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All Services Pathology and Laboratory Services

CPT 86765

Rubeola virus antibody test

$108.00 Standard Charge

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CPT 87493

Detection test for clostridium difficile

$313.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$42.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$114.00 Standard Charge

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CPT 83540

Iron level

$54.00 Standard Charge

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CPT 87045

Stool Culture

$79.00 Standard Charge

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CPT 83970

Parathormone

$346.00 Standard Charge

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CPT 80048

Basic metabolic panel

$71.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$76.00 Standard Charge

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CPT 82310

Calcium level

$43.00 Standard Charge

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CPT 87207

Smear for infectious agents

$50.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$1,277.00 Standard Charge

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CPT 82140

Ammonia level

$122.00 Standard Charge

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CPT 84484

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

$105.00 Standard Charge

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CPT 82436

Urine chloride level

$48.00 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$68.00 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

$36.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$27.00 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$87.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$329.00 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$389.00 Standard Charge

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CPT 80185

Phenytoin level

$111.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$127.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$142.00 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$202.00 Standard Charge

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CPT 87186

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

$73.00 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$94.00 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$154.00 Standard Charge

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CPT 87661

Blood test for an STD

$294.00 Standard Charge

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CPT 80164

Valproic acid level

$114.00 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$122.00 Standard Charge

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CPT 80178

Lithium Level

$55.00 Standard Charge

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CPT 82103

Alpha-1-antitrypsin; total

$113.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$73.00 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$102.00 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$44.00 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$122.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$87.00 Standard Charge

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CPT 87653

Blood test for strep infection

$294.00 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$90.00 Standard Charge

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CPT 84478

Triglycerides level

$48.00 Standard Charge

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CPT 88342

Pathology test

$1,698.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$163.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$54.00 Standard Charge

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CPT 86431

Rheumatoid factor level

$48.00 Standard Charge

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CPT 84132

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

$40.00 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$101.00 Standard Charge

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CPT 82465

Cholesterol level

$36.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$33.00 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$55.00 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$1,803.00 Standard Charge

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CPT 85025

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

$65.00 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$141.00 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$43.00 Standard Charge

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CPT 84166

Troponin (protein) analysis

$150.00 Standard Charge

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CPT 84157

Prealbumin (protein) level

$34.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$19.00 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$133.00 Standard Charge

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CPT 84165

Protein Measurement, Serum

$90.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$120.00 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$101.00 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$214.00 Standard Charge

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CPT 84300

Urine sodium level

$42.00 Standard Charge

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CPT 86922

Blood Unit Compatibility Test; Antiglobulin Technique

$1,698.00 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$175.00 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$159.00 Standard Charge

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CPT 82746

Folic acid; serum

$123.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$58.00 Standard Charge

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CPT 85303

Protein S (clotting inhibitor) level

$116.00 Standard Charge

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CPT 82565

Blood creatinine level

$43.00 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$106.00 Standard Charge

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CPT 83735

Magnesium Level

$56.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$50.00 Standard Charge

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CPT 84133

Urine potassium level

$40.00 Standard Charge

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CPT 86762

Rubella virus antibody test

$121.00 Standard Charge

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CPT 86735

Mumps virus antibody test

$109.00 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$152.00 Standard Charge

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CPT 84156

Total Protein Level, Urine

$31.00 Standard Charge

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CPT 82652

Dihydroxyvitamin D, 1, 25 level

$323.00 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$119.00 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$78.00 Standard Charge

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CPT 84445

Thyroid stimulating immune globulins (thyroid related protein) level

$427.00 Standard Charge

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CPT 87081

Medical test to find an infection

$56.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$294.00 Standard Charge

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CPT 80177

Levetiracetam level

$111.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$43.00 Standard Charge

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CPT 87177

Smear for Parasites

$75.00 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$114.00 Standard Charge

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CPT 80184

Phenobarbital level

$128.00 Standard Charge

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CPT 83935

Urine osmolality (concentration) measurement

$57.00 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$68.00 Standard Charge

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CPT 87497

Detection test for cytomegalovirus, quantification

$359.00 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$324.00 Standard Charge

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CPT 87046

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

$79.00 Standard Charge

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CPT 82330

Ionized Calcium

$115.00 Standard Charge

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CPT 87491

Chlamydia Test

$294.00 Standard Charge

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CPT 83550

Iron Binding Capacity

$73.00 Standard Charge

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CPT 85610

Blood test, clotting time

$36.00 Standard Charge

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CPT 83516

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

$97.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$248.00 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$49.00 Standard Charge

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CPT 85027

Complete blood count, automated

$54.00 Standard Charge

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CPT 84550

Uric acid level, blood

$38.00 Standard Charge

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CPT 84681

C-peptide (protein) level

$175.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$72.00 Standard Charge

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CPT 82533

Cortisol Measurement

$137.00 Standard Charge

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CPT 86140

Measurement C-reactive protein

$43.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$89.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$521.00 Standard Charge

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CPT 80076

Liver function blood test panel

$69.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$51.00 Standard Charge

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CPT 87635

Covid-19 current infection test

$430.00 Standard Charge

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CPT 86880

Red blood cell (RBC) antibody detection test

$589.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$29.00 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$529.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$68.00 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$44.00 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$219.00 Standard Charge

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CPT 85007

Microscopic examination for white blood cells with manual cell count

$32.00 Standard Charge

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CPT 88313

Blood test to assist with diagnosis

$1,277.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$529.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$63.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$141.00 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$109.00 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$20.00 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$162.00 Standard Charge

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CPT 82542

Mass spectrometry

$202.00 Standard Charge

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CPT 86747

Parvovirus antibody test

$126.00 Standard Charge

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CPT 80051

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

$59.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$81.00 Standard Charge

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CPT 85018

Blood count, hemoglobin

$20.00 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$108.00 Standard Charge

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CPT 87206

Special stain for microorganism; special stain for parasites

$45.00 Standard Charge

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CPT 80162

Digoxin level

$111.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$529.00 Standard Charge

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CPT 86677

Blood test to if peptic ulcers are caused by a certain bacterium

$141.00 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$115.00 Standard Charge

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CPT 86592

Syphilis Detection Test

$36.00 Standard Charge

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CPT 80074

Acute hepatitis panel

$400.00 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$104.00 Standard Charge

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CPT 86701

Analysis for antibody to HIV -1 virus

$75.00 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$43.00 Standard Charge

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CPT 82247

Bilirubin level (Total)

$42.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$112.00 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$60.00 Standard Charge

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