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Pathology Research Portal (PRP)

Los Angeles, California, US

This Pathology Research Portal (PRP) functions as the biospecimen liaison between researchers and clinical laboratories at UCLA Pathology, and provides coordination for sample receiving, accessioning, processing, laboratory testing, short term and long term storage, and result retrieving. PRP can also provide customized services to meet various research needs.

All tests provided through PRP are performed by CAP accredited and CLIA certified facilities and currently we only accept human samples.The laboratory provides all routine tests for patient care, including but not limited to chemistry tests (basic metabolic panel, comprehensive metabolic group, electrolyte panel, hepatic panel, lipid panel and individual tests), thyroid function tests, fertility tests, tumor marker tests, basic coagulation testing, routine urinalysis testing, and more.

The lab is staffed by one manager, two research coordinators, and... Show more »

This Pathology Research Portal (PRP) functions as the biospecimen liaison between researchers and clinical laboratories at UCLA Pathology, and provides coordination for sample receiving, accessioning, processing, laboratory testing, short term and long term storage, and result retrieving. PRP can also provide customized services to meet various research needs.

All tests provided through PRP are performed by CAP accredited and CLIA certified facilities and currently we only accept human samples.The laboratory provides all routine tests for patient care, including but not limited to chemistry tests (basic metabolic panel, comprehensive metabolic group, electrolyte panel, hepatic panel, lipid panel and individual tests), thyroid function tests, fertility tests, tumor marker tests, basic coagulation testing, routine urinalysis testing, and more.

The lab is staffed by one manager, two research coordinators, and five hospital laboratory technicians. It occupies approximately 5,000 square feet of space located on the A-level of the Center for Health Sciences (CHS) building. The facility works with investigators both inside and outside the UCLA enterprise on a collaborative and fee-for-service basis.

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Pathology Research Portal (PRP) has not listed any services.

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Cardiac Risk Panel
Price on request
Request a quote for more information about this service.
Clinical Biomarkers
Price on request
Request a quote for more information about this service.
Serum Immunofixation Test
Starting at $45.62 per unit
Item Name Unit Price Order Code Description
IMMUNOFIX ELECTROPHORES SER $45.62 ... Show more »
Item Name Unit Price Order Code Description
IMMUNOFIX ELECTROPHORES SER $45.62 CPT86334 Immunofixation electrophoresis; serum
IMMUNOFIX ELECTROPHORES UR $59.91 CPT86335 Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)
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Cancer Antigen 125 Blood Testing
Price on request
Item Name Unit Price Order Code Description
CANCER TUMOR ANTIGEN 125 $42.48 CPT86304 Immunoassay for tumor antigen, quantitative; CA 125
Item Name Unit Price Order Code Description
CANCER TUMOR ANTIGEN 125 $42.48 CPT86304 Immunoassay for tumor antigen, quantitative; CA 125
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Cancer Antigen 19-9 Measurement
Price on request
Item Name Unit Price Order Code Description
CANCER TUMOR ANTIGEN 19-9 $42.48 CPT86301 Immunoassay for tumor antigen, quantitative; CA 19-9
Item Name Unit Price Order Code Description
CANCER TUMOR ANTIGEN 19-9 $42.48 CPT86301 Immunoassay for tumor antigen, quantitative; CA 19-9
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Cancer Antigen 15-3 Measurement
Price on request
Item Name Unit Price Order Code Description
CANCER TUMOR AG 15-3 QUANT $42.48 CPT86300 Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)
Item Name Unit Price Order Code Description
CANCER TUMOR AG 15-3 QUANT $42.48 CPT86300 Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)
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Antimitochondrial Antibody Test
Price on request
Item Name Unit Price Order Code Description
MITOCHONDRIAL TITER EACH AB $24.60 CPT86256 Fluorescent noninfectious agent antibody; titer, each antibody
Item Name Unit Price Order Code Description
MITOCHONDRIAL TITER EACH AB $24.60 CPT86256 Fluorescent noninfectious agent antibody; titer, each antibody
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Anti-RNA Antibody Test
Price on request
Item Name Unit Price Order Code Description
RNP AB/RIBOSOMAL NUC PROTEIN $36.62 CPT86235 Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody
Item Name Unit Price Order Code Description
RNP AB/RIBOSOMAL NUC PROTEIN $36.62 CPT86235 Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody
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Thyroid Peroxidase (TPO) Antibody Test
Starting at $29.70 per unit
Item Name Unit Price Order Code Description
THYROID PEROXIDASE ANTIBODY $29.70 CPT86376 Microsomal antibodies (eg, thyroid or liver-kidney), each
Item Name Unit Price Order Code Description
THYROID PEROXIDASE ANTIBODY $29.70 CPT86376 Microsomal antibodies (eg, thyroid or liver-kidney), each
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Anti-Double-Stranded DNA Antibody (Anti-dsDNA) Test
Price on request
Item Name Unit Price Order Code Description
DS DNA AB/DBL STRAND DNA-EIA $28.04 CPT86225 Deoxyribonucleic acid (DNA) antibody; native or double stranded
CRITHIDIA AB DBL STRND DNA-IFA $24.60 CPT86255 Fluorescent noninfectious agent antibody; screen, each antibody
Item Name Unit Price Order Code Description
DS DNA AB/DBL STRAND DNA-EIA $28.04 CPT86225 Deoxyribonucleic acid (DNA) antibody; native or double stranded
CRITHIDIA AB DBL STRND DNA-IFA $24.60 CPT86255 Fluorescent noninfectious agent antibody; screen, each antibody
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Methicillin resistant Staphylococcus Aureus Screening
Starting at $20.81 per unit
Item Name Unit Price Order Code Description
IMMUNOASSAY MRSA SCREEN $20.81 CPT86403 Particle agglutination; screen, each antibody
Item Name Unit Price Order Code Description
IMMUNOASSAY MRSA SCREEN $20.81 CPT86403 Particle agglutination; screen, each antibody
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MRSA
Rheumatoid Factor Test
Starting at $11.58 per unit
Item Name Unit Price Order Code Description
RHEUMATOID FACTOR QUANT $11.58 CPT86431 Rheumatoid factor; quantitative
Item Name Unit Price Order Code Description
RHEUMATOID FACTOR QUANT $11.58 CPT86431 Rheumatoid factor; quantitative
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CH50 Assay
Price on request
Item Name Unit Price Order Code Description
C3 COMPLEMENT $24.50 CPT86160 Complement; antigen, each component
Item Name Unit Price Order Code Description
C3 COMPLEMENT $24.50 CPT86160 Complement; antigen, each component
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Cardiolipin Antibody Test
Price on request
Item Name Unit Price Order Code Description
CARDIOLIPIN ANTIBODY-IGA $37.55 CPT86147 Cardiolipin (phospholipid) antibody, each Ig class
Item Name Unit Price Order Code Description
CARDIOLIPIN ANTIBODY-IGA $37.55 CPT86147 Cardiolipin (phospholipid) antibody, each Ig class
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C-Reactive Protein (CRP) Testing
Price on request
Item Name Unit Price Order Code Description
C-REACTIVE PROTEIN $10.56 CPT86140 C-reactive protein;
HSCRP/CARDIO CRP & CV RISK $26.43 CPT86141 C-reactive protein; high sensitivity (hsCRP)
Item Name Unit Price Order Code Description
C-REACTIVE PROTEIN $10.56 CPT86140 C-reactive protein;
HSCRP/CARDIO CRP & CV RISK $26.43 CPT86141 C-reactive protein; high sensitivity (hsCRP)
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Antinuclear Antibody Test
Price on request
Item Name Unit Price Order Code Description
ANTINUCLEAR AB $24.68 CPT86038 Antinuclear antibodies (ANA);
ANTINUCLEAR ANTIBODY TITER $22.79 CPT86039 Antinuclear antibodies (ANA); titer
Item Name Unit Price Order Code Description
ANTINUCLEAR AB $24.68 CPT86038 Antinuclear antibodies (ANA);
ANTINUCLEAR ANTIBODY TITER $22.79 CPT86039 Antinuclear antibodies (ANA); titer
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Heparin Platelet Factor 4 (HIT) Assay
Price on request
Item Name Unit Price Order Code Description
PLATELET AB-HEPARIN ASSOC $37.50 CPT86022 Antibody identification; platelet antibodies
Item Name Unit Price Order Code Description
PLATELET AB-HEPARIN ASSOC $37.50 CPT86022 Antibody identification; platelet antibodies
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Anti-Neutrophil Cytoplasmic Antibody (ANCA) Test
Price on request
Item Name Unit Price Order Code Description
ANCA PNL-CYTOPLASMIC AB $30.74 CPT86021 Antibody identification; leukocyte antibodies
Item Name Unit Price Order Code Description
ANCA PNL-CYTOPLASMIC AB $30.74 CPT86021 Antibody identification; leukocyte antibodies
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Tuberculosis Blood Test/Interferon Gamma Release Assay (IGRA)
Starting at $126.53 per unit
Item Name Unit Price Order Code Description
QUANTIFERON TB GOLD $126.53 CPT86480 ... Show more »
Item Name Unit Price Order Code Description
QUANTIFERON TB GOLD $126.53 CPT86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon
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Mycobacterium tuberculosis
Partial Thromboplastin Time Test
Price on request
Item Name Unit Price Order Code Description
APTT/ACTIVATED PTT $12.26 CPT85730 Thromboplastin time, partial (PTT); plasma or whole blood
APTT CORRECTION EA FRACTION $13.22 CPT85732 Thromboplastin time, partial (PTT); substitution, plasma fractions, each
Item Name Unit Price Order Code Description
APTT/ACTIVATED PTT $12.26 CPT85730 Thromboplastin time, partial (PTT); plasma or whole blood
APTT CORRECTION EA FRACTION $13.22 CPT85732 Thromboplastin time, partial (PTT); substitution, plasma fractions, each
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Thrombin Time Test
Price on request
Item Name Unit Price Order Code Description
THROMBIN TIME $11.78 CPT85670 Thrombin time; plasma
Item Name Unit Price Order Code Description
THROMBIN TIME $11.78 CPT85670 Thrombin time; plasma
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Fungal Antigen and Antibody Tests
Price on request
Item Name Unit Price Order Code Description
SKIN TEST CANDIDA $152.94 CPT86485 SKIN TEST; CANDIDA
SKIN TEST MUMP... Show more »
Item Name Unit Price Order Code Description
SKIN TEST CANDIDA $152.94 CPT86485 SKIN TEST; CANDIDA
SKIN TEST MUMP ANTIGEN+CONTROL $152.94 CPT86486 SKIN TEST; UNLISTED ANTIGEN, EACH
SKIN TEST COCCIDIOMYCOSIS $152.94 CPT86490 SKIN TEST; COCCIDIOIDOMYCOSIS
SKIN TEST HISTOPLASMOSIS $152.94 CPT86510 SKIN TEST; HISTOPLASMOSIS
SKIN TEST TB $152.94 CPT86580 SKIN TEST; TUBERCULOSIS, INTRADERMAL
COCCIDIOIDES IMMUNODIFFUSION $23.42 CPT86635 Antibody; Coccidioides
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Mycobacterium tuberculosis
Mumps
Candida
Coccidiodes
Histoplasmosis
Erythrocyte Sedimentation Rate Measurement
Price on request
Item Name Unit Price Order Code Description
SEDIMENTATN RATE WESTERGREN SM $7.23 CPT85651 Sedimentation rate, erythrocyte; non-automated
SED RATE WESTERGREN AUTO $5.52 CPT85652 Sedimentation rate, erythrocyte; automated
Item Name Unit Price Order Code Description
SEDIMENTATN RATE WESTERGREN SM $7.23 CPT85651 Sedimentation rate, erythrocyte; non-automated
SED RATE WESTERGREN AUTO $5.52 CPT85652 Sedimentation rate, erythrocyte; automated
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Syphilis Testing
Price on request
Item Name Unit Price Order Code Description
RPR TEST SCREEN $8.72 CPT86592 Syphilis test,... Show more »
Item Name Unit Price Order Code Description
RPR TEST SCREEN $8.72 CPT86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)
RPR TEST QUANTITATIVE $8.99 CPT86593 Syphilis test, non-treponemal antibody; quantitative
FTA-ABS $27.03 CPT86780 Antibody; Treponema pallidum
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Syphilis
Treponema pallidum
Lupus Anticoagulant (LA) Test
Price on request
Item Name Unit Price Order Code Description
RUSSEL VIPER VENOM TEST DIL $19.55 CPT85613 Russell viper venom time (includes venom); diluted
Item Name Unit Price Order Code Description
RUSSEL VIPER VENOM TEST DIL $19.55 CPT85613 Russell viper venom time (includes venom); diluted
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Antibody/Antigen Detection Based Testing
Price on request
Item Name Unit Price Order Code Description
CMV AB IMMUNE STATUS $29.37 CPT86644 Antibody;... Show more »
Item Name Unit Price Order Code Description
CMV AB IMMUNE STATUS $29.37 CPT86644 Antibody; cytomegalovirus (CMV)
CMV IGM/CYTOMEGALOVIRUS $34.40 CPT86645 Antibody; cytomegalovirus (CMV), IgM
EBV EARLY AG ANTIBODY EIA $26.79 CPT86663 Antibody; Epstein-Barr (EB) virus, early antigen (EA)
EBV NUCLEAR ANTIGEN AB EIA $31.23 CPT86664 Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)
EBV VIRAL CAPSID IGG EIA $35.58 CPT86665 Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)
HELICOBACTER PYLORI AB EIA $29.61 CPT86677 Antibody; Helicobacter pylori
HIV1 ANTIBODY WESTERN BLOT $39.51 CPT86689 Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)
HIV1 ANTIBODY QUAL $18.14 CPT86701 Antibody; HIV-1
HIV1 & HIV2 ANTIBODY SCREEN $27.99 CPT86703 Antibody; HIV-1 and HIV-2, single result
HERPES SIMPLEX IGM $29.37 CPT86694 Antibody; herpes simplex, non-specific type test
HERPES SIMPLEX 1 SPECIF IGG $26.93 CPT86695 Antibody; herpes simplex, type 1
HERPES SIMPLEX 2 SPECIF IGG $39.51 CPT86696 Antibody; herpes simplex, type 2
HEPATITIS B CORE AB TOTAL $24.60 CPT86704 Hepatitis B core antibody (HBcAb); total
HEPATITIS B CORE AB IGM $24.05 CPT86705 Hepatitis B core antibody (HBcAb); IgM antibody
HEPATITIS B SURFACE AB QNT $21.93 CPT86706 Hepatitis B surface antibody (HBsAb)
HEPATITIS BE ANTIBODY $23.63 CPT86707 Hepatitis Be antibody (HBeAb)
HEPATITIS A ANTIBODY TOTAL $25.29 CPT86708 Hepatitis A antibody (HAAb); total
HEPATITIS A ANTIBODY IGM $22.98 CPT86709 Hepatitis A antibody (HAAb); IgM antibody
HEPATITIS C ANTIBODY SCREEN $29.13 CPT86803 Hepatitis C antibody;
MUMPS AB IMMUNE STATUS $26.64 CPT86735 Antibody; mumps
RUBELLA AB SCREEN $29.37 CPT86762 Antibody; rubella
MEASLES AB IMMUNE STATUS $26.30 CPT86765 Antibody; rubeola
TOXOPLASMA IGG SERUM $29.37 CPT86777 Antibody; Toxoplasma
TOXOPLASMA IGM $29.40 CPT86778 Antibody; Toxoplasma, IgM
VARICELLA AB IMMUNE STATUS $26.30 CPT86787 Antibody; varicella-zoster
THYROGLOBULIN ANTIBODY $32.48 CPT86800 Thyroglobulin antibody
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Cytomegalovirus
Hepatitis B
HIV-1
Epstein-Barr virus
Heliobacter pylori
Varicella zoster virus
HIV-2
HSV
Hepatitis A
Mumps
Rubella
Rubeola
Measles
Toxoplasma
Prothrombin Time Test
Price on request
Item Name Unit Price Order Code Description
PROTHROMBIN TIME $8.03 CPT85610 Prothrombin time;
PT CORRECTION/EA FRACTION $8.04 CPT85611 Prothrombin time; substitution, plasma fractions, each
Item Name Unit Price Order Code Description
PROTHROMBIN TIME $8.03 CPT85610 Prothrombin time;
PT CORRECTION/EA FRACTION $8.04 CPT85611 Prothrombin time; substitution, plasma fractions, each
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Platelet Aggregation Assay
Price on request
Item Name Unit Price Order Code Description
PLATELET AGGREGATN-EA AGENT $43.86 CPT85576 Platelet, aggregation (in vitro), each agent
Item Name Unit Price Order Code Description
PLATELET AGGREGATN-EA AGENT $43.86 CPT85576 Platelet, aggregation (in vitro), each agent
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Leukocyte Alkaline Phophatase Test
Price on request
Item Name Unit Price Order Code Description
LEUKOCYTE ALK PHOS W/COUNT $17.57 CPT85540 Leukocyte alkaline phosphatase with count
Item Name Unit Price Order Code Description
LEUKOCYTE ALK PHOS W/COUNT $17.57 CPT85540 Leukocyte alkaline phosphatase with count
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Infectious Agent Concentration Measurement
Starting at $13.64 per unit
Item Name Unit Price Order Code Description
CONCENTRATION INFECT AGENT $13.64 CPT87015 Concentration (any type), for infectious agents
Item Name Unit Price Order Code Description
CONCENTRATION INFECT AGENT $13.64 CPT87015 Concentration (any type), for infectious agents
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Blood Culture Testing
Starting at $21.08 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
BACT CULTURE BLOOD $21.08 CPT87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)
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Heparin Neutralization
Price on request
Item Name Unit Price Order Code Description
HEPARIN NEUTRALIZATION APTT $18.95 CPT85525 Heparin neutralization
Item Name Unit Price Order Code Description
HEPARIN NEUTRALIZATION APTT $18.95 CPT85525 Heparin neutralization
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Stool Culture Testing
Starting at $19.28 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
BACT CULTURE STOOL $19.28 CPT87045 Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species
BACT CULTURE CAMPY STOOL EA $19.28 CPT87046 Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate
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Campylobacter
Salmonella
Shigella
Heparin Assay
Price on request
Item Name Unit Price Order Code Description
HEPARIN ANTI-XA LOW MOL WGT $26.73 CPT85520 Heparin assay
Item Name Unit Price Order Code Description
HEPARIN ANTI-XA LOW MOL WGT $26.73 CPT85520 Heparin assay
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Human Fibrinogen Assay
Price on request
Item Name Unit Price Order Code Description
FIBRINOGEN ACTIVITY $17.34 CPT85384 Fibrinogen; activity
Item Name Unit Price Order Code Description
FIBRINOGEN ACTIVITY $17.34 CPT85384 Fibrinogen; activity
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Culture-Based Diagnostics
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
BACT CULTURE CSF $17.58 CPT87070 Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates
ANAEROBE CULTURE $19.32 CPT87075 Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates
ANAEROBE ID DEFINITIVE EACH $16.50 CPT87076 Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate
AEROBE ID DEFINITIVE EACH $16.50 CPT87077 Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate
ID BACTERIA SEROTYP-EA FA AB $11.39 CPT87140 Culture, typing; immunofluorescent method, each antiserum
ID BACTERIA SEROTYPING-EA AB $10.56 CPT87147 Culture, typing; immunologic method, other than immunofluoresence (eg, agglutination grouping), per antiserum
ID BACTERIA 16S RRNA GENE EA $235.47 CPT87153 Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)
CULTURE SHIGA TOXIN SCREEN $13.53 CPT87081 Culture, presumptive, pathogenic organisms, screening only;
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Shiga Toxin
D-Dimer Test
Price on request
Item Name Unit Price Order Code Description
D-DIMER ULTRASENSITIVE $20.78 CPT85379 Fibrin degradation products, D-dimer; quantitative
Item Name Unit Price Order Code Description
D-DIMER ULTRASENSITIVE $20.78 CPT85379 Fibrin degradation products, D-dimer; quantitative
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Clotting Factor Inhibitor Assay
Price on request
Item Name Unit Price Order Code Description
FACTOR INHIB TEST-INCUBATED $26.28 CPT85335 Factor inhibitor test
Item Name Unit Price Order Code Description
FACTOR INHIB TEST-INCUBATED $26.28 CPT85335 Factor inhibitor test
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Activated Protein C Resistance Assay
Price on request
Item Name Unit Price Order Code Description
APC RESISTANCE ASSAY $31.28 CPT85307 Activated Protein C (APC) resistance assay
Item Name Unit Price Order Code Description
APC RESISTANCE ASSAY $31.28 CPT85307 Activated Protein C (APC) resistance assay
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Urine Culture Testing
Starting at $16.49 per unit
Item Name Unit Price Order Code Description
BACT CULTURE URINE... Show more »
Item Name Unit Price Order Code Description
BACT CULTURE URINE QUANTITATIV $16.49 CPT87086 Culture, bacterial; quantitative colony count, urine
PRESUMPTIVE ID UR EA ISOLAT $16.53 CPT87088 Culture, bacterial; with isolation and presumptive identification of each isolate, urine
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Protein S Assay
Price on request
Item Name Unit Price Order Code Description
PROTEIN S TOTAL $23.69 CPT85305 Clotting inhibitors or anticoagulants; protein S, total
Item Name Unit Price Order Code Description
PROTEIN S TOTAL $23.69 CPT85305 Clotting inhibitors or anticoagulants; protein S, total
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Protein C Assay
Price on request
Item Name Unit Price Order Code Description
PROTEIN C ACTIVITY $28.23 CPT85303 Clotting inhibitors or anticoagulants; protein C, activity
Item Name Unit Price Order Code Description
PROTEIN C ACTIVITY $28.23 CPT85303 Clotting inhibitors or anticoagulants; protein C, activity
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Fungal Infection Testing
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
FUNGAL CULTURE BODY FLUID $17.15 CPT87102 Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)
YEAST ID DEFINITIVE EACH $21.08 CPT87106 Culture, fungi, definitive identification, each organism; yeast
MOLD ID DEFINITIVE EACH $21.08 CPT87107 Culture, fungi, definitive identification, each organism; mold
FUNGAL CULTURE BLOOD $18.41 CPT87103 Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood
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Antithrombin Assays
Price on request
Item Name Unit Price Order Code Description
ANTI-THROMBIN III ACTIVITY $24.20 CPT85300 Clotting inhibitors or anticoagulants; antithrombin III, activity
Item Name Unit Price Order Code Description
ANTI-THROMBIN III ACTIVITY $24.20 CPT85300 Clotting inhibitors or anticoagulants; antithrombin III, activity
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Acid-Fast Bacillus Smear and Culture and Sensitivity
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
AFB CULTURE AND ISOLATION $22.05 CPT87116 Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates
AFB ID DEFINITIVE EACH $22.35 CPT87118 Culture, mycobacterial, definitive identification, each isolate
MYCOBACT AVIUM-NUC PROBE 1 $40.94 CPT87149 Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed
AFB FLUOROCHROME DIRECT SMEAR $11.00 CPT87206 Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types
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Mycobacterium tuberculosis
Acid fast stain
Bacillus
Clotting Factor Measurement
Price on request
Item Name Unit Price Order Code Description
CLOTTING FAC II-PROTHR SPEC $26.51 CPT85210 Clotting; factor II, prothrombin, specific
CLOTTING FACTOR V $36.02 CPT85220 Clotting; factor V (AcG or proaccelerin), labile factor
CLOTTING FACTOR VII ... Show more »
Item Name Unit Price Order Code Description
CLOTTING FAC II-PROTHR SPEC $26.51 CPT85210 Clotting; factor II, prothrombin, specific
CLOTTING FACTOR V $36.02 CPT85220 Clotting; factor V (AcG or proaccelerin), labile factor
CLOTTING FACTOR VII $36.56 CPT85230 Clotting; factor VII (proconvertin, stable factor)
CLOTTING FACTOR VIII ACTIV $36.56 CPT85240 Clotting; factor VIII (AHG), 1-stage
CLOTTING FACTOR IX $38.87 CPT85250 CPT85250
CLOTTING FACTOR X $36.56 CPT85260 Clotting; factor X (Stuart-Prower)
CLOTTING FACTOR XI $36.56 CPT85270 Clotting; factor XI (PTA)
CLOTTING FACTOR XII $39.50 CPT85280 Clotting; factor XII (Hageman)
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Ova and Parasite Exam
Starting at $8.72 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
MACROSCOPIC EXAM ARTHROPOD $8.72 CPT87168 Macroscopic examination; arthropod
MACROSCOPIC EXAM-WORM PAR $8.72 CPT87169 Macroscopic examination; parasite
PINWORM WET&DRY MOUNT ID $8.72 CPT87172 Pinworm exam (eg, cellophane tape prep)
OVA&PARASITE CONC+ID $18.17 CPT87177 Ova and parasites, direct smears, concentration and identification
BLOOD CELLS TRICHROME STOOL $36.69 CPT87209 Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites
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Trichrome stain
Iron hemotoxylin stain
Pinworm
Arthropod
Parasites
Antimicrobial Susceptibility Testing
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
GRADIENT STRIP PER AGENT $5.88 CPT87181 Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip)
SENSITIVITY KIRBY BAUER DISK $14.09 CPT87184 Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)
ID AER BACT SPOT TEST/PER ENZ $5.88 CPT87185 Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme
ANAEROBE SENSITIVITY MIC $17.66 CPT87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate
SENSITIVITY SYNERGY MBC 1 $21.15 CPT87187 Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure)
SENSITIVITY SYNERGY MIC 1 $13.56 CPT87188 Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent
AFB SENSITIVITY EACH DRUG $11.54 CPT87190 Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent
SERUM BACTERICIDAL TEST $30.44 CPT87197 Serum bactericidal titer (Schlicter test)
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Kirby-Bauer disk
Schlicter test
Gram Staining
Starting at $8.72 per unit
Item Name Unit Price Order Code Description
GRAM STAIN $8.72 CPT87205 ... Show more »
Item Name Unit Price Order Code Description
GRAM STAIN $8.72 CPT87205 Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types
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Gram stain
Giemsa stain
Microsporidia Testing
Starting at $12.23 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
MICROSPORIDIA EXAM-TRICHROME $12.23 CPT87207 Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)
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Clostridium difficile Testing
Starting at $40.31 per unit
Item Name Unit Price Order Code Description
CLOSTRIDM DIFFCILE TOXIN ASSAY $40.31 ... Show more »
Item Name Unit Price Order Code Description
CLOSTRIDM DIFFCILE TOXIN ASSAY $40.31 CPT87230 Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)
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Clostridium difficile
Virus Identification in Clinical Samples
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
CMV CULTURE INOCULATN & OBSERV $53.22 CPT87252 Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect
VIRUS ID+CULTURE HEMABSORPTION $18.75 CPT87253 Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluoresence stain), each isolate
VIRUS SHELL VIAL EARLY AG ID1 $39.93 CPT87254 Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus
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Cytomegalovirus
Platelet Count
Price on request
Item Name Unit Price Order Code Description
PLATELET COUNT AUTOMATED $9.14 CPT85049 Blood count; platelet, automated
RETICULATED PLATELET FRACT $54.66 CPT85055 Reticulated platelet assay
Item Name Unit Price Order Code Description
PLATELET COUNT AUTOMATED $9.14 CPT85049 Blood count; platelet, automated
RETICULATED PLATELET FRACT $54.66 CPT85055 Reticulated platelet assay
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Reticulocyte Count
Price on request
Item Name Unit Price Order Code Description
RETICULOCYTE COUNT MANUAL SM $8.78 CPT85044 Blood count; reticulocyte, manual
RETICULOCYTE AUTO+CELLPARM $11.39 CPT85046 Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg,... Show more »
Item Name Unit Price Order Code Description
RETICULOCYTE COUNT MANUAL SM $8.78 CPT85044 Blood count; reticulocyte, manual
RETICULOCYTE AUTO+CELLPARM $11.39 CPT85046 Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement
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Antigen Detection by Immunofluorescence
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
GIARDIA EXAM-DFA $18.95 CPT87269 Infectious agent antigen detection by immunofluorescent technique; giardia
CHLAMYDIA AG-DIRECT FLUORESCNT $18.95 CPT87270 Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis
CRYPTOSPORIDIUM EXAM DFA $18.95 CPT87272 Infectious agent antigen detection by immunofluorescent technique; cryptosporidium
HSV2 AG DIRECT FLUORESCENT $18.95 CPT87273 Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2
HSV1 AG DIRECT FLUORESCENT $18.95 CPT87274 Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1
INFLUENZA B ANTIGEN $18.95 CPT87275 Infectious agent antigen detection by immunofluorescent technique; influenza B virus
INFLUENZA A ANTIGEN $18.95 CPT87276 Infectious agent antigen detection by immunofluorescent technique; influenza A virus
RSV AG DIRECT FLUORESCENT $18.95 CPT87280 Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus
PNEUMOCYSTIS AG DIRECT FLUOR $18.95 CPT87281 Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii
VARICELLA AG DIRECT FLUORES $18.95 CPT87290 Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus
HB TRICHOMONAS VAGINALIS AG $18.95 CPT87808 Infectious agent antigen detection by immunoassay with direct optical observation; Trichomonas vaginalis
ID GROUP A STREP DIRECT SCREEN $18.95 CPT87880 Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A
SHIGA TOXIN TYPING EACH $18.95 CPT87899 Infectious agent antigen detection by immunoassay with direct optical observation; not otherwise specified
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Chlamydia trachomatis
Respiratory syncytial virus
Giardia
Cryptosporidium
HSV Type 1
HSV Type 2
Influenza A
Influenza B
Pneumocystis carinii
Varicella zoster virus
Trichomonas vaginalis
Group A Streptococcus
Shiga Toxin
Immunofluorescence
Complete Blood Count
Price on request
Item Name Unit Price Order Code Description
CBC & PLATELET CT & DIFF $15.87 CPT85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
CBC & PLATELET COUNT $13.22 ... Show more »
Item Name Unit Price Order Code Description
CBC & PLATELET CT & DIFF $15.87 CPT85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
CBC & PLATELET COUNT $13.22 CPT85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)
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Hematocrit Measurement
Price on request
Item Name Unit Price Order Code Description
HEMATOCRIT $4.85 CPT85014 Blood count; hematocrit (Hct)
Item Name Unit Price Order Code Description
HEMATOCRIT $4.85 CPT85014 Blood count; hematocrit (Hct)
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Human Buffy Coats
Price on request
Item Name Unit Price Order Code Description
BM BUFFY COAT $7.59 CPT85009 Blood count; manual differential WBC count, buffy coat
Item Name Unit Price Order Code Description
BM BUFFY COAT $7.59 CPT85009 Blood count; manual differential WBC count, buffy coat
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Blood Smear Analysis
Price on request
Item Name Unit Price Order Code Description
RBC MORPHOLOGY ONLY $7.02 CPT85008 Blood count; blood smear, microscopic examination without manual differential WBC count
Item Name Unit Price Order Code Description
RBC MORPHOLOGY ONLY $7.02 CPT85008 Blood count; blood smear, microscopic examination without manual differential WBC count
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White Blood Cell Count Differential
Price on request
Item Name Unit Price Order Code Description
BLOOD COUNT AUTO DIFF WBC $13.22 CPT85004 Blood count; automated differential WBC count
BLOOD COUNT MANUAL DIFF WBC $7.02 CPT85007 Blood count; blood smear, microscopic examination with manual... Show more »
Item Name Unit Price Order Code Description
BLOOD COUNT AUTO DIFF WBC $13.22 CPT85004 Blood count; automated differential WBC count
BLOOD COUNT MANUAL DIFF WBC $7.02 CPT85007 Blood count; blood smear, microscopic examination with manual differential WBC count
WHITE BLD CELL COUNT MANUAL SM $8.78 CPT85032 Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each
WHITE BLD CELL COUNT AUTO $5.19 CPT85048 Blood count; leukocyte (WBC), automated
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Human Chorionic Gonadotropin Testing
Price on request
Item Name Unit Price Order Code Description
HCG QUANTITATIVE INTACT $30.74 CPT84702 Gonadotropin, chorionic (hCG); quantitative
PREGNANCY TEST SERUM QUAL $15.35 CPT84703 Gonadotropin, chorionic (hCG); qualitative
Item Name Unit Price Order Code Description
HCG QUANTITATIVE INTACT $30.74 CPT84702 Gonadotropin, chorionic (hCG); quantitative
PREGNANCY TEST SERUM QUAL $15.35 CPT84703 Gonadotropin, chorionic (hCG); qualitative
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Antigen Detection by Enzyme Immunoassay
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
ASPERGILLUS ANTIGEN EIA EA $18.95 CPT87305 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Aspergillus
CLOSTRIDIUM DIFFICILE A&B AG $18.95 CPT87324 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Clostridium difficile toxin(s)
CRYPTOCOCCAL ANTIGEN $18.95 CPT87327 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Cryptococcus neoformans
HELICOBACT PYLORI STOOL AG $29.36 CPT87338 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Helicobacter pylori, stool
HEPATITIS B SURFACE ANTIGEN $21.09 CPT87340 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg)
HEPATITIS B SURFACE AG NEUT $21.09 CPT87341 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg) neutralization
HEPATITIS BE ANTIGEN $23.54 CPT87350 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; hepatitis Be antigen (HBeAg)
ROTAVIRUS ANTIGEN EIA $18.95 CPT87425 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; rotavirus
CAMPY STOOL EIA QUAL $18.95 CPT87449 Infectious agent antigen detection by enzyme immunoassay technique qualitative or semiquantitative; multiple step method, not otherwise specified, each organism
INFLUENZA A AG DIRECT OPTIC SM $18.95 CPT87804 Infectious agent antigen detection by immunoassay with direct optical observation; Influenza
RSV AG DIRECT OPT DETECTION SM $18.95 CPT87807 Infectious agent antigen detection by immunoassay with direct optical observation; respiratory syncytial virus
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Clostridium difficile
Influenza
Hepatitis B
Respiratory syncytial virus
Aspergillus
Cryptococcus neoformans
Heliobacter pylori
Rotavirus
Campylobacter
C-Peptide Testing
Price on request
Item Name Unit Price Order Code Description
C-PEPTIDE $37.43 CPT84681 C-peptide
Item Name Unit Price Order Code Description
C-PEPTIDE $37.43 CPT84681 C-peptide
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Serum Vitamin A Testing
Price on request
Item Name Unit Price Order Code Description
VITAMIN A $23.69 CPT84590 Vitamin A
Item Name Unit Price Order Code Description
VITAMIN A $23.69 CPT84590 Vitamin A
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Uric Acid Assay
Price on request
Item Name Unit Price Order Code Description
URIC ACID BLOOD $9.23 CPT84550 Uric acid; blood
URIC ACID OTHER SOURCE $9.69 CPT84560 Uric acid; other source
Item Name Unit Price Order Code Description
URIC ACID BLOOD $9.23 CPT84550 Uric acid; blood
URIC ACID OTHER SOURCE $9.69 CPT84560 Uric acid; other source
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Pathogen Detection Assay Panels
Price on request

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
CHLAMYDIA TRACHOMATIS DNA PCR $71.64 CPT87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique
CLOST DIFFICILE AMP PROBE $71.64 CPT87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique
CMV DNA QUALITIATIVE PCR $71.64 CPT87496 Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique
CMV DNA QUANTITATIVE $87.44 CPT87497 Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification
ENTEROVIRUS PCR CSF $71.64 CPT87498 Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, reverse transcription and amplified probe technique
H1N1 AMP PROBE 1ST2 $173.70 CPT87502 Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, multiplex reverse transcription and amplified probe technique, first 2 types or sub-types
HBV DNA-QUANTIFICATION $87.44 CPT87517 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification
HEPATITIS C PCR QUANT $87.44 CPT87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, reverse transcription and quantification
HSV DNA PCR $71.64 CPT87529 Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique
HIV1 RNA QUANTITATION $173.70 CPT87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, reverse transcription and quantification
MYCOBACT TUBERCUL PCR $71.64 CPT87556
MYCOPL PNEUMONIAE AMP PROBE $71.64 CPT87581 Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique
GC DNA PCR $71.64 CPT87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique
HPV DNA-SIGNAL AMPLIFICATION $87.44 CPT87621 Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus, human, amplified probe technique
INFLUENZA A B AMP PROBE $261.87 CPT87631 Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (e.g., adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), multiplex reverse transcription and amplified probe
RESP VIRAL PNL PCR $850.77 CPT87633 Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (e.g., adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), multiplex reverse transcription and amplified probe
GENITAL BETA STREP PCR $71.64 CPT87653
HB NOROVIRUS PCR $71.64 CPT87798 Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism
EBV/EPSTEIN-BARR VIRUS DNA PCR $87.44 CPT87799 Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism
ADENOVIRUS PCR $18.95 CPT87809
HEPATITIS C GENOTYPE $525.53 CPT87902 Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus
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Chlamydia trachomatis
Clostridium difficile
Cytomegalovirus
Enterovirus
Influenza
Hepatitis B
Hepatitis C
HIV-1
Mycobacterium tuberculosis
Mycoplasma pneumoniae
Neisseria gonorrhoeae
Papillomavirus
Coronavirus
Metapneumovirus
Parainfluenza
Respiratory syncytial virus
Rhinovirus
Group B Streptococcus
Norovirus
Epstein-Barr virus
Adenovirus
Newborn Screening Panel
Price on request
Item Name Unit Price Order Code Description
NEWBORN SCRN-TYROSINE $21.24 CPT84510 Tyrosine
Item Name Unit Price Order Code Description
NEWBORN SCRN-TYROSINE $21.24 CPT84510 Tyrosine
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Trypsin Assay
Price on request
Item Name Unit Price Order Code Description
TRYPSIN STOOL QUALITATIVE $14.91 CPT84488 Trypsin; feces, qualitative
Item Name Unit Price Order Code Description
TRYPSIN STOOL QUALITATIVE $14.91 CPT84488 Trypsin; feces, qualitative
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Troponin Assay
Price on request
Item Name Unit Price Order Code Description
TROPONIN I QUANT $20.09 CPT84484 Troponin, quantitative
Item Name Unit Price Order Code Description
TROPONIN I QUANT $20.09 CPT84484 Troponin, quantitative
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Thyroid Hormone Testing
Price on request
Item Name Unit Price Order Code Description
THYROID HORMONE UPTAKE $13.22 CPT84479 Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)

Item Name | Unit Price | Order Code |... Show more »

Item Name Unit Price Order Code Description
THYROID HORMONE UPTAKE $13.22 CPT84479 Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)
Item Name Unit Price Order Code Description
T4 TOTAL $14.03 CPT84436 Thyroxine; total
THYROXINE FREE/T4 FREE $18.41 CPT84439 Thyroxine; free
Item Name Unit Price Order Code Description
T3 TOTAL $28.94 CPT84480 Triiodothyronine T3; total (TT-3)
T3 FREE $34.58 CPT84481 Triiodothyronine T3; free
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Triglyceride Assay
Price on request
Item Name Unit Price Order Code Description
TRIGLYCERIDES $11.73 CPT84478 Triglycerides
Item Name Unit Price Order Code Description
TRIGLYCERIDES $11.73 CPT84478 Triglycerides
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Transferrin Measurement
Price on request
Item Name Unit Price Order Code Description
TRANSFERRIN $26.07 CPT84466 Transferrin
Item Name Unit Price Order Code Description
TRANSFERRIN $26.07 CPT84466 Transferrin
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Alanine Aminotransferase (ALT) Measurement
Price on request
Item Name Unit Price Order Code Description
ALANINE AMINO/ALT/SGPT $10.82 CPT84460 Transferase; alanine amino (ALT) (SGPT)
Item Name Unit Price Order Code Description
ALANINE AMINO/ALT/SGPT $10.82 CPT84460 Transferase; alanine amino (ALT) (SGPT)
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Aspartate Aminotransferase (AST) Measurement
Price on request
Item Name Unit Price Order Code Description
ASPARTATE AMINO/AST/SGOT $10.56 CPT84450 Transferase; aspartate amino (AST) (SGOT)
Item Name Unit Price Order Code Description
ASPARTATE AMINO/AST/SGOT $10.56 CPT84450 Transferase; aspartate amino (AST) (SGOT)
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Serum Vitamin E Testing
Price on request
Item Name Unit Price Order Code Description
VITAMIN E/ALPHA TOCOPHEROL $28.94 CPT84446 Tocopherol alpha (Vitamin E)
Item Name Unit Price Order Code Description
VITAMIN E/ALPHA TOCOPHEROL $28.94 CPT84446 Tocopherol alpha (Vitamin E)
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Thyroid Stimulating Hormone Testing
Price on request
Item Name Unit Price Order Code Description
TSH-THYROID STIMULATNG HORM $34.31 CPT84443 Thyroid stimulating hormone (TSH)
Item Name Unit Price Order Code Description
TSH-THYROID STIMULATNG HORM $34.31 CPT84443 Thyroid stimulating hormone (TSH)
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Thyroglobulin Measurement
Price on request
Item Name Unit Price Order Code Description
THYROGLOBULIN $32.79 CPT84432 Thyroglobulin
Item Name Unit Price Order Code Description
THYROGLOBULIN $32.79 CPT84432 Thyroglobulin
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Clinical Diagnostic Tissue Culture
Starting at $237.81 per unit
Item Name Unit Price Order Code Description
TISSUE CULTURE LYMPHOCYTE $237.81 ... Show more »
Item Name Unit Price Order Code Description
TISSUE CULTURE LYMPHOCYTE $237.81 CPT88230 Tissue culture for non-neoplastic disorders; lymphocyte
TISSUE CULTURE SKIN/TISSUE $287.27 CPT88233 Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy
TISSUE CULTURE AMNIOTIC $300.60 CPT88235 Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells
TISSUE CULTURE NEOPLASTIC $257.84 CPT88237 Tissue culture for neoplastic disorders; bone marrow, blood cells
TISSUE CULTURE SOLID TUMOR $301.13 CPT88239 Tissue culture for neoplastic disorders; solid tumor
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Testosterone Testing
Price on request
Item Name Unit Price Order Code Description
TESTOSTERONE TOTAL SERUM $52.70 CPT84403 Testosterone; total
Item Name Unit Price Order Code Description
TESTOSTERONE TOTAL SERUM $52.70 CPT84403 Testosterone; total
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Reducing Substances Measurement
Price on request
Item Name Unit Price Order Code Description
REDUCING SUBSTANCES STOOL $11.22 CPT84376 Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen
Item Name Unit Price Order Code Description
REDUCING SUBSTANCES STOOL $11.22 CPT84376 Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen
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DNA Quantification
Price on request
Item Name Unit Price Order Code Description
DNA QUANT SPECTROPHOTOMETRY $14.28 CPT84311 Spectrophotometry, analyte not elsewhere specified
Item Name Unit Price Order Code Description
DNA QUANT SPECTROPHOTOMETRY $14.28 CPT84311 Spectrophotometry, analyte not elsewhere specified
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Sodium Blood Testing
Price on request
Item Name Unit Price Order Code Description
SODIUM SERUM $9.83 CPT84295 Sodium; serum, plasma or whole blood
SODIUM URINE $9.93 CPT84300 Sodium; urine
SODIUM OTHER SOURCE $9.93 CPT84302 Sodium; other source
Item Name Unit Price Order Code Description
SODIUM SERUM $9.83 CPT84295 Sodium; serum, plasma or whole blood
SODIUM URINE $9.93 CPT84300 Sodium; urine
SODIUM OTHER SOURCE $9.93 CPT84302 Sodium; other source
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Sex Hormone-Binding Globulin Test
Price on request
Item Name Unit Price Order Code Description
SEX HORMONE BIND GLOBULIN $44.37 CPT84270 Sex hormone binding globulin (SHBG)
Item Name Unit Price Order Code Description
SEX HORMONE BIND GLOBULIN $44.37 CPT84270 Sex hormone binding globulin (SHBG)
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Serum Protein Electrophoresis
Price on request
Item Name Unit Price Order Code Description
PROTEIN ELECTRPHR FRACT SER $21.92 CPT84165 Protein; electrophoretic fractionation and quantitation, serum
PROTEIN ELECTRPHR FRC FL/UR $36.41 CPT84166 Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)
Item Name Unit Price Order Code Description
PROTEIN ELECTRPHR FRACT SER $21.92 CPT84165 Protein; electrophoretic fractionation and quantitation, serum
PROTEIN ELECTRPHR FRC FL/UR $36.41 CPT84166 Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)
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Total Protein Measurement
Price on request
Item Name Unit Price Order Code Description
TOTAL PROTEIN SERUM $7.49 CPT84155 Protein, total, except by refractometry; serum, plasma or whole blood
TOTAL PROTEIN URINE $7.49 CPT84156 Protein, total, except by refractometry; urine

TOTAL PROTEIN... Show more »

Item Name Unit Price Order Code Description
TOTAL PROTEIN SERUM $7.49 CPT84155 Protein, total, except by refractometry; serum, plasma or whole blood
TOTAL PROTEIN URINE $7.49 CPT84156 Protein, total, except by refractometry; urine
TOTAL PROTEIN BODY FLUID/CSF $7.49 CPT84157 Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)
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Prostate Specific Antigen (PSA) Measurement
Price on request
Item Name Unit Price Order Code Description
PROSTATE SPECIFIC AG TOTAL $37.55 CPT84153 Prostate specific antigen (PSA); total
PROSTATE SPECIFIC AG FREE $37.55 CPT84154 Prostate specific antigen (PSA); free
Item Name Unit Price Order Code Description
PROSTATE SPECIFIC AG TOTAL $37.55 CPT84153 Prostate specific antigen (PSA); total
PROSTATE SPECIFIC AG FREE $37.55 CPT84154 Prostate specific antigen (PSA); free
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Prolactin Testing
Price on request
Item Name Unit Price Order Code Description
PROLACTIN $39.56 CPT84146 Prolactin
Item Name Unit Price Order Code Description
PROLACTIN $39.56 CPT84146 Prolactin
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Progesterone Testing
Price on request
Item Name Unit Price Order Code Description
PROGESTERONE $42.59 CPT84144 Progesterone
Item Name Unit Price Order Code Description
PROGESTERONE $42.59 CPT84144 Progesterone
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Serum Potassium Testing
Price on request
Item Name Unit Price Order Code Description
POTASSIUM SERUM $9.39 CPT84132 Potassium; serum, plasma or whole blood
POTASSIUM URINE $8.78 CPT84133 Potassium; urine
Item Name Unit Price Order Code Description
POTASSIUM SERUM $9.39 CPT84132 Potassium; serum, plasma or whole blood
POTASSIUM URINE $8.78 CPT84133 Potassium; urine
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Serum Phosphorus Testing
Price on request
Item Name Unit Price Order Code Description
PHOSPHORUS INORGANIC $9.68 CPT84100 Phosphorus inorganic (phosphate);
PHOSPHORUS INORGANIC URINE $10.56 CPT84105 Phosphorus inorganic (phosphate); urine
Item Name Unit Price Order Code Description
PHOSPHORUS INORGANIC $9.68 CPT84100 Phosphorus inorganic (phosphate);
PHOSPHORUS INORGANIC URINE $10.56 CPT84105 Phosphorus inorganic (phosphate); urine
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Alkaline Phosphatase Measurement
Price on request
Item Name Unit Price Order Code Description
ALKALINE PHOSPHATASE $10.56 CPT84075 Phosphatase, alkaline;
Item Name Unit Price Order Code Description
ALKALINE PHOSPHATASE $10.56 CPT84075 Phosphatase, alkaline;
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pH Measurement
Price on request
Item Name Unit Price Order Code Description
PH FLUID $7.31 CPT83986 pH; body fluid, not otherwise specified
Item Name Unit Price Order Code Description
PH FLUID $7.31 CPT83986 pH; body fluid, not otherwise specified
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Parathyroid Hormone Testing
Price on request
Item Name Unit Price Order Code Description
PTH INTACT $84.26 CPT83970 Parathormone (parathyroid hormone)
Item Name Unit Price Order Code Description
PTH INTACT $84.26 CPT83970 Parathormone (parathyroid hormone)
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Osmolality Measurement
Price on request
Item Name Unit Price Order Code Description
OSMOLALITY BLOOD $13.50 CPT83930 Osmolality; blood
OSMOLALITY URINE $13.92 CPT83935 Osmolality; urine
OSMOLALITY FECES $20.48 CPT84999 UNLISTED CHEMISTRY PROCEDURE
Item Name Unit Price Order Code Description
OSMOLALITY BLOOD $13.50 CPT83930 Osmolality; blood
OSMOLALITY URINE $13.92 CPT83935 Osmolality; urine
OSMOLALITY FECES $20.48 CPT84999 UNLISTED CHEMISTRY PROCEDURE
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B-Type Natriuretic Peptide Measurement
Price on request
Item Name Unit Price Order Code Description
BNP/B-TYPE NATRIURETIC PEPTID $69.29 CPT83880 Natriuretic peptide
Item Name Unit Price Order Code Description
BNP/B-TYPE NATRIURETIC PEPTID $69.29 CPT83880 Natriuretic peptide
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Serum Magnesium Testing
Price on request
Item Name Unit Price Order Code Description
MAGNESIUM SERUM $13.67 CPT83735 Magnesium
Item Name Unit Price Order Code Description
MAGNESIUM SERUM $13.67 CPT83735 Magnesium
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Lipase Testing
Price on request
Item Name Unit Price Order Code Description
LIPASE SERUM $14.07 CPT83690 Lipase
Item Name Unit Price Order Code Description
LIPASE SERUM $14.07 CPT83690 Lipase
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Lead Blood Testing
Price on request
Item Name Unit Price Order Code Description
LEAD BLOOD $24.71 CPT83655 Lead
Item Name Unit Price Order Code Description
LEAD BLOOD $24.71 CPT83655 Lead
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Lactate Dehydrogenase Assay
Price on request
Item Name Unit Price Order Code Description
Lactate (lactic acid) $12.32 CPT83615 Lactate dehydrogenase (LD), (LDH);
Item Name Unit Price Order Code Description
Lactate (lactic acid) $12.32 CPT83615 Lactate dehydrogenase (LD), (LDH);
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Lactate Testing
Price on request
Item Name Unit Price Order Price Description
LACTATE $21.80 CPT83605 Lactate (lactic acid)
Item Name Unit Price Order Price Description
LACTATE $21.80 CPT83605 Lactate (lactic acid)
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Cryopreservation
Starting at $9.36 per unit
Item Name Unit Price Order Code Description
CRYOPRESERVATN-EA CELL LINE $9.36 CPT88240 Cryopreservation,... Show more »
Item Name Unit Price Order Code Description
CRYOPRESERVATN-EA CELL LINE $9.36 CPT88240 Cryopreservation, freezing and storage of cells, each cell line
THAWING CELLS-EACH ALIQUOT $9.36 CPT88241 Thawing and expansion of frozen cells, each aliquot
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Karyotyping
Starting at $18.75 per unit

| Item Name | Unit PRice | Order Code | Description ... Show more »

Item Name Unit PRice Order Code Description
CHROMOSOM ANALYSIS 1-5 CELL $360.77 CPT88261 Chromosome analysis; count 5 cells, 1 karyotype, with banding
CHROMOSOM ANALYSIS BL CMPLX $254.43 CPT88262 Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding
CHROMOSOM ANALYSIS 45 MOSAIC $306.78 CPT88263 Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding
CHROMOSOM ANALYSIS 20-25CEL $254.43 CPT88264 Chromosome analysis; analyze 20-25 cells
CHROMOSOM ANALYSIS CVS/POC $366.96 CPT88267 Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding
CHROMOSOM ANALYSIS AMNIO $339.51 CPT88269 Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding
CELL COUNT-EACH ADDL STUDY $38.79 CPT88285 Chromosome analysis; additional cells counted, each study
HIGH RESOLUTION BANDING $18.75 CPT88289 Chromosome analysis; additional high resolution study
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Fluorescence in situ Hybridization (FISH)
Starting at $43.71 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
MOL CYTOGN DNA PROBE EACH $43.71 CPT88271 Molecular cytogenetics; DNA probe, each (eg, FISH)
CHROMOSOME ISH 3-5 CELLS $54.66 CPT88272 Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers)
CHROMOSOME ISH 10-30 CELLS $65.60 CPT88273 Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)
INTERPHASE ISH 25-99 CELLS $71.06 CPT88274 Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells
INTERPHASE ISH 100-300CELLS $81.98 CPT88275 Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells
KARYOTYPE-EACH CVS ADDL $51.23 CPT88280 Chromosome analysis; additional karyotypes, each study
SPECIAL STAIN ADDITIONAL $18.75 CPT88283 Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding)
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Urinalysis
Starting at $4.59 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
URINE ANALYSIS ROUTINE+MICRO $6.47 CPT81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy
URINALYSIS AUTO W/MICROSC $6.47 CPT81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy
URINALYSIS DIPSTICK $4.59 CPT81003 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy
URINALYSIS MICROSCOPIC $6.21 CPT81015 Urinalysis; microscopic only
VOLUME MEASURE TIMED URINE EA $6.12 CPT81050 Volume measurement for timed collection, each
REDUCING SUBSTANCES $5.22 CPT81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy
Item Name Unit Price Order Code Description
UREA NITROGEN QUANT $8.06 CPT84520 Urea nitrogen; quantitative
UREA NITROGEN URINE $9.69 CPT84540 Urea nitrogen, urine
UREA NITROGEN CLEARANCE $13.49 CPT84545 Urea nitrogen, clearance
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Special Slide Staining
Starting at $18.75 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
SPECIAL STAIN-GROUP I-MICRO $18.75 CPT88312 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP I FOR MICROORGANISMS (EG, ACID FAST, METHENAMINE SILVER)
SPECIAL STAIN-GROUP II-OTHR $18.75 CPT88313 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP II, ALL OTHER (EG, IRON, TRICHROME), EXCEPT STAIN FOR MICROORGANISMS, STAINS FOR ENZYME CONSTITUENTS, OR IMMUNOCYTOCHEMISTRY AND IMMUNOHISTOCHEMISTRY
HISTOCHEMICAL STN FRZN SPEC $18.75 CPT88314 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; HISTOCHEMICAL STAIN ON FROZEN TISSUE BLOCK (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
HISTOCHEMISTRY ENZYME EACH $18.75 CPT88319 SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP III, FOR ENZYME CONSTITUENTS
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Iron Blood Testing
Price on request
Item Name Unit Price Order Code Description
IRON SERUM $13.22 CPT83540 Iron
IRON BINDING CAPACITY $15.06 CPT83550 Iron binding capacity
Item Name Unit Price Order Code Description
IRON SERUM $13.22 CPT83540 Iron
IRON BINDING CAPACITY $15.06 CPT83550 Iron binding capacity
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Insulin Testing
Price on request
Item Name Unit Price Order Code Description
INSULIN TOTAL $23.33 CPT83525 Insulin; total
Item Name Unit Price Order Code Description
INSULIN TOTAL $23.33 CPT83525 Insulin; total
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Hemoglobin Measurement
Price on request
Item Name Unit Price Order Code Description
HGB FRACTIONATION $36.87 CPT83021 Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)
HEMOGLOBIN A1C $19.82 CPT83036 Hemoglobin; glycosylated (A1C)
COOX PNL-METHB QUANT ... Show more »
Item Name Unit Price Order Code Description
HGB FRACTIONATION $36.87 CPT83021 Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)
HEMOGLOBIN A1C $19.82 CPT83036 Hemoglobin; glycosylated (A1C)
COOX PNL-METHB QUANT $14.97 CPT83050 Hemoglobin; methemoglobin, quantitative
COOX PNL-SULFHEMOGLOBIN QNT $16.88 CPT83060 Hemoglobin; sulfhemoglobin, quantitative
HEMOGLOBIN $4.85 CPT85018 Blood count; hemoglobin (Hgb)
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Immunofluorescence
Starting at $18.75 per unit
Item Name Unit Price Order Code Description
IMMUNOFLUOR DIRECT EACH AB $18.75 CPT88346 IMMUNOFLUORESCENT STUDY, EACH ANTIBODY;... Show more »
Item Name Unit Price Order Code Description
IMMUNOFLUOR DIRECT EACH AB $18.75 CPT88346 IMMUNOFLUORESCENT STUDY, EACH ANTIBODY; DIRECT METHOD
IMMUNOFLUORSCNT INDIR EA AB $18.75 CPT88347 IMMUNOFLUORESCENT STUDY, EACH ANTIBODY; INDIRECT METHOD
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Cell Morphometry
Starting at $18.75 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
MORPHOMETRY MUSCLE $18.75 CPT88355 MORPHOMETRIC ANALYSIS; SKELETAL MUSCLE
MORPHOMETRY NERVE $18.75 CPT88356 MORPHOMETRIC ANALYSIS; NERVE
MORPHOMETRY TUMOR $18.75 CPT88358 MORPHOMETRIC ANALYSIS; TUMOR (EG, DNA PLOIDY)
MORPHOMETR ANAL MANL EA AB $18.75 CPT88360 MORPHOMETRIC ANALYSIS, TUMOR IMMUNOHISTOCHEMISTRY (EG, HER-2/NEU, ESTROGEN RECEPTOR/PROGESTERONE RECEPTOR), QUANTITATIVE OR SEMIQUANTITATIVE, EACH ANTIBODY; MANUAL
SPECTROPHOTOMETRY $18.75 CPT88361 MORPHOMETRIC ANALYSIS, TUMOR IMMUNOHISTOCHEMISTRY (EG, HER-2/NEU, ESTROGEN RECEPTOR/PROGESTERONE RECEPTOR), QUANTITATIVE OR SEMIQUANTITATIVE, EACH ANTIBODY; USING COMPUTER-ASSISTED TECHNOLOGY
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Luteinizing Hormone Testing
Price on request
Item Name Unit Price Order Code Description
LUTEINIZING HORMONE $37.80 CPT83002 Gonadotropin; luteinizing hormone (LH)
Item Name Unit Price Order Code Description
LUTEINIZING HORMONE $37.80 CPT83002 Gonadotropin; luteinizing hormone (LH)
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Follicle Stimulating Hormone Testing
Price on request
Item Name Unit Price Order Code Description
FOLLICLE STIMULATNG HORMONE $37.94 CPT83001 Gonadotropin; follicle stimulating hormone (FSH)
Item Name Unit Price Order Code Description
FOLLICLE STIMULATNG HORMONE $37.94 CPT83001 Gonadotropin; follicle stimulating hormone (FSH)
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Gamma Glutamyl Transferase Testing
Price on request
Item Name Unit Price Order Code Description
GGT:GAMMA GLUTAMYLTRANSFRAS $14.70 CPT82977 Glutamyltransferase, gamma (GGT)
Item Name Unit Price Order Code Description
GGT:GAMMA GLUTAMYLTRANSFRAS $14.70 CPT82977 Glutamyltransferase, gamma (GGT)
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Glucose Testing
Price on request
Item Name Unit Price Order Code Description
GLUCOSE QUANT URINE $8.01 CPT82945 Glucose, body fluid, other than blood
GLUCOSE QUANTITATIVE $8.01 CPT82947 Glucose; quantitative, blood (except reagent strip)
GLUCOSE POSTPRANDIAL GLUCOS $9.69 ... Show more »
Item Name Unit Price Order Code Description
GLUCOSE QUANT URINE $8.01 CPT82945 Glucose, body fluid, other than blood
GLUCOSE QUANTITATIVE $8.01 CPT82947 Glucose; quantitative, blood (except reagent strip)
GLUCOSE POSTPRANDIAL GLUCOS $9.69 CPT82950 Glucose; post glucose dose (includes glucose)
GLUCOSE TOLERANCE-3 SPECIMENS $26.28 CPT82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose)
GLUCOSE TOLERANCE EACH ADDL $8.01 CPT82952 Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)
GLUCOSE-6-PHOS DEHYDROG SCR SM $12.36 CPT82960 Glucose-6-phosphate dehydrogenase (G6PD); screen
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In situ Hybridization (ISH)
In Situ Hybridization
Starting at $18.75 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
TISSUE IN SITU HYBRIDIZATN $18.75 CPT88365 IN SITU HYBRIDIZATION (EG, FISH), EACH PROBE
MORP ISH EACH AB COMP ASST $18.75 CPT88367 MORPHOMETRIC ANALYSIS, IN SITU HYBRIDIZATION (QUANTITATIVE OR SEMI-QUANTITATIVE) EACH PROBE; USING COMPUTER-ASSISTED TECHNOLOGY
MORP ISH EACH AB MANUAL $18.75 CPT88368 MORPHOMETRIC ANALYSIS, IN SITU HYBRIDIZATION (QUANTITATIVE OR SEMI-QUANTITATIVE) EACH PROBE; MANUAL
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Folate Testing
Price on request
Item Name Unit Price Order Code Description
FOLATE SERUM $30.02 CPT82746 Folic acid; serum
Item Name Unit Price Order Code Description
FOLATE SERUM $30.02 CPT82746 Folic acid; serum
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Ferritin Testing
Price on request
Item Name Unit Price Order Code Description
FERRITIN $27.81 CPT82728 Ferritin
Item Name Unit Price Order Code Description
FERRITIN $27.81 CPT82728 Ferritin
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Estradiol Testing
Price on request
Item Name Unit Price Order Code Description
ESTRADIOL DIRECT $57.03 CPT82670 Estradiol
Item Name Unit Price Order Code Description
ESTRADIOL DIRECT $57.03 CPT82670 Estradiol
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Erythropoietin Measurement
Price on request
Item Name Unit Price Order Code Description
ERYTHROPOIETIN $38.37 CPT82668 Erythropoietin
Item Name Unit Price Order Code Description
ERYTHROPOIETIN $38.37 CPT82668 Erythropoietin
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Dihydroepiandrosterone Sulfate Testing
Price on request
Item Name Unit Price Order Code Description
DHEA-SULFATE $45.39 CPT82627 Dehydroepiandrosterone-sulfate (DHEA-S)
Item Name Unit Price Order Code Description
DHEA-SULFATE $45.39 CPT82627 Dehydroepiandrosterone-sulfate (DHEA-S)
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Serum Vitamin B12 Testing
Price on request
Item Name Unit Price Order Code Description
VITAMIN B12 SERUM $30.77 CPT82607 Cyanocobalamin (Vitamin B-12);
Item Name Unit Price Order Code Description
VITAMIN B12 SERUM $30.77 CPT82607 Cyanocobalamin (Vitamin B-12);
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Cryoglobulin Testing
Price on request
Item Name Unit Price Order Code Description
CRYOCRIT QUAL $13.22 CPT82595 Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)
Item Name Unit Price Order Code Description
CRYOCRIT QUAL $13.22 CPT82595 Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)
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Creatinine Testing
Price on request
Item Name Unit Price Order Code Description
CREATININE BLOOD $10.46 CPT82565 Creatinine; blood
CREATININE BODY FLUID/URINE $10.56 CPT82570 Creatinine; other source
CREATININE CLEARANCE $19.29 CPT82575 Creatinine; clearance
Item Name Unit Price Order Code Description
CREATININE BLOOD $10.46 CPT82565 Creatinine; blood
CREATININE BODY FLUID/URINE $10.56 CPT82570 Creatinine; other source
CREATININE CLEARANCE $19.29 CPT82575 Creatinine; clearance
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Creatine Kinase Testing
Price on request
Item Name Unit Price Order Code Description
CREATINE KINASE TOTAL/CK $13.29 CPT82550 Creatine kinase (CK), (CPK); total
CREATINE KINASE MB FRACTION $23.58 CPT82553 Creatine kinase (CK), (CPK); MB fraction only
Item Name Unit Price Order Code Description
CREATINE KINASE TOTAL/CK $13.29 CPT82550 Creatine kinase (CK), (CPK); total
CREATINE KINASE MB FRACTION $23.58 CPT82553 Creatine kinase (CK), (CPK); MB fraction only
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Cortisol Testing
Price on request
Item Name Unit Price Order Code Description
CORTISOL TOTAL SERUM $33.29 CPT82533 Cortisol; total
Item Name Unit Price Order Code Description
CORTISOL TOTAL SERUM $33.29 CPT82533 Cortisol; total
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Cholesterol Testing
Price on request
Item Name Unit Price Order Code Description
CHOLESTEROL TOTAL $8.88 CPT82465 Cholesterol, serum or whole blood, total
CHOLESTEROL HDL $16.71 CPT83718 Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)

CHOLESTEROL LDL... Show more »

Item Name Unit Price Order Code Description
CHOLESTEROL TOTAL $8.88 CPT82465 Cholesterol, serum or whole blood, total
CHOLESTEROL HDL $16.71 CPT83718 Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)
CHOLESTEROL LDL QUANT $19.49 CPT83721 Lipoprotein, direct measurement; LDL cholesterol
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Chloride Testing
Price on request
Item Name Unit Price Order Code Description
CHLORIDE SERUM $9.39 CPT82435 Chloride; blood
CHLORIDE URINE $10.28 CPT82436 Chloride; urine
CHLORIDE BODY FLUID $9.98 CPT82438 Chloride; other source
Item Name Unit Price Order Code Description
CHLORIDE SERUM $9.39 CPT82435 Chloride; blood
CHLORIDE URINE $10.28 CPT82436 Chloride; urine
CHLORIDE BODY FLUID $9.98 CPT82438 Chloride; other source
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Ceruloplasmin Assay
Price on request
Item Name Unit Price Order Code Description
CERULOPLASMIN $21.93 CPT82390 Ceruloplasmin
Item Name Unit Price Order Code Description
CERULOPLASMIN $21.93 CPT82390 Ceruloplasmin
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Carcinoembryonic Antigen Assay
Price on request
Item Name Unit Price Order Code Description
CEA/CARCINOEMBRYONIC AG $38.72 CPT82378 Carcinoembryonic antigen (CEA)
Item Name Unit Price Order Code Description
CEA/CARCINOEMBRYONIC AG $38.72 CPT82378 Carcinoembryonic antigen (CEA)
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Blood Gas Analysis
Price on request
Item Name Unit Price Order Code Description
CO2/BICARBONATE SERUM $9.98 CPT82374 Carbon dioxide (bicarbonate)
COOX PNL-HBCO QUANT $25.16 CPT82375 Carboxyhemoglobin; quantitative
BLOOD GASES $57.93 CPT82805 Gases, blood, any combination of... Show more »
Item Name Unit Price Order Code Description
CO2/BICARBONATE SERUM $9.98 CPT82374 Carbon dioxide (bicarbonate)
COOX PNL-HBCO QUANT $25.16 CPT82375 Carboxyhemoglobin; quantitative
BLOOD GASES $57.93 CPT82805 Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry
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Calcium Testing
Price on request
Item Name Unit Price Order Code Description
CALCIUM TOTAL $10.53 CPT82310 Calcium; total
CALCIUM IONIZED $27.90 CPT82330 Calcium; ionized
CALCIUM URINE QUANT TIMED $12.32 CPT82340 Calcium; urine quantitative, timed specimen
Item Name Unit Price Order Code Description
CALCIUM TOTAL $10.53 CPT82310 Calcium; total
CALCIUM IONIZED $27.90 CPT82330 Calcium; ionized
CALCIUM URINE QUANT TIMED $12.32 CPT82340 Calcium; urine quantitative, timed specimen
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Serum Vitamin D Testing
Price on request
Item Name Unit Price Order Code Description
VITAMIN D/25-HYDROXY $60.44 CPT82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed
Item Name Unit Price Order Code Description
VITAMIN D/25-HYDROXY $60.44 CPT82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed
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Fecal Occult Blood Test
Price on request
Item Name Unit Price Order Code Description
OCCULT BLOOD STOOL (1 to 3) $6.65 CPT82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening... Show more »
Item Name Unit Price Order Code Description
OCCULT BLOOD STOOL (1 to 3) $6.65 CPT82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)
HB FECAL IMMUNOCHEMICAL TEST $32.48 CPT82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations
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Bilirubin Measurement
Price on request
Item Name Unit Price Order Code Description
BILIRUBIN TOTAL $10.25 CPT82247 Bilirubin; total
BILIRUBIN DIRECT $10.25 CPT82248 Bilirubin; direct
Item Name Unit Price Order Code Description
BILIRUBIN TOTAL $10.25 CPT82247 Bilirubin; total
BILIRUBIN DIRECT $10.25 CPT82248 Bilirubin; direct
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Beta-2 Microglobulin (B2M) Measurement
Price on request
Item Name Unit Price Order Code Description
BETA-2 MICROGLOBULIN $33.03 CPT82232 Beta-2 microglobulin
Item Name Unit Price Order Code Description
BETA-2 MICROGLOBULIN $33.03 CPT82232 Beta-2 microglobulin
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Angiotensin-Converting Enzyme (ACE) Measurement
Price on request
Item Name Unit Price Order Code Description
ANGIOTENS-I CONVERTNG ENZYM $29.81 CPT82164 Angiotensin I - converting enzyme (ACE)
Item Name Unit Price Order Code Description
ANGIOTENS-I CONVERTNG ENZYM $29.81 CPT82164 Angiotensin I - converting enzyme (ACE)
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Amylase Testing
Price on request
Item Name Unit Price Order Code Description
AMYLASE $13.23 CPT82150 Amylase
Item Name Unit Price Order Code Description
AMYLASE $13.23 CPT82150 Amylase
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Ammonia Testing
Price on request
Item Name Unit Price Order Code Description
AMMONIA $29.75 CPT82140 Ammonia
Item Name Unit Price Order Code Description
AMMONIA $29.75 CPT82140 Ammonia
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Aldolase Measurement
Price on request
Item Name Unit Price Order Code Description
ALDOLASE $19.82 CPT82085 Aldolase
Item Name Unit Price Order Code Description
ALDOLASE $19.82 CPT82085 Aldolase
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Drug and Alcohol Testing
Price on request
Item Name Unit Price Order Code Description
ETHANOL ALCOHOL $69.29 CPT82055 Alcohol (ethanol); any specimen except breath
Item Name Unit Price Order Code Description
ETHANOL ALCOHOL $69.29 CPT82055 Alcohol (ethanol); any specimen except breath
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Albumin Measurement
Price on request
Item Name Unit Price Order Code Description
ALBUMIN $10.10 CPT82040 Albumin; serum, plasma or whole blood
ALBUMIN UR/OTH SOURCE QNT EA $10.56 CPT82042 Albumin; urine or other source, quantitative, each specimen
ALBUMIN MICRO URINE QUANT $11.81... Show more »
Item Name Unit Price Order Code Description
ALBUMIN $10.10 CPT82040 Albumin; serum, plasma or whole blood
ALBUMIN UR/OTH SOURCE QNT EA $10.56 CPT82042 Albumin; urine or other source, quantitative, each specimen
ALBUMIN MICRO URINE QUANT $11.81 CPT82043 Albumin; urine, microalbumin, quantitative
PREALBUMIN $29.76 CPT84134 Prealbumin
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Adrenocorticotropic Hormone Testing
Price on request
Item Name Unit Price Order Code Description
ACTH $78.84 CPT82024 Adrenocorticotropic hormone (ACTH)
Item Name Unit Price Order Code Description
ACTH $78.84 CPT82024 Adrenocorticotropic hormone (ACTH)
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Ketone Testing
Price on request
Item Name Unit Price Order Code Description
KETONES SERUM QUAL $9.23 CPT82009 Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative
Item Name Unit Price Order Code Description
KETONES SERUM QUAL $9.23 CPT82009 Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative
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Genetic Variant Analysis
Price on request
Item Name Unit Price Order Code Description
BCRABL1 TRANS ANAL MAJOR $334.70 CPT81206 BCR/ABL1 (T(9;22)) (EG, CHRONIC MYELOGENOUS LEUKEMIA) TRANSLOCATION ANALYSIS; MAJOR BREAKPOINT, QUALITATIVE OR QUANTITATIVE
BCRABL1 TRANS ANAL MINOR $295.65 ... Show more »
Item Name Unit Price Order Code Description
BCRABL1 TRANS ANAL MAJOR $334.70 CPT81206 BCR/ABL1 (T(9;22)) (EG, CHRONIC MYELOGENOUS LEUKEMIA) TRANSLOCATION ANALYSIS; MAJOR BREAKPOINT, QUALITATIVE OR QUANTITATIVE
BCRABL1 TRANS ANAL MINOR $295.65 CPT81207 BCR/ABL1 (T(9;22)) (EG, CHRONIC MYELOGENOUS LEUKEMIA) TRANSLOCATION ANALYSIS; MINOR BREAKPOINT, QUALITATIVE OR QUANTITATIVE
BRAF ION AMPLISEQ MUTATION $268.20 CPT81210 BRAF (V-RAF MURINE SARCOMA VIRAL ONCOGENE HOMOLOG B1) (EG, COLON CANCER), GENE ANALYSIS, V600E VARIANT
BRCA1 BRCA2 AJ VARIANTS $264.39 CPT81212 BRCA1, BRCA2 (BREAST CANCER 1 AND 2) (EG, HEREDITARY BREAST AND OVARIAN CANCER) GENE ANALYSIS; 185DELAG, 5385INSC, 6174DELT VARIANTS
CFTR GENE ANALYSIS ACMG $139.52 CPT81220 CFTR (CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR) (EG, CYSTIC FIBROSIS) GENE ANALYSIS; COMMON VARIANTS (EG, ACMG/ACOG GUIDELINES)
CFTR KNOWN FAM VAR $139.52 CPT81221 CFTR (CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR) (EG, CYSTIC FIBROSIS) GENE ANALYSIS; KNOWN FAMILIAL VARIANTS
CFTR FULL GENE SEQUENCE $139.52 CPT81223 CFTR (CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR) (EG, CYSTIC FIBROSIS) GENE ANALYSIS; FULL GENE SEQUENCE
MICROARRAY POSTNATAL $261.96 CPT81229 CYTOGENOMIC CONSTITUTIONAL (GENOME-WIDE) MICROARRAY ANALYSIS; INTERROGATION OF GENOMIC REGIONS FOR COPY NUMBER AND SINGLE NUCLEOTIDE POLYMORPHISM (SNP) VARIANTS FOR CHROMOSOMAL ABNORMALITIES
EGFR ION AMPLISEQ MUTATION $493.77 CPT81235 "EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)"
F2 GENE ANAL 20210A $100.44 CPT81240 F2 (PROTHROMBIN, COAGULATION FACTOR II) (EG, HEREDITARY HYPERCOAGULABILITY) GENE ANALYSIS, 20210G>A VARIANT
F5 GENE ANALYSIS LEIDEN $124.74 CPT81241 F5 (COAGULATION FACTOR V) (EG, HEREDITARY HYPERCOAGULABILITY) GENE ANALYSIS, LEIDEN VARIANT
FMR1 GENE ANALYSIS PCR $124.74 CPT81243 FMR1 (FRAGILE X MENTAL RETARDATION 1) (EG, FRAGILE X MENTAL RETARDATION) GENE ANALYSIS; EVALUATION TO DETECT ABNORMAL (EG, EXPANDED) ALLELES
FMR1 GENE ANALYSIS BLOT $124.74 CPT81244 FMR1 (FRAGILE X MENTAL RETARDATION 1) (EG, FRAGILE X MENTAL RETARDATION) GENE ANALYSIS; CHARACTERIZATION OF ALLELES (EG, EXPANDED SIZE AND METHYLATION STATUS)
HFE GENE ANAL VARIANTS $133.43 CPT81256 HFE (HEMOCHROMATOSIS) (EG, HEREDITARY HEMOCHROMATOSIS) GENE ANALYSIS, COMMON VARIANTS (EG, C282Y, H63D)
GENE REARR IGH ANAL PCR $404.15 CPT81261 [email protected] (IMMUNOGLOBULIN HEAVY CHAIN LOCUS) (EG, LEUKEMIAS AND LYMPHOMAS, B-CELL), GENE REARRANGEMENT ANALYSIS TO DETECT ABNORMAL CLONAL POPULATION(S); AMPLIFIED METHODOLOGY (EG, POLYMERASE CHAIN REACTION)
GENE REARR IGH ANAL BLOT $89.10 CPT81262 [email protected] (IMMUNOGLOBULIN HEAVY CHAIN LOCUS) (EG, LEUKEMIAS AND LYMPHOMAS, B-CELL), GENE REARRANGEMENT ANALYSIS TO DETECT ABNORMAL CLONAL POPULATION(S); DIRECT PROBE METHODOLOGY (EG, SOUTHERN BLOT)
BMT POST TRANS STR ANAL $438.98 CPT81265 Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient germline [eg, buccal swab or other germline tissue sample]
JAK2 GENE ANAL V617F $187.13 CPT81270 JAK2 (JANUS KINASE 2) (EG, MYELOPROLIFERATIVE DISORDER) GENE ANALYSIS, P.VAL617PHE (V617F) VARIANT
KRAS GENE ANAL VARIANTS $295.49 CPT81275 KRAS (V-KI-RAS2 KIRSTEN RAT SARCOMA VIRAL ONCOGENE) (EG, CARCINOMA) GENE ANALYSIS, VARIANTS IN CODONS 12 AND 13
MTHFR GENE ANAL VARIANTS $89.10 CPT81291 MTHFR (5,10-METHYLENETETRAHYDROFOLATE REDUCTASE) (EG, HEREDITARY HYPERCOAGULABILITY) GENE ANALYSIS, COMMON VARIANTS (EG, 677T, 1298C)
MICROSATELLITE INSTAB ANAL $591.08 CPT81301 MICROSATELLITE INSTABILITY ANALYSIS (EG, HEREDITARY NON-POLYPOSIS COLORECTAL CANCER, LYNCH SYNDROME) OF MARKERS FOR MISMATCH REPAIR DEFICIENCY (EG, BAT25, BAT26), INCLUDES COMPARISON OF NEOPLASTIC AND NORMAL TISSUE, IF PERFORMED
PML-RARA TRANS ANAL $423.18 CPT81315 PML/RARALPHA, (T(15;17)), (PROMYELOCYTIC LEUKEMIA/RETINOIC ACID RECEPTOR ALPHA) (EG, PROMYELOCYTIC LEUKEMIA) TRANSLOCATION ANALYSIS; COMMON BREAKPOINTS (EG, INTRON 3 AND INTRON 6), QUALITATIVE OR QUANTITATIVE
PTEN FULL GENE SEQUENCE $898.80 CPT81321 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTENhamartoma tumor syndrome) gene analysis; full sequence analysis
PTEN KNOWN FAM VAR $87.38 CPT81322 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant
GENE TRG ANAL BLOT $101.22 CPT81341 [email protected] (T CELL ANTIGEN RECEPTOR, BETA) (EG, LEUKEMIA AND LYMPHOMA), GENE REARRANGEMENT ANALYSIS TO DETECT ABNORMAL CLONAL POPULATION(S); USING DIRECT PROBE METHODOLOGY (EG, SOUTHERN BLOT)
GENE TRG ANAL PCR $411.32 CPT81342 [email protected] (T CELL ANTIGEN RECEPTOR, GAMMA) (EG, LEUKEMIA AND LYMPHOMA), GENE REARRANGEMENT ANALYSIS, EVALUATION TO DETECT ABNORMAL CLONAL POPULATION(S)
SRY GENE ANALYSIS $222.77 CPT81400 Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain ac
FXN FRIED ATAXIA GENE ANAL $222.77 CPT81401 Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABL (c-abl oncogene 1, receptor tyrosine
FMF KNOWN FAM VAR $222.77 CPT81402 Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants 1 exon
IDH1 COMMON EXON $222.77 CPT81403 Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ABL1 (c-abl on
FMF FULL GENE SEQUENCE $222.77 CPT81404 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) BTD
MICROARRAY NEOPLASIA $222.77 CPT81406 Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons, cytogenomic array analysis for neoplasia) CAPN3 (Calpain 3) (eg, limb-girdle muscular dystroph
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Therapeutic Drug Monitoring
Price on request
Item Name Unit Price Order Code Description
AMIKACIN $30.77 CPT80150 Amikacin
CARBAMAZEPINE TOTAL SERUM $29.73 CPT80156 Carbamazepine; total
CYCLOSPORINE-A MONOCLONAL $36.86 CPT80158 Cyclosporine
DIGOXIN $27.11 CPT80162 ... Show more »
Item Name Unit Price Order Code Description
AMIKACIN $30.77 CPT80150 Amikacin
CARBAMAZEPINE TOTAL SERUM $29.73 CPT80156 Carbamazepine; total
CYCLOSPORINE-A MONOCLONAL $36.86 CPT80158 Cyclosporine
DIGOXIN $27.11 CPT80162 Digoxin
VALPROIC ACID QUANT $27.66 CPT80164 Dipropylacetic acid (valproic acid)
GENTAMICIN QUANT $33.45 CPT80170 Gentamicin
LIDOCAINE QUANT $29.99 CPT80176 Lidocaine
LITHIUM QUANT $13.50 CPT80178 Lithium
PHENOBARBITAL QUANT $23.37 CPT80184 Phenobarbital
PHENYTOIN QUANT $27.06 CPT80185 Phenytoin; total
SIROLIMUS QUANT $28.04 CPT80195 Sirolimus
SALICYLATE QUANT SERUM $28.04 CPT80196 Salicylate
TACROLIMUS/FK-506 QUANT $28.04 CPT80197 Tacrolimus
THEOPHYLLINE QUANT $28.88 CPT80198 Theophylline
TOBRAMYCIN QUANT $32.91 CPT80200 Tobramycin
VANCOMYCIN QUANT $27.66 CPT80202 Vancomycin
CAFFEINE QUANT $27.96 CPT80299 Quantitation of drug, not elsewhere specified
PENTOBARBITAL QUANT $30.42 CPT82205 Barbiturates, not elsewhere specified
MYCOPHENOLIC ACID $36.87 CPT82491 Chromatography, quantitative, column (eg, gas liquid or HPLC); single analyte not elsewhere specified, single stationary and mobile phase
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Hepatic Function Panel
Price on request
Item Name Unit Price Order Code Description
HEPATIC FUNCTION PANEL $16.67 CPT80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein,... Show more »
Item Name Unit Price Order Code Description
HEPATIC FUNCTION PANEL $16.67 CPT80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate am
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Lipid Panel
Price on request
Item Name Unit Price Order Code Description
LIPID PANEL $27.33 CPT80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)
Item Name Unit Price Order Code Description
LIPID PANEL $27.33 CPT80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)
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Comprehensive Metabolic Panel
Price on request
Item Name Unit Price Order Code Description
METABOLIC PANEL-BASIC CA ION $17.27 CPT80047 Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435)... Show more »
Item Name Unit Price Order Code Description
METABOLIC PANEL-BASIC CA ION $17.27 CPT80047 Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)
METABOLIC PANEL-BASIC $17.27 CPT80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)
METABOLIC PANEL-COMPREHENSV $21.56 CPT80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot
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Pregnancy Testing
Price on request
Item Name Unit Price Order Code Description
HCG QUAL URINE/PREG TEST SM $11.25 CPT81025 Urine pregnancy test, by visual color comparison methods
Item Name Unit Price Order Code Description
HCG QUAL URINE/PREG TEST SM $11.25 CPT81025 Urine pregnancy test, by visual color comparison methods
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Acute Viral Hepatitis Panel
Price on request
Item Name Unit Price Order Code Description
ACUTE HEPATITIS PANEL $97.25 CPT80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705)... Show more »
Item Name Unit Price Order Code Description
ACUTE HEPATITIS PANEL $97.25 CPT80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)
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Renal Function Panel
Price on request
Item Name Unit Price Order Code Description
RENAL FUNCTION PANEL $17.73 CPT80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565)... Show more »
Item Name Unit Price Order Code Description
RENAL FUNCTION PANEL $17.73 CPT80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (
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Electrolyte Panel
Price on request
Item Name Unit Price Order Code Description
ELECTROLYTES PANEL $14.33 CPT80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)
Item Name Unit Price Order Code Description
ELECTROLYTES PANEL $14.33 CPT80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)
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Gliadin Immunoassay Test
Price on request
Item Name Unit Price Order Code Description
GLIADIN PANEL-IGA $18.95 CPT83516 Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method
Item Name Unit Price Order Code Description
GLIADIN PANEL-IGA $18.95 CPT83516 Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method
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Total Homocysteine Assay
Price on request
Item Name Unit Price Order Code Description
HOMOCYSTEINE TOTAL $34.43 CPT83090 Homocysteine
Item Name Unit Price Order Code Description
HOMOCYSTEINE TOTAL $34.43 CPT83090 Homocysteine
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Haptoglobin Measurement
Price on request
Item Name Unit Price Order Code Description
HAPTOGLOBIN QUANT $25.68 CPT83010 Haptoglobin; quantitative
Item Name Unit Price Order Code Description
HAPTOGLOBIN QUANT $25.68 CPT83010 Haptoglobin; quantitative
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Gamma Globulin Measurement
Price on request
Item Name Unit Price Order Code Description
IGG SYN RATE PNL-IGG CSF $18.98 CPT82784 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
IMMUNOGLOBULIN E QUANT $33.62 CPT82785 Gammaglobulin (immunoglobulin); IgE
Item Name Unit Price Order Code Description
IGG SYN RATE PNL-IGG CSF $18.98 CPT82784 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
IMMUNOGLOBULIN E QUANT $33.62 CPT82785 Gammaglobulin (immunoglobulin); IgE
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Body Fluid Cell Count
Starting at $9.65 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
BODY FLUID COUNT $9.65 CPT89050 Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood;
CELL COUNT W/DIFFERENTIAL $11.24 CPT89051 Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count
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Galactose-1-Phosphate Uridyltransferase Testing
Price on request
Item Name Unit Price Order Code Description
NEWBORN SCRN-GAL TRANSFERAS $17.12 CPT82776 Galactose-1-phosphate uridyl transferase; screen
Item Name Unit Price Order Code Description
NEWBORN SCRN-GAL TRANSFERAS $17.12 CPT82776 Galactose-1-phosphate uridyl transferase; screen
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Crystal Identification in Body Fluids
Starting at $14.61 per unit

| Item Name | Unit Price | Order Code | Description ... Show more »

Item Name Unit Price Order Code Description
CRYSTAL ID BODY FLUID $14.61 CPT89060 Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)
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Eosinophil Smear
Starting at $9.69 per unit
Item Name Unit Price Order Code Description
EOSINOPHILS SMEAR $9.69 CPT89190 SPUTUM, OBTAINING SPECIMEN, AEROSOL INDUCED TECHNIQUE (SEPARATE PROCEDURE)
Item Name Unit Price Order Code Description
EOSINOPHILS SMEAR $9.69 CPT89190 SPUTUM, OBTAINING SPECIMEN, AEROSOL INDUCED TECHNIQUE (SEPARATE PROCEDURE)
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Fetal Fibronectin Testing
Price on request
Item Name Unit Price Order Code Description
FETAL FIBRONECTIN SEMIQUANT $131.48 CPT82731 Fetal fibronectin, cervicovaginal secretions, semi-quantitative
Item Name Unit Price Order Code Description
FETAL FIBRONECTIN SEMIQUANT $131.48 CPT82731 Fetal fibronectin, cervicovaginal secretions, semi-quantitative
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Sputum Collection
Starting at $9.69 per unit
Item Name Unit Price Order Code
SPUTUM SPECIMN AEROSOL INDUCED $9.69 ... Show more »
Item Name Unit Price Order Code
SPUTUM SPECIMN AEROSOL INDUCED $9.69 CPT89220 SPUTUM, OBTAINING SPECIMEN, AEROSOL INDUCED TECHNIQUE (SEPARATE PROCEDURE)
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Fecal Fat Measurement
Price on request
Item Name Unit Price Order Code Description
Fat Stool Qualitative $10.40 CPT82705 Fat or lipids, feces; qualitative
Item Name Unit Price Order Code Description
Fat Stool Qualitative $10.40 CPT82705 Fat or lipids, feces; qualitative
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Clinical and Anatomic Pathology
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Clinical Hematology
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Common Histochemical Stains
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Clinical Molecular Diagnostics
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Clinical Research
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Biology
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Clinical Laboratory Services
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Clinical Immunology Tests
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Analytical Chemistry Services
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Human Biospecimen Collection
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Chemistry and Materials
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Nucleic Acid Services
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Tumor Marker Testing
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Clinical Immune Response Assessment
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Clinical Endocrinology Tests
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DNA
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Genetic Marker Screening Services
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Histological Staining
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DNA Hybridization
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Protein Expression Visualization
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Biospecimens
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Biochemistry & Molecular Biology
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Cryostorage
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Clinical Microbiology, Virology and Parasitology
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Bioanalysis
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Cells and Tissues
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Clinical Chemistry
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Chromosome Analysis
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Blood Count
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Biospecimen Management and Storage
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Pharmacology & Toxicology
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Immunostaining
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Immunoassays
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Microbiology Services
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Protein Services
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Microbiology Assays
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Human Biospecimens
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Human Biospecimens Services

Human Biospecimens Services

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Human Biofluids
Price on request

Human Biofluids Services

Human Biofluids Services

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Human Whole Blood & PBMCs
Price on request

Human Whole Blood & PBMCs Services

Human Whole Blood & PBMCs Services

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