| CARDIO00002 | EXM | 2D ECHO SCAN - PORTABLE | 4,450.00 |
| CARDIO00003 | EXM | 2D/3D ECHOCARDIOGRAM PLAIN | 3,125.00 |
| CARDIO00004 | EXM | 2D ECHO PLAIN - PORTABLE | 5,500.00 |
| CARDIO00005 | EXM | 2D/3D ECHOCARDIOGRAM SCAN | 1,650.00 |
| CARDIO00006 | EXM | 2D/3D ECHOCARDIOGRAM WITH DOPPLER ADULT | 3,586.00 |
| CARDIO00007 | EXM | 2D/3D ECHOCARDIOGRAM WITH DOPPLER CHILD | 5,690.00 |
| CARDIO00008 | EXM | 2D ECHO W/ DOPPLER RESPIRATORY WING | 7,500.00 |
| CARDIO00009 | EXM | 2D ECHO WITH DOPPLER ADULT - PORTABLE | 6,500.00 |
| CARDIO00010 | EXM | 2D ECHO W/DOPPLER CHILD - PORTABLE | 7,500.00 |
| CARDIO00011 | EXM | ABDOMINAL - AORTA (UTZ) | 660.00 |
| CARDIO00012 | EXM | ABDOMINAL AORTA DUPLEX SCAN (A) | 4,642.00 |
| CARDIO00014 | EXM | ABDOMINAL AORTA DUPLEX SCAN (PORTABLE) | 5,302.00 |
| CARDIO00015 | EXM | ARTERIAL DUPLEX SCAN (LOWER EXTREMITIES) | 6,580.00 |
| CARDIO00016 | EXM | ARTERIAL DUPLEX SCAN (UPPER EXTREMITIES) | 6,580.00 |
| CARDIO00017 | EXM | ARTERIAL DUPLEX SCAN (PORTABLE) - HF | 5,302.00 |
| CARDIO00021 | EXM | CAROTID DUPLEX SCAN | 6,320.00 |
| CARDIO00024 | EXM | ECG - ADULT | 394.00 |
| CARDIO00025 | EXM | ECG STRIP | 220.00 |
| CARDIO00026 | EXM | STRESS ECHO | 6,520.00 |
| CARDIO00027 | EXM | STRESS TEST | 3,175.00 |
| CARDIO00033 | EXM | VENOUS DUPLEX SCAN (UPPER EXTREMITIES) | 6,580.00 |
| CARDIO00034 | EXM | VENOUS DUPLEX SCAN (LOWER EXTREMITIES) | 6,580.00 |
| CARDIO00036 | EXM | ECG - PEDIA | 465.00 |
| CARDIO00046 | EXM | HOLTER MONITORING (24HRS) | 4,480.00 |
| CARDIO00047 | EXM | USE OF VENTILATOR( ELISA) | 2,000.00 |
| CARDIO00048 | EXM | HME | 634.00 |
| CARDIO00049 | EXM | 2D ECHO SCAN PEDIA | 1,867.00 |
| CARDIO00050 | EXM | DOBUTAMINE STRESS ECHOCARDIOGRAM(DSE) | 9,217.00 |
| CARDIO00051 | EXM | ON CALL (SPECIAL PROCEDURE) | 350.00 |
| CARDIO00052 | EXM | STRESS TEST (PRE TEST) | 1,310.00 |
| CARDIO00053 | EXM | 2D ECHO (STAT) | 4,500.00 |
| CARDIO00054 | EXM | 2D/3D ECHOCARDIOGRAM WITH BUBBLE CONTRAST | 5,252.00 |
| CARDIO00055 | EXM | TRANSESOPHAGEAL ECHOCARDIOGRAM (TEE) | 10,605.00 |
| CARDIO00057 | EXM | TRANSESOPHAGEAL ECHOCARDIOGRAM (PACKAGE) | 21,605.00 |
| CARDIO00058 | EXM | AMBULATORY BLOOD PRESSURE MONITORING | 2,890.00 |
| CARDIO00060 | EXM | CPT (PRECUSSOR) | 170.00 |
| CARDIO00061 | EXM | MECHANICAL VENTILATOR - MONNAL T75 | 2,240.00 |
| CARDIO00062 | EXM | HOLTER MONITORING (48 HRS) | 8,960.00 |
| CARDIO00063 | EXM | HOLTER MONITORING (72 HRS) | 13,440.00 |
| CTSCAN00001 | EXM | ABDOMEN PLAIN | 13,960.00 |
| CTSCAN00002 | EXM | ABDOMEN W/ CONTRAST W/ TRIPHASIC | 25,260.00 |
| CTSCAN00003 | EXM | ABDOMEN W/ TRIPLE CONTRAST W/ TRIPHASIC | 27,760.00 |
| CTSCAN00004 | EXM | ABDOMEN WITH CONTRAST (ORAL & IV) | 23,520.00 |
| CTSCAN00005 | EXM | ABDOMEN WITH TRIPLE CONTRAST ( ORAL, IV & RECTAL) | 26,020.00 |
| CTSCAN00006 | EXM | ABDOMINAL ANGIOGRAM | 27,180.00 |
| CTSCAN00007 | EXM | ANGIOGRAM | 27,180.00 |
| CTSCAN00008 | EXM | BRAIN ANGIOGRAM | 27,180.00 |
| CTSCAN00009 | EXM | BRAIN COMPLETION STUDY | 3,850.00 |
| CTSCAN00010 | EXM | BRAIN PLAIN | 5,940.00 |
| CTSCAN00011 | EXM | BRAIN WITH CONTRAST | 9,795.00 |
| CTSCAN00012 | EXM | BRAIN WITHOUT PF | 4,400.00 |
| CTSCAN00013 | EXM | CAROTID ANGIOGRAM | 27,185.00 |
| CTSCAN00014 | EXM | CERVICAL PLAIN | 9,485.00 |
| CTSCAN00015 | EXM | CERVICAL AND PROXIMAL THORACIC PLAIN | 14,200.00 |
| CTSCAN00016 | EXM | CERVICAL AND PROXIMAL THORACIC W/CONTRAST | 17,760.00 |
| CTSCAN00017 | EXM | CERVICAL WITH CONTRAST | 13,235.00 |
| CTSCAN00018 | EXM | CERVICO- THORACIC PLAIN | 18,940.00 |
| CTSCAN00019 | EXM | CERVICO- THORACIC WITH CONTRAST | 22,500.00 |
| CTSCAN00020 | EXM | CHEST AND ADRENAL PLAIN | 8,900.00 |
| CTSCAN00021 | EXM | CHEST AND ADRENAL WITH CONTRAST | 14,800.00 |
| CTSCAN00022 | EXM | CHEST ANGIOGRAM | 22,650.00 |
| CTSCAN00023 | EXM | CHEST PLAIN | 7,700.00 |
| CTSCAN00024 | EXM | CHEST WITH CONTRAST | 13,440.00 |
| CTSCAN00025 | EXM | CRANIAL PLAIN | 5,940.00 |
| CTSCAN00026 | EXM | CRANIAL WITH CONTRAST | 9,795.00 |
| CTSCAN00027 | EXM | CRANIO-MASTOID PLAIN | 8,330.00 |
| CTSCAN00028 | EXM | CRANIO-MASTOID WITH CONTRAST | 11,460.00 |
| CTSCAN00029 | EXM | CRANIO-ORBITS PLAIN | 8,330.00 |
| CTSCAN00030 | EXM | CRANIO-ORBITS WITH CONTRAST | 11,450.00 |
| CTSCAN00031 | EXM | CT SCAN GUIDED PROCEDURE | 3,854.00 |
| CTSCAN00032 | EXM | DISTAL THORACO-LUMBAR PLAIN | 14,200.00 |
| CTSCAN00033 | EXM | DISTAL THORACO-LUMBAR WITH CONTRAST | 17,750.00 |
| CTSCAN00034 | EXM | EXTREMITIES PLAIN | 8,330.00 |
| CTSCAN00035 | EXM | EXTREMITIES WITH CONTRAST | 11,665.00 |
| CTSCAN00036 | EXM | FACIAL BONE PLAIN | 10,310.00 |
| CTSCAN00037 | EXM | FACIAL BONE WITH CONTRAST | 11,665.00 |
| CTSCAN00038 | EXM | HBS PLAIN | 9,690.00 |
| CTSCAN00039 | EXM | HBS WITH CONTRAST | 18,180.00 |
| CTSCAN00040 | EXM | LIVER PLAIN | 9,690.00 |
| CTSCAN00041 | EXM | LIVER WITH CONTRAST | 18,180.00 |
| CTSCAN00042 | EXM | LIVER WITH TRIPHASIC | 20,105.00 |
| CTSCAN00043 | EXM | LOWER ABDOMEN PLAIN | 9,690.00 |
| CTSCAN00044 | EXM | LOWER ABDOMEN WITH CONTRAST | 18,180.00 |
| CTSCAN00045 | EXM | LUMBAR PLAIN | 9,690.00 |
| CTSCAN00046 | EXM | LUMBAR WITH CONTRAST | 13,235.00 |
| CTSCAN00047 | EXM | LUMBO-SACRAL PLAIN | 9,485.00 |
| CTSCAN00048 | EXM | LUMBO-SACRAL WITH CONTRAST | 13,235.00 |
| CTSCAN00049 | EXM | MANDIBLE PLAIN | 6,355.00 |
| CTSCAN00050 | EXM | MANDIBLE WITH CONTRAST | 11,460.00 |
| CTSCAN00051 | EXM | MASTOIDS PLAIN | 6,355.00 |
| CTSCAN00052 | EXM | MASTOIDS WITH CONTRAST | 11,460.00 |
| CTSCAN00053 | EXM | MAXILLA PLAIN | 6,355.00 |
| CTSCAN00054 | EXM | MAXILLA WITH CONTRAST | 11,460.00 |
| CTSCAN00055 | EXM | MOUTH PLAIN | 6,355.00 |
| CTSCAN00056 | EXM | MOUTH WITH CONTRAST | 11,460.00 |
| CTSCAN00057 | EXM | MYELOGRAM CT | 13,235.00 |
| CTSCAN00058 | EXM | NASOPHARYNX PLAIN | 6,985.00 |
| CTSCAN00059 | EXM | NASOPHARYNX WITH CONTRAST | 11,250.00 |
| CTSCAN00060 | EXM | NECK PLAIN | 8,340.00 |
| CTSCAN00061 | EXM | NECK WITH CONTRAST | 11,665.00 |
| CTSCAN00062 | EXM | ORBITS PLAIN | 6,985.00 |
| CTSCAN00063 | EXM | ORBITS WITH CONTRAST | 11,250.00 |
| CTSCAN00064 | EXM | PAROTID GLAND PLAIN | 6,985.00 |
| CTSCAN00065 | EXM | PAROTID GLAND WITH CONTRAST | 11,250.00 |
| CTSCAN00066 | EXM | PELVIC PLAIN | 9,690.00 |
| CTSCAN00067 | EXM | PELVIC WITH CONTRAST | 18,180.00 |
| CTSCAN00068 | EXM | PELVIS / HIP JTS | 9,485.00 |
| CTSCAN00069 | EXM | PHERIPHERAL ANGIOGRAM | 27,185.00 |
| CTSCAN00070 | EXM | PNS PLAIN | 6,900.00 |
| CTSCAN00071 | EXM | PNS WITH CONTRAST | 11,250.00 |
| CTSCAN00072 | EXM | RENAL / KIDNEYS PLAIN | 9,485.00 |
| CTSCAN00073 | EXM | RENAL / KIDNEYS WITH CONTRAST | 18,180.00 |
| CTSCAN00074 | EXM | RENAL ANGIOGRAM | 27,185.00 |
| CTSCAN00075 | EXM | SPINE PER AREA PLAIN | 9,485.00 |
| CTSCAN00076 | EXM | SPINE PER AREA WITH CONTRAST | 13,235.00 |
| CTSCAN00077 | EXM | STONOGRAM | 7,700.00 |
| CTSCAN00078 | EXM | TEMPORAL BONE PLAIN | 6,985.00 |
| CTSCAN00079 | EXM | TEMPORAL BONE WITH CONTRAST | 11,250.00 |
| CTSCAN00080 | EXM | THORACIC CAGE PLAIN | 9,485.00 |
| CTSCAN00081 | EXM | THORACIC CAGE WITH CONTRAST | 13,235.00 |
| CTSCAN00082 | EXM | THORACIC PLAIN | 9,485.00 |
| CTSCAN00083 | EXM | THORACIC WITH CONTRAST | 13,235.00 |
| CTSCAN00084 | EXM | TONGUE PLAIN | 6,985.00 |
| CTSCAN00085 | EXM | TONGUE WITH CONTRAST | 11,250.00 |
| CTSCAN00086 | EXM | UPPER ABDOMEN PLAIN | 9,690.00 |
| CTSCAN00087 | EXM | UPPER ABDOMEN WITH CONTRAST | 18,180.00 |
| CTSCAN00088 | EXM | UROGRAM/ UROGRAPHY | 14,060.00 |
| CTSCAN00152 | EXM | CT-SIMULATION | 32,906.25 |
| CTSCAN00153 | EXM | IODINATED CONTRAST 100ML WITH IV INSERTION | 4,545.00 |
| CTSCAN00154 | EXM | IODINATED CONTRAST 50ML WITH IV INSERTION | 3,030.00 |
| CTSCAN00229 | EXM | ABDOMEN-PANCREATIC PROTOCOL | 20,105.00 |
| CTSCAN00230 | EXM | AORTOGRAM | 27,180.00 |
| LAB00003 | EXM | ACID PHOSPATASE | 540.00 |
| LAB00005 | EXM | ADEQUACY CYTOLOGY | 3,633.00 |
| LAB00009 | EXM | ALBUMIN (SERUM) | 540.00 |
| LAB00010 | EXM | ALKALINE PHOSPHATASE (ALP) | 550.00 |
| LAB00011 | EXM | AMYLASE (SERUM) | 1,000.00 |
| LAB00012 | EXM | 24 HOUR URINE - AMYLASE | 1,930.00 |
| LAB00013 | EXM | ANA | 3,100.00 |
| LAB00016 | EXM | APT'S | 446.00 |
| LAB00017 | EXM | APTT - PARTIAL THROMBOPLASTIN TIME | 820.00 |
| LAB00020 | EXM | BETA HCG | 1,420.00 |
| LAB00022 | EXM | BILIRUBIN PROFILE | 540.00 |
| LAB00023 | EXM | BIOPSY LARGE (SPECIMEN) | 2,106.00 |
| LAB00025 | EXM | BIOPSY RADICAL OPERATIONS | 2,800.00 |
| LAB00027 | EXM | BIOPSY SMALL (SPECIMEN) | 1,578.00 |
| LAB00030 | EXM | BLOOD CULTURE BOTTLE | 651.00 |
| LAB00031 | EXM | BLOOD KETONE | 518.00 |
| LAB00032 | EXM | BLOOD TYPING WITH RH | 270.00 |
| LAB00033 | EXM | BONE MARROW ASPIRATION (PROCESSING FEE) | 266.00 |
| LAB00034 | EXM | BONE MARROW ASPIRATION (READER'S FEE) | 738.00 |
| LAB00035 | EXM | BUA (URIC ACID) SERUM | 260.00 |
| LAB00036 | EXM | 24 HOUR URINE - URIC ACID | 1,712.50 |
| LAB00037 | EXM | BUN (UREA NITROGEN) SERUM | 200.00 |
| LAB00039 | EXM | 24 HOUR URINE - UREA NITROGEN | 1,742.50 |
| LAB00044 | EXM | CALCIUM (CA) SERUM | 530.00 |
| LAB00046 | EXM | 24 HOUR URINE - CALCIUM | 1,804.75 |
| LAB00047 | EXM | CBC & PLATELET COUNT | 320.00 |
| LAB00048 | EXM | CEA (CARCINO EMBRYONIC ANTIGEN ) | 1,500.00 |
| LAB00050 | EXM | CELL & DIFF COUNT (BODY FLUIDS) | 280.00 |
| LAB00051 | EXM | CELL & DIFF COUNT (CSF) | 330.00 |
| LAB00052 | EXM | CELL BLOCK +PROCESSING 600 +PF 508 | 1,462.00 |
| LAB00053 | EXM | CHLORIDE (CL -) SERUM | 530.00 |
| LAB00054 | EXM | CHOLESTEROL (SERUM) | 300.00 |
| LAB00056 | EXM | CK TOTAL | 490.00 |
| LAB00058 | EXM | CK-MB | 900.00 |
| LAB00059 | EXM | CLOT RETRACTION TIME | 250.00 |
| LAB00078 | EXM | COOMBS TEST (DIRECT) | 810.00 |
| LAB00079 | EXM | COOMBS TEST (INDIRECT) | 810.00 |
| LAB00081 | EXM | CREATININE (SERUM) | 200.00 |
| LAB00082 | EXM | CREATININE (URINE) | 208.00 |
| LAB00083 | EXM | CREATININE CLEARANCE (24 HOUR) | 784.00 |
| LAB00084 | EXM | CREATININE CLEARANCE (RANDOM) | 713.00 |
| LAB00086 | EXM | CROSS MATCHING (SLIDE METHOD) FFP AND PLATELET ONLY | 320.00 |
| LAB00087 | EXM | CRP - HIGH SENSITIVITY (QUANTITATIVE) | 1,515.00 |
| LAB00092 | EXM | CYTOLOGY / FNAB | 786.00 |
| LAB00095 | EXM | DENGUE NS1 | 1,380.00 |
| LAB00096 | EXM | DENGUE TEST IGG & IGM | 820.00 |
| LAB00097 | EXM | DIGOXIN ASSAY | 2,130.00 |
| LAB00099 | EXM | DUPLICATE COPY (BIOPSY) | 71.00 |
| LAB00100 | EXM | ESR (ERYTHROCYTE SEDIMENTATION RATE) | 250.00 |
| LAB00102 | EXM | FBS (FASTING BLOOD SUGAR) | 200.00 |
| LAB00103 | EXM | FERRITIN LEVEL | 2,050.00 |
| LAB001034 | EXM | HSV1, HSV2 | 10,525.00 |
| LAB00104 | EXM | FREE T3 | 920.00 |
| LAB00106 | EXM | FREE T4 | 920.00 |
| LAB00108 | EXM | FRESH FROZEN SECTION | 4,300.00 |
| LAB00110 | EXM | G6PD CONFIRMATORY NEWBORN | 986.00 |
| LAB00111 | EXM | GAMMA GLUTAMYL TRANSFERASE (GGT) | 1,650.00 |
| LAB00113 | EXM | GLASS SLIDES (MICROSLIDES FROSTED) 100S | 23.00 |
| LAB00114 | EXM | GLUCO PLUS 75 | 344.00 |
| LAB00115 | EXM | GLUCOSE (BODY FLUIDS) | 345.00 |
| LAB00116 | EXM | GLUCOSE (CSF) | 345.00 |
| LAB00117 | EXM | GLUCOSE (URINE) QUALITATIVE | 112.00 |
| LAB00118 | EXM | GLUCOSE (URINE) QUANTITATIVE | 295.00 |
| LAB00119 | EXM | GRAM STAINING (G/S) | 540.00 |
| LAB00125 | EXM | HBA1C (ENZYMATIC) | 1,200.00 |
| LAB00130 | EXM | HBE AB (ANTIBODY) | 689.00 |
| LAB00134 | EXM | ANTI-HBS TITER | 1,900.00 |
| LAB00138 | EXM | HBSAG (SCREENING) | 320.00 |
| LAB00142 | EXM | HCV (SCREENING) | 750.00 |
| LAB00145 | EXM | HEMATOCRIT | 295.00 |
| LAB00148 | EXM | HEMOGLOBIN | 234.00 |
| LAB00150 | EXM | HISTOPATH SLIDES DEPOSIT | 473.00 |
| LAB00151 | EXM | H-PYLORI (SCREENING) | 650.00 |
| LAB00153 | EXM | KOH EXAMINATION (FUNGAL SCRAPPING) | 350.00 |
| LAB00154 | EXM | LABPO-RPR SYPHILLIS 100TEST/BOX | 273.00 |
| LAB00155 | EXM | LDH (BODY FLUIDS) | 400.00 |
| LAB00156 | EXM | LDH (SERUM) | 400.00 |
| LAB00157 | EXM | LIPASE (SERUM) | 1,200.00 |
| LAB00159 | EXM | LIPID PROFILE | 1,520.00 |
| Lab001597 | EXM | SILICA CLOTTING TIME | 2,564.00 |
| LAB001598 | EXM | ANTI-NUCLEAR ANTIBODY (ANA) PROFILE/LUPUS PANEL | 10,200.00 |
| LAB00160 | EXM | MAGNESIUM (SERUM) | 550.00 |
| LAB00162 | EXM | 24 HOUR URINE - MAGNESIUM | 1,849.00 |
| LAB00163 | EXM | MALARIA ICT-MALARIA | 585.00 |
| LAB00164 | EXM | MALARIAL SMEAR | 1,795.00 |
| LAB00166 | EXM | MIXING APPT | 1,839.00 |
| LAB00168 | EXM | WRIGHT STAINING | 4,225.00 |
| LAB00171 | EXM | CA15-3-A STAT | 4,560.00 |
| LAB00189 | EXM | ALLERGY PANEL 3PH (FOOD PANEL) | 10,230.00 |
| LAB00190 | EXM | ALLERGY PANEL 2PH (INHALANT PANEL) | 10,230.00 |
| LAB00201 | EXM | ANTI-CARDIOLIPIN (ACA) IGG | 5,402.50 |
| LAB00202 | EXM | ANTI-CARDIOLIPIN (ACA) IGM | 5,402.50 |
| LAB00224 | EXM | BCR-ABL | 14,520.00 |
| LAB00227 | EXM | ANTI-BETA 2 GLYCOPROTEIN IGG | 4,900.00 |
| LAB00229 | EXM | ANTI-BETA 2 GLYCOPROTEIN IGM | 4,900.00 |
| LAB00243 | EXM | CA 19-9 | 2,475.00 |
| LAB00252 | EXM | CYTOMEGALOVIRUS IMMUNOGLOBULIN G (CMV IGG) | 2,875.00 |
| LAB00254 | EXM | CYTOMEGALOVIRUS IMMUNOGLOBULIN M (CMV IGM) | 2,875.00 |
| LAB00274 | EXM | 24 HOUR URINE - CORTISOL | 2,545.00 |
| LAB00300 | EXM | CYFRA 21-1 | 7,837.50 |
| LAB00307 | EXM | DIGOXIN | 2,425.00 |
| LAB00311 | EXM | ESTRADIOL STAT | 1,070.00 |
| LAB00318 | EXM | FIBRINOGEN LEVEL | 3,025.00 |
| LAB00320 | EXM | FREE PROSTATE SPECIFIC ANTIGEN (FREE PSA) | 3,062.50 |
| LAB00324 | EXM | HAMS TEST | 1,997.50 |
| LAB00335 | EXM | HCV RNA PCR (HEPATITIS C VIRUS) | 15,750.00 |
| LAB00336 | EXM | ENTEROVIRUS RNA PCR | 13,512.00 |
| LAB00351 | EXM | IMMUNOGLOBULIN A (IGA) | 2,950.00 |
| LAB00352 | EXM | IMMUNOGLOBULIN G (IGG) | 2,500.00 |
| LAB00357 | EXM | PTH-A STAT | 3,055.00 |
| LAB00389 | EXM | MUMPS IGG | 3,998.50 |
| LAB00408 | EXM | PROGESTERONE STAT | 2,385.00 |
| LAB00429 | EXM | SERUM PROTEIN ELECTROPHORESIS | 5,207.50 |
| LAB00443 | EXM | STONE ANALYSIS (KIDNEY) | 4,474.00 |
| LAB00456 | EXM | TACROLIMUS | 3,960.34 |
| LAB00499 | EXM | CYTOMEGALOVIRUS (CMV) - QUANTITATIVE | 13,650.00 |
| LAB00531 | EXM | TOXOPLASMA IMMUNOGLOBULIN G (TOXO IGG) | 3,100.00 |
| LAB00532 | EXM | TOXOPLASMA IMMUNOGLOBULIN M (TOXO IGM) | 3,100.00 |
| LAB00539 | EXM | URINE PROTEIN ELECTROPHORESIS | 5,246.50 |
| LAB00540 | EXM | VANILLYLMANDELIC ACID (VMA) | 4,975.00 |
| LAB00543 | EXM | VANCOMYCIN | 3,355.00 |
| LAB00544 | EXM | VARICELLA IGG | 3,160.00 |
| LAB00545 | EXM | VARICELLA IGM | 3,988.75 |
| LAB00552 | EXM | OCCULT BLOOD (FECAL) | 380.00 |
| LAB00553 | EXM | OGCT (ORAL GLUCOSE CHALLENGE TEST) | 445.00 |
| LAB00554 | EXM | OGTT (ORAL GLUCOSE TOLERANCE TEST) | 840.00 |
| LAB00555 | EXM | PAPSMEAR (PROCESSING FEE) | 550.00 |
| LAB00557 | EXM | PERIPHERAL BLOOD SMEAR W/ CBC | 1,300.00 |
| LAB00560 | EXM | PHOSPHORUS (SERUM) | 500.00 |
| LAB00562 | EXM | 24 HOUR URINE - PHOSPHORUS | 1,843.75 |
| LAB00563 | EXM | PLATELET COUNT | 295.00 |
| LAB00564 | EXM | POTASSIUM (K+) SERUM | 500.00 |
| LAB00566 | EXM | 24 HOUR URINE - POTASSIUM | 1,760.50 |
| LAB00569 | EXM | PREGNANCY TEST (URINE) | 267.00 |
| LAB00570 | EXM | NT-PRO BNP | 2,300.00 |
| LAB00571 | EXM | PROTHROMBIN TIME (PRO TIME) | 700.00 |
| LAB00574 | EXM | TOTAL PSA (PROSTATIC SPECIFIC ANTIGEN) | 1,545.00 |
| LAB00575 | EXM | RBS (SERUM) | 300.00 |
| LAB00577 | EXM | RETICULOCYTE COUNT | 350.00 |
| LAB00579 | EXM | RH TYPING | 76.00 |
| LAB00581 | EXM | ROUTINE FECALYSIS | 180.00 |
| LAB00584 | EXM | SAC - ER/PR | 8,022.00 |
| LAB00585 | EXM | SAC - HER 2 NEU | 11,444.00 |
| LAB00586 | EXM | SEMEN ANALYSIS | 520.00 |
| LAB00588 | EXM | SERUM IRON (FE3+) | 931.00 |
| LAB00592 | EXM | SGOT (AST) | 250.00 |
| LAB00593 | EXM | SGPT (ALT) | 260.00 |
| LAB00597 | EXM | ALDOSTERONE | 2,800.00 |
| LAB00603 | EXM | FSH STAT | 1,070.00 |
| LAB00611 | EXM | PLASMA RENIN | 2,660.00 |
| LAB00615 | EXM | TESTOSTERONE STAT | 1,560.00 |
| LAB00621 | EXM | SODIUM (NA+) SERUM | 450.00 |
| LAB00623 | EXM | SODIUM (NA+) URINE | 578.00 |
| LAB00625 | EXM | T3 | 660.00 |
| LAB00627 | EXM | T4 | 760.00 |
| LAB00629 | EXM | TOTAL PROTEIN (BODY FLUIDS) | 395.00 |
| LAB00630 | EXM | TOTAL PROTEIN (CSF) | 334.00 |
| LAB00631 | EXM | TOTAL PROTEIN (SERUM) | 200.00 |
| LAB00633 | EXM | TOTAL PROTEIN W/ A/G RATIO (SERUM) | 720.00 |
| LAB00634 | EXM | TRIGLYCERIDES | 295.00 |
| LAB00635 | EXM | TROPONIN - I (QUANTITATIVE) | 1,860.00 |
| LAB00640 | EXM | TSH | 1,050.00 |
| LAB00642 | EXM | TUBEX | 1,490.00 |
| LAB00643 | EXM | TYPHIDOT IGG & IGM | 560.00 |
| LAB00644 | EXM | URINE BILE | 79.00 |
| LAB00645 | EXM | URINE KETONE | 79.00 |
| LAB00646 | EXM | URINE Ph | 79.00 |
| LAB00648 | EXM | URINE SPECIFIC GRAVITY | 76.00 |
| LAB00649 | EXM | WIDALS TEST | 229.00 |
| LAB00650 | EXM | NEWBORN SCREENING TEST | 627.00 |
| LAB00654 | EXM | RBS/HGT/CBG | 220.00 |
| LAB00661 | EXM | BETA-2-MICROGLOBULIN (Î’2M) | 4,300.00 |
| LAB00668 | EXM | URINE CULTURE | 3,410.00 |
| LAB00669 | EXM | BLOOD CULTURE | 3,410.00 |
| LAB00670 | EXM | SPUTUM/ETA CULTURE | 3,410.00 |
| LAB00671 | EXM | ABSCESS AND OTHER BODY FLUIDS | 3,500.00 |
| LAB00678 | EXM | WHOLE BLOOD | 1,800.00 |
| LAB00679 | EXM | PACKED RED BLOOD CELL | 1,500.00 |
| LAB00680 | EXM | PLATELET CONCENTRATE | 1,000.00 |
| LAB00681 | EXM | FRESH FROZEN PLASMA | 1,000.00 |
| LAB00682 | EXM | STORAGE FEE | 324.00 |
| LAB00683 | EXM | HBE IgG SENT OUT | 1,010.00 |
| LAB00691 | EXM | DRUG TEST | 300.00 |
| LAB00698 | EXM | TSH RECEPTOR ANTIBODY | 4,680.00 |
| LAB00706 | EXM | ALKALINE PHOSPHATASE (ALP) HEAT FRACTIONATION | 2,867.50 |
| LAB00709 | EXM | APTT - PARTIAL THROMBOPLASTIN TIME - STAT | 1,067.00 |
| LAB00710 | EXM | ASO TITER-A STAT | 1,690.00 |
| LAB00731 | EXM | CRP - HIGH SENSITIVITY (QUANTITATIVE) - STAT | 2,000.00 |
| LAB00732 | EXM | CRP (QUANTITATIVE) - STAT | 2,000.00 |
| LAB00737 | EXM | GGT-A STAT | 708.00 |
| LAB00779 | EXM | AUTOMATED URINALYSIS- STAT | 273.00 |
| LAB00790 | EXM | LYPHOCHECK CONTROL LEVEL 1 & 2 | 2,033.00 |
| LAB00792 | EXM | RUBEOLA IGG | 5,095.00 |
| LAB00793 | EXM | RUBEOLA IGM | 4,570.00 |
| LAB00795 | EXM | AUTOMATED ROUTINE URINALYSIS | 270.00 |
| LAB00796 | EXM | ROUTINE FECALYSIS- COCENTRATION TECHNIQUE | 172.00 |
| LAB00797 | EXM | ANTI HCV- QUANTITATIVE | 1,269.00 |
| LAB00815 | EXM | PROT | 682.00 |
| LAB00836 | EXM | IONIZED CALCIUM | 960.00 |
| LAB00942 | EXM | LEVEL I (SMALL) | 1,710.00 |
| LAB00943 | EXM | LEVEL II (SMALL) | 1,910.00 |
| LAB00944 | EXM | LEVEL III (SMALL) | 2,350.00 |
| LAB00945 | EXM | LEVEL IV (SMALL) | 3,220.00 |
| LAB00946 | EXM | LEVEL V (SMALL) | 3,570.00 |
| LAB00947 | EXM | LEVEL I LARGE | 3,000.00 |
| LAB00948 | EXM | LEVEL II LARGE | 3,450.00 |
| LAB00949 | EXM | LEVEL III LARGE | 4,500.00 |
| LAB00950 | EXM | LEVEL IV LARGE | 5,370.00 |
| LAB00951 | EXM | LEVEL V LARGE | 6,240.00 |
| LAB00952 | EXM | LEVEL VI LARGE | 7,130.00 |
| LAB00953 | EXM | LEVEL I RADICAL | 4,350.00 |
| LAB00954 | EXM | LEVEL II RADICAL | 4,800.00 |
| LAB00955 | EXM | LEVEL III RADICAL | 5,400.00 |
| LAB00956 | EXM | LEVEL IV RADICAL | 6,810.00 |
| LAB00957 | EXM | LEVEL V RADICAL | 7,670.00 |
| LAB00958 | EXM | LEVEL VI RADICAL | 8,550.00 |
| LAB00959 | EXM | FROZEN SECTION 1-2 | 7,000.00 |
| LAB00960 | EXM | FROZEN SECTION 3-5 | 9,500.00 |
| LAB00961 | EXM | SET UP FEE | 1,010.00 |
| LAB00962 | EXM | CYTOLOGY SMEARS | 1,600.00 |
| LAB00964 | EXM | CYTOLOGY w/ CELLBLOCK | 4,710.00 |
| LAB00967 | EXM | EPRESS FNAB | 4,747.00 |
| LAB00968 | EXM | PAPS SMEAR/GYNAE | 520.00 |
| LAB00970 | EXM | SLIDE REVIEW (1-5) | 2,525.00 |
| LAB00971 | EXM | SLIDE REVIEW (6-10) | 3,030.00 |
| LAB00972 | EXM | SLIDE REVIEW (11-15) | 3,232.00 |
| LAB00973 | EXM | SLIDE REVIEW (>15) | 3,535.00 |
| LAB00975 | EXM | TOTAL IMMUNOGLOBULIN E (TOTAL IGE) | 2,740.00 |
| LAB00977 | EXM | SLIDE AND BLOCKS DEPOSITS | 1,010.00 |
| LAB00979 | EXM | CA 125 | 2,950.00 |
| LAB00980 | EXM | CUIDAD-TTF | 2,864.00 |
| LAB00981 | EXM | CUIDAD-P63 | 4,000.00 |
| LAB00982 | EXM | CUIDAD-PAN CK | 5,700.00 |
| LAB01000 | EXM | CUIDAD - CK7 | 4,100.00 |
| LAB01001 | EXM | CUIDAD - CK20 | 2,200.00 |
| LAB01005 | EXM | ANTI-HAV TOTAL (IGG) | 710.00 |
| LAB01036 | EXM | COVID-19 RAPID ANTIBODY TEST | 1,818.00 |
| LAB01047 | EXM | RAPID TEST (PACKAGED A) | 1,667.00 |
| LAB01048 | EXM | RAPID TEST (PACKAGED B) | 1,515.00 |
| LAB01049 | EXM | SGOT (AST) STAT | 207.00 |
| LAB01053 | EXM | FERRITIN LEVEL STAT | 2,212.00 |
| LAB01054 | EXM | FREE T3 STAT | 879.00 |
| LAB01055 | EXM | FREE T4 STAT | 879.00 |
| LAB01058 | EXM | HBE AB (ANTIBODY) STAT | 788.00 |
| LAB01060 | EXM | HBS AG (ELISA) STAT | 697.00 |
| LAB01061 | EXM | HBS AG (SCREENING) STAT | 273.00 |
| LAB01062 | EXM | HBS ANTI (SCREENING) FOR PATIENT STAT | 455.00 |
| LAB01063 | EXM | SGPT (ALT) STAT | 207.00 |
| LAB01065 | EXM | PHOSPHORUS (SERUM) STAT | 540.00 |
| LAB01066 | EXM | PHOSPHORUS (URINE) STAT | 819.00 |
| LAB01068 | EXM | POTASSIUM (K+) URINE STAT | 637.00 |
| LAB01071 | EXM | PSA QUANTITATIVE - I - CHROMA STAT | 1,697.00 |
| LAB01072 | EXM | PSA PROSTATIC SPECIFIC (ANTIGEN) STAT | 1,728.00 |
| LAB01073 | EXM | RBS (SERUM) STAT | 182.00 |
| LAB01074 | EXM | RPR/VNRL (SCREENING) STAT | 303.00 |
| LAB01077 | EXM | ESR (ERYTHMOCYTE SEDIMENTATION RATE) STAT | 255.00 |
| LAB01084 | EXM | ASO TITER STAT | 588.00 |
| LAB01120 | EXM | DIGOXIN ASSAY-A STAT | 3,265.00 |
| LAB01210 | EXM | CROSSMATCHING GELTECH | 920.00 |
| LAB01211 | EXM | SARS-COV2 IGG ANTI-BODY (QUANTITATIVE) | 1,818.00 |
| LAB01214 | EXM | RT-PCR TEST | 2,940.00 |
| LAB01218 | EXM | PANCYTOKERATIN | 5,000.00 |
| LAB01237 | EXM | CRYOPRECIPITATE | 1,000.00 |
| LAB01238 | EXM | FROZEN SECTION WAITING TIME/HR | 1,500.00 |
| LAB01239 | EXM | IHC - ER | 4,250.00 |
| LAB01240 | EXM | IHC - PR | 4,250.00 |
| LAB01241 | EXM | IHC - HER2NEU | 5,000.00 |
| LAB01248 | EXM | ANTI-CCP | 2,000.00 |
| LAB01249 | EXM | dsDNA - IgG | 2,000.00 |
| LAB01251 | EXM | PLATELET APHERESIS | 15,000.00 |
| LAB01267 | EXM | ADEQUACY RENAL BIOPSY | 2,000.00 |
| LAB01268 | EXM | CYTOLOGY ONSITE EVALUATION | 5,600.00 |
| LAB1084 | EXM | H-PYLORI STOOL | 849.00 |
| LAB1087 | EXM | CSF CALAS TEST | 3,283.00 |
| LAB1093 | EXM | RAPID ANTIGEN TEST | 660.00 |
| LAB1105 | EXM | TROPONIN T-HIGH SENSITIVE | 3,290.50 |
| LAB11173 | EXM | RF QUANTITATIVE STAT | 720.00 |
| LAB1127 | EXM | SERUM FERRITIN | 1,800.00 |
| LAB1138 | EXM | EMA | 4,000.00 |
| LAB1143 | EXM | CULTURE | 2,525.00 |
| LAB1144 | EXM | SERUM IRON | 600.00 |
| LAB1146 | EXM | ASO TITER | 1,100.00 |
| LAB1148 | EXM | ANTI-HEPATITIS B ENVELOPE (ANTI-HBE) | 2,086.00 |
| LAB1149 | EXM | CORTISOL (7-9AM) | 1,725.00 |
| LAB1150 | EXM | RHEUMATOID FACTOR QUANTITATIVE | 800.00 |
| LAB1153 | EXM | ESTRADIOL | 2,867.50 |
| LAB1154 | EXM | FOLLICLE STIMULATING HORMONE (FSH) | 2,147.50 |
| LAB1156 | EXM | PROGESTERONE | 1,835.00 |
| LAB1157 | EXM | PROLACTIN | 2,302.00 |
| LAB1158 | EXM | TESTOSTERONE | 2,411.44 |
| LAB1160 | EXM | SERUM TIBC STAT | 1,860.00 |
| LAB1165 | EXM | CA 19-9 STAT | 3,215.00 |
| LAB1167 | EXM | SERUM IRON WITH TIBC STAT | 2,640.00 |
| LAB1169 | EXM | ANTI-HBE STAT | 1,015.00 |
| LAB1171 | EXM | GGT STAT | 1,850.00 |
| LAB1174 | EXM | CA15-3 STAT | 3,900.00 |
| LAB1175 | EXM | CA-3 | 1,120.00 |
| LAB1176 | EXM | SERUM TIBC-A | 1,680.00 |
| LAB1177 | EXM | SERUM IRON-A | 710.00 |
| LAB1180 | EXM | CA-125-A | 3,470.00 |
| LAB1181 | EXM | CA 19-9-A | 2,910.00 |
| LAB1183 | EXM | SERUM IRON WITH TIBC-A | 2,390.00 |
| LAB1184 | EXM | ASO TITER-A | 1,300.00 |
| LAB1186 | EXM | ANTI-HBE-A | 920.00 |
| LAB1187 | EXM | DIGOXIN ASSAY-A | 2,510.00 |
| LAB1188 | EXM | GGT-A | 1,680.00 |
| LAB1190 | EXM | RF QUANTITATIVE-A | 655.00 |
| LAB1191 | EXM | CA15-3-A | 3,530.00 |
| LAB1194 | EXM | FSH-A | 970.00 |
| LAB1196 | EXM | PROGESTERONE-A | 2,160.00 |
| LAB1198 | EXM | TESTOSTERONE-A | 1,410.00 |
| LAB1200 | EXM | SERUM TIBC-A STAT | 2,185.00 |
| LAB1201 | EXM | SERUM IRON-A STAT | 925.00 |
| LAB1204 | EXM | CA 125-A STAT | 4,510.00 |
| LAB1205 | EXM | CA 19-9-A STAT | 3,780.00 |
| LAB1207 | EXM | SERUM IRON WITH TIBC-A STAT | 3,110.00 |
| LAB1209 | EXM | ANTI-HBE-A STAT | 1,200.00 |
| LAB1211 | EXM | CORTISOL (3-5PM) | 1,725.00 |
| LAB1216 | EXM | FSH - A STAT | 1,260.00 |
| LAB1218 | EXM | PROGESTERONE - A STAT | 2,810.00 |
| LAB1220 | EXM | RF QUANTITATIVE - A STAT | 850.00 |
| LAB1221 | EXM | TESTOSTERONE - A STAT | 1,830.00 |
| LAB1224 | EXM | HMB45 | 4,000.00 |
| LAB1231 | EXM | FECAL IMMUNOCHEMICAL TEST (FIT) | 500.00 |
| LAB1233 | EXM | APT TEST | 200.00 |
| LAB1234 | EXM | C. DIFFICILE, ANTIGEN | 2,600.00 |
| LAB1235 | EXM | C. DIFFICILE, TOXIN A+B | 2,250.00 |
| LAB1236 | EXM | CONCENTRATION METHOD | 250.00 |
| LAB1237 | EXM | FECAL IMMUNOCHEMICAL TEST | 460.00 |
| LAB1238 | EXM | HEMOGLOBIN, URINE | 240.00 |
| LAB1239 | EXM | MICRAL, URINE | 300.00 |
| LAB1240 | EXM | PH, STOOL | 180.00 |
| LAB1241 | EXM | RBC MORPHOLOGY, URINE | 100.00 |
| LAB1242 | EXM | ROTAVIRUS, ANTIGEN | 1,950.00 |
| LAB1243 | EXM | SCOTCH TAPE SWAB | 100.00 |
| LAB1244 | EXM | SPECIFIC GRAVITY, URINE | 180.00 |
| LAB1245 | EXM | URIC ACID, CRYSTAL | 140.00 |
| LAB1246 | EXM | WORM IDENTIFICATION | 130.00 |
| LAB1247 | EXM | BLEEDING TIME, MACRO | 550.00 |
| LAB1248 | EXM | BLEEDING TIME, MICRO | 550.00 |
| LAB1249 | EXM | SAVE SMEAR | 180.00 |
| LAB1250 | EXM | LE PREPARATION | 160.00 |
| LAB1251 | EXM | MALARIA, ANTIGEN | 520.00 |
| LAB1252 | EXM | MICROFILARIA TEST | 200.00 |
| LAB1253 | EXM | OSMOTIC FRAGILITY TEST | 130.00 |
| LAB1254 | EXM | SICKLE CELL SOLUBILITY | 140.00 |
| LAB1255 | EXM | BACTERIAL MENINGITIS AG | 2,800.00 |
| LAB1256 | EXM | CRYOGLOBULIN | 130.00 |
| LAB1257 | EXM | CALAS, QUALITATIVE | 2,700.00 |
| LAB1258 | EXM | CALAS, QUANTITATIVE | 2,700.00 |
| LAB1259 | EXM | RPR, QUALITATIVE | 1,500.00 |
| LAB1260 | EXM | RPR, QUANTITATIVE | 1,500.00 |
| LAB1261 | EXM | WEIL FELIX TEST | 180.00 |
| LAB1262 | EXM | WIDAL AND WEIL FELIX TEST | 280.00 |
| LAB1263 | EXM | WIDAL TEST | 190.00 |
| LAB1273 | EXM | AFB, SMEAR | 520.00 |
| LAB1274 | EXM | CRYPTOSPORIDIUM | 160.00 |
| LAB1275 | EXM | INDIA INK | 450.00 |
| LAB1276 | EXM | WET SMEAR | 130.00 |
| LAB1277 | EXM | C/S, BLOOD, PEDIATRICS | 2,100.00 |
| LAB1278 | EXM | C/S, ANAEROBIC | 2,000.00 |
| LAB1279 | EXM | C/S, AEROBIC | 2,050.00 |
| LAB1280 | EXM | C/S, STOOL | 4,200.00 |
| LAB1281 | EXM | CHLORIDE, 24HR URINE | 260.00 |
| LAB1282 | EXM | CREATININE, 24HR URINE | 190.00 |
| LAB1283 | EXM | SODIUM, 24HR URINE | 170.00 |
| LAB1284 | EXM | TOTAL PROTEIN, 24HR URINE | 250.00 |
| LAB1285 | EXM | BLOOD AMMONIA | 1,000.00 |
| LAB1286 | EXM | CARBON DIOXIDE | 780.00 |
| LAB1287 | EXM | GLUCOSE, CSF | 300.00 |
| LAB1288 | EXM | TOTAL PROTEIN, CSF | 320.00 |
| LAB1289 | EXM | C-REACTIVE PROTEIN (CRP) | 720.00 |
| LAB1290 | EXM | HDL CHOLESTEROL | 220.00 |
| LAB1291 | EXM | CALCIUM, IONIZED | 225.00 |
| LAB1292 | EXM | IRON | 700.00 |
| LAB1293 | EXM | LDL CHOLESTEROL | 220.00 |
| LAB1294 | EXM | OGCT, 50G | 700.00 |
| LAB1295 | EXM | OGTT, 100G, 3 SAMPLES | 700.00 |
| LAB1296 | EXM | OGTT, 100G, 4 SAMPLES | 700.00 |
| LAB1297 | EXM | OGTT, 75G, 2 SAMPLES | 700.00 |
| LAB1298 | EXM | OGTT, 75G, 3 SAMPLES | 700.00 |
| LAB1299 | EXM | OGTT, 75G, 4 SAMPLES | 700.00 |
| LAB1300 | EXM | OGTT, 75G, 5 SAMPLES | 700.00 |
| LAB1301 | EXM | AMYLASE, OBF | 240.00 |
| LAB1302 | EXM | UREA NITROGEN, OBF | 180.00 |
| LAB1303 | EXM | CHLORIDE, OBF | 500.00 |
| LAB1304 | EXM | CHOLESTEROL, OBF | 180.00 |
| LAB1305 | EXM | CREATININE, OBF | 170.00 |
| LAB1306 | EXM | PHOSPHORUS, OBF | 300.00 |
| LAB1307 | EXM | TRIGLYCERIDES, OBF | 180.00 |
| LAB1308 | EXM | URIC ACID, OBF | 220.00 |
| LAB1309 | EXM | AMYLASE, URINE | 225.00 |
| LAB1310 | EXM | CALCIUM, URINE | 500.00 |
| LAB1311 | EXM | CHLORIDE, URINE | 500.00 |
| LAB1312 | EXM | CREATININE, URINE | 170.00 |
| LAB1313 | EXM | MAGNESIUM, URINE | 170.00 |
| LAB1314 | EXM | PHOSPORUS, URINE | 500.00 |
| LAB1315 | EXM | POTASSIUM, URINE | 500.00 |
| LAB1316 | EXM | SODIUM, URINE | 500.00 |
| LAB1317 | EXM | UREA NITROGREN, URINE | 190.00 |
| LAB1318 | EXM | URIC ACID, URINE | 500.00 |
| LAB1319 | EXM | TIBC | 1,600.00 |
| LAB1320 | EXM | PROCALCITONIN | 990.00 |
| LAB1321 | EXM | CK-MM PROFILE | 820.00 |
| LAB1322 | EXM | CREATININE CLEARANCE | 700.00 |
| LAB1323 | EXM | HEPATITIS PANEL 10 | 1,750.00 |
| LAB1324 | EXM | HEPATITIS PANEL 14 | 1,530.00 |
| LAB1325 | EXM | KIDNEY FUNCTION TEST | 1,000.00 |
| LAB1326 | EXM | LIVER ENZYMES PANEL | 1,100.00 |
| LAB1327 | EXM | LIVER FUNCTION TEST | 800.00 |
| LAB1328 | EXM | NEONATAL PANEL 1 | 1,100.00 |
| LAB1329 | EXM | NEONATAL PANEL 2 | 900.00 |
| LAB1330 | EXM | NEONATAL PANEL 3 | 600.00 |
| LAB1331 | EXM | CARDIAC ENZYME PANEL | 980.00 |
| LAB1332 | EXM | URINE PROTEIN/CREA RATIO | 600.00 |
| LAB1335 | EXM | DIABETIC SCREENING PACKAGE | 2,200.00 |
| LAB1336 | EXM | THYROID PANEL B | 800.00 |
| LAB1337 | EXM | GASTRO AWARENESS PACKAGE | 700.00 |
| LAB1338 | EXM | TIBC WITH IRON | 1,660.00 |
| LAB1347 | EXM | CLOTTING TIME, SLIDE | 550.00 |
| LAB1349 | EXM | ALBUMIN,OBF | 540.00 |
| LAB1350 | EXM | PROTEIN,URINE | 290.00 |
| LAB1351 | EXM | ANTI-HCV | 1,100.00 |
| LAB1352 | EXM | ALPHA FETO PROTEIN | 850.00 |
| LAB1353 | EXM | GLUCOSE,2HR PPBS | 310.00 |
| LAB1354 | EXM | ANTI-HAV IGM | 590.00 |
| LAB1355 | EXM | HBEAG | 900.00 |
| LAB1359 | EXM | VITAMIN D, TOTAL | 2,000.00 |
| LAB1360 | EXM | 24 HOUR URINE - SEROTONIN (5-HIAA) | 2,597.50 |
| LAB1361 | EXM | ANTI-HEPATITIS B CORE IMMUNOGLOBULIN M (ANTI-HBC IGM) | 2,110.00 |
| LAB1362 | EXM | ANTI-THYROGLOBULIN (ANTI-TG) | 3,306.25 |
| LAB1363 | EXM | ANTI-THYROID PEROXIDASE (ANTI-TPO) | 3,355.00 |
| LAB1364 | EXM | C3 BETA COMPLEMENT (C3) | 2,005.00 |
| LAB1365 | EXM | BETA-CROSSLAPS | 6,167.50 |
| LAB1366 | EXM | BRAIN NATRIURETIC PEPTIDE (BNP) | 3,244.75 |
| LAB1367 | EXM | C4 BETA COMPLEMENT (C4) | 2,128.00 |
| LAB1368 | EXM | CANCER ANTIGEN (CA) 15-3 | 2,672.50 |
| LAB1369 | EXM | CANCER ANTIGEN (CA) 72-4 | 4,300.00 |
| LAB1370 | EXM | CARBAMAZEPINE / TEGRETOL | 2,635.00 |
| LAB1371 | EXM | CERULOPLASMIN | 3,850.00 |
| LAB1372 | EXM | CORTISOL | 2,321.50 |
| LAB1373 | EXM | C-PEPTIDE | 3,452.50 |
| LAB1374 | EXM | CYCLOSPORINE | 9,885.00 |
| LAB1375 | EXM | CYSTATIN C | 3,550.00 |
| LAB1376 | EXM | DEHYDROEPIANDROSTERONE SULFATE (DHEA-S) | 2,545.00 |
| LAB1377 | EXM | FOLATE | 2,650.00 |
| LAB1378 | EXM | FREE BETA HUMAN CHORIONIC GONADOTROPIN (FREE Î’-HCG) | 4,427.50 |
| LAB1379 | EXM | HIV SCREENING - RAPID ANTIBODY | 2,200.00 |
| LAB1380 | EXM | HOMOCYSTEINE | 2,887.00 |
| LAB1381 | EXM | HUMAN EPIDIDYMIS PROTEIN 4 (HE4) | 2,950.00 |
| LAB1382 | EXM | INSULIN | 3,025.00 |
| LAB1383 | EXM | INTACT PARATHYROID HORMONE (INTACT PTH) | 3,062.50 |
| LAB1384 | EXM | INTERLEUKIN-6 (IL-6) | 6,325.00 |
| LAB1385 | EXM | LACTATE | 2,350.00 |
| LAB1386 | EXM | LITHIUM | 1,892.50 |
| LAB1387 | EXM | LUTEINIZING HORMONE (LH) | 2,132.50 |
| LAB1388 | EXM | METANEPHRINE | 9,790.80 |
| LAB1389 | EXM | MICRO ALBUMIN CREATININE RATIO (MACRAD) | 2,725.00 |
| LAB1390 | EXM | OSMOLALITY (BLOOD) | 1,970.50 |
| LAB1391 | EXM | OSMOLALITY (URINE) | 1,990.00 |
| LAB1392 | EXM | OSTEOCALCIN | 4,840.00 |
| LAB1393 | EXM | PH URINE WITH MINERAL OIL | 1,765.00 |
| LAB1394 | EXM | PHENOBARBITAL | 2,387.50 |
| LAB1395 | EXM | PHENYTOIN | 2,605.00 |
| LAB1396 | EXM | PREGNANCY ASSOCIATED PLASMA PROTEIN-A (PAPP-A) | 9,386.36 |
| LAB1397 | EXM | PRO-GASTRIN-RELEASING PEPTIDE (PRO-GRP) | 6,750.00 |
| LAB1398 | EXM | PROTEIN INDUCED BY VITAMIN K ABSENCE-II (PIVKA II) | 6,918.00 |
| LAB1399 | EXM | RUBELLA IMMUNOGLOBULIN G (RUBELLA IGG) | 2,572.00 |
| LAB1400 | EXM | RUBELLA IMMUNOGLOBULIN M (RUBELLA IGM) | 2,572.00 |
| LAB1401 | EXM | SIROLIMUS | 3,925.00 |
| LAB1402 | EXM | THEOPHYLLINE | 3,550.00 |
| LAB1403 | EXM | TOTAL HEPATITIS B CORE ANTIBODY (TOTAL ANTI-HBC) | 2,095.00 |
| LAB1404 | EXM | VALPROIC ACID | 2,092.20 |
| LAB1405 | EXM | VITAMIN B12 | 2,800.00 |
| LAB1406 | EXM | 24 HOUR URINE - MICROALBUMIN CREATININE RATIO | 2,725.00 |
| LAB1407 | EXM | ELLAGIC ACID CLOTTING TIME | 2,781.25 |
| LAB1408 | EXM | ACID PHOSPHATASE | 2,800.00 |
| LAB1409 | EXM | ANTI-MULLERIAN HORMONE (AMH) | 6,550.00 |
| LAB1410 | EXM | ANTI-SARS-COV-2 IMMUNOGLOBULIN G | 3,572.50 |
| LAB1411 | EXM | ANTI-SARS-COV-2 TOTAL | 4,000.00 |
| LAB1412 | EXM | HIV SCREENING | 2,200.00 |
| LAB1413 | EXM | PRESEPSIN | 5,650.00 |
| LAB1414 | EXM | SARS-COV-2 NEUTRALIZING ANTIBODY | 3,775.00 |
| LAB1415 | EXM | ANTITHROMBIN III | 3,551.50 |
| LAB1416 | EXM | DIRECT FACTOR X | 4,720.00 |
| LAB1417 | EXM | FACTOR SPECIFIC ASSAY IX | 4,720.00 |
| LAB1418 | EXM | FACTOR SPECIFIC ASSAY V | 4,450.00 |
| LAB1419 | EXM | FACTOR SPECIFIC ASSAY VIII | 4,427.50 |
| LAB1420 | EXM | FACTOR V LEIDEN | 5,050.00 |
| LAB1421 | EXM | FIBRIN DEGRADATION PRODUCT (FDP) | 4,202.50 |
| LAB1422 | EXM | IMMATURE PLATELET FRACTION (IPF) | 2,116.00 |
| LAB1423 | EXM | LUPUS ANTICOAGULANT | 3,954.63 |
| LAB1424 | EXM | PARTIAL THROMBOPLASTIN TIME MIXING (PTT MIXING) | 1,843.75 |
| LAB1425 | EXM | PROTEIN S | 6,587.50 |
| LAB1426 | EXM | PROTEIN C | 3,472.00 |
| LAB1427 | EXM | PROTHROMBIN TIME MIXING STUDIES (PT MIXING) | 1,865.50 |
| LAB1428 | EXM | FECAL CALPROTECTIN | 4,135.00 |
| LAB1429 | EXM | ALLERGEN IGE - ALMOND | 4,075.00 |
| LAB1430 | EXM | ALLERGEN IGE - BEEF | 4,075.00 |
| LAB1431 | EXM | ALLERGEN IGE - BERMUDA GRASS | 4,075.00 |
| LAB1432 | EXM | ALLERGEN IGE - CHEDDAR CHEESE | 4,075.00 |
| LAB1433 | EXM | ALLERGEN IGE - CHICKEN | 4,075.00 |
| LAB1434 | EXM | ALLERGEN IGE - COCKROACH | 4,075.00 |
| LAB1435 | EXM | ALLERGEN IGE - DERMATOPHAGOIDES FARINAE | 4,075.00 |
| LAB1436 | EXM | ALLERGEN IGE - DERMATOPHAGOIDES PTEROYSSINUS / HOUSE DUST | 3,550.00 |
| LAB1437 | EXM | ALLERGEN IGE - DOG DANDER | 4,075.00 |
| LAB1438 | EXM | ALLERGEN IGE - EGG WHITE | 4,075.00 |
| LAB1439 | EXM | ALLERGEN IGE - EGG YOLK | 4,075.00 |
| LAB1440 | EXM | ALLERGEN IGE - FISH COD | 2,466.25 |
| LAB1441 | EXM | ALLERGEN IGE - GENERAL FOOD MIX ( EGG WHITE, MILK FISH, WHEAT, PEANUT, SOYA) | 4,862.50 |
| LAB1442 | EXM | ALLERGEN IGE - MILK | 4,075.00 |
| LAB1443 | EXM | ALLERGEN IGE - MOLD MIX | 4,075.00 |
| LAB1444 | EXM | ALLERGEN IGE - ORANGE | 4,075.00 |
| LAB1445 | EXM | ALLERGEN IGE - PEANUT | 2,545.00 |
| LAB1446 | EXM | ALLERGEN IGE - PHADIATOP (MOLDS, HOUSE DUST MITES, CAT EPITHELIUM, BERMUDA GRASS, PIGWEED) | 4,862.50 |
| LAB1447 | EXM | ALLERGEN IGE - PORK | 3,700.00 |
| LAB1448 | EXM | ALLERGEN IGE - SALMON | 4,075.00 |
| LAB1449 | EXM | ALLERGEN IGE - SHRIMPS | 4,075.00 |
| LAB1450 | EXM | ALLERGEN IGE - SOYA BEANS | 4,075.00 |
| LAB1451 | EXM | ALLERGEN IGE - SQUID | 4,000.00 |
| LAB1452 | EXM | ALLERGEN IGE - TUNA | 4,075.00 |
| LAB1453 | EXM | ALLERGEN IGE - WHEAT | 2,860.00 |
| LAB1454 | EXM | ANTI-DOUBLE STRANDED DNA (ANTI-DSDNA) | 3,775.00 |
| LAB1455 | EXM | ANTI-JO-1 | 4,193.50 |
| LAB1456 | EXM | ANTI-MITOCHONDRIAL ANTIBODY (AMA) - QUALITATIVE | 3,550.00 |
| LAB1457 | EXM | ANTI-MITOCHONDRIAL ANTIBODY (AMA) - QUANTITATIVE | 3,550.00 |
| LAB1458 | EXM | ANTI-RIBONUCLEOPROTEINS (ANTI-RNP) | 4,165.00 |
| LAB1459 | EXM | ANTI-SCL 70 | 4,037.50 |
| LAB1460 | EXM | ANTI-SJOGREN'S SYNDROME A (ANTI-SSA) | 3,077.50 |
| LAB1461 | EXM | ANTI-SJOGREN'S SYNDROME B (ANTI-SSB) | 4,165.00 |
| LAB1462 | EXM | ANTI-SMITH (ANTI-SM) | 4,330.00 |
| LAB1463 | EXM | ANTI-SMOOTH MUSCLE (ASMA) - QUALITATIVE | 3,563.50 |
| LAB1464 | EXM | ANTI-SMOOTH MUSCLE (ASMA) - QUANTITATIVE | 3,563.50 |
| LAB1465 | EXM | COLD AGGLUTININS | 1,912.00 |
| LAB1466 | EXM | CYTOPLASMIC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY (C-ANCA) | 3,765.63 |
| LAB1467 | EXM | ELECTROPHORESIS CEREBROSPINAL FLUID WITH IMMUNOFIXATION | 5,376.07 |
| LAB1468 | EXM | EPSTEIN BARR VIRUS (EBV) IGG | 3,813.25 |
| LAB1469 | EXM | EPSTEIN BARR VIRUS (EBV) IGM | 3,564.63 |
| LAB1470 | EXM | HELICOBACTER PYLORI IGG | 3,355.00 |
| LAB1471 | EXM | HELICOBACTER PYLORI IGM | 2,950.00 |
| LAB1472 | EXM | HEMOGLOBIN ELECTROPHORESIS | 5,012.50 |
| LAB1473 | EXM | HERPES SIMPLEX VIRUS I (HSV I) IGG | 3,842.50 |
| LAB1474 | EXM | HERPES SIMPLEX VIRUS I (HSV I) IGM | 3,842.50 |
| LAB1475 | EXM | HERPES SIMPLEX VIRUS II (HSV II) IGG | 3,842.50 |
| LAB1476 | EXM | HERPES SIMPLEX VIRUS II (HSV II) IGM | 3,511.00 |
| LAB1477 | EXM | IMMUNOFIXATION SERUM | 5,194.83 |
| LAB1478 | EXM | INFECTIOUS MONONUCLEOSIS (HETEROPHILE) TEST | 2,433.63 |
| LAB1479 | EXM | LIVER / KIDNEY MICROSOME- 1 (LKM-1) ANTIBODY TEST | 4,037.50 |
| LAB1480 | EXM | MUMPS IGM | 4,225.00 |
| LAB1481 | EXM | MYCOPLASMA PNEUMONIAE IGM | 3,208.75 |
| LAB1482 | EXM | PERINUCLEAR ANTINEUTROPHIL CYTOPLASMIC ANTIBODY (P-ANCA) | 3,765.63 |
| LAB1483 | EXM | TREPONEMA PALLIDUM AGGLUTINATION ASSAY (TPPA) - QUALITATIVE | 2,170.00 |
| LAB1484 | EXM | TREPONEMA PALLIDUM AGGLUTINATION ASSAY (TPPA) - QUANTITATIVE | 2,253.63 |
| LAB1485 | EXM | TUBERCULOSIS (TB) QUANTIFERON | 8,300.63 |
| LAB1486 | EXM | CHIKUNGUNYA IGM | 3,096.63 |
| LAB1487 | EXM | CHLAMYDIA ANTIGEN | 2,394.63 |
| LAB1488 | EXM | LEPTOSPIRA IGG / IGM | 2,672.50 |
| LAB1489 | EXM | ACID FAST BACILLI CONCENTRATION (AFB CON) | 2,515.00 |
| LAB1490 | EXM | EPSILOMETER TEST MINIMUM INHIBITORY CONCENTRATION (E-TEST) | 3,667.00 |
| LAB1491 | EXM | FILAMENTOUS FUNGI - SENSITIVITY | 7,455.00 |
| LAB1493 | EXM | IDENTIFICATION OF FILAMENTOUS FUNGI | 6,085.00 |
| LAB1494 | EXM | MILK CULTURE | 2,430.82 |
| LAB1495 | EXM | MTB HIGH CONCENTRATION DRUG SUSCEPTIBILITY | 6,750.00 |
| LAB1496 | EXM | MYCOBACTERIAL CULTURE | 6,100.00 |
| LAB1497 | EXM | MYCOBACTERIAL SUSCEPTIBILITY | 10,500.00 |
| LAB1498 | EXM | MYCOBACTERIUM OTHER THAN TUBERCULOSIS SENSITIVITY (MOTT SENSITIVITY) | 7,380.00 |
| LAB1499 | EXM | MYCOBACTERIUM OTHER THAN TUBERCULOSIS SPECIFICATION (MOTT SPECIATION) | 4,900.00 |
| LAB1500 | EXM | MYCOBACTERIUM TUBERCULOSIS SECOND LINE DRUG (MTB 2ND LINE DRUGS) | 6,640.00 |
| LAB1501 | EXM | PHENOTYPIC CARBAPENEMASE SCREENING | 3,015.85 |
| LAB1502 | EXM | SENSITIVITY TO COLISTIN C/T CEFTAZIDIME-AVIBACTAM | 5,831.50 |
| LAB1503 | EXM | TUBERCULOSIS CULTURE SENSITIVITY (TBCS) | 3,100.00 |
| LAB1504 | EXM | WATER CULTURE | 3,040.29 |
| LAB1505 | EXM | YEAST SENSITIVITY (MICRODILUTION) | 6,551.05 |
| LAB1506 | EXM | MRSA SCREENING | 2,215.00 |
| LAB1507 | EXM | STOOL CULTURE ONLY | 2,125.00 |
| LAB1508 | EXM | ALPHA GLOBIN GENOTYPING | 13,500.00 |
| LAB1509 | EXM | BETA GLOBIN GENOTYPING | 17,128.43 |
| LAB1510 | EXM | CHIKUNGUNYA VIRUS PCR | 11,337.75 |
| LAB1511 | EXM | CHLAMYDIA TRACHOMATIS / NEISSERIA GONORRHOEAE (CT/NG) PCR | 7,500.00 |
| LAB1512 | EXM | CORONA VIRUS DISEASE 2019 (COVID-19) TEST | 3,100.00 |
| LAB1513 | EXM | DENGUE RNA PCR SCREENING | 16,300.00 |
| LAB1514 | EXM | GASTROINTESTINAL PANEL | 20,343.00 |
| LAB1515 | EXM | HACT VIRAL LOAD | 8,586.00 |
| LAB1516 | EXM | HAEMOCHROMATOSIS MUTATION ANALYSIS | 10,775.63 |
| LAB1517 | EXM | HERPES SIMPLEX VIRUS (HSV) I AND II PCR | 10,860.00 |
| LAB1518 | EXM | HUMAN LEUKOCYTE ANTIGEN (HLA) TISSUE TYPING | 25,530.00 |
| LAB1519 | EXM | HUMAN LEUKOCYTE ANTIGEN B27 (HLA B27) | 9,375.00 |
| LAB1520 | EXM | HUMAN PAPILLOMAVIRUS (HPV) GENOTYPING | 8,745.00 |
| LAB1521 | EXM | JANUS KINASE 2 (JAK-2) MUTATION | 9,933.75 |
| LAB1522 | EXM | JAPANESE ENCEPHALITIS VIRUS RNA | 15,764.25 |
| LAB1523 | EXM | MENINGITIS PANEL | 20,655.00 |
| LAB1524 | EXM | MYCOBACTERIUM TUBERCULOSIS (MTB) PCR | 10,894.88 |
| LAB1525 | EXM | PNEUMOCYSTIS JIROVECII DNA | 8,550.00 |
| LAB1526 | EXM | RESPIRATORY PANEL 2.1 | 12,750.00 |
| LAB1527 | EXM | HBV-DNA (BATCH RUN) | 7,492.50 |
| LAB1528 | EXM | INFLUENZA A/B CONFIRMATORY | 19,680.00 |
| LAB1529 | EXM | PAP SMEAR (STAIN AND READING) | 1,825.00 |
| LAB1530 | EXM | DRUG TEST (MET/THC) | 2,050.00 |
| LAB1533 | EXM | UROGENITAL CULTURE PANEL | 5,180.50 |
| LAB1535 | EXM | CARDIAC ENZYME | 2,657.50 |
| LAB1536 | EXM | BLOOD ALCOHOL LEVEL | 2,500.00 |
| LAB1537 | EXM | THYROID PANEL A | 1,450.00 |
| LAB1538 | EXM | CLOTTING TIME, LW | 550.00 |
| LAB1539 | EXM | HS TROPONIN I | 2,000.00 |
| LAB1541 | EXM | BACTERIAL CULTURE PANEL | 7,744.64 |
| LAB1542 | EXM | C/S, BACTERIAL | 3,270.00 |
| LAB1543 | EXM | C/S, FUNGAL | 825.00 |
| LAB1544 | EXM | HEPATITIS PROFILE 4 | 2,250.00 |
| LAB1545 | EXM | HEPATITIS PROFILE 5 | 1,600.00 |
| LAB1546 | EXM | HEPATITIS PROFILE 13 | 1,900.00 |
| LAB1564 | EXM | PLACENTAL GROWTH FACTOR (PIGF) | 8,831.50 |
| LAB1566 | EXM | LABORATORY CUMULATIVE REPORT | 10.00 |
| LAB1567 | EXM | CREATININE (CUMULATIVE) | 10.00 |
| LAB1568 | EXM | CHEMISTRY NEURO(CHEM NEURO) | 1,684.25 |
| LAB1570 | EXM | LIPID PROFILE-HDL, LDL ONLY | 1,293.25 |
| LAB1571 | EXM | CHEMISTRY M (CHEM M) | 1,954.50 |
| LAB1572 | EXM | CHEMISTRY 19 (CHEM 19) | 2,391.50 |
| LAB1573 | EXM | CHEMISTRY 17 (CHEM 17) | 2,357.00 |
| LAB1574 | EXM | CHEMISTRY 16 (CHEM 16) | 1,690.00 |
| LAB1576 | EXM | CHEMISTRY 15 (CHEM 15) | 1,759.00 |
| LAB1577 | EXM | CHEMISTRY 23 (CHEM 23) | 2,771.00 |
| LAB1578 | EXM | HEPATITIS PROFILE 8 | 3,373.00 |
| LAB1579 | EXM | HEPATITIS PROFILE 6 | 2,913.60 |
| LAB1580 | EXM | HEPATITIS PROFILE 12 | 2,143.10 |
| LAB1581 | EXM | HEPATITIS PROFILE 2 | 1,770.50 |
| LAB1582 | EXM | HEPATITIS PROFILE 9 | 4,216.55 |
| LAB1583 | EXM | HEPATITIS PROFILE 3 | 1,946.45 |
| LAB1584 | EXM | HEPATITIS PROFILE 1 | 2,023.50 |
| LAB1585 | EXM | HEPATITIS PROFILE 7 | 3,756.55 |
| LAB1586 | EXM | ANTI-CYCLIC CITRULLINATED PEPTIDE (ANTI-CCP) | 2,200.00 |
| LAB1587 | EXM | URINARY L-FABP | 8,078.25 |
| LAB1588 | EXM | IMMUNOGLOBULINS (IGG, IGM, IGA) | 3,208.00 |
| LAB1589 | EXM | TORCH | 5,363.10 |
| LAB1590 | EXM | SALICYLATE | 3,990.00 |
| LAB1591 | EXM | EVEROTIMUS (CERTICAN TROUGH LEVEL) | 10,200.00 |
| LAB1592 | EXM | SERUM AMYLOID A | 11,925.00 |
| LAB1593 | EXM | SOLUBLE FMS-LIKE TYROSINE KINASE-1(SFLT) | 9,556.00 |
| LAB1594 | EXM | CLOPIDOGREL RESPONSE ASSAY | 10,257.50 |
| LAB1595 | EXM | PLASMA METANEPHRINE | 9,797.50 |
| LAB1596 | EXM | LEUKOCYTE ALKALINE PHOSPHATASE SCORE (LAP SCORE) | 3,070.00 |
| LAB1599 | EXM | ALLERGENS-CAT DANDER | 2,794.00 |
| LAB1600 | EXM | ALLERGENS-COMMON PIGWEED | 2,794.00 |
| LAB1601 | EXM | ALLERGENS-CRAB | 2,794.00 |
| LAB1602 | EXM | ALLERGENS-FEATHERS MIX | 2,794.00 |
| LAB1603 | EXM | ALLERGENS-HOLLISTER-STEIR LABS | 2,794.00 |
| LAB1604 | EXM | ANTI SPERM ANTIBODY | 4,220.00 |
| LAB1605 | EXM | FOOD ALLERGENS PANEL-10 ITEMS | 13,995.00 |
| LAB1606 | EXM | HELICOBACTER PYLORI ANTIGEN | 1,460.00 |
| LAB1607 | EXM | PARVOVIRUS IGG | 6,255.50 |
| LAB1608 | EXM | ANTI GLOMERULAR BASEMENT MEMBRANE IGG | 6,060.00 |
| LAB1609 | EXM | ANTI-HISTONES | 3,788.75 |
| LAB1610 | EXM | INHALANT ALLERGEN PANEL-15 ITEMS | 15,892.50 |
| LAB1611 | EXM | INHALANT ALLERGENS-10 ITEMS | 13,995.00 |
| LAB1612 | EXM | PARVOVIRUS IGM | 6,255.50 |
| LAB1613 | EXM | STRONGYLOIDES ANTIBODY IGG/IGM | 3,834.75 |
| LAB1614 | EXM | TOTAL SPECIFIC IGE | 2,380.00 |
| LAB1615 | EXM | VON WILLIBRAND FACTOR ACTIVITY | 8,762.50 |
| LAB1616 | EXM | VON WILLIBRAND FACTOR ANTIGEN | 8,762.50 |
| LAB1617 | EXM | COVID 19/FLU A&B RAPID TEST | 1,632.50 |
| LAB1618 | EXM | FOOD ALLERGENS PANEL-15 ITEMS | 19,739.25 |
| LAB1619 | EXM | PARVOVIRUS IGG AND IGM PANEL | 12,385.00 |
| LAB1620 | EXM | STERILE BODY FLUID PANEL | 6,032.40 |
| LAB1621 | EXM | BACTERIAL CULTURE AND SENSITIVITY | 3,277.00 |
| LAB1622 | EXM | GROUP B STREP (GBS) SCREENINGTEST | 1,621.00 |
| LAB1623 | EXM | HEPATITIS C VIRUS (HCV) RNA-BATCH RUN | 7,647.00 |
| LAB1624 | EXM | HPV GENOTYPING-BATCH RUN | 5,025.00 |
| LAB1625 | EXM | HBV-DNA (SINGLE RUN) | 7,014.50 |
| LAB1626 | EXM | PNEUMONIA PANEL | 18,250.00 |
| LAB1627 | EXM | HPV GENOTYPING-BATCH RUN (INCLUDING COLLECTION KIT) | 5,381.50 |
| LAB1628 | EXM | BACTERIAL CHALLENGES | 1,540.50 |
| LAB1629 | EXM | FIBROSIS 4 | 1,338.10 |
| LAB1630 | EXM | ER- INFLUENZA A/B RAPID SCREENING | 2,667.50 |
| LAB1631 | EXM | TORCH PANEL-TORCH, IGM | 7,057.05 |
| LAB1632 | EXM | TORCH PANEL-IGG | 7,311.20 |
| LAB1633 | EXM | TORCH PANEL-TORCH IGM/IGM | 13,368.25 |
| LAB1634 | EXM | THYROTROPIN RECEPTOR ANTIBODIES | 5,000.00 |
| PULMO00001 | EXM | PULMONARY FUNCTION TEST | 1,450.00 |
| PULMO00002 | EXM | ABG (ARTERIAL BLOOD GAS) | 2,020.00 |
| PULMO00004 | EXM | VENTILATOR STAND-BY FEE( 24 hours) | 1,122.00 |
| PULMO00006 | EXM | VENOUS BLOOD GAS | 2,020.00 |
| PULMO00007 | EXM | IS (PROCEDURE) | 110.00 |
| PULMO00008 | EXM | VENTILATOR STAND BY FEE PER HOUR | 77.00 |
| PULMO00009 | EXM | USE OF VENTILATOR (BEAR-CUB) | 650.00 |
| PULMO00010 | EXM | USE OF VENTILATOR PER HOUR | 300.00 |
| PULMO00011 | EXM | USE OF HIGH FLOW OXYGEN | 2,730.00 |
| PULMO00012 | EXM | USE OF BIPAP MACHINE | 2,730.00 |
| REHAB00001 | EXM | REHAB - PHYSICAL THERAPY | 350.00 |
| REHAB00006 | EXM | REHAB- LASER | 260.00 |
| REHAB00007 | EXM | REHAB- TRACTION | 180.00 |
| REHAB00010 | EXM | PACKAGE C- SHOULDER PAIN | 5,005.00 |
| REHAB00011 | EXM | PACKAGE C- MYOFASCIAL PAIN SYNDROME | 5,005.00 |
| REHAB00012 | EXM | REHAB-SHOCKWAVE | 500.00 |
| REHAB00013 | EXM | REHAB - DYSPHAGIA TREATMENT | 550.00 |
| REHAB00014 | EXM | REHAB - BASIC REHAB - NUERO/PEDIA | 500.00 |
| REHAB00015 | EXM | REHAB - USE OF ULTRASOUND MACHINE | 60.00 |
| REHAB00016 | EXM | REHAB - PARAFFIN | 60.00 |
| REHAB00017 | EXM | REHAB - ELECTRICAL STIMULATION | 60.00 |
| REHAB00018 | EXM | REHAB - INFRARED | 60.00 |
| REHAB00019 | EXM | ECC REHABILITATION SESSION | 750.00 |
| UTZ00001 | EXM | ULTRASOUND-MASS | 1,115.00 |
| UTZ00002 | EXM | ULTRASOUND-NECK | 1,920.00 |
| UTZ00003 | EXM | ULTRASOUND-PELVIC | 730.00 |
| UTZ00005 | EXM | ULTRASOUND - GALLBLADDER | 730.00 |
| UTZ00006 | EXM | ULTRASOUND - HBS AND KUB | 1,920.00 |
| UTZ00007 | EXM | ULTRASOUND - KUB | 1,040.00 |
| UTZ00008 | EXM | ULTRASOUND - KUB AND PELVIC | 1,167.00 |
| UTZ00009 | EXM | ULTRASOUND - KUB AND TRANSRECTAL | 1,445.00 |
| UTZ00011 | EXM | ULTRASOUND - LIVER | 730.00 |
| UTZ00012 | EXM | ULTRASOUND - LIVER AND GALLBLADDER | 723.00 |
| UTZ00013 | EXM | ULTRASOUND - LIVER AND SPLEEN | 778.00 |
| UTZ00014 | EXM | ULTRASOUND - LIVER,GALLBLADDER,BILE DUCTS(HBS) | 1,056.00 |
| UTZ00015 | EXM | ULTRASOUND - PANCREAS | 730.00 |
| UTZ00016 | EXM | ULTRASOUND - PROSTATE | 1,040.00 |
| UTZ00018 | EXM | ULTRASOUND - PROSTATE TRANSRECTAL | 1,167.00 |
| UTZ00020 | EXM | ULTRASOUND - SPLEEN | 667.00 |
| UTZ00021 | EXM | ULTRASOUND - TRANSVAGINAL | 889.00 |
| UTZ00023 | EXM | ULTRASOUND- ABDOMEN & TRANSRECTAL | 1,889.00 |
| UTZ00024 | EXM | ULTRASOUND- ABDOMEN & TRANVAGINAL | 1,889.00 |
| UTZ00025 | EXM | ULTRASOUND- BIO PHYSICAL PROFILE(BPS) | 1,040.00 |
| UTZ00027 | EXM | ULTRASOUND- BOTH BREASTS | 1,560.00 |
| UTZ00028 | EXM | ULTRASOUND- BREAST (ONE SIDE) | 1,145.00 |
| UTZ00029 | EXM | ULTRASOUND- CHEST/ THORAX | 1,040.00 |
| UTZ00031 | EXM | ULTRASOUND GUIDED PARACENTESIS | 1,334.00 |
| UTZ00032 | EXM | ULTRASOUND GUIDED PROCEDURE | 1,334.00 |
| UTZ00033 | EXM | ULTRASOUND GUIDED THORACENTESIS | 1,334.00 |
| UTZ00034 | EXM | ULTRASOUND -KUB AND PROSTATE | 1,167.00 |
| UTZ00035 | EXM | ULTRASOUND -KUB AND TRANSVAGINAL | 1,445.00 |
| UTZ00036 | EXM | ULTRASOUND -LIVER AND PANCREAS | 834.00 |
| UTZ00037 | EXM | ULTRASOUND -PELVIC TRANSRECTAL | 1,111.00 |
| UTZ00038 | EXM | ULTRASOUND-ABDOMINAL AORTA | 667.00 |
| UTZ00043 | EXM | ULTRASOUND-CRANIAL | 890.00 |
| UTZ00045 | EXM | ULTRASOUND-ABDOMEN & PROSTATE(MALE) | 1,750.00 |
| UTZ00046 | EXM | ULTRASOUND-ABDOMEN & PELVIS(FEMALE) | 1,750.00 |
| UTZ00047 | EXM | ULTRASOUND- SCROTAL (INGUINAL) | 1,920.00 |
| UTZ00048 | EXM | ULTRASOUND- SCROTAL (TESTES) | 1,920.00 |
| UTZ00049 | EXM | ULTRASOUND- 4D | 2,722.00 |
| UTZ00050 | EXM | ULTRASOUND- THYROID GLAND | 1,920.00 |
| UTZ00051 | EXM | ULTRASOUND- HBS | 1,460.00 |
| UTZ00052 | EXM | ULTRASOUND- 4D (MATERNITY PACKAGE) | 2,722.00 |
| UTZ00053 | EXM | BPS ( MATERNITY PACKAGE) | 1,040.00 |
| UTZ00054 | EXM | ULTRASOUND - RENAL DOPPLER | 5,858.00 |
| UTZ00055 | EXM | ULTRASOUND - LIVER FIBROSCAN | 3,838.00 |
| XRY00001 | EXM | ABDOMEN (X-RAY) | 375.00 |
| XRY00003 | EXM | ABDOMEN UPRIGHT | 375.00 |
| XRY00004 | EXM | ADYNAMIC RETRO UROGRAM / VOIDING | 5,110.00 |
| XRY00005 | EXM | ANKLE APL | 440.00 |
| XRY00006 | EXM | ANKLE BOTH APL | 795.00 |
| XRY00007 | EXM | ANKLE LEFT | 440.00 |
| XRY00008 | EXM | ANKLE LEFT STANDING | 440.00 |
| XRY00009 | EXM | ANKLE MORTISE VIEW LEFT | 440.00 |
| XRY00010 | EXM | ANKLE MORTISE VIEW RIGHT | 440.00 |
| XRY00011 | EXM | ANKLE RIGHT | 440.00 |
| XRY00012 | EXM | ANKLE RIGHT STANDING | 440.00 |
| XRY00013 | EXM | ARM APL | 440.00 |
| XRY00014 | EXM | ARM BOTH APL | 440.00 |
| XRY00015 | EXM | ARM LEFT | 440.00 |
| XRY00016 | EXM | ARM RIGHT | 440.00 |
| XRY00017 | EXM | BABYGRAM | 675.00 |
| XRY00018 | EXM | BARIUM ENEMA | 5,110.00 |
| XRY00019 | EXM | BARIUM SWALLOW (ESOPHAGOGRAM) | 2,390.00 |
| XRY00020 | EXM | BASAL VIEW | 320.00 |
| XRY00021 | EXM | CALCANEUS APL | 440.00 |
| XRY00022 | EXM | CALCANEUS LEFT | 440.00 |
| XRY00023 | EXM | CALCANEUS RIGHT | 440.00 |
| XRY00024 | EXM | CALDWELLS POSITION | 320.00 |
| XRY00025 | EXM | CERVICAL SPINE APL | 675.00 |
| XRY00026 | EXM | CERVICAL SPINE FLEXION/EXTENSION | 675.00 |
| XRY00027 | EXM | CERVICAL SPINE OBLIQUE LEFT | 320.00 |
| XRY00028 | EXM | CERVICAL SPINE OBLIQUE RIGHT | 320.00 |
| XRY00029 | EXM | CERVICAL SPINE OPEN MOUTH | 320.00 |
| XRY00030 | EXM | CERVICO-THORACOLUMBO SACRAL SPINE | 1,740.00 |
| XRY00031 | EXM | CHEST (AP) (PA) VIEW | 320.00 |
| XRY00032 | EXM | CHEST APICO-LORDOTIC VIEW | 320.00 |
| XRY00033 | EXM | CHEST APL (ADULT) | 675.00 |
| XRY00035 | EXM | CHEST APL (CHILD) | 675.00 |
| XRY00037 | EXM | CHEST PAL | 675.00 |
| XRY00038 | EXM | CHEST PORTABLE | 700.00 |
| XRY00039 | EXM | CLAVICLE | 320.00 |
| XRY00040 | EXM | CLAVICLE AXIAL VIEW LEFT | 320.00 |
| XRY00041 | EXM | CLAVICLE AXIAL VIEW RIGHT | 320.00 |
| XRY00042 | EXM | CLAVICLE LEFT | 320.00 |
| XRY00043 | EXM | CLAVICLE RIGHT | 320.00 |
| XRY00044 | EXM | CLOSE REDUCTION EXTREMITIES 1 | 1,560.00 |
| XRY00045 | EXM | CLOSE REDUCTION EXTREMITIES 2 | 1,560.00 |
| XRY00046 | EXM | COCCYX (AP) | 320.00 |
| XRY00047 | EXM | COCCYX (APL) | 675.00 |
| XRY00048 | EXM | COLONOGRAM DISTAL | 4,285.00 |
| XRY00049 | EXM | COLONOGRAM PROXIMAL/DISTAL | 5,110.00 |
| XRY00050 | EXM | CYSTO URETHROGRAM | 4,995.00 |
| XRY00051 | EXM | CYSTOGRAM | 4,995.00 |
| XRY00052 | EXM | ELBOW APL | 440.00 |
| XRY00053 | EXM | ELBOW BOTH APL | 790.00 |
| XRY00054 | EXM | ELBOW LEFT | 440.00 |
| XRY00055 | EXM | ELBOW RIGHT | 440.00 |
| XRY00056 | EXM | FEMUR APL | 440.00 |
| XRY00057 | EXM | FEMUR BOTH APL | 790.00 |
| XRY00058 | EXM | FLAT PLATE ABDOMEN | 380.00 |
| XRY00059 | EXM | FLAT PLATE ABDOMEN APL | 730.00 |
| XRY00060 | EXM | FLAT PLATE ABDOMEN APL,UPRIGHT | 1,030.00 |
| XRY00061 | EXM | FOOT APL | 440.00 |
| XRY00062 | EXM | FOOT APO | 440.00 |
| XRY00063 | EXM | FOOT LEFT | 440.00 |
| XRY00064 | EXM | FOOT RIGHT | 440.00 |
| XRY00065 | EXM | FOREARM APL | 440.00 |
| XRY00066 | EXM | FOREARM BOTH APL | 440.00 |
| XRY00067 | EXM | FOREARM LEFT | 440.00 |
| XRY00068 | EXM | FOREARM RIGHT | 440.00 |
| XRY00069 | EXM | HAND APO | 440.00 |
| XRY00070 | EXM | HAND BOTH APO | 440.00 |
| XRY00071 | EXM | HAND LEFT | 440.00 |
| XRY00072 | EXM | HAND RIGHT | 440.00 |
| XRY00073 | EXM | HIP JOINT LEFT | 320.00 |
| XRY00074 | EXM | HIP JOINT RIGHT | 320.00 |
| XRY00075 | EXM | HIP JOINTS | 320.00 |
| XRY00076 | EXM | HIP JTS APL | 320.00 |
| XRY00078 | EXM | HYSTEROGRAM | 4,400.00 |
| XRY00079 | EXM | IOC ADDITIONAL DYE | 2,630.00 |
| XRY00080 | EXM | IOC WITH DYE | 4,880.00 |
| XRY00081 | EXM | IOC WITHOUT DYE | 2,510.00 |
| XRY00082 | EXM | IVP | 6,300.00 |
| XRY00083 | EXM | KNEE (APL) | 440.00 |
| XRY00084 | EXM | KNEE BOTH APL | 790.00 |
| XRY00085 | EXM | KNEE LEFT | 440.00 |
| XRY00086 | EXM | KNEE LEFT STANDING | 440.00 |
| XRY00087 | EXM | KNEE RIGHT | 440.00 |
| XRY00088 | EXM | KNEE RIGHT STANDING | 440.00 |
| XRY00089 | EXM | KNEE SKYLINE VIEW LEFT | 440.00 |
| XRY00090 | EXM | KNEE SKYLINE VIEW RIGHT | 440.00 |
| XRY00091 | EXM | KNEE TANGENTIAL LEFT | 440.00 |
| XRY00092 | EXM | KNEE TANGENTIAL RIGHT | 440.00 |
| XRY00093 | EXM | LEG (APL) | 440.00 |
| XRY00094 | EXM | LEG BOTH APL | 440.00 |
| XRY00095 | EXM | LEG LEFT | 440.00 |
| XRY00096 | EXM | LEG RIGHT | 440.00 |
| XRY00097 | EXM | LUMBAR SPINE APL | 675.00 |
| XRY00098 | EXM | LUMBAR SPINE BOTH OBLIQUE | 675.00 |
| XRY00099 | EXM | LUMBAR SPINE OBLIQUE | 380.00 |
| XRY00100 | EXM | LUMBO-SACRAL (APL) | 675.00 |
| XRY00101 | EXM | LUMBO-SACRAL OBLIQUE LEFT | 380.00 |
| XRY00102 | EXM | LUMBO-SACRAL OBLIQUE RIGHT | 380.00 |
| XRY00103 | EXM | LUMBO-SACRAL STANDING | 675.00 |
| XRY00104 | EXM | MANDIBLE (AP) | 320.00 |
| XRY00105 | EXM | MANDIBLE (APL) | 675.00 |
| XRY00106 | EXM | MANDIBLE BOTH OBLIQUE | 675.00 |
| XRY00107 | EXM | MANDIBLE OBLIQUE | 320.00 |
| XRY00108 | EXM | MASTOIDS SERIES | 1,208.00 |
| XRY00109 | EXM | MYELOGRAM X-RAY | 6,060.00 |
| XRY00110 | EXM | NASAL VIEW | 440.00 |
| XRY00111 | EXM | NASAL VIEW AND WATER VIEW | 735.00 |
| XRY00112 | EXM | NECK (APL) | 675.00 |
| XRY00113 | EXM | OPEN REDUCTION EXTREMITIES 1 | 790.00 |
| XRY00114 | EXM | OPEN REDUCTION EXTREMITIES 2 | 1,500.00 |
| XRY00115 | EXM | ORBITS | 320.00 |
| XRY00116 | EXM | ORBITS WATER'S VIEW | 320.00 |
| XRY00117 | EXM | PELVIS AP | 380.00 |
| XRY00118 | EXM | PELVIS AP / FROGLEG | 730.00 |
| XRY00119 | EXM | PELVIS FROGLEG | 380.00 |
| XRY00120 | EXM | PELVIS INLET | 380.00 |
| XRY00121 | EXM | PELVIS INLET / OUTLET | 730.00 |
| XRY00122 | EXM | PELVIS JUDET VIEW | 380.00 |
| XRY00123 | EXM | PELVIS OUTLET | 380.00 |
| XRY00125 | EXM | PLAIN ABDOMEN | 380.00 |
| XRY00126 | EXM | PLAIN ABDOMEN (APL) | 380.00 |
| XRY00127 | EXM | PLAIN ABDOMEN UPRIGHT | 380.00 |
| XRY00128 | EXM | PLAIN KUB | 380.00 |
| XRY00129 | EXM | PNS PARA-NASAL SINUSES | 950.00 |
| XRY00130 | EXM | PNS WATER'S VIEW | 320.00 |
| XRY00131 | EXM | RETROGRADE PYELOGRAM | 6,415.00 |
| XRY00132 | EXM | SACRAL AP | 320.00 |
| XRY00133 | EXM | SACRAL APL | 675.00 |
| XRY00134 | EXM | SHOULDER / SCAPULA (AP) | 320.00 |
| XRY00136 | EXM | SHOULDER AXIAL VIEW | 320.00 |
| XRY00137 | EXM | SHOULDER BOTH AP | 440.00 |
| XRY00138 | EXM | SHOULDER LEFT | 320.00 |
| XRY00139 | EXM | SHOULDER RIGHT | 320.00 |
| XRY00140 | EXM | SHOULDER Y POSITION | 320.00 |
| XRY00141 | EXM | SIS/ SMALL INTESTINAL SERIES | 4,995.00 |
| XRY00142 | EXM | SKELETAL SURVEY X-RAY | 7,540.00 |
| XRY00143 | EXM | SKULL (APL) | 675.00 |
| XRY00145 | EXM | SKULL BASAL VIEW | 320.00 |
| XRY00146 | EXM | SKULL OBLIQUE VIEW | 320.00 |
| XRY00147 | EXM | SKULL TANGENTIAL VIEW | 320.00 |
| XRY00148 | EXM | STERNUM AP | 320.00 |
| XRY00149 | EXM | STERNUM APL | 675.00 |
| XRY00150 | EXM | SUBMENTO-VERTEX VIEW | 320.00 |
| XRY00151 | EXM | THIGH LEFT | 440.00 |
| XRY00152 | EXM | THIGH RIGHT | 440.00 |
| XRY00153 | EXM | THORACIC CAGE | 440.00 |
| XRY00154 | EXM | THORACIC CAGE APL | 675.00 |
| XRY00155 | EXM | THORACIC CAGE BOTH OBLIQUE | 675.00 |
| XRY00156 | EXM | THORACIC CAGE OBLIQUE | 380.00 |
| XRY00158 | EXM | THORACIC SPINE APL | 675.00 |
| XRY00159 | EXM | THORACIC SPINE APL STANDING | 675.00 |
| XRY00160 | EXM | THORACO-LUMBAR APL STANDING | 675.00 |
| XRY00161 | EXM | THORACO-LUMBAR OBLIQUE LEFT | 380.00 |
| XRY00162 | EXM | THORACO-LUMBAR OBLIQUE RIGHT | 380.00 |
| XRY00163 | EXM | THORACO-LUMBAR R AND L BENDING | 675.00 |
| XRY00164 | EXM | THORACO-LUMBAR SPINE APL | 675.00 |
| XRY00165 | EXM | THORACO-LUMBAR SWIMMER'S VIEW | 380.00 |
| XRY00166 | EXM | TMJ | 1,200.00 |
| XRY00167 | EXM | TOWNE'S POSITION | 320.00 |
| XRY00168 | EXM | T-TUBE | 4,995.00 |
| XRY00169 | EXM | UGIS/UPPER GASTRO INTESTINAL SERIES | 4,759.00 |
| XRY00170 | EXM | URETHROGRAM/ HYSTEROGRAM | 5,230.00 |
| XRY00171 | EXM | VCUG | 5,230.00 |
| XRY00172 | EXM | WATER'S VIEW | 320.00 |
| XRY00173 | EXM | WRIST / SCAPHOID VIEW | 440.00 |
| XRY00174 | EXM | WRIST APL | 440.00 |
| XRY00175 | EXM | WRIST BOTH APL | 440.00 |
| XRY00176 | EXM | WRIST LEFT | 440.00 |
| XRY00177 | EXM | WRIST OBLIQUE VIEW | 440.00 |
| XRY00178 | EXM | WRIST RIGHT | 440.00 |
| XRY00179 | EXM | WRIST SCAPHOIS VIEW LEFT | 440.00 |
| XRY00180 | EXM | WRIST SCAPHOLD VIEW RIGHT | 440.00 |
| XRY00181 | EXM | ZYGOMATIC POSITION | 440.00 |
| XRY00183 | EXM | CHEST LATERAL | 273.00 |
| XRY00184 | EXM | CO-CHEST (AP) (PA) VIEW | 178.00 |
