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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
Elavil

(Amitriptyline)

Quantitative - serum



Qualitative - urine





5 ml serum or plasma

(3 ml min)

No serum separator gels

15 ml urine





80152




GC-TSD



GC-TSD





82.50



52.50

Equanil

(Meprobamate)

4 ml serum or plasma

(2 ml min)

83805 GC-TSD 83.50
Ethanol

(Ethyl Alcohol)

3 ml blood (NaF,oxalate)

(1 ml min)

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

82055 GC-FID 48.00
Ethanol, Legal







Legal Fee
3 ml blood (NaF,oxalate)

(1 ml min)

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

82055 GC-FID 75.00







65.00
Ethchlorvynol

(Placydil)

4 ml serum or plasma

(2 ml min)

82690 GC-TSD 72.50
Ethosuximide (Zarontin)

Quantitative - serum


Qualitative - urine




2 ml serum or plasma

(1 ml min)

15 ml urine




80168



GC-TSD

GC/MS




72.50

49.50

Ethotoin

(Peganone)

4 ml serum or plasma

(2 ml min)

80299 GC-TSD 89.50
Ethylene Glycol

(Antifreeze)

2 ml serum or plasma 80299 GC-FID 72.50
Fentanyl

(Innovar, Sublimaze)

Quantitative - serum

Qualitative - urine





3 ml serum or plasma

15 ml urine




80299




GC-TSD

GC/MS




85.00

62.00
Fiorinal

(Butalbital)

2 ml serum or plasma

(1 ml min)

82205 GC-TSD 58.50
Flecainide

(Tambocor)

2 ml serum or plasma

(1 ml min)

80299 GC-TSD 76.50
Flexeril

(Cyclobenzaprine)

Qualitative analysis

5 ml serum or plasma

(3 ml min)

see Cyclobenzaprine

80299 GC-TSD 79.50
Flucytosine (5-FC)

(Ancoban)

2 ml serum or plasma

(1 ml min)

80299 HPLC 69.50
Fluoxetine
(Prozac)

Quantitative - serum

Qualitative - urine




5 ml serum or plasma
(3 ml min)

15 ml urine




80299



GC-TSD


GC/MS



88.50


52.95
Flunitrazepam (Rohypnol)

Quantitative -serum

Qualitative - urine




3 ml serum or plasma

25 ml urine



80299

80101



GC-TSD

GC/MS



129.50

75.50
Fluphenazine

(Prolixin)

5 ml serum or plasma

(3 ml min)

80299 GC-TSD 92.50
Flurazepam/ Desalkylflurazepam

(Dalmane)

Qualitative

4 ml serum or plasma

(3 ml min)


see Dalmane

82742 GC-TSD 69.50
Gabapentin

(Neurontin)

Quantitative - serum

Qualitative - urine





2 ml serum or plasma

(1 ml min)

15 ml urine





80299




HPLC

GC-TSD





74.50

44.50

Gentamicin

(Garamycin)

2 ml serum or plasma

(1 ml min)

80170 GC-TSD 92.50
Glutethimide

(Doriden)

2 ml serum or plasma

( 1ml min)

82980 GC-TSD 85.50
Halazepam

Quantitative - serum

Qualitative - urine



3 ml serum or plasma

30 ml urine


80299


GC-ECD

GC-TSD


75.50

59.50
Halcion

(Triazolam)

4 ml serum or plasma

(2 ml min)

80154 GC-ECD 71.50
Haldol
(Haloperidol)


Quantitative - serum

Qualitative - urine





6 ml serum or plasma

(3 ml min)

25 ml urine





80299




GC-TSD



GC/MS




76.50



49.50
Heavy Metals

(Lead, Mercury, Arsenic)

Urine

Serum

Blood





30 ml random urine

4 ml serum or plasma

2 ml whole blood





80299

80299

80299





AA

AA

AA





62.95

71.50

89.95

Hydrocodone

(Vicodin)

Quantitative - serum


Qualitative - urine






3 ml serum or plasma

15 ml urine





80299

80101





GC-TSD

GC/MS





92.50

59.50
Hydromorphone (Dilaudid)

Quantitative -serum


Qualitative - urine




3 ml serum or plasma

15 ml urine



80299

80101



GC-TSD

GC-FID, GC/MS



95.50

59.95
Ibuprofen

(Motrin, Advil)

Quantiative - serum

Qualitative - urine





4 ml serum or plasma

(2 ml min)

15 ml urine





80299


80101




HPLC,

GC-FID

GC/MS





75.50

47.95

Imipramine
(T
ofranil)

Quantitative - serum




Qualitative - urine




5 ml serum or plasma
(3 ml min)

No serum separator gels

15 ml urine




80174



GC-TSD




GC-FID



84.50




48.50
Inderal

(Propranolol)

5 ml serum or plasma

(3 ml min)

80299 GC-TSD 83.50
Indomethacin

(Indocin)

4 ml serum or plasma

(2 ml min)

80299 HPLC 92.00
Isoprapanol

(Isopropyl Alcohol)

3 ml blood (NaF,oxalate)

(1 ml min)

Cleanse collection site with non-acoholic agent. Serum, or plasma acceptable.

84600 GC-FID 42.95

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