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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
Tegretol
(C
arbamazepine)

Total


Free,or Epoxide

Toal - plus Free or Epoxide



2 ml serum or plasma
(2 ml min)

2 ml serum or plasma

2ml serum or plasma



80156


80299

80156



GC-TSD


GC-TSD

GC-SD



62.50


75.50

85.00
Temazepam
(R
estoril)

Qualitative -
4 ml serum or plasma
(2 ml min)

see Restoril
80154 GC-TSD 63.50
Theophylline
(Theo-Dur)

Quantitative - serum


Qualitative -urine




1 ml serum or plasma
(0.5 ml min)

15 ml urine



80198



GC-FID


GC/MS



69.50


44.50
Thiocyanate 2 ml serum or plasma

(1 ml min)

84430 SPEC 65.50
Thioridazine
& Mesoridazine

(Melaril)

Qualitative -
5 ml serum or plasma
(3 ml min)


see Mesoridazine/Thioridazine
84022 GC-TSD 71.50
Thorazine
(Chlorpromazine)

Quantitative - serum


Qualitative - urine



5 ml serum or plasma
(3 ml min)

30 ml urine




84022



GC-TSD


GC/MS



84.95


62.50
Tobramycin 3 ml serum or plasma

(1.5 ml min)

80200 HPLC 91.00
Tocainide
(Tonocard)

Quantitative - serum



Qualitative - urine



2 ml serum or plasma

(1 ml min)

30 ml urine




80299



GC-TSD



GC-FID



75.50



54.50
Tofranil
(Imipramine)



Qualitative -
5 ml serum or plasma
(3 ml min)

No serum serparator gels

see Imipramine

80174 GC-TSD 84.50
Tolbutamide - Sulfonylurea

Quantitative - serum

Qulaitative - urine



3 ml serum or plasma

30 ml urine


80299


GC-TSD

GC/MS


92.50

69.50
Tranxene

(Chlorazepate) as Nordiazepam)

2 ml serum or plasma

(1 ml min)

80154 GC-TSD 77.50
Trazodone
(D
esyrel)

Quantitative - serum


Qualitative - urine




4 ml serum or plasma
(2 ml min)

15 ml urine




80299



GC-TSD


GC-FID



69.50


45.00
Triazolam
(Halcion)

Quantitative - serum

Qualitative - urine




4 ml serum or plasma

(2 ml min)

15 ml urine




84022



GC-ECD

GC/MS




71.50

47.50

Tricyclic (TCA) Antidepressants
Qualitative - urine


Amitriptyline, Cyclobenzaprine (Flexeril), Desipramine, Doxepin (Sinequan)

Semi-Quantitative
Analysis - serum


40 ml urine
(20 ml min)

Fluoxetine (Prozac), Imipramine, Nortriptyline, Protriptyline, Risperidone, Trimipramine


4 ml serum or plasma

No Serum Separator Gels



80101







80299


GC/MS

GC-TSD





GC-TSD



69.50







59.95
Tridione (Trimethadione & Dimethadione) 4 ml serum or plasma

(2 ml min)

82654 GC-TSD 79.00
Trihexyphenidyl
(A
rtane)
Quantitative - serum

Qualitative - urine


3 ml serum or plasma

25 ml urine


80299


GC-FID

GC/MS


89.50

58.50
Trimethoprim 2 ml serum or plasma

(1 ml min)

80299 GC-TSD 87.50
Trimipramine
(S
urmontil)

Quantitative - serum




Qualitative - urine




5 ml serum or plasma
(3 ml min)

No serum separator gels

20 ml urine




80299



GC-TSD




GC-FID GC-TSD



74.50




49.50
Tylenol
(Acetaminophen)

Quantitative - serum


Qualitative - urine




2 ml serum or plasma
(0.5 ml min)

15 ml urine




82003



SPEC


GC-FID



61.50


42.50

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