Modifier List - Nevadadhcfp.nv.gov/uploadedFiles/dhcfpnvgov/content/...May 01, 2015 · 80428...

Updated: May 1, 2015

Note:

Modifier List

Proc Code Description Mod Rate

36400 BL DRAW < 3 YRS FEM/JUGULAR 18.10

36405 BL DRAW <3 YRS SCALP VEIN 15.20

36406 BL DRAW <3 YRS OTHER VEIN 9.41

36410 NON-ROUTINE BL DRAW 3/> YRS 8.69

36415 ROUTINE VENIPUNCTURE 3.98

36416 CAPILLARY BLOOD DRAW 4.34

36420 VEIN ACCESS CUTDOWN < 1 YR 53.21

36425 VEIN ACCESS CUTDOWN > 1 YR 36.20

36591 Draw blood off venous device 20.64

36592 Collect blood from picc 25.51

36600 WITHDRAWAL OF ARTERIAL BLOOD 15.92

80047 METABOLIC PANEL IONIZED CA 15.26

80048 METABOLIC PANEL TOTAL CA TC 5.92

80048 METABOLIC PANEL TOTAL CA 5.92

80050 GENERAL HEALTH PANEL TC 19.65

80050 GENERAL HEALTH PANEL 26 4.91

80050 GENERAL HEALTH PANEL 24.56

80051 ELECTROLYTE PANEL TC 4.91

80051 ELECTROLYTE PANEL 4.91

80053 COMPREHEN METABOLIC PANEL TC 7.39

80053 COMPREHEN METABOLIC PANEL 7.39

80055 OBSTETRIC PANEL TC 9.88

80055 OBSTETRIC PANEL 26 39.50

80055 OBSTETRIC PANEL 49.38

80061 LIPID PANEL TC 9.36

80061 LIPID PANEL 9.36

80069 RENAL FUNCTION PANEL TC 6.07

CPT codes, descriptions and other data only are copyright © 2008 American Medical Association. All rights

reserved. Applicable FARS/DFARS apply. CPT is a registered trademark ® of the American Medical Association.

Provider Type 43 Laboratory, Pathology Clinical

Reimbursement Rates

The information contained in the schedule is made available to provide information and is not a

guarantee by the State or the Department or its employees as to the present accuracy of the

information contained herein. For example, coverage as well as an actual rate may have been

revised or updated and may no longer be the same as posted on the website.

Procedure codes with a rate of $0.00 are reimbursed at 62% of Usual and Customary charges unless

noted otherwise in Nevada Medicaid policy.

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http://dhcfp.nv.gov/Rates/PRO/Nevada Medicaid Modifier Listing.pdf


80069 RENAL FUNCTION PANEL 6.07

80074 ACUTE HEPATITIS PANEL TC 33.28

80074 ACUTE HEPATITIS PANEL 33.28

80076 HEPATIC FUNCTION PANEL TC 5.72

80076 HEPATIC FUNCTION PANEL 5.72

80150 ASSAY OF AMIKACIN TC 10.53

80150 ASSAY OF AMIKACIN 10.53

80155 Drug screen quant caffeine 9.65

80156 ASSAY CARBAMAZEPINE TOTAL TC 10.18

80156 ASSAY CARBAMAZEPINE TOTAL 10.18

80157 ASSAY CARBAMAZEPINE FREE TC 9.27

80157 ASSAY CARBAMAZEPINE FREE 9.27

80158 ASSAY OF CYCLOSPORINE TC 12.62

80158 ASSAY OF CYCLOSPORINE 12.62

80159 Drug screen quant clozapine 12.61

80162 ASSAY OF DIGOXIN TOTAL TC 9.28

80162 ASSAY OF DIGOXIN TOTAL 9.28

80164 ASSAY DIPROPYLACETIC ACD TOT TC 9.47

80164 ASSAY DIPROPYLACETIC ACD TOT 9.47

80168 ASSAY OF ETHOSUXIMIDE TC 11.42

80168 ASSAY OF ETHOSUXIMIDE 11.42

80169 Drug screen quant everolimus 9.36

80170 ASSAY OF GENTAMICIN TC 11.45

80170 ASSAY OF GENTAMICIN 11.45

80171 Drug screen quant gabapentin 9.04

80173 ASSAY OF HALOPERIDOL TC 10.18

80173 ASSAY OF HALOPERIDOL 10.18

80175 Drug screen quan lamotrigine 9.04

80176 ASSAY OF LIDOCAINE TC 10.27

80176 ASSAY OF LIDOCAINE 10.27

80177 Drug scrn quan levetiracetam 9.04

80178 ASSAY OF LITHIUM TC 4.62

80178 ASSAY OF LITHIUM 4.62

80180 Drug scrn quan mycophenolate 12.31

80183 Drug scrn quant oxcarbazepin 9.04

80184 ASSAY OF PHENOBARBITAL TC 8.01

80184 ASSAY OF PHENOBARBITAL 8.01

80185 ASSAY OF PHENYTOIN TOTAL TC 9.27

80185 ASSAY OF PHENYTOIN TOTAL 9.27

80186 ASSAY OF PHENYTOIN FREE TC 9.62

80186 ASSAY OF PHENYTOIN FREE 9.62

80188 ASSAY OF PRIMIDONE TC 11.58

80188 ASSAY OF PRIMIDONE 11.58

80190 ASSAY OF PROCAINAMIDE TC 11.71

80190 ASSAY OF PROCAINAMIDE 11.71

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80192 ASSAY OF PROCAINAMIDE TC 11.71

80192 ASSAY OF PROCAINAMIDE 11.71

80194 ASSAY OF QUINIDINE TC 10.20

80194 ASSAY OF QUINIDINE 10.20

80195 ASSAY OF SIROLIMUS TC 9.59

80195 ASSAY OF SIROLIMUS 9.59

80197 ASSAY OF TACROLIMUS TC 9.59

80197 ASSAY OF TACROLIMUS 9.59

80198 ASSAY OF THEOPHYLLINE TC 9.89

80198 ASSAY OF THEOPHYLLINE 9.89

80199 Drug screen quant tiagabine 12.31

80200 ASSAY OF TOBRAMYCIN TC 11.27

80200 ASSAY OF TOBRAMYCIN 11.27

80201 ASSAY OF TOPIRAMATE TC 8.33

80201 ASSAY OF TOPIRAMATE 8.33

80202 ASSAY OF VANCOMYCIN TC 9.47

80202 ASSAY OF VANCOMYCIN 9.47

80203 Drug screen quant zonisamide 9.04

80299 QUANTITATIVE ASSAY DRUG TC 9.57

80299 QUANTITATIVE ASSAY DRUG 9.57

80400 ACTH STIMULATION PANEL TC 22.79

80400 ACTH STIMULATION PANEL 22.79





80408 ALDOSTERONE SUPPRESSION EVAL TC 87.67

80408 ALDOSTERONE SUPPRESSION EVAL 87.67

80410 CALCITONIN STIMUL PANEL TC 56.12

80410 CALCITONIN STIMUL PANEL 56.12

80412 CRH STIMULATION PANEL TC 230.25

80412 CRH STIMULATION PANEL 230.25

80414 TESTOSTERONE RESPONSE TC 36.09

80414 TESTOSTERONE RESPONSE 36.09

80415 ESTRADIOL RESPONSE PANEL TC 39.05

80415 ESTRADIOL RESPONSE PANEL 39.05

80416 RENIN STIMULATION PANEL TC 92.20

80416 RENIN STIMULATION PANEL 92.20

80417 RENIN STIMULATION PANEL TC 30.73

80417 RENIN STIMULATION PANEL 30.73

80418 PITUITARY EVALUATION PANEL TC 404.89

80418 PITUITARY EVALUATION PANEL 404.89

80420 DEXAMETHASONE PANEL TC 50.32

80420 DEXAMETHASONE PANEL 50.32

80422 GLUCAGON TOLERANCE PANEL TC 32.19

3/55


80422 GLUCAGON TOLERANCE PANEL 32.19

80424 GLUCAGON TOLERANCE PANEL TC 35.28

80424 GLUCAGON TOLERANCE PANEL 35.28

80426 GONADOTROPIN HORMONE PANEL TC 103.70

80426 GONADOTROPIN HORMONE PANEL 103.70

80428 GROWTH HORMONE PANEL TC 46.59

80428 GROWTH HORMONE PANEL 46.59

80430 GROWTH HORMONE PANEL TC 54.80

80430 GROWTH HORMONE PANEL 54.80

80432 INSULIN SUPPRESSION PANEL TC 94.37

80432 INSULIN SUPPRESSION PANEL 94.37

80434 INSULIN TOLERANCE PANEL TC 70.66

80434 INSULIN TOLERANCE PANEL 70.66

80435 INSULIN TOLERANCE PANEL TC 71.93

80435 INSULIN TOLERANCE PANEL 71.93

80436 METYRAPONE PANEL TC 63.69

80436 METYRAPONE PANEL 63.69

80438 TRH STIMULATION PANEL TC 35.21

80438 TRH STIMULATION PANEL 35.21

80439 TRH STIMULATION PANEL TC 46.94

80439 TRH STIMULATION PANEL 46.94

80500 LAB PATHOLOGY CONSULTATION TC 2.00

80500 LAB PATHOLOGY CONSULTATION 26 8.00

80500 LAB PATHOLOGY CONSULTATION 10.00

80502 LAB PATHOLOGY CONSULTATION TC 5.00

80502 LAB PATHOLOGY CONSULTATION 26 20.00

80502 LAB PATHOLOGY CONSULTATION 25.00

81000 URINALYSIS NONAUTO W/SCOPE TC 2.22

81000 URINALYSIS NONAUTO W/SCOPE 2.22

81001 URINALYSIS AUTO W/SCOPE TC 2.22

81001 URINALYSIS AUTO W/SCOPE 2.22

81002 URINALYSIS NONAUTO W/O SCOPE TC 1.79

81002 URINALYSIS NONAUTO W/O SCOPE 1.79

81003 URINALYSIS AUTO W/O SCOPE TC 1.58

81003 URINALYSIS AUTO W/O SCOPE 1.58

81005 URINALYSIS TC 1.52

81005 URINALYSIS 1.52

81007 URINE SCREEN FOR BACTERIA TC 0.68

81007 URINE SCREEN FOR BACTERIA 0.68

81015 MICROSCOPIC EXAM OF URINE TC 2.12

81015 MICROSCOPIC EXAM OF URINE 2.12

81020 URINALYSIS GLASS TEST TC 2.58

81020 URINALYSIS GLASS TEST 2.58

81025 URINE PREGNANCY TEST TC 4.43

81025 URINE PREGNANCY TEST 4.43

4/55


81050 URINALYSIS VOLUME MEASURE TC 2.10

81050 URINALYSIS VOLUME MEASURE 2.10

81211 BRCA1&2 SEQ & COM DUP/DEL 3049.93

81212 BRCA1&2 185&5385&6174 VAR 300.16

81213 BRCA1&2 UNCOM DUP/DEL VAR 599.81

81214 BRCA1 FULL SEQ & COM DUP/DEL 1529.28

81215 BRCA1 GENE KNOWN FAM VARIANT 210.51

81216 BRCA2 GENE FULL SEQUENCE 1725.40

81217 BRCA2 GENE KNOWN FAM VARIANT 210.51

82009 TEST FOR ACETONE/KETONES TC 3.16

82009 TEST FOR ACETONE/KETONES 3.16

82010 ACETONE ASSAY TC 5.72

82010 ACETONE ASSAY 5.72

82013 ACETYLCHOLINESTERASE ASSAY TC 7.81

82013 ACETYLCHOLINESTERASE ASSAY 7.81

82016 ACYLCARNITINES QUAL TC 9.69

82016 ACYLCARNITINES QUAL 9.69

82017 ACYLCARNITINES QUANT TC 11.79

82017 ACYLCARNITINES QUANT 11.79

82024 ASSAY OF ACTH TC 26.99

82024 ASSAY OF ACTH 26.99

82030 ASSAY OF ADP & AMP TC 18.03

82030 ASSAY OF ADP & AMP 18.03

82040 ASSAY OF SERUM ALBUMIN TC 3.47

82040 ASSAY OF SERUM ALBUMIN 3.47

82042 ASSAY OF URINE ALBUMIN TC 3.62

82042 ASSAY OF URINE ALBUMIN 3.62

82043 MICROALBUMIN QUANTITATIVE TC 4.05

82043 MICROALBUMIN QUANTITATIVE 4.05

82044 MICROALBUMIN SEMIQUANT TC 3.20

82044 MICROALBUMIN SEMIQUANT 3.20

82045 ALBUMIN ISCHEMIA MODIFIED TC 23.72

82045 ALBUMIN ISCHEMIA MODIFIED 23.72

82075 ASSAY OF BREATH ETHANOL TC 8.43

82075 ASSAY OF BREATH ETHANOL 8.43

82085 ASSAY OF ALDOLASE TC 6.79

82085 ASSAY OF ALDOLASE 6.79

82088 ASSAY OF ALDOSTERONE TC 28.47

82088 ASSAY OF ALDOSTERONE 28.47

82103 ALPHA-1-ANTITRYPSIN TOTAL TC 9.39

82103 ALPHA-1-ANTITRYPSIN TOTAL 9.39

82104 ALPHA-1-ANTITRYPSIN PHENO TC 10.11

82104 ALPHA-1-ANTITRYPSIN PHENO 10.11

82105 ALPHA-FETOPROTEIN SERUM TC 11.70

82105 ALPHA-FETOPROTEIN SERUM 11.70

5/55


82106 ALPHA-FETOPROTEIN AMNIOTIC TC 11.70

82106 ALPHA-FETOPROTEIN AMNIOTIC 11.70

82107 ALPHA-FETOPROTEIN L3 TC 25.95

82107 ALPHA-FETOPROTEIN L3 25.95

82108 ASSAY OF ALUMINUM TC 17.80

82108 ASSAY OF ALUMINUM 17.80

82120 AMINES VAGINAL FLUID QUAL TC 2.63

82120 AMINES VAGINAL FLUID QUAL 2.63

82127 AMINO ACID SINGLE QUAL TC 9.69

82127 AMINO ACID SINGLE QUAL 9.69

82128 AMINO ACIDS MULT QUAL TC 9.69

82128 AMINO ACIDS MULT QUAL 9.69

82131 AMINO ACIDS SINGLE QUANT TC 11.79

82131 AMINO ACIDS SINGLE QUANT 11.79

82135 ASSAY AMINOLEVULINIC ACID TC 11.50

82135 ASSAY AMINOLEVULINIC ACID 11.50

82136 AMINO ACIDS QUANT 2-5 TC 11.79

82136 AMINO ACIDS QUANT 2-5 11.79

82139 AMINO ACIDS QUAN 6 OR MORE TC 11.79

82139 AMINO ACIDS QUAN 6 OR MORE 11.79

82140 ASSAY OF AMMONIA TC 10.19

82140 ASSAY OF AMMONIA 10.19

82143 AMNIOTIC FLUID SCAN TC 4.81

82143 AMNIOTIC FLUID SCAN 4.81

82150 ASSAY OF AMYLASE TC 4.54

82150 ASSAY OF AMYLASE 4.54

82154 ANDROSTANEDIOL GLUCURONIDE TC 20.15

82154 ANDROSTANEDIOL GLUCURONIDE 20.15

82157 ASSAY OF ANDROSTENEDIONE TC 20.46

82157 ASSAY OF ANDROSTENEDIONE 20.46

82160 ASSAY OF ANDROSTERONE TC 17.47

82160 ASSAY OF ANDROSTERONE 17.47

82163 ASSAY OF ANGIOTENSIN II TC 14.35

82163 ASSAY OF ANGIOTENSIN II 14.35

82164 ANGIOTENSIN I ENZYME TEST TC 10.20

82164 ANGIOTENSIN I ENZYME TEST 10.20

82172 ASSAY OF APOLIPOPROTEIN TC 10.83

82172 ASSAY OF APOLIPOPROTEIN 10.83

82175 ASSAY OF ARSENIC TC 13.26

82175 ASSAY OF ARSENIC 13.26

82180 ASSAY OF ASCORBIC ACID TC 6.91

82180 ASSAY OF ASCORBIC ACID 6.91

82190 ATOMIC ABSORPTION TC 10.42

82190 ATOMIC ABSORPTION 10.42

82232 ASSAY OF BETA-2 PROTEIN TC 11.31

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82232 ASSAY OF BETA-2 PROTEIN 11.31

82239 BILE ACIDS TOTAL TC 11.98

82239 BILE ACIDS TOTAL 11.98

82240 BILE ACIDS CHOLYLGLYCINE TC 18.57

82240 BILE ACIDS CHOLYLGLYCINE 18.57

82247 BILIRUBIN TOTAL TC 3.51

82247 BILIRUBIN TOTAL 3.51

82248 BILIRUBIN DIRECT TC 3.51

82248 BILIRUBIN DIRECT 3.51

82252 FECAL BILIRUBIN TEST TC 3.18

82252 FECAL BILIRUBIN TEST 3.18

82261 ASSAY OF BIOTINIDASE TC 11.79

82261 ASSAY OF BIOTINIDASE 11.79

82270 OCCULT BLOOD FECES TC 2.27

82270 OCCULT BLOOD FECES 2.27

82271 OCCULT BLOOD OTHER SOURCES TC 2.27

82271 OCCULT BLOOD OTHER SOURCES 2.27

82272 OCCULT BLD FECES 1-3 TESTS TC 2.27

82272 OCCULT BLD FECES 1-3 TESTS 2.27

82274 ASSAY TEST FOR BLOOD FECAL TC 11.11

82274 ASSAY TEST FOR BLOOD FECAL 11.11

82286 ASSAY OF BRADYKININ TC 4.81

82286 ASSAY OF BRADYKININ 4.81

82300 ASSAY OF CADMIUM TC 16.17

82300 ASSAY OF CADMIUM 16.17

82306 VITAMIN D 25 HYDROXY TC 20.47

82306 VITAMIN D 25 HYDROXY 20.47

82308 ASSAY OF CALCITONIN TC 18.71

82308 ASSAY OF CALCITONIN 18.71

82310 ASSAY OF CALCIUM TC 3.60

82310 ASSAY OF CALCIUM 3.60

82330 ASSAY OF CALCIUM TC 9.55

82330 ASSAY OF CALCIUM 9.55

82331 CALCIUM INFUSION TEST TC 3.62

82331 CALCIUM INFUSION TEST 3.62

82340 ASSAY OF CALCIUM IN URINE TC 4.22

82340 ASSAY OF CALCIUM IN URINE 4.22

82355 CALCULUS ANALYSIS QUAL TC 8.09

82355 CALCULUS ANALYSIS QUAL 8.09

82360 CALCULUS ASSAY QUANT TC 9.00

82360 CALCULUS ASSAY QUANT 9.00

82365 CALCULUS SPECTROSCOPY TC 9.01

82365 CALCULUS SPECTROSCOPY 9.01

82370 X-RAY ASSAY CALCULUS TC 8.76

82370 X-RAY ASSAY CALCULUS 8.76

7/55


82373 ASSAY C-D TRANSFER MEASURE TC 12.62

82373 ASSAY C-D TRANSFER MEASURE 12.62

82374 ASSAY BLOOD CARBON DIOXIDE TC 3.42

82374 ASSAY BLOOD CARBON DIOXIDE 3.42

82375 ASSAY CARBOXYHB QUANT 9.00

82376 ASSAY CARBOXYHB QUAL TC 4.10

82376 ASSAY CARBOXYHB QUAL 4.10

82378 CARCINOEMBRYONIC ANTIGEN TC 13.26

82378 CARCINOEMBRYONIC ANTIGEN 13.26

82379 ASSAY OF CARNITINE TC 11.79

82379 ASSAY OF CARNITINE 11.79

82380 ASSAY OF CAROTENE TC 6.45

82380 ASSAY OF CAROTENE 6.45

82382 ASSAY URINE CATECHOLAMINES TC 12.02

82382 ASSAY URINE CATECHOLAMINES 12.02

82383 ASSAY BLOOD CATECHOLAMINES TC 17.51

82383 ASSAY BLOOD CATECHOLAMINES 17.51

82384 ASSAY THREE CATECHOLAMINES TC 17.64

82384 ASSAY THREE CATECHOLAMINES 17.64

82387 ASSAY OF CATHEPSIN-D TC 14.54

82387 ASSAY OF CATHEPSIN-D 14.54

82390 ASSAY OF CERULOPLASMIN TC 7.51

82390 ASSAY OF CERULOPLASMIN 7.51

82397 CHEMILUMINESCENT ASSAY TC 9.87

82397 CHEMILUMINESCENT ASSAY 9.87

82415 ASSAY OF CHLORAMPHENICOL TC 8.86

82415 ASSAY OF CHLORAMPHENICOL 8.86

82435 ASSAY OF BLOOD CHLORIDE TC 3.22

82435 ASSAY OF BLOOD CHLORIDE 3.22

82436 ASSAY OF URINE CHLORIDE TC 3.51

82436 ASSAY OF URINE CHLORIDE 3.51

82438 ASSAY OTHER FLUID CHLORIDES TC 3.42

82438 ASSAY OTHER FLUID CHLORIDES 3.42

82441 TEST FOR CHLOROHYDROCARBONS TC 4.20

82441 TEST FOR CHLOROHYDROCARBONS 4.20

82465 ASSAY BLD/SERUM CHOLESTEROL TC 3.04

82465 ASSAY BLD/SERUM CHOLESTEROL 3.04

82480 ASSAY SERUM CHOLINESTERASE TC 5.51

82480 ASSAY SERUM CHOLINESTERASE 5.51

82482 ASSAY RBC CHOLINESTERASE TC 5.37

82482 ASSAY RBC CHOLINESTERASE 5.37

82485 ASSAY CHONDROITIN SULFATE TC 14.43

82485 ASSAY CHONDROITIN SULFATE 14.43

82486 GAS/LIQUID CHROMATOGRAPHY TC 12.62

82486 GAS/LIQUID CHROMATOGRAPHY 12.62

8/55


82487 PAPER CHROMATOGRAPHY TC 11.15

82487 PAPER CHROMATOGRAPHY 11.15

82488 PAPER CHROMATOGRAPHY TC 14.93

82488 PAPER CHROMATOGRAPHY 14.93

82489 THIN LAYER CHROMATOGRAPHY TC 12.93

82489 THIN LAYER CHROMATOGRAPHY 12.93

82491 CHROMOTOGRAPHY QUANT SING TC 12.62

82491 CHROMOTOGRAPHY QUANT SING 12.62

82492 CHROMOTOGRAPHY QUANT MULT TC 12.62

82492 CHROMOTOGRAPHY QUANT MULT 12.62

82495 ASSAY OF CHROMIUM TC 14.18

82495 ASSAY OF CHROMIUM 14.18

82507 ASSAY OF CITRATE TC 19.43

82507 ASSAY OF CITRATE 19.43

82523 COLLAGEN CROSSLINKS TC 13.06

82523 COLLAGEN CROSSLINKS 13.06

82525 ASSAY OF COPPER TC 8.68

82525 ASSAY OF COPPER 8.68

82528 ASSAY OF CORTICOSTERONE TC 15.73

82528 ASSAY OF CORTICOSTERONE 15.73

82530 CORTISOL FREE TC 11.68

82530 CORTISOL FREE 11.68

82533 TOTAL CORTISOL TC 11.40

82533 TOTAL CORTISOL 11.40

82540 ASSAY OF CREATINE TC 3.25

82540 ASSAY OF CREATINE 3.25

82541 COLUMN CHROMOTOGRAPHY QUAL TC 12.62

82541 COLUMN CHROMOTOGRAPHY QUAL 12.62

82542 COLUMN CHROMOTOGRAPHY QUANT TC 12.62

82542 COLUMN CHROMOTOGRAPHY QUANT 12.62

82543 COLUMN CHROMOTOGRAPH/ISOTOPE TC 12.62

82543 COLUMN CHROMOTOGRAPH/ISOTOPE 12.62

82544 COLUMN CHROMOTOGRAPH/ISOTOPE TC 12.62

82544 COLUMN CHROMOTOGRAPH/ISOTOPE 12.62

82550 ASSAY OF CK (CPK) TC 4.56

82550 ASSAY OF CK (CPK) 4.56

82552 ASSAY OF CPK IN BLOOD TC 9.36

82552 ASSAY OF CPK IN BLOOD 9.36

82553 CREATINE MB FRACTION TC 8.07

82553 CREATINE MB FRACTION 8.07

82554 CREATINE ISOFORMS TC 8.29

82554 CREATINE ISOFORMS 8.29

82565 ASSAY OF CREATININE TC 3.58

82565 ASSAY OF CREATININE 3.58

82570 ASSAY OF URINE CREATININE TC 3.62

9/55


82570 ASSAY OF URINE CREATININE 3.62

82575 CREATININE CLEARANCE TEST TC 6.60

82575 CREATININE CLEARANCE TEST 6.60

82585 ASSAY OF CRYOFIBRINOGEN TC 5.99

82585 ASSAY OF CRYOFIBRINOGEN 5.99

82595 ASSAY OF CRYOGLOBULIN TC 4.52

82595 ASSAY OF CRYOGLOBULIN 4.52

82600 ASSAY OF CYANIDE TC 13.56

82600 ASSAY OF CYANIDE 13.56

82607 VITAMIN B-12 TC 10.53

82607 VITAMIN B-12 10.53

82608 B-12 BINDING CAPACITY TC 10.01

82608 B-12 BINDING CAPACITY 10.01

82610 Cystatin c 9.50

82615 TEST FOR URINE CYSTINES TC 5.71

82615 TEST FOR URINE CYSTINES 5.71

82626 DEHYDROEPIANDROSTERONE TC 17.66

82626 DEHYDROEPIANDROSTERONE 17.66

82627 DEHYDROEPIANDROSTERONE TC 15.54

82627 DEHYDROEPIANDROSTERONE 15.54

82633 DESOXYCORTICOSTERONE TC 21.64

82633 DESOXYCORTICOSTERONE 21.64

82634 DEOXYCORTISOL TC 20.46

82634 DEOXYCORTISOL 20.46

82638 ASSAY OF DIBUCAINE NUMBER TC 8.56

82638 ASSAY OF DIBUCAINE NUMBER 8.56

82652 VIT D 1 25-DIHYDROXY TC 26.89

82652 VIT D 1 25-DIHYDROXY 26.89

82656 PANCREATIC ELASTASE FECAL TC 8.07

82656 PANCREATIC ELASTASE FECAL 8.07

82657 ENZYME CELL ACTIVITY TC 12.62

82657 ENZYME CELL ACTIVITY 12.62

82658 ENZYME CELL ACTIVITY RA TC 12.62

82658 ENZYME CELL ACTIVITY RA 12.62

82664 ELECTROPHORETIC TEST TC 24.00

82664 ELECTROPHORETIC TEST 24.00

82668 ASSAY OF ERYTHROPOIETIN TC 13.14

82668 ASSAY OF ERYTHROPOIETIN 13.14

82670 ASSAY OF ESTRADIOL TC 19.53

82670 ASSAY OF ESTRADIOL 19.53

82671 ASSAY OF ESTROGENS TC 22.57

82671 ASSAY OF ESTROGENS 22.57

82672 ASSAY OF ESTROGEN TC 15.15

82672 ASSAY OF ESTROGEN 15.15

82677 ASSAY OF ESTRIOL TC 16.90

10/55


82677 ASSAY OF ESTRIOL 16.90

82679 ASSAY OF ESTRONE TC 17.45

82679 ASSAY OF ESTRONE 17.45

82693 ASSAY OF ETHYLENE GLYCOL TC 10.41

82693 ASSAY OF ETHYLENE GLYCOL 10.41

82696 ASSAY OF ETIOCHOLANOLONE TC 16.48

82696 ASSAY OF ETIOCHOLANOLONE 16.48

82705 FATS/LIPIDS FECES QUAL TC 3.56

82705 FATS/LIPIDS FECES QUAL 3.56

82710 FATS/LIPIDS FECES QUANT TC 11.74

82710 FATS/LIPIDS FECES QUANT 11.74

82715 ASSAY OF FECAL FAT TC 12.03

82715 ASSAY OF FECAL FAT 12.03

82725 ASSAY OF BLOOD FATTY ACIDS TC 9.31

82725 ASSAY OF BLOOD FATTY ACIDS 9.31

82726 LONG CHAIN FATTY ACIDS TC 12.62

82726 LONG CHAIN FATTY ACIDS 12.62

82728 ASSAY OF FERRITIN TC 9.52

82728 ASSAY OF FERRITIN 9.52

82731 ASSAY OF FETAL FIBRONECTIN TC 25.96

82731 ASSAY OF FETAL FIBRONECTIN 25.96

82735 ASSAY OF FLUORIDE TC 12.96

82735 ASSAY OF FLUORIDE 12.96

82746 ASSAY OF FOLIC ACID SERUM TC 10.28

82746 ASSAY OF FOLIC ACID SERUM 10.28

82747 ASSAY OF FOLIC ACID RBC TC 12.11

82747 ASSAY OF FOLIC ACID RBC 12.11

82759 ASSAY OF RBC GALACTOKINASE TC 15.01

82759 ASSAY OF RBC GALACTOKINASE 15.01

82760 ASSAY OF GALACTOSE TC 7.83

82760 ASSAY OF GALACTOSE 7.83

82775 ASSAY GALACTOSE TRANSFERASE TC 14.72

82775 ASSAY GALACTOSE TRANSFERASE 14.72

82776 GALACTOSE TRANSFERASE TEST TC 5.86

82776 GALACTOSE TRANSFERASE TEST 5.86

82784 ASSAY IGA/IGD/IGG/IGM EACH TC 4.68

82784 ASSAY IGA/IGD/IGG/IGM EACH 4.68

82785 ASSAY OF IGE TC 11.51

82785 ASSAY OF IGE 11.51

82787 IGG 1 2 3 OR 4 EACH TC 5.60

82787 IGG 1 2 3 OR 4 EACH 5.60

82800 BLOOD PH TC 5.92

82800 BLOOD PH 5.92

82803 BLOOD GASES ANY COMBINATION TC 13.53

82803 BLOOD GASES ANY COMBINATION 13.53

11/55


82805 BLOOD GASES W/O2 SATURATION TC 19.83

82805 BLOOD GASES W/O2 SATURATION 19.83

82810 BLOOD GASES O2 SAT ONLY TC 6.10

82810 BLOOD GASES O2 SAT ONLY 6.10

82820 HEMOGLOBIN-OXYGEN AFFINITY TC 6.63

82820 HEMOGLOBIN-OXYGEN AFFINITY 6.63

82930 GASTRIC ANALY W/PH EA SPEC GASTR 3.74

82938 GASTRIN TEST TC 12.36

82938 GASTRIN TEST 12.36

82941 ASSAY OF GASTRIN TC 12.32

82941 ASSAY OF GASTRIN 12.32

82943 ASSAY OF GLUCAGON TC 9.99

82943 ASSAY OF GLUCAGON 9.99

82945 GLUCOSE OTHER FLUID TC 2.75

82945 GLUCOSE OTHER FLUID 2.75

82946 GLUCAGON TOLERANCE TEST TC 10.53

82946 GLUCAGON TOLERANCE TEST 10.53

82947 ASSAY GLUCOSE BLOOD QUANT TC 2.75

82947 ASSAY GLUCOSE BLOOD QUANT 2.75

82948 REAGENT STRIP/BLOOD GLUCOSE TC 2.22

82948 REAGENT STRIP/BLOOD GLUCOSE 2.22

82950 GLUCOSE TEST TC 3.32

82950 GLUCOSE TEST 3.32

82951 GLUCOSE TOLERANCE TEST (GTT) TC 7.29

82951 GLUCOSE TOLERANCE TEST (GTT) 7.29

82952 GTT-ADDED SAMPLES TC 2.75

82952 GTT-ADDED SAMPLES 2.75

82955 ASSAY OF G6PD ENZYME TC 6.78

82955 ASSAY OF G6PD ENZYME 6.78

82960 TEST FOR G6PD ENZYME TC 4.24

82960 TEST FOR G6PD ENZYME 4.24

82962 GLUCOSE BLOOD TEST TC 1.27

82962 GLUCOSE BLOOD TEST 1.27

82963 ASSAY OF GLUCOSIDASE TC 15.01

82963 ASSAY OF GLUCOSIDASE 15.01

82965 ASSAY OF GDH ENZYME TC 5.41

82965 ASSAY OF GDH ENZYME 5.41

82977 ASSAY OF GGT TC 5.04

82977 ASSAY OF GGT 5.04

82978 ASSAY OF GLUTATHIONE TC 9.96

82978 ASSAY OF GLUTATHIONE 9.96

82979 ASSAY RBC GLUTATHIONE TC 4.81

82979 ASSAY RBC GLUTATHIONE 4.81

82985 ASSAY OF GLYCATED PROTEIN TC 10.53

82985 ASSAY OF GLYCATED PROTEIN 10.53

12/55


83001 ASSAY OF GONADOTROPIN (FSH) TC 12.99

83001 ASSAY OF GONADOTROPIN (FSH) 12.99

83002 ASSAY OF GONADOTROPIN (LH) TC 12.94

83002 ASSAY OF GONADOTROPIN (LH) 12.94

83003 ASSAY GROWTH HORMONE (HGH) TC 11.65

83003 ASSAY GROWTH HORMONE (HGH) 11.65

83009 H PYLORI (C-13) BLOOD TC 47.06

83009 H PYLORI (C-13) BLOOD 47.06

83010 ASSAY OF HAPTOGLOBIN QUANT TC 8.79

83010 ASSAY OF HAPTOGLOBIN QUANT 8.79

83012 ASSAY OF HAPTOGLOBINS TC 12.02

83012 ASSAY OF HAPTOGLOBINS 12.02

83013 H PYLORI (C-13) BREATH TC 47.06

83013 H PYLORI (C-13) BREATH 47.06

83014 H PYLORI DRUG ADMIN TC 5.49

83014 H PYLORI DRUG ADMIN 5.49

83015 HEAVY METAL SCREEN TC 13.16

83015 HEAVY METAL SCREEN 13.16

83018 QUANTITATIVE SCREEN METALS TC 15.35

83018 QUANTITATIVE SCREEN METALS 15.35

83020 HEMOGLOBIN ELECTROPHORESIS TC 4.23

83020 HEMOGLOBIN ELECTROPHORESIS 26 4.77

83020 HEMOGLOBIN ELECTROPHORESIS 9.00

83021 HEMOGLOBIN CHROMOTOGRAPHY TC 12.62

83021 HEMOGLOBIN CHROMOTOGRAPHY 12.62

83026 HEMOGLOBIN COPPER SULFATE TC 1.65

83026 HEMOGLOBIN COPPER SULFATE 1.65

83030 FETAL HEMOGLOBIN CHEMICAL TC 5.79

83030 FETAL HEMOGLOBIN CHEMICAL 5.79

83033 FETAL HEMOGLOBIN ASSAY QUAL TC 4.17

83033 FETAL HEMOGLOBIN ASSAY QUAL 4.17

83036 GLYCOSYLATED HEMOGLOBIN TEST TC 6.79

83036 GLYCOSYLATED HEMOGLOBIN TEST 6.79

83045 BLOOD METHEMOGLOBIN TEST TC 3.47

83045 BLOOD METHEMOGLOBIN TEST 3.47

83050 BLOOD METHEMOGLOBIN ASSAY TC 5.12

83050 BLOOD METHEMOGLOBIN ASSAY 5.12

83051 ASSAY OF PLASMA HEMOGLOBIN TC 5.11

83051 ASSAY OF PLASMA HEMOGLOBIN 5.11

83060 BLOOD SULFHEMOGLOBIN ASSAY TC 5.79

83060 BLOOD SULFHEMOGLOBIN ASSAY 5.79

83065 ASSAY OF HEMOGLOBIN HEAT TC 4.81

83065 ASSAY OF HEMOGLOBIN HEAT 4.81

83068 HEMOGLOBIN STABILITY SCREEN TC 5.92

83068 HEMOGLOBIN STABILITY SCREEN 5.92

13/55


83069 ASSAY OF URINE HEMOGLOBIN TC 2.76

83069 ASSAY OF URINE HEMOGLOBIN 2.76

83070 ASSAY OF HEMOSIDERIN QUAL TC 3.32

83070 ASSAY OF HEMOSIDERIN QUAL 3.32

83080 ASSAY OF B HEXOSAMINIDASE TC 11.79

83080 ASSAY OF B HEXOSAMINIDASE 11.79

83088 ASSAY OF HISTAMINE TC 20.63

83088 ASSAY OF HISTAMINE 20.63

83090 ASSAY OF HOMOCYSTINE TC 11.79

83090 ASSAY OF HOMOCYSTINE 11.79

83150 ASSAY OF HOMOVANILLIC ACID TC 13.53

83150 ASSAY OF HOMOVANILLIC ACID 13.53

83491 ASSAY OF CORTICOSTEROIDS 17 TC 12.24

83491 ASSAY OF CORTICOSTEROIDS 17 12.24

83497 ASSAY OF 5-HIAA TC 9.01

83497 ASSAY OF 5-HIAA 9.01

83498 ASSAY OF PROGESTERONE 17-D TC 18.98

83498 ASSAY OF PROGESTERONE 17-D 18.98

83499 ASSAY OF PROGESTERONE 20- TC 17.62

83499 ASSAY OF PROGESTERONE 20- 17.62

83500 ASSAY FREE HYDROXYPROLINE TC 15.83

83500 ASSAY FREE HYDROXYPROLINE 15.83

83505 ASSAY TOTAL HYDROXYPROLINE TC 16.98

83505 ASSAY TOTAL HYDROXYPROLINE 16.98

83516 IMMUNOASSAY NONANTIBODY TC 8.07

83516 IMMUNOASSAY NONANTIBODY 8.07

83518 IMMUNOASSAY DIPSTICK TC 5.93

83518 IMMUNOASSAY DIPSTICK 5.93

83519 RIA NONANTIBODY TC 9.44

83519 RIA NONANTIBODY 9.44

83520 IMMUNOASSAY QUANT NOS NONAB TC 9.05

83520 IMMUNOASSAY QUANT NOS NONAB 9.05

83525 ASSAY OF INSULIN TC 7.99

83525 ASSAY OF INSULIN 7.99

83527 ASSAY OF INSULIN TC 9.05

83527 ASSAY OF INSULIN 9.05

83528 ASSAY OF INTRINSIC FACTOR TC 11.11

83528 ASSAY OF INTRINSIC FACTOR 11.11

83540 ASSAY OF IRON TC 3.99

83540 ASSAY OF IRON 3.99

83550 IRON BINDING TEST TC 4.89

83550 IRON BINDING TEST 4.89

83570 ASSAY OF IDH ENZYME TC 6.18

83570 ASSAY OF IDH ENZYME 6.18

83582 ASSAY OF KETOGENIC STEROIDS TC 9.90

14/55


83582 ASSAY OF KETOGENIC STEROIDS 9.90

83586 ASSAY 17- KETOSTEROIDS TC 8.95

83586 ASSAY 17- KETOSTEROIDS 8.95

83593 FRACTIONATION KETOSTEROIDS TC 18.38

83593 FRACTIONATION KETOSTEROIDS 18.38

83605 ASSAY OF LACTIC ACID TC 7.47

83605 ASSAY OF LACTIC ACID 7.47

83615 LACTATE (LD) (LDH) ENZYME TC 4.22

83615 LACTATE (LD) (LDH) ENZYME 4.22

83625 ASSAY OF LDH ENZYMES TC 8.94

83625 ASSAY OF LDH ENZYMES 8.94

83630 LACTOFERRIN FECAL (QUAL) TC 8.07

83630 LACTOFERRIN FECAL (QUAL) 8.07

83631 LACTOFERRIN FECAL (QUANT) TC 13.71

83631 LACTOFERRIN FECAL (QUANT) 13.71

83632 PLACENTAL LACTOGEN TC 14.12

83632 PLACENTAL LACTOGEN 14.12

83633 TEST URINE FOR LACTOSE TC 3.85

83633 TEST URINE FOR LACTOSE 3.85

83655 ASSAY OF LEAD TC 8.46

83655 ASSAY OF LEAD 8.46

83661 L/S RATIO FETAL LUNG TC 15.36

83661 L/S RATIO FETAL LUNG 15.36

83662 FOAM STABILITY FETAL LUNG TC 13.22

83662 FOAM STABILITY FETAL LUNG 13.22

83663 FLUORO POLARIZE FETAL LUNG TC 13.22

83663 FLUORO POLARIZE FETAL LUNG 13.22

83664 LAMELLAR BDY FETAL LUNG TC 13.22

83664 LAMELLAR BDY FETAL LUNG 13.22

83670 ASSAY OF LAP ENZYME TC 6.41

83670 ASSAY OF LAP ENZYME 6.41

83690 ASSAY OF LIPASE TC 4.81

83690 ASSAY OF LIPASE 4.81

83695 ASSAY OF LIPOPROTEIN(A) TC 9.05

83695 ASSAY OF LIPOPROTEIN(A) 9.05

83698 ASSAY LIPOPROTEIN PLA2 TC 23.72

83698 ASSAY LIPOPROTEIN PLA2 23.72

83700 LIPOPRO BLD ELECTROPHORETIC TC 7.86

83700 LIPOPRO BLD ELECTROPHORETIC 7.86

83701 LIPOPROTEIN BLD HR FRACTION TC 17.34

83701 LIPOPROTEIN BLD HR FRACTION 17.34

83704 LIPOPROTEIN BLD BY NMR TC 22.04

83704 LIPOPROTEIN BLD BY NMR 22.04

83718 ASSAY OF LIPOPROTEIN TC 5.72

83718 ASSAY OF LIPOPROTEIN 5.72

15/55


83719 ASSAY OF BLOOD LIPOPROTEIN TC 8.14

83719 ASSAY OF BLOOD LIPOPROTEIN 8.14

83721 ASSAY OF BLOOD LIPOPROTEIN TC 6.67

83721 ASSAY OF BLOOD LIPOPROTEIN 6.67

83727 ASSAY OF LRH HORMONE TC 12.02

83727 ASSAY OF LRH HORMONE 12.02

83735 ASSAY OF MAGNESIUM TC 4.68

83735 ASSAY OF MAGNESIUM 4.68

83775 ASSAY MALATE DEHYDROGENASE TC 5.16

83775 ASSAY MALATE DEHYDROGENASE 5.16

83785 ASSAY OF MANGANESE TC 17.19

83785 ASSAY OF MANGANESE 17.19

83788 MASS SPECTROMETRY QUAL TC 12.62

83788 MASS SPECTROMETRY QUAL 12.62

83789 MASS SPECTROMETRY QUANT TC 12.62

83789 MASS SPECTROMETRY QUANT 12.62

83825 ASSAY OF MERCURY TC 11.36

83825 ASSAY OF MERCURY 11.36

83835 ASSAY OF METANEPHRINES TC 11.84

83835 ASSAY OF METANEPHRINES 11.84

83857 ASSAY OF METHEMALBUMIN TC 7.51

83857 ASSAY OF METHEMALBUMIN 7.51

83861 MICROFLUID ANALY TEARS MICRO 11.78

83864 MUCOPOLYSACCHARIDES TC 13.91

83864 MUCOPOLYSACCHARIDES 13.91

83872 ASSAY SYNOVIAL FLUID MUCIN TC 4.10

83872 ASSAY SYNOVIAL FLUID MUCIN 4.10

83873 ASSAY OF CSF PROTEIN TC 12.03

83873 ASSAY OF CSF PROTEIN 12.03

83874 ASSAY OF MYOGLOBIN TC 9.03

83874 ASSAY OF MYOGLOBIN 9.03

83876 ASSAY MYELOPEROXIDASE 9.45

83880 ASSAY OF NATRIURETIC PEPTIDE TC 23.72

83880 ASSAY OF NATRIURETIC PEPTIDE 23.72

83883 ASSAY NEPHELOMETRY NOT SPEC TC 9.50

83883 ASSAY NEPHELOMETRY NOT SPEC 9.50

83885 ASSAY OF NICKEL TC 17.12

83885 ASSAY OF NICKEL 17.12

83915 ASSAY OF NUCLEOTIDASE TC 7.79

83915 ASSAY OF NUCLEOTIDASE 7.79

83916 OLIGOCLONAL BANDS TC 14.05

83916 OLIGOCLONAL BANDS 14.05

83918 ORGANIC ACIDS TOTAL QUANT TC 11.50

83918 ORGANIC ACIDS TOTAL QUANT 11.50

83919 ORGANIC ACIDS QUAL EACH TC 11.50

16/55


83919 ORGANIC ACIDS QUAL EACH 11.50

83921 ORGANIC ACID SINGLE QUANT TC 11.50

83921 ORGANIC ACID SINGLE QUANT 11.50

83930 ASSAY OF BLOOD OSMOLALITY TC 4.62

83930 ASSAY OF BLOOD OSMOLALITY 4.62

83935 ASSAY OF URINE OSMOLALITY TC 4.77

83935 ASSAY OF URINE OSMOLALITY 4.77

83937 ASSAY OF OSTEOCALCIN TC 20.86

83937 ASSAY OF OSTEOCALCIN 20.86

83945 ASSAY OF OXALATE TC 9.00

83945 ASSAY OF OXALATE 9.00

83950 ONCOPROTEIN HER-2/NEU TC 25.96

83950 ONCOPROTEIN HER-2/NEU 25.96

83951 ONCOPROTEIN DCP 27.12

83970 ASSAY OF PARATHORMONE TC 28.84

83970 ASSAY OF PARATHORMONE 28.84

83986 ASSAY PH BODY FLUID NOS TC 2.50

83986 ASSAY PH BODY FLUID NOS 2.50

83987 EXHALED BREATH CONDENSATE 11.37

83992 ASSAY FOR PHENCYCLIDINE TC 8.91

83992 ASSAY FOR PHENCYCLIDINE 8.91

83993 Assay for calprotectin fecal 13.71

84030 ASSAY OF BLOOD PKU TC 3.85

84030 ASSAY OF BLOOD PKU 3.85

84035 ASSAY OF PHENYLKETONES TC 2.56

84035 ASSAY OF PHENYLKETONES 2.56

84060 ASSAY ACID PHOSPHATASE TC 5.16

84060 ASSAY ACID PHOSPHATASE 5.16

84061 PHOSPHATASE FORENSIC EXAM TC 5.54

84061 PHOSPHATASE FORENSIC EXAM 5.54

84066 ASSAY PROSTATE PHOSPHATASE TC 6.75

84066 ASSAY PROSTATE PHOSPHATASE 6.75

84075 ASSAY ALKALINE PHOSPHATASE TC 3.62

84075 ASSAY ALKALINE PHOSPHATASE 3.62

84078 ASSAY ALKALINE PHOSPHATASE TC 4.68

84078 ASSAY ALKALINE PHOSPHATASE 4.68

84080 ASSAY ALKALINE PHOSPHATASES TC 10.33

84080 ASSAY ALKALINE PHOSPHATASES 10.33

84081 ASSAY PHOSPHATIDYLGLYCEROL TC 11.55

84081 ASSAY PHOSPHATIDYLGLYCEROL 11.55

84085 ASSAY OF RBC PG6D ENZYME TC 4.72

84085 ASSAY OF RBC PG6D ENZYME 4.72

84087 ASSAY PHOSPHOHEXOSE ENZYMES TC 7.22

84087 ASSAY PHOSPHOHEXOSE ENZYMES 7.22

84100 ASSAY OF PHOSPHORUS TC 3.32

17/55


84100 ASSAY OF PHOSPHORUS 3.32

84105 ASSAY OF URINE PHOSPHORUS TC 3.62

84105 ASSAY OF URINE PHOSPHORUS 3.62

84106 TEST FOR PORPHOBILINOGEN TC 3.00

84106 TEST FOR PORPHOBILINOGEN 3.00

84110 ASSAY OF PORPHOBILINOGEN TC 5.91

84110 ASSAY OF PORPHOBILINOGEN 5.91

84112 EVAL AMNIOTIC FLUID PROTEIN 52.28

84119 TEST URINE FOR PORPHYRINS TC 6.02

84119 TEST URINE FOR PORPHYRINS 6.02

84120 ASSAY OF URINE PORPHYRINS TC 10.28

84120 ASSAY OF URINE PORPHYRINS 10.28

84126 ASSAY OF FECES PORPHYRINS TC 17.80

84126 ASSAY OF FECES PORPHYRINS 17.80

84132 ASSAY OF SERUM POTASSIUM TC 3.22

84132 ASSAY OF SERUM POTASSIUM 3.22

84133 ASSAY OF URINE POTASSIUM TC 3.01

84133 ASSAY OF URINE POTASSIUM 3.01

84134 ASSAY OF PREALBUMIN TC 10.19

84134 ASSAY OF PREALBUMIN 10.19

84135 ASSAY OF PREGNANEDIOL TC 13.37

84135 ASSAY OF PREGNANEDIOL 13.37

84138 ASSAY OF PREGNANETRIOL TC 13.23

84138 ASSAY OF PREGNANETRIOL 13.23

84140 ASSAY OF PREGNENOLONE TC 14.45

84140 ASSAY OF PREGNENOLONE 14.45

84143 ASSAY OF 17-HYDROXYPREGNENO TC 15.95

84143 ASSAY OF 17-HYDROXYPREGNENO 15.95

84144 ASSAY OF PROGESTERONE TC 14.58

84144 ASSAY OF PROGESTERONE 14.58

84145 PROCALCITONIN (PCT) 13.88

84146 ASSAY OF PROLACTIN TC 13.54

84146 ASSAY OF PROLACTIN 13.54

84150 ASSAY OF PROSTAGLANDIN TC 17.45

84150 ASSAY OF PROSTAGLANDIN 17.45

84152 ASSAY OF PSA COMPLEXED TC 12.86

84152 ASSAY OF PSA COMPLEXED 12.86

84153 ASSAY OF PSA TOTAL TC 12.86

84153 ASSAY OF PSA TOTAL 12.86

84154 ASSAY OF PSA FREE TC 12.86

84154 ASSAY OF PSA FREE 12.86

84155 ASSAY OF PROTEIN SERUM TC 2.56

84155 ASSAY OF PROTEIN SERUM 2.56

84156 ASSAY OF PROTEIN URINE TC 2.56

84156 ASSAY OF PROTEIN URINE 2.56

18/55


84157 ASSAY OF PROTEIN OTHER TC 2.56

84157 ASSAY OF PROTEIN OTHER 2.56

84160 ASSAY OF PROTEIN ANY SOURCE TC 3.62

84160 ASSAY OF PROTEIN ANY SOURCE 3.62

84163 PAPPA SERUM TC 9.82

84163 PAPPA SERUM 9.82

84165 PROTEIN E-PHORESIS SERUM TC 3.27

84165 PROTEIN E-PHORESIS SERUM 26 4.24

84165 PROTEIN E-PHORESIS SERUM 7.51

84166 PROTEIN E-PHORESIS/URINE/CSF TC 6.97

84166 PROTEIN E-PHORESIS/URINE/CSF 26 5.50

84166 PROTEIN E-PHORESIS/URINE/CSF 12.47

84181 WESTERN BLOT TEST TC 6.52

84181 WESTERN BLOT TEST 26 5.38

84181 WESTERN BLOT TEST 11.90

84182 PROTEIN WESTERN BLOT TEST TC 6.86

84182 PROTEIN WESTERN BLOT TEST 26 5.72

84182 PROTEIN WESTERN BLOT TEST 12.58

84202 ASSAY RBC PROTOPORPHYRIN TC 10.03

84202 ASSAY RBC PROTOPORPHYRIN 10.03

84203 TEST RBC PROTOPORPHYRIN TC 6.02

84203 TEST RBC PROTOPORPHYRIN 6.02

84206 ASSAY OF PROINSULIN TC 12.45

84206 ASSAY OF PROINSULIN 12.45

84207 ASSAY OF VITAMIN B-6 TC 19.63

84207 ASSAY OF VITAMIN B-6 19.63

84210 ASSAY OF PYRUVATE TC 7.59

84210 ASSAY OF PYRUVATE 7.59

84220 ASSAY OF PYRUVATE KINASE TC 6.60

84220 ASSAY OF PYRUVATE KINASE 6.60

84228 ASSAY OF QUININE TC 8.14

84228 ASSAY OF QUININE 8.14

84233 ASSAY OF ESTROGEN TC 25.96

84233 ASSAY OF ESTROGEN 25.96

84234 ASSAY OF PROGESTERONE TC 21.89

84234 ASSAY OF PROGESTERONE 21.89

84235 ASSAY OF ENDOCRINE HORMONE TC 36.57

84235 ASSAY OF ENDOCRINE HORMONE 36.57

84238 ASSAY NONENDOCRINE RECEPTOR TC 25.55

84238 ASSAY NONENDOCRINE RECEPTOR 25.55

84244 ASSAY OF RENIN TC 15.37

84244 ASSAY OF RENIN 15.37



84255 ASSAY OF SELENIUM TC 17.84

19/55


84255 ASSAY OF SELENIUM 17.84

84260 ASSAY OF SEROTONIN TC 21.64

84260 ASSAY OF SEROTONIN 21.64

84270 ASSAY OF SEX HORMONE GLOBUL TC 15.19

84270 ASSAY OF SEX HORMONE GLOBUL 15.19

84275 ASSAY OF SIALIC ACID TC 9.39

84275 ASSAY OF SIALIC ACID 9.39

84285 ASSAY OF SILICA TC 16.46

84285 ASSAY OF SILICA 16.46

84295 ASSAY OF SERUM SODIUM TC 3.36

84295 ASSAY OF SERUM SODIUM 3.36

84300 ASSAY OF URINE SODIUM TC 3.40

84300 ASSAY OF URINE SODIUM 3.40

84302 ASSAY OF SWEAT SODIUM TC 3.40

84302 ASSAY OF SWEAT SODIUM 3.40

84305 ASSAY OF SOMATOMEDIN TC 14.86

84305 ASSAY OF SOMATOMEDIN 14.86

84307 ASSAY OF SOMATOSTATIN TC 12.78

84307 ASSAY OF SOMATOSTATIN 12.78

84311 SPECTROPHOTOMETRY TC 4.89

84311 SPECTROPHOTOMETRY 4.89

84315 BODY FLUID SPECIFIC GRAVITY TC 1.75

84315 BODY FLUID SPECIFIC GRAVITY 1.75

84375 CHROMATOGRAM ASSAY SUGARS TC 13.70

84375 CHROMATOGRAM ASSAY SUGARS 13.70

84376 SUGARS SINGLE QUAL TC 3.85

84376 SUGARS SINGLE QUAL 3.85

84377 SUGARS MULTIPLE QUAL TC 3.85

84377 SUGARS MULTIPLE QUAL 3.85

84378 SUGARS SINGLE QUANT TC 8.06

84378 SUGARS SINGLE QUANT 8.06

84379 SUGARS MULTIPLE QUANT TC 8.06

84379 SUGARS MULTIPLE QUANT 8.06

84392 ASSAY OF URINE SULFATE TC 3.32

84392 ASSAY OF URINE SULFATE 3.32

84402 ASSAY OF FREE TESTOSTERONE TC 17.79

84402 ASSAY OF FREE TESTOSTERONE 17.79

84403 ASSAY OF TOTAL TESTOSTERONE TC 18.05

84403 ASSAY OF TOTAL TESTOSTERONE 18.05



84430 ASSAY OF THIOCYANATE TC 8.14

84430 ASSAY OF THIOCYANATE 8.14

84431 THROMBOXANE URINE 9.27

84432 ASSAY OF THYROGLOBULIN TC 11.23

20/55


84432 ASSAY OF THYROGLOBULIN 11.23

84436 ASSAY OF TOTAL THYROXINE TC 4.81

84436 ASSAY OF TOTAL THYROXINE 4.81

84437 ASSAY OF NEONATAL THYROXINE TC 4.52

84437 ASSAY OF NEONATAL THYROXINE 4.52

84439 ASSAY OF FREE THYROXINE TC 6.31

84439 ASSAY OF FREE THYROXINE 6.31

84442 ASSAY OF THYROID ACTIVITY TC 10.33

84442 ASSAY OF THYROID ACTIVITY 10.33

84443 ASSAY THYROID STIM HORMONE TC 11.74

84443 ASSAY THYROID STIM HORMONE 11.74

84445 ASSAY OF TSI GLOBULIN TC 35.53

84445 ASSAY OF TSI GLOBULIN 35.53

84446 ASSAY OF VITAMIN E TC 9.91

84446 ASSAY OF VITAMIN E 9.91

84449 ASSAY OF TRANSCORTIN TC 12.58

84449 ASSAY OF TRANSCORTIN 12.58

84450 TRANSFERASE (AST) (SGOT) TC 3.61

84450 TRANSFERASE (AST) (SGOT) 3.61

84460 ALANINE AMINO (ALT) (SGPT) TC 3.71

84460 ALANINE AMINO (ALT) (SGPT) 3.71

84466 ASSAY OF TRANSFERRIN TC 8.93

84466 ASSAY OF TRANSFERRIN 8.93

84478 ASSAY OF TRIGLYCERIDES TC 4.02

84478 ASSAY OF TRIGLYCERIDES 4.02

84479 ASSAY OF THYROID (T3 OR T4) TC 4.52

84479 ASSAY OF THYROID (T3 OR T4) 4.52

84480 ASSAY TRIIODOTHYRONINE (T3) TC 9.91

84480 ASSAY TRIIODOTHYRONINE (T3) 9.91

84481 FREE ASSAY (FT-3) TC 11.84

84481 FREE ASSAY (FT-3) 11.84

84482 T3 REVERSE TC 11.02

84482 T3 REVERSE 11.02

84484 ASSAY OF TROPONIN QUANT TC 6.88

84484 ASSAY OF TROPONIN QUANT 6.88

84485 ASSAY DUODENAL FLUID TRYPSIN TC 5.25

84485 ASSAY DUODENAL FLUID TRYPSIN 5.25

84488 TEST FECES FOR TRYPSIN TC 5.10

84488 TEST FECES FOR TRYPSIN 5.10

84490 ASSAY OF FECES FOR TRYPSIN TC 5.32

84490 ASSAY OF FECES FOR TRYPSIN 5.32

84510 ASSAY OF TYROSINE TC 7.27

84510 ASSAY OF TYROSINE 7.27

84512 ASSAY OF TROPONIN QUAL TC 5.39

84512 ASSAY OF TROPONIN QUAL 5.39

21/55


84520 ASSAY OF UREA NITROGEN TC 2.76

84520 ASSAY OF UREA NITROGEN 2.76

84525 UREA NITROGEN SEMI-QUANT TC 2.63

84525 UREA NITROGEN SEMI-QUANT 2.63

84540 ASSAY OF URINE/UREA-N TC 3.32

84540 ASSAY OF URINE/UREA-N 3.32

84545 UREA-N CLEARANCE TEST TC 4.62

84545 UREA-N CLEARANCE TEST 4.62

84550 ASSAY OF BLOOD/URIC ACID TC 3.16

84550 ASSAY OF BLOOD/URIC ACID 3.16

84560 ASSAY OF URINE/URIC ACID TC 3.32

84560 ASSAY OF URINE/URIC ACID 3.32

84577 ASSAY OF FECES/UROBILINOGEN TC 8.72

84577 ASSAY OF FECES/UROBILINOGEN 8.72

84578 TEST URINE UROBILINOGEN TC 2.27

84578 TEST URINE UROBILINOGEN 2.27

84580 ASSAY OF URINE UROBILINOGEN TC 4.97

84580 ASSAY OF URINE UROBILINOGEN 4.97

84583 ASSAY OF URINE UROBILINOGEN TC 3.51

84583 ASSAY OF URINE UROBILINOGEN 3.51

84585 ASSAY OF URINE VMA TC 10.83

84585 ASSAY OF URINE VMA 10.83

84586 ASSAY OF VIP TC 24.69

84586 ASSAY OF VIP 24.69

84588 ASSAY OF VASOPRESSIN TC 23.72

84588 ASSAY OF VASOPRESSIN 23.72

84590 ASSAY OF VITAMIN A TC 8.11

84590 ASSAY OF VITAMIN A 8.11

84591 ASSAY OF NOS VITAMIN TC 8.11

84591 ASSAY OF NOS VITAMIN 8.11

84597 ASSAY OF VITAMIN K TC 9.58

84597 ASSAY OF VITAMIN K 9.58

84600 ASSAY OF VOLATILES TC 11.23

84600 ASSAY OF VOLATILES 11.23

84620 XYLOSE TOLERANCE TEST TC 8.28

84620 XYLOSE TOLERANCE TEST 8.28

84630 ASSAY OF ZINC TC 7.96

84630 ASSAY OF ZINC 7.96

84681 ASSAY OF C-PEPTIDE TC 14.54

84681 ASSAY OF C-PEPTIDE 14.54

84702 CHORIONIC GONADOTROPIN TEST TC 9.82

84702 CHORIONIC GONADOTROPIN TEST 9.82

84703 CHORIONIC GONADOTROPIN ASSAY TC 5.25

84703 CHORIONIC GONADOTROPIN ASSAY 5.25

84704 HCG FREE BETACHAIN TEST 9.81

22/55


84830 OVULATION TESTS TC 7.02

84830 OVULATION TESTS 7.02

85002 BLEEDING TIME TEST TC 3.15

85002 BLEEDING TIME TEST 3.15

85004 AUTOMATED DIFF WBC COUNT TC 4.52

85004 AUTOMATED DIFF WBC COUNT 4.52

85007 BL SMEAR W/DIFF WBC COUNT TC 2.41

85007 BL SMEAR W/DIFF WBC COUNT 2.41

85008 BL SMEAR W/O DIFF WBC COUNT TC 2.41

85008 BL SMEAR W/O DIFF WBC COUNT 2.41

85009 MANUAL DIFF WBC COUNT B-COAT TC 2.60

85009 MANUAL DIFF WBC COUNT B-COAT 2.60

85013 SPUN MICROHEMATOCRIT TC 1.66

85013 SPUN MICROHEMATOCRIT 1.66

85014 HEMATOCRIT TC 1.66

85014 HEMATOCRIT 1.66

85018 HEMOGLOBIN TC 1.66

85018 HEMOGLOBIN 1.66

85025 COMPLETE CBC W/AUTO DIFF WBC TC 5.43

85025 COMPLETE CBC W/AUTO DIFF WBC 5.43

85027 COMPLETE CBC AUTOMATED TC 4.52

85027 COMPLETE CBC AUTOMATED 4.52

85032 MANUAL CELL COUNT EACH TC 3.01

85032 MANUAL CELL COUNT EACH 3.01

85041 AUTOMATED RBC COUNT TC 2.10

85041 AUTOMATED RBC COUNT 2.10

85044 MANUAL RETICULOCYTE COUNT TC 3.01

85044 MANUAL RETICULOCYTE COUNT 3.01

85045 AUTOMATED RETICULOCYTE COUNT TC 2.80

85045 AUTOMATED RETICULOCYTE COUNT 2.80

85046 RETICYTE/HGB CONCENTRATE TC 3.91

85046 RETICYTE/HGB CONCENTRATE 3.91

85048 AUTOMATED LEUKOCYTE COUNT TC 1.78

85048 AUTOMATED LEUKOCYTE COUNT 1.78

85049 AUTOMATED PLATELET COUNT TC 3.13

85049 AUTOMATED PLATELET COUNT 3.13

85055 RETICULATED PLATELET ASSAY TC 12.65

85055 RETICULATED PLATELET ASSAY 12.65

85060 BLOOD SMEAR INTERPRETATION TC 2.39

85060 BLOOD SMEAR INTERPRETATION 26 9.57

85060 BLOOD SMEAR INTERPRETATION 11.97

85097 BONE MARROW INTERPRETATION TC 8.50

85097 BONE MARROW INTERPRETATION 26 34.02

85097 BONE MARROW INTERPRETATION 42.53

85130 CHROMOGENIC SUBSTRATE ASSAY TC 8.32

23/55


85130 CHROMOGENIC SUBSTRATE ASSAY 8.32

85170 BLOOD CLOT RETRACTION TC 2.53

85170 BLOOD CLOT RETRACTION 2.53

85175 BLOOD CLOT LYSIS TIME TC 3.18

85175 BLOOD CLOT LYSIS TIME 3.18

85210 CLOT FACTOR II PROTHROM SPEC TC 9.07

85210 CLOT FACTOR II PROTHROM SPEC 9.07

85220 BLOOC CLOT FACTOR V TEST TC 12.33

85220 BLOOC CLOT FACTOR V TEST 12.33

85230 CLOT FACTOR VII PROCONVERTIN TC 12.52

85230 CLOT FACTOR VII PROCONVERTIN 12.52

85240 CLOT FACTOR VIII AHG 1 STAGE TC 12.52

85240 CLOT FACTOR VIII AHG 1 STAGE 12.52

85244 CLOT FACTOR VIII RELTD ANTGN TC 14.27

85244 CLOT FACTOR VIII RELTD ANTGN 14.27

85245 CLOT FACTOR VIII VW RISTOCTN TC 16.04

85245 CLOT FACTOR VIII VW RISTOCTN 16.04

85246 CLOT FACTOR VIII VW ANTIGEN TC 16.04

85246 CLOT FACTOR VIII VW ANTIGEN 16.04

85247 CLOT FACTOR VIII MULTIMETRIC TC 16.04

85247 CLOT FACTOR VIII MULTIMETRIC 16.04

85250 CLOT FACTOR IX PTC/CHRSTMAS TC 13.31

85250 CLOT FACTOR IX PTC/CHRSTMAS 13.31

85260 CLOT FACTOR X STUART-POWER TC 12.52

85260 CLOT FACTOR X STUART-POWER 12.52

85270 CLOT FACTOR XI PTA TC 12.52

85270 CLOT FACTOR XI PTA 12.52

85280 CLOT FACTOR XII HAGEMAN TC 13.53

85280 CLOT FACTOR XII HAGEMAN 13.53

85290 CLOT FACTOR XIII FIBRIN STAB TC 11.42

85290 CLOT FACTOR XIII FIBRIN STAB 11.42

85291 CLOT FACTOR XIII FIBRIN SCRN TC 6.22

85291 CLOT FACTOR XIII FIBRIN SCRN 6.22

85292 CLOT FACTOR FLETCHER FACT TC 13.23

85292 CLOT FACTOR FLETCHER FACT 13.23

85293 CLOT FACTOR WGHT KININOGEN TC 13.23

85293 CLOT FACTOR WGHT KININOGEN 13.23

85300 ANTITHROMBIN III ACTIVITY TC 8.28

85300 ANTITHROMBIN III ACTIVITY 8.28

85301 ANTITHROMBIN III ANTIGEN TC 7.56

85301 ANTITHROMBIN III ANTIGEN 7.56

85302 CLOT INHIBIT PROT C ANTIGEN TC 8.40

85302 CLOT INHIBIT PROT C ANTIGEN 8.40

85303 CLOT INHIBIT PROT C ACTIVITY TC 9.66

85303 CLOT INHIBIT PROT C ACTIVITY 9.66

24/55


85305 CLOT INHIBIT PROT S TOTAL TC 8.11

85305 CLOT INHIBIT PROT S TOTAL 8.11

85306 CLOT INHIBIT PROT S FREE TC 10.71

85306 CLOT INHIBIT PROT S FREE 10.71

85307 ASSAY ACTIVATED PROTEIN C TC 10.71

85307 ASSAY ACTIVATED PROTEIN C 10.71

85335 FACTOR INHIBITOR TEST TC 9.00

85335 FACTOR INHIBITOR TEST 9.00

85337 THROMBOMODULIN TC 4.95

85337 THROMBOMODULIN 4.95

85345 COAGULATION TIME LEE & WHITE TC 3.01

85345 COAGULATION TIME LEE & WHITE 3.01

85347 COAGULATION TIME ACTIVATED TC 2.98

85347 COAGULATION TIME ACTIVATED 2.98

85348 COAGULATION TIME OTR METHOD TC 2.60

85348 COAGULATION TIME OTR METHOD 2.60

85360 EUGLOBULIN LYSIS TC 5.87

85360 EUGLOBULIN LYSIS 5.87

85362 FIBRIN DEGRADATION PRODUCTS TC 3.98

85362 FIBRIN DEGRADATION PRODUCTS 3.98

85366 FIBRINOGEN TEST TC 5.86

85366 FIBRINOGEN TEST 5.86

85370 FIBRINOGEN TEST TC 7.94

85370 FIBRINOGEN TEST 7.94

85378 FIBRIN DEGRADE SEMIQUANT TC 4.99

85378 FIBRIN DEGRADE SEMIQUANT 4.99

85379 FIBRIN DEGRADATION QUANT TC 7.12

85379 FIBRIN DEGRADATION QUANT 7.12

85380 FIBRIN DEGRADJ D-DIMER 7.11

85384 FIBRINOGEN ACTIVITY TC 5.94

85384 FIBRINOGEN ACTIVITY 5.94

85385 FIBRINOGEN ANTIGEN TC 5.94

85385 FIBRINOGEN ANTIGEN 5.94

85390 FIBRINOLYSINS SCREEN I&R TC 0.98

85390 FIBRINOLYSINS SCREEN I&R 26 2.63

85390 FIBRINOLYSINS SCREEN I&R 3.61

85396 CLOTTING ASSAY WHOLE BLOOD 22.18

85397 CLOTTING FUNCT ACTIVITY 16.75

85400 FIBRINOLYTIC PLASMIN TC 6.18

85400 FIBRINOLYTIC PLASMIN 6.18

85410 FIBRINOLYTIC ANTIPLASMIN TC 5.39

85410 FIBRINOLYTIC ANTIPLASMIN 5.39

85415 FIBRINOLYTIC PLASMINOGEN TC 12.02

85415 FIBRINOLYTIC PLASMINOGEN 12.02


25/55





85441 HEINZ BODIES DIRECT TC 2.95

85441 HEINZ BODIES DIRECT 2.95

85445 HEINZ BODIES INDUCED TC 4.77

85445 HEINZ BODIES INDUCED 4.77

85460 HEMOGLOBIN FETAL TC 5.41

85460 HEMOGLOBIN FETAL 5.41

85461 HEMOGLOBIN FETAL TC 4.64

85461 HEMOGLOBIN FETAL 4.64

85475 HEMOLYSIN ACID TC 6.20

85475 HEMOLYSIN ACID 6.20

85520 HEPARIN ASSAY TC 9.15

85520 HEPARIN ASSAY 9.15

85525 HEPARIN NEUTRALIZATION TC 8.28

85525 HEPARIN NEUTRALIZATION 8.28

85530 HEPARIN-PROTAMINE TOLERANCE TC 9.91

85530 HEPARIN-PROTAMINE TOLERANCE 9.91

85536 IRON STAIN PERIPHERAL BLOOD TC 4.52

85536 IRON STAIN PERIPHERAL BLOOD 4.52

85540 WBC ALKALINE PHOSPHATASE TC 6.02

85540 WBC ALKALINE PHOSPHATASE 6.02

85547 RBC MECHANICAL FRAGILITY TC 6.02

85547 RBC MECHANICAL FRAGILITY 6.02

85549 MURAMIDASE TC 13.11

85549 MURAMIDASE 13.11

85555 RBC OSMOTIC FRAGILITY TC 4.68

85555 RBC OSMOTIC FRAGILITY 4.68

85557 RBC OSMOTIC FRAGILITY TC 9.33

85557 RBC OSMOTIC FRAGILITY 9.33

85576 BLOOD PLATELET AGGREGATION TC 8.92

85576 BLOOD PLATELET AGGREGATION 26 6.09

85576 BLOOD PLATELET AGGREGATION 15.01

85597 PHOSPHOLIPID PLTLT NEUTRALIZ TC 12.57

85597 PHOSPHOLIPID PLTLT NEUTRALIZ 12.57

85598 HEXAGNAL PHOSPH PLTLT NEUTRL PHOSP 12.64

85610 PROTHROMBIN TIME TC 2.75

85610 PROTHROMBIN TIME 2.75

85611 PROTHROMBIN TEST TC 2.76

85611 PROTHROMBIN TEST 2.76

85612 VIPER VENOM PROTHROMBIN TIME TC 6.69

85612 VIPER VENOM PROTHROMBIN TIME 6.69

85613 RUSSELL VIPER VENOM DILUTED TC 6.69

26/55


85613 RUSSELL VIPER VENOM DILUTED 6.69

85635 REPTILASE TEST TC 6.89

85635 REPTILASE TEST 6.89

85651 RBC SED RATE NONAUTOMATED TC 2.49

85651 RBC SED RATE NONAUTOMATED 2.49

85652 RBC SED RATE AUTOMATED TC 1.89

85652 RBC SED RATE AUTOMATED 1.89

85660 RBC SICKLE CELL TEST TC 3.86

85660 RBC SICKLE CELL TEST 3.86

85670 THROMBIN TIME PLASMA TC 4.04

85670 THROMBIN TIME PLASMA 4.04

85675 THROMBIN TIME TITER TC 4.79

85675 THROMBIN TIME TITER 4.79

85705 THROMBOPLASTIN INHIBITION TC 6.73

85705 THROMBOPLASTIN INHIBITION 6.73

85730 THROMBOPLASTIN TIME PARTIAL TC 4.20

85730 THROMBOPLASTIN TIME PARTIAL 4.20

85732 THROMBOPLASTIN TIME PARTIAL TC 4.52

85732 THROMBOPLASTIN TIME PARTIAL 4.52

85810 BLOOD VISCOSITY EXAMINATION TC 8.16

85810 BLOOD VISCOSITY EXAMINATION 8.16

86000 AGGLUTININS FEBRILE ANTIGEN TC 4.88

86000 AGGLUTININS FEBRILE ANTIGEN 4.88

86001 ALLERGEN SPECIFIC IGG TC 3.66

86001 ALLERGEN SPECIFIC IGG 3.66

86003 ALLERGEN SPECIFIC IGE TC 3.66

86003 ALLERGEN SPECIFIC IGE 3.66

86005 ALLERGEN SPECIFIC IGE TC 5.58

86005 ALLERGEN SPECIFIC IGE 5.58

86021 WBC ANTIBODY IDENTIFICATION TC 7.93

86021 WBC ANTIBODY IDENTIFICATION 7.93

86022 PLATELET ANTIBODIES TC 12.83

86022 PLATELET ANTIBODIES 12.83

86023 IMMUNOGLOBULIN ASSAY TC 5.54

86023 IMMUNOGLOBULIN ASSAY 5.54

86038 ANTINUCLEAR ANTIBODIES TC 8.45

86038 ANTINUCLEAR ANTIBODIES 8.45

86039 ANTINUCLEAR ANTIBODIES (ANA) TC 7.81

86039 ANTINUCLEAR ANTIBODIES (ANA) 7.81

86060 ANTISTREPTOLYSIN O TITER TC 5.10

86060 ANTISTREPTOLYSIN O TITER 5.10

86063 ANTISTREPTOLYSIN O SCREEN TC 4.04

86063 ANTISTREPTOLYSIN O SCREEN 4.04

86077 PHYS BLOOD BANK SERV XMATCH TC 4.00

86077 PHYS BLOOD BANK SERV XMATCH 26 16.00

27/55


86077 PHYS BLOOD BANK SERV XMATCH 20.00

86078 PHYS BLOOD BANK SERV REACTJ TC 4.00

86078 PHYS BLOOD BANK SERV REACTJ 26 16.00

86078 PHYS BLOOD BANK SERV REACTJ 20.00

86140 C-REACTIVE PROTEIN TC 3.62

86140 C-REACTIVE PROTEIN 3.62

86141 C-REACTIVE PROTEIN HS TC 9.05

86141 C-REACTIVE PROTEIN HS 9.05

86146 BETA-2 GLYCOPROTEIN ANTIBODY TC 17.78

86146 BETA-2 GLYCOPROTEIN ANTIBODY 17.78

86147 CARDIOLIPIN ANTIBODY EA IG TC 17.78

86147 CARDIOLIPIN ANTIBODY EA IG 17.78

86148 ANTI-PHOSPHOLIPID ANTIBODY TC 11.23

86148 ANTI-PHOSPHOLIPID ANTIBODY 11.23

86155 CHEMOTAXIS ASSAY TC 11.17

86155 CHEMOTAXIS ASSAY 11.17

86156 COLD AGGLUTININ SCREEN TC 4.68

86156 COLD AGGLUTININ SCREEN 4.68

86157 COLD AGGLUTININ TITER TC 5.64

86157 COLD AGGLUTININ TITER 5.64

86160 COMPLEMENT ANTIGEN TC 8.40

86160 COMPLEMENT ANTIGEN 8.40

86161 COMPLEMENT/FUNCTION ACTIVITY TC 8.40

86161 COMPLEMENT/FUNCTION ACTIVITY 8.40

86162 COMPLEMENT TOTAL (CH50) TC 14.20

86162 COMPLEMENT TOTAL (CH50) 14.20

86171 COMPLEMENT FIXATION EACH TC 7.00

86171 COMPLEMENT FIXATION EACH 7.00

86185 COUNTERIMMUNOELECTROPHORESIS TC 6.25

86185 COUNTERIMMUNOELECTROPHORESIS 6.25

86200 CCP ANTIBODY TC 9.05

86200 CCP ANTIBODY 9.05

86215 DEOXYRIBONUCLEASE ANTIBODY TC 9.26

86215 DEOXYRIBONUCLEASE ANTIBODY 9.26

86225 DNA ANTIBODY NATIVE TC 9.61

86225 DNA ANTIBODY NATIVE 9.61

86226 DNA ANTIBODY SINGLE STRAND TC 8.47

86226 DNA ANTIBODY SINGLE STRAND 8.47

86235 NUCLEAR ANTIGEN ANTIBODY TC 11.70

86235 NUCLEAR ANTIGEN ANTIBODY 11.70

86243 FC RECEPTOR TC 14.35

86243 FC RECEPTOR 14.35

86255 FLUORESCENT ANTIBODY SCREEN TC 3.82

86255 FLUORESCENT ANTIBODY SCREEN 26 4.61

86255 FLUORESCENT ANTIBODY SCREEN 8.43

28/55


86256 FLUORESCENT ANTIBODY TITER TC 3.82

86256 FLUORESCENT ANTIBODY TITER 26 4.61

86256 FLUORESCENT ANTIBODY TITER 8.43

86277 GROWTH HORMONE ANTIBODY TC 11.00

86277 GROWTH HORMONE ANTIBODY 11.00

86280 HEMAGGLUTINATION INHIBITION TC 5.72

86280 HEMAGGLUTINATION INHIBITION 5.72

86294 IMMUNOASSAY TUMOR QUAL TC 13.71

86294 IMMUNOASSAY TUMOR QUAL 13.71

86300 IMMUNOASSAY TUMOR CA 15-3 TC 14.54

86300 IMMUNOASSAY TUMOR CA 15-3 14.54

86301 IMMUNOASSAY TUMOR CA 19-9 TC 14.54

86301 IMMUNOASSAY TUMOR CA 19-9 14.54

86304 IMMUNOASSAY TUMOR CA 125 TC 14.54

86304 IMMUNOASSAY TUMOR CA 125 14.54

86305 HUMAN EPIDIDYMIS PROTEIN 4 14.90

86308 HETEROPHILE ANTIBODY SCREEN TC 3.62

86308 HETEROPHILE ANTIBODY SCREEN 3.62

86309 HETEROPHILE ANTIBODY TITER TC 4.52

86309 HETEROPHILE ANTIBODY TITER 4.52

86310 HETEROPHILE ANTIBODY ABSRBJ TC 5.16

86310 HETEROPHILE ANTIBODY ABSRBJ 5.16

86316 IMMUNOASSAY TUMOR OTHER TC 14.54

86316 IMMUNOASSAY TUMOR OTHER 14.54

86317 IMMUNOASSAY INFECTIOUS AGENT TC 10.48

86317 IMMUNOASSAY INFECTIOUS AGENT 10.48

86318 IMMUNOASSAY INFECTIOUS AGENT TC 9.05

86318 IMMUNOASSAY INFECTIOUS AGENT 9.05

86320 SERUM IMMUNOELECTROPHORESIS TC 9.56

86320 SERUM IMMUNOELECTROPHORESIS 26 6.10

86320 SERUM IMMUNOELECTROPHORESIS 15.66

86325 OTHER IMMUNOELECTROPHORESIS TC 9.63

86325 OTHER IMMUNOELECTROPHORESIS 26 5.99

86325 OTHER IMMUNOELECTROPHORESIS 15.62

86327 IMMUNOELECTROPHORESIS ASSAY TC 9.12

86327 IMMUNOELECTROPHORESIS ASSAY 26 6.74

86327 IMMUNOELECTROPHORESIS ASSAY 15.86

86329 IMMUNODIFFUSION NES TC 9.82

86329 IMMUNODIFFUSION NES 9.82

86331 IMMUNODIFFUSION OUCHTERLONY TC 8.38

86331 IMMUNODIFFUSION OUCHTERLONY 8.38

86332 IMMUNE COMPLEX ASSAY TC 17.03

86332 IMMUNE COMPLEX ASSAY 17.03

86334 IMMUNOFIX E-PHORESIS SERUM TC 9.48

86334 IMMUNOFIX E-PHORESIS SERUM 26 6.13

29/55


86334 IMMUNOFIX E-PHORESIS SERUM 15.61

86335 IMMUNFIX E-PHORSIS/URINE/CSF TC 13.84

86335 IMMUNFIX E-PHORSIS/URINE/CSF 26 6.66

86335 IMMUNFIX E-PHORSIS/URINE/CSF 20.50

86336 INHIBIN A 9.05

86337 INSULIN ANTIBODIES TC 14.97

86337 INSULIN ANTIBODIES 14.97

86340 INTRINSIC FACTOR ANTIBODY TC 10.53

86340 INTRINSIC FACTOR ANTIBODY 10.53

86341 ISLET CELL ANTIBODY TC 13.83

86341 ISLET CELL ANTIBODY 13.83

86343 LEUKOCYTE HISTAMINE RELEASE TC 8.71

86343 LEUKOCYTE HISTAMINE RELEASE 8.71

86344 LEUKOCYTE PHAGOCYTOSIS TC 5.58

86344 LEUKOCYTE PHAGOCYTOSIS 5.58

86352 CELL FUNCTION ASSAY W/STIM 48.65

86353 LYMPHOCYTE TRANSFORMATION TC 34.25

86353 LYMPHOCYTE TRANSFORMATION 34.25

86355 B CELLS TOTAL COUNT TC 26.35

86355 B CELLS TOTAL COUNT 26.35

86356 Mononuclear cell antigen 12.64

86357 NK CELLS TOTAL COUNT TC 26.35

86357 NK CELLS TOTAL COUNT 26.35

86359 T CELLS TOTAL COUNT TC 26.36

86359 T CELLS TOTAL COUNT 26.36

86360 T CELL ABSOLUTE COUNT/RATIO TC 32.83

86360 T CELL ABSOLUTE COUNT/RATIO 32.83

86361 T CELL ABSOLUTE COUNT TC 12.65

86361 T CELL ABSOLUTE COUNT 12.65

86367 STEM CELLS TOTAL COUNT TC 26.35

86367 STEM CELLS TOTAL COUNT 26.35

86376 MICROSOMAL ANTIBODY EACH TC 10.17

86376 MICROSOMAL ANTIBODY EACH 10.17

86378 MIGRATION INHIBITORY FACTOR TC 13.76

86378 MIGRATION INHIBITORY FACTOR 13.76

86382 NEUTRALIZATION TEST VIRAL TC 11.82

86382 NEUTRALIZATION TEST VIRAL 11.82

86384 NITROBLUE TETRAZOLIUM DYE TC 7.96

86384 NITROBLUE TETRAZOLIUM DYE 7.96

86386 Nuclear matrix protein 22 11.30

86403 PARTICLE AGGLUT ANTBDY SCRN TC 7.12

86403 PARTICLE AGGLUT ANTBDY SCRN 7.12

86406 PARTICLE AGGLUT ANTBDY TITR TC 7.44

86406 PARTICLE AGGLUT ANTBDY TITR 7.44

86430 RHEUMATOID FACTOR TEST QUAL TC 3.97

30/55


86430 RHEUMATOID FACTOR TEST QUAL 3.97

86431 RHEUMATOID FACTOR QUANT TC 3.97

86431 RHEUMATOID FACTOR QUANT 3.97

86480 TB TEST CELL IMMUN MEASURE TC 43.29

86480 TB TEST CELL IMMUN MEASURE 43.29

86481 TB AG RESPONSE T-CELL SUSP TUBER 43.61

86485 SKIN TEST CANDIDA TC 2.04

86485 SKIN TEST CANDIDA 26 8.17

86485 SKIN TEST CANDIDA 10.22

86490 COCCIDIOIDOMYCOSIS SKIN TEST TC 2.04

86490 COCCIDIOIDOMYCOSIS SKIN TEST 26 8.17

86490 COCCIDIOIDOMYCOSIS SKIN TEST 10.22

86510 HISTOPLASMOSIS SKIN TEST TC 2.04

86510 HISTOPLASMOSIS SKIN TEST 26 8.17

86510 HISTOPLASMOSIS SKIN TEST 10.22

86580 TB INTRADERMAL TEST TC 2.59

86580 TB INTRADERMAL TEST 26 10.36

86580 TB INTRADERMAL TEST 12.95

86590 STREPTOKINASE ANTIBODY TC 7.71

86590 STREPTOKINASE ANTIBODY 7.71

86592 SYPHILIS TEST NON-TREP QUAL TC 2.99

86592 SYPHILIS TEST NON-TREP QUAL 2.99

86593 SYPHILIS TEST NON-TREP QUANT TC 3.08

86593 SYPHILIS TEST NON-TREP QUANT 3.08

86602 ANTINOMYCES ANTIBODY TC 7.12

86602 ANTINOMYCES ANTIBODY 7.12

86603 ADENOVIRUS ANTIBODY TC 8.99

86603 ADENOVIRUS ANTIBODY 8.99

86606 ASPERGILLUS ANTIBODY TC 10.52

86606 ASPERGILLUS ANTIBODY 10.52

86609 BACTERIUM ANTIBODY TC 9.00

86609 BACTERIUM ANTIBODY 9.00

86611 BARTONELLA ANTIBODY TC 7.12

86611 BARTONELLA ANTIBODY 7.12

86612 BLASTOMYCES ANTIBODY TC 9.02

86612 BLASTOMYCES ANTIBODY 9.02

86615 BORDETELLA ANTIBODY TC 9.22

86615 BORDETELLA ANTIBODY 9.22

86617 LYME DISEASE ANTIBODY TC 10.82

86617 LYME DISEASE ANTIBODY 10.82

86618 LYME DISEASE ANTIBODY TC 11.90

86618 LYME DISEASE ANTIBODY 11.90

86619 BORRELIA ANTIBODY TC 9.35

86619 BORRELIA ANTIBODY 9.35

86622 BRUCELLA ANTIBODY TC 6.24

31/55


86622 BRUCELLA ANTIBODY 6.24

86625 CAMPYLOBACTER ANTIBODY TC 9.17

86625 CAMPYLOBACTER ANTIBODY 9.17

86628 CANDIDA ANTIBODY TC 8.40

86628 CANDIDA ANTIBODY 8.40

86631 CHLAMYDIA ANTIBODY TC 8.27

86631 CHLAMYDIA ANTIBODY 8.27

86632 CHLAMYDIA IGM ANTIBODY TC 8.87

86632 CHLAMYDIA IGM ANTIBODY 8.87

86635 COCCIDIOIDES ANTIBODY TC 8.02

86635 COCCIDIOIDES ANTIBODY 8.02

86638 Q FEVER ANTIBODY TC 8.48

86638 Q FEVER ANTIBODY 8.48

86641 CRYPTOCOCCUS ANTIBODY TC 10.07

86641 CRYPTOCOCCUS ANTIBODY 10.07

86644 CMV ANTIBODY TC 10.06

86644 CMV ANTIBODY 10.06

86645 CMV ANTIBODY IGM TC 11.78

86645 CMV ANTIBODY IGM 11.78

86648 DIPHTHERIA ANTIBODY TC 10.63

86648 DIPHTHERIA ANTIBODY 10.63

86651 ENCEPHALITIS CALIFORN ANTBDY TC 9.22

86651 ENCEPHALITIS CALIFORN ANTBDY 9.22

86652 ENCEPHALTIS EAST EQNE ANBDY TC 9.22

86652 ENCEPHALTIS EAST EQNE ANBDY 9.22

86653 ENCEPHALTIS ST LOUIS ANTBODY TC 9.22

86653 ENCEPHALTIS ST LOUIS ANTBODY 9.22

86654 ENCEPHALTIS WEST EQNE ANTBDY TC 9.22

86654 ENCEPHALTIS WEST EQNE ANTBDY 9.22

86658 ENTEROVIRUS ANTIBODY TC 9.11

86658 ENTEROVIRUS ANTIBODY 9.11

86663 EPSTEIN-BARR ANTIBODY TC 9.17

86663 EPSTEIN-BARR ANTIBODY 9.17

86664 EPSTEIN-BARR NUCLEAR ANTIGEN TC 10.69

86664 EPSTEIN-BARR NUCLEAR ANTIGEN 10.69

86665 EPSTEIN-BARR CAPSID VCA TC 12.68

86665 EPSTEIN-BARR CAPSID VCA 12.68

86666 EHRLICHIA ANTIBODY TC 7.12

86666 EHRLICHIA ANTIBODY 7.12

86668 FRANCISELLA TULARENSIS TC 7.27

86668 FRANCISELLA TULARENSIS 7.27

86671 FUNGUS NES ANTIBODY TC 8.57

86671 FUNGUS NES ANTIBODY 8.57

86674 GIARDIA LAMBLIA ANTIBODY TC 10.28

86674 GIARDIA LAMBLIA ANTIBODY 10.28

32/55


86677 HELICOBACTER PYLORI ANTIBODY TC 10.15

86677 HELICOBACTER PYLORI ANTIBODY 10.15

86682 HELMINTH ANTIBODY TC 9.09

86682 HELMINTH ANTIBODY 9.09

86684 HEMOPHILUS INFLUENZA ANTIBDY TC 11.07

86684 HEMOPHILUS INFLUENZA ANTIBDY 11.07

86687 HTLV-I ANTIBODY TC 5.87

86687 HTLV-I ANTIBODY 5.87

86688 HTLV-II ANTIBODY TC 9.79

86688 HTLV-II ANTIBODY 9.79

86689 HTLV/HIV CONFIRMJ ANTIBODY TC 13.53

86689 HTLV/HIV CONFIRMJ ANTIBODY 13.53

86692 HEPATITIS DELTA AGENT ANTBDY TC 11.99

86692 HEPATITIS DELTA AGENT ANTBDY 11.99

86694 HERPES SIMPLEX NES ANTBDY TC 10.06

86694 HERPES SIMPLEX NES ANTBDY 10.06

86695 HERPES SIMPLEX TYPE 1 TEST TC 9.22

86695 HERPES SIMPLEX TYPE 1 TEST 9.22

86696 HERPES SIMPLEX TYPE 2 TEST TC 13.53

86696 HERPES SIMPLEX TYPE 2 TEST 13.53

86698 HISTOPLASMA ANTIBODY TC 8.73

86698 HISTOPLASMA ANTIBODY 8.73

86701 HIV-1ANTIBODY TC 6.21

86701 HIV-1ANTIBODY 6.21

86702 HIV-2 ANTIBODY TC 9.44

86702 HIV-2 ANTIBODY 9.44

86703 HIV-1/HIV-2 1 RESULT ANTBDY TC 9.59

86703 HIV-1/HIV-2 1 RESULT ANTBDY 9.59

86704 HEP B CORE ANTIBODY TOTAL TC 8.43

86704 HEP B CORE ANTIBODY TOTAL 8.43

86705 HEP B CORE ANTIBODY IGM TC 8.23

86705 HEP B CORE ANTIBODY IGM 8.23

86706 HEP B SURFACE ANTIBODY TC 7.51

86706 HEP B SURFACE ANTIBODY 7.51

86707 HEPATITIS BE ANTIBODY TC 8.08

86707 HEPATITIS BE ANTIBODY 8.08

86708 HEPATITIS A TOTAL ANTIBODY TC 8.66

86708 HEPATITIS A TOTAL ANTIBODY 8.66

86709 HEPATITIS A IGM ANTIBODY TC 7.87

86709 HEPATITIS A IGM ANTIBODY 7.87

86710 INFLUENZA VIRUS ANTIBODY TC 9.48

86710 INFLUENZA VIRUS ANTIBODY 9.48

86713 LEGIONELLA ANTIBODY TC 10.70

86713 LEGIONELLA ANTIBODY 10.70

86717 LEISHMANIA ANTIBODY TC 8.57

33/55


86717 LEISHMANIA ANTIBODY 8.57

86720 LEPTOSPIRA ANTIBODY TC 9.22

86720 LEPTOSPIRA ANTIBODY 9.22

86723 LISTERIA MONOCYTOGENES TC 9.22

86723 LISTERIA MONOCYTOGENES 9.22

86727 LYMPH CHORIOMENINGITIS AB TC 8.99

86727 LYMPH CHORIOMENINGITIS AB 8.99

86729 LYMPHO VENEREUM ANTIBODY TC 8.35

86729 LYMPHO VENEREUM ANTIBODY 8.35

86732 MUCORMYCOSIS ANTIBODY TC 9.22

86732 MUCORMYCOSIS ANTIBODY 9.22

86735 MUMPS ANTIBODY TC 9.12

86735 MUMPS ANTIBODY 9.12

86738 MYCOPLASMA ANTIBODY TC 9.26

86738 MYCOPLASMA ANTIBODY 9.26

86741 NEISSERIA MENINGITIDIS TC 9.22

86741 NEISSERIA MENINGITIDIS 9.22

86744 NOCARDIA ANTIBODY TC 9.22

86744 NOCARDIA ANTIBODY 9.22

86747 PARVOVIRUS ANTIBODY TC 10.50

86747 PARVOVIRUS ANTIBODY 10.50

86750 MALARIA ANTIBODY TC 9.22

86750 MALARIA ANTIBODY 9.22

86753 PROTOZOA ANTIBODY NOS TC 8.66

86753 PROTOZOA ANTIBODY NOS 8.66

86756 RESPIRATORY VIRUS ANTIBODY TC 9.01

86756 RESPIRATORY VIRUS ANTIBODY 9.01

86757 RICKETTSIA ANTIBODY TC 13.53

86757 RICKETTSIA ANTIBODY 13.53

86759 ROTAVIRUS ANTIBODY TC 9.22

86759 ROTAVIRUS ANTIBODY 9.22

86762 RUBELLA ANTIBODY TC 10.06

86762 RUBELLA ANTIBODY 10.06

86765 RUBEOLA ANTIBODY TC 9.00

86765 RUBEOLA ANTIBODY 9.00

86768 SALMONELLA ANTIBODY TC 9.22

86768 SALMONELLA ANTIBODY 9.22

86771 SHIGELLA ANTIBODY TC 9.22

86771 SHIGELLA ANTIBODY 9.22

86774 TETANUS ANTIBODY TC 10.35

86774 TETANUS ANTIBODY 10.35

86777 TOXOPLASMA ANTIBODY TC 10.06

86777 TOXOPLASMA ANTIBODY 10.06

86778 TOXOPLASMA ANTIBODY IGM TC 10.07

86778 TOXOPLASMA ANTIBODY IGM 10.07

34/55


86780 TREPONEMA PALLIDUM 9.48

86784 TRICHINELLA ANTIBODY TC 8.78

86784 TRICHINELLA ANTIBODY 8.78

86787 VARICELLA-ZOSTER ANTIBODY TC 9.00

86787 VARICELLA-ZOSTER ANTIBODY 9.00

86788 WEST NILE VIRUS AB IGM TC 11.77

86788 WEST NILE VIRUS AB IGM 11.77

86789 WEST NILE VIRUS ANTIBODY TC 10.06

86789 WEST NILE VIRUS ANTIBODY 10.06

86790 VIRUS ANTIBODY NOS TC 9.00

86790 VIRUS ANTIBODY NOS 9.00

86793 YERSINIA ANTIBODY TC 9.22

86793 YERSINIA ANTIBODY 9.22

86800 THYROGLOBULIN ANTIBODY TC 11.11

86800 THYROGLOBULIN ANTIBODY 11.11

86803 HEPATITIS C AB TEST TC 9.98

86803 HEPATITIS C AB TEST 9.98

86804 HEP C AB TEST CONFIRM TC 10.82

86804 HEP C AB TEST CONFIRM 10.82

86805 LYMPHOCYTOTOXICITY ASSAY TC 36.53

86805 LYMPHOCYTOTOXICITY ASSAY 36.53

86806 LYMPHOCYTOTOXICITY ASSAY TC 33.25

86806 LYMPHOCYTOTOXICITY ASSAY 33.25

86807 CYTOTOXIC ANTIBODY SCREENING TC 17.88

86807 CYTOTOXIC ANTIBODY SCREENING 17.88

86808 CYTOTOXIC ANTIBODY SCREENING TC 17.88

86808 CYTOTOXIC ANTIBODY SCREENING 17.88

86812 HLA TYPING A B OR C TC 18.04

86812 HLA TYPING A B OR C 18.04

86813 HLA TYPING A B OR C TC 29.25

86813 HLA TYPING A B OR C 29.25

86816 HLA TYPING DR/DQ TC 19.46

86816 HLA TYPING DR/DQ 19.46

86817 HLA TYPING DR/DQ TC 29.25

86817 HLA TYPING DR/DQ 29.25

86821 LYMPHOCYTE CULTURE MIXED TC 29.25

86821 LYMPHOCYTE CULTURE MIXED 29.25

86822 LYMPHOCYTE CULTURE PRIMED TC 25.54

86822 LYMPHOCYTE CULTURE PRIMED 25.54

86825 HLA X-MATH NON-CYTOTOXIC 38.88

86826 HLA X-MATCH NONCYTOTOXC ADDL 12.96

86850 RBC ANTIBODY SCREEN TC 2.40

86850 RBC ANTIBODY SCREEN 26 9.60

86850 RBC ANTIBODY SCREEN 12.00

86860 RBC ANTIBODY ELUTION TC 6.00

35/55


86860 RBC ANTIBODY ELUTION 26 24.00

86860 RBC ANTIBODY ELUTION 30.00

86870 RBC ANTIBODY IDENTIFICATION TC 5.00

86870 RBC ANTIBODY IDENTIFICATION 26 20.00

86870 RBC ANTIBODY IDENTIFICATION 25.00

86880 COOMBS TEST DIRECT TC 3.75

86880 COOMBS TEST DIRECT 3.75

86885 COOMBS TEST INDIRECT QUAL TC 4.00

86885 COOMBS TEST INDIRECT QUAL 4.00

86886 COOMBS TEST INDIRECT TITER TC 3.62

86886 COOMBS TEST INDIRECT TITER 3.62

86890 AUTOLOGOUS BLOOD PROCESS TC 10.00

86890 AUTOLOGOUS BLOOD PROCESS 26 40.00

86890 AUTOLOGOUS BLOOD PROCESS 50.00

86891 AUTOLOGOUS BLOOD OP SALVAGE TC 22.26

86891 AUTOLOGOUS BLOOD OP SALVAGE 26 89.06

86891 AUTOLOGOUS BLOOD OP SALVAGE 111.33

86900 BLOOD TYPING SEROLOGIC ABO TC 2.09

86900 BLOOD TYPING SEROLOGIC ABO 2.09

86901 BLOOD TYPING SEROLOGIC RH(D) TC 1.52

86901 BLOOD TYPING SEROLOGIC RH(D) 26 6.08

86901 BLOOD TYPING SEROLOGIC RH(D) 7.60

86902 BLOOD TYPE ANTIGEN DONOR EA BLOOD 2.69

86904 BLOOD TYPING PATIENT SERUM TC 6.64

86904 BLOOD TYPING PATIENT SERUM 6.64

86905 BLOOD TYPING RBC ANTIGENS TC 2.68

86905 BLOOD TYPING RBC ANTIGENS 2.68

86906 BLD TYPING SEROLOGIC RH PHNT TC 5.42

86906 BLD TYPING SEROLOGIC RH PHNT 5.42

86920 COMPATIBILITY TEST SPIN TC 4.00

86920 COMPATIBILITY TEST SPIN 26 16.00

86920 COMPATIBILITY TEST SPIN 20.00

86921 COMPATIBILITY TEST INCUBATE 20.80

86922 COMPATIBILITY TEST ANTIGLOB 23.40

86923 COMPATIBILITY TEST ELECTRIC TC 19.50

86923 COMPATIBILITY TEST ELECTRIC 19.50

86927 PLASMA FRESH FROZEN TC 2.40

86927 PLASMA FRESH FROZEN 26 9.60

86927 PLASMA FRESH FROZEN 12.00

86930 FROZEN BLOOD PREP TC 7.00

86930 FROZEN BLOOD PREP 26 28.00

86930 FROZEN BLOOD PREP 35.00

86931 FROZEN BLOOD THAW TC 9.00

86931 FROZEN BLOOD THAW 26 36.00

36/55


86931 FROZEN BLOOD THAW 45.00

86932 FROZEN BLOOD FREEZE/THAW TC 9.00

86932 FROZEN BLOOD FREEZE/THAW 26 36.00

86932 FROZEN BLOOD FREEZE/THAW 45.00

86940 HEMOLYSINS/AGGLUTININS AUTO TC 5.74

86940 HEMOLYSINS/AGGLUTININS AUTO 5.74

86941 HEMOLYSINS/AGGLUTININS TC 8.47

86941 HEMOLYSINS/AGGLUTININS 8.47

86945 BLOOD PRODUCT/IRRADIATION TC 1.00

86945 BLOOD PRODUCT/IRRADIATION 26 4.00

86945 BLOOD PRODUCT/IRRADIATION 5.00

86950 LEUKACYTE TRANSFUSION TC 9.77

86950 LEUKACYTE TRANSFUSION 26 39.11

86950 LEUKACYTE TRANSFUSION 48.89

86960 VOL REDUCTION OF BLOOD/PROD TC 12.97

86960 VOL REDUCTION OF BLOOD/PROD 12.97

86965 POOLING BLOOD PLATELETS TC 2.39

86965 POOLING BLOOD PLATELETS 26 9.57

86965 POOLING BLOOD PLATELETS 11.97

86970 RBC PRETX INCUBATJ W/CHEMICL TC 1.20

86970 RBC PRETX INCUBATJ W/CHEMICL 26 4.80

86970 RBC PRETX INCUBATJ W/CHEMICL 6.00

86971 RBC PRETX INCUBATJ W/ENZYMES TC 1.20

86971 RBC PRETX INCUBATJ W/ENZYMES 26 4.80

86971 RBC PRETX INCUBATJ W/ENZYMES 6.00

86972 RBC PRETX INCUBATJ W/DENSITY TC 1.20

86972 RBC PRETX INCUBATJ W/DENSITY 26 4.80

86972 RBC PRETX INCUBATJ W/DENSITY 6.00

86975 RBC SERUM PRETX INCUBJ DRUGS TC 1.20

86975 RBC SERUM PRETX INCUBJ DRUGS 26 4.80

86975 RBC SERUM PRETX INCUBJ DRUGS 6.00

86976 RBC SERUM PRETX ID DILUTION TC 1.20

86976 RBC SERUM PRETX ID DILUTION 26 4.80

86976 RBC SERUM PRETX ID DILUTION 6.00

86977 RBC SERUM PRETX INCUBJ/INHIB TC 1.20

86977 RBC SERUM PRETX INCUBJ/INHIB 26 4.80

86977 RBC SERUM PRETX INCUBJ/INHIB 6.00

86978 RBC PRETREATMENT SERUM TC 1.20

86978 RBC PRETREATMENT SERUM 26 4.80

86978 RBC PRETREATMENT SERUM 6.00

86985 SPLIT BLOOD OR PRODUCTS TC 1.00

86985 SPLIT BLOOD OR PRODUCTS 26 4.00

86985 SPLIT BLOOD OR PRODUCTS 5.00

87003 SMALL ANIMAL INOCULATION TC 11.77

87003 SMALL ANIMAL INOCULATION 11.77

37/55


87015 SPECIMEN INFECT AGNT CONCNTJ TC 4.67

87015 SPECIMEN INFECT AGNT CONCNTJ 4.67

87040 BLOOD CULTURE FOR BACTERIA TC 7.22

87040 BLOOD CULTURE FOR BACTERIA 7.22

87045 FECES CULTURE AEROBIC BACT TC 6.60

87045 FECES CULTURE AEROBIC BACT 6.60

87046 STOOL CULTR AEROBIC BACT EA TC 6.60

87046 STOOL CULTR AEROBIC BACT EA 6.60

87070 CULTURE OTHR SPECIMN AEROBIC TC 6.02

87070 CULTURE OTHR SPECIMN AEROBIC 6.02

87071 CULTURE AEROBIC QUANT OTHER TC 6.60

87071 CULTURE AEROBIC QUANT OTHER 6.60

87073 CULTURE BACTERIA ANAEROBIC TC 6.60

87073 CULTURE BACTERIA ANAEROBIC 6.60

87075 CULTR BACTERIA EXCEPT BLOOD TC 6.62

87075 CULTR BACTERIA EXCEPT BLOOD 6.62

87076 CULTURE ANAEROBE IDENT EACH TC 5.65

87076 CULTURE ANAEROBE IDENT EACH 5.65

87077 CULTURE AEROBIC IDENTIFY TC 5.65

87077 CULTURE AEROBIC IDENTIFY 5.65

87081 CULTURE SCREEN ONLY TC 4.64

87081 CULTURE SCREEN ONLY 4.64

87084 CULTURE OF SPECIMEN BY KIT TC 6.02

87084 CULTURE OF SPECIMEN BY KIT 6.02

87086 URINE CULTURE/COLONY COUNT TC 5.64

87086 URINE CULTURE/COLONY COUNT 5.64

87088 URINE BACTERIA CULTURE TC 5.66

87088 URINE BACTERIA CULTURE 5.66

87101 SKIN FUNGI CULTURE TC 5.39

87101 SKIN FUNGI CULTURE 5.39

87102 FUNGUS ISOLATION CULTURE TC 5.87

87102 FUNGUS ISOLATION CULTURE 5.87

87103 BLOOD FUNGUS CULTURE TC 6.31

87103 BLOOD FUNGUS CULTURE 6.31

87106 FUNGI IDENTIFICATION YEAST TC 7.22

87106 FUNGI IDENTIFICATION YEAST 7.22

87107 FUNGI IDENTIFICATION MOLD TC 7.22

87107 FUNGI IDENTIFICATION MOLD 7.22

87109 MYCOPLASMA TC 10.75

87109 MYCOPLASMA 10.75

87110 CHLAMYDIA CULTURE TC 13.69

87110 CHLAMYDIA CULTURE 13.69

87116 MYCOBACTERIA CULTURE TC 7.56

87116 MYCOBACTERIA CULTURE 7.56

87118 MYCOBACTERIC IDENTIFICATION TC 7.65

38/55


87118 MYCOBACTERIC IDENTIFICATION 7.65

87140 CULTURE TYPE IMMUNOFLUORESC TC 3.90

87140 CULTURE TYPE IMMUNOFLUORESC 3.90

87143 CULTURE TYPING GLC/HPLC TC 8.76

87143 CULTURE TYPING GLC/HPLC 8.76

87147 CULTURE TYPE IMMUNOLOGIC TC 3.51

87147 CULTURE TYPE IMMUNOLOGIC 3.51

87149 DNA/RNA DIRECT PROBE TC 14.02

87149 DNA/RNA DIRECT PROBE 14.02

87150 DNA/RNA AMPLIFIED PROBE 25.14

87152 CULTURE TYPE PULSE FIELD GEL TC 3.66

87152 CULTURE TYPE PULSE FIELD GEL 3.66

87153 DNA/RNA SEQUENCING 82.61

87158 CULTURE TYPING ADDED METHOD TC 3.66

87158 CULTURE TYPING ADDED METHOD 3.66

87164 DARK FIELD EXAMINATION TC 3.34

87164 DARK FIELD EXAMINATION 26 4.17

87164 DARK FIELD EXAMINATION 7.51

87166 DARK FIELD EXAMINATION TC 7.89

87166 DARK FIELD EXAMINATION 7.89

87168 MACROSCOPIC EXAM ARTHROPOD TC 2.99

87168 MACROSCOPIC EXAM ARTHROPOD 2.99

87169 MACROSCOPIC EXAM PARASITE TC 2.99

87169 MACROSCOPIC EXAM PARASITE 2.99

87172 PINWORM EXAM TC 2.99

87172 PINWORM EXAM 2.99

87176 TISSUE HOMOGENIZATION CULTR TC 4.12

87176 TISSUE HOMOGENIZATION CULTR 4.12

87177 OVA AND PARASITES SMEARS TC 6.22

87177 OVA AND PARASITES SMEARS 6.22

87181 MICROBE SUSCEPTIBLE DIFFUSE TC 1.17

87181 MICROBE SUSCEPTIBLE DIFFUSE 1.17

87184 MICROBE SUSCEPTIBLE DISK TC 4.82

87184 MICROBE SUSCEPTIBLE DISK 4.82

87185 MICROBE SUSCEPTIBLE ENZYME TC 1.17

87185 MICROBE SUSCEPTIBLE ENZYME 1.17

87186 MICROBE SUSCEPTIBLE MIC TC 6.04

87186 MICROBE SUSCEPTIBLE MIC 6.04

87187 MICROBE SUSCEPTIBLE MLC TC 7.24

87187 MICROBE SUSCEPTIBLE MLC 7.24

87188 MICROBE SUSCEPT MACROBROTH TC 4.64

87188 MICROBE SUSCEPT MACROBROTH 4.64

87190 MICROBE SUSCEPT MYCOBACTERI TC 3.51

87190 MICROBE SUSCEPT MYCOBACTERI 3.51

87197 BACTERICIDAL LEVEL SERUM TC 10.50

39/55


87197 BACTERICIDAL LEVEL SERUM 10.50

87205 SMEAR GRAM STAIN TC 2.99

87205 SMEAR GRAM STAIN 2.99

87206 SMEAR FLUORESCENT/ACID STAI TC 3.75

87206 SMEAR FLUORESCENT/ACID STAI 3.75

87207 SMEAR SPECIAL STAIN TC 1.21

87207 SMEAR SPECIAL STAIN 26 2.98

87207 SMEAR SPECIAL STAIN 4.19

87209 SMEAR COMPLEX STAIN TC 12.56

87209 SMEAR COMPLEX STAIN 12.56

87210 SMEAR WET MOUNT SALINE/INK TC 2.99

87210 SMEAR WET MOUNT SALINE/INK 2.99

87220 TISSUE EXAM FOR FUNGI TC 2.99

87220 TISSUE EXAM FOR FUNGI 2.99

87230 ASSAY TOXIN OR ANTITOXIN TC 13.80

87230 ASSAY TOXIN OR ANTITOXIN 13.80

87250 VIRUS INOCULATE EGGS/ANIMAL TC 13.66

87250 VIRUS INOCULATE EGGS/ANIMAL 13.66

87252 VIRUS INOCULATION TISSUE TC 18.21

87252 VIRUS INOCULATION TISSUE 18.21

87253 VIRUS INOCULATE TISSUE ADDL TC 14.11

87253 VIRUS INOCULATE TISSUE ADDL 14.11

87254 VIRUS INOCULATION SHELL VIA TC 13.66

87254 VIRUS INOCULATION SHELL VIA 13.66

87255 GENET VIRUS ISOLATE HSV TC 23.66

87255 GENET VIRUS ISOLATE HSV 23.66

87260 ADENOVIRUS AG IF TC 8.39

87260 ADENOVIRUS AG IF 8.39

87265 PERTUSSIS AG IF TC 8.39

87265 PERTUSSIS AG IF 8.39

87267 ENTEROVIRUS ANTIBODY DFA 8.39

87269 GIARDIA AG IF TC 8.39

87269 GIARDIA AG IF 8.39

87270 CHLAMYDIA TRACHOMATIS AG IF TC 8.39

87270 CHLAMYDIA TRACHOMATIS AG IF 8.39

87271 CYTOMEGALOVIRUS DFA 8.38

87272 CRYPTOSPORIDIUM AG IF TC 8.39

87272 CRYPTOSPORIDIUM AG IF 8.39

87273 HERPES SIMPLEX 2 AG IF TC 8.39

87273 HERPES SIMPLEX 2 AG IF 8.39

87274 HERPES SIMPLEX 1 AG IF TC 8.39

87274 HERPES SIMPLEX 1 AG IF 8.39

87275 INFLUENZA B AG IF TC 8.39

87275 INFLUENZA B AG IF 8.39

87276 INFLUENZA A AG IF TC 8.39

40/55


87276 INFLUENZA A AG IF 8.39

87277 LEGIONELLA MICDADEI AG IF TC 8.39

87277 LEGIONELLA MICDADEI AG IF 8.39

87278 LEGION PNEUMOPHILIA AG IF TC 8.39

87278 LEGION PNEUMOPHILIA AG IF 8.39

87279 PARAINFLUENZA AG IF TC 8.39

87279 PARAINFLUENZA AG IF 8.39

87280 RESPIRATORY SYNCYTIAL AG IF TC 8.39

87280 RESPIRATORY SYNCYTIAL AG IF 8.39

87281 PNEUMOCYSTIS CARINII AG IF TC 8.39

87281 PNEUMOCYSTIS CARINII AG IF 8.39

87283 RUBEOLA AG IF TC 8.39

87283 RUBEOLA AG IF 8.39

87285 TREPONEMA PALLIDUM AG IF TC 8.39

87285 TREPONEMA PALLIDUM AG IF 8.39

87290 VARICELLA ZOSTER AG IF TC 8.39

87290 VARICELLA ZOSTER AG IF 8.39

87299 ANTIBODY DETECTION NOS IF TC 8.39

87299 ANTIBODY DETECTION NOS IF 8.39

87300 AG DETECTION POLYVAL IF TC 8.39

87300 AG DETECTION POLYVAL IF 8.39

87301 ADENOVIRUS AG EIA TC 8.39

87301 ADENOVIRUS AG EIA 8.39

87305 ASPERGILLUS AG EIA TC 8.38

87305 ASPERGILLUS AG EIA 8.38

87320 CHYLMD TRACH AG EIA TC 8.39

87320 CHYLMD TRACH AG EIA 8.39

87324 CLOSTRIDIUM AG EIA TC 8.39

87324 CLOSTRIDIUM AG EIA 8.39

87327 CRYPTOCOCCUS NEOFORM AG EIA TC 8.39

87327 CRYPTOCOCCUS NEOFORM AG EIA 8.39

87328 CRYPTOSPORIDIUM AG EIA TC 8.39

87328 CRYPTOSPORIDIUM AG EIA 8.39

87329 GIARDIA AG EIA TC 8.39

87329 GIARDIA AG EIA 8.39

87332 CYTOMEGALOVIRUS AG EIA TC 8.39

87332 CYTOMEGALOVIRUS AG EIA 8.39

87335 E COLI 0157 AG EIA TC 8.39

87335 E COLI 0157 AG EIA 8.39

87336 ENTAMOEB HIST DISPR AG EIA TC 8.39

87336 ENTAMOEB HIST DISPR AG EIA 8.39

87337 ENTAMOEB HIST GROUP AG EIA TC 8.39

87337 ENTAMOEB HIST GROUP AG EIA 8.39

87338 HPYLORI STOOL EIA TC 8.39

87338 HPYLORI STOOL EIA 8.39

41/55


87339 H PYLORI AG EIA TC 8.39

87339 H PYLORI AG EIA 8.39

87340 HEPATITIS B SURFACE AG EIA TC 7.22

87340 HEPATITIS B SURFACE AG EIA 7.22

87341 HEPATITIS B SURFACE AG EIA TC 7.22

87341 HEPATITIS B SURFACE AG EIA 7.22

87350 HEPATITIS BE AG EIA TC 8.06

87350 HEPATITIS BE AG EIA 8.06

87380 HEPATITIS DELTA AG EIA TC 11.48

87380 HEPATITIS DELTA AG EIA 11.48

87385 HISTOPLASMA CAPSUL AG EIA TC 8.39

87385 HISTOPLASMA CAPSUL AG EIA 8.39

87389 Hiv-1 ag w/hiv-1 & hiv-2 ab 17.05

87390 HIV-1 AG EIA TC 12.33

87390 HIV-1 AG EIA 12.33

87391 HIV-2 AG EIA TC 12.33

87391 HIV-2 AG EIA 12.33

87400 INFLUENZA A/B AG EIA TC 8.39

87400 INFLUENZA A/B AG EIA 8.39

87420 RESP SYNCYTIAL AG EIA TC 8.39

87420 RESP SYNCYTIAL AG EIA 8.39

87425 ROTAVIRUS AG EIA TC 8.39

87425 ROTAVIRUS AG EIA 8.39

87427 SHIGA-LIKE TOXIN AG EIA TC 8.39

87427 SHIGA-LIKE TOXIN AG EIA 8.39

87430 STREP A AG EIA TC 8.39

87430 STREP A AG EIA 8.39

87449 AG DETECT NOS EIA MULT TC 8.39

87449 AG DETECT NOS EIA MULT 8.39

87450 AG DETECT NOS EIA SINGLE TC 6.70

87450 AG DETECT NOS EIA SINGLE 6.70

87451 AG DETECT POLYVAL EIA MULT TC 6.70

87451 AG DETECT POLYVAL EIA MULT 6.70

87470 BARTONELLA DNA DIR PROBE TC 14.02

87470 BARTONELLA DNA DIR PROBE 14.02

87471 BARTONELLA DNA AMP PROBE TC 24.53

87471 BARTONELLA DNA AMP PROBE 24.53

87472 BARTONELLA DNA QUANT TC 29.93

87472 BARTONELLA DNA QUANT 29.93

87475 LYME DIS DNA DIR PROBE TC 14.02

87475 LYME DIS DNA DIR PROBE 14.02

87476 LYME DIS DNA AMP PROBE TC 24.53

87476 LYME DIS DNA AMP PROBE 24.53

87477 LYME DIS DNA QUANT TC 29.93

87477 LYME DIS DNA QUANT 29.93

42/55


87480 CANDIDA DNA DIR PROBE TC 14.02

87480 CANDIDA DNA DIR PROBE 14.02

87481 CANDIDA DNA AMP PROBE TC 24.53

87481 CANDIDA DNA AMP PROBE 24.53

87482 CANDIDA DNA QUANT TC 29.17

87482 CANDIDA DNA QUANT 29.17

87485 CHYLMD PNEUM DNA DIR PROBE TC 14.02

87485 CHYLMD PNEUM DNA DIR PROBE 14.02

87486 CHYLMD PNEUM DNA AMP PROBE TC 24.53

87486 CHYLMD PNEUM DNA AMP PROBE 24.53

87487 CHYLMD PNEUM DNA QUANT TC 29.93

87487 CHYLMD PNEUM DNA QUANT 29.93

87490 CHYLMD TRACH DNA DIR PROBE TC 14.02

87490 CHYLMD TRACH DNA DIR PROBE 14.02

87491 CHYLMD TRACH DNA AMP PROBE TC 24.53

87491 CHYLMD TRACH DNA AMP PROBE 24.53

87492 CHYLMD TRACH DNA QUANT TC 24.43

87492 CHYLMD TRACH DNA QUANT 24.43

87493 C DIFF AMPLIFIED PROBE 25.14

87495 CYTOMEG DNA DIR PROBE TC 14.02

87495 CYTOMEG DNA DIR PROBE 14.02

87496 CYTOMEG DNA AMP PROBE TC 24.53

87496 CYTOMEG DNA AMP PROBE 24.53

87497 CYTOMEG DNA QUANT TC 29.93

87497 CYTOMEG DNA QUANT 29.93

87498 ENTEROVIRUS PROBE&REVRS TRNS TC 24.52

87498 ENTEROVIRUS PROBE&REVRS TRNS 24.52

87500 VANOMYCIN DNA AMP PROBE 24.52

87501 INFLUENZA DNA AMP PROB 1+ 36.11

87502 INFLUENZA DNA AMP PROBE 59.87

87503 INFLUENZA DNA AMP PROB ADDL INFEC 14.61

87510 GARDNER VAG DNA DIR PROBE TC 14.02

87510 GARDNER VAG DNA DIR PROBE 14.02

87511 GARDNER VAG DNA AMP PROBE TC 24.53

87511 GARDNER VAG DNA AMP PROBE 24.53

87512 GARDNER VAG DNA QUANT TC 29.17

87512 GARDNER VAG DNA QUANT 29.17

87515 HEPATITIS B DNA DIR PROBE TC 14.02

87515 HEPATITIS B DNA DIR PROBE 14.02

87516 HEPATITIS B DNA AMP PROBE TC 24.53

87516 HEPATITIS B DNA AMP PROBE 24.53

87517 HEPATITIS B DNA QUANT TC 29.93

87517 HEPATITIS B DNA QUANT 29.93

87520 HEPATITIS C RNA DIR PROBE TC 14.02

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87520 HEPATITIS C RNA DIR PROBE 14.02

87521 HEPATITIS C PROBE&RVRS TRNSC TC 24.53

87521 HEPATITIS C PROBE&RVRS TRNSC 24.53

87522 HEPATITIS C REVRS TRNSCRPJ TC 29.93

87522 HEPATITIS C REVRS TRNSCRPJ 29.93

87525 HEPATITIS G DNA DIR PROBE TC 14.02

87525 HEPATITIS G DNA DIR PROBE 14.02

87526 HEPATITIS G DNA AMP PROBE TC 24.53

87526 HEPATITIS G DNA AMP PROBE 24.53

87527 HEPATITIS G DNA QUANT TC 29.17

87527 HEPATITIS G DNA QUANT 29.17

87528 HSV DNA DIR PROBE TC 14.02

87528 HSV DNA DIR PROBE 14.02

87529 HSV DNA AMP PROBE TC 24.53

87529 HSV DNA AMP PROBE 24.53

87530 HSV DNA QUANT TC 29.93

87530 HSV DNA QUANT 29.93

87531 HHV-6 DNA DIR PROBE TC 14.02

87531 HHV-6 DNA DIR PROBE 14.02

87532 HHV-6 DNA AMP PROBE TC 24.53

87532 HHV-6 DNA AMP PROBE 24.53

87533 HHV-6 DNA QUANT TC 29.17

87533 HHV-6 DNA QUANT 29.17

87534 HIV-1 DNA DIR PROBE TC 14.02

87534 HIV-1 DNA DIR PROBE 14.02

87535 HIV-1 PROBE&REVERSE TRNSCRPJ TC 24.53

87535 HIV-1 PROBE&REVERSE TRNSCRPJ 24.53

87536 HIV-1 QUANT&REVRSE TRNSCRPJ TC 59.45

87536 HIV-1 QUANT&REVRSE TRNSCRPJ 59.45

87537 HIV-2 DNA DIR PROBE TC 14.02

87537 HIV-2 DNA DIR PROBE 14.02

87538 HIV-2 PROBE&REVRSE TRNSCRIPJ TC 24.53

87538 HIV-2 PROBE&REVRSE TRNSCRIPJ 24.53

87539 HIV-2 QUANT&REVRSE TRNSCRIPJ TC 29.93

87539 HIV-2 QUANT&REVRSE TRNSCRIPJ 29.93

87540 LEGION PNEUMO DNA DIR PROB TC 14.02

87540 LEGION PNEUMO DNA DIR PROB 14.02

87541 LEGION PNEUMO DNA AMP PROB TC 24.53

87541 LEGION PNEUMO DNA AMP PROB 24.53

87542 LEGION PNEUMO DNA QUANT TC 29.17

87542 LEGION PNEUMO DNA QUANT 29.17

87550 MYCOBACTERIA DNA DIR PROBE TC 14.02

87550 MYCOBACTERIA DNA DIR PROBE 14.02

87551 MYCOBACTERIA DNA AMP PROBE TC 24.53

87551 MYCOBACTERIA DNA AMP PROBE 24.53

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87552 MYCOBACTERIA DNA QUANT TC 29.93

87552 MYCOBACTERIA DNA QUANT 29.93

87555 M.TUBERCULO DNA DIR PROBE TC 14.02

87555 M.TUBERCULO DNA DIR PROBE 14.02

87556 M.TUBERCULO DNA AMP PROBE TC 24.53

87556 M.TUBERCULO DNA AMP PROBE 24.53

87557 M.TUBERCULO DNA QUANT TC 29.93

87557 M.TUBERCULO DNA QUANT 29.93

87560 M.AVIUM-INTRA DNA DIR PROB TC 14.02

87560 M.AVIUM-INTRA DNA DIR PROB 14.02

87561 M.AVIUM-INTRA DNA AMP PROB TC 24.53

87561 M.AVIUM-INTRA DNA AMP PROB 24.53

87562 M.AVIUM-INTRA DNA QUANT TC 29.93

87562 M.AVIUM-INTRA DNA QUANT 29.93

87580 M.PNEUMON DNA DIR PROBE TC 14.02

87580 M.PNEUMON DNA DIR PROBE 14.02

87581 M.PNEUMON DNA AMP PROBE TC 24.53

87581 M.PNEUMON DNA AMP PROBE 24.53

87582 M.PNEUMON DNA QUANT TC 29.17

87582 M.PNEUMON DNA QUANT 29.17

87590 N.GONORRHOEAE DNA DIR PROB TC 14.02

87590 N.GONORRHOEAE DNA DIR PROB 14.02

87591 N.GONORRHOEAE DNA AMP PROB TC 24.53

87591 N.GONORRHOEAE DNA AMP PROB 24.53

87592 N.GONORRHOEAE DNA QUANT TC 29.93

87592 N.GONORRHOEAE DNA QUANT 29.93

87640 STAPH A DNA AMP PROBE TC 24.52

87640 STAPH A DNA AMP PROBE 24.52

87641 MR-STAPH DNA AMP PROBE TC 24.52

87641 MR-STAPH DNA AMP PROBE 24.52

87650 STREP A DNA DIR PROBE TC 14.02

87650 STREP A DNA DIR PROBE 14.02

87651 STREP A DNA AMP PROBE TC 24.53

87651 STREP A DNA AMP PROBE 24.53

87652 STREP A DNA QUANT TC 29.17

87652 STREP A DNA QUANT 29.17

87653 STREP B DNA AMP PROBE TC 24.52

87653 STREP B DNA AMP PROBE 24.52

87660 TRICHOMONAS VAGIN DIR PROBE TC 14.02

87660 TRICHOMONAS VAGIN DIR PROBE 14.02

87797 DETECT AGENT NOS DNA DIR TC 14.02

87797 DETECT AGENT NOS DNA DIR 14.02

87798 DETECT AGENT NOS DNA AMP TC 24.53

87798 DETECT AGENT NOS DNA AMP 24.53

87799 DETECT AGENT NOS DNA QUANT TC 29.93

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87799 DETECT AGENT NOS DNA QUANT 29.93

87800 DETECT AGNT MULT DNA DIREC TC 28.02

87800 DETECT AGNT MULT DNA DIREC 28.02

87801 DETECT AGNT MULT DNA AMPLI TC 49.04

87801 DETECT AGNT MULT DNA AMPLI 49.04

87802 STREP B ASSAY W/OPTIC TC 8.39

87802 STREP B ASSAY W/OPTIC 8.39

87803 CLOSTRIDIUM TOXIN A W/OPTIC TC 8.39

87803 CLOSTRIDIUM TOXIN A W/OPTIC 8.39

87804 INFLUENZA ASSAY W/OPTIC TC 8.39

87804 INFLUENZA ASSAY W/OPTIC 8.39

87807 RSV ASSAY W/OPTIC TC 8.39

87807 RSV ASSAY W/OPTIC 8.39

87808 TRICHOMONAS ASSAY W/OPTIC TC 8.38

87808 TRICHOMONAS ASSAY W/OPTIC 8.38

87809 Adenovirus assay w/optic 8.38

87810 CHYLMD TRACH ASSAY W/OPTIC TC 8.39

87810 CHYLMD TRACH ASSAY W/OPTIC 8.39

87850 N. GONORRHOEAE ASSAY W/OPTIC TC 8.39

87850 N. GONORRHOEAE ASSAY W/OPTIC 8.39

87880 STREP A ASSAY W/OPTIC TC 8.39

87880 STREP A ASSAY W/OPTIC 8.39

87899 AGENT NOS ASSAY W/OPTIC TC 8.39

87899 AGENT NOS ASSAY W/OPTIC 8.39

87900 PHENOTYPE INFECT AGENT DRUG TC 91.06

87900 PHENOTYPE INFECT AGENT DRUG 91.06

87901 GENOTYPE DNA HIV REVERSE T TC 179.85

87901 GENOTYPE DNA HIV REVERSE T 179.85

87902 GENOTYPE DNA/RNA HEP C TC 179.85

87902 GENOTYPE DNA/RNA HEP C 179.85

87903 PHENOTYPE DNA HIV W/CULTURE TC 341.36

87903 PHENOTYPE DNA HIV W/CULTURE 341.36

87904 PHENOTYPE DNA HIV W/CLT ADD TC 91.06

87904 PHENOTYPE DNA HIV W/CLT ADD 91.06

87905 SIALIDASE ENZYME ASSAY 8.92

87906 GENOTYPE DNA/RNA HIV 90.56

88104 CYTOPATH FL NONGYN SMEARS TC 6.00

88104 CYTOPATH FL NONGYN SMEARS 26 37.20

88104 CYTOPATH FL NONGYN SMEARS 46.50

88106 CYTOPATH FL NONGYN FILTER TC 6.00

88106 CYTOPATH FL NONGYN FILTER 26 37.20

88106 CYTOPATH FL NONGYN FILTER 46.50

88108 CYTOPATH CONCENTRATE TECH TC 13.95

88108 CYTOPATH CONCENTRATE TECH 26 55.80

88108 CYTOPATH CONCENTRATE TECH 69.75

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88112 CYTOPATH CELL ENHANCE TECH TC 57.88

88112 CYTOPATH CELL ENHANCE TECH 26 66.61

88112 CYTOPATH CELL ENHANCE TECH 124.49

88120 CYTP URNE 3-5 PROBES EA SPEC CYTOP TC 440.87

88120 CYTP URNE 3-5 PROBES EA SPEC CYTOP 26 56.17

88120 CYTP URNE 3-5 PROBES EA SPEC CYTOP 497.05

88121 CYTP URINE 3-5 PROBES CMPTR CYTOP TC 369.61

88121 CYTP URINE 3-5 PROBES CMPTR CYTOP 26 50.05

88121 CYTP URINE 3-5 PROBES CMPTR CYTOP 419.66

88125 FORENSIC CYTOPATHOLOGY TC 5.00

88125 FORENSIC CYTOPATHOLOGY 26 69.75

88125 FORENSIC CYTOPATHOLOGY 77.50

88130 SEX CHROMATIN IDENTIFICATION TC 10.52

88130 SEX CHROMATIN IDENTIFICATION 10.52

88140 SEX CHROMATIN IDENTIFICATION TC 5.59

88140 SEX CHROMATIN IDENTIFICATION 5.59

88141 CYTOPATH C/V INTERPRET TC 6.44

88141 CYTOPATH C/V INTERPRET 26 25.77

88141 CYTOPATH C/V INTERPRET 32.22

88142 CYTOPATH C/V THIN LAYER TC 14.16

88142 CYTOPATH C/V THIN LAYER 14.16

88143 CYTOPATH C/V THIN LAYER REDO TC 14.16

88143 CYTOPATH C/V THIN LAYER REDO 14.16

88147 CYTOPATH C/V AUTOMATED TC 7.95

88147 CYTOPATH C/V AUTOMATED 7.95

88148 CYTOPATH C/V AUTO RESCREEN TC 10.62

88148 CYTOPATH C/V AUTO RESCREEN 10.62

88150 CYTOPATH C/V MANUAL TC 7.39

88150 CYTOPATH C/V MANUAL 7.39

88152 CYTOPATH C/V AUTO REDO TC 7.39

88152 CYTOPATH C/V AUTO REDO 7.39

88153 CYTOPATH C/V REDO TC 7.39

88153 CYTOPATH C/V REDO 7.39

88154 CYTOPATH C/V SELECT TC 7.39

88154 CYTOPATH C/V SELECT 7.39

88155 CYTOPATH C/V INDEX ADD-ON TC 4.19

88155 CYTOPATH C/V INDEX ADD-ON 4.19

88160 CYTOPATH SMEAR OTHER SOURCE TC 4.00

88160 CYTOPATH SMEAR OTHER SOURCE 26 31.00

88160 CYTOPATH SMEAR OTHER SOURCE 37.20






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88164 CYTOPATH TBS C/V MANUAL TC 7.39

88164 CYTOPATH TBS C/V MANUAL 7.39

88165 CYTOPATH TBS C/V REDO TC 7.39

88165 CYTOPATH TBS C/V REDO 7.39

88166 CYTOPATH TBS C/V AUTO REDO TC 7.39

88166 CYTOPATH TBS C/V AUTO REDO 7.39

88167 CYTOPATH TBS C/V SELECT TC 7.39

88167 CYTOPATH TBS C/V SELECT 7.39

88172 CYTP DX EVAL FNA 1ST EA SITE TC 4.65

88172 CYTP DX EVAL FNA 1ST EA SITE 26 18.60

88172 CYTP DX EVAL FNA 1ST EA SITE 23.25

88173 CYTOPATH EVAL FNA REPORT TC 7.44

88173 CYTOPATH EVAL FNA REPORT 26 29.76

88173 CYTOPATH EVAL FNA REPORT 37.20

88174 CYTOPATH C/V AUTO IN FLUID TC 2.98

88174 CYTOPATH C/V AUTO IN FLUID 26 11.92

88174 CYTOPATH C/V AUTO IN FLUID 14.92

88175 CYTOPATH C/V AUTO FLUID REDO TC 3.70

88175 CYTOPATH C/V AUTO FLUID REDO 26 14.80

88175 CYTOPATH C/V AUTO FLUID REDO 18.51

88177 CYTP FNA EVAL EA ADDL TC 7.08

88177 CYTP FNA EVAL EA ADDL 26 23.03

88177 CYTP FNA EVAL EA ADDL 30.12

88182 CELL MARKER STUDY TC 12.37

88182 CELL MARKER STUDY 26 49.50

88182 CELL MARKER STUDY 61.87

88184 FLOWCYTOMETRY/ TC 1 MARKER 52.89

88185 FLOWCYTOMETRY/TC ADD-ON 26.06

88187 FLOWCYTOMETRY/READ 2-8 69.90

88188 FLOWCYTOMETRY/READ 9-15 87.19

88189 FLOWCYTOMETRY/READ 16 & > 114.84

88230 TISSUE CULTURE LYMPHOCYTE TC 81.39

88230 TISSUE CULTURE LYMPHOCYTE 81.39

88233 TISSUE CULTURE SKIN/BIOPSY TC 98.32

88233 TISSUE CULTURE SKIN/BIOPSY 98.32

88235 TISSUE CULTURE PLACENTA TC 102.88

88235 TISSUE CULTURE PLACENTA 102.88

88237 TISSUE CULTURE BONE MARROW TC 88.24

88237 TISSUE CULTURE BONE MARROW 88.24

88239 TISSUE CULTURE TUMOR TC 103.06

88239 TISSUE CULTURE TUMOR 103.06

88240 CELL CRYOPRESERVE/STORAGE TC 7.06

88240 CELL CRYOPRESERVE/STORAGE 7.06

88241 FROZEN CELL PREPARATION TC 7.06

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88241 FROZEN CELL PREPARATION 7.06

88245 CHROMOSOME ANALYSIS 20-25 TC 103.99

88245 CHROMOSOME ANALYSIS 20-25 103.99



88249 CHROMOSOME ANALYSIS 100 TC 120.99

88249 CHROMOSOME ANALYSIS 100 120.99









88267 CHROMOSOME ANALYS PLACENTA TC 125.59

88267 CHROMOSOME ANALYS PLACENTA 125.59

88269 CHROMOSOME ANALYS AMNIOTIC TC 116.20

88269 CHROMOSOME ANALYS AMNIOTIC 116.20

88271 CYTOGENETICS DNA PROBE TC 14.97

88271 CYTOGENETICS DNA PROBE 14.97

88272 CYTOGENETICS 3-5 TC 18.71

88272 CYTOGENETICS 3-5 18.71






88275 CYTOGENETICS 100-300 28.06

88280 CHROMOSOME KARYOTYPE STUDY TC 17.54

88280 CHROMOSOME KARYOTYPE STUDY 17.54

88283 CHROMOSOME BANDING STUDY TC 35.01

88283 CHROMOSOME BANDING STUDY 35.01

88285 CHROMOSOME COUNT ADDITIONAL TC 13.28

88285 CHROMOSOME COUNT ADDITIONAL 13.28

88289 CHROMOSOME STUDY ADDITIONAL TC 10.00

88289 CHROMOSOME STUDY ADDITIONAL 10.00

88291 CYTO/MOLECULAR REPORT TC 1.71

88291 CYTO/MOLECULAR REPORT 26 6.86

88291 CYTO/MOLECULAR REPORT 8.58

88300 SURGICAL PATH GROSS TC 3.00

88300 SURGICAL PATH GROSS 26 18.60

88300 SURGICAL PATH GROSS 23.25

88302 TISSUE EXAM BY PATHOLOGIST TC 5.00

88302 TISSUE EXAM BY PATHOLOGIST 26 54.25

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88302 TISSUE EXAM BY PATHOLOGIST 62.00













88311 DECALCIFY TISSUE TC 1.00

88311 DECALCIFY TISSUE 26 10.85

88311 DECALCIFY TISSUE 12.40

88312 SPECIAL STAINS GROUP 1 TC 5.27

88312 SPECIAL STAINS GROUP 1 26 21.08

88312 SPECIAL STAINS GROUP 1 26.35

88313 SPECIAL STAINS GROUP 2 TC 2.48

88313 SPECIAL STAINS GROUP 2 26 9.92

88313 SPECIAL STAINS GROUP 2 12.40

88314 HISTOCHEMICAL STAINS ADD-ON TC 2.48

88314 HISTOCHEMICAL STAINS ADD-ON 26 9.92

88314 HISTOCHEMICAL STAINS ADD-ON 12.40

88319 ENZYME HISTOCHEMISTRY TC 2.48

88319 ENZYME HISTOCHEMISTRY 26 9.92

88319 ENZYME HISTOCHEMISTRY 12.40

88321 MICROSLIDE CONSULTATION 26 124.00

88321 MICROSLIDE CONSULTATION 124.00

88323 MICROSLIDE CONSULTATION TC 9.00

88323 MICROSLIDE CONSULTATION 26 55.80

88323 MICROSLIDE CONSULTATION 69.75

88325 COMPREHENSIVE REVIEW OF DATA 26 100.75

88325 COMPREHENSIVE REVIEW OF DATA 100.75

88329 PATH CONSULT INTROP 26 62.00

88329 PATH CONSULT INTROP 62.00

88331 PATH CONSULT INTRAOP 1 BLOC TC 10.00

88331 PATH CONSULT INTRAOP 1 BLOC 26 77.50

88331 PATH CONSULT INTRAOP 1 BLOC 93.00

88332 PATH CONSULT INTRAOP ADDL TC 13.95

88332 PATH CONSULT INTRAOP ADDL 26 31.00

88332 PATH CONSULT INTRAOP ADDL 69.75

88333 INTRAOP CYTO PATH CONSULT 1 TC 22.30

88333 INTRAOP CYTO PATH CONSULT 1 26 65.09

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88333 INTRAOP CYTO PATH CONSULT 1 87.38

88334 INTRAOP CYTO PATH CONSULT 2 TC 13.60

88334 INTRAOP CYTO PATH CONSULT 2 26 31.99

88334 INTRAOP CYTO PATH CONSULT 2 45.59

88341 Immunohisto antibody slide TC 24.14

88342 IMMUNOHISTOCHEMISTRY TC 13.95

88342 IMMUNOHISTOCHEMISTRY 26 55.80

88342 IMMUNOHISTOCHEMISTRY 69.75

88344 Immunohisto antibody slide TC 40.88

88346 IMMUNOFLUORESCENT STUDY TC 24.80

88346 IMMUNOFLUORESCENT STUDY 26 99.20

88346 IMMUNOFLUORESCENT STUDY 124.00

88347 IMMUNOFLUORESCENT STUDY TC 24.80

88347 IMMUNOFLUORESCENT STUDY 26 99.20

88347 IMMUNOFLUORESCENT STUDY 124.00

88348 ELECTRON MICROSCOPY TC 77.50

88348 ELECTRON MICROSCOPY 26 310.00

88348 ELECTRON MICROSCOPY 387.50

88355 ANALYSIS SKELETAL MUSCLE TC 39.92

88355 ANALYSIS SKELETAL MUSCLE 26 159.68

88355 ANALYSIS SKELETAL MUSCLE 199.60

88356 ANALYSIS NERVE TC 62.88

88356 ANALYSIS NERVE 26 251.55

88356 ANALYSIS NERVE 314.44

88358 ANALYSIS TUMOR TC 56.87

88358 ANALYSIS TUMOR 26 227.51

88358 ANALYSIS TUMOR 284.39

88360 TUMOR IMMUNOHISTOCHEM/MANUAL TC 50.52

88360 TUMOR IMMUNOHISTOCHEM/MANUAL 26 62.82

88360 TUMOR IMMUNOHISTOCHEM/MANUAL 113.34

88361 TUMOR IMMUNOHISTOCHEM/COMPUT TC 87.54

88361 TUMOR IMMUNOHISTOCHEM/COMPUT 26 56.28

88361 TUMOR IMMUNOHISTOCHEM/COMPUT 143.82

88362 NERVE TEASING PREPARATIONS TC 45.82

88362 NERVE TEASING PREPARATIONS 26 183.29

88362 NERVE TEASING PREPARATIONS 229.12

88363 XM ARCHIVE TISSUE MOLEC ANAL EXAMI 41.33

88364 Insitu hybridization (fish) TC 37.27

88365 INSITU HYBRIDIZATION (FISH) TC 18.56

88365 INSITU HYBRIDIZATION (FISH) 26 74.26

88365 INSITU HYBRIDIZATION (FISH) 92.82

88366 Insitu hybridization (fish) TC 45.83

88367 INSITU HYBRIDIZATION AUTO TC 143.27

88367 INSITU HYBRIDIZATION AUTO 26 73.20

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88367 INSITU HYBRIDIZATION AUTO 216.47

88368 INSITU HYBRIDIZATION MANUAL TC 116.84

88368 INSITU HYBRIDIZATION MANUAL 26 79.37

88368 INSITU HYBRIDIZATION MANUAL 196.20

88369 M/phmtrc alysishquant/semiq TC 25.85

88371 PROTEIN WESTERN BLOT TISSUE TC 6.36

88371 PROTEIN WESTERN BLOT TISSUE 26 3.96

88371 PROTEIN WESTERN BLOT TISSUE 10.32

88372 PROTEIN ANALYSIS W/PROBE TC 9.68

88372 PROTEIN ANALYSIS W/PROBE 26 6.22

88372 PROTEIN ANALYSIS W/PROBE 15.90

88373 M/phmtrc alys ishquant/semiq TC 20.72


88375 Optical endomicroscpy interp 0.00


88381 MICRODISSECTION MANUAL TC 156.41

88381 MICRODISSECTION MANUAL 26 52.04

88381 MICRODISSECTION MANUAL 208.45

88387 TISS EXAM MOLECULAR STUDY TC 8.19

88387 TISS EXAM MOLECULAR STUDY 26 31.79

88387 TISS EXAM MOLECULAR STUDY 39.99

88388 TISS EX MOLECUL STUDY ADD-ON TC 4.11

88388 TISS EX MOLECUL STUDY ADD-ON 26 19.69

88388 TISS EX MOLECUL STUDY ADD-ON 23.79

88720 BILIRUBIN TOTAL TRANSCUT 3.66

88738 HGB QUANT TRANSCUTANEOUS 3.60

88740 TRANSCUTANEOUS CARBOXYHB 3.66

88741 TRANSCUTANEOUS METHB 3.66

89050 BODY FLUID CELL COUNT TC 3.31

89050 BODY FLUID CELL COUNT 3.31

89051 BODY FLUID CELL COUNT TC 3.85

89051 BODY FLUID CELL COUNT 3.85

89055 LEUKOCYTE ASSESSMENT FECAL TC 2.99

89055 LEUKOCYTE ASSESSMENT FECAL 2.99

89060 EXAM SYNOVIAL FLUID CRYSTALS TC 1.62

89060 EXAM SYNOVIAL FLUID CRYSTALS 26 3.38

89060 EXAM SYNOVIAL FLUID CRYSTALS 5.00

89125 SPECIMEN FAT STAIN TC 2.42

89125 SPECIMEN FAT STAIN 2.42

89160 EXAM FECES FOR MEAT FIBERS TC 2.58

89160 EXAM FECES FOR MEAT FIBERS 2.58

89190 NASAL SMEAR FOR EOSINOPHILS TC 3.32

89190 NASAL SMEAR FOR EOSINOPHILS 3.32

89220 SPUTUM SPECIMEN COLLECTION 15.77

89230 COLLECT SWEAT FOR TEST 4.15

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89240 PATHOLOGY LAB PROCEDURE 0.00

89310 SEMEN ANALYSIS W/COUNT TC 6.02

89310 SEMEN ANALYSIS W/COUNT 6.02

G0306 CBC/DIFFWBC W/O PLATELET 5.68

G0307 CBC WITHOUT PLATELET 4.72

G0432 EIA HIV-1/HIV-2 SCREEN INFEC 9.64

G0433 ELISA HIV-1/HIV-2 SCREEN INFEC 9.64

G0434 DRUG SCREEN MULTI DRUG CLASS DRUG 10.23

G0435 ORAL HIV-1/HIV-2 SCREEN INFEC 8.43

S3854 GENE PROFILE PANEL BREAST 0.00

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