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All Services Pathology and Laboratory Services

CPT 80076

Liver function blood test panel

$19.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$20.00 Standard Charge

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CPT 85025

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

$16.00 Standard Charge

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CPT 83735

Magnesium Level

$7.41 Standard Charge

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CPT 82746

Folic acid; serum

$28.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$12.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$30.00 Standard Charge

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CPT 84550

Uric acid level, blood

$17.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$31.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$10.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$600.00 Standard Charge

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CPT 85610

Blood test, clotting time

$13.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$11.00 Standard Charge

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CPT 83540

Iron level

$9.28 Standard Charge

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CPT 84439

Assay of free thyroxine

$28.00 Standard Charge

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CPT 82140

Ammonia level

$56.00 Standard Charge

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CPT 85027

Complete blood count, automated

$16.00 Standard Charge

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CPT 80048

Basic metabolic panel

$20.00 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$54.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$30.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$25.00 Standard Charge

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CPT 80164

Valproic acid level

$50.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$95.00 Standard Charge

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CPT 80299

Cortisol (hormone) measurement

$25.00 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$21.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$24.06 Standard Charge

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