| LABORATORY - MD | ||
| SERVICE CHARGE CODE | SERVICE DESCRIPTION | SERVICE CHARGE PRICE |
| MD80500 | LAB PATHOLOGY CONSULTATION | 53.60 |
| MD80502 | LAB PATHOLOGY CONSULTATION | 138.29 |
| MD81000 | URINALYSIS, NONAUTO W/SCOPE | 16.08 |
| MD81001 | URINALYSIS, AUTO W/SCOPE | 18.22 |
| MD81002 | URINALYSIS, NONAUTO, W/O SCOPE | 12.86 |
| MD81003 | URINALYSIS, AUTO, W/O SCOPE | 13.94 |
| MD81005 | URINALYSIS, QUALI/SEMIQUANTI | 11.79 |
| MD81007 | URINALYSIS, NON-CULTURE | 16.08 |
| MD81015 | URINALYSIS, SCOPE ONLY | 15.01 |
| MD81020 | URINALYSIS, GLASS TEST | 16.08 |
| MD83020 | HEMOGLOBIN ELECTROPHORESIS | 61.10 |
| MD83912 | GENETIC EXAMINATION | 53.60 |
| MD84165 | ASSAY OF SERUM PROTEINS | 48.24 |
| MD84181 | WESTERN BLOT TEST | 75.04 |
| MD84182 | PROTEIN, WESTERN BLOT TEST | 112.56 |
| MD85060 | BLOOD SMEAR INTERPRETATION | 54.67 |
| MD85097 | BONE MARROW INTERPRETATION | 134.00 |
| MD85390 | FIBRINOLYSINS SCREEN | 37.52 |
| MD85576 | BLOOD PLATELET AGGREGATION | 69.68 |
| MD85651 | RBC SED RATE, NONAUTOMATED | 20.37 |
| MD85652 | RBC SED RATE, AUTOMATED | 17.15 |
| MD86255 | FLUORESCENT ANTIBODY, SCREEN | 58.96 |
| MD86256 | FLUORESCENT ANTIBODY, TITER | 70.75 |
| MD86320 | SERUM IMMUNOELECTROPHORESIS | 96.48 |
| MD86325 | OTHER IMMUNOELECTROPHORESIS | 87.90 |
| MD86327 | IMMUNOELECTROPHORESIS ASSAY | 0.00 |
| MD86334 | IMMUNOFIXATION PROCEDURE | 91.12 |
| MD86490 | COCCIDIOIDOMYCOSIS SKIN TEST | 27.87 |
| MD86510 | HISTOPLASMOSIS SKIN TEST | 25.73 |
| MD86580 | TB INTRADERMAL TEST | 17.15 |
| MD86585 | TB TINE TEST | 15.01 |
| MD87164 | DARK FIELD EXAMINATION | 48.24 |
| MD87207 | SMEAR, STAIN & INTERPRET | 33.23 |
| MD88000 | AUTOPSY (NECROPSY), GROSS | 695.73 |
| MD88005 | AUTOPSY (NECROPSY), GROSS | 869.39 |
| MD88007 | AUTOPSY (NECROPSY), GROSS | 940.14 |
| MD88012 | AUTOPSY (NECROPSY), GROSS | 820.08 |
| MD88014 | AUTOPSY (NECROPSY), GROSS | 765.41 |
| MD88016 | AUTOPSY (NECROPSY), GROSS | 695.73 |
| MD88020 | AUTOPSY (NECROPSY), COMPLETE | 946.58 |
| MD88025 | AUTOPSY (NECROPSY), COMPLETE | 1,028.05 |
| MD88027 | AUTOPSY (NECROPSY), COMPLETE | 1,148.11 |
| MD88028 | AUTOPSY (NECROPSY), COMPLETE | 973.38 |
| MD88029 | AUTOPSY (NECROPSY), COMPLETE | 973.38 |
| MD88036 | LIMITED AUTOPSY | 776.13 |
| MD88037 | LIMITED AUTOPSY | 617.47 |
| MD88040 | FORENSIC AUTOPSY (NECROPSY) | 2,214.75 |
| MD88045 | CORONER'S AUTOPSY (NECROPSY) | 0.00 |
| MD88099 | NECROPSY (AUTOPSY) PROCEDURE | 0.00 |
| MD88104 | CYTOPATHOLOGY, FLUIDS | 77.18 |
| MD88106 | CYTOPATHOLOGY, FLUIDS | 64.32 |
| MD88107 | CYTOPATHOLOGY, FLUIDS | 80.40 |
| MD88108 | CYTOPATH, CONCENTRATE TECH | 92.19 |
| MD88125 | FORENSIC CYTOPATHOLOGY | 0.00 |
| MD88141 | CYTOPATH C/V, INTERPRET | 42.88 |
| MD88142 | CYTOPATH C/V, THIN LAYER | 53.60 |
| MD88150 | CYTOPATH C/V, MANUAL | 25.73 |
| MD88152 | CYTOPATH C/V, AUTO REDO | 30.02 |
| MD88155 | CYTOPATH C/V, INDEX ADD-ON | 32.16 |
| MD88160 | CYTOPATH SMEAR, OTHER SOURCE | 56.82 |
| MD88161 | CYTOPATH SMEAR, OTHER SOURCE | 58.96 |
| MD88162 | CYTOPATH SMEAR, OTHER SOURCE | 110.42 |
| MD88172 | EVALUATION OF SMEAR | 117.92 |
| MD88173 | INTERPRETATION OF SMEAR | 160.80 |
| MD88180 | CELL MARKER STUDY | 154.37 |
| MD88182 | CELL MARKER STUDY | 0.00 |
| MD88199 | CYTOPATHOLOGY PROCEDURE | 0.00 |
| MD88300 | SURGICAL PATH, GROSS | 45.02 |
| MD88302 | TISSUE EXAM BY PATHOLOGIST | 84.69 |
| MD88304 | TISSUE EXAM BY PATHOLOGIST | 86.83 |
| MD88305 | TISSUE EXAM BY PATHOLOGIST | 114.70 |
| MD88307 | TISSUE EXAM BY PATHOLOGIST | 182.24 |
| MD88309 | TISSUE EXAM BY PATHOLOGIST | 316.24 |
| MD88311 | DECALCIFY TISSUE | 40.74 |
| MD88312 | SPECIAL STAINS | 50.38 |
| MD88313 | SPECIAL STAINS | 37.52 |
| MD88314 | HISTOCHEMICAL STAIN | 66.46 |
| MD88318 | CHEMICAL HISTOCHEMISTRY | 57.89 |
| MD88319 | ENZYME HISTOCHEMISTRY | 71.82 |
| MD88321 | MICROSLIDE CONSULTATION | 118.99 |
| MD88323 | MICROSLIDE CONSULTATION | 139.36 |
| MD88325 | COMPREHENSIVE REVIEW OF DATA | 182.24 |
| MD88329 | PATHOLOGY CONSULT IN SURGERY | 112.56 |
| MD88331 | PATHOLOGY CONSULT IN SURGERY | 145.79 |
| MD88332 | PATHOLOGY CONSULT IN SURGERY | 93.26 |
| MD88342 | IMMUNOCYTOCHEMISTRY | 128.64 |
| MD88346 | IMMUNOFLUORESCENT STUDY | 112.56 |
| MD88347 | IMMUNOFLUORESCENT STUDY | 96.48 |
| MD88348 | ELECTRON MICROSCOPY | 402.00 |
| MD88349 | SCANNING ELECTRON MICROSCOPY | 0.00 |
| MD88355 | ANALYSIS, SKELETAL MUSCLE | 278.72 |
| MD88356 | ANALYSIS, NERVE | 0.00 |
| MD88358 | ANALYSIS, TUMOR | 284.08 |
| MD88362 | NERVE TEASING PREPARATIONS | 251.92 |
| MD88365 | TISSUE HYBRIDIZATION | 121.14 |
| MD88371 | PROTEIN, WESTERN BLOT TISSUE | 58.96 |
| MD88372 | PROTEIN ANALYSIS W/PROBE | 66.46 |
| MD88399 | SURGICAL PATHOLOGY PROCEDURE | 0.00 |
| MD89060 | EXAM, SYNOVIAL FLUID CRYSTALS | 34.30 |
| MD89100 | SAMPLE INTESTINAL CONTENTS | 96.48 |
| MD89105 | SAMPLE INTESTINAL CONTENTS | 112.56 |
| MD89130 | SAMPLE STOMACH CONTENTS | 48.24 |
| MD89132 | SAMPLE STOMACH CONTENTS | 42.88 |
| MD89135 | SAMPLE STOMACH CONTENTS | 96.48 |
| MD89136 | SAMPLE STOMACH CONTENTS | 123.28 |
| MD89140 | SAMPLE STOMACH CONTENTS | 144.72 |
| MD89141 | SAMPLE STOMACH CONTENTS | 0.00 |
| MD89260 | SPERM ISOLATION, SIMPLE | 0.00 |