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All Services Pathology and Laboratory Services

CPT 84480

Liver enzyme (SGPT), level

$117.00 Standard Charge

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CPT 82746

Folic acid; serum

$139.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$24.00 Standard Charge

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CPT 80048

Basic metabolic panel

$117.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$95.00 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$159.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$177.00 Standard Charge

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CPT 87081

Medical test to find an infection

$44.00 Standard Charge

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CPT 86431

Rheumatoid factor level

$73.00 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$57.00 Standard Charge

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CPT 84154

PSA (prostate specific antigen) measurement

$138.00 Standard Charge

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CPT 82150

Amylase (enzyme) level

$88.00 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$64.00 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$150.00 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$118.00 Standard Charge

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CPT 84630

Zinc level

$102.00 Standard Charge

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CPT 83540

Iron level

$74.00 Standard Charge

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CPT 84550

Uric acid level, blood

$53.00 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$322.00 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$105.00 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$81.00 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$113.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$44.00 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$95.00 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$122.00 Standard Charge

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CPT 87186

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

$124.00 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$110.00 Standard Charge

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CPT 82310

Calcium level

$63.00 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$153.00 Standard Charge

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CPT 87880

Strep Test

$103.00 Standard Charge

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CPT 80074

Acute hepatitis panel

$209.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$93.00 Standard Charge

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CPT 83735

Magnesium Level

$88.00 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$151.00 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$138.00 Standard Charge

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CPT 84481

Test of free T3 hormone

$181.00 Standard Charge

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CPT 80076

Liver function blood test panel

$134.00 Standard Charge

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CPT 82553

Blood test to detect heart enzymes

$150.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$81.00 Standard Charge

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CPT 83520

Immunoassay other than infectious agent antibody

$159.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$102.00 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$123.00 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$86.00 Standard Charge

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CPT 87147

Analysis for antibody bordetella (respiratory bacteria)

$45.00 Standard Charge

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CPT 83525

Insulin Measurement; Total

$153.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$139.00 Standard Charge

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CPT 82626

Dehydroepiandrosterone (DHEA-S) hormone level

$161.00 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$107.00 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$74.00 Standard Charge

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CPT 84479

Thyroid Hormone, T3 Measurement, Free

$48.00 Standard Charge

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CPT 87491

Chlamydia Test

$159.00 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$253.00 Standard Charge

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CPT 82533

Cortisol Measurement

$140.00 Standard Charge

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CPT 80164

Valproic acid level

$162.00 Standard Charge

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CPT 87046

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

$67.00 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$357.00 Standard Charge

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CPT 87510

Blood test for vaginitis

$83.00 Standard Charge

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CPT 80299

Cortisol (hormone) measurement

$108.00 Standard Charge

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CPT 80177

Levetiracetam level

$206.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$211.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$138.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$135.00 Standard Charge

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CPT 83550

Iron Binding Capacity

$96.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$62.00 Standard Charge

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CPT 83970

Parathormone

$310.00 Standard Charge

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CPT 82627

Blood test to measure an enzyme i the blood

$161.00 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$159.00 Standard Charge

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CPT 82044

Urine test to measure albumin- semiquantitative

$47.00 Standard Charge

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CPT 84155

Total protein level, blood

$58.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$159.00 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$232.00 Standard Charge

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CPT 86735

Mumps virus antibody test

$80.00 Standard Charge

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CPT 85027

Complete blood count, automated

$62.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$89.00 Standard Charge

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CPT 84402

Testosterone Level; Free

$213.00 Standard Charge

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CPT 86762

Rubella virus antibody test

$99.00 Standard Charge

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CPT 87045

Stool Culture

$103.00 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$193.00 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$62.00 Standard Charge

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CPT 85610

Blood test, clotting time

$54.00 Standard Charge

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CPT 82565

Blood creatinine level

$57.00 Standard Charge

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CPT 87177

Smear for Parasites

$97.00 Standard Charge

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CPT 86255

Measurement of antibody to noninfectious agent

$93.00 Standard Charge

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CPT 84156

Total Protein Level, Urine

$55.00 Standard Charge

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CPT 85025

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

$88.00 Standard Charge

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CPT 86140

Measurement C-reactive protein

$79.00 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$120.00 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$44.00 Standard Charge

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CPT 82247

Bilirubin level (Total)

$60.00 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$186.00 Standard Charge

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CPT 86765

Rubeola virus antibody test

$124.00 Standard Charge

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CPT 85018

Blood count, hemoglobin

$37.00 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$111.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$97.00 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$38.00 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$166.00 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$28.00 Standard Charge

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CPT 86592

Syphilis Detection Test

$45.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$63.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$176.00 Standard Charge

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CPT 80178

Lithium Level

$84.00 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$157.00 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$131.00 Standard Charge

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CPT 84484

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

$189.00 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$85.00 Standard Charge

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CPT 81025

Urine Pregnancy Test

$66.00 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

$49.00 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$59.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$54.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$120.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$205.00 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$86.00 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$37.00 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$112.00 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$127.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$127.00 Standard Charge

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CPT 80055

Obstetric blood test panel

$125.00 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$143.00 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$145.00 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$134.00 Standard Charge

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CPT 84165

Protein Measurement, Serum

$119.00 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$110.00 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$37.00 Standard Charge

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CPT 86780

Treponema pallidum antibody test

$101.00 Standard Charge

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