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All Services Pathology and Laboratory Services

CPT 82565

Blood creatinine level

$20.40 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$22.20 Standard Charge

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CPT 80050

General health panel

$230.72 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$725.60 Standard Charge

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CPT 83970

Parathormone

$230.72 Standard Charge

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CPT 86255

Measurement of antibody to noninfectious agent

$62.42 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$31.21 Standard Charge

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CPT 82533

Cortisol Measurement

$66.30 Standard Charge

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CPT 88112

Urine test

$134.42 Standard Charge

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CPT 84402

Testosterone Level; Free

$44.79 Standard Charge

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CPT 80197

Tacrolimus Level

$65.55 Standard Charge

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CPT 84481

Test of free T3 hormone

$132.19 Standard Charge

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CPT 85730

Coagulation assessment blood test

$26.01 Standard Charge

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CPT 87491

Chlamydia Test

$67.63 Standard Charge

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CPT 82310

Calcium level

$20.81 Standard Charge

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CPT 82140

Ammonia level

$49.94 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$41.62 Standard Charge

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CPT 84630

Zinc level

$49.98 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$31.21 Standard Charge

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CPT 84295

Blood sodium level

$20.81 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$43.70 Standard Charge

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CPT 88175

PAP smear

$78.03 Standard Charge

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CPT 84132

Blood potassium level

$20.81 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$91.56 Standard Charge

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CPT 80162

Digoxin level

$91.87 Standard Charge

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CPT 80158

Cyclosporine level

$41.62 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$46.82 Standard Charge

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CPT 84166

Troponin (protein) analysis

$105.67 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$73.87 Standard Charge

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CPT 86922

Blood Unit Compatibility Test; Antiglobulin Technique

$184.62 Standard Charge

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CPT 85018

Blood count, hemoglobin

$20.81 Standard Charge

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CPT 84165

Protein Measurement, Serum

$52.02 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$22.27 Standard Charge

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CPT 83935

Urine osmolality (concentration) measurement

$53.86 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$69.36 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$47.76 Standard Charge

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CPT 80074

Acute hepatitis panel

$306.00 Standard Charge

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CPT 86762

Rubella virus antibody test

$41.62 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$67.63 Standard Charge

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CPT 84550

Uric acid level, blood

$20.81 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$14.15 Standard Charge

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CPT 84484

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

$107.51 Standard Charge

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CPT 83520

Immunoassay other than infectious agent antibody

$49.94 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$46.82 Standard Charge

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CPT 82652

Dihydroxyvitamin D, 1, 25 level

$93.64 Standard Charge

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CPT 84157

Prealbumin (protein) level

$38.86 Standard Charge

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CPT 82150

Amylase (enzyme) level

$31.21 Standard Charge

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CPT 84439

Assay of free thyroxine

$115.26 Standard Charge

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CPT 82746

Folic acid; serum

$62.42 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$37.85 Standard Charge

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CPT 80048

Basic metabolic panel

$31.84 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$36.41 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$65.55 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$41.62 Standard Charge

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CPT 83013

Test of breath for a stomach bacterium

$156.06 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$10.78 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$31.83 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$62.42 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$84.66 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$154.22 Standard Charge

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CPT 87635

Covid-19 current infection test

$150.86 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$19.31 Standard Charge

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CPT 80177

Levetiracetam level

$76.79 Standard Charge

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CPT 87186

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

$45.78 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$20.81 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$46.31 Standard Charge

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CPT 87081

Medical test to find an infection

$26.01 Standard Charge

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CPT 82465

Cholesterol level

$15.61 Standard Charge

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CPT 82330

Ionized Calcium

$107.51 Standard Charge

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CPT 86431

Rheumatoid factor level

$26.01 Standard Charge

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CPT 82951

Blood glucose (sugar) tolerance test

$94.05 Standard Charge

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CPT 83525

Insulin Measurement; Total

$99.96 Standard Charge

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CPT 80178

Lithium Level

$54.94 Standard Charge

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CPT 85025

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

$30.45 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$48.80 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$145.96 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$49.23 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$28.41 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$14.57 Standard Charge

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CPT 84156

Total Protein Level, Urine

$38.86 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$29.68 Standard Charge

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CPT 86140

Measurement C-reactive protein

$29.97 Standard Charge

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CPT 86161

Measurement of complement (immune system proteins)

$75.95 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$49.94 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$21.22 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$52.02 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$26.01 Standard Charge

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CPT 87493

Detection test for clostridium difficile

$140.66 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$19.46 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$53.26 Standard Charge

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CPT 80164

Valproic acid level

$107.51 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$40.08 Standard Charge

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CPT 82627

Blood test to measure an enzyme i the blood

$56.18 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$63.18 Standard Charge

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CPT 85303

Protein C antigen (clotting inhibitor) measurement

$63.46 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$51.00 Standard Charge

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CPT 87624

HPV Detection

$99.07 Standard Charge

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CPT 80185

Phenytoin level

$36.41 Standard Charge

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CPT 86580

Tuberculosis Test

$24.48 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$14.15 Standard Charge

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CPT 87070

Bacterial Culture, any source

$37.56 Standard Charge

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CPT 87177

Smear for Parasites

$17.69 Standard Charge

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CPT 85027

Complete blood count, automated

$18.73 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$41.20 Standard Charge

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CPT 86900

Blood Typing, ABO

$22.27 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$94.53 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$52.02 Standard Charge

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CPT 86780

Treponema pallidum antibody test

$24.48 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$56.60 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$139.21 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$20.81 Standard Charge

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CPT 82164

Angiotensin l - converting enzyme (ACE) level

$36.41 Standard Charge

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CPT 87661

Blood test for an STD

$67.63 Standard Charge

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CPT 83540

Iron level

$26.01 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$130.76 Standard Charge

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CPT 83721

LDL cholesterol level

$59.77 Standard Charge

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CPT 86359

T cells count, total

$61.72 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$39.17 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$19.62 Standard Charge

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CPT 81025

Urine Pregnancy Test

$26.01 Standard Charge

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CPT 82247

Bilirubin level (Total)

$20.81 Standard Charge

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CPT 86592

Syphilis Detection Test

$26.01 Standard Charge

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CPT 84403

Testosterone (hormone) level

$81.15 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$76.91 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$20.81 Standard Charge

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CPT 87880

Strep Test

$61.70 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$225.55 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$69.68 Standard Charge

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CPT 82525

Copper level

$44.88 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$69.68 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$78.03 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$97.70 Standard Charge

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CPT 82103

Alpha-1-antitrypsin; total

$21.42 Standard Charge

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CPT 82040

Albumin (protein) level

$10.40 Standard Charge

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CPT 83735

Magnesium Level

$26.01 Standard Charge

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CPT 86945

Irradiation blood product, each unit

$123.73 Standard Charge

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CPT 85610

Blood test, clotting time

$29.13 Standard Charge

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CPT 83020

Hemoglobin Measurement

$38.49 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$36.41 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

$51.31 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$55.08 Standard Charge

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CPT 84681

C-peptide (protein) level

$37.45 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$20.81 Standard Charge

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CPT 88342

Pathology test

$190.42 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$38.85 Standard Charge

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CPT 84445

Thyroid stimulating immune globulins (thyroid related protein) level

$85.63 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$35.37 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$78.03 Standard Charge

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CPT 86360

T cells; absolute CD4 and CD8 count, including ratio

$76.86 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$12.48 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$14.15 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$112.20 Standard Charge

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CPT 83519

Procalcitonin (hormone) level

$66.30 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$51.17 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$138.41 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$52.34 Standard Charge

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CPT 83516

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

$19.91 Standard Charge

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CPT 80076

Liver function blood test panel

$41.62 Standard Charge

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CPT 84300

Urine sodium level

$35.19 Standard Charge

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CPT 84155

Total protein level, blood

$38.86 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$19.80 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$60.24 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$51.31 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$46.82 Standard Charge

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