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CPT CODE | PROCEDURE | PRICE |
|---|---|---|
0 | CT LIVER PELVIS w/ & w/o contrast, | 0 |
0 | CT UROGRAM w/ & w/o contrast | 0 |
73700 | CT LOWER EXTREMITY w/o contrast | 0 |
73701 | CT LOWER EXTREMITY w/ contrast | 0 |
73702 | CT LOWER EXTREMITY w/ & w/o contrast | 0 |
72131 | CT LUMBAR SPINE w/o contrast | 0 |
72132 | CT LUMBAR SPINE w/ contrast | 0 |
G0297 | CT LUNG SCREENING w/o contrast | 0 |
70486 | CT MAXILLOFACIAL w/o contrast | 0 |
70490 | CT NECK SOFT TISSUE w/o contrast | 0 |
TEST ID | Test Name | CPT Code |
|---|---|---|
MYCO | Mycoplasma pneumoniae Antibodies, IgG and IgM, Serum | 86738 x 2-Mycoplasma pneumoniae by EIA
86738-Mycoplasma pneumoniae by indirect IFA (if appropriate) |
PARVS | Parvovirus B19 Antibodies, IgG and IgM, Serum | 86747 x 2 |
DBS1 | Diabetes Mellitus Type 1 Evaluation, Serum | 86337-Insulin antibodies
86341 x3-Islet cell antibody |
PLFAT | Cryptococcus Antigen Titer, Lateral Flow Assay, Pleural Fluid | 87899 |
ASU24 | Arsenic with Reflex, 24 Hour, Urine | 82175 |
HMU24 | Heavy Metals Screen, with Reflex, 24 Hour, Urine | 82175
82300
83825
83655 |
FBL | Fungal Culture, Blood | 87103-Blood
87106-Id MALDI-TOF Mass Spec Yeast (if appropriate)
87107-Id MALDI-TOF Mass Spec Fungi (if appropriate)
87107-Fungal identification panel A (if appropriate)
87107-Fungal identification panel B (if appropriate)
87150-Identification rapid PCR coccidioides (if appropriate)
87150 x 2- Identification Histoplasma/Blastomyces, PCR (if appropriate)
87153-D2 fungal sequencing identification (if appropriate)
87150- Id, Candida auris Rapid PCR (if appropriate) |
FGABA | Gabapentin, Urine | 80307 |
PPAP | Parental Sample Prep for Prenatal Microarray Testing, Blood | This test ID contains no charge and serves as a way to correlate proband parental specimens. If additional testing is warranted, the appropriate tests will be added. |
MMLSA | Antimicrobial Susceptibility, Anaerobic Bacteria, Minimal Inhibitory Concentration, Varies | 87186-Antimicrobial Susceptibility, Anaerobic Bacteria, MIC
87076-Organism Ref for ID, Anaerobic Bact (if appropriate)
87076-Anaerobe Ident (if appropriate)
87076-Id MALDI-TOF Mass Spec Anaerobe (if appropriate)
87153-Anaerobe ident by sequencing (if appropriate)
87150-Identification by PCR (if appropriate)
87185-Beta Lactamase (if appropriate)
87181-Anaerobe Susceptibility per Agent (if appropriate) |
MTBPZ | Mycobacterium tuberculosis Complex, Pyrazinamide Resistance by pncA DNA Sequencing, Varies | 87153-Mtb PZA Confirmation, pncA Sequence |
EBVE | Epstein-Barr Virus (EBV), IgG Antibody to Early Antigen, Serum | 86663 |
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