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All Services Pathology and Laboratory Services

CPT 84295

Blood sodium level

$21.23 Standard Charge

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CPT 80185

Phenytoin level

$37.14 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$57.73 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$19.70 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$32.48 Standard Charge

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CPT 82374

Carbon dioxide (bicarbonate) level

$18.54 Standard Charge

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CPT 83520

IgE (immune system protein) level

$50.94 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$38.61 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$52.34 Standard Charge

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CPT 84120

Urine porphyrins (metabolism substance) measurement

$33.96 Standard Charge

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CPT 82465

Cholesterol level

$15.92 Standard Charge

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CPT 80177

Levetiracetam level

$78.33 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$152.35 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$99.65 Standard Charge

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CPT 84439

Assay of free thyroxine

$117.57 Standard Charge

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CPT 85610

Blood test, clotting time

$29.71 Standard Charge

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CPT 84132

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

$21.23 Standard Charge

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CPT 84479

Thyroid Hormone, T3 Measurement, Free

$139.41 Standard Charge

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CPT 86880

Red blood cell (RBC) antibody detection test

$66.96 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$79.59 Standard Charge

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CPT 87081

Medical test to find an infection

$26.53 Standard Charge

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CPT 84550

Uric acid level, blood

$21.23 Standard Charge

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CPT 82533

Cortisol Measurement

$67.63 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$96.42 Standard Charge

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CPT 86255

Screening test for antibody to noninfectious agent

$63.67 Standard Charge

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CPT 82140

Ammonia level

$50.94 Standard Charge

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CPT 80178

Lithium Level

$56.04 Standard Charge

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CPT 85303

Protein S (clotting inhibitor) level

$64.73 Standard Charge

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CPT 82627

Blood test to measure an enzyme i the blood

$57.30 Standard Charge

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CPT 84156

Total Protein Level, Urine

$39.64 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$37.14 Standard Charge

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CPT 87807

Test for RSV

$23.46 Standard Charge

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CPT 84300

Urine sodium level

$35.89 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$14.43 Standard Charge

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CPT 82542

Mass spectrometry

$28.02 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$119.41 Standard Charge

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CPT 84165

Protein Measurement, Serum

$53.06 Standard Charge

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CPT 82652

Dihydroxyvitamin D, 1, 25 level

$95.51 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$14.43 Standard Charge

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CPT 86360

T cells; absolute CD4 and CD8 count, including ratio

$84.11 Standard Charge

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CPT 84154

PSA (prostate specific antigen) measurement

$71.07 Standard Charge

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CPT 83020

Hemoglobin Measurement

$39.26 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$26.53 Standard Charge

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CPT 87206

Special stain for microorganism; special stain for parasites

$59.82 Standard Charge

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CPT 83525

Insulin Measurement; Total

$101.96 Standard Charge

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CPT 80197

Tacrolimus Level

$66.86 Standard Charge

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CPT 87801

Blood test to determine genetic material of certain infectious agents

$130.00 Standard Charge

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CPT 82525

Copper level

$45.78 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$69.15 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$46.82 Standard Charge

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CPT 82330

Ionized Calcium

$109.66 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$157.30 Standard Charge

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CPT 86765

Rubeola virus antibody test

$14.43 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$71.07 Standard Charge

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CPT 87186

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

$46.70 Standard Charge

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CPT 82436

Urine chloride level

$39.43 Standard Charge

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CPT 87624

HPV Detection

$101.05 Standard Charge

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CPT 86592

Syphilis Detection Test

$26.53 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$63.67 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$56.18 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$71.07 Standard Charge

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CPT 86945

Irradiation blood product, each unit

$126.20 Standard Charge

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CPT 87517

Hepatitis B Detection

$180.41 Standard Charge

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CPT 87661

Blood test for an STD

$68.98 Standard Charge

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CPT 87491

Chlamydia Test

$68.98 Standard Charge

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CPT 86735

Mumps virus antibody test

$14.43 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$42.45 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$52.02 Standard Charge

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CPT 87804

Test for Influenza Virus

$79.49 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$12.73 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$50.21 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$70.75 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$31.83 Standard Charge

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CPT 82247

Bilirubin level (Total)

$21.23 Standard Charge

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CPT 83519

Procalcitonin (hormone) level

$67.63 Standard Charge

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CPT 83970

Parathormone

$235.33 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$42.45 Standard Charge

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CPT 80050

General health panel

$235.33 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$53.39 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$21.64 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$44.57 Standard Charge

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CPT 80164

Valproic acid level

$109.66 Standard Charge

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CPT 83918

Organic acid level

$76.99 Standard Charge

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CPT 87635

Covid-19 current infection test

$153.88 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$86.35 Standard Charge

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CPT 80299

Cortisol (hormone) measurement

$25.47 Standard Charge

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CPT 80184

Phenobarbital level

$27.59 Standard Charge

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CPT 83718

HDL cholesterol level

$21.23 Standard Charge

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CPT 83516

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

$20.65 Standard Charge

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CPT 84481

Test of free T3 hormone

$134.83 Standard Charge

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CPT 84560

Uric acid level

$39.43 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$141.18 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$79.59 Standard Charge

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CPT 85027

Complete blood count, automated

$19.10 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$61.44 Standard Charge

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CPT 86580

Tuberculosis Test

$24.97 Standard Charge

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CPT 85611

Coagulation Function Measurement; D-dimer; quantitative

$71.85 Standard Charge

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CPT 87046

Blood test to identify bacteria that may be contributing to symptoms in the gastrointestinal tract

$15.96 Standard Charge

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CPT 82340

Urine calcium level

$54.94 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$14.86 Standard Charge

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CPT 86336

Blood test to monitor for cancer in the ovaries or testis

$74.91 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$52.19 Standard Charge

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CPT 80048

Basic metabolic panel

$32.48 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$40.88 Standard Charge

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CPT 82951

Blood glucose (sugar) tolerance test

$95.93 Standard Charge

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CPT 81256

Gene analysis (hemochromatosis) common variants

$270.61 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$39.63 Standard Charge

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CPT 86747

Parvovirus antibody test

$26.90 Standard Charge

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CPT 84133

Urine potassium level

$37.66 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$53.06 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$21.23 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$21.67 Standard Charge

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CPT 84402

Testosterone Level; Free

$45.59 Standard Charge

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CPT 85730

Coagulation assessment blood test

$26.53 Standard Charge

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CPT 87493

Detection test for clostridium difficile

$143.47 Standard Charge

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CPT 87880

Strep Test

$62.93 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$21.23 Standard Charge

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CPT 86900

Blood Typing, ABO

$22.72 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$53.06 Standard Charge

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CPT 84630

Zinc level

$50.98 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$78.45 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$93.39 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$245.98 Standard Charge

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CPT 88112

Urine test

$137.11 Standard Charge

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CPT 80076

Liver function blood test panel

$42.45 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$28.98 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$48.72 Standard Charge

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CPT 82164

Angiotensin l - converting enzyme (ACE) level

$37.14 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$20.01 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$42.02 Standard Charge

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CPT 80074

Acute hepatitis panel

$312.12 Standard Charge

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CPT 83013

Test of breath for a stomach bacterium

$159.18 Standard Charge

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CPT 82040

Albumin (protein) level

$10.61 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$39.95 Standard Charge

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CPT 84445

Thyroid stimulating immune globulins (thyroid related protein) level

$91.06 Standard Charge

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CPT 82150

Amylase (enzyme) level

$31.83 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$21.23 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$47.76 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$740.11 Standard Charge

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CPT 82746

Folic acid; serum

$63.67 Standard Charge

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CPT 80162

Digoxin level

$93.71 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$49.78 Standard Charge

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CPT 84166

Troponin (protein) analysis

$107.78 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$47.76 Standard Charge

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CPT 86703

Blood test to diagnose HIV

$49.94 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$19.85 Standard Charge

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CPT 82565

Blood creatinine level

$20.81 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$47.24 Standard Charge

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CPT 83021

Liver function blood test panel

$28.03 Standard Charge

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CPT 83735

Magnesium Level

$26.53 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$37.14 Standard Charge

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CPT 84484

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

$109.66 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$133.38 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$68.98 Standard Charge

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CPT 83721

LDL cholesterol level

$60.97 Standard Charge

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CPT 85018

Blood count, hemoglobin

$21.23 Standard Charge

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CPT 85660

Red blood cell sickling measurement

$31.94 Standard Charge

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CPT 88313

Blood test to assist with diagnosis

$114.44 Standard Charge

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CPT 86922

Blood Unit Compatibility Test; Antiglobulin Technique

$188.31 Standard Charge

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CPT 86780

Treponema pallidum antibody test

$24.97 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

$52.34 Standard Charge

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CPT 84157

Prealbumin (protein) level

$39.64 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$111.85 Standard Charge

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CPT 84681

C-peptide (protein) level

$38.20 Standard Charge

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CPT 82310

Calcium level

$21.23 Standard Charge

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CPT 80051

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

$28.65 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$31.83 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$22.72 Standard Charge

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CPT 86359

T cells count, total

$67.55 Standard Charge

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CPT 86317

Immunoassay for infectious agent antibody

$21.23 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$22.64 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$47.76 Standard Charge

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CPT 82626

Dehydroepiandrosterone (DHEA-S) hormone level

$52.00 Standard Charge

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CPT 87207

Smear for infectious agents

$33.29 Standard Charge

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CPT 84588

ADH (antidiuretic hormone) level

$72.17 Standard Charge

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CPT 80158

Cyclosporine level

$42.45 Standard Charge

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CPT 87177

Smear for Parasites

$18.04 Standard Charge

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CPT 86762

Rubella virus antibody test

$42.45 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$50.94 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$36.08 Standard Charge

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CPT 84591

Vitamin B-6 level

$112.20 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$11.00 Standard Charge

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CPT 86161

Measurement of complement (immune system proteins)

$77.47 Standard Charge

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CPT 84478

Triglycerides level

$15.92 Standard Charge

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CPT 85025

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

$31.06 Standard Charge

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CPT 85008

Microscopic examination for white blood cells

$23.51 Standard Charge

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CPT 83498

Hydroxyprogesterone, 17-D (synthetic hormone) level

$48.64 Standard Charge

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CPT 87070

Bacterial Culture, any source

$38.31 Standard Charge

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CPT 88342

Pathology test

$225.00 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$70.75 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$14.43 Standard Charge

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CPT 82103

Alpha-1-antitrypsin; total

$24.06 Standard Charge

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CPT 87101

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

$82.19 Standard Charge

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CPT 84155

Total protein level, blood

$39.64 Standard Charge

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CPT 85007

Microscopic examination for white blood cells with manual cell count

$47.24 Standard Charge

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CPT 81025

Urine Pregnancy Test

$26.53 Standard Charge

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CPT 88175

PAP smear

$79.59 Standard Charge

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CPT 86140

Measurement C-reactive protein

$30.57 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$21.23 Standard Charge

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CPT 83540

Iron level

$26.53 Standard Charge

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CPT 86701

Analysis for antibody to HIV -1 virus

$78.03 Standard Charge

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CPT 83945

Oxalate level

$46.70 Standard Charge

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CPT 83935

Urine osmolality (concentration) measurement

$54.94 Standard Charge

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CPT 82232

Beta-2 microglobulin (protein) level

$43.51 Standard Charge

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CPT 84403

Testosterone (hormone) level

$82.77 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$75.35 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$54.33 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$32.47 Standard Charge

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CPT 87497

Detection test for cytomegalovirus, quantification

$176.87 Standard Charge

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CPT 86431

Rheumatoid factor level

$26.53 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$148.88 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$66.86 Standard Charge

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CPT 87045

Stool Culture

$40.75 Standard Charge

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