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All Services Pathology and Laboratory Services

CPT 84478

Blood test, lipids (cholesterol and triglycerides)

$56.00 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$164.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$305.00 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$106.51 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$561.00 Standard Charge

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CPT 83525

Insulin Measurement; Total

$179.00 Standard Charge

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CPT 80048

Basic metabolic panel

$450.00 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$85.00 Standard Charge

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CPT 85025

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

$145.00 Standard Charge

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CPT 84132

Blood potassium level

$85.00 Standard Charge

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CPT 84165

Protein Measurement, Serum

$254.00 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$210.00 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$4.75 Standard Charge

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CPT 84479

Thyroid Hormone, T3 Measurement, Free

$9.27 Standard Charge

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CPT 88342

Pathology test

$634.00 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$288.00 Standard Charge

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CPT 82330

Ionized Calcium

$56.00 Standard Charge

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CPT 80177

Levetiracetam level

$14.50 Standard Charge

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CPT 83520

IgE (immune system protein) level

$17.27 Standard Charge

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CPT 84300

Urine sodium level

$100.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$28.00 Standard Charge

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CPT 86945

Irradiation blood product, each unit

$48.00 Standard Charge

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CPT 86762

Rubella virus antibody test

$60.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$45.00 Standard Charge

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CPT 84154

PSA (prostate specific antigen) measurement

$25.80 Standard Charge

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CPT 83721

LDL cholesterol level

$179.00 Standard Charge

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CPT 82436

Urine chloride level

$117.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$85.00 Standard Charge

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CPT 85027

Complete blood count, automated

$94.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$188.00 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

$156.00 Standard Charge

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CPT 87045

Stool Culture

$390.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$170.78 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$22.00 Standard Charge

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CPT 83935

Urine osmolality (concentration) measurement

$261.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$390.00 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$96.00 Standard Charge

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CPT 83970

Parathormone

$763.00 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$270.00 Standard Charge

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CPT 80074

Acute hepatitis panel

$867.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$24.06 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$77.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$232.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$63.10 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$245.00 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$223.00 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$13.28 Standard Charge

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CPT 86735

Mumps virus antibody test

$21.00 Standard Charge

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CPT 86255

Measurement of antibody to noninfectious agent

$14.00 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$138.00 Standard Charge

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CPT 87177

Smear for Parasites

$142.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$67.83 Standard Charge

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CPT 84550

Uric acid level, blood

$99.20 Standard Charge

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CPT 80162

Digoxin level

$191.00 Standard Charge

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CPT 82533

Cortisol Measurement

$42.84 Standard Charge

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CPT 83540

Iron level

$9.28 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$76.00 Standard Charge

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CPT 82465

Cholesterol level

$98.00 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$165.00 Standard Charge

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CPT 86431

Rheumatoid factor level

$170.00 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$40.00 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$98.00 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$24.10 Standard Charge

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CPT 84484

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

$88.00 Standard Charge

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CPT 86765

Rubeola virus antibody test

$17.90 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$153.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$25.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$8.00 Standard Charge

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CPT 82040

Albumin (protein) level

$5.51 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$252.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$135.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$440.00 Standard Charge

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CPT 87186

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

$14.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$795.00 Standard Charge

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CPT 88112

Urine test

$473.00 Standard Charge

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CPT 87624

HPV Detection

$45.00 Standard Charge

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CPT 82140

Ammonia level

$449.00 Standard Charge

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CPT 84402

Testosterone Level; Free

$8.94 Standard Charge

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CPT 82565

Blood creatinine level

$85.00 Standard Charge

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CPT 82232

Beta-2 microglobulin (protein) level

$17.90 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$10.00 Standard Charge

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CPT 87517

Hepatitis B Detection

$79.33 Standard Charge

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CPT 80197

Tacrolimus Level

$211.00 Standard Charge

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CPT 85018

Blood count, hemoglobin

$83.00 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$270.00 Standard Charge

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CPT 80076

Liver function blood test panel

$403.00 Standard Charge

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CPT 82525

Copper level

$14.32 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$934.00 Standard Charge

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CPT 87206

Special stain for microorganism; special stain for parasites

$48.68 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$9.84 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$44.02 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$6.00 Standard Charge

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CPT 83020

Hemoglobin Measurement

$12.82 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$215.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$87.00 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$367.00 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$11.26 Standard Charge

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CPT 85660

Red blood cell sickling measurement

$43.00 Standard Charge

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CPT 82310

Calcium level

$98.00 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$45.00 Standard Charge

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CPT 84630

Zinc level

$12.17 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$179.00 Standard Charge

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CPT 87491

Chlamydia Test

$348.00 Standard Charge

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CPT 80158

Cyclosporine level

$328.00 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$77.00 Standard Charge

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CPT 84155

Total protein level, blood

$36.00 Standard Charge

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CPT 80055

Obstetric blood test panel

$284.00 Standard Charge

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CPT 86880

Red blood cell (RBC) antibody detection test

$22.00 Standard Charge

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CPT 84681

C-peptide (protein) level

$12.00 Standard Charge

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CPT 82340

Urine calcium level

$10.00 Standard Charge

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CPT 87497

Detection test for cytomegalovirus, quantification

$290.61 Standard Charge

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CPT 84156

Total Protein Level, Urine

$3.61 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$127.00 Standard Charge

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CPT 83550

Iron Binding Capacity

$179.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$235.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$10.00 Standard Charge

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CPT 88313

Blood test to assist with diagnosis

$552.00 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$74.00 Standard Charge

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CPT 84133

Urine potassium level

$117.00 Standard Charge

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CPT 80164

Valproic acid level

$218.00 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$251.00 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$331.00 Standard Charge

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CPT 83735

Magnesium Level

$7.41 Standard Charge

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CPT 84157

Prealbumin (protein) level

$35.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$111.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$162.00 Standard Charge

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CPT 84166

Troponin (protein) analysis

$17.53 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$17.92 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$98.00 Standard Charge

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CPT 83001

Gonadotropin, chorionic (reproductive hormone) level

$270.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$319.00 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$11.90 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$17.20 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$200.00 Standard Charge

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CPT 87101

A procedure used to determine if fungi are present in an area of the body

$395.00 Standard Charge

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CPT 82553

Blood test to detect heart enzymes

$298.00 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$14.17 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$11.23 Standard Charge

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CPT 87147

Analysis for antibody bordetella (respiratory bacteria)

$50.00 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$15.00 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$156.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$79.28 Standard Charge

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CPT 86140

Measurement C-reactive protein

$100.00 Standard Charge

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CPT 82746

Folic acid; serum

$270.00 Standard Charge

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CPT 86361

T cell count and ratio

$81.87 Standard Charge

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CPT 85303

Protein C antigen (clotting inhibitor) measurement

$308.00 Standard Charge

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CPT 86780

Treponema pallidum antibody test

$28.60 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$14.75 Standard Charge

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CPT 85610

Blood test, clotting time

$97.60 Standard Charge

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CPT 82103

Alpha-1-antitrypsin; total

$12.77 Standard Charge

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CPT 84295

Blood sodium level

$77.00 Standard Charge

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CPT 83516

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

$14.75 Standard Charge

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CPT 85007

Microscopic examination for white blood cells with manual cell count

$124.00 Standard Charge

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CPT 86922

Blood Unit Compatibility Test; Antiglobulin Technique

$444.00 Standard Charge

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CPT 86701

Analysis for antibody to HIV -1 virus

$29.76 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$194.68 Standard Charge

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CPT 87635

Covid-19 current infection test

$69.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$270.00 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$98.00 Standard Charge

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