| LABORATORY | ||
| SERVICE CHARGE CODE | SERVICE DESCRIPTION | SERVICE CHARGE PRICE |
| 2911434 | ADMINISTRATION:BLD/BLD COMPONENT | 43.94 |
| 6800007 | THYROID STIMULATING HORMONE | 67.54 |
| 6800008 | HCG QUANTITATIVE | 71.40 |
| 6800016 | CARBAMAZEPINE (TEGRETOL) | 67.96 |
| 6800048 | ELECTROLYTE PROFILE | 35.65 |
| 6800335 | LIPID PROFILE(TRIG,VLDL,HDL,LDL) | 53.08 |
| 6801020 | SEROLOGICAL SLIDE TYPING | 38.30 |
| 6802046 | INCOMPATIBLE X-MATCH | 43.58 |
| 6802112 | AMIKACIN PEAK | 72.63 |
| 6803068 | F F P | 56.79 |
| 6806311 | HTLV-I | 54.15 |
| 6806591 | STREP B TEST | 26.42 |
| 6809399 | UNCLAIMED FETAL DISP | 198.10 |
| 6810004 | URINALYSIS, COMPLETE | 10.65 |
| 6810053 | URINALYSIS, AUTOMATED, W/ MICROSCOPY | 7.09 |
| 6820102 | ACETONE, SERUM QUALI | 35.50 |
| 6820409 | ALBUMIN/GLOBULIN | 17.75 |
| 6820557 | ALCOHOL BLD URINE CH | 26.65 |
| 6821123 | AMIKACIN LEVEL TROUGH | 86.12 |
| 6821406 | AMMONIA | 88.49 |
| 6821506 | AMYLASE, BLOOD | 26.65 |
| 6821605 | AMYLASE, URINE | 26.65 |
| 6822073 | ACETAMINOPHEN(TYLENOL) | 73.96 |
| 6822504 | BILIRUBIN, TOTAL SERUM | 21.29 |
| 6822511 | NEONATAL BILI/BILI DIRECT | 23.77 |
| 6822553 | BILIRUBIN, DIRECT | 21.29 |
| 6823106 | CALCIUM, SERUM | 19.53 |
| 6823353 | CALCIUM, URINE QUALI | 12.42 |
| 6823403 | CALCIUM, URINE QUANTI | 28.43 |
| 6824351 | CHLORIDE, BLOOD | 17.75 |
| 6824450 | CHLORIDE, URINE | 17.75 |
| 6824559 | CHLORIDE, CSF | 17.75 |
| 6824658 | CHOLESTEROL, TOTAL | 19.53 |
| 6825556 | CREATINE PHOSPHOKINASE | 17.75 |
| 6825605 | CPK-MB | 75.28 |
| 6825655 | CREATININE, BLOOD | 17.75 |
| 6825705 | CREATININE, URINE | 17.75 |
| 6825754 | CREATININE CLEARANCE | 42.60 |
| 6826431 | DIGOXIN | 60.75 |
| 6826553 | PHENYTOIN (DILANTIN) | 104.34 |
| 6826611 | BENZODIAZEPINE, URINE | 77.92 |
| 6826613 | BENZODIAZEPINE, SERUM | 77.92 |
| 6826621 | TRICYCLIC ANTIDEPRESS SCRN | 77.92 |
| 6827057 | FAT, FECAL QUALITATIVE | 8.88 |
| 6827205 | FERRITIN | 77.92 |
| 6828402 | CARBON DIOXIDE CONTENT | 17.75 |
| 6829251 | GASTRIC ANALYSIS | 17.75 |
| 6829417 | GENTAMYCIN TROUGH | 84.52 |
| 6829419 | GENTAMYCIN PEAK | 84.52 |
| 6831604 | IMMUNOLOGIC PREG TEST | 30.18 |
| 6832754 | LITHIUM, BLOOD | 42.21 |
| 6835407 | IRON, SERUM | 26.65 |
| 6835506 | IRON BINDING CAPACITY, TOTAL(TIBC) | 28.43 |
| 6836207 | LDH, BLOOD | 17.75 |
| 6836900 | LIPASE | 28.43 |
| 6837353 | MAGNESIUM | 22.20 |
| 6840605 | PHOSPHATASE ACID, TOTAL | 28.43 |
| 6840753 | PHOSPHATASE ALKALINE | 28.43 |
| 6840803 | PHOSPHATASE ALK, ISOENZYME | 67.30 |
| 6841009 | PHOSPHORUS, BLOOD | 21.29 |
| 6841058 | PHOSPHORUS, URINE | 21.29 |
| 6841405 | POTASSIUM, BLOOD | 21.29 |
| 6841454 | POTASSIUM, URINE | 21.29 |
| 6841553 | PROTEIN TOTAL, BLOOD | 17.75 |
| 6841801 | URINARY PROTEIN | 29.06 |
| 6841850 | PROTEIN BENCE JONES | 17.75 |
| 6841959 | PROTEIN, BODY FLUID | 17.75 |
| 6842957 | SODIUM, BLOOD | 21.29 |
| 6843005 | SODIUM, URINE | 21.29 |
| 6843302 | GLUCOSE, BLOOD | 17.75 |
| 6843401 | GLUCOSE TOLERANCE 3-HRS | 53.25 |
| 6843807 | GLUCOSE, BODY FLUID | 17.75 |
| 6844200 | THEOPHYLLINE | 73.96 |
| 6844557 | TRANSAMINASE, AST(SGOT) | 17.75 |
| 6844656 | TRANSAMINASE, ALT(SGPT) | 17.75 |
| 6844755 | TRIGLYCERIDES | 26.65 |
| 6845208 | UREA NITROGEN, BLOOD | 17.75 |
| 6845408 | UREA NITROGEN, URINE | 18.49 |
| 6845505 | URIC ACID, BLOOD | 15.82 |
| 6849175 | PHENOBARBITAL | 17.75 |
| 6850000 | BLEEDING TIME | 71.40 |
| 6850208 | COUNT ERYTHROCYTE | 8.88 |
| 6850307 | COUNT WBC, BLOOD | 8.88 |
| 6850309 | COUNT WBC, STOOL | 8.88 |
| 6850406 | DIFFERENTIAL | 8.88 |
| 6850505 | HEMOGLOBIN, ROUTINE | 8.88 |
| 6850553 | HEPATITIS C VIRUS, AB | 66.86 |
| 6850554 | HEMATOCRIT | 8.88 |
| 6850604 | HEMOGRAM (HGB, HCT, RBC, WBC, PLT) | 14.20 |
| 6851008 | BONE MARROW ASPIRATION | 158.89 |
| 6851057 | BONE MARROW SMEAR:INTERPRETATION | 17.75 |
| 6851099 | BONE MARROW STAINING | 17.75 |
| 6851701 | CLOT RETRACTION | 12.42 |
| 6853459 | COAGULATION TIME(LEE&WHITE) | 26.65 |
| 6853509 | EOSINOPHIL, NASAL SMEAR | 10.65 |
| 6853625 | FIBRIN DEGRADATION FDP | 29.06 |
| 6853756 | FIBRINOGEN QUANTITATIVE | 35.50 |
| 6853905 | FIBRINOLYSIN QUAL CLOTLYSI | 17.75 |
| 6855481 | RBC MORPHOLOGY | 11.88 |
| 6855601 | LEUKOCYTE MYLOPEROXIDASE | 44.90 |
| 6855801 | PLATELET COUNT, MANUAL | 10.65 |
| 6856106 | PROTHROMBIN TIME | 17.75 |
| 6856205 | RED CELL FRAGILITY | 39.07 |
| 6856213 | RED CELL INCUBATION | 93.20 |
| 6856403 | RETICULOCYTE COUNT, AUTOMATED | 12.42 |
| 6856502 | SEDIMENTATION RATE, ERYTHROCYTE | 12.42 |
| 6856601 | SICKLE CELL SOLUBILITY | 12.42 |
| 6857302 | THROMBOPLASTIN TIME ACT, PARTIAL | 26.65 |
| 6860108 | AGGLUTININS, FEBRILE | 53.25 |
| 6860215 | ANTIBODY IDENTIFICATION | 60.75 |
| 6860256 | ANTIBODY TITER RH.ET | 39.07 |
| 6860264 | ANTIBODY ELUTION | 40.94 |
| 6860272 | ANTIBODY ABSORPTION | 40.94 |
| 6860280 | ANTIBODY DETECT W/ ENZYMES | 40.94 |
| 6860603 | ANTISTREPTOLYSIN O TITER | 35.50 |
| 6860702 | CROSSMATCH PER UNIT | 43.25 |
| 6860710 | TRANSFUSION RXN WORKUP | 149.24 |
| 6860801 | ABO, SERUM GROUP | 8.88 |
| 6861007 | RH TYPING, D | 8.88 |
| 6861106 | RH SUBTYPES EACH | 14.20 |
| 6861205 | RBC ANTIGEN TYPING-PATIENT | 14.65 |
| 6861403 | C-REACTIVE PROTEIN | 17.75 |
| 6861502 | COLD AGGLUTININS | 35.50 |
| 6862100 | RPR | 14.52 |
| 6862500 | ANTIBODY SCRN, DIR COOMBS | 19.53 |
| 6862609 | AB SCREEN, INDIRECT COOMBS | 26.65 |
| 6862872 | HEPATITIS B SURFACE AG(HBSAG) | 42.60 |
| 6862891 | HEPATITIS B CORE AB(HBCAB) | 54.15 |
| 6862962 | HEPATITIS BS AB(HBSAB) | 41.49 |
| 6863003 | HETEROPHILE ANTIBODY | 20.40 |
| 6863524 | CSF, DIRECT AG FOR MENINGITIDIS | 62.07 |
| 6863607 | LATEX FIXATION RA | 35.50 |
| 6863805 | L E PREP | 35.50 |
| 6863945 | RUBELLA TITER | 80.56 |
| 6863946 | RUBELLA SCREEN | 52.82 |
| 6869995 | HIV 1/2, ANTIBODY | 68.67 |
| 6869996 | HIV 1, ANTIBODY | 66.86 |
| 6870008 | SMEAR, STAIN FOR BACTERIA | 17.75 |
| 6870107 | OVA AND PARASITE TEST | 17.75 |
| 6870110 | WET MOUNT, BACTERIA FUNGI | 17.17 |
| 6870503 | CULTURE, BLOOD DEFINITIVE | 42.60 |
| 6870909 | CULTURE, BACTERIAL | 28.43 |
| 6871105 | URINE SCREEN, COLONY COUNT | 35.50 |
| 6871303 | BACTERIAL ID, ADDITIONAL | 17.75 |
| 6871857 | SENSITIVITY, MIC | 35.50 |
| 6873507 | DARKFIELD EXAMINATION | 44.37 |
| 6880007 | AUTOPSY, GROSS ONLY | 355.06 |
| 6880205 | AUTOPSY, EXC BRN/SPC(G+M) | 710.11 |
| 6880304 | AUTOPSY, INC BRAIN/SPC | 976.43 |
| 6880353 | AUTOPSY SPECIAL FORMAL REQ | 732.30 |
| 6881003 | URINALYSIS, AUTO, W/O SCOPE | 5.80 |
| 6881005 | CYTOLOGY, DIAGNOCTIC | 17.75 |
| 6881054 | CYTOLOGY, DX, ESTROGEN INDEX | 26.65 |
| 6881104 | CYTOLOGY, EXC GENITAL, SMEARS | 17.75 |
| 6881302 | BUCCAL SMEAR, CHROMATIN ID | 35.50 |
| 6882508 | SALICYLATES, URINE\BLOOD | 53.25 |
| 6883001 | GROSS ONLY | 12.42 |
| 6883012 | TISSUE BLOCK PREP | 11.88 |
| 6883100 | TISSUE EXAM:SMALL-UNCOMPLICATED | 58.58 |
| 6883118 | DECALCIFICATION:BONE | 17.75 |
| 6883126 | SPECIAL STAIN:GROUP 1 | 17.75 |
| 6883159 | GROSS & MICRO MULT SPEC-E | 73.23 |
| 6883202 | TISSUE SLIDES, EACH | 7.92 |
| 6883357 | GROSS & MICRO COMPLIC | 97.59 |
| 6883880 | B-NATRIURETIC PEPTIDE (B-NP) | 102.19 |
| 6884512 | TROPONIN-I, QUANTITATIVE | 53.20 |
| 6884560 | URIC ACID, URINE 24-HR. | 28.71 |
| 6885025 | CBC W/ AUTOMATED DIFF | 19.53 |
| 6885027 | PLATELET COUNT, AUTOMATED | 14.20 |
| 6885044 | RETICULOCYTE COUNT, MANUAL | 12.42 |
| 6885460 | KLEIHAUER-BETKE TEST | 60.60 |
| 6886903 | ANTIGEN SCREEN-FOR COMPATIBLE UNITS | 20.20 |
| 6887103 | FUNGAL CULTURE, BLOOD | 66.21 |
| 6889999 | CRYSTALS, SYNOVIAL FLUID | 55.09 |
| 6890501 | CELL CNT, CSF | 10.65 |
| 6890503 | CELL CNT, SYNOVIAL FLUID | 9.49 |
| 6890505 | CELL CNT, OTHER BODY FLUIDS | 10.65 |
| 6890519 | CELL CNT, W/ DIFF, CSF | 17.75 |
| 6890521 | CELL CNT, W/ DIFF, SYNOVIAL FLUID | 17.75 |
| 6890523 | CELL CNT, W/ DIFF, OTHER BODY FLUIDS | 17.75 |
| 6891202 | OCCULT BLOOD FECES FAT | 17.75 |
| 6892002 | PATERNITY TEST 9 ANTRS | 88.75 |
| 6893208 | SEMEN ANALYSIS | 71.03 |
| 6895003 | ALCOHOL BLOOD: QUANTITATIVE | 42.33 |
| 6895004 | BONE MARROW:CELL BLOCK | 176.22 |
| 6895005 | SPECIAL STAIN:GROUP 2 | 84.08 |
| 6895006 | TISSUE EXAM:IDENTIFICATION | 138.58 |
| 6895007 | TISSUE EXAM:RADICAL/SPECIAL | 283.41 |
| 6895008 | BLOOD UNIT:SPLITTING | 16.52 |
| 6895009 | PLATELET CONCENTRATE:PHERESIS | 445.00 |
| 6895010 | PLATELETS:POOLED | 33.03 |
| 6895011 | THERAPEUTIC PLASMAPHERESIS | 455.92 |
| 6895012 | TRANSFUSION:PANEL | 153.53 |
| 6895013 | AUTOLOGOUS BLOOD:PREDEPOSITED | 137.53 |
| 6895015 | DRUG ABUSE SCRN:URINE/QUAL(5-6 DRUGS) | 73.58 |
| 6896003 | IRON:LIVER TISSUE | 101.06 |
| 6896004 | HCV-RNA QUANTITATIVE BY PCR | 176.05 |
| 6896007 | URINALYSIS, MICROSCOPIC | 6.98 |
| 6896012 | H. PYLORI, IGA & IGG | 45.01 |
| 6896013 | ECHINOCOCCUS, AB IGG | 60.46 |
| 6896014 | AMNIODARONE LEVEL | 22.19 |
| 6896015 | PRE-ALBUMIN LEVEL | 18.12 |
| 6896021 | ANDROSTENEDIONE | 54.64 |
| 6896022 | HIV-1 ANTIGEN TEST | 120.59 |
| 6896023 | T4 CELL COUNT | 86.13 |
| 6896024 | GLUCOSE-CHEMSTRIP | 17.23 |
| 6896025 | T3, UPTAKE | 27.56 |
| 6896026 | T4, TOTAL | 27.56 |
| 6897000 | URINE COMPONENT | 10.80 |
| 6897010 | MALARIA SMEAR | 39.04 |
| 6899001 | FRESH FROZEN PLASMA ALIQUOT | 389.99 |
| 6899002 | FRESH FROZEN PLASMA ISSUE | 734.40 |
| 6899003 | PACKED RED CELL ALIQUOT | 338.26 |
| 6899004 | PACKED RED CELL ISSUE | 734.40 |
| 6899005 | WHOLE BLOOD ALIQUOT | 303.72 |
| 6899006 | WHOLE BLOOD ISSUE | 734.40 |
| 6899007 | PLATELET, SINGLE ISSUE | 734.40 |
| 6899008 | PLATELET, PHERESIS ISSUE | 1,063.14 |
| 6899014 | DIGOXIN LANOXIN | 60.75 |
| 6899999 | LAB MISCELLANEOUS | 0.00 |
| 6990004 | LAB HANDLING FEE | 14.47 |
| 6991955 | PHLEBOTOMY THERAPEUTIC | 34.34 |
| 7800001 | CA 125 | 52.76 |
| 7800002 | VASOPRESSIN LEVEL | 81.88 |
| 7800003 | CANDIDA ANTIBODY | 68.87 |
| 7800004 | ASPERGILLUS ANTIBODY | 39.29 |
| 7800016 | OSMOLALITY, SERUM | 17.75 |
| 7800108 | DRUG SCREEN-THERAPEUTIC & ABUSED DRUGS | 260.37 |
| 7802307 | VITAMIN D LEVEL | 204.64 |
| 7802538 | GANGLIOSIDE GQ1B IGG AB, ELISA (SERUM) | 172.83 |
| 7804001 | TRILEPTAL LEVEL | 158.98 |
| 7804207 | VITAMIN B6 LEVEL | 152.79 |
| 7804840 | TOBRAMYCIN TROUGH | 80.50 |
| 7804842 | TOBRAMYCIN PEAK | 80.50 |
| 7805102 | DRUG CONFIRMATION:BY GC/MS | 144.73 |
| 7806172 | ADENOVIRUS TITER | 75.23 |
| 7806173 | INFLUENZA VIR TYPE-B TITER | 81.82 |
| 7806174 | INFLUENZA VIR TYPE-A TITER | 81.82 |
| 7806227 | HERPES VIR AB TYPE-II | 67.96 |
| 7806228 | HERPES VIR AB TYPE-I | 67.96 |
| 7806229 | VARICELLA-ZOSTER | 80.50 |
| 7806329 | COMPLEMENT, C-5 | 84.46 |
| 7812068 | PROTEINASE 3 ANTIBODY (PR3) | 80.40 |
| 7815668 | CALIFORNIA ENCEPHALITIS AB, SERUM | 189.66 |
| 7818249 | SULFONYLUREA SCREEN | 115.59 |
| 7819428 | PERIACTIN LEVEL | 107.01 |
| 7820309 | CYCLIC AMP | 162.38 |
| 7820850 | ALDOLASE | 49.47 |
| 7820890 | ALDOSTERONE, URINE | 188.88 |
| 7821307 | AMINO ACID SCREEN | 30.88 |
| 7821366 | AMINOLEVULINIC ACID(ALA) | 91.73 |
| 7821380 | AMITRIPTYLINE(ELAVIL)QUANT | 93.60 |
| 7821728 | APOLIPOPROTEIN B | 108.29 |
| 7822008 | BARBITURATE, U/A QUALI | 27.98 |
| 7822057 | BARBITURATE, QUANTI | 85.86 |
| 7822068 | HEPARIN INDUCED PLATELET AB | 251.82 |
| 7822095 | HALOPERIDOL(HALDOL) LEVEL | 109.89 |
| 7822124 | LIDOCAINE(XYLOCAINE) | 80.50 |
| 7822207 | FLURAZEPAM(DALMANE) | 80.50 |
| 7823080 | CALCITONIN LEVEL | 125.09 |
| 7823551 | CALCULUS (STONE), QUALI | 35.50 |
| 7823586 | SCL-70 AB, IGG | 125.69 |
| 7823762 | CARBOXYHEMOGLOBIN LEVEL | 62.34 |
| 7823808 | CAROTENE | 44.37 |
| 7823824 | CATECHOLAMINES, URINE | 153.14 |
| 7823845 | METANEPHRINES, FRACTIONATED | 276.63 |
| 7823907 | CERULOPLASMIN | 52.44 |
| 7824388 | ACTIN DESMIN HMB 45 | 177.77 |
| 7824807 | CHOLINESTERASE, SERUM | 53.25 |
| 7824861 | MESANTOIN | 69.94 |
| 7824918 | BENADRYL LEVEL | 71.54 |
| 7825258 | COPPER | 45.35 |
| 7825668 | EASTERN EQUINE ENCEPHALITIS AB, SERUM | 191.91 |
| 7825951 | CRYOGLOBULINS | 97.36 |
| 7826203 | CYSTINE, URINE | 66.31 |
| 7826363 | TETRAHYDRO COMPOUND, URINE | 175.59 |
| 7826555 | NORPACE LEVEL | 69.94 |
| 7826556 | NORTRIPTYLINE, SERUM | 99.66 |
| 7826603 | DRUG ABUSE SCREEN/DRUG | 21.23 |
| 7826686 | ERYTHROPOIETIN, SERUM | 104.28 |
| 7826697 | PROTOPORPHYRINS, RBC | 77.54 |
| 7826710 | ESTROGEN, FRACTIONATED | 238.99 |
| 7826728 | ESTROGEN, TOTAL | 118.15 |
| 7827439 | VITAMIN B12 | 67.96 |
| 7827452 | FOLIC ACID (FOLATE) | 62.34 |
| 7827466 | RBC FOLATE | 104.28 |
| 7828668 | FILARIASIS ANTIBODY | 75.49 |
| 7829432 | GLUCAGON, PLASMA | 105.59 |
| 7829478 | REDUCING SUBSTANCES, FECAL | 113.94 |
| 7829516 | GASTRIN | 67.54 |
| 7829805 | GAMMA GLUTAMYLTRANSFERASE | 27.98 |
| 7829839 | HEMOGLOBIN, GLYCATED | 39.56 |
| 7830027 | LUTEINIZING HORMONE (LH) | 81.82 |
| 7830028 | LYME DISEASE AB IGG/IGM | 105.65 |
| 7830038 | GROWTH HORMONE (HGH) | 71.93 |
| 7830101 | HAPTOGLOBIN | 73.58 |
| 7830209 | HEMOGLOBIN, ELECTROPHORESIS | 65.23 |
| 7830309 | HEMOGLOBIN, FETAL | 35.50 |
| 7830331 | ALUMINUM, SERUM | 151.82 |
| 7830332 | APT TEST | 55.09 |
| 7830333 | ARSENIC SCREEN, HAIR | 182.20 |
| 7830334 | ARSENIC SCREEN, NAIL | 182.20 |
| 7830335 | ARSENIC, URINE | 122.43 |
| 7830515 | FREE HEMOGLOBIN, PLASMA | 67.96 |
| 7830701 | HEMOSIDERIN, URINE | 45.51 |
| 7831009 | ACTH, BLOOD | 154.37 |
| 7831033 | PROLACTIN | 84.89 |
| 7831034 | PREGNANEDIOL, URINE | 112.53 |
| 7831108 | ALDOSTERONE, SERUM | 164.02 |
| 7831306 | CATECHOLAMINES, PLASMA | 127.34 |
| 7831403 | VALPROIC ACID(DEPAKENE) | 74.23 |
| 7831404 | VANCOMYCIN PEAK | 92.07 |
| 7831405 | VANILLYLMANDELIC(VMA) | 57.90 |
| 7831406 | VANCOMYCIN TROUGH | 92.07 |
| 7831454 | METANEPHRINES, TOTAL | 62.71 |
| 7831850 | 17-OH CORTICOSTEROIDS | 74.28 |
| 7831900 | CORTISOL, FREE | 63.68 |
| 7831959 | CORTISOL, TOTAL | 96.49 |
| 7832353 | ESTROGEN RECEPTOR ASSAY, TISSUE | 238.99 |
| 7832451 | ESTRIOL, URINE | 91.66 |
| 7832453 | ESTRIOL, BLOOD | 79.85 |
| 7832455 | ESTERIOL, PLACENTAL | 100.66 |
| 7832569 | ANTI-PARIETAL CELL AB | 67.63 |
| 7833105 | FSH, SERUM | 74.90 |
| 7833401 | PREGNANETRIOL | 126.73 |
| 7833609 | RENIN ACTIVITY | 88.75 |
| 7833658 | ANTI-DNA DOUBLE-STRANDED | 66.31 |
| 7834052 | TESTOSTERONE, TOTAL | 99.38 |
| 7834981 | PROGESTERONE | 74.90 |
| 7834987 | 17-HYDROXYPROGESTERONE | 116.83 |
| 7835198 | 18-HYDROXYCORTICOSTERONE | 190.52 |
| 7835208 | GANGLIOSIDE GQ1B IGG AB, ELISA (CSF) | 184.05 |
| 7835257 | INSULIN LEVEL | 46.32 |
| 7835270 | ISLET CELL ANTIBODY | 93.06 |
| 7835668 | ST LOUIS ENCEPHALITIS AB, SERUM | 182.93 |
| 7835760 | ISONIAZID(INH) | 179.06 |
| 7835761 | 17-KETOSTEROIDS FRACT URINE | 175.59 |
| 7836057 | LACTIC ACID | 45.35 |
| 7836254 | THYROTROPIN RELEASING HORMONE (TRH) | 542.74 |
| 7836255 | LDH, ISOENZYMES | 61.75 |
| 7836555 | LEAD, BLOOD | 51.13 |
| 7836556 | LECITHIN/SPHINGOMYELIN RATIO | 126.73 |
| 7837058 | LIPOPROTEIN, ELECTROPHORESIS | 145.28 |
| 7837188 | HIGH DENSITY LIPID(HDL) | 32.82 |
| 7837200 | 17-KETOSTEROIDS | 63.02 |
| 7838731 | MYELIN BASIC PROTEIN | 95.70 |
| 7838740 | MYOGLOBIN, SERUM | 99.99 |
| 7838756 | MYOGLOBIN, URINE SCREEN | 41.49 |
| 7839153 | 5 NUCLEOTIDASE | 53.77 |
| 7839160 | OLIGOCLONAL BANDS, CSF | 88.76 |
| 7839300 | GASTRIC ANALYSIS | 79.19 |
| 7839359 | OSMOLALITY, URINE | 17.75 |
| 7839457 | OXALATE, URINE | 66.31 |
| 7840208 | PHENOTHIAZINES | 38.57 |
| 7840304 | PKU SCREENING | 38.57 |
| 7840663 | PHOSPHATASE, ACID, PROSTATIC | 52.44 |
| 7841108 | PORPHOBILINOGEN, QUANTI | 17.75 |
| 7841115 | PORPHOBILINOGEN | 29.91 |
| 7841181 | 24-HR URINE COPROPORPHYRIN | 110.55 |
| 7841248 | PORPHYRINS, TOTAL | 51.14 |
| 7841413 | PRIMIDONE(MYSOLINE) | 81.82 |
| 7841423 | PROCAINAMIDE/NAPA | 75.23 |
| 7841603 | PROTEIN ELECTROPHORESIS, URINE | 77.86 |
| 7841649 | PROSTATE SPECIFIC ANTIGEN | 98.34 |
| 7841650 | PROTEIN S | 155.78 |
| 7841651 | PROTEIN ELECTROPHORESIS, SERUM | 37.64 |
| 7841652 | PROTEIN C, PLASMA | 155.78 |
| 7842072 | BETA-GLUCOSIDASE LEVEL | 149.84 |
| 7842102 | PYRUVATE KINASE LEVEL | 60.69 |
| 7842303 | QUINIDINE | 61.75 |
| 7842312 | C-PEPTIDE | 102.96 |
| 7842313 | COMPLEMENT, COMPONENT | 76.88 |
| 7842346 | ESTROGEN & PROGEST RECEP ASSAYS, TISSUE | 296.00 |
| 7842659 | 5-HIAA | 71.26 |
| 7843118 | BROMIDE, SERUM | 156.80 |
| 7843755 | GALACTOSEMIA SCREEN | 44.19 |
| 7844034 | TESTOSTERONE, FREE | 111.22 |
| 7844080 | THC, URINE | 67.96 |
| 7844087 | THC LEVEL(CANNABUS) | 67.96 |
| 7844251 | THIAMINE | 130.69 |
| 7844341 | THIORIDAZINE (MELLARIL) | 67.96 |
| 7845668 | WESTERN EQUINE ENCEPHALITIS AB, SERUM | 202.01 |
| 7845754 | G6PD, QUALITATIVE | 84.46 |
| 7845802 | UROBILINOGEN, QUANTI | 21.51 |
| 7846304 | ZINC, PLASMA | 42.46 |
| 7846734 | PTH, C-TERMINAL | 175.59 |
| 7847235 | CLONAZEPAM(KLONOPIN) | 91.73 |
| 7847236 | CLORAZEPATE(TRANXENE) | 85.79 |
| 7847542 | DIGITOXIN | 67.54 |
| 7847617 | DISOPYRAMIDE(NORPACE) | 73.58 |
| 7848766 | METHOTREXATE LEVEL | 88.31 |
| 7849182 | CAFFEINE LEVEL | 67.13 |
| 7849991 | VIRAL CULTURE | 344.64 |
| 7852083 | ANTI-GLUTAMIC ACID DECARBOXYLASE | 94.27 |
| 7852422 | FACTOR VIII | 88.76 |
| 7853268 | SJOGRENS ANTIBODY, SS-B | 76.10 |
| 7853484 | LUPUS ANTICOAGULANT | 111.22 |
| 7860067 | LEPTOSPIRA ANTIBODY | 71.93 |
| 7860080 | RUBEOLA (MEASLES) AB, IGM | 76.22 |
| 7860108 | BRUCELLA ANTIBODY | 48.16 |
| 7860313 | ANTI-DNA, SINGLE-STRANDED | 108.57 |
| 7860503 | ANTINUCLEAR ANTIBODY(ANA) | 55.00 |
| 7860636 | ANTI-THYROGLOBULIN | 69.29 |
| 7860637 | ANTI-THROMBIN III EVAL | 278.60 |
| 7860642 | ALPHA-1-ANTITRYPSIN, TOTAL | 70.60 |
| 7860660 | ALPHA-1-ANTITRYPSIN, PHENO | 101.32 |
| 7861626 | COMPLEMENT, CH-50 | 92.63 |
| 7861634 | COMPLEMENT, C-3 | 45.35 |
| 7861642 | COMPLEMENT, C-4 | 48.23 |
| 7861712 | VDRL, CSF | 42.21 |
| 7861715 | PROTOZOA ANTIBODY | 81.82 |
| 7861718 | HISTOPLASMA ANTIBODY IMMUN | 91.73 |
| 7861720 | COXSACKIE A ANTIBODY | 90.02 |
| 7862351 | ANTI-ENA(SM/RNP)ANTIBODIES | 95.70 |
| 7862353 | ANTI-GLOM BSMT MEMBRANE | 151.88 |
| 7862358 | J01 ANTIBODY | 51.62 |
| 7862446 | ALPHA FETOPROTEIN | 81.17 |
| 7862550 | ANTI-MITOCHONDRIAL AB | 67.96 |
| 7862561 | EPSTEIN-BARR VIRUS, VCA | 109.61 |
| 7862569 | ANTI-SMOOTH MUSCLE AB | 79.85 |
| 7862570 | IMMUNOFLUORESCENT STY, IND | 245.23 |
| 7862806 | VIRAL ISOLATION | 199.43 |
| 7862807 | VIRAL STUDIES (A&C) | 175.59 |
| 7862840 | RSV TITER | 63.40 |
| 7862896 | HEPATITIS BE AB(HBEAB) | 56.73 |
| 7862904 | HEPATITIS BE AG(HBEAG) | 56.73 |
| 7862913 | HEPATITIS A AB(HAAB), TOTAL | 63.67 |
| 7862991 | HEPATITIS A AB(HAAB), IGM | 71.93 |
| 7863002 | CYTOMEGALOVIRUS AB, IGG | 112.53 |
| 7863168 | IGM | 36.65 |
| 7863200 | IMMUNOELECTROPHORESIS | 113.85 |
| 7863291 | TRANSFERRIN, SERUM | 62.34 |
| 7863326 | IGG | 48.16 |
| 7863334 | IGA | 48.16 |
| 7863342 | IGD | 67.96 |
| 7863358 | IGE | 61.75 |
| 7863378 | INSULIN ANTIBODY TITER | 123.76 |
| 7863507 | EPSTEIN-BARR VIRUS, EBNA | 163.70 |
| 7863756 | ANTI-THYROID MICROSOMAL AB | 69.29 |
| 7864210 | RAST ALLERGENS SERUM PER | 40.88 |
| 7864905 | COCCIDIOIDES ANTIBODY | 84.46 |
| 7865268 | ADRENAL ANTIBODY SCREEN | 37.97 |
| 7865405 | MUMPS ANTIBODY, IGM | 80.50 |
| 7865406 | MERCURY, BLOOD | 106.32 |
| 7865918 | TEICHOIC ACID ANTIBODIES | 79.19 |
| 7866004 | THIOCYANATE | 98.01 |
| 7866005 | TOXOPLAMA ANTIBODY | 156.44 |
| 7866006 | TRYPSIN, FECAL | 95.70 |
| 7866849 | CARCINOEMBRYONIC ANTIGEN (CEA) | 65.61 |
| 7868128 | HLA-B27 | 99.99 |
| 7868286 | SCHISTOSOMIASIS ANTIBODY | 53.09 |
| 7869998 | ALLERGEN TEST-ERI | 40.88 |
| 7870908 | CULTURE, ACID FAST, MYCOBACTERIUM | 70.28 |
| 7871061 | FUNGAL IDENTIFICATION | 70.28 |
| 7871105 | MYCOPLASMA TITER | 67.96 |
| 7871429 | PERTUSSIS ANTIBODY, SERUM | 103.01 |
| 7871705 | LEGIONELLA ANTIBODY | 71.93 |
| 7871741 | BOTULISM TOXIN SERUM | 170.89 |
| 7871752 | DIAZEPAM(VALIUM) | 93.52 |
| 7871753 | DIFFICILE TOXIN TITER | 95.52 |
| 7871880 | CEFOBID LEVEL | 63.92 |
| 7872501 | CSF VIRAL STUDIES | 176.91 |
| 7872768 | LYMPHOCYTIC CHORIOMENINGITIS AB, SERUM | 59.48 |
| 7874498 | LEGIONELLA ANTIGEN, URINE | 190.65 |
| 7880100 | DRUG SCREEN-SEXUAL ASSAULT PROFILE | 999.94 |
| 7880101 | OPIATES LEVEL | 46.29 |
| 7880154 | ALPRAZOLAM (XANAX) | 283.60 |
| 7880299 | IBUPROFEN LEVEL | 52.88 |
| 7882010 | ACETONE, QUANTITATIVE | 36.28 |
| 7882145 | D,L ISOMER-AMPHETAMINE | 298.52 |
| 7882172 | APOLIPOPROTEIN A1 | 70.42 |
| 7882175 | ARSENIC, BLOOD | 128.90 |
| 7882379 | CARNITINE (FREE&TOTAL), QUANTI | 161.61 |
| 7882491 | NEURONTIN LEVEL | 103.36 |
| 7882506 | CHOLINESTERASE, RBC | 75.89 |
| 7882507 | CHROMOSOMAL KARYOTYPE | 617.49 |
| 7882542 | RISPERIDONE LEVEL | 310.87 |
| 7882634 | 11-DEOXYCORTISOL | 67.34 |
| 7882652 | VITAMIN D (1,25 DIHYDROXY), SERUM | 97.20 |
| 7882866 | TOXOCARA CANIS ANTIBODY | 73.81 |
| 7883050 | METHEMOGLOBIN, QUANTITATIVE | 57.03 |
| 7883088 | HISTAMINE LEVEL | 231.19 |
| 7883090 | HOMOCYSTEINE, TOTAL | 104.37 |
| 7883518 | ROTAVIRUS ANTIGEN | 50.82 |
| 7883519 | PTH-RELATED PROTEIN (PTH-RP) | 146.90 |
| 7883520 | TACROLIMUS LEVEL | 191.39 |
| 7883615 | LDH, BODY FLUID | 42.94 |
| 7883898 | SPINAL MUSCULAR ATROPHY-DNA TEST | 481.44 |
| 7883986 | PH, FECAL | 77.87 |
| 7884120 | PORPHYRIN, URINE | 109.89 |
| 7884143 | 17-HYDROXYPREGNENOLONE | 81.93 |
| 7884210 | PYRUVATE | 80.68 |
| 7884260 | SEROTONIN, BLOOD | 362.84 |
| 7884311 | ADENOSINE DEAMINASE | 285.06 |
| 7884445 | THYROID STIMULATING IMMUNE GLOBULINS (TSI) | 152.63 |
| 7884446 | VITAMIN E LEVEL, SERUM | 74.90 |
| 7884481 | T3, FREE | 88.06 |
| 7884590 | VITAMIN A LEVEL, SERUM | 91.07 |
| 7884999 | OSMOLALITY, FECES | 31.06 |
| 7885220 | FACTOR V - LEIDEN | 311.08 |
| 7885246 | VON WILLEBRAND FACTOR AG | 155.04 |
| 7885250 | FACTOR IX(CHRISTMAS) ASSAY | 63.08 |
| 7885260 | FACTOR X ASSAY | 242.94 |
| 7885280 | FACTOR XII ASSAY | 261.31 |
| 7885291 | FACTOR XIII SCREEN | 152.58 |
| 7885379 | D-DIMER, QUANTITATIVE | 87.85 |
| 7885540 | LEUKOCYTE ALKALINE PHOSPHATASE | 21.76 |
| 7885668 | COXSACKIE B ANTIBODY | 122.33 |
| 7885670 | THROMBIN TIME | 39.40 |
| 7886000 | WIDAL TEST | 80.29 |
| 7886021 | MYELOPEROXIDASE ANTIBODY | 80.40 |
| 7886022 | PLATELET ANTIBODY, INDIRECT | 94.74 |
| 7886023 | PLATELET ANTIBODY, DIRECT | 82.63 |
| 7886063 | STREPTOZYME | 14.67 |
| 7886146 | BETA 2 GLYCOPROTEIN AB PANEL | 308.32 |
| 7886148 | PHOSPHATIDYLSERINE AB PANEL | 447.36 |
| 7886160 | COMPLEMENT, C-2 | 63.16 |
| 7886235 | SJOGRENS ANTIBODY, SS-A | 76.10 |
| 7886256 | CULTURE, LEGIONELLA | 150.50 |
| 7886257 | MITOCHONDRIAL ANTIBODIES | 64.65 |
| 7886316 | CA 15-3 | 46.05 |
| 7886318 | ANTI-RIBOSOMAL P ANTIBODY | 214.40 |
| 7886329 | C1 ESTERASE INHIBITOR | 40.20 |
| 7886376 | LIVER/KIDNEY MICROSOMAL AB | 89.78 |
| 7886625 | CAMPYLOBACTER JEJUNI AB | 136.92 |
| 7886632 | CHLAMYDIA DIFFERENTIATION, IGM | 49.48 |
| 7886645 | CYTOMEGALOVIRUS AB, IGM | 39.28 |
| 7886651 | CALIFORNIA ENCEPHALITIS AB, CSF | 200.89 |
| 7886652 | EASTERN EQUINE ENCEPHALITIS AB, CSF | 206.50 |
| 7886653 | ST LOUIS ENCEPHALITIS AB, CSF | 194.15 |
| 7886654 | WESTERN EQUINE ENCEPHALITIS AB, CSF | 214.35 |
| 7886658 | ECHOVIRUS ANTIBODY | 44.44 |
| 7886663 | EPSTEIN-BARR VIRUS, EARLY AG | 21.67 |
| 7886682 | CYSTICERCOSIS ANTIBODY | 76.02 |
| 7886685 | ACETYLCHOLINE RECEPTOR AB | 159.74 |
| 7886689 | HTLV I/II - WESTERN BLOT | 87.10 |
| 7886694 | HERPES VIRUS TYPE SPECIFIC IGG AB | 66.21 |
| 7886727 | LYMPHOCYTIC CHORIOMENINGITIS AB, CSF | 182.93 |
| 7886735 | MUMPS ANTIBODY, IGG | 39.28 |
| 7886747 | PARVOVIRUS B-19 AB IGG | 30.69 |
| 7886750 | MALARIA ANTIBODY | 350.63 |
| 7886765 | RUBEOLA (MEASLES) AB, IGG | 39.28 |
| 7886774 | TETANUS ANTIBODY | 33.60 |
| 7886781 | TREPONEMA PALLIDUM (FTA-ABS) | 36.89 |
| 7886790 | DENGUE FEVER ANTIBODY | 54.52 |
| 7886793 | YERSINIA ANTIBODY | 59.73 |
| 7886804 | HEPATITIS C AB - RIBA | 127.44 |
| 7886941 | DONATH LANDSTEINER TEST | 149.26 |
| 7887102 | FUNGAL CULTURE, OTHER SOURCE | 35.91 |
| 7887206 | AFB SMEAR | 34.29 |
| 7887265 | PERTUSSIS CULTURE & DFA | 199.76 |
| 7887449 | LEPTOSPIRA ANTIGEN, URINE | 214.35 |
| 7887450 | CRYPTOCOCCUS ANTIGEN, CSF | 45.25 |
| 7887491 | CHLAMYDIA TRACHOMATIS-PCR | 121.47 |
| 7887496 | CYTOMEGALOVIRUS DNA-PCR | 189.48 |
| 7887536 | HIV I DNA-PCR | 184.77 |
| 7887555 | M. TUBERCULOSIS COMPLEX, DNA PROBE | 186.20 |
| 7887556 | M. TUBERCULOSIS AMPLIFIED RNA, DIRECT | 235.77 |
| 7887591 | GONOCOCCUS-PCR | 123.45 |
| 7887801 | HERPES SIMPLEX, PCR | 536.83 |
| 7888233 | CHROMOSOME ANALYSIS, TISSUE | 1,003.54 |
| 7888237 | CHROMOSOME ANALYSIS, MARROW | 408.89 |
| 7888271 | HERCEPTIN-2 FISH | 353.38 |
| 7888342 | HERCEPTIN-2 IHC | 269.02 |
| 7888348 | ELECTRON MICROSCOPY, DIAGNOSTIC | 452.53 |
| 7889838 | PROTHROMBIN GENE MUTATION | 259.24 |
| 7891824 | WELLBUTRIN LEVEL | 286.18 |
| 7894001 | BACLOFEN (LIORESAL) LEVEL | 312.09 |
| 7894281 | NARDIL (PHENELZINE) LEVEL | 616.16 |
| 7896016 | HIV 1 AB:WESTERN BLOT | 42.03 |
| 7896017 | PARVOVIRUS B-19 AB IGM | 23.79 |
| 7896018 | SUSCEPTIBILITY:TBC | 70.75 |
| 7896019 | CULTURE, STOOL | 21.85 |
| 7896020 | CULTURE, ANAEROBIC | 29.44 |
| 7896027 | SOMATOMEDIN-C | 22.43 |
| 7896028 | HYDROXYPROLINE, TOTAL | 67.64 |
| 7896029 | HYDROXYPROLINE, FREE | 30.75 |
| 7896030 | CALCIUM, IONIZED | 20.19 |
| 7896033 | DEHYDROEPIANDROSTERONE (DHEA) | 64.31 |
| 7896034 | HEPATITIS DELTA AB | 25.35 |
| 7897001 | DNASE B TITER | 36.50 |
| 7897002 | HIV RNA-QUANTITATIVE-PCR | 155.04 |
| 7897003 | GALACTOKINASE, BLOOD | 225.60 |
| 7897004 | GPUT, BLOOD | 120.42 |
| 7897005 | CULTURE, CHLAMYDIA | 48.35 |
| 7897006 | THYROGLOBULIN | 44.22 |
| 7897007 | HEPATITIS B VIRAL DNA:PCR | 220.49 |
| 7897008 | CIPROFLOXACIN | 61.74 |
| 7897009 | ANTICARDIOLIPIN ANTIBODY | 44.22 |
| 7897010 | CYCLOSPORIN | 68.91 |
| 7897011 | HEAVY METAL SCREEN, URINE | 83.26 |
| 7897012 | HEAVY METAL SCREEN, BLOOD | 83.26 |
| 7897013 | ANGIOTENSIN CONVERTING ENZYME | 22.68 |
| 7897014 | ORGANIC ACIDS | 447.88 |
| 7897015 | T-CELL SUBSETS | 106.23 |
| 7897016 | MICROALBUMIN, QUANTITATIVE | 31.77 |
| 7897017 | CRYOGLOBULIN, QUALITATIVE | 10.90 |
| 7897018 | RISTOCETIN COFACTOR | 83.37 |
| 7897019 | CITRATE, URINE | 40.21 |
| 7897020 | ANTINEUTROPHIL CYTOPLASMIC AB (ANCA) | 38.09 |
| 7897021 | MUCOPOLYSACCHARIDES, UA, QUAL | 79.58 |
| 7897022 | PHOSPHATIDYLGLYCEROL | 145.28 |
| 7897023 | AMINO ACID SCREEN, URINE | 21.10 |
| 7897031 | BETA-2 MICROGLOBULINS | 29.86 |
| 7897032 | T4, FREE | 15.27 |
| 7898000 | FLUOXETINE | 31.58 |
| 7898001 | CA 19-9 | 34.02 |
| 7899208 | ERYTHROMYCIN LEVEL | 78.56 |