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All Services Pathology and Laboratory Services

CPT 82728

Ferritin (blood protein) level

$122.43 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$60.75 Standard Charge

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CPT 84300

Urine sodium level

$79.62 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$76.52 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$147.08 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$155.10 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$93.58 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$79.62 Standard Charge

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CPT 85610

Blood test, clotting time

$53.45 Standard Charge

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CPT 84439

Assay of free thyroxine

$134.42 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$139.82 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$191.94 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$107.76 Standard Charge

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CPT 83540

Iron level

$64.74 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$174.75 Standard Charge

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CPT 82150

Amylase (enzyme) level

$99.50 Standard Charge

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CPT 86762

Rubella virus antibody test

$168.54 Standard Charge

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CPT 86140

Measurement C-reactive protein

$72.38 Standard Charge

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CPT 82040

Albumin (protein) level

$73.63 Standard Charge

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CPT 83970

Parathormone

$291.13 Standard Charge

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CPT 80197

Tacrolimus Level

$170.61 Standard Charge

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CPT 84481

Test of free T3 hormone

$242.71 Standard Charge

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CPT 86431

Rheumatoid factor level

$93.06 Standard Charge

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CPT 83550

Iron Binding Capacity

$91.92 Standard Charge

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CPT 86900

Blood Typing, ABO

$144.76 Standard Charge

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CPT 80162

Digoxin level

$176.19 Standard Charge

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CPT 87661

Blood test for an STD

$101.33 Standard Charge

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CPT 82140

Ammonia level

$231.36 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$172.47 Standard Charge

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CPT 87653

Blood test for strep infection

$161.30 Standard Charge

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CPT 88175

PAP smear

$111.67 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$193.66 Standard Charge

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CPT 80048

Basic metabolic panel

$87.55 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$175.88 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$155.10 Standard Charge

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CPT 87624

HPV Detection

$177.85 Standard Charge

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CPT 80177

Levetiracetam level

$211.97 Standard Charge

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CPT 88342

Pathology test

$272.04 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$1,015.08 Standard Charge

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CPT 83721

LDL cholesterol level

$116.84 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$199.81 Standard Charge

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CPT 82533

Cortisol Measurement

$118.81 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$150.96 Standard Charge

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CPT 87491

Chlamydia Test

$161.78 Standard Charge

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CPT 82948

Blood glucose (sugar) measurement using reagent strip

$22.75 Standard Charge

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CPT 81025

Urine Pregnancy Test

$49.14 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$115.81 Standard Charge

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CPT 84156

Total Protein Level, Urine

$62.98 Standard Charge

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CPT 82247

Bilirubin level (Total)

$66.84 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$125.74 Standard Charge

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CPT 84484

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

$174.75 Standard Charge

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CPT 84478

Blood test, lipids (cholesterol and triglycerides)

$80.65 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$113.74 Standard Charge

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CPT 83001

Gonadotropin, chorionic (reproductive hormone) level

$141.49 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$241.44 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$104.43 Standard Charge

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CPT 84403

Testosterone (hormone) level

$220.00 Standard Charge

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CPT 83735

Magnesium Level

$98.75 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$154.48 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$220.24 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$74.45 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$205.73 Standard Charge

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CPT 80178

Lithium Level

$100.58 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$161.30 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$100.58 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$230.58 Standard Charge

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CPT 82565

Blood creatinine level

$50.05 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$96.16 Standard Charge

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CPT 84155

Total protein level, blood

$43.43 Standard Charge

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CPT 83525

Insulin Measurement; Total

$138.56 Standard Charge

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CPT 82330

Ionized Calcium

$225.72 Standard Charge

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CPT 84165

Protein Measurement, Serum

$95.02 Standard Charge

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CPT 85730

Coagulation assessment blood test

$89.96 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$319.74 Standard Charge

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CPT 87177

Smear for Parasites

$115.81 Standard Charge

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CPT 80164

Valproic acid level

$190.51 Standard Charge

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CPT 84550

Uric acid level, blood

$62.94 Standard Charge

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CPT 82746

Folic acid; serum

$142.69 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$222.31 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$35.06 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$82.72 Standard Charge

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CPT 86765

Rubeola virus antibody test

$138.56 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$82.46 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$42.91 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$159.24 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$31.02 Standard Charge

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CPT 80055

Obstetric blood test panel

$545.95 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$159.24 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$147.74 Standard Charge

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CPT 87070

Bacterial Culture, any source

$168.54 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$322.26 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$78.72 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$82.72 Standard Charge

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CPT 86592

Syphilis Detection Test

$80.95 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$217.14 Standard Charge

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CPT 85025

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

$84.79 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$242.77 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$239.89 Standard Charge

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CPT 84132

Blood potassium level

$69.28 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

$88.89 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$108.95 Standard Charge

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CPT 83520

IgE (immune system protein) level

$310.20 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$180.95 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$154.89 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$128.53 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$13.44 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$74.30 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$262.76 Standard Charge

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CPT 80076

Liver function blood test panel

$119.63 Standard Charge

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CPT 86255

Measurement of antibody to noninfectious agent

$195.57 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$211.97 Standard Charge

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CPT 82525

Copper level

$160.71 Standard Charge

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CPT 85018

Blood count, hemoglobin

$35.06 Standard Charge

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CPT 82310

Calcium level

$68.45 Standard Charge

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CPT 87635

Covid-19 current infection test

$129.25 Standard Charge

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CPT 84157

Prealbumin (protein) level

$65.44 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$82.97 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$76.37 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$159.24 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$161.78 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$112.71 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$102.00 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$212.62 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$83.44 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$156.13 Standard Charge

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CPT 80050

General health panel

$239.92 Standard Charge

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