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A B C D E F G H I J K L M
N O P Q R S T U V W X Y Z

Test Specimen Requirements CPT Code Method Fee
Urine Drug Screen

Qualitative - urine

60 ml random urine

(25 ml min)

See Urine Drug Screen under Toxicology Screen section

80101

82055

80102

GC,TLC,

GC/MS

75.00
Valium

(Diazepam)

Qualitative -

2 ml serum or plasma

(1 ml min)

see Diazepam

80154 GC-TSD 71.50
Valproic Acid

(Depakene)

Qualitative - see

2 ml serum or plasma

(1 ml min)

Depakene

80164 GC-FID 69.50
Venlafaxine
(E
ffexor)

Quantitative - serum


Qualitative - urine




3 ml serum or plasma
No serum separator tube

25 ml random urine
(10 ml min)




80299


80100



GC-TSD


GC/MS



96.50

67.50

Verapamil

(Calan)

5 ml serum or plasma

(3 ml min)

80299 GC-TSD 43.50
Versed

(Midazolam)

2 ml serum or plasma

(1 ml min)

80154 GC-ECD 59.50
Volatiles

(Acetone, Ethanol Isopropanol, Methanol)

3 ml blood (NaF, Oxalate)

1 ml min)

Cleanse collection site with non-alcoholic agent. Serum, plasma, urine also acceptable.

84600 GC-FID 65.00
Vivactil

(Protriptyline)

5 ml serum or plasma

(3 ml min)

No serum separator gels

80299 GC-TSD 63.50
Warfarin 60 ml random urine 80100 TLC 92.50
Xanax
(Alprozolam)
Qualitative - see
4 ml serum or plasma
(2 ml min)

Alprazolam
80154 GC-ECD 63.50
Xylocaine
(L
idocaine)

Qualitative - see
2 ml serum or plasma
(1 ml min)

Lidocaine
80176 GC-TSD 61.50
Zarontin

(Ethosuximide)

3 ml serum or plasma

(1 ml min)

80168 GC-TSD 72.50

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