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All Services Pathology and Laboratory Services

CPT 87493

Detection test for clostridium difficile

$484.00 Standard Charge

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CPT 80074

Acute hepatitis panel

$804.00 Standard Charge

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CPT 86780

Treponema pallidum antibody test

$172.00 Standard Charge

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CPT 84133

Urine potassium level

$53.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$128.00 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$146.00 Standard Charge

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CPT 84402

Testosterone Level; Free

$313.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$138.00 Standard Charge

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CPT 86701

Analysis for antibody to HIV -1 virus

$109.00 Standard Charge

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CPT 86735

Mumps virus antibody test

$161.00 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$89.00 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$66.00 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$55.00 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$250.00 Standard Charge

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CPT 84156

Total Protein Level, Urine

$63.00 Standard Charge

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CPT 84484

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

$87.00 Standard Charge

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CPT 80076

Liver function blood test panel

$141.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$256.00 Standard Charge

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CPT 87635

Covid-19 current infection test

$66.00 Standard Charge

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CPT 83970

Parathormone

$507.00 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$213.00 Standard Charge

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CPT 86880

Red blood cell (RBC) antibody detection test

$145.00 Standard Charge

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CPT 82533

Cortisol Measurement

$221.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$110.00 Standard Charge

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CPT 83525

Insulin Measurement; Total

$141.00 Standard Charge

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CPT 80185

Phenytoin level

$163.00 Standard Charge

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CPT 88342

Pathology test

$600.00 Standard Charge

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CPT 83540

Iron level

$99.00 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$218.00 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$81.00 Standard Charge

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CPT 82247

Bilirubin level (Total)

$68.00 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$256.00 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$145.00 Standard Charge

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CPT 87081

Medical test to find an infection

$102.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$25.00 Standard Charge

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CPT 82652

Dihydroxyvitamin D, 1, 25 level

$474.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$146.00 Standard Charge

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CPT 84132

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

$78.00 Standard Charge

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CPT 80048

Basic metabolic panel

$135.00 Standard Charge

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CPT 83735

Magnesium Level

$116.00 Standard Charge

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CPT 84479

Thyroid Hormone, T3 Measurement, Free

$110.00 Standard Charge

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CPT 83516

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

$156.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$147.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$255.00 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$163.00 Standard Charge

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CPT 84155

Total protein level, blood

$57.00 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$180.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$55.00 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$180.00 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$139.00 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$163.00 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$180.00 Standard Charge

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CPT 82746

Folic acid; serum

$198.00 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$475.00 Standard Charge

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CPT 85610

Blood test, clotting time

$55.00 Standard Charge

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CPT 86140

Measurement C-reactive protein

$80.00 Standard Charge

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CPT 82040

Albumin (protein) level

$61.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$333.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$112.00 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$269.00 Standard Charge

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CPT 86765

Rubeola virus antibody test

$167.00 Standard Charge

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CPT 80177

Levetiracetam level

$145.00 Standard Charge

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CPT 80184

Phenobarbital level

$141.00 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$1,206.00 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$208.00 Standard Charge

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CPT 82565

Blood creatinine level

$69.00 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$344.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$44.00 Standard Charge

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CPT 88112

Urine test

$412.00 Standard Charge

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CPT 83550

Iron Binding Capacity

$147.00 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$175.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$44.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$56.00 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$110.00 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$344.00 Standard Charge

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CPT 87510

Blood test for vaginitis

$248.00 Standard Charge

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CPT 85027

Complete blood count, automated

$101.00 Standard Charge

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CPT 84157

Prealbumin (protein) level

$63.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$412.00 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$160.00 Standard Charge

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CPT 80051

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

$86.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$284.00 Standard Charge

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CPT 84478

Triglycerides level

$78.00 Standard Charge

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CPT 85303

Protein S (clotting inhibitor) level

$170.00 Standard Charge

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CPT 84295

Blood sodium level

$65.00 Standard Charge

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CPT 87177

Smear for Parasites

$150.00 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

$65.00 Standard Charge

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CPT 80055

Obstetric blood test panel

$299.00 Standard Charge

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CPT 81025

Urine Pregnancy Test

$63.00 Standard Charge

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CPT 83935

Urine osmolality (concentration) measurement

$93.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$182.00 Standard Charge

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CPT 82951

Blood glucose (sugar) tolerance test

$90.00 Standard Charge

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CPT 80178

Lithium Level

$102.00 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$270.00 Standard Charge

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CPT 85025

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

$132.00 Standard Charge

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CPT 83021

Liver function blood test panel

$133.00 Standard Charge

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CPT 84560

Uric acid level

$59.00 Standard Charge

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CPT 84300

Urine sodium level

$66.00 Standard Charge

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CPT 80164

Valproic acid level

$185.00 Standard Charge

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CPT 87045

Stool Culture

$144.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$209.00 Standard Charge

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CPT 82310

Calcium level

$88.00 Standard Charge

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CPT 87147

Analysis for antibody bordetella (respiratory bacteria)

$38.00 Standard Charge

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CPT 87491

Chlamydia Test

$231.00 Standard Charge

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CPT 84445

Thyroid stimulating immune globulins (thyroid related protein) level

$322.00 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$229.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$238.00 Standard Charge

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CPT 83519

Procalcitonin (hormone) level

$135.00 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$228.00 Standard Charge

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CPT 85018

Blood count, hemoglobin

$41.00 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$223.00 Standard Charge

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CPT 84154

PSA (prostate specific antigen) measurement

$227.00 Standard Charge

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CPT 86762

Rubella virus antibody test

$246.00 Standard Charge

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CPT 86922

Blood Unit Compatibility Test; Antiglobulin Technique

$375.00 Standard Charge

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CPT 86592

Syphilis Detection Test

$59.00 Standard Charge

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CPT 87207

Smear for infectious agents

$111.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$194.00 Standard Charge

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CPT 86431

Rheumatoid factor level

$42.00 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$159.00 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$81.00 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$204.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$118.00 Standard Charge

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CPT 84681

C-peptide (protein) level

$256.00 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$33.00 Standard Charge

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CPT 88313

Blood test to assist with diagnosis

$298.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$169.00 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$192.00 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$68.00 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$85.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$131.00 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$185.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$231.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$149.00 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$179.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$71.00 Standard Charge

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CPT 82140

Ammonia level

$221.00 Standard Charge

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CPT 87653

Blood test for strep infection

$475.00 Standard Charge

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CPT 87046

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

$144.00 Standard Charge

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CPT 84165

Protein Measurement, Serum

$132.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$39.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$68.00 Standard Charge

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CPT 87206

Special stain for microorganism; special stain for parasites

$91.00 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$97.00 Standard Charge

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CPT 87186

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

$146.00 Standard Charge

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CPT 82436

Urine chloride level

$62.00 Standard Charge

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CPT 84550

Uric acid level, blood

$77.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$206.00 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$1,098.00 Standard Charge

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CPT 87517

Hepatitis B Detection

$526.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$250.00 Standard Charge

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CPT 80162

Digoxin level

$181.00 Standard Charge

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CPT 80197

Tacrolimus Level

$169.00 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$117.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$193.00 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$118.00 Standard Charge

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CPT 82542

Mass spectrometry

$223.00 Standard Charge

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CPT 82330

Ionized Calcium

$185.00 Standard Charge

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CPT 82553

Blood test to detect heart enzymes

$156.00 Standard Charge

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