kokila charges

Kokilaben Dhirubhai Ambani Hospital TARIFF SHEET Confidentail (Not for Circulation)

Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteRADIOLOGY X-RAY ABDOMEN AP ERECT VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY ABDOMEN AP SUPINE VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY ACROMIOCLAVICULAR JT 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY ANKLE WITH FOOT-AP VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY ANKLE WITH FOOT- LAT VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY ANKLE WITH FOOT-OBLIQUE VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY ARM WITH ELBOW-AP 300 380 495 525 600 750 RADIOLOGY X-RAY ARM WITH ELBOW- LAT 300 380 495 525 600 750 RADIOLOGY X-RAY BASE SKULL AXIAL VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY BOTH HANDS WITH WRIST - AP 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY BOTH HANDS WITH WRIST - LATERAL 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY C1/C2 OPEN MOUTH VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY CALCANEUM/HEEL RIGHT AXIAL 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY CALCANEUM/HEEL RIGHT LATERAL 300 380 495 525 600 750 RADIOLOGY X-RAY CERVICAL SPINE AP 300 380 495 525 600 750 RADIOLOGY X-RAY CERVICAL SPINE AP and LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY X-RAY CERVICAL SPINE BOTH OBLIQUES 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY CERVICAL SPINE FLEX / EXT VIEWS 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY CERVICAL SPINE LAT 300 380 495 525 600 750 RADIOLOGY X-RAY CERVICAL SPINE OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY CERVICAL SPINE OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY CERVICODORSAL JUNCN. AP & LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY CHEST AP 300 380 495 525 600 750 RADIOLOGY X-RAY CHEST AP and LATERAL 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY CHEST LATERAL 300 380 495 525 600 750 RADIOLOGY X-RAY CHEST LATERAL DECUB 300 380 495 525 600 750 RADIOLOGY X-RAY CHEST LORDOTIC VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY CHEST OBLIQUE VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY CHEST PA 300 380 495 525 600 750 RADIOLOGY X-RAY CHEST PA AND LATERAL 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY CHEST PA AND OBLIQUE VIEW 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY EXTRA FILM 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY X-RAY FOOT RIGHT AP 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY X-RAY FOOT RIGHT OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY X-RAY FOREARM RIGHT AP 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY X-RAY FOREARM RIGHT LAT 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY X-RAY HAND RIGHT AP 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY X-RAY HAND RIGHT OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY KNEE JT-LAT STANDING 300 380 495 525 600 750 RADIOLOGY X-RAY KNEES-BOTH-AP & LAT 1,200 1,520 1,980 2,100 2,400 3,000 RADIOLOGY X-RAY KNEES-BOTH-AP STANDING 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY KNEES-BOTH-INTERCONDYLAR NOTCH 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY KNEES-BOTH-SKYLINE VIEW 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY KUB ADULT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY X-RAY KUB CHILD 300 380 495 525 600 750

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteRADIOLOGY X-RAY L5/S1 CONE DOWN 300 380 495 525 600 750 RADIOLOGY X-RAY LEG-AP and LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY LITTLE FINGER AP and LAT 300 380 495 525 600 750 RADIOLOGY X-RAY LUMBAR SPINE BOTH OBLIQUES 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY LUMBER SPINE OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY LUMBOSACRAL SPINE AP 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY LUMBOSACRAL SPINE AP AND LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY LUMBOSACRAL SPINE FLEX VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY LUMBOSACRAL SPINE EXT VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY LUMBOSACRAL SPINE LAT 300 380 495 525 600 750 RADIOLOGY X-RAY MANDIBLE AP VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY MANDIBLE PA 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY MANDIBLE RIGHT OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY MANDIBLE OBLIQUE BILATERAL 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY X-RAY MASTOID RIGHT 300 380 495 525 600 750 RADIOLOGY X-RAY MIDDLE FINGER AP and LAT 300 380 495 525 600 750 RADIOLOGY X-RAY NASAL BONE LATERAL 300 380 495 525 600 750 RADIOLOGY X-RAY NASOPHARYNX 300 380 495 525 600 750 RADIOLOGY X-RAY NASOPHARYNX LAT 300 380 495 525 600 750 RADIOLOGY X-RAY NECK LAT FOR SOFT TISSUES 300 380 495 525 600 750 RADIOLOGY X-RAY NECK LAT FOR SOFT TISSUES 300 380 495 525 600 750 RADIOLOGY X-RAY ORBITS (LAT) 300 380 495 525 600 750 RADIOLOGY X-RAY ORBITS PA VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY PELVIS AP VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY PELVIS FROG LEG VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY PELVIS WITH BOTH HIP JTS AP 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY PNS CADWELLS VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY PNS WATERS & CADWELLS VIEW 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY PNS WATERS ERECT 300 380 495 525 600 750 RADIOLOGY X-RAY PNS WATERS VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY PORTABLE X-RAY 360 455 595 630 720 900 RADIOLOGY X-RAY RING FINGER AP and LAT 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY SACROILLIAC JNT RIGHT AP 300 380 495 525 600 750 RADIOLOGY X-RAY SACROILLIAC JNT LAT 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY SACROILLIAC JNT RIGHT OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY SCAPHOID 300 380 495 525 600 750 RADIOLOGY X-RAY SCAPHOID AP 300 380 495 525 600 750 RADIOLOGY X-RAY SCAPHOID LAT 300 380 495 525 600 750 RADIOLOGY X-RAY SCAPHOID OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY SCAPULA-AP and LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY X-RAY SHOULDER JT RIGHT - AP 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY SHOULDER JT RIGHT -LAT 300 380 495 525 600 750 RADIOLOGY X-RAY SHOULDER-AP AND LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY X-RAY SHOULDER - RIGHT AXIAL VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY SI JTS 300 380 495 525 600 750

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteRADIOLOGY X-RAY SI JTS-BOTH-PRONE 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY SKULL AP and LATERAL 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY SKULL AP VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY SKULL CONED DOWN VIEW FOR SELLA 300 380 495 525 600 750 RADIOLOGY X-RAY SKULL LATERAL VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY SKULL TANGENTIAL VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY SKULL TOWNES VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY STERNOCLAVICULAR JT 300 380 495 525 600 750 RADIOLOGY X-RAY STERNUM AP and LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY STERNUM LAT VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY STERNUM OBLIQUE 300 380 495 525 600 750 RADIOLOGY X-RAY STERNUM OBLIQUE & LATERAL 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY STYLOID PROCESSES 300 380 495 525 600 750 RADIOLOGY X-RAY THIGH/FEMUR AP 300 380 495 525 600 750 RADIOLOGY X-RAY THIGH/FEMUR LAT 300 380 495 525 600 750 RADIOLOGY X-RAY THORACIC/DORSAL SPINE AP 300 380 495 525 600 750 RADIOLOGY X-RAY THORACIC/DORSAL SPINE AP&LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY THORACIC/DORSAL SPINE LATERAL 300 380 495 525 600 750 RADIOLOGY X-RAY THUMB AP and LAT 300 380 495 525 600 750 RADIOLOGY X-RAY WRIST AND HAND-AP 300 380 495 525 600 750 RADIOLOGY X-RAY WRIST AND HAND-AP 300 380 495 525 600 750 RADIOLOGY X-RAY WRIST AND HAND-LAT 300 380 495 525 600 750 RADIOLOGY X-RAY X-RAY WRIST JT RIGHT -AP AND LAT 600 760 990 1,050 1,200 1,500 RADIOLOGY X-RAY X-RAY WRIST-RIGHT AP, LATERAL AND OBLIQUE 1,200 1,520 1,980 2,100 2,400 3,000 RADIOLOGY X-RAY WRIST-CARPEL TUNNEL VIEW 300 380 495 525 600 750 RADIOLOGY X-RAY WRISTS-BOTH-OBLIQUE VIEWS 300 380 495 525 600 750 RADIOLOGY X-RAY(FLUROSCOPY) 25ML NON IONIC CONTRAST 900 1,140 1,485 1,575 1,800 2,250 RADIOLOGY X-RAY(FLUROSCOPY) BARIUM ENEMA WITH SINGLE CONTRAST 3,500 4,430 5,775 6,125 7,000 8,750 RADIOLOGY X-RAY(FLUROSCOPY) BARIUM ENEMA EXAM OF COLON WITH DOUBLE CON 3,500 4,430 5,775 6,125 7,000 8,750 RADIOLOGY X-RAY(FLUROSCOPY) BARIUM MEAL 2,500 3,165 4,125 4,375 5,000 6,250 RADIOLOGY X-RAY(FLUROSCOPY) BARIUM MEAL EXAM OF OSD 2,500 3,165 4,125 4,375 5,000 6,250 RADIOLOGY X-RAY(FLUROSCOPY) BARIUM MEAL FT 2,500 3,165 4,125 4,375 5,000 6,250 RADIOLOGY X-RAY(FLUROSCOPY) BARIUM SWALLOW 2,000 2,530 3,300 3,500 4,000 5,000 RADIOLOGY X-RAY(FLUROSCOPY) HYSTEROSALPINGOGRAPHY 2,500 3,165 4,125 4,375 5,000 6,250 RADIOLOGY X-RAY(FLUROSCOPY) IVP 4,000 5,060 6,600 7,000 8,000 10,000 RADIOLOGY X-RAY(FLUROSCOPY) LYMPHANGIOGRAM 2,800 3,540 4,620 4,900 5,600 7,000 RADIOLOGY X-RAY(FLUROSCOPY) MCU 2,500 3,165 4,125 4,375 5,000 6,250 RADIOLOGY X-RAY(FLUROSCOPY) NEPHROSTOGRAM 2,000 2,530 3,300 3,500 4,000 5,000 RADIOLOGY X-RAY(FLUROSCOPY) POST TRANSPLANT PYELOGRAPHY ( 3 INJ) 2,000 2,530 3,300 3,500 4,000 5,000 RADIOLOGY X-RAY(FLUROSCOPY) RAPID SEQUENCE (MINUTE SEQUENCE) PYELOGRAPHY 1,225 1,550 2,020 2,145 2,450 3,065 RADIOLOGY X-RAY(FLUROSCOPY) RETROGRAD PYELOGRAPHY 2,500 3,165 4,125 4,375 5,000 6,250 RADIOLOGY X-RAY(FLUROSCOPY) SINOGRAM 2,000 2,530 3,300 3,500 4,000 5,000

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteRADIOLOGY X-RAY(FLUROSCOPY) SMALL BOWEL ENEMA - PROCEDURE 6,000 7,590 9,900 10,500 12,000 15,000 RADIOLOGY X-RAY(FLUROSCOPY) TABLE IITV CHARGES 800 1,010 1,320 1,400 1,600 2,000 RADIOLOGY X-RAY LOWER LIMB SCANOGRAM 1,500 1,900 2,475 2,625 3,000 3,750 RADIOLOGY X-RAY FULL SPINE SCANOGRAM AP 1,500 1,900 2,475 2,625 3,000 3,750 RADIOLOGY X-RAY FULL SPINE SCANOGRAM LAT 1,500 1,900 2,475 2,625 3,000 3,750 RADIOLOGY MRI MRI ABDOMEN 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI ABDOMEN AND PELVIS 10,200 12,905 16,830 17,850 20,400 25,500 RADIOLOGY MRI MRI ANGIOGRAPHY WITH CONTRAST 12,700 16,065 20,955 22,225 25,400 31,750 RADIOLOGY MRI MRI BRAIN 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI BRAIN FUNCTIONAL 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI BRAIN PERFUSION WITH CONTRAST 13,950 17,645 23,020 24,415 27,900 34,875 RADIOLOGY MRI MRI BRAIN WITH SPECTROSCOPY 10,300 13,030 16,995 18,025 20,600 25,750 RADIOLOGY MRI MRI CARDIAC MORPHOLOGY 12,850 16,255 21,205 22,490 25,700 32,125 RADIOLOGY MRI MRI CARDIAC PERFUSION WITH CONTRAST 13,450 17,015 22,195 23,540 26,900 33,625 RADIOLOGY MRI MRI CHEST 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI CONTRAST STUDIES 3,000 3,795 4,950 5,250 6,000 7,500 RADIOLOGY MRI MRI EXTENDED STUDY 3,000 3,795 4,950 5,250 6,000 7,500 RADIOLOGY MRI MRI JOINTS / LIMBS 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI MRCP 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI NECK 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI NECK 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI ORBIT 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI PELVIS 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI PARA NASAL SINUSES (PNS) 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI SACROILIAC JOINTS 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI SPINE - CERVICAL 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI SPINE - DORSAL 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI SPINE - LUMBAR 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI SPINE + WHOLE SPINE SCREENING 10,300 13,030 16,995 18,025 20,600 25,750 RADIOLOGY MRI MRI TMJ 7,200 9,110 11,880 12,600 14,400 18,000 RADIOLOGY MRI MRI WHOLE BODY 25,000 31,625 41,250 43,750 50,000 62,500 RADIOLOGY CT CT 3D(JOINT, SPINE, FACIAL BONES) 6,800 8,600 11,220 11,900 13,600 17,000 RADIOLOGY CT CT CALCIUM SCORING (HEART) 6,800 8,600 11,220 11,900 13,600 17,000 RADIOLOGY CT CD CHARGES 50 65 85 90 100 125 RADIOLOGY CT CT ABDOMEN PLAIN 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT ABDOMEN CONTRAST 6,500 8,225 10,725 11,375 13,000 16,250 RADIOLOGY CT CT ABDOMEN & PELVIS PLAIN 6,050 7,655 9,985 10,590 12,100 15,125 RADIOLOGY CT CT ANGIOGRAPHY(SINGLE PART) WITH CONTRAST 9,050 11,450 14,935 15,840 18,100 22,625 RADIOLOGY CT CT BRAIN PLAIN 3,050 3,860 5,035 5,340 6,100 7,625 RADIOLOGY CT CT BRAIN CONTRAST 4,000 5,060 6,600 7,000 8,000 10,000 RADIOLOGY CT CT BRONCHOSCOPY 2,500 3,165 4,125 4,375 5,000 6,250 RADIOLOGY CT CT COLONOSCOPY 6,800 8,600 11,220 11,900 13,600 17,000 RADIOLOGY CT CT UROGRAPHY 6,800 8,600 11,220 11,900 13,600 17,000 RADIOLOGY CT CT CHEST PLAIN 3,450 4,365 5,695 6,040 6,900 8,625

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteRADIOLOGY CT CT CHEST CONTRAST 5,000 6,325 8,250 8,750 10,000 12,500 RADIOLOGY CT CT CISTERNOGRAPHY 5,500 6,960 9,075 9,625 11,000 13,750 RADIOLOGY CT CT CORONARY ANGIO WITH CONTRAST 12,400 15,685 20,460 21,700 24,800 31,000 RADIOLOGY CT CT EXTRA FILM 450 570 745 790 900 1,125 RADIOLOGY CT CT GUIDED PROCEDURE 6,000 7,590 9,900 10,500 12,000 15,000 RADIOLOGY CT CT GUIDED TAPPING OF PLEURAL/ASCITIC FLUID 10,000 12,650 16,500 17,500 20,000 25,000 RADIOLOGY CT CT JOINTS 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT SPINE CONTRAST 5,700 7,255 9,405 9,975 11,400 14,250 RADIOLOGY CT CT LIMBS 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT EXTENDED 3,050 3,860 5,035 5,340 6,100 7,625 RADIOLOGY CT CT LIVER 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT NECK PLAIN 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT NECK CONTRAST 4,500 5,695 7,425 7,875 9,000 11,250 RADIOLOGY CT CT PHARYNX 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT ORBIT PLAIN 3,050 3,860 5,035 5,340 6,100 7,625 RADIOLOGY CT CT ORBIT CONTRAST 6,050 7,655 9,985 10,590 12,100 15,125 RADIOLOGY CT CT PELVIS 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT PELVIS CONTRAST 6,050 7,655 9,985 10,590 12,100 15,125 RADIOLOGY CT CT PNS CONTRAST 5,500 7,005 9,075 9,625 11,000 13,750 RADIOLOGY CT CT PNS CONTRAST 5,500 7,005 9,075 9,625 11,000 13,750 RADIOLOGY CT CT PNS LIMITED STUDY 1,750 2,215 2,890 3,065 3,500 4,375 RADIOLOGY CT CT SPINE 3,450 4,365 5,695 6,040 6,900 8,625 RADIOLOGY CT CT STROKE IMAGING PACKAGE -I 6,800 8,600 11,220 11,900 13,600 17,000 RADIOLOGY CT CT UROGRAPHY CONTRAST 8,000 10,120 13,200 14,000 16,000 20,000 RADIOLOGY CT CT LIMITED 3,050 3,860 5,035 5,340 6,100 7,625 RADIOLOGY CT FILM CHARGES 450 570 745 790 900 1,125 RADIOLOGY CT CT DENTAL 3,050 3,860 5,035 5,340 6,100 7,625 RADIOLOGY SPECT DXA SCAN - HIP 2,000 2,530 3,300 3,500 4,000 5,000 RADIOLOGY SPECT DXA SCAN - LUMBER SPINE 2,000 2,530 3,300 3,500 4,000 5,000 RADIOLOGY SPECT DXA SCAN - RADIUS & ULNA (WRIST) 1,400 1,770 2,310 2,450 2,800 3,500 RADIOLOGY SPECT DXA SCAN - WHOLE BODY 2,700 3,415 4,455 4,725 5,400 6,750 RADIOLOGY SPECT FSH 750 950 1,240 1,315 1,500 1,875 RADIOLOGY SPECT FT3, FT4, TSH 1,200 1,520 1,980 2,100 2,400 3,000 RADIOLOGY SPECT PROGESTERONE 825 1,045 1,360 1,445 1,650 2,065 RADIOLOGY SPECT PROLACTIN 740 935 1,220 1,295 1,480 1,850 RADIOLOGY SPECT TSH 550 695 910 965 1,100 1,375 RADIOLOGY ULTRASONOGRAPHY (USG) ABDOMEN 1,015 1,285 1,675 1,775 2,030 2,540

RADIOLOGY ULTRASONOGRAPHY (USG) ABDOMEN & PELVIS 1,645 2,080 2,715 2,880 3,290 4,115

RADIOLOGY ULTRASONOGRAPHY (USG) FOLLICULAR/OVULATION STUDY 1,765 2,235 2,910 3,090 3,530 4,415

RADIOLOGY ULTRASONOGRAPHY (USG) GUIDED PROCEDURE 3,000 3,795 4,950 5,250 6,000 7,500

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteRADIOLOGY ULTRASONOGRAPHY (USG) PELVIS OB/GYN/SMALL 630 795 1,040 1,105 1,260 1,575

RADIOLOGY ULTRASONOGRAPHY (USG) PORTABLE ULTRASOUND 1,650 2,085 2,725 2,890 3,300 4,125

RADIOLOGY ULTRASONOGRAPHY (USG) SINGLE ORGAN 630 795 1,040 1,105 1,260 1,575

RADIOLOGY ULTRASONOGRAPHY (USG) SOFT PARTS 1,000 1,265 1,650 1,750 2,000 2,500

RADIOLOGY ULTRASONOGRAPHY (USG) TRANSRECTAL USG FOR PROSTATE 1,200 1,520 1,980 2,100 2,400 3,000

RADIOLOGY ULTRASONOGRAPHY (USG) KIDNEY & BLADDER(KUB) 960 1,215 1,585 1,680 1,920 2,400

RADIOLOGY ULTRASONOGRAPHY (USG) MUSCULOSKELETAL 2,300 2,910 3,795 4,025 4,600 5,750

RADIOLOGY ULTRASONOGRAPHY (USG) PELVIS 850 1,075 1,405 1,490 1,700 2,125 RADIOLOGY DOPPLER CAROTID DOPPLER STUDIES 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY DOPPLER OBSTETRIC DOPPLER STUDIES 1,985 2,510 3,275 3,475 3,970 4,965 RADIOLOGY DOPPLER PERIPHERAL DOPPLER STUDIES 9,250 11,700 15,265 16,190 18,500 23,125 RADIOLOGY DOPPLER RENAL/ VISCERAL DOPPLER STUDY 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY DOPPLER RENAL/ VISCERAL DOPPLER STUDY 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY DOPPLER UPPER LIMB ARTERIAL (ONE SIDE) 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY DOPPLER UPPER LIMB ARTERIAL (BOTH SIDE) 4,620 5,845 7,625 8,085 9,240 11,550 RADIOLOGY DOPPLER LOWER LIMB ARTERIAL (ONE SIDE) 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY DOPPLER LOWER LIMB ARTERIAL (BOTH SIDE) 4,620 5,845 7,625 8,085 9,240 11,550 RADIOLOGY DOPPLER UPPER LIMB VENOUS (ONE SIDE) 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY DOPPLER UPPER LIMB VENOUS (BOTH SIDE) 4,620 5,845 7,625 8,085 9,240 11,550 RADIOLOGY DOPPLER LOWER LIMB VENOUS (ONE SIDE) 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY DOPPLER LOWER LIMB VENOUS (BOTH SIDE) 4,620 5,845 7,625 8,085 9,240 11,550 RADIOLOGY DOPPLER SCROTAL DOPPLER STUDY 2,310 2,920 3,810 4,045 4,620 5,775 RADIOLOGY MAMMOGRAPHY MAMMOGRAPHY 1,500 1,900 2,475 2,625 3,000 3,750 RADIOLOGY MAMMOGRAPHY NEEDLE BIOPSY 500 635 825 875 1,000 1,250 RADIOLOGY MAMMOGRAPHY MAMMOGRAPHY SINGLE 810 1,025 1,335 1,420 1,620 2,025 RADIOLOGY ULTRASONOGRAPHY (USG) SONO MAMMOGRAPHY 1,200 1,520 1,980 2,100 2,400 3,000 RADIOLOGY BONE- BMD Scan - Hip 1,400 1,770 2,310 2,450 2,800 3,500 RADIOLOGY BONE- DXA SCAN - HIP 2,000 2,530 3,300 3,500 4,000 5,000 RADIOLOGY BONE- DXA SCAN - LUMBER SPINE 2,000 2,530 3,300 3,500 4,000 5,000 RADIOLOGY BONE- DXA SCAN - RADIUS & ULNA (WRIST) 1,400 1,770 2,310 2,450 2,800 3,500 RADIOLOGY BONE- DXA SCAN - WHOLE BODY 2,700 3,415 4,455 4,725 5,400 6,750

CARDIOLOGY DIAGNOSTICS ECG ECG 160 200 265 280 320 400 CARDIOLOGY DIAGNOSTICS

2D/3D Echo with Doppler 2D/3D Echo 1,550 1,960 2,560 2,715 3,100 3,875

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteCARDIOLOGY DIAGNOSTICS Intraoperative TEE Intraoperative TEE 9,200 11,640 15,180 16,100 18,400 23,000 CARDIOLOGY DIAGNOSTICS Multiple TEE Multiple TEE 2,650 3,350 4,375 4,640 5,300 6,625 CARDIOLOGY DIAGNOSTICS Trans-oesophageal echo Trans-oesophageal echo 1,700 2,150 2,805 2,975 3,400 4,250 CARDIOLOGY DIAGNOSTICS Stress Echo DOBUTAMINE STRESS ECHO 3,500 4,430 5,775 6,125 7,000 8,750 CARDIOLOGY DIAGNOSTICS Holter monitoring Holter monitoring 1,600 2,025 2,640 2,800 3,200 4,000 CARDIOLOGY DIAGNOSTICS Stress test Stress test 1,200 1,520 1,980 2,100 2,400 3,000 CARDIOLOGY DIAGNOSTICS Tilt Test Tilt Test 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY BIOCHEMISTRY 5-HIAA (5-HYDROXY INDOLE ACETIC ACID) 1,120 1,415 1,850 1,960 2,240 2,800 LABORATORY BIOCHEMISTRY ACETONE (SERUM) 590 745 975 1,035 1,180 1,475 LABORATORY BIOCHEMISTRY ACETONE (URINE) 180 230 295 315 360 450 LABORATORY BIOCHEMISTRY ACID LOAD 315 400 520 550 630 790 LABORATORY BIOCHEMISTRY ACID PHOSPHATASE 270 340 445 475 540 675 LABORATORY BIOCHEMISTRY ADA(ADENOSINE DEAMINASE) BLOOD 600 760 990 1,050 1,200 1,500 LABORATORY BIOCHEMISTRY ADA(ADENOSINE DEAMINASE) BLOOD 600 760 990 1,050 1,200 1,500 LABORATORY BIOCHEMISTRY ALBUMIN CSF 175 220 290 305 350 440 LABORATORY BIOCHEMISTRY ALBUMIN NEPHELOMETRY 750 950 1,240 1,315 1,500 1,875 LABORATORY BIOCHEMISTRY ALBUMIN SERUM 165 210 270 290 330 415 LABORATORY BIOCHEMISTRY ALBUMIN URINE (24 HOURS) 175 220 290 305 350 440 LABORATORY BIOCHEMISTRY ALBUMIN URINE SPOT 160 200 265 280 320 400 LABORATORY BIOCHEMISTRY ALBUMIN/CREATININE RATIO SPOT URINE 360 455 595 630 720 900 LABORATORY BIOCHEMISTRY ALCOHOL SCREEN, BLOOD 875 1,105 1,445 1,530 1,750 2,190 LABORATORY BIOCHEMISTRY ALCOHOL SCREEN, RANDOM URINE 870 1,100 1,435 1,525 1,740 2,175 LABORATORY BIOCHEMISTRY ALCOHOL URINE 870 1,100 1,435 1,525 1,740 2,175 LABORATORY BIOCHEMISTRY ALDOLASE 510 645 840 895 1,020 1,275 LABORATORY BIOCHEMISTRY ALKALINE PHOSPHATASE ELECTROPHORESIS 555 700 915 970 1,110 1,390 LABORATORY BIOCHEMISTRY ALKALINE PHOSPHATASE ALP 255 325 420 445 510 640 LABORATORY BIOCHEMISTRY ALKALINE PHOSPHATASE ISOENZYME 430 545 710 755 860 1,075 LABORATORY BIOCHEMISTRY ALPHA 1 ANTITRYPSIN 705 890 1,165 1,235 1,410 1,765 LABORATORY BIOCHEMISTRY AMMONIA 530 670 875 930 1,060 1,325 LABORATORY BIOCHEMISTRY AMPHETAMINE 580 735 955 1,015 1,160 1,450 LABORATORY BIOCHEMISTRY AMYLASE PANCREATIC ALPHA SERUM 270 340 445 475 540 675 LABORATORY BIOCHEMISTRY ANGIOTENSIN CONVERTING ENZYME ACE 1,090 1,380 1,800 1,910 2,180 2,725 LABORATORY BIOCHEMISTRY APOLIPOPROTEINS A1 325 410 535 570 650 815 LABORATORY BIOCHEMISTRY APOLIPOPROTEINS B 325 410 535 570 650 815 LABORATORY BIOCHEMISTRY ARSENIC 3,500 4,430 5,775 6,125 7,000 8,750 LABORATORY BIOCHEMISTRY B GALACTOSIDASE 995 1,260 1,640 1,740 1,990 2,490 LABORATORY BIOCHEMISTRY B GLUCUROSIDASE 995 1,260 1,640 1,740 1,990 2,490

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY BIOCHEMISTRY BARBITURATE SCREEN 350 445 580 615 700 875 LABORATORY BIOCHEMISTRY BENZODIAZEPINE SCREEN 650 820 1,075 1,140 1,300 1,625 LABORATORY BIOCHEMISTRY BICARBONATES 210 265 345 370 420 525 LABORATORY BIOCHEMISTRY BILIRUBIN TOTAL,DIRECT AND INDIRECT 190 240 315 335 380 475 LABORATORY BIOCHEMISTRY BISMUTH, 24-HOUR URINE 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY BIOCHEMISTRY BISMUTH, RANDOM URINE 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY BIOCHEMISTRY BLOOD GAS ANALYSIS & POTASSIUM 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY BLOOD GAS ANALYSIS, ARTERIAL 560 710 925 980 1,120 1,400 LABORATORY BIOCHEMISTRY BLOOD GAS ANALYSIS, VENOUS 560 710 925 980 1,120 1,400 LABORATORY BIOCHEMISTRY BUN; BLOOD UREA NITROGEN 190 240 315 335 380 475 LABORATORY BIOCHEMISTRY CALCIUM IONIZED 570 720 940 1,000 1,140 1,425 LABORATORY BIOCHEMISTRY CALCIUM IONIZED WHOLE BLOOD 570 720 940 1,000 1,140 1,425 LABORATORY BIOCHEMISTRY CALCIUM SERUM 180 230 295 315 360 450

LABORATORY BIOCHEMISTRYCANNABINOIDS (DELTA-9-THC METABOLITES), SCREEN, RANDOM URINE; MARIJUANA, SCREEN, RANDOM URINE

2,300 2,910 3,795 4,025 4,600 5,750

LABORATORY BIOCHEMISTRY CARBAMAZEPINE (TEGRETOL, MAZETOL, CARBATOL) 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY CHLORDIAZEPOXIDE (LIBRIUM) 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CHLORIDE 24 HOURS URINE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CHLORIDE 24 HOURS URINE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CHLORIDE FLUID 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CHLORIDE SERUM 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CHLORIDE, RANDOM URINE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CHOLESTEROL DIRECT LDL 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY CHOLESTEROL FLUID 250 315 415 440 500 625 LABORATORY BIOCHEMISTRY CHOLESTEROL HDL DIRECT 320 405 530 560 640 800 LABORATORY BIOCHEMISTRY CHOLESTEROL SERUM 230 290 380 405 460 575 LABORATORY BIOCHEMISTRY CHOLINESTERASE SERUM 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY CHROMIUM, 24-HOUR URINE 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY BIOCHEMISTRY CHROMIUM, BLOOD 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY BIOCHEMISTRY CHROMIUM, RANDOM URINE 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY BIOCHEMISTRY CHROMOSOMAL ANALYSIS 3,500 4,430 5,775 6,125 7,000 8,750 LABORATORY BIOCHEMISTRY CK- MB 480 605 790 840 960 1,200 LABORATORY BIOCHEMISTRY CLINICAL TOXICOLOGY SCREEN, BLOOD 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY BIOCHEMISTRY CLINICAL TOXICOLOGY SCREEN, URINE 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY BIOCHEMISTRY CO2 PLASMA VENOUS 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY BIOCHEMISTRY COBALT, 24-HOUR URINE 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY BIOCHEMISTRY COBALT, RANDOM URINE 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY BIOCHEMISTRY COBALT, WHOLE BLOOD 2,200 2,785 3,630 3,850 4,400 5,500

LABORATORY BIOCHEMISTRYCOCAINE, QUALITATIVE, EIA, RANDOM URINE MEASURED PRIMARILY AS METABOLITE BENZOYLECGONINE.

350 445 580 615 700 875

LABORATORY BIOCHEMISTRY COPPER OXIDASE CERULOPLASMIN 670 850 1,105 1,175 1,340 1,675 LABORATORY BIOCHEMISTRY CPK CREATINE PHOSPHOKINASE 480 605 790 840 960 1,200

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY BIOCHEMISTRY CPK ISOENZYMES ELECTROPHORESIS 370 470 610 650 740 925 LABORATORY BIOCHEMISTRY CREATININE CLEARANCE TEST 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CREATININE, 24-HOUR URINE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CREATININE, RANDOM URINE 180 230 295 315 360 450 LABORATORY BIOCHEMISTRY CREATININE, SERUM 180 230 295 315 360 450 LABORATORY BIOCHEMISTRY CSF & SERUM PROTEIN ELECTROPHORESIS 1,420 1,795 2,345 2,485 2,840 3,550 LABORATORY BIOCHEMISTRY CSF ALBUMIN NEPHELOMETRY 750 950 1,240 1,315 1,500 1,875 LABORATORY BIOCHEMISTRY CSF AMINO ACID (HPLC) 7,500 9,490 12,375 13,125 15,000 18,750 LABORATORY BIOCHEMISTRY CSF CHLORIDE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CSF LACTATE 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY CSF PROTEIN 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY CSF SUGAR 175 220 290 305 350 440 LABORATORY BIOCHEMISTRY CYCLOSPORIN 2,100 2,655 3,465 3,675 4,200 5,250

LABORATORY BIOCHEMISTRYDIAZEPAM (CALMPOSE, VALIUM, PAXUM, CALMOD) INCLUDES METABOLITE NORDIAZEPAM.

750 950 1,240 1,315 1,500 1,875

LABORATORY BIOCHEMISTRY DIGITOXIN 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY DIGOXIN (LANOXIN) 750 950 1,240 1,315 1,500 1,875 LABORATORY BIOCHEMISTRY DISOPYRAMIDE (NORPACE, REGUBEAT) 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY DOLOPHINE (METHADONE) QUANTITATIVE 350 445 580 615 700 875 LABORATORY BIOCHEMISTRY DOLOPHINE (METHADONE) QUANTITATIVE 350 445 580 615 700 875

LABORATORY BIOCHEMISTRYDRUGS OF ABUSE (QUALITATIVE) 9 DRUGS(AMPHETAMINE,COCAINE,BARBITURATES,CANNABINOIDS,OPIATES,PCP,BENZODIAZEPINE AND METHADONE)

2,000 2,530 3,300 3,500 4,000 5,000

LABORATORY BIOCHEMISTRY ELECTROLYTES 24 HOURS URINE 530 670 875 930 1,060 1,325 LABORATORY BIOCHEMISTRY ELECTROLYTES RANDOM URINE 530 670 875 930 1,060 1,325 LABORATORY BIOCHEMISTRY ELECTROLYTES SERUM 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY ETHANOL 865 1,095 1,425 1,515 1,730 2,165 LABORATORY BIOCHEMISTRY FLUID ACE 1,085 1,375 1,790 1,900 2,170 2,715 LABORATORY BIOCHEMISTRY FLUID AMYLASE 255 325 420 445 510 640 LABORATORY BIOCHEMISTRY FLUID BUN 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY FLUID CHLORIDE 175 220 290 305 350 440 LABORATORY BIOCHEMISTRY FLUID CREATININE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY FLUID GLUCOSE 165 210 270 290 330 415 LABORATORY BIOCHEMISTRY FLUID LDH 265 335 435 465 530 665 LABORATORY BIOCHEMISTRY FRUCTOSAMINE 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY GALACTOSE TOTAL 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY GAMMA GT(GGT) 255 325 420 445 510 640 LABORATORY BIOCHEMISTRY GENTAMYCIN 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY GENTAMYCIN LEVEL(PEAK)-SERUM 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY GENTAMYCIN LEVEL(TROUGH)-SERUM 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY GLUCOSE , URINE 155 195 255 270 310 390 LABORATORY BIOCHEMISTRY GLUCOSE FASTING 155 195 255 270 310 390 LABORATORY BIOCHEMISTRY GLUCOSE FASTING & PP 310 390 510 545 620 775

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY BIOCHEMISTRY GLUCOSE PP 155 195 255 270 310 390 LABORATORY BIOCHEMISTRY GLUCOSE RANDOM 155 195 255 270 310 390 LABORATORY BIOCHEMISTRY GLUCOSE TOLERANCE TEST 6 SPECIMEN 600 760 990 1,050 1,200 1,500 LABORATORY BIOCHEMISTRY GLUCOSE TOLERANCE TEST (5 HOURS) GTT, 9 SPECIMEN 900 1,140 1,485 1,575 1,800 2,250 LABORATORY BIOCHEMISTRY GLYCOSYLATED HEMOGLOBIN (GHB) HbA1C 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY HAPTOGLOBIN 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY HBDH 325 410 535 570 650 815 LABORATORY BIOCHEMISTRY HEXOSAMINIDASE A 1,000 1,265 1,650 1,750 2,000 2,500 LABORATORY BIOCHEMISTRY HEXOSAMINIDASE B 1,000 1,265 1,650 1,750 2,000 2,500 LABORATORY BIOCHEMISTRY HOMOCYSTINE 1,550 1,960 2,560 2,715 3,100 3,875 LABORATORY BIOCHEMISTRY IGA 485 615 800 850 970 1,215 LABORATORY BIOCHEMISTRY IGD 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY BIOCHEMISTRY IGE 625 790 1,030 1,095 1,250 1,565 LABORATORY BIOCHEMISTRY IGG 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY IGM 485 615 800 850 970 1,215

LABORATORY BIOCHEMISTRYIMIPRAMINE (ANTIDEP, DEPSONIL, IMIPAM, TOFRANIL) INCLUDES METABOLITE DESIPRAMINE.

14,000 17,710 23,100 24,500 28,000 35,000

LABORATORY BIOCHEMISTRY IMMUNO FIXATION ELECTROPHORESIS IFE 3,700 4,680 6,105 6,475 7,400 9,250 LABORATORY BIOCHEMISTRY IMMUNO FIXATION ELECTROPHORESIS IFE 3,700 4,680 6,105 6,475 7,400 9,250 LABORATORY BIOCHEMISTRY IRON 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY IRON BINDING CAPACITY 625 790 1,030 1,095 1,250 1,565 LABORATORY BIOCHEMISTRY IRON STUDIES 1,015 1,285 1,675 1,775 2,030 2,540 LABORATORY BIOCHEMISTRY KAPPA & LAMBDA CHAINS 1,665 2,105 2,745 2,915 3,330 4,165 LABORATORY BIOCHEMISTRY KAPPA AND LAMBDA LIGHT CHAINS, 2,100 2,655 3,465 3,675 4,200 5,250 LABORATORY BIOCHEMISTRY KAPPA LIGHT CHAIN 835 1,055 1,380 1,460 1,670 2,090 LABORATORY BIOCHEMISTRY KIDNEY STONE ANALYSIS 1,000 1,265 1,650 1,750 2,000 2,500 LABORATORY BIOCHEMISTRY L.D.H ELECTROPHORESIS 510 645 840 895 1,020 1,275 LABORATORY BIOCHEMISTRY LACTATE PLASMA 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY LACTATE, CSF 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY LAMOTRIGINE 3,000 3,795 4,950 5,250 6,000 7,500 LABORATORY BIOCHEMISTRY LDH 280 355 460 490 560 700 LABORATORY BIOCHEMISTRY LDL SUB-FRACTIONS 4,330 5,475 7,145 7,580 8,660 10,825 LABORATORY BIOCHEMISTRY LIPASE 520 660 860 910 1,040 1,300 LABORATORY BIOCHEMISTRY LIPOPROTEIN ( LP(A)) 1,100 1,390 1,815 1,925 2,200 2,750 LABORATORY BIOCHEMISTRY LITHIUM 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY LSD, URINE, QUALITATIVE 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY MAGNESIUM 315 400 520 550 630 790 LABORATORY BIOCHEMISTRY MAGNESIUM URINE 315 400 520 550 630 790 LABORATORY BIOCHEMISTRY MAGNESIUM, 24-HOUR URINE 315 400 520 550 630 790 LABORATORY BIOCHEMISTRY MANGANESE, RANDOM URINE 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY BIOCHEMISTRY MANGANESE, SERUM 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY BIOCHEMISTRY MARIJUANA 350 445 580 615 700 875 LABORATORY BIOCHEMISTRY MERCURY, 24-HOUR URINE 3,000 3,795 4,950 5,250 6,000 7,500

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY BIOCHEMISTRY MERCURY, RANDOM URINE 3,000 3,795 4,950 5,250 6,000 7,500 LABORATORY BIOCHEMISTRY MERCURY, SERUM/PLASMA 3,000 3,795 4,950 5,250 6,000 7,500 LABORATORY BIOCHEMISTRY METHADONE, URINE (DOLOPHINE) 350 445 580 615 700 875 LABORATORY BIOCHEMISTRY MEXILETINE 13,000 16,445 21,450 22,750 26,000 32,500 LABORATORY BIOCHEMISTRY MICROALBUMIN, 24-HOUR URINE 210 265 345 370 420 525 LABORATORY BIOCHEMISTRY MICRO-ALBUMIN, 2ND MORNING URINE 210 265 345 370 420 525 LABORATORY BIOCHEMISTRY MYOGLOBIN URINE 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY NICKEL, 24-HOUR URINE 3,000 3,795 4,950 5,250 6,000 7,500 LABORATORY BIOCHEMISTRY NICKEL, RANDOM URINE 3,000 3,795 4,950 5,250 6,000 7,500 LABORATORY BIOCHEMISTRY NICKEL, SERUM 3,000 3,795 4,950 5,250 6,000 7,500 LABORATORY BIOCHEMISTRY OPIATES, SCREEN, RANDOM URINE 350 445 580 615 700 875 LABORATORY BIOCHEMISTRY OSMOLALITY RANDOM URINE 400 505 660 700 800 1,000 LABORATORY BIOCHEMISTRY OSMOLALITY SERUM 380 480 625 665 760 950 LABORATORY BIOCHEMISTRY OXALATE 24 HOUR 715 905 1,180 1,250 1,430 1,790 LABORATORY BIOCHEMISTRY PHENCYCLIDINE (PCP), SCREEN, RANDOM URINE 350 445 580 615 700 875 LABORATORY BIOCHEMISTRY PHENOBARBITONE (LUMINAL, GARDENAL ) 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY PHENYLKETONURIA 350 445 580 615 700 875 LABORATORY BIOCHEMISTRY PHENYLKETONURIA HPLC 4,500 5,695 7,425 7,875 9,000 11,250

PHENYTOIN (DILANTIN, EPILAM PLAIN, LABORATORY BIOCHEMISTRY PHENYTOIN (DILANTIN, EPILAM PLAIN, EPILEPTIN, EPTOIN, EPSOLIN) 500 635 825 875 1,000 1,250 LABORATORY BIOCHEMISTRY PHOSPHORUS 24-HOUR URINE 200 255 330 350 400 500 LABORATORY BIOCHEMISTRY PHOSPHORUS RANDOM URINE 200 255 330 350 400 500 LABORATORY BIOCHEMISTRY PHOSPHORUS SERUM 210 265 345 370 420 525 LABORATORY BIOCHEMISTRY PORPHOBILINOGEN (QUALITATIVE) 405 510 670 710 810 1,015 LABORATORY BIOCHEMISTRY PORPHOBILINOGEN (QUANTITATIVE) 405 510 670 710 810 1,015 LABORATORY BIOCHEMISTRY POTASSIUM 24-HOUR URINE 200 255 330 350 400 500 LABORATORY BIOCHEMISTRY POTASSIUM FLUID 200 255 330 350 400 500 LABORATORY BIOCHEMISTRY POTASSIUM RANDOM URINE 200 255 330 350 400 500 LABORATORY BIOCHEMISTRY POTASSIUM SERUM 175 220 290 305 350 440 LABORATORY BIOCHEMISTRY PROTEIN 24-HOUR URINE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY PROTEIN CSF 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY PROTEIN ELECTROPHORESIS 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY PROTEIN ELECTROPHORESIS AND IMMUNOFIXATION ELECTROPHORESIS. 4,230 5,350 6,980 7,405 8,460 10,575 LABORATORY BIOCHEMISTRY PROTEIN TOTAL FLUID 175 220 290 305 350 440 LABORATORY BIOCHEMISTRY PROTEIN TOTAL RANDOM URINE 190 240 315 335 380 475 LABORATORY BIOCHEMISTRY PROTEIN TOTAL SERUM 165 210 270 290 330 415 LABORATORY BIOCHEMISTRY SALICYLATE 600 760 990 1,050 1,200 1,500 LABORATORY BIOCHEMISTRY SELENIUM, 24-HOUR URINE 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY BIOCHEMISTRY SELENIUM, RANDOM URINE 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY BIOCHEMISTRY SGOT AST 230 290 380 405 460 575 LABORATORY BIOCHEMISTRY SGPT ALT 220 280 365 385 440 550 LABORATORY BIOCHEMISTRY SODIUM 24-HOURS URINE 195 245 320 340 390 490

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY BIOCHEMISTRY SODIUM RANDOM URINE 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY SODIUM SERUM 175 220 290 305 350 440 LABORATORY BIOCHEMISTRY SODIUM, FLUID 135 170 225 235 270 340 LABORATORY BIOCHEMISTRY TDT 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY BIOCHEMISTRY THALLIUM, 24-HOUR URINE 1,800 2,275 2,970 3,150 3,600 4,500 LABORATORY BIOCHEMISTRY THALLIUM, BLOOD 1,800 2,275 2,970 3,150 3,600 4,500 LABORATORY BIOCHEMISTRY THALLIUM, RANDOM URINE 1,800 2,275 2,970 3,150 3,600 4,500 LABORATORY BIOCHEMISTRY THEOPHYLLINE 695 880 1,145 1,215 1,390 1,740

LABORATORY BIOCHEMISTRY

Tricyclic Antidepressants Screen, Serum Group Therapeutic Drug Mg For Amitriptyline, Nortriptyline, Imipramine, Desipramine, Doxepin & Protriptyline. Does Not Give Individual Drug Levels.

900 1,140 1,485 1,575 1,800 2,250

LABORATORY BIOCHEMISTRY TRIGLYCERIDES FLUID 300 380 495 525 600 750 LABORATORY BIOCHEMISTRY TRIGLYCERIDES SERUM 285 360 470 500 570 715 LABORATORY BIOCHEMISTRY TROPONIN I 865 1,095 1,425 1,515 1,730 2,165 LABORATORY BIOCHEMISTRY TROPONIN T 1,040 1,315 1,715 1,820 2,080 2,600 LABORATORY BIOCHEMISTRY TYROSINEMIA HPLC 3,535 4,470 5,835 6,185 7,070 8,840 LABORATORY BIOCHEMISTRY UREA 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY UREA, 24-HOUR URINE 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY UREA, 24-HOUR URINE 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URIC ACID 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URIC ACID 24 HOURS URINE 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINARY ELECTROLYTES 550 695 910 965 1,100 1,375 LABORATORY BIOCHEMISTRY URINARY ELECTROLYTES 24 HOURS 550 695 910 965 1,100 1,375 LABORATORY BIOCHEMISTRY URINARY POTASSIUM 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINARY SODIUM 24 HOURS 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE AMINO ACID TLC 475 600 785 830 950 1,190 LABORATORY BIOCHEMISTRY URINE AMYLASE 315 400 520 550 630 790 LABORATORY BIOCHEMISTRY URINE BENCE JONES PROTEIN 165 210 270 290 330 415 LABORATORY BIOCHEMISTRY URINE BICARBONATE(RANDOM) 210 265 345 370 420 525 LABORATORY BIOCHEMISTRY URINE CALCIUM ( 24 HOURS) 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE CALCIUM RANDOM 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY URINE CATHECHOLAMINES 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY BIOCHEMISTRY URINE CHLORIDE 24 HOURS 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE CHOLESTEROL 230 290 380 405 460 575 LABORATORY BIOCHEMISTRY URINE CREATININE RANDOM 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY URINE DELTA AMINO LEVULINIC ACID 615 780 1,015 1,075 1,230 1,540 LABORATORY BIOCHEMISTRY URINE ELECTROPHORESIS 750 950 1,240 1,315 1,500 1,875 LABORATORY BIOCHEMISTRY URINE HOMOCYSTINE 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE HOMOGENTESIC ACID 600 760 990 1,050 1,200 1,500 LABORATORY BIOCHEMISTRY URINE IMMUNOFIXATION 3,695 4,675 6,095 6,465 7,390 9,240 LABORATORY BIOCHEMISTRY URINE KAPPA LIGHT CHAIN(24 HOURS) 835 1,055 1,380 1,460 1,670 2,090 LABORATORY BIOCHEMISTRY URINE MICROALBUMIN(24 HOURS) 210 265 345 370 420 525 LABORATORY BIOCHEMISTRY URINE OSMOLALITY 395 500 650 690 790 990

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY BIOCHEMISTRY URINE OXALATE(24 HOURS) 715 905 1,180 1,250 1,430 1,790 LABORATORY BIOCHEMISTRY URINE PH 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY URINE PHOSPHORUS 24 HOURS 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE PHOSPHORUS RANDOM 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE POTASSIUM 24 HOURS 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE POTASSIUM RANDOM 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY URINE PROTEIN (24 HOURS) 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY URINE SODIUM RANDOM 185 235 305 325 370 465 LABORATORY BIOCHEMISTRY URINE SUGARS (TLC) 155 195 255 270 310 390 LABORATORY BIOCHEMISTRY URINE TRIGLYCERIDES 315 400 520 550 630 790 LABORATORY BIOCHEMISTRY URINE UREA RANDOM 195 245 320 340 390 490 LABORATORY BIOCHEMISTRY VALPROIC ACID 700 885 1,155 1,225 1,400 1,750 LABORATORY BIOCHEMISTRY VANCOMYCIN 855 1,080 1,410 1,495 1,710 2,140 LABORATORY BIOCHEMISTRY VMA 820 1,035 1,355 1,435 1,640 2,050 LABORATORY BIOCHEMISTRY ZINC 625 790 1,030 1,095 1,250 1,565 LABORATORY HAEMATOLOGY ABSOLUTE BASOPHIL COUNT 175 220 290 305 350 440 LABORATORY HAEMATOLOGY ABSOLUTE EOSINOPHIL COUNT 175 220 290 305 350 440 LABORATORY HAEMATOLOGY ABSOLUTE GRANULOCYTE COUNT 175 220 290 305 350 440 LABORATORY HAEMATOLOGY ABSOLUTE LYMPHOCYTE COUNT 175 220 290 305 350 440 LABORATORY HAEMATOLOGY ABSOLUTE MONOCYTE COUNT 175 220 290 305 350 440 LABORATORY HAEMATOLOGY ABSOLUTE MONOCYTE COUNT 175 220 290 305 350 440 LABORATORY HAEMATOLOGY ABSOLUTE NEUTROPHIL COUNT 175 220 290 305 350 440 LABORATORY HAEMATOLOGY ANTI THROMBIN III ACTIVITY 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY HAEMATOLOGY ANTI THROMBIN III ANTIGEN 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY HAEMATOLOGY APTT MIXING STUDIES 245 310 405 430 490 615 LABORATORY HAEMATOLOGY Bleeding and clotting time 180 230 295 315 360 450 LABORATORY HAEMATOLOGY BLEEDING TIME BT 145 185 240 255 290 365 LABORATORY HAEMATOLOGY BLOOD PICTURE; PERIPHERAL BLOOD SMEAR EXAMINATION 155 195 255 270 310 390 LABORATORY HAEMATOLOGY BLOOD, SICKLING TEST 405 510 670 710 810 1,015 LABORATORY HAEMATOLOGY BONE MARROW INTERPRETATION 740 935 1,220 1,295 1,480 1,850 LABORATORY HAEMATOLOGY CD 10 (CALLA) 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 11C 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 13 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 14 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 15 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 19 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 2 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 20 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 22 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 23 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 25 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 3 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 30 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 33 1,600 2,025 2,640 2,800 3,200 4,000

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY HAEMATOLOGY CD 34 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 38 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 4 1,000 1,265 1,650 1,750 2,000 2,500 LABORATORY HAEMATOLOGY CD 42A 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 45 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 5 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 61 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 7 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD 8 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD MPO 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CD103 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY CLOT RETRACTION TIME 130 165 215 230 260 325 LABORATORY HAEMATOLOGY CLOTTING TIME CT 150 190 250 265 300 375 LABORATORY HAEMATOLOGY COMPLETE BLOOD COUNT (CBC) 220 280 365 385 440 550 LABORATORY HAEMATOLOGY COOMBS (DIRECT) 315 400 520 550 630 790 LABORATORY HAEMATOLOGY COOMBS (INDIRECT) 475 600 785 830 950 1,190 LABORATORY HAEMATOLOGY D-DIMER, QUANTITATIVE 580 735 955 1,015 1,160 1,450 LABORATORY HAEMATOLOGY DILUTED ACTIVATED PARTIAL THROMBOPLASTIN 250 315 415 440 500 625 LABORATORY HAEMATOLOGY ESR (WESTERGREN) 145 185 240 255 290 365 LABORATORY HAEMATOLOGY ESR (WESTERGREN) 145 185 240 255 290 365 LABORATORY HAEMATOLOGY EUGLOBULIN LYSIS TIME 145 185 240 255 290 365 LABORATORY HAEMATOLOGY FACTOR IX, FUNCTIONAL 995 1,260 1,640 1,740 1,990 2,490 LABORATORY HAEMATOLOGY FACTOR V FUNCTIONAL 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY HAEMATOLOGY FACTOR V LEIDEN MUTATION ANALYSIS 3,350 4,240 5,530 5,865 6,700 8,375 LABORATORY HAEMATOLOGY FACTOR VII FUNCTIONAL 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY HAEMATOLOGY FACTOR VIII STUDIES *FACTOR VIII ASSAY

*APTT 1,600 2,025 2,640 2,800 3,200 4,000

LABORATORY HAEMATOLOGY FACTOR XIII CLOT SOLUBILITY, 5 M UREA;FIBRIN STABILIZING FACRTOR 900 1,140 1,485 1,575 1,800 2,250 LABORATORY HAEMATOLOGY FETAL HAEMOGLOBIN (HBF) 240 305 395 420 480 600 LABORATORY HAEMATOLOGY FIBRINOGEN DEGRADATION PRODUCTS,BLOOD;FDP,BLOOD 520 660 860 910 1,040 1,300

LABORATORY HAEMATOLOGY FIBRINOGEN DEGRADATION PRODUCTS,URINE;FDP,URINE 520 660 860 910 1,040 1,300 LABORATORY HAEMATOLOGY G-6-PD (QUALITATIVE) 500 635 825 875 1,000 1,250 LABORATORY HAEMATOLOGY G-6-PD (QUANTITATIVE) 670 850 1,105 1,175 1,340 1,675 LABORATORY HAEMATOLOGY HAEMOGRAM CBC + ESR(WESTERGREN) 365 460 600 640 730 915 LABORATORY HAEMATOLOGY HAM TEST; PAROXYSMAL NOCTURNAL HEMOGLOBINURIA,(PNH) 900 1,140 1,485 1,575 1,800 2,250 LABORATORY HAEMATOLOGY HAPTOGLOBIN 700 885 1,155 1,225 1,400 1,750 LABORATORY HAEMATOLOGY HEINZ BODIES 150 190 250 265 300 375 LABORATORY HAEMATOLOGY Hemoglobin & Hematocrit 115 145 190 200 230 290 LABORATORY HAEMATOLOGY HEMOGLOBIN 140 175 230 245 280 350 LABORATORY HAEMATOLOGY HLA - B 27, DISEASE ASSOCIATION 2,500 3,165 4,125 4,375 5,000 6,250

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY HAEMATOLOGY HLA DR 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY HAEMATOLOGY LE CELL 220 280 365 385 440 550 LABORATORY HAEMATOLOGY LEUCOCYTE ALKALINE PHOSPHATASE SCORE; LAP SCORE 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY HAEMATOLOGY LUPUS ANTICOAGULANT BY DRVVT 1,700 2,150 2,805 2,975 3,400 4,250 LABORATORY HAEMATOLOGY LUPUS ANTICOAGULANT SPECIFIC; PTT - LA 245 310 405 430 490 615 LABORATORY HAEMATOLOGY METHEMOGLOBIN ESTIMATION 220 280 365 385 440 550 LABORATORY HAEMATOLOGY MICROFILARIA 220 280 365 385 440 550 LABORATORY HAEMATOLOGY MYELO-PEROXIDASE ACTIVITY 475 600 785 830 950 1,190

LABORATORY HAEMATOLOGYNATURAL KILLER CELLS *TOTAL LYMPHOCYTES *CD3 *CD16 *CD56 INCLUDES % AND ABSOLUTE COUNTS.

2,000 2,530 3,300 3,500 4,000 5,000

LABORATORY HAEMATOLOGY PARTIAL THROMBOPLASTIN TIME, ACTIVATED; APTT 245 310 405 430 490 615 LABORATORY HAEMATOLOGY PERIODIC ACID SCHIFF (PAS) 475 600 785 830 950 1,190 LABORATORY HAEMATOLOGY PLASMA FIBRINOGEN 520 660 860 910 1,040 1,300 LABORATORY HAEMATOLOGY PLASMINOGEN 1,050 1,330 1,735 1,840 2,100 2,625 LABORATORY HAEMATOLOGY PLATELET ASSOCIATED BODY 520 660 860 910 1,040 1,300 LABORATORY HAEMATOLOGY PLATELET COUNT THROMBOCYTE COUNT 185 235 305 325 370 465 LABORATORY HAEMATOLOGY PROTEIN C ACTIVITY 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY HAEMATOLOGY PROTEIN C ACTIVITY 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY HAEMATOLOGY PROTEIN C ANTIGEN 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY HAEMATOLOGY PROTEIN S ACTIVITY 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY HAEMATOLOGY PROTEIN S ANTIGEN 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY HAEMATOLOGY PROTHROMBIN TIME 190 240 315 335 380 475 LABORATORY HAEMATOLOGY PYRUVATE KINASE 545 690 900 955 1,090 1,365 LABORATORY HAEMATOLOGY RAPID MALARIAL ANTIGEN TEST 385 485 635 675 770 965 LABORATORY HAEMATOLOGY RBC FRAGILITY TEST; OSMOTIC FRAGILITY TEST 230 290 380 405 460 575 LABORATORY HAEMATOLOGY RED CELL COUNT 165 210 270 290 330 415 LABORATORY HAEMATOLOGY RED CELL DISTRIBUTION WIDTH (RDW) 165 210 270 290 330 415 LABORATORY HAEMATOLOGY RED CELL INDICES 210 265 345 370 420 525 LABORATORY HAEMATOLOGY RETICULOCYTE COUNT, AUTOMATED 175 220 290 305 350 440 LABORATORY HAEMATOLOGY REVIEW OF SLIDE (SECOND OPINION) 550 695 910 965 1,100 1,375 LABORATORY HAEMATOLOGY RUSSEL VIPER VENOM TIME 600 760 990 1,050 1,200 1,500 LABORATORY HAEMATOLOGY SMEAR FOR MALARIAL PARASITE 125 160 205 220 250 315 LABORATORY HAEMATOLOGY T CELL COUNTS 1,470 1,860 2,425 2,575 2,940 3,675 LABORATORY HAEMATOLOGY TC & DC 185 235 305 325 370 465 LABORATORY HAEMATOLOGY THROMBIN TIME; TT 220 280 365 385 440 550 LABORATORY HAEMATOLOGY VON WILLEBRAND FACTOR ANTIGEN, VWF 1,300 1,645 2,145 2,275 2,600 3,250 LABORATORY HISTOPATHOLOGY C KIT (CD117) 1,575 1,990 2,600 2,755 3,150 3,940 LABORATORY HISTOPATHOLOGY CER B2(HER2NEU) 1,470 1,860 2,425 2,575 2,940 3,675 LABORATORY HISTOPATHOLOGY EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) 1,470 1,860 2,425 2,575 2,940 3,675 LABORATORY HISTOPATHOLOGY ESTROGEN RECEPTOR (ER) 730 925 1,205 1,280 1,460 1,825

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY HISTOPATHOLOGY ESTROGEN RECEPTOR(ER) AND PROGESTERONE RECEPTOR (PR) 1,390 1,760 2,295 2,435 2,780 3,475 LABORATORY HISTOPATHOLOGY FLUID CYTOLOGY (ALL FLUIDS/WASHINGS) 550 695 910 965 1,100 1,375 LABORATORY HISTOPATHOLOGY FNAC / BRUSHING INTERPRETATION 550 695 910 965 1,100 1,375 LABORATORY HISTOPATHOLOGY FNAC STUDY(PROCEDURE AND INTERPRETATION) 1,585 2,005 2,615 2,775 3,170 3,965 LABORATORY HISTOPATHOLOGY FROZEN SECTION 1,445 1,830 2,385 2,530 2,890 3,615 LABORATORY HISTOPATHOLOGY IHC PANEL (UPTO 3 ANTIBODIES) 1,700 2,150 2,805 2,975 3,400 4,250 LABORATORY HISTOPATHOLOGY IHC PANEL(UPTO 6 ANTIBODIES) 3,480 4,400 5,740 6,090 6,960 8,700 LABORATORY HISTOPATHOLOGY IHC SINGLE ANTIBODY 580 735 955 1,015 1,160 1,450 LABORATORY HISTOPATHOLOGY KIDNEY BIOPSY(LM AND IMF) 1,570 1,985 2,590 2,750 3,140 3,925 LABORATORY HISTOPATHOLOGY LARGE SPECIMEN 1,330 1,680 2,195 2,330 2,660 3,325 LABORATORY HISTOPATHOLOGY MEDIUM SPECIMEN 1,005 1,270 1,660 1,760 2,010 2,515 LABORATORY HISTOPATHOLOGY PAP SMEAR 385 485 635 675 770 965 LABORATORY HISTOPATHOLOGY PROGESTERONE RECEPTOR (PR) 730 925 1,205 1,280 1,460 1,825 LABORATORY HISTOPATHOLOGY SKIN BIOPSY (LM and IMF) 1,585 2,005 2,615 2,775 3,170 3,965 LABORATORY HISTOPATHOLOGY SKIN BIOPSY (LM) 650 820 1,075 1,140 1,300 1,625 LABORATORY HISTOPATHOLOGY SMALL BIOPSY 650 820 1,075 1,140 1,300 1,625 LABORATORY HISTOPATHOLOGY VERY LARGE SPECIMEN 1,920 2,430 3,170 3,360 3,840 4,800 LABORATORY IMMUNOLOGY 17 - ALPHA HYDROXY PROGESTERONE 1,040 1,315 1,715 1,820 2,080 2,600 LABORATORY IMMUNOLOGY 17 - ALPHA HYDROXY PROGESTERONE 1,040 1,315 1,715 1,820 2,080 2,600 LABORATORY IMMUNOLOGY 17-ALPHA ETHINYL ESTRADIOL 1,965 2,485 3,240 3,440 3,930 4,915 LABORATORY IMMUNOLOGY 24 HOURS URINARY ALDOSTERONE 1,445 1,830 2,385 2,530 2,890 3,615 LABORATORY IMMUNOLOGY ACETYLCHOLINE RECEPTOR BINDING ANTIBODY; ACHRAB 2,140 2,705 3,530 3,745 4,280 5,350

LABORATORY IMMUNOLOGY ACTH STIMULATION TEST FOR 17 HYDROXY PROGESTERONE (3 SAMPLES) 2,000 2,530 3,300 3,500 4,000 5,000

LABORATORY IMMUNOLOGY ACTH STIMULATION TEST FOR ALDOSTERONE (3 SAMPLES) 3,300 4,175 5,445 5,775 6,600 8,250

LABORATORY IMMUNOLOGY ACTH STIMULATION TEST FOR ANDROSTEINEDIONE(3 SAMPLES) 2,100 2,655 3,465 3,675 4,200 5,250

LABORATORY IMMUNOLOGY ACTH STIMULATION TEST FOR CORTISOL (3 SAMPLES) 1,100 1,390 1,815 1,925 2,200 2,750

LABORATORY IMMUNOLOGY ACTH STIMULATION TEST FOR DHEAS TEST (3 SAMPLES) 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY IMMUNOLOGY ACTH, PLASMA 1,040 1,315 1,715 1,820 2,080 2,600 LABORATORY IMMUNOLOGY ADH ANTIDIURETIC HORMONE 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY IMMUNOLOGY ADRENALINE (EPINEPHRINE) 1,965 2,485 3,240 3,440 3,930 4,915 LABORATORY IMMUNOLOGY ALDOSTERONE SERUM 1,235 1,560 2,040 2,160 2,470 3,090 LABORATORY IMMUNOLOGY ALDOSTERONE URINE 1,235 1,560 2,040 2,160 2,470 3,090 LABORATORY IMMUNOLOGY ALLERGY BIRCH 465 590 765 815 930 1,165 LABORATORY IMMUNOLOGY ALLERGY CATEPITHELIUM 350 445 580 615 700 875 LABORATORY IMMUNOLOGY ALLERGY COCKROACH 350 445 580 615 700 875 LABORATORY IMMUNOLOGY ALLERGY CODFISH 300 380 495 525 600 750 LABORATORY IMMUNOLOGY ALLERGY DERMATOPHAGOIDES F 465 590 765 815 930 1,165

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY IMMUNOLOGY ALLERGY DERMATOPHAGOIDES P 465 590 765 815 930 1,165 LABORATORY IMMUNOLOGY ALLERGY DOG EPITHELIUM 350 445 580 615 700 875 LABORATORY IMMUNOLOGY ALLERGY EGG WHITE 300 380 495 525 600 750 LABORATORY IMMUNOLOGY ALLERGY EGG YOLK 300 380 495 525 600 750 LABORATORY IMMUNOLOGY ALLERGY LATEX 465 590 765 815 930 1,165 LABORATORY IMMUNOLOGY ALLERGY MILK 300 380 495 525 600 750 LABORATORY IMMUNOLOGY ALLERGY MUG WART (ARTEMISIA 405 510 670 710 810 1,015 LABORATORY IMMUNOLOGY ALLERGY SOYABEAN 465 590 765 815 930 1,165 LABORATORY IMMUNOLOGY ALLERGY TIMOTHY GRASS 300 380 495 525 600 750 LABORATORY IMMUNOLOGY ALLERGY WHEAT 300 380 495 525 600 750 LABORATORY IMMUNOLOGY ALLERGY, ALTENARIA TENIUS 300 380 495 525 600 750 LABORATORY IMMUNOLOGY ALPHA - 2 MACROGLOBULIN 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY IMMUNOLOGY ALPHA - FETOPROTEIN, AMNIOTIC FLUID; AFP, AMNIOTIC FLUID 980 1,240 1,615 1,715 1,960 2,450

LABORATORY IMMUNOLOGY ALPHA - FETOPROTEIN, SERUM AFP CANCER MARKER 980 1,240 1,615 1,715 1,960 2,450

LABORATORY IMMUNOLOGY ALPHA - FETOPROTEIN, SERUM AFP MATERNAL SCREENING. 980 1,240 1,615 1,715 1,960 2,450 LABORATORY IMMUNOLOGY ANA 890 1,125 1,470 1,560 1,780 2,225 LABORATORY IMMUNOLOGY ANA QUALITATIVE 530 670 875 930 1,060 1,325 LABORATORY IMMUNOLOGY ANA QUALITATIVE 530 670 875 930 1,060 1,325 LABORATORY IMMUNOLOGY ANCA-PR3; SERIN PROTEINASE 3 ANTIBODIES (ELISA) CORRESPONDS WITH C- 800 1,010 1,320 1,400 1,600 2,000 LABORATORY IMMUNOLOGY ANDROSTENEDIONE 1,040 1,315 1,715 1,820 2,080 2,600 LABORATORY IMMUNOLOGY ANGIOTENSIN II 1,040 1,315 1,715 1,820 2,080 2,600 LABORATORY IMMUNOLOGY ANTI B2 GLYCOPROTEIN IGM 1,965 2,485 3,240 3,440 3,930 4,915 LABORATORY IMMUNOLOGY ANTI CARDIO ANTIBODY 1,595 2,020 2,630 2,790 3,190 3,990 LABORATORY IMMUNOLOGY ANTI CCP ANTIBODY 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY IMMUNOLOGY ANTI CENTROMERE ANTIBODY 1,600 2,025 2,640 2,800 3,200 4,000 LABORATORY IMMUNOLOGY ANTI DNA (DOUBLE STRANDED) 635 805 1,050 1,110 1,270 1,590 LABORATORY IMMUNOLOGY ANTI ENDOMYSIUM ANTIBODY IGA 2,140 2,705 3,530 3,745 4,280 5,350 LABORATORY IMMUNOLOGY ANTI ENDOMYSIUM ANTIBODY IGG 2,140 2,705 3,530 3,745 4,280 5,350 LABORATORY IMMUNOLOGY ANTI ERYTHROPOIETIN ANTIBODY 1,910 2,415 3,150 3,345 3,820 4,775 LABORATORY IMMUNOLOGY ANTI MICROSOMAL ANTIBODY 1,050 1,330 1,735 1,840 2,100 2,625 LABORATORY IMMUNOLOGY ANTI PHOSPHOLIPID ANTIBODY APA IGG 600 760 990 1,050 1,200 1,500 LABORATORY IMMUNOLOGY ANTI PHOSPHOLIPID ANTIBODY APA IGM 600 760 990 1,050 1,200 1,500 LABORATORY IMMUNOLOGY ANTI SACCHAROMYCES CEREVISIAE ANTIBODY IGA ASCA 1,800 2,275 2,970 3,150 3,600 4,500

LABORATORY IMMUNOLOGY ANTI SACCHAROMYCES CEREVISIAE ANTIBODY IGG ASCA 1,800 2,275 2,970 3,150 3,600 4,500 LABORATORY IMMUNOLOGY ANTI SKELETAL MUSCLE ANTIBODY ASKA 1,155 1,460 1,905 2,020 2,310 2,890 LABORATORY IMMUNOLOGY ANTI SMOOTH MUSCLE ANTIBODY ASMA 1,900 2,405 3,135 3,325 3,800 4,750 LABORATORY IMMUNOLOGY ANTI SPERM ANTIBODIES 995 1,260 1,640 1,740 1,990 2,490 LABORATORY IMMUNOLOGY ANTI THYROGLOBULIN ANTIBODIES 1,000 1,265 1,650 1,750 2,000 2,500 LABORATORY IMMUNOLOGY ANTI THYROID ANTIBODIES 865 1,095 1,425 1,515 1,730 2,165

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY IMMUNOLOGY ASO TITRE 475 600 785 830 950 1,190 LABORATORY IMMUNOLOGY B HCG URINE 315 400 520 550 630 790 LABORATORY IMMUNOLOGY BETA 2 GLYCOPROTEIN-IGG 1,735 2,195 2,865 3,035 3,470 4,340 LABORATORY IMMUNOLOGY BETA 2 GLYCOPROTEIN-IGM 1,735 2,195 2,865 3,035 3,470 4,340 LABORATORY IMMUNOLOGY BLASTOMYCES ANTIBODIES 1,445 1,830 2,385 2,530 2,890 3,615 LABORATORY IMMUNOLOGY BRUCELLA ANTIBODIES IGG 800 1,010 1,320 1,400 1,600 2,000 LABORATORY IMMUNOLOGY BRUCELLA ANTIBODIES IGG & IGM 1,800 2,275 2,970 3,150 3,600 4,500 LABORATORY IMMUNOLOGY BRUCELLA ANTIBODIES IGM 1,200 1,520 1,980 2,100 2,400 3,000 LABORATORY IMMUNOLOGY C3 580 735 955 1,015 1,160 1,450 LABORATORY IMMUNOLOGY C4 565 715 930 990 1,130 1,415 LABORATORY IMMUNOLOGY CA 242 1,155 1,460 1,905 2,020 2,310 2,890 LABORATORY IMMUNOLOGY CA-125 780 985 1,285 1,365 1,560 1,950 LABORATORY IMMUNOLOGY CA15.3 780 985 1,285 1,365 1,560 1,950 LABORATORY IMMUNOLOGY CA-19.9 1,135 1,435 1,875 1,985 2,270 2,840 LABORATORY IMMUNOLOGY CA72-4 1,300 1,645 2,145 2,275 2,600 3,250 LABORATORY IMMUNOLOGY CALCITONIN 1,735 2,195 2,865 3,035 3,470 4,340 LABORATORY IMMUNOLOGY CARCINOEMBRYONIC ANTIGEN CEA 990 1,250 1,635 1,735 1,980 2,475 LABORATORY IMMUNOLOGY CARDIOLIPIN ANTIBODY IGG 600 760 990 1,050 1,200 1,500 LABORATORY IMMUNOLOGY CARDIOLIPIN ANTIBODY IGM 600 760 990 1,050 1,200 1,500

CCP-ANTIBODY TO CYCLIC CITRULLINATED LABORATORY IMMUNOLOGY CCP-ANTIBODY TO CYCLIC CITRULLINATED PEPTIDE 1,595 2,020 2,630 2,790 3,190 3,990 LABORATORY IMMUNOLOGY CEA CARCINO EMBRYONIC ANTIGEN 1,000 1,265 1,650 1,750 2,000 2,500 LABORATORY IMMUNOLOGY CENTROMERE ANTIBODY 1,505 1,905 2,485 2,635 3,010 3,765 LABORATORY IMMUNOLOGY COLO-RECTAL MARKER PROFILE (CEA,CA 19.9) 695 880 1,145 1,215 1,390 1,740 LABORATORY IMMUNOLOGY COXEILLA BURNETII IGG Q FEVER 810 1,025 1,335 1,420 1,620 2,025 LABORATORY IMMUNOLOGY C-PEPTIDE 995 1,260 1,640 1,740 1,990 2,490 LABORATORY IMMUNOLOGY CROSSLAPS 995 1,260 1,640 1,740 1,990 2,490 LABORATORY IMMUNOLOGY CRP 265 335 435 465 530 665 LABORATORY IMMUNOLOGY CSF IGA 485 615 800 850 970 1,215 LABORATORY IMMUNOLOGY CSF IGG 485 615 800 850 970 1,215 LABORATORY IMMUNOLOGY CSF IGM 485 615 800 850 970 1,215 LABORATORY IMMUNOLOGY CSF IMMUNOGLOBULINS (IGA-IGG-IGM) 1,320 1,670 2,180 2,310 2,640 3,300 LABORATORY IMMUNOLOGY DEXAMETHASONE HIGH DOSE SUPPRESSION TEST FOR ACTH 1,800 2,275 2,970 3,150 3,600 4,500

LABORATORY IMMUNOLOGY DEXAMETHASONE HIGH DOSE SUPPRESSION TEST FOR CORTISOL 900 1,140 1,485 1,575 1,800 2,250

LABORATORY IMMUNOLOGY DEXAMETHASONE LOW DOSE SUPPRESSION TEST FOR ACTH 1,800 2,275 2,970 3,150 3,600 4,500

LABORATORY IMMUNOLOGY DEXAMETHASONE LOW DOSE SUPPRESSION TEST FOR CORTISOL 900 1,140 1,485 1,575 1,800 2,250

LABORATORY IMMUNOLOGY DEXAMETHASONE OVERNIGHT SUPPRESSION TEST FOR CORTISOL 900 1,140 1,485 1,575 1,800 2,250

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY IMMUNOLOGY DEXAMETHASONE OVERNIGHT SUPPRESSION TEST FOR ACTH 1,800 2,275 2,970 3,150 3,600 4,500 LABORATORY IMMUNOLOGY DHEA 2,400 3,035 3,960 4,200 4,800 6,000 LABORATORY IMMUNOLOGY DHEAS 935 1,185 1,545 1,635 1,870 2,340 LABORATORY IMMUNOLOGY DIHYDROTESTOSTERONE (DHT) 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY IMMUNOLOGY ENA ( EXTRACTABLE NUCLEAR ANTIGEN) 1,665 2,105 2,745 2,915 3,330 4,165 LABORATORY IMMUNOLOGY ENA RNP 465 590 765 815 930 1,165 LABORATORY IMMUNOLOGY ENA SM 465 590 765 815 930 1,165 LABORATORY IMMUNOLOGY ENA SSB 465 590 765 815 930 1,165 LABORATORY IMMUNOLOGY ENDOMYSIAL ANTIBODY 1,300 1,645 2,145 2,275 2,600 3,250 LABORATORY IMMUNOLOGY EPIDERMAL ANTIBODY 1,400 1,770 2,310 2,450 2,800 3,500 LABORATORY IMMUNOLOGY EPINEPHRINE(ADRENALINE) 24 HRS. URINE 1,200 1,520 1,980 2,100 2,400 3,000 LABORATORY IMMUNOLOGY EPINEPHRINE(ADRENALINE) PLASMA 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY IMMUNOLOGY EPITHELIAL MEMBRANE ANTIGEN (EMA) 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY IMMUNOLOGY ERYTHROPOIETIN; EPO 995 1,260 1,640 1,740 1,990 2,490 LABORATORY IMMUNOLOGY ESTRADIOL, E2 995 1,260 1,640 1,740 1,990 2,490 LABORATORY IMMUNOLOGY ESTRADIOL, 24-HOUR URINE; E2, 24-HOUR URINE 695 880 1,145 1,215 1,390 1,740 LABORATORY IMMUNOLOGY ESTRADIOL, SERUM; E2, SERUM 500 635 825 875 1,000 1,250 LABORATORY IMMUNOLOGY ESTRIOL, TOTAL, SERUM; E3,TOTAL, SERUM 800 1,010 1,320 1,400 1,600 2,000 LABORATORY IMMUNOLOGY ESTRIOL, TOTAL, SERUM; E3,TOTAL, SERUM 800 1,010 1,320 1,400 1,600 2,000 LABORATORY IMMUNOLOGY FILARIA(WUCHERERIA BANCROFTI) 820 1,035 1,355 1,435 1,640 2,050 LABORATORY IMMUNOLOGY FILARIASIS AG SERUM 800 1,010 1,320 1,400 1,600 2,000 LABORATORY IMMUNOLOGY FOLATE , RBC 1,200 1,520 1,980 2,100 2,400 3,000 LABORATORY IMMUNOLOGY FOLATE, SERUM 800 1,010 1,320 1,400 1,600 2,000 LABORATORY IMMUNOLOGY FREE BETA HCG 1,000 1,265 1,650 1,750 2,000 2,500 LABORATORY IMMUNOLOGY FREE PSA 900 1,140 1,485 1,575 1,800 2,250 LABORATORY IMMUNOLOGY FREE T3 660 835 1,090 1,155 1,320 1,650 LABORATORY IMMUNOLOGY FREE T4 715 905 1,180 1,250 1,430 1,790 LABORATORY IMMUNOLOGY FREE TESTOSTERONE 2,200 2,785 3,630 3,850 4,400 5,500 LABORATORY IMMUNOLOGY FSH 750 950 1,240 1,315 1,500 1,875 LABORATORY IMMUNOLOGY FSH,LH,PROLACTIN 1,500 1,900 2,475 2,625 3,000 3,750

LABORATORY IMMUNOLOGY GAD-65 (GLUTAMIC ACID DECARBOXYLASE) ANTIBODY 2,290 2,895 3,780 4,010 4,580 5,725 LABORATORY IMMUNOLOGY GASTRIN 2,000 2,530 3,300 3,500 4,000 5,000 LABORATORY IMMUNOLOGY GLIADIN-IGA 2,540 3,215 4,190 4,445 5,080 6,350 LABORATORY IMMUNOLOGY GLIADIN-IGG 2,540 3,215 4,190 4,445 5,080 6,350 LABORATORY IMMUNOLOGY GLOMERULAR BASEMENT MEMBRANE GBM 865 1,095 1,425 1,515 1,730 2,165 LABORATORY IMMUNOLOGY GLUCAGON STIMULATION TEST FOR C-PEPTIDE 2,700 3,415 4,455 4,725 5,400 6,750

LABORATORY IMMUNOLOGY GOOD PASTURES SYNDROME PROFILE(ANTI GBM ANTIBODY AND PR3 ANCA) 1,040 1,315 1,715 1,820 2,080 2,600 LABORATORY IMMUNOLOGY GROWTH HORMONE (HGH) 800 1,010 1,320 1,400 1,600 2,000 LABORATORY IMMUNOLOGY H PYLORI IGA 895 1,130 1,475 1,565 1,790 2,240 LABORATORY IMMUNOLOGY H PYLORI IGG 895 1,130 1,475 1,565 1,790 2,240

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Service Group Service Name Service Description OP General Twin Single Suite Delux SuiteLABORATORY IMMUNOLOGY HBV QUALITATIVE PCR 4,055 5,130 6,690 7,095 8,110 10,140 LABORATORY IMMUNOLOGY HYDROXY TRYPTAMINE (SEROTONIN) 1,735 2,195 2,865 3,035 3,470 4,340 LABORATORY IMMUNOLOGY IGA HEAVY CHAIN (SURFACE) 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY IMMUNOLOGY IGD HEAVY CHAIN (SURFACE) 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY IMMUNOLOGY IGF -1 (SOMATEDIN C) INSULIN LIKE GROWTH FACTOR 1,850 2,340 3,055 3,240 3,700 4,625 LABORATORY IMMUNOLOGY IGF Binding protein 3 1,445 1,830 2,385 2,530 2,890 3,615 LABORATORY IMMUNOLOGY IGG 700 885 1,155 1,225 1,400 1,750 LABORATORY IMMUNOLOGY IGG HEAVY CHAIN (SURFACE) 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY IMMUNOLOGY IGM HEAVY CHAIN (SURFACE) 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY IMMUNOLOGY IMMUNOGLOBULINS 1,320 1,670 2,180 2,310 2,640 3,300 LABORATORY IMMUNOLOGY INSULIN ANTIBODIES 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY IMMUNOLOGY INSULIN FASTING 865 1,095 1,425 1,515 1,730 2,165 LABORATORY IMMUNOLOGY INSULIN PP 865 1,095 1,425 1,515 1,730 2,165 LABORATORY IMMUNOLOGY INTRINSIC FACTOR ANTIBODY 1,100 1,390 1,815 1,925 2,200 2,750 LABORATORY IMMUNOLOGY ISLET CELL ANTIBODY(ICA) 925 1,170 1,525 1,620 1,850 2,315 LABORATORY IMMUNOLOGY KAPPA/LAMBDA/CD 19 835 1,055 1,380 1,460 1,670 2,090 LABORATORY IMMUNOLOGY LA ANTIBODY(SSB-SOLUBLE SUBSTANCE B) ANTIBODY 1,100 1,390 1,815 1,925 2,200 2,750 LABORATORY IMMUNOLOGY LEPTIN 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY IMMUNOLOGY LEPTIN 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY IMMUNOLOGY MYOGLOBIN 380 480 625 665 760 950 LABORATORY IMMUNOLOGY NEURON SPECIFIC ENOLASE (NSE) 1,850 2,340 3,055 3,240 3,700 4,625 LABORATORY IMMUNOLOGY NITROTYROSINE 1,850 2,340 3,055 3,240 3,700 4,625 LABORATORY IMMUNOLOGY NOR-ADRENALINE (PLASMA) 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY IMMUNOLOGY NOR-ADRENALINE (URINE 24 HOURS) 1,200 1,520 1,980 2,100 2,400 3,000 LABORATORY IMMUNOLOGY NOR-EPINEPHRINE (PLASMA) 1,500 1,900 2,475 2,625 3,000 3,750 LABORATORY IMMUNOLOGY NOR-EPINEPHRINE (URINE) 1,200 1,520 1,980 2,100 2,400 3,000 LABORATORY IMMUNOLOGY PAPP-PREGNANCY ASSOCIATED PLASMA PROTEIN 1,620 2,050 2,675 2,835 3,240 4,050 LABORATORY IMMUNOLOGY PARA THYROID HORMONE (PTH) 770 975 1,270 1,350 1,540 1,925 LABORATORY IMMUNOLOGY PARIETAL CELL ANTIBODY 985 1,245 1,625 1,725 1,970 2,465 LABORATORY IMMUNOLOGY PHOSPHOLIPID ANTIBODY(APA) 1,270 1,605 2,095 2,225 2,540 3,175 LABORATORY IMMUNOLOGY PHOSPHOLIPID ANTIBODY(APA)-IGM 1,270 1,605 2,095 2,225 2,540 3,175 LABORATORY IMMUNOLOGY PROGESTERONE 825 1,045 1,360 1,445 1,650 2,065 LABORATORY IMMUNOLOGY PROLACTIN 740 935 1,220 1,295 1,480 1,850 LABORATORY IMMUNOLOGY PROTEIN C ACTIVITY 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY IMMUNOLOGY PROTEIN C ANTIGEN 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY IMMUNOLOGY PROTEIN S ACTIVITY 3,400 4,300 5,610 5,950 6,800 8,500 LABORATORY IMMUNOLOGY PROTEIN S ANTIGEN 2,500 3,165 4,125 4,375 5,000 6,250 LABORATORY IMMUNOLOGY PSA TOTAL 950 1,200 1,570 1,665 1,900 2,375 LABORATORY IMMUNOLOGY PYRILINKS D-D

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