$12.00 $10.00 $19.00 $15.00 $49.00 $45.00 $59.00 $39.00 $89.00 $79.00 $69.00 $49.00 $75.00 $69.00 $49.00 $30.00 $69.00 $65.00 $ $129.

Transcription

1 5' Nucleotidase ABO Grouping $12.00 $10.00 ABO Grouping and Rho(D) Typing $18.00 $15.00 Acetaminophen (Tylenol), Serum $49.00 $45.00 Actin (Smooth Muscle) Antibody $59.00 $35.00 Adiponectin $89.00 $79.00 Adrenal 21-Hydroxylase Autoanitbodies $69.00 $49.00 Adrenocorticotropic Hormone (ACTH), Plasma $75.00 $69.00 Ammonia, Plasma $59.00 $39.00 Amylase and Lipase $49.00 $30.00 Amylase, Serum $19.00 $15.00 Anal (Rectal) Cytology, Liquid Based Preparation $69.00 $65.00 Anemia Profile, Megaloblastic, Serum $ $ Anemia Profile, Megaloblastic, Urine $ $ Angiotensin Converting Enzyme (ACE) $45.00 $29.00 Antibody Identification $45.00 $39.00 Antichromatin IgG, Antibodies $59.00 $49.00 Antidiuretic Hormone (ADH), Plasma $ $ Anti-DNA (Single Stranded), IgG, Ab, Qn $65.00 $59.00 Antihistone Antibodies Antimyelin Associated Glycoprotein (Mag Antibody), IgM $79.00 $69.00 Antinuclear Antibodies (ANA) w/ Reflex $29.00 $20.00 Antinuclear Antibodies (ANA) With Reflex to Multiple Confirmatory Tests $29.00 $20.00 Antinuclear Antibodies (ANA), Direct $29.00 $20.00 Antinuclear Antibodies (ANA), IFA w/fana Pattern $29.00 $20.00 Antithrombin Activity Page 1 of 11

2 Antithrombin Antigen Antithrombin Deficiency Profile $98.00 $78.00 Beta-2 Microglobulin, Serum $29.00 $19.00 Beta-2-Microglobulin, Random Urine $29.00 $19.00 Blood Culture, Routine $50.00 $45.00 Bordetella pertussis Smear, DFA $60.00 $49.00 Brucella Antibody, IgG, EIA $55.00 $45.00 Brucella Antibody, IgM, EIA $55.00 $45.00 Calcitonin (Thyrocalcitonin), Serum $89.00 $59.00 Calcium, Ionized, Serum Cancer Antigen (CA) 27.29, Serum $39.00 $29.00 Carbamazepine (Tegretol) Serum $59.00 $49.00 Carcinoembryonic Antigen (CEA) $25.00 $20.00 Catecholamines, 24 Hour Urine CD 4 / CD 8 Cell Ratio Profile CD 57 (HNK1) Panel Celiac Disease Comprehensive $ $ Celiac Disease Profile (Includes Endomysial & ttg Antibodies) $ $ Cholesterol, Total $20.00 $5.00 Chromium, Plasma $59.00 $49.00 Chromosome Analysis, Blood (Constitutional) $ $ Clostridium difficile Toxins A & B, EIA $69.00 $65.00 Complement C2, Serum Complement C3, Serum Complement C4, Serum ComplementS C3 and C $69.00 $50.00 Cortisol, Urinary Free by HPLC, 24 Hour Urine $69.00 $35.00 Page 2 of 11

3 C-Peptide of Insulin, Serum $52.00 $40.00 Creatine Kinase (CK/CPK) Isoenzymes $50.00 $35.00 Creatine Kinase (CK/CPK), MB Creatinine/Total Protein, Random Urine $40.00 $29.00 C-Telopeptide, Serum Cytokine Panel A $ $ Cytokine Panel B $ $ Cytomegalovirus (CMV), Quantitative DNA PCR (Viral Load) $ $ Digoxin (Lanoxin), Serum Eosinophil Cationic Protein (ECP) Epstein Barr Virus (EBV) Ab VCA, IgG Epstein Barr Virus (EBV) Ab VCA, IgM Epstein Barr Virus (EBV) Early Antigen Ab, IgG Epstein Barr Virus (EBV), Chronic/Active Infection $89.00 $69.00 Epstein Barr Virus Profile (EBV) - Full Diagnostic Profile $ $99.00 Epstein-Barr Virus (EBV) DNA Viral Load, Quantitative, PCR $ $ Estradiol, Free & Total, Serum, HPLC/MS-MS $89.00 $69.00 Estrone, Serum $42.00 $35.00 Ethanol, Blood $55.00 $45.00 Ethylene Glycol, Serum $69.00 $55.00 Factor VII Activity $99.00 $75.00 Familial Hypercholesterolemia $79.00 $69.00 Febrile Antibody Profile $ $ Ferritin + TIBC (Total Iron Binding Capacity) $22.00 $19.00 Fibrin Monomer, Qualitative Fibrinogen Activity, Quantitative $20.00 $15.00 Folate (Folic Acid) Serum $16.00 $12.00 Page 3 of 11

4 Follicle-Stimulating Hormone (FSH), Serum $22.00 $19.00 Fructosamine $36.00 $19.00 FSH & LH (Follicle-Stimulating & Lutenizing Hormones) $42.00 $38.00 Fungus (Mycology) Culture Gastrin, Serum $49.00 $45.00 Gentamycin, Random, Serum Gliadin Antibodies, IgA (Deamidated) $45.00 $30.00 Gliadin Antibodies, IgG (Deamidated) $45.00 $30.00 Gliadin Antibody Profile, IgG, IgA (Deamidated) $89.00 $59.00 Glucose 6 Phosphate Dehydrogenase (G6PD), Quantitative $39.00 $35.00 Glucose 6 Phosphate Dehydrogenase (G6PD), Quantitative, blood and Hgb $39.00 $35.00 Glucose/ Insulin Post Prandial Mini Panel $39.00 $30.00 Glucose/Insulin Response, 2 Specimens $60.00 $50.00 Glucose/Insulin Response, 3 Specimens $90.00 $75.00 Glucose/Insulin Response, 3 Specimens $90.00 $75.00 Glucose/Insulin Response, 4 Specimens $ $ Glucose/Insulin Response, 5 Specimens $ $ Glucose/Insulin Response, 6 Specimens $ $ Glucose/Insulin Response, 7 Specimens $ $ Glucose/Insulin Response, 8 Specimens $ $ Glycohemoglobin (GHB), Total $22.00 $18.00 GlycoMark (1-5 Anhydroglucitol) $69.00 $39.00 Gram Stain Evaluation with Sputum Culture Reflex $49.00 $30.00 Haptoglobin, Serum HCG, Beta Subunit, Qualitative, Serum Hemoglobin (HGB) A1c $20.00 $16.00 Hemoglobin A1c with eag Estimation $20.00 $16.00 Page 4 of 11

5 Hemoglobin A2, Quantitative Hemoglobin, Free, Plasma Hemoglobinopathy Profile & Solubility (HGB Electrophoresis) Heparin Cofactor II $99.00 $75.00 Hepatitis 5 (HP5) Panel (Hep. A,B Surface Ag & Ab + Core Ab, C Ab) $90.00 $79.00 Hepatitis A, IgM $34.00 $29.00 Hepatitis A, Total Antibodies Hepatitis B Core Antibody, IgM Hepatitis C Virus (HCV) Antibody with reflex to Quantitative (Viral Load) $34.00 $29.00 Hepatitis C Virus (HCV) Antibody with Reflex to Verification $34.00 $29.00 Hepatitis C Virus (HCV) Real-Time PCR (Non-Graph) $ $ Hepatitis C Virus (HCV), Quantitative, (Graphical) With Reflex to Genotyping $ $ Hepatitis C Virus (HCV), Quantitative, With Reflex to GenoSure(R) NS3/4A $ $ Hepatitis C Virus (HCV), Real-Time PCR, Quantitative (Graph) $ $ Herpes Simplex Virus (HSV) I and II Combination, IgM, Indirect Herpes Simplex Virus (HSV) I and II Specific, IgG $99.00 $80.00 Herpes Simplex Virus (HSV) Type I Specific, IgG $50.00 $40.00 Herpes Simplex Virus (HSV) Type II Specific, IgG $65.00 $59.00 Herpes Simplex Virus (HSV) Types I and II, DNA PCR $ $ Herpes Simplex Virus I/II Combination, IgG Herpes Varicella Zoster (VZV), IgG (Chicken Pox) Herpes Varicella Zoster (VZV), IgG and IgM $79.00 $60.00 Herpes Varicella Zoster (VZV), IgM Histamine Determination, Plasma HIV Qualitative HIV-1 Genotyping for Drug Resistance and Virtual Phenotyping $ $ HLA B 27 Disease Association Page 5 of 11

6 Homovanillic Acid (HVA), 24 Hour Urine $65.00 $39.00 Homovanillic Acid (HVA), Random Urine $65.00 $55.00 Human Chorionic Gonadotropin (hcg), Beta Subunit, Quantitative, Serum Human Papillomavirus (HPV) Genotyping by PCR $ $ IA2 Autoantibodies $99.00 $80.00 IgA Total Antibodies $15.00 $12.00 IgA, Subclasses (1-2) IGF, Binding Protein IGF-1, RIA - Esoterix IgG Total Antibodies $15.00 $12.00 IgM Total Antibodies $15.00 $12.00 Immunofixation (IFE) and Protein Electrophoresis, 24 Hour Urine $ $ Immunofixation (IFE), Serum $35.00 $25.00 Immunoglobulins (Quantitative IgA, IgE, IgG, IgM), Serum $59.00 $42.00 Immunoglobulins, (Quantitative IgA, IgG, IgM), Serum $45.00 $36.00 Inflammatory Bowel Disease Profile $ $ Insulin and C-Peptide, Serum $77.00 $60.00 Insulin, 1 Hour $25.00 $20.00 Insulin, 2 Specimens $50.00 $40.00 Insulin, 3 Specimens $75.00 $60.00 Insulin, 4 Specimens $ $80.00 Insulin, 5 Specimens $ $ Insulin, Fasting Interleukin 2 (IL-2), Plasma Interleukin 2 (IL-2), Serum Interleukin 4 (IL-4), Plasma Interleukin 4 (IL-4), Serum Page 6 of 11

7 Interleukin 6 (IL-6), Plasma Interleukin 6 (IL-6), Serum Intrinsic Factor Blocking Antibodies, Serum Iron/TIBC (Total Iron Binding Capacity) $12.00 $10.00 JAK2 V617F Mutation Detection $ $ Kidney Stone Formation Risk Panel with Saturation, 24 Hour Urine $ $ Lactate Dehydrogenase (LD) Isoenzymes, Serum $50.00 $35.00 Lactic Acid, Plasma Leptin, Serum $55.00 $45.00 Lipase, Serum $30.00 $15.00 Lipid Electorphoresis (Lipoprotein Phenotyping) $62.00 $49.00 Lipid Electrophoresis + Lipid Panel $62.00 $49.00 Lipid-Associated Sialic Acid (LASA) $49.00 $45.00 Lithium (Eskalith), Serum $35.00 $29.00 Liver Cancer Monitor Profile $ $ Liver-Kidney Microsomal Antibody $59.00 $39.00 Lupus Panel $ $99.00 Luteinizing Hormone (LH), Serum $22.00 $19.00 Luteinizing Hormone, ECL - Esoterix $39.00 $29.00 Lyme Disease (Borrelia burgdorferi) by PCR $ $ Lysozyme, Serum $49.00 $45.00 Magnesium, 24 Hour Urine $30.00 $19.00 Magnesium, RBC Mercury, Random or 24 Hour Urine $49.00 $29.00 Metanephrines, Fractionated, Quantitative, 24 Hour Urine Metanephrines, Pheochromocytoma Evaluation, Random Urine Methylmalonic Acid (MMA), Random Urine $85.00 $69.00 Page 7 of 11

8 Methylmalonic Acid (MMA), Serum $89.00 $69.00 Microalbumin, 24 Hour Urine $29.00 $19.00 Microalbumin, Random Urine $29.00 $19.00 Microalbumin/Creatinine Ratio, Timed Urine $39.00 $19.00 Miscellaneous Fluid Cytology $69.00 $49.00 Miscellaneous Smear Cytology $69.00 $49.00 Mitochondrial (M2) Antibody $59.00 $49.00 MMR (Measles, Mumps & Rubella) $99.00 $69.00 Mumps Antibodies, IgG Mycoplasma pneumoniae Antibodies, IgG and IgM $99.00 $89.00 Mycoplasma pneumoniae Antibodies, IgM $55.00 $49.00 Mycoplasma pneumoniae Antibody, IgG $55.00 $49.00 Myoglobin, Random Urine $59.00 $39.00 Myoglobin, Serum Neuron-specific Enolase, Serum $ $ N-Telopeptide, Random Random or 24 Hour Urine N-Telopeptide, Serum (Bone Resorption / Collagen Marker) N-Telopeptide, Urine Osteocalcin, Serum Ova and Parasite Organism ID 1 Organism 1 $15.00 $10.00 Ova and Parasite Organism ID 2 Organism 2 $15.00 $10.00 Ovarian Malignancy Risk (ROMA) $ $ Oxalates, Quantitative, 24 Hour Urine $39.00 $19.00 Oxycodone/Oxymorphone, Urine $58.00 $35.00 Pancreatic Polypeptide $99.00 $80.00 Parasite Identification, Arthropod Parathyroid Hormone (PTH) $45.00 $40.00 Page 8 of 11

9 Parathyroid Hormone (PTH), Intact Parietal Cell Antibodies (APCA) $59.00 $35.00 Phenobarbital (Luminal), Serum Phenytoin (Dilantin), Serum $45.00 $39.00 Phosphatidyl Antibody Panel $ $ Plasminogen Activator Inhibitor Antigen ( PAI-1) $ $ Prealbumin, Serum $48.00 $39.00 Pregnenolone, MS Progesterone, ECLIA $25.00 $20.00 Prolactin, Serum $29.00 $25.00 Prostate-Specific Antigen (PSA) (Regular PSA Test) Prostate-Specific Antigen (PSA), Free:Total Ratio $42.00 $39.00 Prostate-Specific Antigen (PSA), Free:Total Ratio (Serial Monitor) $42.00 $39.00 Prostate-Specific Antigen (PSA), with Reflex to Free:Total Ratio Protein C Activity (Chromogenic) $89.00 $69.00 Protein Electrophoresis, 24 Hour Urine $69.00 $45.00 Protein Electrophoresis, Random Urine Prothrombin Time (PT) + Partial Thromboplastin Time (PTT) $30.00 $22.00 PTH + Calcium $45.00 $39.00 Respiratory Synctyial Virus (RSV) Antibodies by CF, Quantitative $65.00 $49.00 Reverse T $35.00 $29.00 Rheumatiod Arthritis (RA) Factor Rho(D) Typing (Rh Factor) $12.00 $10.00 Rickettsial Fever Group IgG and IgM Antibody Panel $ $ RNP Antibodies RPR (Syphillis) $20.00 $15.00 RPR, Rfx Qn RPR/Confirm TP-PA $20.00 $15.00 Page 9 of 11

10 Rubella Antibodies, IgG $29.00 $19.00 Rubella Antibodies, IgM $49.00 $19.00 Rubeola Antibodies, IgG $39.00 $29.00 Sensitivity - Culture 1 Culture 1 $15.00 $10.00 Sensitivity - Culture 2 Culture 2 $15.00 $10.00 Sensitivity - Culture 3 Culture 3 $15.00 $10.00 Sensitivity - Culture 4 Culture 4 $15.00 $10.00 Sjogren's Antibodies (Anti-SS-A/-SS-B) $79.00 $70.00 Sjogren's Anti-SS-A Sjogren's Anti-SS-B Soluble Liver Antigen, IgG $75.00 $69.00 Sputum Cytology Stool Culture $85.00 $79.00 Striational Antibodies Testosterone, Free (Direct) and Total, ICMA/RIA $69.00 $65.00 Testosterone, Free (Direct) with Total, LC/MS-MS $69.00 $65.00 Testosterone, Free and Total, EF and LC MS-MS $69.00 $65.00 Testosterone, Total, LC/MS $29.00 $25.00 Testosterone, Total, Serum - Esoterix $29.00 $25.00 Testosterone, Total, Serum, ECLIA $29.00 $25.00 Theophylline, Serum Thrombin Time Thyroid-Stimulating Immunoglobulin (TSI) $99.00 $85.00 Thyrotropin Receptor Antibody, Serum $79.00 $59.00 Tissue Plasminogen Activator Antigen $ $ Tobramycin, Random, Serum Toxoplasma gondii Antibodies, IgG $59.00 $39.00 Page 10 of 11

11 Toxoplasma gondii Antibodies, IgM Tumor Necrosis Factor alpha (TNFa) Uric Acid, 24 Hour Urine Urine Culture, Comprehensive Urine Cytology -Basic Valproic Acid (Depakote), Serum $39.00 $29.00 Vancomycin Peak, Serum Vancomycin Random, Serum Vancomycin Trough, Serum Vanillylmandelic Acid (VMA), 24 Hour Urine Viscosity, Serum Vitamin B $16.00 $12.00 Vitamin B-12 & Folate $32.00 $24.00 Vitamin B-2, Whole Blood (Riboflavin) West Nile Virus Antibody,Serum $ $ Zinc, RBC $49.00 $42.00 Zinc, Whole Blood $49.00 $42.00 Page 11 of 11