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17-Ketosteroids with Creatinine, 24-Hour Urine
|
$140.00 |
$140.00 |
|
Acylcarnitine, Plasma
|
$285.00 |
$285.00 |
|
AEROBIC ID (URINE) ORG 1
|
|
|
|
AEROBIC ID (URINE) ORG 2
|
|
|
|
AETNA HOME DRAW TRIP FEE
|
|
|
|
AGH DELIVERY
|
|
|
|
Aldolase
|
$20.00 |
$783.95 |
|
Aldolase
|
$53.00 |
$379.00 |
|
ALTERNATIVE LAB DRAW
|
|
|
|
Amino Acid Analysis, LC/MS, Urine
|
$299.00 |
$970.00 |
|
Amino Acid Analysis, Limited, Plasma
|
$900.00 |
$900.00 |
|
Amino Acid Analysis, Plasma
|
$200.00 |
$515.00 |
|
Angiotensin II Type 1 Receptor (AGTR1) Gene 1166A→C Polymorphism
|
$257.95 |
$257.95 |
|
Anti-dsDNA (Double-stranded) Antibodies
|
$53.00 |
$469.00 |
|
BFW (Biometric) Patient
|
|
|
|
Caffeine, Qualitative, Urine/Gastric
|
$20.00 |
$20.00 |
|
Carnitine
|
$50.00 |
$648.00 |
|
Carnitine and Acylcarnitine
|
$555.00 |
$555.00 |
|
CHAIN OF CUSTODY
|
|
|
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Citric Acid, 24-Hour Urine without Creatinine
|
$375.00 |
$375.00 |
|
CLARIFICATION ORDER
|
|
|
|
Coenzyme Q10
|
$50.00 |
$1018.95 |
|
Coenzyme Q10, Total
|
$59.00 |
$1389.00 |
|
Creatinine, Random Urine
|
|
|
|
Creatinine, Random Urine
|
|
|
|
Creatinine, Random Urine (8459X)
|
|
|
|
Cryoglobulin Screen with Reflex to Cryoglobulin Panel
|
$160.00 |
$160.00 |
|
Cryoglobulin Screen with Reflex to Cryoglobulin Panel
|
|
|
|
Culture, Aerobic and Anaerobic
|
$75.00 |
$75.00 |
|
Culture, Genital
|
$30.00 |
$69.00 |
|
Cystine, Random Urine with Creatinine
|
$155.00 |
$155.00 |
|
DNA (ds) Antibody
|
$30.00 |
$631.05 |
|
DNA (ds) Antibody, Crithidia IFA with Reflex to Titer
|
$285.00 |
$285.00 |
|
DPY Phlebotomy
|
|
|
|
DPY PHLEBOTOMY
|
|
|
|
Draw Fee, Capillary, PSC Specimen
|
|
|
|
Draw Fee, Capillary, PSC Specimen
|
|
|
|
Draw Fee, PSC Specimen
|
|
|
|
DROP OFFS
|
|
|
|
dRVVT Screen with Reflex to dRVVT Confirm and dRVVT 1:1 Mix
|
$60.95 |
$105.00 |
|
DTM CONFIRM,ORAL AMPHETMAINES
|
|
|
|
DTM CONFIRM,ORAL BARBITURATES
|
$150.00 |
$150.00 |
|
DTM CONFIRM,ORAL BENZODIAZEPINES
|
|
|
|
DTM CONFIRM,ORAL BUPRENORPHINE
|
|
|
|
DTM CONFIRM,ORAL COCAINE
|
|
|
|
DTM CONFIRM,ORAL FENTANYL
|
$150.00 |
$150.00 |
|
DTM CONFIRM,ORAL HEROIN
|
|
|
|
DTM CONFIRM,ORAL MARIJUANA
|
|
|
|
DTM CONFIRM,ORAL MDMA
|
|
|
|
DTM CONFIRM,ORAL MEPERIDINE
|
|
|
|
DTM CONFIRM,ORAL MEPROBAMATE
|
|
|
|
DTM CONFIRM,ORAL METHADONE
|
|
|
|
DTM CONFIRM,ORAL METHYLPHENIDATE
|
|
|
|
DTM CONFIRM,ORAL NALTREXONE
|
|
|
|
DTM CONFIRM,ORAL NICOTINE
|
$150.00 |
$150.00 |
|
DTM CONFIRM,ORAL OPIATES
|
|
|
|
DTM CONFIRM,ORAL PHENCYCLIDINE
|
|
|
|
DTM CONFIRM,ORAL PROPOXYPHENE
|
|
|
|
DTM CONFIRM,ORAL TAPENTADOL
|
|
|
|
DTM CONFIRM,ORAL ZOLPIDEM
|
$150.00 |
$150.00 |
|
E-REQ AND MANUAL
|
|
|
|
Escherichia coli O157, Culture
|
$20.00 |
$99.00 |
|
ESCREEN ENCOUNTER
|
|
|
|
FAX ORDER ON HOLD
|
|
|
|
FISH, FGFR1, 8p11-12
|
$625.00 |
$625.00 |
|
FISH, PDGFRB, 5q33.1
|
$625.00 |
$625.00 |
|
FISH, T-cell Receptor alpha/delta, 14q11.2
|
$625.00 |
$625.00 |
|
Glucose-6-Phosphate Dehydrogenase, Quantitative - G6PD Test: Glucose-6-Phosphate Dehydrogenase
|
$20.00 |
$1977.95 |
|
HANDLING CHARGE
|
|
|
|
Histamine, 24-Hour Urine
|
$275.00 |
$299.00 |
|
Histamine Determination, Plasma
|
$128.00 |
$259.00 |
|
Histamine, Plasma
|
$75.00 |
$399.00 |
|
Histamine Release (Chronic Urticaria)
|
$80.00 |
$653.51 |
|
HOME DRAW PATIENTS
|
|
|
|
House call
|
|
|
|
House call (Univera)
|
|
|
|
Hydroxyproline, Plasma
|
$150.00 |
$150.00 |
|
INCORRECT REQUISITION SUBMITTED
|
|
|
|
IOP ALTERNATIVE LAB DRAW
|
|
|
|
KIT D816 Mutation Analysis (Mastocytosis)
|
$689.00 |
$700.00 |
|
LIFE INSURANCE EXAM
|
|
|
|
Myelin Basic Protein
|
$195.00 |
$195.00 |
|
OVA1® Specimen Collection
|
|
|
|
Phenylalanine
|
$145.00 |
$145.00 |
|
Phenylalanine and Tyrosine
|
$285.00 |
$285.00 |
|
Porphobilinogen, Quantitative, Random Urine
|
$90.00 |
$152.95 |
|
PRESBY DELIVERY
|
|
|
|
Protein and Creatinine, Random Urine
|
$49.00 |
$295.00 |
|
Protein Electrophoresis, 24-Hour Urine (UPEP)
|
$128.00 |
$155.00 |
|
Protein Electrophoresis and Total Protein, Random Urine
|
$88.95 |
$458.15 |
|
Protein Electrophoresis, with Total Protein and Reflex to IFE, Serum
|
$44.00 |
$172.53 |
|
Protein Electrophoresis, with Total Protein and Reflex to IFE, Urine
|
$155.00 |
$155.00 |
|
Protein Electrophoresis, with Total Protein and Scan, Serum with Pathologist Interpretation
|
$45.95 |
$1051.95 |
|
Protein, Total
|
$34.00 |
$42.99 |
|
Protein, Total, 24-Hour Urine with Creatinine
|
$37.95 |
$58.89 |
|
Protein, Total, 24-Hour Urine without Creatinine
|
$30.00 |
$57.00 |
|
Protein, Total and Albumin
|
$5.00 |
$39.00 |
|
Protein, Total and Albumin, Plasma
|
$5.00 |
$34.00 |
|
Protein, Total and Protein Electrophoresis
|
$30.00 |
$1227.95 |
|
Protein, Total and Protein Electrophoresis, CSF
|
$210.00 |
$210.00 |
|
PROTEIN, TOTAL AND PROTEIN ELECTRO, RAND UR W/SCAN
|
$155.00 |
$159.00 |
|
Protein, Total, CSF
|
$35.00 |
$35.00 |
|
Protein, Total, Plasma
|
$5.00 |
$31.00 |
|
Protein, Total, Random Urine with Creatinine
|
$25.00 |
$304.95 |
|
Protein, Total, Serum - Total Protein Blood Test
|
$5.00 |
$549.00 |
|
REFUSED ALTERNATIVE LAB DRAW
|
|
|
|
SPECIAL KIT PATIENTS
|
|
|
|
Specific Gravity, Urine
|
$20.00 |
$20.00 |
|
SPECIMEN COLLECTION FEE
|
|
|
|
SPECIMEN COLLECTION (PSC HOLD)
|
|
|
|
STAT FEE (4 TESTS)
|
$300.00 |
$300.00 |
|
STAT FEE (6 TESTS)
|
|
|
|
STAT FEE (8 TESTS)
|
|
|
|
STAT FEE (PHLEBOTOMY)
|
|
|
|
Stepwise, Part 2 (NY)
|
|
|
|
Striated Muscle Antibody with Reflex to Titer
|
$104.95 |
$620.00 |
|
Thiopurine S-Methyltransferase (TPMT) Genotype
|
$299.95 |
$599.00 |
|
TRANSFER TO HOLD ORDER
|
|
|
|
Tryptophan
|
$200.00 |
$200.00 |
|
Tumor Necrosis Factor-Alpha, Highly Sensitive
|
$78.95 |
$299.00 |
|
Tumor Necrosis Factor-α
|
$128.00 |
$149.00 |
|
Tyrosine
|
$150.00 |
$150.00 |
|
URINE CULTURE GROWTH X2 (REFLEX)
|
|
|
|
Urine Protein, Total, Random without Creatinine
|
$29.95 |
$514.95 |
|
Vascular Endothelial Growth Factor
|
$238.00 |
$238.00 |
|
Vascular Endothelial Growth Factor, Plasma
|
$539.00 |
$869.00 |
|
Vascular Endothelial Growth Factor (VEGF), ELISA
|
$138.00 |
$1099.00 |
|
VENOUS SPECIMEN COLLECTION FEE (IOP ONLY)
|
|
|