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All Services Pathology and Laboratory Services

CPT 84478

Blood test, lipids (cholesterol and triglycerides)

$2.25 Standard Charge

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CPT 82105

Alpha-Fetoprotein (AFP) Level, Serum

$4.07 Standard Charge

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CPT 82570

Test to measure creatinine in the urine

$1.68 Standard Charge

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CPT 80164

Valproic acid level

$60.00 Standard Charge

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CPT 80053

Blood test, comprehensive group of blood chemicals

$86.00 Standard Charge

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CPT 82607

Cyanocobalamin (vitamin B-12) level

$42.00 Standard Charge

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CPT 86695

Analysis for antibody to Herpes simplex virus, type 1

$10.00 Standard Charge

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CPT 82533

Cortisol Measurement

$2.28 Standard Charge

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CPT 84484

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

$39.95 Standard Charge

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CPT 83550

Iron Binding Capacity

$31.00 Standard Charge

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CPT 86431

Rheumatoid factor level

$3.00 Standard Charge

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CPT 85610

Blood test, clotting time

$29.00 Standard Charge

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CPT 82670

Blood test to measure a type of estrogen in the blood

$5.00 Standard Charge

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CPT 80069

Kidney Function Blood Test Panel

$71.00 Standard Charge

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CPT 87046

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

$28.00 Standard Charge

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CPT 84560

Uric acid level

$2.00 Standard Charge

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CPT 84439

Assay of free thyroxine

$67.00 Standard Charge

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CPT 84460

Blood test to evaluate liver function

$33.00 Standard Charge

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CPT 82103

Alpha-1-antitrypsin; total

$4.50 Standard Charge

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CPT 84153

PSA (prostate specific antigen)

$4.85 Standard Charge

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CPT 86644

Analysis for antibody (IgM) to Cytomegalovirus (CMV)

$4.60 Standard Charge

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CPT 86140

Measurement C-reactive protein

$3.18 Standard Charge

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CPT 87491

Chlamydia Test

$63.00 Standard Charge

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CPT 87186

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

$38.00 Standard Charge

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CPT 82565

Blood creatinine level

$22.00 Standard Charge

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CPT 85025

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

$56.00 Standard Charge

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CPT 87077

Test of a wound for type of bacterial infection

$6.11 Standard Charge

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CPT 87804

Test for Influenza Virus

$67.00 Standard Charge

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CPT 86308

Screening test for mononucleosis (mono)

$3.00 Standard Charge

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CPT 87591

Detection Test for Neisseria Gonorrhoeae

$56.00 Standard Charge

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CPT 83520

Immunoassay other than infectious agent antibody

$7.33 Standard Charge

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CPT 86592

Syphilis Detection Test

$0.81 Standard Charge

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CPT G0103

Prostate cancer screening; prostate specific antigen test (psa)

$22.48 Standard Charge

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CPT 82306

Vitamin D; 25 hydroxy

$93.00 Standard Charge

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CPT 81003

Urinalysis, Automated Test

$24.00 Standard Charge

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CPT 82784

Gammaglobulin Measurement

$4.00 Standard Charge

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CPT 87389

HIV antigen and antibodies detection test

$5.00 Standard Charge

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CPT 80061

Blood test, lipids (cholesterol and triglycerides)

$95.00 Standard Charge

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CPT 86901

Blood Typing, Rh (D)

$34.00 Standard Charge

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CPT 87070

Bacterial Culture, any source

$79.00 Standard Charge

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CPT 80178

Lithium Level

$3.37 Standard Charge

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CPT 88342

Pathology test

$140.00 Standard Charge

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CPT 87086

Bacterial urine culture; quantitative colony count

$56.00 Standard Charge

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CPT 83525

Insulin Measurement; Total

$3.37 Standard Charge

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CPT 86255

Measurement of antibody to noninfectious agent

$3.67 Standard Charge

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CPT 86803

Confirmation test for Hepatitis C antibody

$5.19 Standard Charge

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CPT 84436

Thyroxine (thyroid chemical) measurement - Total

$48.00 Standard Charge

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CPT 82044

Urine test to measure albumin- semiquantitative

$73.00 Standard Charge

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CPT 86200

Blood test to diagnose rheumatoid arthritis

$10.12 Standard Charge

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CPT 82977

Glutamyltransferase (liver enzyme) level

$2.00 Standard Charge

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CPT 86900

Blood Typing, ABO

$22.00 Standard Charge

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CPT 85014

Blood count, hemoglobin and hematocrit

$20.00 Standard Charge

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CPT 86665

Blood test to diagnose mononucleosis

$8.12 Standard Charge

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CPT 83880

Blood test used to diagnose heart failure

$150.00 Standard Charge

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CPT 86618

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

$15.00 Standard Charge

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CPT 86376

Microsomal Antibodies Measurement

$4.89 Standard Charge

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CPT 84443

Blood test, thyroid stimulating hormone (TSH)

$86.00 Standard Charge

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CPT 81002

Urinalysis, Automated Test

$19.00 Standard Charge

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CPT 88305

Test of tissues for diagnosis of abnormalities

$28.47 Standard Charge

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CPT 86003

Measurement of antibody (IgE) to allergic substance

$10.10 Standard Charge

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CPT 84481

Test of free T3 hormone

$4.00 Standard Charge

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CPT 82040

Albumin (protein) level

$39.00 Standard Charge

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CPT 87880

Strep Test

$40.00 Standard Charge

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CPT 83690

Lipase (fat enzyme) level

$36.25 Standard Charge

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CPT 87177

Smear for Parasites

$44.00 Standard Charge

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CPT 87040

Blood test to screen for bacteria in the blood

$62.00 Standard Charge

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CPT 80048

Basic metabolic panel

$57.00 Standard Charge

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CPT 80197

Tacrolimus Level

$20.40 Standard Charge

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CPT 82746

Folic acid; serum

$42.00 Standard Charge

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CPT 84480

Liver enzyme (SGPT), level

$3.67 Standard Charge

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CPT 83020

Hemoglobin Measurement

$9.16 Standard Charge

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CPT 84155

Total protein level, blood

$33.00 Standard Charge

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CPT 83615

Lactate dehydrogenase (enzyme) level

$2.00 Standard Charge

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CPT 80076

Liver function blood test panel

$64.00 Standard Charge

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CPT 84450

Liver enzyme (SGOT), level

$39.00 Standard Charge

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CPT 82627

Blood test to measure an enzyme i the blood

$5.00 Standard Charge

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CPT 85018

Blood count, hemoglobin

$20.00 Standard Charge

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CPT 84403

Testosterone (hormone) level

$34.50 Standard Charge

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CPT 87536

Detection test for HIV-1 virus, quantification

$50.00 Standard Charge

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CPT 85730

Coagulation assessment blood test

$38.00 Standard Charge

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CPT 80177

Levetiracetam level

$10.59 Standard Charge

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CPT 83001

Gonadotropin, luteinizing (reproductive hormone) level

$4.00 Standard Charge

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CPT 86334

Immunofixation electrophoresis; serum

$3.00 Standard Charge

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CPT 82728

Ferritin (blood protein) level

$45.00 Standard Charge

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CPT 83540

Iron level

$39.00 Standard Charge

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CPT 86850

Screening test for red blood cell (RBC) antibodies

$74.00 Standard Charge

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CPT 86225

Deoxyribonucleic acid (DNA) antibody; native or double stranded

$5.70 Standard Charge

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CPT 83655

Blood test to determine the concentration of lead in the blood

$8.00 Standard Charge

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CPT 84156

Total Protein Level, Urine

$2.13 Standard Charge

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CPT 80185

Phenytoin level

$60.00 Standard Charge

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CPT 83036

Glycosylated hemoglobin test

$49.00 Standard Charge

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CPT 82024

Adrenocorticotropic hormone (ACTH) level

$5.75 Standard Charge

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CPT 86147

Blood test to determine cause of inappropriate blood clot formation

$2.82 Standard Charge

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CPT 84703

Blood test to assess for pregnancy

$33.00 Standard Charge

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CPT 82378

Carcinoembryonic antigen (CEA) protein level

$3.46 Standard Charge

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CPT 83002

Gonadotropin (reproductive hormone) analysis

$3.26 Standard Charge

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CPT 82150

Amylase (enzyme) level

$3.67 Standard Charge

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CPT 80074

Acute hepatitis panel

$15.74 Standard Charge

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CPT 81001

Urinalysis with Examination, using Microscope

$27.00 Standard Charge

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CPT 84146

Prolactin (milk producing hormone) level

$3.26 Standard Charge

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CPT 83516

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

$2.35 Standard Charge

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CPT 82330

Ionized Calcium

$3.50 Standard Charge

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CPT P9016

Red Blood Cells, Leukocytes Reduced, Each Unit

$565.00 Standard Charge

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CPT 82550

Creatine kinase Level (cardiac enzyme) - Total

$41.00 Standard Charge

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CPT 88312

Special Stain for Microorganism; Gram or Glemsa Stain

$44.00 Standard Charge

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CPT 82140

Ammonia level

$65.00 Standard Charge

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CPT 82465

Cholesterol level

$18.00 Standard Charge

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CPT 82043

Urine microalbumin (protein) level

$64.00 Standard Charge

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CPT 82248

Bilirubin level (Direct)

$33.00 Standard Charge

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CPT 85027

Complete blood count, automated

$27.00 Standard Charge

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CPT 82247

Bilirubin level (Total)

$34.90 Standard Charge

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CPT 80307

Drug Test(s) by Chemistry Analyzer

$4.12 Standard Charge

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CPT 82803

Arterial Blood Gases Measurement

$88.00 Standard Charge

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CPT 83735

Magnesium Level

$3.26 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

$10.50 Standard Charge

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CPT 83970

Parathormone

$4.02 Standard Charge

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CPT 87045

Stool Culture

$95.00 Standard Charge

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