| ADD: | ||
| Venipuncture $10 (billed once per day) | ||
| Send out handling fee $10 (billed once per day) | ||
| PANEL DESCRIPTION | COMPONENTS | STUDENT FEE |
| GI Panel | $174.00 | |
| 87507- 12-25 targets | ||
| Celiac Panel | $137.00 | |
| 83516- Gliadin IgA | ||
| 83516- Gliadin IgG | ||
| 83516- Tissue Transglut IgA Ab | ||
| 83516- Tissue Transglut IgG Ab | ||
| 82784- Immunoglobulin A | ||
| Coccidioides Serology | $98.00 | |
| 86331- Cocci Serology ID Charge | ||
| 86171- Complement Fixation Test, each | ||
| EBV Panel | $152.00 | |
| 86664- Antibody; Epstein-Barr virus, (EBNA) | ||
| 86665- Epstein-Barr Virus (VCA) Ab (IgM) | ||
| 86665- Epstein Barr VCA IgG | ||
| 86663- Epstein-Barr Virus, Early D-Ag IgG | ||
| Drugs of Abuse Panel, urine | $150.00 | |
| 80307- DRUG TEST x6 | ||
| Drugs of Abuse Panel urine, comprehensive | 80307- DRUG TEST x7 | $175.00 |
| reflex/confirmation each additional | $35.00 | |
| Lyme disease antibody | $47.00 | |
| reflex x2 additional | 86618- Lyme disease antibody | plus $94 |
| if reflex 86618 x2- | ||
| Allergens, Rast Hallett Panel | $450.00 | |
| 86003- Allergen Spec IgE x25 | ||
| Food Allergy Profile | $216.00 | |
| 86003- Allergen Spec IgE x12 | ||
| Allergens, Rast Gershwin panel | $810.00 | |
| 86003- Allergen Spec IgE x45 | ||
| Ova and Parasites, Special Case | $78.00 | |
| 87177- Ova and Parasites Smear | ||
| 87209- Smear Complex Stain | ||
| Respiratory Viral Panel | $127.00 | |
| 0115U |
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