Northwest Community Hospital Menu
| Items | |||||
|---|---|---|---|---|---|
| Lab - Valproic Acid Level (Free) (30001298) | $331.00 |
N/A
|
|
||
| Lab - Use Of Electron Microscope For Diagnosis (30000688) | $1,282.00 |
N/A
|
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||
| Lab - Urine Concentration Measurement (30001311) | $61.00 |
N/A
|
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||
| Lab - Uric Acid Level In Specimen Other Than Blood (30001190) | $68.00 |
N/A
|
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||
| Lab - Uric Acid Level In Specimen Other Than Blood (30000489) | $49.00 |
N/A
|
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||
| Lab - Urea Nitrogen Level In Blood (Quantitative) (30000477) | $79.00 |
N/A
|
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||
| Lab - Tyrosine Amino Acid Level (30000476) | $118.00 |
N/A
|
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||
| Lab - Triglycerides Level (30003266) | $34.00 |
N/A
|
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| Lab - Treponema Pallidum Antibody Analysis (30001150) | $84.00 |
N/A
|
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| Lab - Treponema Pallidum Antibody Analysis (30001014) | $58.00 |
N/A
|
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||
| Lab - Toxoplasma Antibody Analysis (Igm) (30003008) | $73.00 |
N/A
|
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||
| Lab - Toxoplasma Antibody Analysis (Except Igm Only) (30001007) | $150.00 |
N/A
|
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||
| Lab - Toxoplasma Antibody Analysis (Except Igm Only) (30003009) | $66.00 |
N/A
|
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| Lab - Toxic Substance Measurement In Tissue Using Light (Each Analyte) (30000508) | $282.00 |
N/A
|
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| Lab - Total Protein Level By Composition (30003193) | $88.00 |
N/A
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| Lab - Topiramate Level (30000469) | $177.00 |
N/A
|
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| Lab - Tobramycin Level (30000468) | $139.00 |
N/A
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| Lab - Tissue Preparation For Culture (30001334) | $66.00 |
N/A
|
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| Lab - Tissue Culture With Additional Studies For Virus Isolation And Identification (30001042) | $530.00 |
N/A
|
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| Lab - Thyroxine Binding Globulin Level (30000467) | $147.00 |
N/A
|
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| Lab - Thyroid Stimulating Immune Globulin Level (30000475) | $298.00 |
N/A
|
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| Lab - Thyroid Hormone Level (T3 Reverse) (30000989) | $98.00 |
N/A
|
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| Lab - Thyroid Hormone Level (Calcitonin) (30000364) | $210.00 |
N/A
|
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| Lab - Thyroid Hormone Analysis (30000466) | $194.00 |
N/A
|
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| Lab - Thyroglobulin Hormone Level (30000465) | $132.00 |
N/A
|
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| Lab - Thyroglobulin Antibody Measurement (30001149) | $210.00 |
N/A
|
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| Lab - Thiocyanate Level (30000464) | $139.00 |
N/A
|
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| Lab - Theophylline Level (30000463) | $89.00 |
N/A
|
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| Lab - Testosterone Level (Total) (30001317) | $200.00 |
N/A
|
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| Lab - Testosterone Level (Free) (30000393) | $275.00 |
N/A
|
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| Lab - Testosterone Level (Bioavailable) (30003337) | $72.60 |
N/A
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| Lab - Susceptibility Study Of Specific Antimicrobial Agent (Microbath Dilution Method, Each Agent) (30003021) | $157.00 |
N/A
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| Lab - Susceptibility Study Of Specific Antimicrobial Agent (Microbath Dilution Method, Each Agent) (30000862) | $79.00 |
N/A
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| Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (30003022) | $181.00 |
N/A
|
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| Lab - Surgical Pathology Consultation And Report (Comprehensive Review And Report On Referred Material) (30000621) | $390.00 |
N/A
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| Lab - Sulfate Level In Urine (30000486) | $87.00 |
N/A
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| Lab - Strep Antibody Measurement (30001320) | $150.00 |
N/A
|
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| Lab - Steroid Hormone Level (Dehydroepiandrosterone-Sulfate) (30000666) | $143.00 |
N/A
|
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| Lab - Steroid Hormone Level (Dehydroepiandrosterone) (30000665) | $187.00 |
N/A
|
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| Lab - Steroid Hormone Level (11-Deoxycortisol) (30003315) | $153.00 |
N/A
|
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| Lab - Steroid And Sex Hormone Level (Androstenedione) (30000349) | $132.00 |
N/A
|
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| Lab - St. Louis Encephalitis Antibody Analysis (30003157) | $87.00 |
N/A
|
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| Lab - St. Louis Encephalitis Antibody Analysis (30000693) | $87.00 |
N/A
|
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| Lab - Specimen Analysis For Rotavirus (Immunoassay Technique) (30000949) | $209.00 |
N/A
|
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||
| Lab - Specimen Analysis For Legionella Pneumophila Bacteria (Immunofluorescent Technique) (30000844) | $288.00 |
N/A
|
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| Lab - Specimen Analysis For Influenza Virus A Or B (Immunoassay Technique Each Type) (30000821) | $153.00 |
N/A
|
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| Lab - Specimen Analysis For Hiv-1 (Immunoassay Technique) (30000788) | $175.00 |
N/A
|
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| Lab - Specimen Analysis For Hepatitis C Virus Genotype (30000737) | $611.00 |
N/A
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| Lab - Specimen Analysis For Hepatitis Be Surface Antigen (Immunoassay Technique) (30000773) | $121.00 |
N/A
|
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| Lab - Specimen Analysis For Hepatitis B Surface Antigen (Neutralization By Immunoassay Technique) (30003330) | $128.00 |
N/A
|
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| Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Multiple Step Method) (30003200) | $133.00 |
N/A
|
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| Lab - Specimen Analysis By Measurement Of Mass (30003032) | $184.00 |
N/A
|
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| Lab - Somatostatin Growth Hormone Level (30001292) | $285.00 |
N/A
|
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| Lab - Somatomedin Growth Factor Level (30000461) | $152.00 |
N/A
|
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| Lab - Sodium Level In Urine (30001316) | $98.00 |
N/A
|
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| Lab - Sodium Level In Other Specimen (30003252) | $38.00 |
N/A
|
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| Lab - Smear With Wet Mount For Infectious Agents (30003227) | $222.00 |
N/A
|
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| Lab - Smear With Special Stain For Microorganisms (Inclusion Bodies Or Parasites) (30001336) | $96.00 |
N/A
|
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| Lab - Skin Test For Tuberculosis Bacterial Infection (30000990) | $14.00 |
N/A
|
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| Lab - Skin Or Other Solid Tissue Biopsy Culture To Identify Non-Cancerous Disorders (30001003) | $1,791.00 |
N/A
|
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| Lab - Sirolimus Level (30000460) | $304.00 |
N/A
|
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| Lab - Sex Hormone Binding Globulin Level (30000459) | $88.00 |
N/A
|
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| Lab - Serotonin Hormone Level (30000455) | $470.00 |
N/A
|
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| Lab - Separation Of Blood Products (30001147) | $238.00 |
N/A
|
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| Lab - Separation Of Blood Products (30000972) | $54.00 |
N/A
|
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||
| Lab - Semen Analysis For Volume, Count, Motility And Differential (30000960) | $154.00 |
N/A
|
|
||
| Lab - Semen Analysis For Presence And Motility Of Sperm (30000959) | $85.00 |
N/A
|
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| Lab - Selenium Essential Mineral Level (30003333) | $190.00 |
N/A
|
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| Lab - Screening Culture For Pathogenic Organisms Without Colony Count (30001282) | $112.00 |
N/A
|
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| Lab - Screening Culture For Pathogenic Organisms Without Colony Count (30001283) | $104.00 |
N/A
|
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| Lab - Screening Culture For Pathogenic Organisms Without Colony Count (30003250) | $104.00 |
N/A
|
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| Lab - Sample Analysis By Separation Of Components (30003314) | $186.00 |
N/A
|
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| Lab - Rubeola Antibody Analysis (30001144) | $128.00 |
N/A
|
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| Lab - Rubeola Antibody Analysis (30000956) | $103.00 |
N/A
|
|
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| Lab - Rubeola Antibody Analysis (30001330) | $95.00 |
N/A
|
|
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| Lab - Rubeola Antibody Analysis (30001331) | $95.00 |
N/A
|
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| Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (30001088) | $166.00 |
N/A
|
|
||
| Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (30003322) | $122.00 |
N/A
|
|
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| Lab - Respiratory Syncytial Virus Antibody Analysis (30000944) | $157.00 |
N/A
|
|
||
| Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (30003328) | $47.00 |
N/A
|
|
||
| Lab - Red Blood Cell Sickling Test (30001143) | $78.00 |
N/A
|
|
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| Lab - Red Blood Cell Fragility Test (Osmotic Using Incubated Cells) (30000937) | $204.00 |
N/A
|
|
||
| Lab - Q Fever Antibody Analysis (30000931) | $146.00 |
N/A
|
|
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| Lab - Pyruvate Organic Acid Level (30000451) | $173.00 |
N/A
|
|
||
| Lab - Pyruvate Kinase Enzyme Level (30000452) | $222.00 |
N/A
|
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| Lab - Protozoa Antibody Analysis (30000758) | $101.00 |
N/A
|
|
||
| Lab - Protoporphyrin Metabolism Substance Level In Red Blood Cells (30001083) | $513.00 |
N/A
|
|
||
| Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (30001322) | $495.00 |
N/A
|
|
||
| Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunoelectrophoresis Using Concentrated Fluid Other Than Blood) (30000898) | $385.00 |
N/A
|
|
||
| Lab - Proteins Identification In Blood Or Body Fluid (Each Immunological Probe For Band Identification) (30001140) | $381.00 |
N/A
|
|
||
| Lab - Proteins Identification In Blood Or Body Fluid (Each Immunological Probe For Band Identification) (30001138) | $264.00 |
N/A
|
|
||
| Lab - Proteins Identification In Blood Or Body Fluid (Each Immunological Probe For Band Identification) (30000922) | $215.00 |
N/A
|
|
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| Lab - Protein S Clotting Inhibitor Level (Total) (30000602) | $130.00 |
N/A
|
|
||
| Lab - Protein Antibody Measurement (Cold Agglutinin Titer) (30001321) | $170.00 |
N/A
|
|
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| Lab - Protein Antibody Measurement (Cold Agglutinin Titer) (30000608) | $150.00 |
N/A
|
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| Lab - Prostate Specific Antigen Level (Psa, Total) (30001315) | $201.00 |
N/A
|
|
||
| Lab - Prostate Specific Antigen Level (Psa, Free) (30000449) | $108.00 |
N/A
|
|
||
| Lab - Proinsulin Hormone Level (30000444) | $68.00 |
N/A
|
|
||
| Lab - Progesterone Reproductive Hormone Level (30000442) | $205.00 |
N/A
|
|
||
| Lab - Primidone Level (30000441) | $149.00 |
N/A
|
|
||
| Lab - Pretreatment Of Red Blood Cells For Antibody Tests (Density Gradient Separation) (30003293) | $238.00 |
N/A
|
|
||
| Lab - Pregnenolone Reproductive Hormone Level (30000440) | $242.00 |
N/A
|
|
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| Lab - Pregnancy-Associated Plasma Protein-A Level (30003316) | $209.00 |
N/A
|
|
||
| Lab - Pregnancy Hormone Level (Hcg Quantitative) (30001318) | $230.00 |
N/A
|
|
||
| Lab - Potassium Level In Urine (30001314) | $130.00 |
N/A
|
|
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| Lab - Porphyrins Metabolism Substance Level In Urine (30000483) | $98.00 |
N/A
|
|
||
| Lab - Porphobilinogen Metabolism Substance Level In Urine (30000438) | $85.00 |
N/A
|
|
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| Lab - Platelet Function Test (In Vitro Each Agent) (30001297) | $126.00 |
N/A
|
|
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| Lab - Platelet Antibodies Analysis (30001248) | $201.00 |
N/A
|
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| Lab - Plasminogen Level (30000713) | $144.00 |
N/A
|
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| Lab - Pinworm Test (30000910) | $106.00 |
N/A
|
|
||
| Lab - Phosphate Level In Urine (30001080) | $107.00 |
N/A
|
|
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| Lab - Phosphate Level In Urine (30000482) | $60.00 |
N/A
|
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| Lab - Phosphate Level In Blood (30003257) | $44.00 |
N/A
|
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| Lab - Phosphatase Acid Level (Prostatic) (30000500) | $122.00 |
N/A
|
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| Lab - Phenylalanine Amino Acid Level In Blood (Pku Test) (30003180) | $118.00 |
N/A
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| Lab - Pcp Drug Level (30001062) | $179.00 |
N/A
|
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| Lab - Pcp Drug Level (30000333) | $113.00 |
N/A
|
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| Lab - Particle Agglutination Antibody Measurement (30003004) | $145.00 |
N/A
|
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| Lab - Pancreatic Hormone Level (Glucagon) (30000400) | $302.00 |
N/A
|
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| Lab - Pancreatic Enzyme Analysis In Stool (Elastase, Qualitative Or Quantitative) (30000901) | $104.00 |
N/A
|
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| Lab - Oxygen Saturation Level In Blood By Direct Measurement (30003045) | $108.00 |
N/A
|
|
||
| Lab - Oxcarbazepine Level (30001272) | $347.00 |
N/A
|
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| Lab - Oxalate Level (30001076) | $150.00 |
N/A
|
|
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| Lab - Oxalate Level (30000431) | $87.00 |
N/A
|
|
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| Lab - Other Tumor Antigen Measurement (30000812) | $177.00 |
N/A
|
|
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| Lab - Organic Acids Identification (30000896) | $338.00 |
N/A
|
|
||
| Lab - One-Way Travel Allowance (30000893) | $56.00 |
N/A
|
|
||
| Lab - Obstetric Panel Without Hiv Testing (30000888) | $204.00 |
N/A
|
|
||
| Lab - Noninfectious Agent Antibody Measurement (30000725) | $274.00 |
N/A
|
|
||
| Lab - Noninfectious Agent Antibody Measurement (30003040) | $128.00 |
N/A
|
|
||
| Lab - Noninfectious Agent Antibody Analysis (30001112) | $363.00 |
N/A
|
|
||
| Lab - Noninfectious Agent Antibody Analysis (30001114) | $274.00 |
N/A
|
|
||
| Lab - Non-Infectious Substance Measurement (By Radioimmunoassay) (30001126) | $917.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Measurement (By Radioimmunoassay) (30003242) | $128.00 |
N/A
|
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| Lab - Non-Infectious Substance Measurement (By Radioimmunoassay) (30001291) | $99.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Measurement (By Other Method) (30003298) | $183.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Measurement (By Other Method) (30003236) | $183.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Measurement (By Other Method) (30003011) | $144.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Measurement (By Other Method) (30001128) | $122.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Measurement (By Other Method) (30001127) | $114.00 |
N/A
|
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| Lab - Non-Infectious Substance Measurement (By Other Method) (30001290) | $101.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (30001110) | $322.00 |
N/A
|
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| Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (30003192) | $235.00 |
N/A
|
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| Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (30001124) | $222.00 |
N/A
|
|
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| Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (30001308) | $207.00 |
N/A
|
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| Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (30000807) | $110.00 |
N/A
|
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| Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (30003264) | $80.00 |
N/A
|
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| Lab - Myoglobin Protein Level (30001184) | $157.00 |
N/A
|
|
||
| Lab - Mycophenolate Level (Mycophenolic Acid) (30001280) | $242.00 |
N/A
|
|
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| Lab - Mumps Antibody Analysis (30003243) | $121.00 |
N/A
|
|
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| Lab - Mumps Antibody Analysis (30000871) | $105.00 |
N/A
|
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| Lab - Molecular Gene Analysis, Level 4 Procedure (30003031) | $283.00 |
N/A
|
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| Lab - Molecular Gene Analysis, Level 2 Procedure (30000867) | $888.00 |
N/A
|
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| Lab - Molecular Gene Analysis, Level 2 Procedure (30003030) | $374.00 |
N/A
|
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| Lab - Molecular Gene Analysis, Level 1 Procedure (30000866) | $77.00 |
N/A
|
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||
| Lab - Miscellaneous Therapeutic Drug Level (30001141) | $196.00 |
N/A
|
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||
| Lab - Miscellaneous Gene Profiling For Other Disorders (Maaa, Other Specified But Unlisted) (30003317) | $718.00 |
N/A
|
|
||
| Lab - Miscellaneous Chemistry Procedure (30003255) | $10.00 |
N/A
|
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| Lab - Miscellaneous Chemistry Procedure (30003253) | $10.00 |
N/A
|
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| Lab - Metanephrines Level (30001183) | $303.00 |
N/A
|
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||
| Lab - Mercury Level (30001072) | $149.00 |
N/A
|
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||
| Lab - Mercury Level (30000422) | $118.00 |
N/A
|
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||
| Lab - Magnesium Level (30001071) | $155.00 |
N/A
|
|
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| Lab - Magnesium Level (30001180) | $60.00 |
N/A
|
|
||
| Lab - Magnesium Level (30003256) | $60.00 |
N/A
|
|
||
| Lab - Macroscopic Exam Of Parasite (30003184) | $42.00 |
N/A
|
|
||
| Lab - Macroscopic Exam Of Insect (30000857) | $39.00 |
N/A
|
|
||
| Lab - Lymphocytic Choriomeningitis Antibody Analysis (30003174) | $109.00 |
N/A
|
|
||
| Lab - Lymphocytic Choriomeningitis Antibody Analysis (30003162) | $87.00 |
N/A
|
|
||
| Lab - Lymphocytic Choriomeningitis Antibody Analysis (30000855) | $87.00 |
N/A
|
|
||
| Lab - Lyme Disease Antibody Confirmatory Analysis (30000316) | $84.00 |
N/A
|
|
||
| Lab - Lyme Disease Antibody Analysis (30001324) | $137.00 |
N/A
|
|
||
| Lab - Lupus Anticoagulants Identification (Thromboplastin Inhibition Using Tissue Specimen) (30000996) | $75.00 |
N/A
|
|
||
| Lab - Liver Enzyme Level (Ast, Sgot) (30001012) | $98.00 |
N/A
|
|
||
| Lab - Liver Enzyme Level (Alt, Sgpt) (30000014) | $107.00 |
N/A
|
|
||
| Lab - Lipoprotein Level (Quantitation After High Resolution Fractionation) (30003267) | $70.00 |
N/A
|
|
||
| Lab - Lipoprotein Level (Quantitation After Electrophorectic Separation) (30000689) | $107.00 |
N/A
|
|
||
| Lab - Lipoprotein Level (Apolipoprotein) (30000419) | $99.00 |
N/A
|
|
||
| Lab - Lipid Panel (30000849) | $201.00 |
N/A
|
|
||
| Lab - Lidocaine Level (30000416) | $110.00 |
N/A
|
|
||
| Lab - Leucine Aminopeptidase Enzyme Level (30000413) | $160.00 |
N/A
|
|
||
| Lab - Leptospira Antibody Analysis (30000847) | $125.00 |
N/A
|
|
||
| Lab - Legionella Antibody Analysis (30000845) | $120.00 |
N/A
|
|
||
| Lab - Lead Level (30001070) | $107.00 |
N/A
|
|
||
| Lab - Ldl Cholesterol Level (30000359) | $75.00 |
N/A
|
|
||
| Lab - Lactate Dehydrogenase Enzyme Measurement (Ldh Isoenzymes Separation And Quantitation) (30000414) | $99.00 |
N/A
|
|
||
| Lab - Ketone Bodies Identification (Qualitative) (30000992) | $61.00 |
N/A
|
|
||
| Lab - Isolation Of Infectious Agents For Study (30001146) | $79.00 |
N/A
|
|
||
| Lab - Islet Cell Antibody Measurement (30000835) | $326.00 |
N/A
|
|
||
| Lab - Insulin Antibody Measurement (30000829) | $72.00 |
N/A
|
|
||
| Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (30000897) | $638.00 |
N/A
|
|
||
| Lab - Inhibin A Measurement (30000827) | $206.00 |
N/A
|
|
||
| Lab - Influenza Antibody Analysis (30000825) | $95.00 |
N/A
|
|
||
| Lab - Infectious Agent Antibody Measurement (Immunoassay) (30000994) | $104.00 |
N/A
|
|
||
| Lab - Infectious Agent Antibody Measurement (Immunoassay) (30003273) | $49.00 |
N/A
|
|
||
| Lab - Infectious Agent Antibody Measurement (Immunoassay) (30003168) | $49.00 |
N/A
|
|
||
| Lab - Infectious Agent Antibody Measurement (Immunoassay) (30003272) | $49.00 |
N/A
|
|
||
| Lab - Immune System Protein Antibody Fixation Test (Complement Fixation Test Per Antigen) (30001097) | $199.00 |
N/A
|
|
||
| Lab - Immune System Protein Antibody Fixation Test (Complement Fixation Test Per Antigen) (30000615) | $164.00 |
N/A
|
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