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All Services Pathology and Laboratory Services

CPT 87081

Medical test to find an infection

$189.00 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$55.65 Standard Charge

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CPT 83525

Insulin Measurement; Total

$84.00 Standard Charge

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CPT 80050

General health panel

$252.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$204.75 Standard Charge

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CPT 84300

Urine sodium level

$68.25 Standard Charge

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CPT 82040

Albumin (protein) level

$57.75 Standard Charge

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CPT 87210

A lab test to screen for evidence of vaginal infection

$73.50 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$198.45 Standard Charge

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CPT 82746

Folic acid; serum

$176.40 Standard Charge

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CPT 86592

Syphilis Detection Test

$77.70 Standard Charge

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CPT 82948

Blood glucose (sugar) measurement using reagent strip

$42.00 Standard Charge

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CPT 82652

Dihydroxyvitamin D, 1, 25 level

$155.00 Standard Charge

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CPT 87101

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

$108.05 Standard Charge

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CPT 80184

Phenobarbital level

$124.95 Standard Charge

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CPT 80202

Vancomycin (antibiotic) level

$182.70 Standard Charge

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CPT 87088

Culture of the urine to determine bacterial infection

$110.25 Standard Charge

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CPT 86762

Rubella virus antibody test

$142.80 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$164.85 Standard Charge

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CPT 84591

Vitamin B-6 level

$261.45 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$171.15 Standard Charge

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CPT 86880

Red blood cell (RBC) antibody detection test

$129.83 Standard Charge

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CPT 82525

Copper level

$136.50 Standard Charge

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CPT 83010

Haptoglobin (serum protein) level

$178.50 Standard Charge

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CPT 86360

T cells; absolute CD4 and CD8 count, including ratio

$300.30 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$107.10 Standard Charge

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CPT 82533

Cortisol Measurement

$165.90 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$145.98 Standard Charge

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CPT 84154

PSA (prostate specific antigen) measurement

$147.00 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$183.75 Standard Charge

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CPT 82565

Blood creatinine level

$100.80 Standard Charge

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CPT 84402

Testosterone Level; Free

$171.15 Standard Charge

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CPT 84133

Urine potassium level

$65.10 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$180.60 Standard Charge

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CPT 85610

Blood test, clotting time

$90.30 Standard Charge

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CPT 86039

Blood test to determine autoimmune disorders

$130.20 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$81.90 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$323.40 Standard Charge

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CPT 87497

Detection test for cytomegalovirus, quantification

$294.00 Standard Charge

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CPT 82270

Stool analysis for blood

$42.00 Standard Charge

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CPT 86708

Measurement of Hepatitis A antibody (IgM)

$110.25 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$178.50 Standard Charge

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CPT 83883

Nephelometry, test method using light

$202.65 Standard Charge

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CPT 87801

Blood test to determine genetic material of certain infectious agents

$248.06 Standard Charge

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CPT 87491

Chlamydia Test

$213.15 Standard Charge

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CPT 80177

Levetiracetam level

$147.00 Standard Charge

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CPT 84166

Troponin (protein) analysis

$190.05 Standard Charge

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CPT 82340

Urine calcium level

$63.00 Standard Charge

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CPT 82542

Mass spectrometry

$210.00 Standard Charge

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CPT 82232

Beta-2 microglobulin (protein) level

$261.45 Standard Charge

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CPT 85018

Blood count, hemoglobin

$69.30 Standard Charge

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CPT 87177

Smear for Parasites

$124.95 Standard Charge

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CPT 86359

T cells count, total

$68.25 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$166.95 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$435.75 Standard Charge

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CPT 82553

Blood test to detect heart enzymes

$207.90 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$174.30 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$157.50 Standard Charge

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CPT 86317

Immunoassay for infectious agent antibody

$124.95 Standard Charge

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CPT 82330

Ionized Calcium

$105.00 Standard Charge

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CPT 86694

Analysis for antibody to Herpes simplex virus

$201.60 Standard Charge

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CPT 82310

Calcium level

$86.10 Standard Charge

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CPT 84681

C-peptide (protein) level

$168.00 Standard Charge

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CPT 88313

Blood test to assist with diagnosis

$243.60 Standard Charge

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CPT 84478

Triglycerides level

$136.50 Standard Charge

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CPT 84060

Phosphatase (enzyme) level

$58.80 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$91.35 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$88.20 Standard Charge

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CPT 82627

Blood test to measure an enzyme i the blood

$183.75 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$85.05 Standard Charge

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CPT 80048

Basic metabolic panel

$210.00 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$367.50 Standard Charge

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CPT 86677

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

$162.75 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$180.60 Standard Charge

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CPT 87230

Microbial toxin or antitoxin assay

$215.25 Standard Charge

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CPT 84120

Urine porphyrins (metabolism substance) measurement

$154.35 Standard Charge

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CPT 84156

Total Protein Level, Urine

$92.40 Standard Charge

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CPT 87206

Special stain for microorganism; special stain for parasites

$139.65 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$183.75 Standard Charge

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CPT 85660

Red blood cell sickling measurement

$86.10 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$328.65 Standard Charge

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CPT 84630

Zinc level

$122.39 Standard Charge

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CPT 82150

Amylase (enzyme) level

$150.15 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$203.70 Standard Charge

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CPT 81025

Urine Pregnancy Test

$126.00 Standard Charge

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CPT 87517

Hepatitis B Detection

$656.25 Standard Charge

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CPT 87324

Detection test for clostridium difficile toxins (stool pathogen)

$72.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$455.44 Standard Charge

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CPT 85730

Coagulation assessment blood test

$135.45 Standard Charge

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CPT 87340

Detection test for Hepatitis Be surface antigen

$135.45 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$155.40 Standard Charge

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CPT 87147

Analysis for antibody bordetella (respiratory bacteria)

$71.40 Standard Charge

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CPT 82950

Blood glucose (sugar) level after receiving dose of glucose

$100.80 Standard Charge

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CPT 86765

Rubeola virus antibody test

$102.90 Standard Charge

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CPT 86780

Treponema pallidum antibody test

$114.45 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$52.50 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$86.10 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$162.75 Standard Charge

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CPT 87880

Strep Test

$88.20 Standard Charge

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CPT 87070

Bacterial Culture, any source

$202.65 Standard Charge

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CPT 82465

Cholesterol level

$72.45 Standard Charge

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CPT 84479

Thyroid Hormone, T3 Measurement, Free

$94.50 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$145.95 Standard Charge

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CPT 87046

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

$63.00 Standard Charge

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CPT 86300

Blood test to monitor breast cance

$210.00 Standard Charge

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CPT 82951

Blood glucose (sugar) tolerance test

$115.50 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$112.88 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$170.37 Standard Charge

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CPT 87635

Covid-19 current infection test

$323.40 Standard Charge

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CPT 84132

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

$70.35 Standard Charge

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CPT 80162

Digoxin level

$152.25 Standard Charge

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CPT 80074

Acute hepatitis panel

$538.65 Standard Charge

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CPT 80164

Valproic acid level

$147.00 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$198.45 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$309.75 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$119.70 Standard Charge

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CPT 82140

Ammonia level

$196.35 Standard Charge

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CPT 86318

Covid-19 antibody test

$264.60 Standard Charge

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CPT 82103

Alpha-1-antitrypsin; total

$239.40 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$259.35 Standard Charge

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CPT 80076

Liver function blood test panel

$199.50 Standard Charge

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CPT 84560

Uric acid level

$71.40 Standard Charge

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CPT 80051

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

$175.35 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$38.85 Standard Charge

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CPT 83498

Hydroxyprogesterone, 17-D (synthetic hormone) level

$162.07 Standard Charge

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CPT 84484

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

$288.75 Standard Charge

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CPT 88342

Pathology test

$347.83 Standard Charge

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CPT 84481

Test of free T3 hormone

$219.45 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$63.00 Standard Charge

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CPT 88175

PAP smear

$104.74 Standard Charge

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CPT 88112

Urine test

$219.59 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$136.50 Standard Charge

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CPT 82436

Urine chloride level

$79.80 Standard Charge

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CPT 83540

Iron level

$96.60 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$211.05 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$630.00 Standard Charge

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CPT 88142

PAP smear

$143.85 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$347.55 Standard Charge

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CPT 87045

Stool Culture

$162.75 Standard Charge

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CPT 86735

Mumps virus antibody test

$95.55 Standard Charge

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CPT 86900

Blood Typing, ABO

$88.20 Standard Charge

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CPT 86800

Thyroglobulin (thyroid protein) antibody measurement

$107.10 Standard Charge

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CPT 85027

Complete blood count, automated

$120.75 Standard Charge

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CPT 83945

Oxalate level

$93.45 Standard Charge

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CPT 86431

Rheumatoid factor level

$120.75 Standard Charge

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CPT 84445

Thyroid stimulating immune globulins (thyroid related protein) level

$188.62 Standard Charge

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CPT 86255

Screening test for antibody to noninfectious agent

$359.10 Standard Charge

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CPT 84134

Blood test to measure level of prealbumin

$139.65 Standard Charge

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CPT 83520

IgE (immune system protein) level

$264.60 Standard Charge

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CPT 86304

Blood test to monitor for cancer

$238.35 Standard Charge

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CPT 84295

Blood sodium level

$72.45 Standard Charge

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CPT 85007

Microscopic examination for white blood cells with manual cell count

$76.65 Standard Charge

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CPT 83516

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

$105.00 Standard Charge

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CPT 86703

Blood test to diagnose HIV

$315.00 Standard Charge

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CPT 88141

Cervical cancer screening test with interpretation

$59.90 Standard Charge

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CPT 82947

Blood glucose (sugar) level

$52.50 Standard Charge

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CPT 80197

Tacrolimus Level

$276.15 Standard Charge

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CPT 83721

LDL cholesterol level

$97.65 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$408.45 Standard Charge

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CPT 83735

Magnesium Level

$117.60 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$210.00 Standard Charge

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CPT 83090

Homocysteine (amino acid) level

$219.45 Standard Charge

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CPT 87186

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

$136.50 Standard Charge

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CPT 83020

Hemoglobin Measurement

$136.50 Standard Charge

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CPT 84439

Assay of free thyroxine

$157.50 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$178.50 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$186.90 Standard Charge

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CPT 82164

Angiotensin l - converting enzyme (ACE) level

$154.35 Standard Charge

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CPT 83970

Parathormone

$321.30 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$126.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$120.75 Standard Charge

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CPT 80178

Lithium Level

$112.35 Standard Charge

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CPT 84403

Testosterone (hormone) level

$199.50 Standard Charge

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CPT 86706

Hepatitis B surface antibody measurement

$121.80 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$171.15 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$98.12 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$145.95 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$106.05 Standard Charge

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CPT 84550

Uric acid level, blood

$95.55 Standard Charge

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CPT 86704

Hepatitis B core antibody (IgM) measurement

$100.80 Standard Charge

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CPT 83935

Urine osmolality (concentration) measurement

$101.85 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$114.45 Standard Charge

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CPT 83550

Iron Binding Capacity

$118.65 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$172.20 Standard Charge

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CPT 82374

Carbon dioxide (bicarbonate) level

$51.98 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$84.00 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$260.40 Standard Charge

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CPT 87661

Blood test for an STD

$160.65 Standard Charge

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CPT 81256

Gene analysis (hemochromatosis) common variants

$387.45 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$168.00 Standard Charge

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CPT 82247

Bilirubin level (Total)

$90.30 Standard Charge

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CPT 80158

Cyclosporine level

$252.00 Standard Charge

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CPT 85025

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

$120.75 Standard Charge

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CPT 87624

HPV Detection

$223.81 Standard Charge

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CPT 84165

Protein Measurement, Serum

$182.70 Standard Charge

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CPT 84155

Total protein level, blood

$73.50 Standard Charge

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CPT 80299

Cortisol (hormone) measurement

$227.85 Standard Charge

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CPT 86922

Blood Unit Compatibility Test; Antiglobulin Technique

$235.20 Standard Charge

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CPT 86787

Varicella-zoster virus antibody test

$149.10 Standard Charge

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CPT 80185

Phenytoin level

$168.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$252.00 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$220.50 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$88.20 Standard Charge

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CPT 87493

Detection test for clostridium difficile

$199.50 Standard Charge

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CPT 86140

Measurement C-reactive protein

$123.90 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

$92.40 Standard Charge

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