Western Maine Health Menu
| Items | |||||
|---|---|---|---|---|---|
| Lab - Mercury Level (301000452) | $129.00 |
N/A
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| Lab - Mercury Level (301000245) | $129.00 |
N/A
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| Lab - Mercury Level (300000175) | $21.00 |
N/A
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| Lab - Manganese Heavy Metal Level (301000243) | $237.00 |
N/A
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| Lab - Magnesium Level (301000457) | $259.00 |
N/A
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| Lab - Magnesium Level (301000448) | $92.00 |
N/A
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| Lab - Magnesium Level (301000242) | $75.60 |
N/A
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| Lab - Magnesium Level (301000591) | $61.00 |
N/A
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| Lab - Magnesium Level (301000561) | $61.00 |
N/A
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| Lab - Macroscopic Exam Of Parasite (306000037) | $144.90 |
N/A
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| Lab - Lyme Disease Antibody Confirmatory Analysis (302000091) | $257.25 |
N/A
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| Lab - Lyme Disease Antibody Confirmatory Analysis (302000272) | $218.00 |
N/A
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| Lab - Lyme Disease Antibody Confirmatory Analysis (302000092) | $198.00 |
N/A
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| Lab - Lyme Disease Antibody Analysis (302000273) | $236.00 |
N/A
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| Lab - Lyme Disease Antibody Analysis (302000093) | $176.40 |
N/A
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| Lab - Lyme Disease Antibody Analysis (302000269) | $81.00 |
N/A
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| Lab - Luteinizing Hormone Level (Gonadotropin Lh) (301000211) | $252.00 |
N/A
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| Lab - Luteinizing Hormone Level (Gonadotropin Lh) (301000210) | $249.90 |
N/A
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| Lab - Lupus Anticoagulants Identification (Platelet Phospholipid Neutralization) (305000031) | $75.60 |
N/A
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| Lab - Liver Function Panel (301000007) | $130.20 |
N/A
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| Lab - Liver Enzyme Level (Ast, Sgot) (301000367) | $75.60 |
N/A
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| Lab - Liver Enzyme Level (Alt, Sgpt) (301000368) | $118.65 |
N/A
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| Lab - Liver Enzyme Level (Alt, Sgpt) (301000438) | $92.00 |
N/A
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| Lab - Lithium Level (301000053) | $110.25 |
N/A
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| Lab - Lipoprotein Level (Quantitation By Particle Number) (301000514) | $70.00 |
N/A
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| Lab - Lipoprotein Level (Quantitation After High Resolution Fractionation) (301000441) | $144.00 |
N/A
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| Lab - Lipoprotein Level (Quantitation After Electrophorectic Separation) (301000239) | $210.00 |
N/A
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| Lab - Lipoprotein Level (Quantitation After Electrophorectic Separation) (300000002) | $28.00 |
N/A
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| Lab - Lipoprotein Level (Apolipoprotein) (302000018) | $226.00 |
N/A
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| Lab - Lipid Panel (301000004) | $110.25 |
N/A
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| Lab - Lipid Panel (301000005) | $37.00 |
N/A
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| Lab - Lipase Enzyme Level (301000238) | $78.75 |
N/A
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| Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (301000456) | $106.00 |
N/A
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| Lab - Lidocaine Level (301000052) | $225.75 |
N/A
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| Lab - Levetiracetam Level (301000072) | $236.00 |
N/A
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| Lab - Leptospira Antibody Analysis (302000122) | $117.00 |
N/A
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| Lab - Legionella Antibody Analysis (302000121) | $182.00 |
N/A
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| Lab - Lead Level (301000454) | $50.00 |
N/A
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| Lab - Lead Level (300000174) | $48.00 |
N/A
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| Lab - Lead Level (301000235) | $42.00 |
N/A
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| Lab - Ldl Cholesterol Level (301000403) | $134.40 |
N/A
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| Lab - Ldl Cholesterol Level (301000241) | $75.60 |
N/A
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| Lab - Lamotrigine Level (301000138) | $141.00 |
N/A
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| Lab - Lactic Acid Level (301000230) | $154.35 |
N/A
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| Lab - Lactate Dehydrogenase Enzyme Measurement (Ldh Isoenzymes Separation And Quantitation) (301000234) | $215.00 |
N/A
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| Lab - Lactate Dehydrogenase Enzyme Level (Ldh) (301000231) | $151.20 |
N/A
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| Lab - Lactate Dehydrogenase Enzyme Level (Ldh) (301000233) | $116.00 |
N/A
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| Lab - Lactate Dehydrogenase Enzyme Level (Ldh) (301000232) | $106.00 |
N/A
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| Lab - Lactate Dehydrogenase Enzyme Level (Ldh) (301000619) | $13.00 |
N/A
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| Lab - Kidney Function Panel (301000429) | $252.00 |
N/A
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| Lab - Ketone Bodies Identification (Qualitative) (307000012) | $69.30 |
N/A
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| Lab - Ketone Bodies Analysis For Levels (307000014) | $193.00 |
N/A
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| Lab - Ketone Bodies Analysis For Levels (307000013) | $69.30 |
N/A
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| Lab - Isolation Of Infectious Agents For Study (300000034) | $163.80 |
N/A
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| Lab - Islet Cell Antibody Measurement (302000277) | $222.00 |
N/A
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| Lab - Islet Cell Antibody Measurement (302000063) | $65.00 |
N/A
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| Lab - Islet Cell Antibody Measurement (302000062) | $65.00 |
N/A
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| Lab - Islet Cell Antibody Measurement (302000276) | $48.00 |
N/A
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| Lab - Irradiation Of Blood Product (302000160) | $94.50 |
N/A
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| Lab - Iron Level (301000228) | $111.30 |
N/A
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| Lab - Iron Binding Protein Level (Transferrin) (301000369) | $73.50 |
N/A
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| Lab - Iron Binding Capacity (301000229) | $144.90 |
N/A
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| Lab - Intrinsic Factor Antibody Measurement (302000061) | $332.00 |
N/A
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| Lab - Insulin Measurement (Total) (301000226) | $160.65 |
N/A
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| Lab - Insulin Measurement (Total) (302000191) | $101.00 |
N/A
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| Lab - Insulin Antibody Measurement (302000060) | $468.00 |
N/A
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| Lab - Insertion Of Needle Into Vein, Patient Younger Than 3 Years (36406) | $29.40 |
N/A
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| Lab - Insertion Of Needle Into Vein, Patient 3 Years Or Older (36410) | $28.35 |
N/A
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| Lab - Insertion Of Needle Into Vein For Collection Of Blood Sample (300000001) | $72.45 |
N/A
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| Lab - Insertion Of Needle Into Vein For Collection Of Blood Sample (300000018) | $16.00 |
N/A
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| Lab - Insertion Of Needle Into Upper Leg Or Neck Vein, Patient Younger Than 3 Years (36400) | $28.35 |
N/A
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| Lab - Insertion Of Needle Into Scalp Vein, Patient Younger Than 3 Years (36405) | $47.25 |
N/A
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| Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (301000554) | $254.10 |
N/A
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| Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (300000211) | $230.00 |
N/A
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| Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (300000209) | $137.00 |
N/A
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| Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (301000616) | $137.00 |
N/A
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| Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (301000578) | $137.00 |
N/A
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| Lab - Initial Drug Testing (Presumptive And Read By Instrument Assisted Direct Optical Observation) (301000555) | $99.75 |
N/A
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| Lab - Inhibin A Measurement (302000180) | $60.00 |
N/A
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| Lab - Infectious Agent Drug Susceptibility Analysis (306000106) | $322.00 |
N/A
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| Lab - Infectious Agent Antibody Measurement (Immunoassay) (302000212) | $66.00 |
N/A
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| Lab - Infectious Agent Antibody Measurement (Immunoassay) (302000274) | $58.00 |
N/A
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| Lab - Infectious Agent Antibody Measurement (Immunoassay) (302000268) | $47.00 |
N/A
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| Lab - Infectious Agent Antibody Measurement (Immunoassay) (302000267) | $36.00 |
N/A
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| Lab - Infectious Agent Antibody Measurement (Immunoassay) (302000192) | $21.00 |
N/A
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| Lab - Incision Of Vein For Insertion Of Needle Or Catheter, Patient Younger Than 1 Year (36420) | $110.25 |
N/A
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| Lab - Immune System Protein Antibody Measurement (Complement, Total Hemolytic Ch50) (302000036) | $275.00 |
N/A
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| Lab - Immune System Protein Antibody Measurement (Complement Functional Activity, Each Component Tested) (302000275) | $72.00 |
N/A
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| Lab - Immune System Protein Antibody Measurement (Complement Antigen Level, Each Component Tested) (302000035) | $313.00 |
N/A
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| Lab - Immune System Protein Antibody Measurement (Complement Antigen Level, Each Component Tested) (302000033) | $56.70 |
N/A
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| Lab - Immature Red Blood Cell Count (Automated) (301000399) | $75.60 |
N/A
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| Lab - Hydroxyprogesterone 17-D Level (301000224) | $242.00 |
N/A
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| Lab - Hydroxyprogesterone 17-D Level (301000225) | $117.00 |
N/A
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| Lab - Hydroxyindolacetic Acid Level (301000223) | $184.00 |
N/A
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| Lab - Human T-Cell Lymphotropic Antibody Analysis (Htlv-I) (300000146) | $245.00 |
N/A
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| Lab - Human Growth Hormone Level (301000212) | $216.00 |
N/A
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| Lab - Human Growth Hormone Level (301000213) | $113.00 |
N/A
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| Lab - Homovanillic Acid Level (301000221) | $72.00 |
N/A
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| Lab - Homocysteine Amino Acid Level (301000220) | $457.80 |
N/A
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| Lab - Hla Antigen Compatability Test (Multiple Antigens A B Or C) (302000166) | $493.50 |
N/A
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| Lab - Hiv-2 Antibody Analysis (302000171) | $217.00 |
N/A
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| Lab - Hiv-1 Antibody Analysis (302000170) | $184.00 |
N/A
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| Lab - Hiv-1 And Hiv-2 Antibodies Analysis (302000174) | $129.15 |
N/A
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| Lab - High Sensitivity C-Reactive Protein Measurement (302000029) | $73.50 |
N/A
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| Lab - Hidden Blood Identification In Stool (Qualitative For Reason Other Than Colorectal Cancer Screening) (301000112) | $78.75 |
N/A
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| Lab - Hidden Blood Identification In Stool (Qualitative For Colorectal Cancer Screening) (300000006) | $78.75 |
N/A
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| Lab - Hidden Blood Identification In Stool (Qualitative For Colorectal Cancer Screening) (301000109) | $44.10 |
N/A
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| Lab - Hidden Blood Identification In Stool (Qualitative By 1 To 3 Fecal Hgb Determinations) (305000048) | $97.65 |
N/A
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| Lab - Hidden Blood Identification In Stool (Qualitative By 1 To 3 Fecal Hgb Determinations) (301000425) | $50.40 |
N/A
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| Lab - Hidden Blood Identification In Non-Stool Specimen (Qualitative) (301000111) | $75.60 |
N/A
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| Lab - Hidden Blood Identification In Non-Stool Specimen (Qualitative) (301000110) | $23.10 |
N/A
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| Lab - Hidden Blood Identification In Non-Stool Specimen (Qualitative) (300000007) | $12.60 |
N/A
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| Lab - Herpes Simplex Antibody Analysis (Type 2) (302000113) | $129.00 |
N/A
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| Lab - Herpes Simplex Antibody Analysis (Type 1) (302000112) | $61.00 |
N/A
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| Lab - Herpes Simplex Antibody Analysis (Non-Specific Type Test) (302000111) | $273.00 |
N/A
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| Lab - Herpes Simplex Antibody Analysis (Non-Specific Type Test) (302000110) | $63.00 |
N/A
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| Lab - Hepatitis D Antibody Analysis (302000109) | $85.00 |
N/A
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| Lab - Hepatitis C Antibody Measurement (302000141) | $102.90 |
N/A
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| Lab - Hepatitis Be Antibody Measurement (Hbeab) (302000118) | $38.00 |
N/A
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| Lab - Hepatitis B Surface Antibody Measurement (Hbsab) (302000117) | $246.75 |
N/A
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| Lab - Hepatitis B Screening In Non-Pregnant High Risk Individual (302000270) | $554.40 |
N/A
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| Lab - Hepatitis B Core Antibody Measurement (Total) (302000115) | $183.75 |
N/A
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| Lab - Hepatitis B Core Antibody Measurement (Igm) (302000116) | $389.55 |
N/A
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| Lab - Hepatitis A Antibody Measurement (Igm) (302000120) | $30.45 |
N/A
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| Lab - Hepatitis A Antibody Measurement (Except Igm Only) (302000119) | $34.65 |
N/A
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| Lab - Heparin Antibody Measurement (Heparin Assay) (305000023) | $160.65 |
N/A
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| Lab - Hemosiderin Identification (301000219) | $82.95 |
N/A
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| Lab - Hemoglobin-Oxygen Affinity Measurement (301000551) | $144.90 |
N/A
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| Lab - Hemoglobin Level In Blood Component (Plasma) (301000218) | $216.00 |
N/A
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| Lab - Hemoglobin Count (301000396) | $47.25 |
N/A
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| Lab - Hemoglobin Analysis And Measurement (Chromatography) (301000421) | $80.00 |
N/A
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| Lab - Hemoglobin A1C Level (301000216) | $130.20 |
N/A
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| Lab - Helicobacter Pylori Antibody Analysis (302000107) | $141.75 |
N/A
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| Lab - Heavy Metal Level (300000164) | $247.00 |
N/A
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| Lab - Hdl Cholesterol Level (301000240) | $155.40 |
N/A
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| Lab - Haloperidol Level (301000049) | $89.00 |
N/A
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| Lab - Haloperidol Level (301000608) | $33.00 |
N/A
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| Lab - Glycated Protein Level (301000207) | $57.00 |
N/A
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| Lab - Glutamyltransferase Enzyme Level (301000206) | $75.60 |
N/A
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| Lab - Glutamyltransferase Enzyme Level (301000435) | $53.00 |
N/A
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| Lab - Glucose Tolerance Test, Additional Specimen (301000203) | $75.60 |
N/A
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| Lab - Glucose Tolerance Test, Additional Specimen (301000204) | $52.50 |
N/A
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| Lab - Glucose Tolerance Test, 3 Specimens (301000202) | $154.35 |
N/A
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| Lab - Glucose Level Using Fda Approved Home Device (300000009) | $15.75 |
N/A
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| Lab - Glucose Level In Body Fluid Other Than Blood (301000199) | $75.60 |
N/A
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| Lab - Glucose Level In Blood With Reagent Strip (300000008) | $8.40 |
N/A
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| Lab - Glucose Level In Blood Except With Reagent Strip (301000200) | $75.60 |
N/A
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| Lab - Glucose Level In Blood Except With Reagent Strip (300000120) | $70.35 |
N/A
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| Lab - Glucose Level In Blood After And Including Dose Of Glucose (301000201) | $52.50 |
N/A
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| Lab - Gentamicin Level (301000048) | $263.55 |
N/A
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| Lab - Genotype Analysis Test For Hiv-1 Virus, Reverse Transcriptase And Protease Regions (306000031) | $1,194.00 |
N/A
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| Lab - Genotype Analysis Test For Hiv-1 Virus, Reverse Transcriptase And Protease Regions (306000107) | $636.00 |
N/A
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| Lab - General Health Panel (301000476) | $528.15 |
N/A
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| Lab - Gene Sequencing Analysis For Fetal Chromosome Disorder (Fetal Aneuploidy Including Chromosomes 13, 18, And 21) (300000234) | $1,519.00 |
N/A
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| Lab - Gene Analysis To Predict Response To Thiopurine Drug (301000569) | $300.00 |
N/A
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| Lab - Gene Analysis Of 324 Genes In Tumor Tissue (300000230) | $4,200.00 |
N/A
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| Lab - Gene Analysis For Specific Variants (Nras) (301000590) | $372.75 |
N/A
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| Lab - Gene Analysis For Specific Variants (Kit) (300000232) | $630.00 |
N/A
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| Lab - Gene Analysis For Minor Breakpoint (300000219) | $473.00 |
N/A
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| Lab - Gene Analysis For Minor Breakpoint (300000220) | $473.00 |
N/A
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| Lab - Gene Analysis For Major Breakpoint (300000218) | $417.00 |
N/A
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| Lab - Gene Analysis For Detection Of Rearrangement (Gamma T Cell Receptor) (300000215) | $581.00 |
N/A
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| Lab - Gene Analysis For Detection Of Rearrangement (Beta T Cell Receptor Using Amplification Methodology) (300000216) | $602.00 |
N/A
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| Lab - Gene Analysis For Common Variants (Hfe) (300000126) | $256.20 |
N/A
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| Lab - Gene Analysis For Common Variants (Cftr) (300000131) | $344.40 |
N/A
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| Lab - Gene Analysis For Common Variants (Calr) (301000572) | $390.00 |
N/A
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| Lab - Gene Analysis For Breakpoint Other Than Major Or Minor (300000217) | $463.00 |
N/A
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| Lab - Gastric Acid Stimulating Hormone Level (Gastrin) (301000198) | $184.00 |
N/A
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| Lab - Gammaglobulin Level (Ige) (301000187) | $202.65 |
N/A
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| Lab - Gammaglobulin Level (Iga, Igd, Igg, Igm, Each) (301000181) | $130.20 |
N/A
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| Lab - Gammaglobulin Level (Iga, Igd, Igg, Igm, Each) (301000184) | $129.00 |
N/A
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| Lab - Gammaglobulin Level (Immunoglobulin Subclasses) (301000188) | $44.00 |
N/A
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| Lab - Gabapentin Level (Whole Blood, Serum, Or Plasma) (301000074) | $154.00 |
N/A
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| Lab - G6Pd Enzyme Level (Quantitative) (301000205) | $36.00 |
N/A
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| Lab - Fungal Skin, Hair, Or Nail Culture With Identifcation Of Isolated Fungus (300000056) | $174.30 |
N/A
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| Lab - Fungal Culture With Identification Of Isolated Fungus Using Specimen Except Skin, Hair, Nail, Or Blood (300000057) | $130.20 |
N/A
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| Lab - Fungal Culture Analysis For Definitive Identification Of Yeast (300000059) | $42.00 |
N/A
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| Lab - Fungal Blood Culture With Identification Of Isolated Fungus (300000058) | $130.20 |
N/A
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| Lab - Fungal Antibody Analysis (302000106) | $148.00 |
N/A
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| Lab - Fungal Antibody Analysis (302000105) | $38.00 |
N/A
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| Lab - Fructose Level In Semen (300000212) | $110.00 |
N/A
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| Lab - Follicle Stimulating Reproductive Hormone Level (Gonadotropin Fsh) (301000208) | $304.50 |
N/A
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| Lab - Follicle Stimulating Reproductive Hormone Level (Gonadotropin Fsh) (301000209) | $252.00 |
N/A
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| Lab - Folic Acid Level (Serum) (301000179) | $210.00 |
N/A
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| Lab - Folic Acid Level (Rbc) (301000180) | $272.00 |
N/A
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| Lab - Fetal Red Blood Cells In Maternal Blood Count (Rosette) (305000022) | $63.00 |
N/A
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| Lab - Fetal Red Blood Cells In Maternal Blood Count (Differential Lysis) (305000021) | $144.90 |
N/A
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| Lab - Fetal Lung Maturity Assessment (Lecithin Sphingomyelin Ratio) (301000236) | $98.00 |
N/A
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| Lab - Fetal Lung Maturity Assessment (Lamellar Body Density) (301000237) | $77.70 |
N/A
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| Lab - Fetal Fibronectin Protein Level In Cervical Fluid (301000178) | $684.60 |
N/A
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| Lab - Ferritin Protein Level (301000177) | $135.45 |
N/A
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| Lab - Fatty Acids Level (301000176) | $144.00 |
N/A
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| Lab - Fat Or Fatty Acids Identification In Stool (Qualitative) (301000174) | $106.00 |
N/A
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| Lab - Fat Level In Stool Without Fat Differential (301000175) | $163.00 |
N/A
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| Lab - Extractable Nuclear Antigen Or Antibody Measurement (302000007) | $214.00 |
N/A
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| Lab - Extractable Nuclear Antigen Or Antibody Measurement (302000039) | $63.00 |
N/A
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| Lab - Ethylene Glycol Level (301000173) | $232.05 |
N/A
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| Lab - Ethosuximide Level (300000150) | $239.00 |
N/A
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| Lab - Estrogen Steroid And Sex Hormone Level (Estrone) (301000172) | $93.00 |
N/A
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| Lab - Estrogen Steroid And Sex Hormone Level (Estriol) (301000445) | $82.00 |
N/A
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