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All Services Pathology and Laboratory Services

CPT 83090

Homocysteine (amino acid) level

$51.00 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$42.84 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$68.00 Standard Charge

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CPT 80158

Cyclosporine level

$40.80 Standard Charge

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CPT 85027

Complete blood count, automated

$18.36 Standard Charge

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CPT 84156

Total Protein Level, Urine

$38.10 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$51.31 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$135.70 Standard Charge

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CPT 86317

Immunoassay for infectious agent antibody

$20.40 Standard Charge

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CPT 88313

Blood test to assist with diagnosis

$110.00 Standard Charge

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CPT 87661

Blood test for an STD

$66.30 Standard Charge

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CPT 82340

Urine calcium level

$52.80 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$89.76 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$45.40 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$40.39 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$130.56 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$64.26 Standard Charge

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CPT 83020

Hemoglobin Measurement

$37.74 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$51.00 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$38.09 Standard Charge

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CPT 80177

Levetiracetam level

$75.28 Standard Charge

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CPT 84155

Total protein level, blood

$38.10 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$14.28 Standard Charge

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CPT 80050

General health panel

$226.20 Standard Charge

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CPT 82626

Dehydroepiandrosterone (DHEA-S) hormone level

$49.98 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$95.78 Standard Charge

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CPT 83520

IgE (immune system protein) level

$48.96 Standard Charge

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CPT 87880

Strep Test

$60.49 Standard Charge

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CPT 84300

Urine sodium level

$34.50 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$60.50 Standard Charge

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CPT 87207

Smear for infectious agents

$32.00 Standard Charge

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CPT 87517

Hepatitis B Detection

$173.40 Standard Charge

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CPT 86762

Rubella virus antibody test

$40.80 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$76.50 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$68.00 Standard Charge

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CPT 83498

Hydroxyprogesterone, 17-D (synthetic hormone) level

$45.10 Standard Charge

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CPT 86735

Mumps virus antibody test

$13.87 Standard Charge

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CPT 87206

Special stain for microorganism; special stain for parasites

$57.50 Standard Charge

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CPT 86747

Parvovirus antibody test

$23.10 Standard Charge

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CPT 82150

Amylase (enzyme) level

$30.60 Standard Charge

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CPT 82040

Albumin (protein) level

$10.20 Standard Charge

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CPT 81025

Urine Pregnancy Test

$25.50 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$50.17 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$48.96 Standard Charge

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CPT 80178

Lithium Level

$53.86 Standard Charge

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CPT 86592

Syphilis Detection Test

$25.50 Standard Charge

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CPT 86431

Rheumatoid factor level

$25.50 Standard Charge

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CPT 86359

T cells count, total

$57.97 Standard Charge

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CPT 88112

Urine test

$131.78 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$18.93 Standard Charge

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CPT 82247

Bilirubin level (Total)

$20.40 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$46.00 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$40.80 Standard Charge

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CPT 87177

Smear for Parasites

$17.34 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$128.20 Standard Charge

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CPT 81256

Gene analysis (hemochromatosis) common variants

$260.10 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$30.60 Standard Charge

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CPT 80185

Phenytoin level

$35.70 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$50.30 Standard Charge

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CPT 80162

Digoxin level

$90.07 Standard Charge

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CPT 84481

Test of free T3 hormone

$129.60 Standard Charge

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CPT 80164

Valproic acid level

$105.40 Standard Charge

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CPT 82746

Folic acid; serum

$61.20 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$66.30 Standard Charge

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CPT 83013

Test of breath for a stomach bacterium

$153.00 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$20.40 Standard Charge

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CPT 86780

Treponema pallidum antibody test

$24.00 Standard Charge

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CPT 84157

Prealbumin (protein) level

$38.10 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$45.90 Standard Charge

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CPT 82140

Ammonia level

$48.96 Standard Charge

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CPT 82232

Beta-2 microglobulin (protein) level

$41.82 Standard Charge

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CPT 84630

Zinc level

$49.00 Standard Charge

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CPT 87186

A test used to determine which medications work on bacteria for fungi

$44.88 Standard Charge

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CPT 85018

Blood count, hemoglobin

$20.40 Standard Charge

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CPT 82330

Ionized Calcium

$105.40 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$38.40 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$20.40 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$75.40 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$61.20 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$45.90 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$34.68 Standard Charge

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CPT 86765

Rubeola virus antibody test

$13.87 Standard Charge

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CPT 84166

Troponin (protein) analysis

$103.60 Standard Charge

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CPT 83516

Chemical test of the blood to measure presence or concentration of a substance in the blood

$19.52 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$37.11 Standard Charge

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CPT 83935

Urine osmolality (concentration) measurement

$52.80 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$19.24 Standard Charge

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CPT 87624

HPV Detection

$97.13 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$21.83 Standard Charge

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CPT 86360

T cells; absolute CD4 and CD8 count, including ratio

$72.20 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$25.00 Standard Charge

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CPT 80048

Basic metabolic panel

$31.22 Standard Charge

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CPT 87081

Medical test to find an infection

$25.50 Standard Charge

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CPT 83970

Parathormone

$226.20 Standard Charge

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CPT 84445

Thyroid stimulating immune globulins (thyroid related protein) level

$83.95 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$110.00 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$35.70 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$13.87 Standard Charge

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CPT 86880

Red blood cell (RBC) antibody detection test

$64.36 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$54.00 Standard Charge

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CPT 87101

A procedure used to determine if fungi are present in an area of the body

$79.00 Standard Charge

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CPT 83519

Procalcitonin (hormone) level

$65.00 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$19.38 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$21.76 Standard Charge

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CPT 83540

Iron level

$25.50 Standard Charge

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CPT 80076

Liver function blood test panel

$40.80 Standard Charge

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CPT 86580

Tuberculosis Test

$24.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$20.40 Standard Charge

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CPT 80299

Cortisol (hormone) measurement

$24.48 Standard Charge

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CPT 80197

Tacrolimus Level

$64.26 Standard Charge

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CPT 88175

PAP smear

$76.50 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$76.50 Standard Charge

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CPT 84165

Protein Measurement, Serum

$51.00 Standard Charge

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CPT 83735

Magnesium Level

$25.50 Standard Charge

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CPT 82652

Dihydroxyvitamin D, 1, 25 level

$91.80 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$35.70 Standard Charge

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CPT 84681

C-peptide (protein) level

$36.72 Standard Charge

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CPT 80051

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)

$27.54 Standard Charge

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CPT 85303

Protein S (clotting inhibitor) level

$62.22 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$13.87 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$52.22 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$46.82 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$59.06 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$12.24 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$187.96 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$83.00 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$143.10 Standard Charge

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CPT 82310

Calcium level

$20.40 Standard Charge

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CPT 85730

Coagulation assessment blood test

$25.50 Standard Charge

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CPT 82164

Angiotensin l - converting enzyme (ACE) level

$35.70 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$25.50 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$68.31 Standard Charge

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CPT 87497

Detection test for cytomegalovirus, quantification

$170.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$79.56 Standard Charge

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CPT 86922

Blood Unit Compatibility Test; Antiglobulin Technique

$181.00 Standard Charge

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CPT 87635

Covid-19 current infection test

$147.90 Standard Charge

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CPT 84132

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)

$20.40 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$27.85 Standard Charge

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CPT 83525

Insulin Measurement; Total

$98.00 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$13.87 Standard Charge

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CPT 85610

Blood test, clotting time

$28.56 Standard Charge

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CPT 84550

Uric acid level, blood

$20.40 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$31.21 Standard Charge

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CPT 84478

Triglycerides level

$15.30 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$20.80 Standard Charge

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CPT 86900

Blood Typing, ABO

$21.83 Standard Charge

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CPT 85660

Red blood cell sickling measurement

$30.70 Standard Charge

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CPT 82525

Copper level

$44.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$10.57 Standard Charge

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CPT 87205

A lab test used to detect bacteria or fungi in a sample taken from the site of a suspected infection

$50.30 Standard Charge

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CPT 87070

Bacterial Culture, any source

$36.82 Standard Charge

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CPT 82627

Blood test to measure an enzyme i the blood

$55.08 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$30.60 Standard Charge

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CPT 86140

Measurement C-reactive protein

$29.38 Standard Charge

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CPT 82951

Blood glucose (sugar) tolerance test

$92.21 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$55.49 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$45.90 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$48.26 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$19.08 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$72.42 Standard Charge

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CPT 82565

Blood creatinine level

$20.40 Standard Charge

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CPT 80074

Acute hepatitis panel

$300.00 Standard Charge

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CPT 86255

Screening test for antibody to noninfectious agent

$61.20 Standard Charge

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CPT 84484

Blood test to measure a certain protein in the blood to determine heart muscle damage

$105.40 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$47.84 Standard Charge

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CPT 84439

Assay of free thyroxine

$113.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$39.29 Standard Charge

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CPT 84402

Testosterone Level; Free

$43.91 Standard Charge

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CPT 87491

Chlamydia Test

$66.30 Standard Charge

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CPT 87493

Detection test for clostridium difficile

$137.90 Standard Charge

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CPT 84295

Blood sodium level

$20.40 Standard Charge

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CPT 82465

Cholesterol level

$15.30 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$40.80 Standard Charge

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CPT 83721

LDL cholesterol level

$58.60 Standard Charge

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CPT 82533

Cortisol Measurement

$65.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$20.40 Standard Charge

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CPT 82103

Alpha-1-antitrypsin; total

$21.00 Standard Charge

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CPT 86945

Irradiation blood product, each unit

$121.30 Standard Charge

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CPT 85025

Complete blood cell count, with differential white blood cells, automated

$29.85 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$51.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$92.68 Standard Charge

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CPT 88342

Pathology test

$170.02 Standard Charge

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