: STOOL 84999 $3,087.00

DIFFERENTIAL AUTOMATED 85004 $9.00

FACTOR V 85220 $214.00

FACTOR VII 85230 $188.00


Lab


FACTOR VIII 85240 $205.00

FACTOR VIII IH 85240 $205.00

VON WILLIBRAND ANTIGEN 85246 $194.00

VONWILLEBRAND FAC MULTI 85247 $107.00

FACTOR IX 85250 $225.00

FACTOR X 85260 $201.00

FACTOR XI $249.00

FACTOR XII $161.00

ANTITHROMBIN III ANTIGN 85301 $228.00

PROTEIN C ANTIGEN 85302 $174.00

PROTEIN S AG TOTAL 85305 $296.00

PROTEIN S AG FREE 85306 $225.00

OSMOTIC FRAGILITY $189.00

PLATELET AGGREGATE AGG $117.00

PLATELET FUNCTION-EPI $117.00

PLATELET FUNCTION EPI ADP 85576 $117.00

DILUTE RUSS VIP CONFIRM $54.00

DILUTE RUSSELLS VIPER 85613 $54.00

SICKLE CELL TEST 85660 $38.00

THROMBIN TIME 85670 $54.00

VISCOSITY SERUM 85810 $176.00

FRANCISELLA AB SERUM 86668 $107.00

ALERGEN SPEC IGE QNT SO 86003 $32.00

1 ANCA TITER 86256 $67.00

ANCA-MPO MYELOPEROXIDAS 86021 $138.00

ANCA 86255 $138.00

ANCA-PR3 PROTEINASE 3 86021 $183.00

PLATELET ANTIBODY 86022 $386.00

CELL BOUND PLATELET AB 86022 $386.00

HEPARIN PF4 AB -HIT $386.00

ANA TITER 86039 $59.00

ANTISTREPTOLYSIN O TITR 86060 $148.00

C-REACTIVE PROTEIN HISEN 86141 $71.00

ANTIPHOSPHATIDYL G M A 86148 $207.00

C1 ESTERASE INHIBITOR 86160 $95.00

C1 ESTERASE INH FUNCT 86161 $108.00

COMPLEMENT TOTAL 50 86162 $140.00

CYCLIC CITR PEP AB(CCP) 86200 $138.00

ANTI DNASE B 86215 $179.00

ANTI DNA DBL STRAND AB 86225 $41.00

ANTI DNA SINGLE STRAND 86226 $109.00

ANTI SCL70 86235 $46.00

JO-1 AB 86235 $46.00

ENA ANY AB 86235 $46.00

PARANEOPLAST-ANNA PCA 86256 $66.00

CA 15-3 ANTIGEN 86300 $112.00


Lab


CHROMOGRANIN A 86316 $80.00

HIV 1 & 2 RAPID 86703 $71.00

HYPERSENS PN IMMUNODI AB 86331 $194.00

IMMUNOFIXATION 86334 $201.00

INHIBIN 86336 $280.00

CD19 TOTAL 86355 $146.00

CD3 (T CELL TOTAL) 86359 $146.00

CD4 CD8 86360 $43.00

T-HELPER LYMPH MARKER 86361 $71.00

ANTITHYROID AB ANTI TPO 86376 $82.00

LIVER KDNEY MIC TYP1 AB 86376 $32.00

BACTERIAL ANTIGEN 86403 $54.00

CRYPTOCOCCUS ANTIGEN 86403 $140.00

RHEUMATOID FACTOR QUANT 86431 $119.00

VDRL CSF 86592 $67.00

PNEUMOCOCCAL AB EA 86317 $79.00

B PERTUSS AB IGG BY MAID 86615 $148.00

LYMES WESTERN BLOT 86617 $116.00

LYMES TOTAL 86618 $170.00

BRUCELLA ANTIBY IGG IGM 86622 $146.00

CHLAMYDIA TITER IGG IGA 86631 $103.00

CHLAMYDIA TITER IGM 86632 $103.00

Q FEVER AB G M 86638 $91.00

CMV IGG AB 86644 $80.00

CMV IGM AB 86645 $70.00

DIPHTHERIA ANTIBODY 86648 $101.00

COXSACKI A 86658 $425.00

COXSACKIE B (1-6) 86658 $256.00

EPSTEIN BARR EARLY AG 86663 $138.00

EB VIRUS-EBNA 86664 $39.00

EPSTEIN B VIRUS-VCA 86665 $98.00

HEMOPHILUS INFLUENZA AB 86684 $86.00

HTLV 1 ANTIBODY 86790 $41.00

HERPES SMPLX VIR AB IGM 86694 $63.00

HERPES SIMPLX VIR1 IGG 86695 $72.00

HERPES SMPLX VIR 2 IGG 86696 $106.00

HISTOPLASMA AB 86698 $66.00

HEP B CORE AB TOTAL 86704 $57.00

HEP BE AB-HBEAB 86707 $64.00

HEP A TOTAL 86708 $88.00

LEPTOSPIRA ANTIBODY 86720 $146.00

MUMPS TITER G&M 86735 $45.00

PARVOVIRUS IGM IGG 86747 $84.00

E HISTOLYTICA AB $106.00

RICKETTSIA AB-RICK TYPHI 86757 $48.00

RUBEOLA TITER IGG IGM 86765 $40.00


Lab


RUBEOLA IGG ANTIBODY 86765 $40.00

TETANUS ANTIBODY EIA 86774 $101.00

TOXOPLASMA IGG 86777 $46.00

TOXOPLASMA IGM 86778 $47.00

FLUORES TREPONEMAL AB 86780 $57.00

VARICELLA ZOSTER IGG&IGM 86787 $47.00

VARICELLA ZOSTER SCREEN 86787 $47.00

HANTAVIRUS ANTIBODY 86790 $82.00

W NILE VIR G SER OR CF 86789 $62.00

ANTI THYROGLOBULIN AB 86800 $37.00

THYROGLOBULIN AB 86800 $62.00

HLA-B27 ANTIGEN 86812 $75.00

ELUTION 86860 $224.00

ANTIBODY TITER 86886 $107.00

CROSSMATCH IMMEDIATESPIN 86920 $146.00

CULTURE STOOL ADD PATHGN87046 $66.00

CULTURE: STOOL SAL SHIG 87045 $60.00

CULT STOOL ADD'L PLT SCR 87046 $66.00

CULTURE: BACT OTHER 87070 $95.00

CULTURE: BACT RESPITOR 87070 $107.00

ANAEROBIC IDENTIFICATION 87076 $37.00

PATHOGENIC ORGANISM SCR 87081 $54.00

H PYLORI BIOPSY 87081 $84.00

ISOLAT&PRESUMPT ID URINE 87088 $32.00

CULTURE:FC SKN-HAIR-NAIL 87101 $96.00

CULTURE: FUNGUS $95.00

CULTURE: FUNGUS BLOOD 87103 $159.00

CULTURE: FUNGUS YEAST ID $37.00

CULTURE TB BLOOD 87116 $88.00

CULTURE: AFB ID 87118 $114.00

CULT CHLAMYDIA TRACHOMA 87110 $64.00

CULTURE: TYPING ANTISERU 87147 $57.00

PARASITE ID-ARTHROPOD 87168 $19.00

PARASITE ID-WORM 87169 $19.00

PIN WORM EXAM 87172 $28.00

SENSITIVITY STUDY KB 87184 $98.00

BETA LACTAMASE 87185 $45.00

SENSITIVITY AEROB MIC SO $105.00

MALARIA SMEAR 87207 $97.00

TRICHROME STAIN 87209 $98.00

KOH SKIN HAIR NAILS 87220 $25.00

CMV RAPID CULTURE 87254 $91.00

GIARDIA LAMBLIA 87329 $66.00

H PYLORI AG STOOL 87338 $59.00

HEP B SURF AG CONF 87341 $130.00

HEP BE AG-HBEAG 87350 $68.00


Lab


HISTOPLASMA AG URINE 87385 $142.00

ROTAVIRUS FECAL 87425 $66.00

SHIGA-LIKE TOXIN 87427 $66.00

ASPERGILLUS ANTIGEN 87305 $126.00

CHLAMYDIA BY AMPLIFICAT 87491 $134.00

CMV PCR 87496 $396.00

HEP B VIRAL DNA 87517 $227.00

HEP C GENOTYPE PCR 87902 $680.00

HEP C VIRUS BY BDNA 87522 $533.00

HEP C RNA PCR QNT 87522 $533.00

HIV 1 RNA PCR QNT 87536 $141.00

GC BY DNA AMPLIFICATION 87591 $134.00

ENTEROVIRUS RT-PCR 87498 $377.00

VARICELLA ZOSTR PCR CSF $131.00

EPSTEIN BARR PCR NON-BLOOD 87798 $131.00

PERTUSSIS PCR 87798 $156.00

BK VIRUS DNA QUANT 87799 $159.00

INFLUENZA A B DIRECT 87804 $51.00

RSV DIRECT ELISA 87807 $215.00

HIV-1 GENOTYPE $725.00

SYN FLUID CRYSTAL 89060 $54.00

EOSINOPHIL SMEAR 89190 $45.00

HANDLING CHARGE $28.00

ESR NON AUTOMATED 85651 $28.00

PTT SUBSTITUTION 85732 $84.00

MIX STUDY PTT 85732 $84.00

IRRADIATION CHARGE CONTRACT $433.00

AB BACTERIUM NES 86609 $418.00

INSULIN ANTIBODIES 86337 $117.00

VALPROIC ACD TOT S.O.80164.003 $164.00

HERPES SIMPLEX VIR PCR 87529 $97.00

NOROVIRUS FECAL 87799 $230.00

HISTAMINE 24HR URINE 83088 $228.00

ITRACONAZOLE 80299 $74.00

GLUCOSE & DOSE 82950 $68.00

ALPHA SUBUNIT GONADOTRO 83520 $65.00

COMPLEMENT C2 86160 $95.00

CATECHOLAMINES FRAC URINE 24HR 82384 $135.00

PANCREATIC ELASTASE 1FE $118.00

CULTURE:DERMATOPHYTE SCR $96.00

STREP PNEUMO URINARY AG 87450 $128.00

LYMES IGG IGM 86618 $92.00

CPK ISO ELECTROPHORESIS 82552 $45.00

ENDOMYSIAL IGA AB QUAL 86255 $128.00

CARBAMAZEPINE FREE $181.00

H PYLORI IGM $134.00


Lab


CMV DNA QUANTITATIVE 87497 $162.00

HGB ELP IEL CONFIRM 82664 $174.00

HGB ELP CASCADE 2 UNSTABLE $85.00

IDENDIFICATION AER SO $44.00

INFECT AGT NUC ACD AMP EA ORG $166.00

UNIT SPLITTING FEE 86985 $5.00

INHIBIN B 83520 $122.00

CALPROTECTIN 83993 $318.00

VEN BLD COLLECTION IVAD 36591 $92.00

VMA RANDOM UR 84585 $122.00

URINE DRUG SCR COLLECTCORP CHG $38.00

LACTOFERRIN FECAL QUAL 83630 $107.00

ADAMTS13 VWFCP 85397 $245.00

W NILE VIR M SER OR CF 86788 $62.00

HEAVY METAL URINE ARSENIC $29.00

CELL CNT BDY FLD NO DIFF89050 $45.00

SEMEN ANALYSIS COMPLETE 89322 $171.00

ZINC PROTOPORPHYRIN $91.00

NT-PRO B-TYPE NATRIU PEPTIDE 83880 $205.00

IGG SYN ALB SERUM $54.00

GALACTOSE 1 PHOSPHATE RBC84378 $128.00

GLUC TOL ADD SPECS 82952 $28.00

CORTISOL FREE 82530 $164.00

MANGANESE 83785 $103.00

RETICULOCYTE WITH CELLULAR PARAMETER 85046 $41.00

INTRINSIC FACTOR ANTIBODY86340 $110.00

ALLERGEN IGG 86001 $23.00

ALLERG SPEC IGE QUANT 86003 $20.00

CREATININE UA FOR DISORD 82570 $27.00

FREE LIGHT CHAIN 83883 $19.00

SPERM ANTIBODY 89325 $155.00

FACTOR X ACTIVITY BY CHROM $260.00

ESTRIOL 82677 $131.00

IMUNOASSAY NONINF MULT 83516 $318.00

COCCIDIODES AB 86635 $79.00

DISSACHARIDASE ANALYSIS 82657 $372.00

YEAST SUSCEPTIBILITY $195.00

BLD OCC FECAL HGB DETERM 82274 $87.00

OXALATE 83945 $42.00

PROLACTIN PITUITARY MACROADENO $206.00

COLLAGEN XLINK LEVEL 2 82523 $38.00

COPPER 24 HR URINE 82525 $144.00

OBSTETRIC PANEL 80055 $128.00

GENTAMICIN PEK TRGH RANDM80170 $203.00

TOBRAMYCIN PEK TRGH RNDM 80200 $72.00

VANCOMYCIN PEK TRGH RNDM 80202 $201.00


Lab


CARBOHYDRATE DEFIC TRANS 82373 $74.00

CREATINE 82540 $148.00

IMMUNOGLOB A G OR M EACH82784 $68.00

GLUCOSE BLD REAGENT STRIP82948 $20.00

PORPHY URINE QUANT&FRACT 84120 $122.00

SULFATE URINE 84392 $27.00

VITAMIN NOT OTH SPEC 84591 $268.00

COLD AGGLUTININ SCREEN 86156 $48.00

ASPERGILLUS ANTIBODY 86606 $155.00

HIV 1 AB 86701 $90.00

LAB COLLECT PRORATED TRIP CHRG $27.00

FRESH FROZEN PLASMA THAW 86927 $51.00

RSV RAPID 87420 $224.00

STREPTOCOCCUS GROUP A 87430 $66.00

GLIADIN ANTI 82397 $38.00

STRIATIONAL AB 83520 $124.00

ALLERG SPEC IGE QUAL 86005 $74.00

H PYLORI IDENTIFICATION 87077 $44.00

CONSULT &REPRT REFER MATL88325 $288.00

EBV DNA QUANT 87799 $260.00

GENERAL HEALTH PANEL $26.00

VEN BLD COLLECTION PICC 36592 $103.00

ALCOHOL BREATH 82075 $72.00

SPECIMEN COLLECTION CORPORATE $19.00

CRYPTOSPORIDIUM AG STOOL 87328 $66.00

BASIC MET PNL (ION CAL) 80047 $65.00

HEMOCCULT SCR IFOB WPAT $23.00

ZONISAMIDE 80299 $276.00

ISLET CELL AB (DAG PNL)86341 $108.00

MACROPROLACTIN 84146 $206.00

CANDIDA SPECIES DIRECT PROBE $67.00

GARDNERELLA VAG DIRECT PROBE 87510 $67.00

TRICHOMONAS VAG DIRECT PROBE 87660 $67.00

TB TEST CELL MEDIATED IMMUNITY $160.00

SHBG BIIOAVAILABLE 84270 $134.00

TESTOSTERONE TOTAL BIOV 84403 $140.00

PREGNENOLONE 84140 $170.00

PAE RFLX BILL WBLOT 84182 $84.00

PAE RFLX BILL GAD65 86341 $108.00

PREGABALIN TIAGABINE 80366 G0480 $114.00

TRIGLYCERIDE (VAP) 84478 $79.00

SPECTROPHOTOMETRY 84311 $62.00

CENTROMERE AB 83520 $88.00

PROCALCITONIN 84145 $254.00

ANTI MULLERIN HORMONE 83520 $216.00

PT INR FINGERSTICK-QW 85610 $26.00


Lab


PATERNITY COLLECT CORP CHG $59.00

VIT D2 & D3 25 HYDR 82306 $160.00

CAMPYLOBACTER AG 87449 $114.00

CORTISOL BINDING GLOBULIN $123.00

IODINE 83789 $92.00

PARVOVIRUS B19 QUAL PCR 87798 $175.00

RECEPTOR SOLUBL TRNSFRN 84238 $138.00

BETA-2 GLYCOPROTEIN G M 86146 $69.00

CONCENTRATE INFECT AGENT 87015 $37.00

MURAMIDASE (LYSOZYME) 85549 $134.00

VONWILEBRND FAC ACTIVITY 85397 $270.00

BETA-2 TRANSFERRIN 86335 $120.00

NEURON SPECIFIC ENOLASE 83520 $116.00

IGG SUBCLASS 4 82787 $186.00

C DIFFICILE TOXIN GENE AMP PROBE 87493 $189.00

FUNG AB SURV COCIDIOIDES 86635 $79.00

RUFINAMIDE (BANZEL) 82542 $114.00

INTERLEUKIN 6 HI SENS 83520 $38.00

CARDIOLIPIN ANTIBODY G M 86147 $138.00

NEUROMYELITIS OPTIC EVAL 86255 $258.00

ORGANC ACD TOT QNT URINE 83918 $188.00

BETA-D GLUCAN (FUNGITELL)87449 $198.00

PANCREASTATIN 83519 $123.00

STRONGYLOIDES ANTIBODY 86682 $105.00

MRSA PCR NASAL COLONIZATN87641 $189.00

VIT D 25-HYDR(TOT D2 D3)82306 $109.00

FUNGUS MOLD ID 87107 $109.00

BABESIA AB G M 86753 $116.00

EHRLICHIA ANAPLASMA PCR 87798 $146.00

BORRELIA BODY FLUID PCR 87476 $130.00

PNEUMOCYSTIS PCR 87798 $222.00

ASO TITER STREP AB PNL 86060 $148.00

DEOXYRIB AB STREP AB PNL 86215 $79.00

CRYOGLOBULIN S.O. 82595 $49.00

CRYOFIBRINOGEN 82585 $38.00

A1AT(ALPHA 1 ANTITRYPSIN)82103 $43.00

CYSTINURIA 82136 $65.00

ECHINOCOCCUS AB 86682 $216.00

LYME BORRELLIA PCR 87476 $124.00

FIBRINOGEN ANTIGEN 85385 $217.00

IBD CHEMILUM 82397 $39.00

IBD CRP 86140 $47.00

FLAT RATE 2 $16.00

FLAT RATE 3 $9.00

FLAT RATE 4 $7.00

CEA PANCREATIC CYST 82378 $116.00


Lab


COBALT 83018 $71.00

TOXOPLASMA PCR QUAL 87798 $134.00

VORICONAZOLE 80299 $317.00

NMR LIPID PANEL 80061 $107.00

MAGNESIUM RBC 83735 $87.00

LACTOFERRIN QUANT 83631 $107.00

ENDOMYSTIAL IGG 86255 $38.00

KETONE QUANT SERUM 82010 $26.00

IA2-AB 86341 $103.00

HEPATITIS E AB (G M) 86790 $170.00

PTH RELATED PROTEIN 83519 $36.00

STREPTOCOCCUS GRPB AMP PROBE 87653 $189.00

HGB ELP HB VARIANT 83789 $175.00

CRMP-5-IGG WESTERN BLOT 84182 $84.00

AMPHIPHYSIN WESTERN BLOD 84182 $84.00

CRYOGLOB IMMUNOFIX 86334 $207.00

CRYPTOCOCCUS AG REFLX 86403 $57.00

CYTOPLASMIC NEUT AB 86255 $66.00

MYELOPEROXIDASE AB 83876 $124.00

PROTEINASE 3 AB 83516 $96.00

GLUCOSE POCT 82947 $50.00

CANDIDA ALBICANS AB 86628 $103.00

COMPLEMENT C1Q 86160 $95.00

ACEYLCHOLIN RECEP BIND AB83519 $214.00

BRUCELA AB AGLUTIN TITER 86622 $57.00

OVA-1 81503 $980.00

ALLERGEN CARMINE OR TILAPIA 86003 $85.00

ALLERGEN OTHER 86003 $67.00

GANGLIOSIDE AB 83520 $39.00

MANNOSE-BINDING LECTIN 83520 $183.00

BETA-GALACTOSIDASE LEUK 82657 $198.00

PURINE PYRIMIDINE 83789 $140.00

HSV 1 IGM SCR OR TITER 86695 $69.00

HSV 2 IGM SCR OR TITER 86696 $69.00

RISTOCETIN COFACTOR REFLX85245 $195.00

F2GENE ANALY 20210G VARI 81240 $317.00

HFE COMMON VARI 81256 $327.00

F5GENE ANALY LEIDEN VARI 81241 $315.00

MTHFR GENE 81291 $486.00

TPMT GENE 81401 $722.00

HBA1 HBA2 GENE 81257 $466.00

JAK2 GENE 81270 $204.00

BCR ABL1 MAJ BRKPNT 81206 $720.00

MYOTIC DYSTR S BLOT 81404 $1,110.00

HUNTINGTONS HTT 81401 $347.00

CONNEXIN PANL GJB2 81252 $445.00


Lab


FETAL CONGEN ABN QUAD 81511 $420.00

CELIAC GENETICS 81382 $839.00

KRAS GENE ANALYSIS 81275 $560.00

CYSTIC FIBROSIS TR 81220 $668.00

A1AT PHENOTYPE $96.00

ACTINOMYCES CULTURE $89.00

ACHR GANG NEURO AB $70.00

HEPATITIS ACUTE PANEL $278.00

ALDOSTERONE 82088 $218.00

ALLERGEN ON PANEL 86003 $36.00

BONE ALK PHOSPHATASE S 84080 $49.00

BRUCELLA CULTURE $71.00

C1 ESTERASE INHIBITOR AG FUNC 83520 $138.00

C. DIFFICILE DNA BY PCR $189.00

CYSTIC FIBROSIS SPUTUM CULTURE $261.00

VENIPUNCTURE $29.00

CULT PROCESS CHG TISSUE $42.00

ESTRADIOL WITH ESTRONE 82670 $145.00

ETEST BUNDLING 87181 $27.00

FACTOR IX INHIBITOR $43.00

FAT STOOL $51.00

IRON $57.00

GAD65 AB ASSAY $237.00

HEPATITIS BS AB $26.00

HIV-2 AB EVAL S $176.00

HEMOCCULT ICT X3 82274 $87.00

HEPARIN XA UNFRACTIONATED $100.00

IGE IMMUNOGLOBULIN 82785 $95.00

I-STAT PROFILE 8 80047 $65.00

I-STAT CREATININE $54.00

LEGIONELLA ANTIBODY 86713 $183.00

LEGIONELLA AG URINE $62.00

MICROSPORIDIUM SMEAR 87207 $62.00

MIC CHARGE CODE $105.00

MTB COMPLEX RAPID PCR $234.00

NOCARDIA CULTURE $95.00

PHENCYCLIDINE (CONF) URINE 83992 G0480 $129.00

BORDETELLA PERTUSSIS DNA 87798 $156.00

PTH-RELATED PEPTIDE 82397 $214.00

SIMPLE SPERM PREP $119.00

COMPLEX SPERM PREP $203.00

RPR TITER 86593 $38.00

THYROGLOB FNA LYMPH NODE 84432 $37.00

THC CONFIRMATION URINE 80299 $122.00

TROPONIN-I $114.00

ANTI-GLIAL NEUR NUC AB2 $142.00


Lab


JO 1 AB IGG 86235 $46.00

AMPHIPHYSIN AB $142.00

RNP AB IGG 86235 $46.00

ARSENIC B 82175 $24.00

SCL 70 AB IGG 86235 $46.00

SM AB IGG 86235 $46.00

ANTI-SMOOTH MUSCLE AB $128.00

SS-A RO AB IGG $46.00

SS-B LA AB IGG $46.00

BARTONELLA BUNDLE BHG & MB BQG & M 86611 $57.00

BASELINE P2Y12 85576 $117.00

CADMIUM B 82300 $24.00

CONCENTRATION S.O. 87015 $39.00

CRMP5 IGG $142.00

CRYPTOSPORIDIUM AG, FECES 87328 $64.00

C TRACHOMATIS NUC. ACID 87491 $134.00

DRVVT CONFIRM 85612 $54.00

PSA FREE 84154 $139.00

GIARDIA LAMBLIA AG FECES 87329 $66.00

HISTOPLASMA AG SERUM $169.00

HISTOPLASMA AG URINE $197.00

HSV1 DNA BY PCR $116.00

HSV2 DNA BY PCR $116.00

I-STAT BUN $54.00

I-STAT GLUCOSE $20.00

MERCURY B 83825 $24.00

ANTI-NEURONAL NUC AB 1 $142.00



N GONORRHOEAE NUC. ACID 87591 $134.00

LEAD B 83655 $24.00

PURKINJE CELL CYTO AB 1 $142.00

PURKINJE CELL CYTO AB 2 $142.00

PRU P2Y12 85576 $117.00

SPOTTED FEVER GRP IGG $45.00

STRIATIONAL(MUSCLE) AB 83520 $71.00

THYROTROPIN RECEPTOR AB 83520 $36.00

ACH RECEP (MUSCLE) MOD AB $214.00

ACH RECEP MUSCLE BIND AB $110.00

CARBAMAZEPINE TOTAL 80156 $184.00

HTLV -I -II AB SCREEN S 86687 $79.00

THC MECONIUM $128.00

NEURONAL (V-G) K+ CH AB $70.00

TESTOSTERONE FREE BIOAVAIL 84402 $102.00

HGB MOPATH 2 REFLEXD 81401 $1,274.00

MICRODISSECTION MANUAL MY 88381 $119.00


Lab


LISTERIA AB 86609 $198.00

DENGUE FEVER IGG IGM 86790 $122.00

VONWILEBRND ACTIV WORKUP 85397 $234.00

TCIPF LYMPH PROLIF AG MITOGEN 86353 $453.00

LYMPH PROLIFERATION AG OR MITOGEN 86353 $418.00

MUMPS AMPLIFIED PROB 87798 $159.00

PHENOBARB WITH PRIMIDONE 80184 $184.00

GANGLIOSIDE GQ1B AB IGG 83520 $273.00

EVEROLIMUS 80169 $339.00

GABAPENTIN 80171 $65.00

LAMOTRIGINE 80175 $132.00

LEVETIRACETAM 80177 $159.00

MYCOPHENOLATE 80180 $175.00

OXCARBAZEPINE 80183 $182.00

ZONISAMIDE 80203 $264.00

NUCLEIC ACID TRICHOMON AMP 87661 $204.00

IODINE BLOOD 83789 $93.00

POLIO AB NEUTRALIZATION 86382 $310.00

PNEUMOCOCCAL AB EA PNL 23 86317 $5.00

B PERTUSSIS A G M EA ELISA 86615 $148.00

B PERTUSSIS A G M EA IMUNOBLT REFL 86615 $103.00

RA FACTOR QUANT 86431 $74.00

CULTURE QUANTITATIVE AEROBIC 87071 $96.00

CYP2C19 COMMON VARIANT 81225 $1,028.00

CYP2C9 COMMON VARIANT 81227 $1,028.00

TETANUS TOXOID IGG AB 86317 $79.00

CULTURE TYPING IMMFLUOUR EA 87140 $109.00

H IMPLEX I AGIF 87274 $51.00

VGKC COMPLEX AB CSF 83519 $169.00

ANTIMULLERIAN HORMONE (AMH) $225.00

HLA B27 TYPING 86812 $75.00

JAK2 V617F MUTATION DETECTION B 81270 $595.00

MTHFR MUTATION DETECTION 81291 $159.00

PROTHROMBIN G20210A MUTATION $317.00

FACTOR V LEIDEN GENE 81241 $315.00

UREAPLASMA SPECIES MOLECUL DETENTI PCR $170.00

MYCOPLASMA GENITALI MOLECU DETECTI PCR $163.00

RABIES RFFIT ENDPOINT S $201.00

HV 1 ANTIBODY 86701 $91.00

HIV 2 ANTIBODY 86702 $170.00

HIV1 AG HIV 1 2 AB $91.00

LACTIC ACID SPINAL FLUID 83605 $116.00

BODY FLUID CELL COUNT 89050 $45.00

JAK2V617F MY 81270.004 $394.00

PARAENOPLAST AUTOAB 86255 $63.00

MENINGITIS/ENCEPHALITIS PANEL 87483 $695.00


Lab


AMYLASE PANCREATIC 82150 $79.00

PHOSPHORUS FECES PANEL 84100 $63.00

PORPHYIN TOTAL BLOOD 84311 $103.00

TESTOSTERONE FREE MEASURED 84402 $138.00

SACCHRMYCS CERVS IGG 86671 $218.00

ESTRONE WITH ESTRADIOL 82679 $315.00

INFLIXAMAB CONC 80299 $305.00

INFLIXAMAB AB 82397 $39.00

ADALIMUMAB 80299 $295.00

ADALIMUMAB AB 82397 $295.00

SUPERSATUR SODIUM U 84300 $59.00

SUPERSATUR POTASSIUM U 84133 $54.00

SUPERSATUR CALCIUM U 82340 $84.00

SUPERSATUR MAGNESIUM U 83735 $39.00

SUPERSATUR CHLORIDE U 82436 $46.00

SUPERSATUR PHOSPHORUS U 84105 $29.00

SUPERSATUR SULFATE U 84392 $27.00

SUPERSATUR CITRATE U 82507 $151.00

SUPERSATUR OXALATE U 83945 $70.00

SUPERSATUR PH U 83986 $21.00

SUPERSATUR URIC ACID U 84560 $76.00

SUPERSATUR CREATININE U 82570 $29.00

SUPERSATUR OSMOLALITY U 83935 $39.00

INFECTIOUS AGENT NUCLEIC ACID GI 12-25 TARGETS 87507 $722.00

HPV HIGH-RISK TYPES 87624 $91.00

HPV TYPES 16 & 18 ONLY 87625 $68.00

BENZODIAXPINE 1-12 80346 G0480 $116.00

NORTRIPTYLINE 80335 G0480 $41.00

OPIATES 80361 G0480 $41.00

ANABOLIC STEROIDS 80327 G0480 $74.00

IMPRAMINE 80335 G0480 $66.00

NICOTINE 80323 G0480 $48.00

MYCOPLASMA PNEUMONIAE AMPL PROBE 87581 $71.00

SULFONYLUREA 80377 $9.00

OXYCODONE 80365 G0480 $41.00

AMPHETAMINE 80324 G0480 $67.00

METHYLENEDIOXYAMPHETAMINE 80359 G0480 $67.00

COCAINE 80353 G0480 $69.00

ALBUMIN CSF IGG INDEX 82042 $34.00

ALBUMIN SERUM IGG INDEX 82040 $54.00

IGG CSF IGG INDEX 82784 $68.00

IGG SERUM IGG INDEX 82784 $68.00

CDMR DPYD GENOTYPING 81400.005 $423.00

FIRST TRIMESTER MATERIAL SCR 81508 $232.00

RESPIRATORY VIRUS AMP PROBE 12-25 87633 $1,001.00

BORDETELLA PERTUSSIS AMP PROBE 87798 $71.00


Lab


CHLAMYDIA PNEUMONIAE AMP PROBE 87486 $71.00

MYCOPLASMA PNEUMONIAE AMP PROBE 87581 $71.00

ZINC PROTOPORPH OCC EXP 84202 $96.00

NEPHELOM KAPPA LAMBDA PROTEIN 83883 $74.00

KAPPA LAMBDA PROTEIN URINE 84156 $79.00

IMMUNOFIX KAPPA LAMBDA URINE 86335 $120.00

DRUG SCREEN EXTENSIVE URINE 80321 G0483 $67.00

HUMAN EPIDIYMIS PROTEIN 4 (HE4) 86305 $213.00

VOLATILE SCR S 80320 G0480 $97.00

ETHYLENE GLYCOL 80320 G0480 $91.00

LIPOPROT PANL CHOL 82465 $24.00

LIPOPROT PANL TRIG 84478 $24.00

LIPOPROT PANL ELECTO 83700 $43.00

LIPOPROT PANL APOLIPROT 82172 $54.00

CRYPTOCOCCAL ANTIGEN 87899 $140.00

DIPHTHERIA TOXOID IGG AB 86317 $79.00

CRC SCR OCCULT BLD FIT (1-3 CARDS) 82274 $87.00

VW FACTOR ACTIVITY (VWPR) MY 85397 $234.00

VW FACTOR AG (VWPR) MY 85246 $186.00

COAG VIII (VWPR) MY 85240 $195.00

NOROVIRUS BY NAD 87798 $189.00

CYTOMEGALOVIRUS (CMV) DETECT BY PRC QUAL NON-BLD 87496 $465.00

SEMEN LEUCOSCREEN 89398 $38.00

BLOOD CULTURE IDENTIFICATION PANEL 87150 $1,083.00

PROTEIN 14-3-3-, SPINAL FLUID 83520 $91.00

GREY ALDER ALLERGEN 86003 $9.00

MOUSE URINE ALLERGEN 86003 $20.00

ROCKY MOUNTAIN REGION RESP PNL & IGE 86003 $32.00

EARLY CHILDHOOD ALLERGY PNL & IGE 86003 $32.00

LO PEANUT COMPONENT PNL 86003 $128.00

PB2A STAPH AURES TESTING M59 87147 $57.00

HSV CULTURE (ELVIS) 87255 $176.00

WET MOUNT BY PCR 87800 $208.00

D-DIMER TEST 85380 $122.00

FUNGAL SEQUENCING ID 87153 $170.00

G6PD ENZYME SCREEN 82960 $172.00

HLA TYPING DR/DQ 86816 $145.00

HEALTH SCREEN BONE DENSITY $38.00

ANGIOTENSIS CONVERTING ENZYME 82164 $154.00

SMITH-LEMLI-OP SCREEN 82542 $122.00

THIOPURINE METABOLITES 82542 $114.00

SUPERSATURATION, CALCIUM, 82340 $27.00

SUPERSATURATION, CHLORIDE 82436 $27.00

SUPERSATURATION,CITRATE EXCRETN, 82507 $144.00

SUPERSATURATION,CREATININE, 82570 $28.00

SUPERSATURATION, MAGNESIUM, 83735 $37.00


Lab


SUPERSATURATION, OSMOLALITY, 83935 $40.00

SUPERSATURATION, OXALATE, 83945 $67.00

SUPERSATURATION, PH, 83986 $27.00

SUPERSATURATION, PHOSPHORUS, 84105 $28.00

SUPERSATURATION, POTASSIUM, 84133 $27.00

SUPERSATURATION, SODIUM,84300 $27.00

SUPERSATURATION, SULFATE,84392 $27.00

SUPERSATURATION, URIC ACID, 84560 $27.00

SUPERSATURATION, AMMONIUM, 82140 $27.00

SUPERSATURATION, UREA NITROGEN, 84540 $27.00

CHROMOTOGRAPHY QUANT 82542 $152.00

ESCHERICHIA COLI 87798 $59.00

HAEMOPHILUS INFLUENZAE 87798.060 $59.00

NEISSERIA MENINGITIDIS 87798 $59.00

STREPTOCOCCUS AGALACTIAE 87653 $59.00

STREPTOCOCCUS PNEUMONIAE 87798 $59.00

CVM 87496 $59.00

ENTEROVIRUS 87498 $59.00

HHV-6 87532 $59.00

HSV-1 87529 $59.00

HSV-2 87529 $59.00

HUMAN PARECHOVIRUS 87798 $59.00

VZV 87798 $59.00

CRYPTOCOCCUS NEOFORMANS/GATTII 87798 $59.00

LISTERIA MONOCYVOGENES 87798 $59.00

THC CONFIRMATION URINE 80349 G0480 $116.00

LO HCV GEYNOTYPE RESOLUTION 87902 $1,096.00

CLOSTRIDIUM DIFFICILE A/B TOXIN DETECTION 87324 $134.00

FIBROTEST APOLIPOPROTEIN 82172 $125.00

FIBROTEST BILIRUBIN TOTAL 82247 $34.00

FIBROTEST GGT 82977 $32.00

FIBROTEST HAPTOGLOBIN 83010 $117.00

FIBROTEST ALPHA 2 MACROGLOBUIN 83883 $123.00

FIBROTEST ALT 84460 $34.00

PAINO OXYCODONE CONFIRM 80365 G0480 $237.00

THC CONFIRM MECON 80349 G0480 $103.00

MTB RIFAMPIN RESISTANCE 87798.067 $149.00

LO PAINO METHADONE CONFIRMATION 80358 G0480 $124.00

CREATINE DISORDERS PANEL URINE 82542 $78.00

MUCOPOLYSACCHARIDES SCREEN, URINE 82542.026 $82.00

HIV-1 DNA, QUALITATIVE PCR 87535 $110.00

SJORGRENS SYNDROME ANTIBODY 86235 $44.00

ALPHA 1 ANTI PROTEOTYPE LC MS/MS/SERUM 82542.027 $48.00

ALPHA SUBUNIT PIT GLYCO 82397.010 $65.00

LUPUS INHIBITOR SCREEN INTRINSIC PATHWAY 85598 $23.00

TRAMADOL AND METABOLITE, URINE 80373 G0480 $106.00


Lab


PAIN CLINIC SURVEY WITH REFLEX 80364/G0480 $112.00

DRUG SCR PRESUMP DIRECT OPTICAL OBS 80305 $133.00

DRUG SCR PRESUM INST ASSIST DIRECT OPT 80306 $132.00

NICOTINE SCREEN 80305 $92.00

DRUG OF ABUSE SCREEN 80307 $76.00

SALICYLATE 80307 $72.00

MECONIUM SCR MY 80307 $98.00

ACETAMINOPHEN 80307 $72.00

ALCOHOL NOT BREATH 80307 $72.00

KIT DRAW $27.00

IRRADIATION CHARGE 86945 $456.00

GLUCOSE 82947 $23.00

MULTIPLE INFECTIOUS ORGANISM / DNA SEQUENCING $301.00

GROSS ONLY 88300 $83.00

SURGICAL PATH LEVEL II 88302 $176.00

SURGICAL PATH LEVEL III 88304 $211.00

SURGICAL PATH LEVEL V 88307 $546.00

SURGICAL PATH LEVEL VI 88309 $751.00

DECALCIFIED TISSUE 88311 $28.00

STAIN SPECIAL I 88312 $303.00

FROZEN SECTION INITIAL 88331 $120.00

CYTOPATH CERV BETH 88164 $59.00

FNA INTERP REPORT 88173 $265.00

CYTO CERV THN MAN 88142 $88.00

CYTO CERV THN AUTO 88175 $98.00

CYTOPATH WINTERP 88112 $182.00

GROSS & MICRO PROSTATE NEEDLE BIOPSY G0416 $678.00

PROSTATE BIOPSY 88305 $286.00

CHROMOSOME BLD CULTURE 88230 $550.00

INTERPHASE 100-300 88275 $62.00

FLT3 ADDITIONAL CODING 81479 $264.00

FISH 88271.008 $114.00

ANALYSIS TRANS BCR ABL1 OTHER BREAKPOINT QL QN $258.00

BCR ABL MINOR BRKPNT 81207 $236.00

FLOW TC 1ST MARKER 88184 $327.00

PI LINKED AG 1ST MARKER 88184 $327.00

FLOW TR ADDNL MARKER 88185 $218.00

PI LINKED AG ADDNL MARKR 88185 $218.00

CHROMOSOME CULT TISS 88233 $285.00

CHROMOSOME CULTURE TISS 88237 $675.00

CHROMOSOME ANALYSIS 88262 $564.00

CHROMOSOME ANAL 20-25CEL 88264 $783.00

FISH INTERPHASE IN SITU 88275 $153.00

SURGICAL PATH LEVEL IV 88305 $286.00

STAIN SPECIAL II 88313 $162.00

FROZEN SECT ADDNL SLIDE 88332 $72.00


Lab


TOUCH PREP INITIAL CYTE $126.00

IMMUNOPEROXIDASE STAIN 88342 $232.00

CUTANE IMMUNOFLUO STAIN 88346 $56.00

IN SITU HYBRID MANUAL EA PROBE 88368 $479.00

INSITUHY COMP ASSIS SO 88367 $242.00

MORPHOMET ANALYS MANUAL 88360 $414.00

CHROMOSOME NEOP 88264 $783.00

RENAL ELECTON MICRO S.O. 88348 $734.00

IBD 81479 $89.00

HGB MOPATH 4 REFLEXD 81403 $731.00

MOLECULAR CYTOGENETICS INTERPHASE $1,036.00

CHROMOSOME ADD KARYOTYPE $135.00

FISH CLL LOCUS ANOM SPC $23.00

FISH 88271.006 $268.00

FISH INTERPHASE 882750.036 $194.00

RAS/RAF MOPATH 5 81404 $18.00

RAS/RAF MOPATH 4 81403 $13.00

RAS/RAF KRAS 81275 $758.00

RAF/RAS BRAF 81210 $689.00

RAS/RAF SLIDE REVIEW 88381 $116.00

CALR GENE MUTATION EXIB 9 81479 $359.00

IMMUNOHISTO ANTIBODY SLIDE EA ADDL SINGLE STAIN 88341 $239.00

IMMUNOHISTO ANTIBODY SLIDE EA MULTIPLEX STAIN 88344 $130.00

IN SITU HYBRID COMP ASSIST EA MULTIPLEX STAIN 88374 $506.00

ATG16L1 SNP (RS2241880) 81479 $89.00

ECM1 SNP (RS737240) 81479 $89.00

NFX2-3 SNP (RS10883365) 81479 $89.00

STAT SNP (RS744166) 81479 $89.00

KRAS GENE ANALYSIS MY 81275 $541.00

LO CHROM ANLYS CONGEN DISORDERS PANEL 88230 $576.00

LO CHROM ANLYS CONGEN DISORDERS PANEL 88291 $75.00

Y CHROMOSOME MICRODELETION 81403 $350.00

IBD INDIR IMMUNOFLOUR 88346 $158.00

IBD INDIR IMMUNOFLOUR ADD'L STAIN 88350 $39.00

MPL EXON 10 MUTATION DETECTION81403 $712.00

CALR MUTATION ANALYSIS, MYELOPROLIFERATIVE NEOPLASM 81219 $833.00


procedure name unit price tcipf b cells total 86355 …

Documents