2,000,000

Tests Performed

1,300

Providers

17

I/T/U

OUR LAB TESTS

At Tribal Diagnostics, we believe in affordable and transparent prices for our lab tests.  The prices below represent our chargemaster for laboratory tests which would be the maximum amount someone would pay for our tests.  Based on your insurance plan and medical necessity, some or all costs associated with these tests may be covered.  For patients without insurance or facing financial hardship, alternative pricing may be available.  This list is not all-inclusive and is subject to change.  For questions, please contact us.


TEST CATEGORY: adrenal-function

ALDOSTERONE/RENIN RATIO

CPT Code: 82088

$53


What is being tested?

Aldosterone is a hormone that plays an important role in maintaining normal sodium and potassium concentrations in blood and in controlling blood volume and blood pressure. Renin is an enzyme that controls aldosterone production. These tests measure the levels of aldosterone and renin in the blood and/or the level of aldosterone in urine.

Sample Stability

After separation from cells: serum: 8 hours room temperature; 5 days refrigerated; 1 month frozen. plasma: 6 hours room temperature; unacceptable refrigerated; 1 month frozen.

Cortisol AM

CPT Code: 82533

$23.00


What is being tested?

Cortisol is a hormone that plays a role in the metabolism of proteins, lipids, and carbohydrates. It affects blood glucose levels, helps maintain blood pressure, and helps regulate the immune system. Most cortisol in the blood is bound to a protein; only a small percentage is "free" and biologically active. Free cortisol is secreted into the urine and is present in the saliva. This test measures the amount of cortisol in the blood, urine, or saliva.

Sample Stability

1 day room temperature; 4 days refrigerated; 1 year frozen. Allow only 1 freeze/thaw cycle.

Cortisol PM

CPT Code: 82533

$23.00


What is being tested?

Cortisol is a hormone that plays a role in the metabolism of proteins, lipids, and carbohydrates. It affects blood glucose levels, helps maintain blood pressure, and helps regulate the immune system. Most cortisol in the blood is bound to a protein; only a small percentage is "free" and biologically active. Free cortisol is secreted into the urine and is present in the saliva. This test measures the amount of cortisol in the blood, urine, or saliva.

Sample Stability

1 day room temperature; 4 days refrigerated; 1 year frozen. Allow only 1 freeze/thaw cycle

CORTISOL, RANDOM

CPT Code: 82533

$23.00


What is being tested?

Cortisol is a hormone that plays a role in the metabolism of proteins, lipids, and carbohydrates. It affects blood glucose levels, helps maintain blood pressure, and helps regulate the immune system. Most cortisol in the blood is bound to a protein; only a small percentage is "free" and biologically active. Free cortisol is secreted into the urine and is present in the saliva. This test measures the amount of cortisol in the blood, urine, or saliva.

Sample Stability

1 day room temperature; 4 days refrigerated; 1 year frozen. Allow only 1 freeze/thaw cycle.

TEST CATEGORY: allergy

ALMOND IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

BRAZIL NUT IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

CASHEW NUT IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

CHESTNUT SWEET IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

Comprehensive Food IgE Panel

CPT Code: 86003 X16

$


What is being tested?

The test evaluates for the presence of an allergy-relates antibody known as immunoglobulin E (IgE) to specific food.

Sample Stability

1 day room temperature; 1 week refrierated; 1 month frozen.

HAZEL NUT/FILBERT IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen.

MOUSE EPITHELIUM IGE

CPT Code: 86003

$7.00


What is being tested?

Establishing a diagnosis of an allergy to mouse epithelium. Defining the allergen responsible for eliciting signs and symptoms.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

NEVADA REGIONAL IGE PANEL

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

PECAN NUT IGE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

PISTACHIO NUT IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

REGION X (TX,OK) IgE PANEL WITH TOTAL IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 2 weeks frozen

SYCAMORE/MAPLE LEAF IGE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

WALNUT IgE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

WALNUT TREE IGE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

WHITE ASH IGE

CPT Code: 86003

$7.00


What is being tested?

Immunoglobulin E (IgE) is a class of antibody (immune protein) associated with allergic reactions. It is normally found in very small amounts in the blood. This test measures the amount of allergen-specific IgE in the blood in order to detect an allergy to a particular substance

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

TEST CATEGORY: anemia

Erythropoietin

CPT Code: 82668

$27.00


What is being tested?

Erythropoietin is a Glycoprotein formed mainly in the kidney, EPO is the primary regulatory hormone for red cell production in marrow. The test is used to investigate obscure anemia and anemia in end stage renal disease.

Sample Stability

8 hrs room temperature; 1 day refrigerated; 1 month frozen

Ferritin

CPT Code: 82728

$19.00


What is being tested?

Ferritin is a protein that contains iron and is the primary form of iron stored inside of cells. The small amount of ferritin that is released and circulates in the blood is a reflection of the total amount of iron stored in the body. This test measures the amount of ferritin in the blood.

Sample Stability

2 days room temperature; 1 week refrigerated; 1 year frozen

Folate

CPT Code: 82746

$


What is being tested?

Folate is one of B-Vitamins (B-9) and is needed to make red and white blood cells in the bone marrow, convert carbohydrates into energy, and produce DNA and RNA. Adequate folate intake is extremely important during periods of rapid growth such as pregnancy, infancy, and adolescence.

Sample Stability

7 days refrigerated; 30 days frozen

FOLATE, RBC

CPT Code: 82747, 85014

$


What is being tested?

Folate (found in food) and folic acid (synthetic additive) are forms of the essential vitamin B9. Folate levels can be quantified by one of several tests, including serum folate and RBC folate. The serum folate level represents the folate level present in blood at that point in time but is significantly affected by daily dietary intake. In contrast, as 95% of folate is found within erythrocytes where it is taken up during red cell development, RBC folate is a direct measure of tissue folate stores and decreases only after approximately 4 months of a negative folate balance (Mayo, 2013).

Sample Stability

3 hrs room temperature; 2 days refrigerated; 1 month frozen

H&H

CPT Code: 85014, 85018

$


What is being tested?

Both Hemoglobin and Hematocrit are linked with red blood cells (RBCs) Hemoglobin is the protein found in RBCs that carries oxygen to the entire body. Hematocrit is the measurement of the amount of RBCs present in the total blood volume.

Sample Stability

2 days Refrigerated

Iron

CPT Code: 83540

$9.00


What is being tested?

Iron is an essential nutrient that, among other functions, is required for the production of healthy red blood cells (RBCs). It is a critical part of hemoglobin, the protein in RBCs that binds oxygen in the lungs and releases it as blood circulates to other parts of the body. The serum iron test measures the amount of iron in the liquid portion of blood.

Sample Stability

1 week room tempersture; 3 weeks refrigerated; 1 year frozen

Iron Panel

CPT Code: 83550, 83540

$


What is being tested?

Disorders of iron homostasis rank among the most common of human disorders. These include states of either IRON DEFICIENCY or IRON OVERLOAD. Serum iron levels fluctuate considerably in response to various pathologic as well as physiologic conditions, and as such, require additional studies to assess a patient's iron status. Blood levels for iron, total iron binding capacity (TIBC), and ferritin facilitate interpretation.

Sample Stability

7 days room temp. 3 weeks refrigerated

TRANSFERRIN

CPT Code: 84466

$18.00


What is being tested?

Transferrin is the main protein in the blood that binds to iron and transports it throughout the body. A transferrin test directly measures the level in the blood. Alternatively, transferrin may be measured indirectly (or converted by calculation) so that its level is expressed as the amount of iron it is capable of binding. This is called the total iron binding capacity (TIBC).

Sample Stability

8 days room temperature; 8 days refrigerated; 6 months frozen

UNSATURATED IBC

CPT Code: 83550

$12.00


What is being tested?

The transferrin test, TIBC, UIBC, and transferrin saturation, along with other iron tests, help evaluate the amount of iron in the body by measuring several substances in the blood. These tests are often ordered at the same time and the results interpreted together to help diagnose and/or monitor iron deficiency or iron overload.

Sample Stability

The transferrin test, TIBC, UIBC, and transferrin saturation, along with other iron tests, help evaluate the amount of iron in the body by measuring several substances in the blood. These tests are often ordered at the same time and the results interpreted together to help diagnose and/or monitor iron deficiency or iron overload.

TEST CATEGORY: autoimmune

ACHR-Modulation

CPT Code: 84143

$55


What is being tested?

Acetylcholine receptor (AChR) antibodies are autoantibodies produced by the immune system that mistakenly target proteins called acetylcholine receptors that are located on muscles that you can consciously or voluntarily control (known as skeletal muscle fibers). This test detects and measures AChR antibodies in the blood.

Sample Stability

After separation from cells: 2 hours room temperature; 2 weeks refrigerated; 1 year frozen

ANA CONFIRMATION

CPT Code: 86039

$16.00


What is being tested?

The ANA test is one of the primary tests for helping to diagnose a suspected autoimmune disorder or rule out other conditions with similar signs and symptoms. The ANA test may be positive with several autoimmune disorders. 

Sample Stability

1 day room temperature; 1 week refrigerated

ANA NON-REFLEX TO TITER

CPT Code: 86038

$17.00


What is being tested?

Antinuclear antibodies (ANA) are a group of autoantibodies produced by a person's immune system when it fails to adequately distinguish between "self" and "nonself." The ANA test detects these autoantibodies in the blood.

Sample Stability

1 day room temperature; 1 week refrigerated

ANA REFLEX AUTOIMMUNE AB PROFILE

CPT Code:

$17.00


What is being tested?

ANA REFLEX AUTOIMMUNE AB PROFILE

Sample Stability

1 day room temperature; 1 week refrigerated

ANA WITH REFLEX TITER

CPT Code: 86038

$17.00


What is being tested?

Antinuclear antibodies (ANA) are a group of autoantibodies produced by a person's immune system when it fails to adequately distinguish between "self" and "nonself." The ANA test detects these autoantibodies in the blood.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

Antiphospholipid Antibody Panel

CPT Code: 86147 X3, 86148 X3, 83516 X6

$


What is being tested?

Antiphospholipid Antibodies are associated with an increase risk of thrombosis, thrombocytopenia, and recurrent fetal loss. Notify laboratory if patient is on heparin, including subcutaneous low-dose heparin or low-molecular weight heparin. In some assays, heparin may cause false-positive lupus anticoagulant results

Sample Stability

24 hrs room temperature. 1 week refrigerated; 1 month frozen

Autoimmune Antibody Profile

CPT Code: 86235 X9, 86376, 86160 X2, 86431, 86225

$


What is being tested?

Antibodies are proteins made by your immune system. They help your body recognize and fight infections. Antibodies normally target harmful substances, such as bacteria and viruses, by activating the immune system to get rid of them. Sometimes antibodies mistakenly target your healthy cells and tissues. This is known as an autoimmune response. Antibodies that attack healthy proteins within the nucleus — the control center of your cells — are called antinuclear antibodies (ANA).

Sample Stability

8 hours room temperature; 8 days refrigerated; 8 days frozen

DNA Single Stranded AB

CPT Code: 86226

$


What is being tested?

These antibodies are seen in nonrheumatic diseases, including chronic active hepatitis and infectious mononucleosis, and in approximately 4% of normal individuals.

Sample Stability

7 days room temperature; acceptable refrigerated; unacceptable frozen

dsDNA Antibody

CPT Code: 86225

$20.00


What is being tested?

The Anti-double stranded DNA (anti-dsDNA) test is one of a group of autoantibodies called antinuclear antibodies (ANA). Normally, antibodies protect against infection, but autoantibodies are produced when a person's immune system fails to adequately distinguish between "self" and "non-self." They mistakenly attack the body's own healthy cells, causing tissue and organ damage. Anti-dsDNA specifically targets the genetic material (DNA) found in the nucleus of a cell, hence the name "anti-dsDNA." The anti-dsDNA test identifies the presence of these autoantibodies in the blood. it used to help diagnose lupus.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

MITOCHONDRIAL M2 AB

CPT Code: 83516

$55.00


What is being tested?

This test looks for substances called antimitochondrial antibody and antimitochondrial M2 antibody in your blood.

Sample Stability

8 hours room temperature; 2 days refrigerated; 1 month frozen

Myeloperoxidase AB

CPT Code: 83516

$55.00


What is being tested?

Myeloperoxidase (MPO) enzyme is found in neutrophil primary granules and monocyte lysosomes. MPO catalyzes the conversion of hydrogen peroxide to hypochlorite and hypochlorous acid. MPO is encoded by a single gene that undergoes posttranslational modification to produce the active enzyme found in leukocytes.

Sample Stability

24 hours room temperature;1 week refrigerated; 1 month frozen

Reflex IFA Titer

CPT Code: 83516

$55.00


What is being tested?

May be helpful in evaluating for autoimmune liver disease

Sample Stability

8 hours room temperature; 2 days refrigerated; 1 month frozen

RHEUMATOID FACTOR, QUANT

CPT Code: 86431

$8.00


What is being tested?

Rheumatoid factor (RF) is an autoantibody, an immunoglobulin M (IgM) protein that is produced by the body's immune system. Autoantibodies attack a person's own tissues, mistakenly identifying the tissue as "foreign." While the biologic role of RF is not well understood, its presence is useful as an indicator of inflammatory and autoimmune activity. This test detects and measures RF in the blood and may be used, along with other tests, to help in the diagnose of rheumatoid arthritis (RA).

Sample Stability

1 day room temperature; 8 days refrigerated; 3 months frozen

RNP Antibody

CPT Code: 86235

$26.00


What is being tested?

Extractable nuclear antigens (ENAs) are proteins associated with small nuclear RNA, circulating in the cytoplasm of cells found throughout the body. These antigens are so-named because they are soluble or extractable in neutral buffers. Autoantibodies to these ENAs are found in a variety of connective tissue diseases including Sjögren syndrome (SS), lupus erythematosus (SLE), scleroderma, mixed connective tissue disease (MCTD), and polymyositis. The six main antigens used for clinical testing are Ro and La (Sjögren), Sm (Smith), RNP, SCL-70 (scleroderma), and Jo1. Although sensitivity and specificity varies dependent on methodology and disease state, presence of a specific ENA may aid in the diagnosis of a specific connective tissue disease.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

SERINE PROTEASE 3 AB

CPT Code: 83516

$55.00


What is being tested?

Proteinase 3 (PR3) antigen is a 29-kD serine protease that exists as a protein triplet in human neutrophils.

Sample Stability

24 hours room temperature;1 week refrigerated; 1 month frozen;

Smith Antibody

CPT Code: 86235

$26.00


What is being tested?

Anti-Smith Antibodies are present in some cases of systemic lupus erythematosus (SLE) and mixed connective-tissue disease (MCTD). Smith antigens are part of the extractable nuclear antigens (ENAs); specifically, they are the proteins that are resistant to ribonuclease.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

TEST CATEGORY: cancer

CA 15-3

CPT Code: 80047-80081

$115


What is being tested?

Cancer antigen 15-3 (CA 15-3) is an epitope (antigenic determinant) present on a mucin-type high molecular weight glycoprotein (episialin) expressed on the apical surface of mammary gland epithelial cells. It is encoded by the MUC-1 gene. A normal product of breast tissue, CA 15-3 is overexpressed during the growth phase of certain breast cancers and shed into the circulation. Measurement of CA 15-3 can be used as a tumor marker for surveillance of patients diagnosed with breast cancer. Serial determinations are used to monitor primary treatment of disease and have the potential to detect early recurrence. It is important to note that although increased levels of CA 15-3 are associated with breast cancer, they can also be found in apparent healthy individuals (~5%), benign diseases, and other malignant conditions thus indicating a lack of specificity for breast cancer (Wiley, ASCP 2008).

Sample Stability

PSA W/REFLEX TO FREE PSA

CPT Code: 84153

$26.00


What is being tested?

PSA, Total with Reflex to PSA, Free - In men over 50 years with Total PSA between 4.0 and 10.0 ng/mL, the percent (%) Free PSA gives an estimate of the probability of cancer. In these circumstances the measurement of the % Free PSA may aid in avoiding unnecessary biopsies.

Sample Stability

1 day room temperature; 5 days refrigerated; 6 months frozen

PSA, TOTAL, MEDICARE SCREEN

CPT Code: G0103

$26.00


What is being tested?

Elevated serum PSA concentrations have been reported in men with prostate cancer, benign prostatic hypertrophy, and inflammatory conditions of the prostate.

Sample Stability

1 day room temperature; 5 days refrigerated; 6 months frozen

PSA, ULTRASENSITIVE

CPT Code: 84153

$26.00


What is being tested?

Assays that measure PSA to concentrations below 0.1 ng/mL are denoted ultrasensitive PSA (USPSA). The use of USPSA cutpoints below currently recommended PSA thresholds may be helpful in identifying cases of early biochemical recurrence and for selecting patients with adverse clinicopathologic risk factors for secondary therapy. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R).

Sample Stability

1 day room temperature; 5 days refrigerated; 3 months frozen

TEST CATEGORY: cancer-risk

AFP TOTAL AND L3 PERCENT

CPT Code: 82107

$199.00


What is being tested?

Alpha-fetoprotein (AFP) is a protein produced primarily by the liver in a developing baby (fetus). AFP levels are normally elevated when a baby is born and then decline rapidly. Outside of pregnancy and birth, liver damage and certain cancers can increase AFP levels significantly. This test measures the level of AFP in your blood.

Sample Stability

After separation from cells: 8 hours room temperature 5 days refrigerated; 3 months frozen

AFP, TUMOR MARKER

CPT Code: 82105

$24.00


What is being tested?

Alpha-fetoprotein(AFP) is an oncofetal antigen, is a glycoprotein of normal fetal plasma produced by the yolk sac and liver during fetal development. Levels are very high at birth, and rapidly fall over the first few months of life. Very low levels of AFP are typically present in the serum of nonpregnant adults, but can be increased in hepatic disorders associated with hepatocyte regenerative activity. Marked elevations can be seen in hepatocellular carcinoma (hepatoma) as well as various nonseminomatous germ cell tumors in males and certain germ cell tumors in females.

Sample Stability

1 day room temperature; 1 week refrigerated

CEA

CPT Code: 82378

$27.00


What is being tested?

Carcinoembryonic antigen (CEA) is a protein that is present in certain tissues of a developing baby (fetus). By the time a baby is born, it drops to a very low level. In adults, CEA is normally present at very low levels in the blood but may be elevated with certain types of cancer. This test measures the amount of CEA in the blood to help evaluate individuals diagnosed with cancer.

Sample Stability

1 week room temperature; 2 weeks refrigerated; 6 months frozen

Complexed PSA

CPT Code: 84152

$26.00


What is being tested?

Complexed PSA uses multiple measures of Prostate-Specific Antigen (PSA) to help doctors determine if cancer. Full Definition is present and if it is growing. This test may be performed on a blood sample already taken for a standard PSA test, with no additional patient procedure required.

Sample Stability

8 hours room temperature; 1 week refrigerated; 1 month frozen

PSA Free And Total

CPT Code: 84153, 84154

$


What is being tested?

Prostate specific antigen (PSA) is a glycoprotein enzyme that is produced almost exclusively by epithelial cells of prostatic tissue. It is a commonly used tumor marker for diagnosing and monitoring men with adenocarcinoma of the prostate; however, PSA may be also be increased in prevalent noncancerous conditions such as benign prostatic hyperplasia (BPH) and prostatitis. Conversely, it may be normal in patients with advanced cancer. When the total PSA is mildly elevated (4.0 to 10.0 ng/mL), clinical decisions can be difficult. Both total and free PSA can be measured to aid in distinguishing benign from malignant disease. Age-specific cutoff levels and PSA velocity may be helpful as well.

Sample Stability

1 day room temperature; 5 days refrigerated; 6 months frozen

TEST CATEGORY: chemistry-panels

Basic Metabolic Panel (BMP)

CPT Code: 80048

$10.00


What is being tested?

The Basic Metabolic Panel (BMP) is a group of 8 tests that measures several different substances in your blood. It is one of the most commonly ordered lab tests.The BMP gives your healthcare practitioner important information about the current status of your body's metabolism (hence the name metabolic panel). Abnormal results, and especially combinations of abnormal results, can indicate a problem that needs to be addressed and may require additional testing.

Sample Stability

1 day room temperature; 1 week refrigerated

Comprehensive Metabolic Panel (CMP)

CPT Code: 80053

$13.00


What is being tested?

The comprehensive metabolic panel (CMP) is a group of 14 tests that measures several different substances in your blood. It is one of the most commonly ordered lab tests.The CMP gives your healthcare practitioner important information about the current status of your body's metabolism (hence the name metabolic panel). The CMP provides information on your blood sugar (glucose) levels, the balance of electrolytes and fluid as well as the health of your kidneys and liver. Abnormal results, and especially combinations of abnormal results, can indicate a problem that needs to be addressed and may require additional testing.

Sample Stability

1 day room temperature; 1 week refrigerated

Lipid Panel

CPT Code: 80061

$19.00


What is being tested?

Any of a group of fats and fat-like substances, including oils, waxes, steroids, and triglycerides. Lipids are easily stored in the body, and triglycerides serve as a fuel source. Some (such as cholesterol and phospholipids) are an important constituent of cell structures and are involved in many biological functions. Lipids can combine with other compounds to form complexes, such as lipoproteins, phospholipids, and glycolipids.

Sample Stability

5 days refrigerated; 3 months frozen

Lipid Panel w/ Calc VLDL

CPT Code: 80061

$19.00


What is being tested?

VLDL stands for very low density lipoprotein. Lipoproteins are made up of cholesterol, triglycerides, and proteins. They move cholesterol, triglycerides, and other lipids (fats) to around the body.

Sample Stability

5 days refrigerated; 3 months frozen

Liver (Hepatic) Function Panel

CPT Code: 80076

$11.00


What is being tested?

A liver panel is a group of tests that are performed together to detect, evaluate, and monitor liver disease or damage. The liver is a vital organ located in the upper right-hand part of the abdomen and behind the lower ribs. It takes up most of the space under the ribs and some space in the left upper abdomen as well.

Sample Stability

1 day room temperature; 1 week refrigerated; 6 month frozen

Renal Function Panel

CPT Code: 80069

$12.00


What is being tested?

The kidney function panel is a group of ten biochemical tests that provide information regarding fluid and electrolyte status, kidney (renal) function, and glucose and albumin levels. Abnormal results, particularly patterns of abnormal results, may indicate a problem which needs further evaluation

Sample Stability

1 day room temperature; 1 week refrigerated; 2 weeks frozen

TEST CATEGORY: covid-19

SARS-COV-2 (COVID 19) RT-PCR

CPT Code: U0003

$100.00


What is being tested?

SARS-CoV-2 RNA (COVID-19), Qualitative NAAT - The SARS-CoV-2 RNA (COVID-19), Nucleic-acid Amplification Test (NAAT) is a qualitative molecular diagnostics test that aids in the detection of COVID-19.

*Tribal Diagnostics follows the Centers for Medicare and Medicaid Services (CMS) guidance on coding and pricing for certain laboratory tests that detect COVID-19. Tribal Diagnostics accepts, from insurance carriers, the CMS price for CPT Codes U0003 and 86769. Tribal Diagnostics made investments in high throughput technologies to increase COVID-19 testing capacity.

Sample Stability

7 days refrigerated

SARS-CoV-2 IgG

CPT Code: 86769

$42.13


What is being tested?

COVID-19 is the name of the infection and illness caused by the new strain of coronavirus called SARS-CoV-2. This COVID-19 serology blood test detects IgG antibodies produced in response to the infection.

*Tribal Diagnostics follows the Centers for Medicare and Medicaid Services (CMS) guidance on coding and pricing for certain laboratory tests that detect COVID-19. Tribal Diagnostics accepts, from insurance carriers, the CMS price for CPT Codes U0003 and 86769. Tribal Diagnostics made investments in high throughput technologies to increase COVID-19 testing capacity.

Sample Stability

2 days room temperature; 1 week refrigerated

TEST CATEGORY: diabetes

ADIPONECTIN

CPT Code: 83520

$149


What is being tested?

The adiponectin blood test determines the levels of adiponectin in blood. It is used to diagnose metabolic disorders such as Type 2 diabetes. Adiponectin is a hormone that is released from fat cells and will help to control the inflammation of tissue. 

Sample Stability

After separation from cells: 8 hours room temperature; 1 week refrigerated; 1 month frozen

Glucose

CPT Code: 82947

$


What is being tested?

A blood glucose test measures the amount of glucose in your blood. Glucose, a type of simple sugar, is your body’s main source of energy. Your body converts the carbohydrates you eat into glucose.

Sample Stability

2 days room temp; 7 days refrigerated

HgbA1c

CPT Code: 83036

$


What is being tested?

Glycated hemoglobin (also called glycohemoglobins, hemoglobin A1C, HbA1C) is hemoglobin with glucose attached and occurs in amounts proportional to the concentration of blood glucose over the preceding two to three months. Red blood cells are freely permeable to glucose, and once formed glycated hemoglobin remains stable for the life of the red blood cell.

Sample Stability

8 hours room temp; 7 days refrigerated

INSULIN

CPT Code: 83525

$16.00


What is being tested?

Insulin is a hormone that is produced and stored in the beta cells of the pancreas. It is secreted in response to elevated blood glucose following a meal and is vital for the transportation and storage of glucose, the body's main source of energy. Insulin helps transport glucose from the blood to within cells, thus helping regulate blood glucose levels, and has a role in lipid metabolism. This test measures the amount of insulin in the blood.

Sample Stability

4 days room temperature; 4 days refrigerated; 6 months frozen

TEST CATEGORY: electrolytes

CALCIUM, RANDOM URINE

CPT Code: 82340

$8.00


What is being tested?

A urine calcium test done to measure how much calcium is passed out of the body through urine. The test is also known as the urinary Ca+2 test. Calcium is one of the most common minerals in the body. All cells throughout the body use calcium for various functions.

Sample Stability

2 days room temperature; 4 days refrigerated; 3 weeks frozen

CALCIUM/CREATININE, RANDOM URINE

CPT Code: 82340, 82570

$


What is being tested?

A random urine calcium-to-creatinine ratio is used to screen for hypercalciuria.

Sample Stability

2 days room temperature; 4 days refrigerated; 3 weeks frozen

CALCIUM/CREATININE, URINE, 24 HOUR

CPT Code: 82340, 82570

$


What is being tested?

Evaluation of calcium oxalate and calcium phosphate kidney stone risk, and calculation of urinary supersaturation. Evaluation of bone diseases, including osteoporosis and osteomalacia.

Sample Stability

2 days room temperature; 4 days refrigerated; 3 weeks frozen

CHLORIDE, RANDOM URINE

CPT Code: 82436

$8.00


What is being tested?

Urine chloride excretion approximates the dietary intake. The chloride content of most foods parallel that of sodium. An increase in urine chloride may result from water deficient dehydration, diabetic acidosis, Addison's disease, and salt-losing renal disease. Decreased urine levels are seen in congestive heart failure, severe diaphoresis and in hypochloremic metabolic alkalosis due to prolonged vomiting.

Sample Stability

1 week room temperature; 1 week refrigerated; 1 month frozen

CHLORIDE, URINE, 24 HR

CPT Code: 82436

$8.00


What is being tested?

Urine chloride excretion approximates the dietary intake. The chloride content of most foods parallels that of sodium. An increase in urine chloride may result from water deficient dehydration, diabetic acidosis, Addison's Disease, and salt-losing renal disease. Decreased urine levels are seen in congestive heart failure, severe diaphoresis and in hypochloremic metabolic alkalosis due to prolonged vomiting.

Sample Stability

1 week room temperature; 1 week refrigerated; 1 month frozen

Electrolytes

CPT Code: 80051

$


What is being tested?

Electrolytes are electrically charged minerals that exist in the form of dissolved salts found in body tissue and blood. They are used to help regulate nerve and muscle function, maintain acid-base balance, and maintain an appropriate fluid balance. An electrolyte panel measures the main electrolytes in the body, at a minimum including: sodium (Na+), potassium (K+), chloride (Cl-), and bicarbonate (HCO3-).

Sample Stability

1 day room temperature; 1 week refrigerated

MAGNESIUM, 24 HR URINE

CPT Code: 83735

$9.00


What is being tested?

Magnesium is a mineral that is vital for energy production, muscle contraction, nerve function, and the maintenance of strong bones. It comes into the body through the diet and is absorbed by the small intestine and colon. Magnesium is stored in the bones, cells, and tissues. Normally, only about 1% of total body magnesium is present in the blood and this makes it difficult to get an accurate measurement of total magnesium content from blood tests alone. However, this test is still useful for evaluating a person's magnesium status.

Sample Stability

1 week refrigerated, 1 year frozen

OSMOLALITY, SERUM

CPT Code: 83930

$15.00


What is being tested?

The osmolality of a solution is the number of particles (molecules or ions) in a liter of solution. Osmolality is independent of particle size or charge. Nonpolar solutions yield one molecule (eg, glucose) while polar solutions yield multiples of the number of ions solubilized.

Sample Stability

1 day room temperature; 1 week refrigerated; 6 months frozen

OSMOLALITY, URINE

CPT Code: 83935

$18.00


What is being tested?

Osmolality is a definitive measure of urine concentration. Urine osmolality is use to evaluate the concentrating ability of the kidneys (eg, in acute and chronic renal failure), electrolyte and water balance, renal disease, syndrome of inappropriate antidiuretic hormone secretion (SIADH), diabetes insipidus, dehydration, and amyloidosis.

Sample Stability

1 day room temperature; 1 week refrigerated; 6 months frozen

PHOSPHORUS

CPT Code: 84100

$6.00


What is being tested?

Phosphorus is a mineral that combines with other substances to form organic and inorganic phosphate compounds. The terms phosphorus and phosphate are often used interchangeably when talking about testing, but it is the amount of inorganic phosphate in the blood that is measured with a serum phosphorus/phosphate test.

Sample Stability

1 day room temerpreature;1 week refrigerated; 1 year frozen

POTASSIUM

CPT Code: 84132

$


What is being tested?

Potassium helps maintain fluid balance between cells and blood, is an essential part of nerve functioning and the contraction of muscles, and is needed by cellular enzymes. In particular, potassium is crucial to cardiac function and plays a key role in skeletal and smooth muscle contraction, making it important for normal digestive and muscular function.

Sample Stability

2 weeks room temperature; 2 weeks refrigerated

POTASSIUM, RANDOM URINE

CPT Code: 84133

$6.00


What is being tested?

Urine potassium studies provide explanation for disturbances of serum or plasma values.

Sample Stability

2 weeks room temperature; 2 weeks refrigerated; 1 month frozen

POTASSIUM, URINE, 24 HR

CPT Code: 84133

$6.00


What is being tested?

Urine potassium studies provide explanation for disturbances of serum or plasma values. Urinary potassium losses may reflect primary hyperaldosteronism (adrenocortical adenoma or carcinoma, bilateral adrenocortical hyperplasia); congenital adrenal hyperplasia (22-β-hydroxylase deficiency, 17-α-hydroxylase deficiency); renin-secreting tumors, ectopic corticotropin syndrome, Cushing syndrome (pituitary or adrenocortical disease); glucocorticoid-responsive aldosteronism, renovascular hypertension, malignant hypertension, vasculitis; Liddle syndrome; 11-β-hydroxysteroid dehydrogenase deficiency; Bartter syndrome and Gitelman syndrome.

Sample Stability

2 weeks room temperature; 2 weeks refrigerated; 1 month frozen

SODIUM, URINE, 24 HR

CPT Code: 84300

$7.00


What is being tested?

The sodium content in the urine is a balance between dietary sodium (intake) and the renal excretion of sodium. Urine sodium levels are typically tested in patients who have abnormal blood sodium levels to help distinguish the cause, or to diagnose/monitor renal function/disease.

Sample Stability

2 weeks room temperature; 2 weeks refrigerated; 1 month frozen

TEST CATEGORY: genetics

MTHFR

CPT Code: 81291

$85.00


What is being tested?

Determines genetic contribution to hyperhomocysteinemia for individuals with elevated plasma homocysteine. Not recommended for recurrent pregnancy loss, thrombophilia screening, neural tube defect risk assessment, or testing of family members of individuals with identified MTHFR variants.

Sample Stability

7 days room temperature; 1 month refrigerated; 1 month frozen

TEST CATEGORY: heart-health

APOLIPOPROTEIN A-1

CPT Code: 82172

$28.00


What is being tested?

Apolipoprotein A-I (apo A-I) is a protein that has specific roles in the transportation and metabolism of lipids and is the main protein component in high-density lipoprotein (HDL, the "good cholesterol"). This test measures the amount of apo A-I in the blood.

Sample Stability

4 days room temperature; 8 days refrigerated; 2 months frozen

APOLIPOPROTEIN B

CPT Code: 82172

$28.00


What is being tested?

Apolipoprotein B-100 (also called apolipoprotein B or apo B) is a protein that is involved in the metabolism of lipids and is the main protein constituent of lipoproteins such as very low-density lipoprotein (VLDL) and low-density lipoprotein (LDL, the "bad cholesterol"). This test measures the amount of apo B in the blood.

Sample Stability

4 day room temperature; 8 days refrigerated; 2 months frozen

CK, TOTAL, REFLEX CKMB

CPT Code: 82550

$9.00


What is being tested?

Creatine kinase-MB (CK-MB) is a form of an enzyme found primarily in heart muscle cells. This test measures CK-MB in the blood.

Sample Stability

1 day room temperature; 4 days refrigerated; 1 month frozen

CKMB

CPT Code: 82553

$16.00


What is being tested?

Creatine kinase is an enzyme predominantly found in heart muscle, skeletal muscle, and brain. It is composed of three isoenzymes, CK-MM (specific for muscle), CK-MB (specific for heart), and CK-BB (specific for brain).

Sample Stability

1 day room temperature; 4 days refrigerated; 3 months frozen; allow only 1 freeze/thaw cycle

CKMB Immunochemical Assay

CPT Code: 82553, 82550

$


What is being tested?

Creatine kinase is an enzyme predominantly found in heart muscle, skeletal muscle, and brain. It is composed of three isoenzymes, CK-MM (specific for muscle), CK-MB (specific for heart), and CK-BB (specific for brain). The CK-MB level is helpful in both quantifying the degree of a myocardial infarction (MI) and timing the onset of infarction. CK-MB level increases 4-12 hours post-MI with a maximum sensitivity at 8-12 hours.

Sample Stability

1 day room temperature; 4 days refrigerated

COENZYME Q10

CPT Code: 82542

$260.00


What is being tested?

Coenzyme Q10 (CoQ10) is an antioxidant that contributes to the basic function of cells. It is particularly important to ensure that tissues with a high demand for energy, such as those in the heart, have the energy to function properly. A number of conditions, including cancer, diabetes, heart disease, HIV, Alzheimer's, Parkinson's disease, muscular dystrophy, and certain genetic disorders are associated with lower than normal levels of CoQ10.  

Sample Stability

After separation from cells: unacceptable room temperature; 3 weeks refrigerated; 1 month frozen

CORONARY RISK PROFILE (TOTAL CHOLESTEROL/HDL)

CPT Code: 80061

$19.00


What is being tested?

The total cholesterol/HDL ratio is an indicator of your potential for developing blockages in the arteries of your heart. A ratio greater than 4.5 is considered a high risk for coronary heart disease. The ratio may be decreased by increasing your good (HDL) cholesterol and/or decreasing your bad (LDL) cholesterol.

Sample Stability

5 days room temperature; 1 week refrigerated.

CORONARY RISK PROFILE (TOTAL CHOLESTEROL/HDL) REFLEX DIRECT

CPT Code: 80061

$19.00


What is being tested?

The total cholesterol/HDL ratio is an indicator of your potential for developing blockages in the arteries of your heart. A ratio greater than 4.5 is considered a high risk for coronary heart disease. The ratio may be decreased by increasing your good (HDL) cholesterol and/or decreasing your bad (LDL) cholesterol.

Sample Stability

5 days room temperature; 1 week refrigerated.

Creatine Kinase (CK) Total

CPT Code: 82550

$9.00


What is being tested?

Creatine kinase (CK) is an enzyme found in the heart, brain, skeletal muscle, and other tissues. Increased amounts of CK are released into the blood when there is muscle damage. This test measures the amount of creatine kinase in the blood.

Sample Stability

2 days room temperature; 1 week refrigerated

Homocysteine

CPT Code: 83090

$25.00


What is being tested?

Homocysteine is an amino acid that is typically present in very small amounts in all cells of the body. That is because the body normally converts homocysteine into other products quickly. Since vitamins B6, B12, and folate are necessary to metabolize homocysteine, increased levels of the amino acid may be a sign of deficiency in those vitamins. This test determines the level of homocysteine in the blood and/or urine.

Sample Stability

4 days room temperature; 1 week refrigerated; 1 month frozen

Lipid Panel

CPT Code: 80061

$19.00


What is being tested?

Any of a group of fats and fat-like substances, including oils, waxes, steroids, and triglycerides. Lipids are easily stored in the body, and triglycerides serve as a fuel source. Some (such as cholesterol and phospholipids) are an important constituent of cell structures and are involved in many biological functions. Lipids can combine with other compounds to form complexes, such as lipoproteins, phospholipids, and glycolipids.

Sample Stability

5 days refrigerated; 3 months frozen

Lipid Panel w/ Calc VLDL

CPT Code: 80061

$19.00


What is being tested?

VLDL stands for very low density lipoprotein. Lipoproteins are made up of cholesterol, triglycerides, and proteins. They move cholesterol, triglycerides, and other lipids (fats) to around the body.

Sample Stability

5 days refrigerated; 3 months frozen

LIPOPROTEIN a

CPT Code: 83695

$19.00


What is being tested?

Lipoprotein (a) or Lp(a) is one type of lipoprotein that carries cholesterol in the blood. It consists of a low-density lipoprotein (LDL) molecule with another protein (Apolipoprotein (a)) attached to it. This test measures the Lp(a) level in the blood to help evaluate your risk of developing cardiovascular disease (CVD).

Sample Stability

8 hours room temperature; 1 week refrigerated; 1 month frozen

Lipoprotein Electrophoresis

CPT Code: Lipoprotein Electrophoresis

$


What is being tested?

Electrophoresis is no longer the optimal technique for the separation of lipoproteins. The technique is presently of historic interest.

Sample Stability

1 day room temperature; 10 days refrigerated; unacceptable frozen

Liporotein Electrophoresis

CPT Code: 83700, 80061

$


What is being tested?

Sample Stability

NT-proBNP

CPT Code: 83880

$49.00


What is being tested?

B-type natriuretic peptide (BNP) and N-terminal pro b-type natriuretic peptide (NTproBNP) are peptide (small proteins) that are either hormones or part of the peptide that contained the hormone at one time. They are continually produced in small quantities in the heart and released in larger quantities when the heart senses that it needs to work harder. This supports fluid retention and volume expansion in the arteries and veins. Subsequently, the heart muscle is stretched and works hard to pump blood under normal resting condition. Tests for BNP and NT-proBNP measure their levels in the blood in order to detect and evaluate heart failure. The two tests are not interchangeable and should not be used together. Your healthcare practitioner should order one or the other but not both.

Sample Stability

3 days room temperature; 6 days refrigerated; 1 month frozen

Plac Test

CPT Code: 83698

$77.00


What is being tested?

The PLAC® Test measures the amount of Lp-PLA2 in the bloodstream. Lp-PLA2 is an enzyme that can assess the amount of inflammation in your arteries due to a build-up of cholesterol. 

Sample Stability

1 day room temperature; 2 weeks refrigerated; 1 month frozen

Troponin

CPT Code: 84484

$19.00


What is being tested?

Troponin is a complex of three proteins, TnI (inhibitory subunit), TnT (tropomyosin-binding subunit), and TnC (calcium-binding subunit), that are integral to the actin/myosin interaction that permits muscle contraction.

Sample Stability

1 day refrigerated; 1 year frozen; allow only 1 freeze/thaw cycle

TEST CATEGORY: hematology

BLUE TOP PLATELET COUNT

CPT Code: 85049

$6.00


What is being tested?

This test may be ordered when platelets show clumping in EDTA anticoagulant. Platelet clumping is not always corrected with Sodium Citrate anticoagulant.

Sample Stability

2 days refrigerated

Complete Blood Count (CBC) w/ diff

CPT Code: 85027

$9.00


What is being tested?

The complete blood count (CBC) is a group of tests that evaluate the cells that circulate in blood, including red blood cells (RBCs), white blood cells (WBCs), and platelets (PLTs). The CBC can evaluate your overall health and detect a variety of diseases and conditions, such as infections, anemia and leukemia.

Sample Stability

1 day room temperature; 72 hours refrigerated

Complete Blood Count (CBC) w/o Diff

CPT Code: 85027

$9.00


What is being tested?

The complete blood count (CBC) is a group of tests that evaluate the cells that circulate in blood, including red blood cells (RBCs), white blood cells (WBCs), and platelets (PLTs). The CBC can evaluate your overall health and detect a variety of diseases and conditions, such as infections, anemia and leukemia.

Sample Stability

1 day room temperature; 72 hours refrigerated

H&H

CPT Code: 85014, 85018

$


What is being tested?

Both Hemoglobin and Hematocrit are linked with red blood cells (RBCs) Hemoglobin is the protein found in RBCs that carries oxygen to the entire body. Hematocrit is the measurement of the amount of RBCs present in the total blood volume.

Sample Stability

2 days Refrigerated

HEMATOCRIT

CPT Code: 85014

$5.00


What is being tested?

Although included in the Complete Blood Count, hematocrit (HCT) may be ordered independently by healthcare providers to assess oxygen-carrying capacity. Hematocrit, or packed red cell volume (PCV) is the percent of red cells contained in whole blood.

Sample Stability

3 days refrigerated

HEMOGLOBIN

CPT Code: 85018

$5.00


What is being tested?

Hemoglobin is the iron-containing protein found in all red blood cells (RBCs) that gives the cells their characteristic red color. Hemoglobin enables RBCs to bind to oxygen in the lungs and carry it to tissues and organs throughout the body. It also helps transport a small portion of carbon dioxide, a product of cell metabolism, from tissues and organs to the lungs, where it is exhaled.

Sample Stability

3 days refrigerated

HEMOGLOBIN ELECTROPHORESIS

CPT Code: 83020

$18.00


What is being tested?

In this procedure, hemoglobins are caused to separate and migrate. A variety of techniques are utilized. Most commonly hemoglobins are separated as discrete bands as they move through a substrate in a buffer solution across an electric field with subsequent visualization by fixation and staining (hemoglobin electrophoresis).

Sample Stability

2 days room temperature; 7 days refrigerated

*Note: stability of citrate acid hemoglobin electrophoresis is 5 days refrigerated. For samples that require confirmatory acid electrophoresis between 5 and 7 days, results will be reviewed by a pathologist for accuracy.

MANUAL DIFFERENTIAL

CPT Code: 85007

$5.00


What is being tested?

The blood differential test can detect abnormal or immature cells. It can also diagnose an infection, inflammation, leukemia, or an immune system disorder

Sample Stability

1 day room temperature; 2 days refrigerated

RETICULOCYTE COUNT

CPT Code: 85045

$5.00


What is being tested?

Reticulocytes are newly produced, relatively immature red blood cells (RBCs). A reticulocyte count helps to determine the number and/or percentage of reticulocytes in the blood and is a reflection of recent bone marrow function or activity.

Sample Stability

1 day room temperature; 3 days refrigerated unacceptable frozen

RETICULOCYTE WITH ABSOLUTE

CPT Code: 85045

$5.00


What is being tested?

Absolute reticulocyte count (ARC) is a calculated index derived from the product of two parameters namely Reticulocyte count percentage and RBC count [4,5]. It is a marker of red cell production and helps in distinguishing hypo and hyper proliferative anaemias [4,5].

Sample Stability

1 day room temperature; 3 days refrigerated unacceptable frozen

TEST CATEGORY: hemostasis

ANTITHROMBIN III ACTIVITY, RFLX AG

CPT Code: 85300

$25.00


What is being tested?

Antithrombin III Activity with Reflex to Antithrombin III Antigen - Previously referred to as ''antithrombin III'', antithrombin is an inhibitor of several coagulation factors. Deficiency is associated with hypercoagulation (increased risk of venous thrombosis). Concentrations may be decreased with liver disease, nephrotic syndrome, and other medical conditions. Antithrombin Antigen may have a hereditary or acquired prothrombotic state. The Antigen test differentiates a Type I from Type II deficiency.

Sample Stability

8 hours room temperature; unacceptable refrigerated; 1 month frozen at -20 degrees C

D-DIMER

CPT Code: 85379

$15.00


What is being tested?

Activation of coagulation results in the generation of thrombin which catalyzes the conversion of fibrinogen to fibrin and the subsequent formation of a fibrin clot. Activation of factor XIII creates crosslinks between the fibrin molecules and stabilizes the clot. The ensuing breakdown of this clot (or fibrinolysis) is mediated by plasmin, a proteolytic enzyme which cleaves the crosslinked fibrin into degradation products (FDP) with cross-linked D domains, of which, D-dimers are the smallest units.

Sample Stability

8 hours room temperature; unacceptable refrigerated; 1 month frozen at -20 degrees C

FACTOR V LEIDEN

CPT Code: 81241

$99.00


What is being tested?

Factor V Leiden (FVL) is the structurally altered form of the coagulation cascade molecule Factor V that is the result of a single gene point mutation. FVL is inherited in an autosomal dominant fashion, albeit with incomplete penetrance resulting in variable expression.

Sample Stability

7 days room temperature; 1 month refrigerated; 1 month frozen

FACTOR VIII ACTIVITY

CPT Code: 85240

$35.00


What is being tested?

Factor VIII (FVIII) is a 320 kD glycoprotein cofactor produced mainly by endothelial cells of the liver and reticuloendothelial system and to a lesser extent by liver macrophages and megakaryocytes. It circulates in the plasma noncovalently bound to von Willebrand (vWF) factor and has a plasma half-life of ~8 to 12 hours; the half-life is significantly shortened without vWF.

Sample Stability

Unacceptable room temperature; unacceptable refrigerated; 1 month frozen

FACTOR XI ACTIVITY

CPT Code: 85270

$25.00


What is being tested?

Factor XI is synthesized in the liver. Its biological half-life is 60 to 80 hours. Factor XI is a component of intrinsic coagulation pathway which, when activated, activates factor IX to IXa. Factor XI deficiency may cause prolonged partial thromboplastin time. Deficiency associated with mild bleeding diathesis, but there is poor correlation between activity level and clinical bleeding. A relatively high incidence of congenital deficiency occurs among Ashkenazi Jewish descent (hemophilia C).

Sample Stability

4 hours room temp; 4 hours refrigerated; 2 weeks frozen

FACTOR XII ACTIVITY

CPT Code: 85280

$28.00


What is being tested?

Factor XII is a ~80 kDa proenzyme synthesized in the liver with a half-life of approximately 50 to 70 hours. Factor XII, prekallikrein (PK), high molecular weight kininogen (HK), and C1 esterase inhibitor (C1INH) comprise the contact activation system (or pathway). Activated factor XII (XIIa), a serine protease, is the first component in the intrinsic coagulation pathway. In vitro, factor XII is activated (auto-activation) by negatively charged surfaces (such as kaolin, glass, dextran sulfate, ellagic acid, or celite) as well as a number of biologic substances. In vivo, factor XII is activated (hetero-activation) by some biological products of disease states (such as long chain polyphosphates, aggregated protein, and vascular collagen); however, full activation requires contact with a negatively charged surface in the presence of PK and HK. C1INH is the principle inhibitor of FXII. Deficiencies in Factor XII result in a prolonged aPTT. Unless combined with deficiencies of other coagulation factors, the PT and bleeding time will generally be within normal limits.

Sample Stability

4 hours room temp; 4 hours refrigerated; 2 weeks frozen

PROTEIN C ACTIVITY

CPT Code: 85303

$20.00


What is being tested?

Protein C is a vitamin K-dependent glycoprotein, synthesized in the liver, which circulates in the blood as an inactive protein until activation by thrombin. Dependent on location, activated protein C has two main functions: APC circulating in the blood affects coagulation by inactivating clotting factors Va and VIIIa and preventing excessive clot formation. APC bound to endothelial protein C receptors has anti-inflammatory properties and is involved in cytoprotection.

Sample Stability

4 hours room temp; unacceptable refrigerated; 1 month frozen

PROTEIN C ACTIVITY, REFLEX AG

CPT Code: 85303

$20.00


What is being tested?

Protein C is a vitamin K-dependent glycoprotein, synthesized in the liver, which circulates in the blood as an inactive protein until activation by thrombin. Dependent on location, activated protein C has two main functions: APC circulating in the blood affects coagulation by inactivating clotting factors Va and VIIIa and preventing excessive clot formation. APC bound to endothelial protein C receptors has anti-inflammatory properties and is involved in cytoprotection.

Sample Stability

5 hours room temp; unacceptable refrigerated; 1 month frozen

PROTEIN C ANTIGEN, TOTAL

CPT Code: 85302

$18.00


What is being tested?

Protein C is a vitamin K-dependent glycoprotein, synthesized in the liver, which circulates in the blood as an inactive protein until activation by thrombin. Dependent on location, activated protein C has two main functions: APC circulating in the blood affects coagulation by inactivating clotting factors Va and VIIIa and preventing excessive clot formation. APC bound to endothelial protein C receptors has anti-inflammatory properties and is involved in cytoprotection.

Sample Stability

8 hours room temp; unacceptable frigerated; 1 month frozen

PROTHROMBIN TIME (PT)

CPT Code: 85610

$6.00


What is being tested?

The prothrombin time (PT) is a test that helps evaluate your ability to appropriately form blood clots. The international normalized ratio or INR is a calculation based on results of a PT that is used to monitor individuals who are being treated with the blood-thinning medication (anticoagulant) warfarin (Coumadin®).

Sample Stability

Whole blood: 1 day room temperature if unopened plasma: 1 week frozen

PROTIME AND PTT

CPT Code: 85610

$


What is being tested?

The prothrombin time (PT) is a test that helps evaluate your ability to appropriately form blood clots. The international normalized ratio or INR is a calculation based on results of a PT that is used to monitor individuals who are being treated with the blood-thinning medication (anticoagulant) warfarin (Coumadin®). The activated partial thromboplastin time (aPTT or PTT) measures clotting time from the activation of factor XII, through the formation of fibrin clot This measures the integrity of the intrinsic and common pathways of coagulation, whereas the prothrombin time (PT) measures the integrity of the extrinsic and common pathways of coagulation. PTT prolongations are caused by either factor deficiencies (especially of factors VIII, IX, XI, and/or XII), or inhibitors (most commonly, lupus anticoagulants, or medications such as heparin or argatroban).

Sample Stability

1 day room temp, 1 week frozen

PTT

CPT Code: 85730

$8.00


What is being tested?

The partial thromboplastin time (PTT; also known as activated partial thromboplastin time (aPTT)) is a screening test that helps evaluate a person's ability to appropriately form blood clots. It measures the number of seconds it takes for a clot to form in a sample of blood after substances (reagents) are added. The PTT assesses the amount and the function of certain proteins in the blood called coagulation or clotting factors that are an important part of blood clot formation.

Sample Stability

Whole blood: 1 day room temperature if unopened; plasma: 1 week frozen

TEST CATEGORY: hormones

17-OH Pregnenolone

CPT Code: 84143

$39.00


What is being tested?

Congenital adrenal hyperplasia (CAH) is caused by inherited defects in steroid biosynthesis. Deficiencies in several enzymes cause CAH including 21-hydroxylase (CYP21A2 mutations; 90% of cases), 11-hydroxylase (CYP11A1 mutations; 5%-8%), 3-beta-hydroxy dehydrogenase (HSD3B2 mutations; <5%), and 17-alpha-hydroxylase (CYP17A1 mutations; 125 cases reported to date). The resulting hormone imbalances (reduced glucocorticoids and mineralocorticoids, and elevated steroid intermediates and androgens) can lead to life-threatening, salt-wasting crises in the newborn period and incorrect gender assignment of virilized females.

Sample Stability

After separation from cells: unacceptable room temperature; unacceptable refrigerated; 6 months frozen

ACTH

CPT Code: 82024

$51.00


What is being tested?

Adrenocorticotropic hormone (ACTH or corticotropin) is a polypeptide hormone produced and secreted by the anterior pituitary gland. ACTH is the second step in the hypothalamic-pituitary-adrenal axis (HPA), the coordinated stimulatory and inhibitory connections between corticotropin-releasing hormone (CRH), ACTH, and cortisol. ACTH functions to stimulate cortisol secretion from the adrenal glands and regulate cortisol levels. ACTH levels may be elevated in the presence of a pituitary adenoma (oversecretion of ACTH; Cushing disease), an ectopic ACTH-secreting tumor (eg, small cell lung cancer) or in primary adrenal insufficiency (cortisol deficiency resulting in chronically elevated ACTH levels; Addison disease). ACTH levels may be decreased in the presence of exogenous corticosteroid use, excessive cortisol production (Cushing syndrome), or pituitary/hypothalamic insufficiency. In the presence of a healthy HPA axis, ACTH levels follow a circadian pattern, rising at 4 AM (0400) with a peak at approximately 7 AM (0700). ACTH levels reach their nadir between 10 PM (2200) and 11 PM (2300). Interpretation of ACTH levels relies on correlation with concurrently collected blood cortisol levels.

Sample Stability

2+ hours room temp; 3 hours refrigerated; 1 weeks frozen

Dehydroepiandrosterone (DHEA) Sulfate

CPT Code: 82627

$32.00


What is being tested?

Dehydroepiandrosterone sulfate (DHEAS) is a male sex hormone (androgen) that is present in both men and women. This test measures the level of DHEAS in the blood.

Sample Stability

5 days room temperature;14 days refrigerated; 12 months frozen;allow for one freeze/thaw cycle

ESTRADIOL

CPT Code: 82670

$39.00


What is being tested?

Estrogens are a group of steroids that are responsible for the development and function of reproductive organs and the formation of secondary sex characteristics in women. Along with another hormone, progesterone, they help regulate the menstrual cycle, are involved in the growth of breasts and the uterus, and help maintain a healthy pregnancy. Though considered the main sex hormones for women, they are also found in men and play a role in bone metabolism and growth in both sexes. Estrogen tests measure one of three components: estrone (E1), estradiol (E2), or estriol (E3) in the blood or urine.

Sample Stability

1 day room temperature; 4 days refrigerated; 6 months frozen. Allow only one freeze/thaw cycle

Estriol

CPT Code: 82677

$35.00


What is being tested?

Estrone (E1), estradiol (E2), and estriol (E3) are the three major forms of estrogen. Of these, estradiol (E2) is the most potent endogenous estrogen followed by estrone and then estriol. Estriol (E3) is the major estrogen of pregnancy. It is produced by the fetus and placenta through a series of pathways. The fetal adrenals convert cholesterol to dihydroepiandrosterone sulfate (DHEAS). DHEAS is then converted to α-hydroxydehydroepiandrosterone by the fetal liver. Finally, α-hydroxydehydroepiandrosterone is converted to estriol in the placenta and diffuses into the maternal circulation. As the half-life of unconjugated E3 (uE3) is 20 to 30 minutes in the maternal circulation (maternal liver quickly conjugates for water-soluble urinary excretion), measurement offers timely evaluation of current fetal status.

Sample Stability

1 day room temp; 1 week refrigerated; 6 months frozen

Estrogen Total

CPT Code: 82672

$28.00


What is being tested?

Estrogens are secreted by the gonads, adrenal glands, and placenta. Total estrogens provide an overall picture of estrogen status for men and women.

Sample Stability

2 days room temp; 7 days refrigerated; 1 month frozen

Estrone (E1)

CPT Code: 82679

$33.00


What is being tested?

Estrone - Estrone is primarily derived from metabolism of androstenedione in peripheral tissues, especially adipose tissues. Individuals with obesity have increased conversion of androstenedione to Estrone leading to higher concentrations. In addition, an increase in the ratio of Estrone to Estradiol may be useful in assessing menopause in women.

Sample Stability

2 days room temp; 7 days refrigerated; 1 month frozen

Follicle - stimulating hormone (FSH)

CPT Code: 83001

$26.00


What is being tested?

Follicle-stimulating hormone (FSH) is a hormone associated with reproduction and the development of eggs in women and sperm in men. This test measures FSH in the blood.

Sample Stability

5 days room temperature; 2 weeks refrigerated; 6 months frozen.

HCG, QUALITATIVE

CPT Code: 84703

$11.00


What is being tested?

Screen for pregnancy.

Sample Stability

5 days room temp; 2 weeks refrigerated; 1 year frozen

HCG, QUANTITATIVE

CPT Code: 84702

$21.00


What is being tested?

Human chorionic gonadotropin (hCG) is a hormone produced by the placenta of a pregnant woman. Early in pregnancy, the level of hCG increases in the blood and is eliminated in the urine. A pregnancy test detects hCG in the blood or urine and confirms or rules out pregnancy.

Sample Stability

5 days room temperature; 2 weeks refrigerated; 1 year frozen. Allow only one freeze/thaw cycle

INTACT PTH

CPT Code: 83970

$59.00


What is being tested?

Parathyroid hormone (PTH) helps the body maintain stable levels of calcium in the blood. It is part of a feedback loop that includes calcium, PTH, vitamin D, and, to some extent, phosphorus (phosphate) and magnesium. Conditions and diseases that disrupt this feedback loop can cause inappropriate elevations or decreases in calcium and PTH levels and lead to symptoms of hypercalcemia or hypocalcemia. This test measures the amount of PTH in the blood.

Sample Stability

12 hours room temperature;3 days refrigerated; 6 months frozen

LUTEINIZING HORMONE

CPT Code: 83002

$26.00


What is being tested?

Luteinizing hormone (LH) is a hormone associated with reproduction. Its stimulation of either ovary or testicles results in the release of an egg from the ovary (ovulation) in women or testosterone production in men. This test measures the amount of luteinizing hormone in the blood.

Sample Stability

5 days room temperature; 2 weeks refrigerated; 6 months frozen. Allow only one freeze/thaw cycle

PREGNANCY TEST, URINE

CPT Code: 81025

$12.00


What is being tested?

Screen for pregnancy

Sample Stability

48 hours refrigerated

PREGNANCY TSH

CPT Code: 84443

$24.00


What is being tested?

Thyroid-stimulating hormone (TSH) is essential for a baby to develop normally during pregnancy. For at least the first half of pregnancy, the fetus gets thyroid hormone from the mother, so it is important that the mother has normal thyroid function during this time. This test measures the amount of TSH in the blood.

Sample Stability

8 days room temperature; 2 weeks refrigerated; 2 years frozen. Allow only one freeze/thaw cycle

Pregnenolone

CPT Code: 84140

$38.00


What is being tested?

Pregnenolone is a chemical substance that is a precursor to all steroid hormones. This test measures the amount of pregnenolone in the blood in order to help detect rare forms of congenital adrenal hyperplasia (CAH).

Sample Stability

Unacceptable room temperature; unacceptable refrigerated; 2 months frozen

PROGESTERONE

CPT Code: 84144

$30.00


What is being tested?

Progesterone is a steroid hormone whose main role is to help prepare a woman's body for pregnancy. It works in conjunction with several other female hormones. This test measures the level of progesterone in the blood.

Sample Stability

1 day room temperature; 5 days refrigerated; 6 months frozen. Allow only one freeze/thaw cycle

PROLACTIN

CPT Code: 84146

$28.00


What is being tested?

Prolactin is produced by the front portion (anterior) of the pituitary gland, a grape-sized organ found at the base of the brain. The brain chemical dopamine and hormone estrogen control prolactin production and release from the pituitary gland.

Sample Stability

5 days room temperature; 2 weeks refrigerated; 6 months frozen. Allow only one freeze/thaw cycle

PSA, TOTAL

CPT Code: 84153

$26.00


What is being tested?

Elevated serum PSA concentrations have been reported in men with prostate cancer, benign prostatic hypertrophy, and inflammatory conditions of the prostate.

Sample Stability

1 day room temperature; 5 days refrigerated; 6 months frozen

PTH, INTACT, WITH CALCIUM, PHOSPHORUS, CREATININE

CPT Code: 83970, 82310, 84100, 82565

$


What is being tested?

The assay is useful in making the diagnosis of primary hyperparathyroidism, secondary hyperparathyroidism, and a differential diagnosis of hypercalcemia. The assay helps in distinguishing hypercalcemia caused by either primary hyperparathyroidism or malignant disease.

Sample Stability

12 hours room temp; 3 days refrigerated; 2 months frozen

SHBG

CPT Code: 84270

$


What is being tested?

Sex hormone binding globulin (SHBG) is a glycoprotein synthesized in the liver under the positive control of estrogens and thyroid hormones and suppressed by androgens. SHBG binds tightly to testosterone, dihydrotestosterone (DHT), and estradiol (a form of estrogen) in the bloodstream (45% to 65% of circulating sex hormones), with most of the remaining sex hormones weakly and reversibly bound to albumin. Only 1% to 2% of sex hormones circulate in the free, bioavailable state and are readily available to tissues (AACC 2019). Due to the higher affinity of SHBG for testosterone and DHT as compared to estradiol, SHBG also has effects on the balance between bioavailable androgens and estrogens (Mayo 2020).

Sample Stability

8 days refrigerated

TESTOSTERONE

CPT Code: 84403

$37.00


What is being tested?

Testosterone is the main sex hormone (androgen) in men. It is responsible for male physical characteristics. Although it is considered to be a "male" sex hormone, it is present in the blood of both men and women. This test measures the level of testosterone in the blood. Testosterone is mainly produced by special endocrine tissue (the Leydig cells) in the male testicles. It is also produced by the adrenal glands in both males and females and, in small amounts, by the ovaries in females.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

Testosterone, Bioavailable, Free and Total

CPT Code: 84403, 84270

$


What is being tested?

This test measures the levels of testosterone in your blood. Most of the testosterone in the blood is attached to proteins. Testosterone that is not attached to a protein is called free testosterone. There are two main types of testosterone tests: Total testosterone, which measures both attached and free testosterone. Free testosterone, which measures just free testosterone. Free testosterone can give more information about certain medical conditions. Testosterone levels that are too low (low T) or too high (high T) can cause health problems in both men and women.

Sample Stability

1 day room temp; 5 days refrigerated; 1 month frozen

TESTOSTERONE, FEMALE/CHILD, ULTRA

CPT Code: 84403

$37.00


What is being tested?

Testosterone is the main sex hormone (androgen) in men. It is responsible for male physical characteristics. Although it is considered to be a "male" sex hormone, it is present in the blood of both men and women. This test measures the level of testosterone in the blood. Testosterone is mainly produced by special endocrine tissue (the Leydig cells) in the male testicles. It is also produced by the adrenal glands in both males and females and, in small amounts, by the ovaries in females.

Sample Stability

3 days room temperature; 1 week refrigerated; 1 month frozen

Testosterone, Free/Total with SHBG

CPT Code: 84403, 84270

$


What is being tested?

This test measures the levels of testosterone in your blood. Most of the testosterone in the blood is attached to proteins. Testosterone that is not attached to a protein is called free testosterone. SHBG stands for sex hormone binding globulin. It's a protein made by the liver and attaches itself to sex hormones found in both men and women.

Sample Stability

1 day room temp; 5 days refrigerated; 1 month frozen

TEST CATEGORY: immune-status

CD4 (T4) ENUMERATION

CPT Code: 86361

$38.00


What is being tested?

Enumeration of CD4 cells is useful in the diagnosis and monitoring of patients with human immunodeficiency virus infections. Flow cytometry subclassifies lymphocytes on the basis of immune function. Mature T cells in the peripheral blood express either the CD4 or CD8 antigen. CD4 positive T cells are functionally defined as T helper cells, while CD8 positive cells exhibit either suppressor or cytotoxic activity. Imbalances or deficiencies in the immune system can result from abnormalities in either the CD4 or CD8 population.

Sample Stability

2 days room temp; unacceptable refrigerated; unacceptable frozen

COMPLEMENT C3

CPT Code: 86160

$17.00


What is being tested?

Complement component 3 (C3), a protein produced in the liver, is an integral part of the immune system. It functions as an acute phase reactant and a central point in the activation of the complement pathways (classical, alternative, and MBLectin). Although increase of C3 can be detected in an acute response, it is of clinical interest when levels are decreased as seen with congenital C3 deficiency or with immunologic disease when complement is consumed at an increased rate. Conditions include chronic hepatitis, certain chronic infections (including hepatitis C virus associated cryoglobulinemic vasculitis), immune complex disease, poststreptococcal and membranoproliferative glomerulonephritis, and others. It is especially useful to assess disease activity in lupus erythematosus.

Sample Stability

4 days room temperature; 8 days refrigerated; 8 days frozen

COMPLEMENT C4

CPT Code: 86160

$17.00


What is being tested?

Complement component 4 (C4) is a protein produced mainly in the liver and, to a lesser extent, by other cells such as macrophages and monocytes. Components of the complement system have an important role in the inflammatory response and the removal of foreign cells. Complement activation has a number of physiological outcomes including: lysis of invading cells, enhancement of phagocytosis, clearance of immune complexes, increased vascular permeability, recruitment of neutrophils and monocytes, and amplification of the immune response. C4 levels can be sensitive indicators of disease, particularly SLE and proliferative glomerulonephritis disease activity.

Sample Stability

2 days room temperature; 2 days refrigerated

HLA B-27

CPT Code: 86812

$37.00


What is being tested?

Evaluate spondyloarthritis, juvenile rheumatoid arthritis, Reiter's syndrome, psoriatic arthritis and anterior uveitis.

Sample Stability

3 days room temperature
*Note: refrigerated samples are unacceptable; however samples refrigerated for up to 72 hours will be tested and results individually assessed by a pathologist. Results may be rejected, requiring sample recollection.

IMMUNOGLOBULIN A (IgA)

CPT Code: 82784

$13.00


What is being tested?

One of the five classes of immunoglobulins; one of the most common immunoglobulins, it is mainly present in body secretions and is the chief antibody in the mucous membranes of the gastrointestinal and respiratory tract and in saliva and tears.

Sample Stability

2 months room temperature; 4 months refrigerated; 6 months frozen

IMMUNOGLOBULIN G (IgG)

CPT Code: 82784

$13.00


What is being tested?

One of the five classes of immunoglobulins; widespread in the body, it provides long-lasting defense against most bacterial invasions and other antigens.

Sample Stability

2 months room temperature; 4 months refrigerated; 6 months frozen

IMMUNOGLOBULIN M (IgM)

CPT Code: 82784

$13.00


What is being tested?

One of the five classes of immunoglobulins; widespread in the body, it provides long-lasting defense against most bacterial invasions and other antigens.

Sample Stability

2 months room temperature; 4 months refrigerated; 6 months frozen

IMMUNOGLOBULINS, IgA, IgG, IgM

CPT Code: 82784 X3

$


What is being tested?

An Ig panel alone is not usually specifically diagnostic, but often aids in the evaluation of a suspected disorder: gammopathies; evaluation of altered serum protein levels, particularly when the globulin fraction is elevated (total protein – albumin = globulin fraction); evaluation of an abnormal serum or urine immunofixation study to quantify Ig levels in a patient suspected of having a plasma cell dyscrasia (eg, MGUS, multiple myeloma, amyloidosis, macroglobulinemia, etc); surveillance of patients with MGUS for malignant transformation; monitor response to treatment of monoclonal gammopathies; immune competency; identify immune deficiencies in the presence of recurring infections (eg, common variable immunodeficiency, selective Ig deficiencies); facilitate evaluation of autoimmune conditions (eg, celiac disease where IgA deficiency may cause testing for IgA-endomysial antibody to be falsely negative); assess competency to respond to vaccinations (eg, develop immunity); allergy assessment (environmental, food, drug); assessment of a blood or blood component transfusion reaction (eg, IgA deficiency); evaluation of in utero exposure to infection in a newborn (eg, rubella); etc...

Sample Stability

2 months room temperature; 4 months refrigerated; 6 months frozen

INTERLEUKIN 10

CPT Code: 83520

$149.00


What is being tested?

Results are used to understand the pathophysiology of immune, infectious, or inflammatory disorders, or may be used for research purposes.

Sample Stability

After separation from cells: 30 minutes room temperature; unacceptable refrigerated; 1 year frozen

INTERLEUKIN 6

CPT Code: 83520

$149.00


What is being tested?

Interleukin-6 (IL-6) is a protein produced by various cells. It helps regulate immune responses, which makes the IL-6 test potentially useful as a marker of immune system activation. IL-6 can be elevated with inflammation, infection, autoimmune disorders, cardiovascular diseases, and some cancers. The test measures the amount of IL-6 in the blood.

Sample Stability

After separation from cells: 30 minutes room temperature; unacceptable refrigerated; 1 year frozen

RUBELLA ANTIBODY SCREEN

CPT Code: 86762

$20.00


What is being tested?

Diagnosis of rubella infection; evaluate immune status.

Sample Stability

3 days room temperature; 3 weeks refrigerated; 3 months frozen

RUBELLA IgM ANTIBODY

CPT Code: 86762

$20.00


What is being tested?

Diagnosis of rubella infection; evaluate immune status.

Sample Stability

3 days room temperature; 3 weeks refrigerated; 3 months frozen

RUBEOLA IgG ANTIBODY

CPT Code: 86765

$18.00


What is being tested?

Measles (rubeola) and mumps are viruses that are members of the Paramyxoviridae family. They both cause infections that usually resolve within several days but can sometimes cause serious complications in certain cases.

Sample Stability

5 days room temperature; 9 days refrigerated; indefinite frozen. Allow no more than 6 freeze/thaw cycles

RUBEOLA IgM ANTIBODY

CPT Code: 86765

$18.00


What is being tested?

Measles (rubeola) and mumps are viruses that are members of the Paramyxoviridae family. They both cause infections that usually resolve within several days but can sometimes cause serious complications in certain cases.

Sample Stability

After separation from cells: 2 days room temperature; 2 weeks refrigerated; 1 year frozen

V. ZOSTER IgG, CSF

CPT Code: 86787

$18.00


What is being tested?

The detection of antibodies to varicella-zoster in CSF may indicate central nervous system infection. However, consideration must be given to possible contamination by blood or transfer of serum antibodies across the blood-brain barrier.

Sample Stability

8 hours room temperature; 2 weeks refrigerated; 1 year frozen

V. ZOSTER IgM, CSF

CPT Code: 86787

$18.00


What is being tested?

The detection of antibodies to varicella-zoster in CSF may indicate central nervous system infection. However, consideration must be given to possible contamination by blood or transfer of serum antibodies across the blood-brain barrier.

Sample Stability

8 hours room temperature; 2 weeks refrigerated; 1 year frozen

TEST CATEGORY: infectious-diseases

ANA with Reflex Autoimmune AB Cascade

CPT Code: 86038

$17.00


What is being tested?

ANA Screen,IFA, Reflex Titer/Pattern,and Reflex to Multiplex 11 Ab Cascade - Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

Anaplasma Phagocyto IgG

CPT Code: 86666

$19.00


What is being tested?

Aid in diagnosis or confirmation of human granulocytic anaplasmosis (HGA), (a condition formerly known as human granulocytic ehrlichiosis [HGE]) caused by Anaplasma phagocytophilum. Supplements in differential diagnosis of anaplasmosis from Rocky Mountain spotted fever (Rickettsia rickettsia), ehrlichiosis (Ehrlichia chaffeensis), and Lyme Disease (Borrelia burgdorferi).

Sample Stability

After separation from cells: 2 days room temperature; 2 weeks refrigerated; 1 year frozen

Babesia Microtia AB

CPT Code: 86753

$


What is being tested?

Aid in diagnosis of Babesia microti infection or exposure. Confirm diagnosis made by blood smear or molecular testing. Useful if parasitemia is too low to detect via direct smear or (possibly) PCR. Asymptomatic blood donors implicated in transfusion-acquired babesiosis. Asymptomatic individuals who where infected but cleared infection without treatment. May also be useful in the study of chronic or persistent infection.

Sample Stability

After separation from cells: 2 days room temperature; 2 weeks refrigerated; 1 year frozen

BARTONELLA QUINTANA IgG

CPT Code: 86611

$15.00


What is being tested?

Bartonella species (now including some Rochalimaea spp.) are small, pleomorphic, gram-negative, intracellular coccobacilli. There are more than 22 species of Bartonella which can cause disease in humans and animals. Bartonella spp. are extremely fastidious (usually require hemin) and slow growing (15 to 45 days) in standard plate culture. Bartonella spp. are transmitted by lice, fleas, and, perhaps, by ticks and flies. B. henselae and B. quintana are found worldwide. B. bacilliformis is found in the Andes. The main reservoirs for B. henselae are cats. B. quintana can cause a variety of diseases: Bacillary angiomatosis; endocarditis; bacteremia; trench fever. B Bartonella infection is most commonly seen in immunocompromised patients especially those infected with HIV.

Historically, serological tests for antibody to Bartonella spp. have been the standard method for the laboratory diagnosis of bartonellosis. Serological methods to detect Bartonella spp. antibody include standard IFA (sensitivity, 15% to 100%) and EIA (sensitivity, 17% to 35%) methods.

Sample Stability

After separation from cells: 2 days room temperature; 2 weeks refrigerated; 1 year frozen

BARTONELLA QUINTANA IgG/IgM

CPT Code: 86611 X2

$


What is being tested?

Bartonella species (now including some Rochalimaea spp.) are small, pleomorphic, gram-negative, intracellular coccobacilli. There are more than 22 species of Bartonella which can cause disease in humans and animals. Bartonella spp. are extremely fastidious (usually require hemin) and slow growing (15 to 45 days) in standard plate culture. Bartonella spp. are transmitted by lice, fleas, and, perhaps, by ticks and flies. B. henselae and B. quintana are found worldwide. B. bacilliformis is found in the Andes. The main reservoirs for B. henselae are cats. B. quintana can cause a variety of diseases: Bacillary angiomatosis; endocarditis; bacteremia; trench fever. B Bartonella infection is most commonly seen in immunocompromised patients especially those infected with HIV.

Historically, serological tests for antibody to Bartonella spp. have been the standard method for the laboratory diagnosis of bartonellosis. Serological methods to detect Bartonella spp. antibody include standard IFA (sensitivity, 15% to 100%) and EIA (sensitivity, 17% to 35%) methods.

Sample Stability

After separation from cells: 2 days room temperature; 2 weeks refrigerated; 1 year frozen

BARTONELLA QUINTANA IgM

CPT Code: 86611

$15.00


What is being tested?

"Bartonella species (now including some Rochalimaea spp.) are small, pleomorphic, gram-negative, intracellular coccobacilli. There are more than 22 species of Bartonella which can cause disease in humans and animals. Bartonella spp. are extremely fastidious (usually require hemin) and slow growing (15 to 45 days) in standard plate culture. Bartonella spp. are transmitted by lice, fleas, and, perhaps, by ticks and flies. B. henselae and B. quintana are found worldwide. B. bacilliformis is found in the Andes. The main reservoirs for B. henselae are cats. B. quintana can cause a variety of diseases: Bacillary angiomatosis; endocarditis; bacteremia; trench fever. B Bartonella infection is most commonly seen in immunocompromised patients especially those infected with HIV.

Historically, serological tests for antibody to Bartonella spp. have been the standard method for the laboratory diagnosis of bartonellosis. Serological methods to detect Bartonella spp. antibody include standard IFA (sensitivity, 15% to 100%) and EIA (sensitivity, 17% to 35%) methods."

Sample Stability

After separation from cells: 2 days room temperature; 2 weeks refrigerated; 1 year frozen

Calprotectin, fecal

CPT Code: 83993

$125.00


What is being tested?

Calprotectin is a protein released by a type of white blood cell called a neutrophil. When there is inflammation in the gastrointestinal (GI) tract, neutrophils move to the area and release calprotectin, resulting in an increased level in the stool. This test measures the level of calprotectin in stool as a way to detect inflammation in the intestines.

Sample Stability

60 hours room temperature; 10 days refrigerated; 1 year frozen

CHLAMYDIA, TMA, URINE

CPT Code: 87491

$49.00


What is being tested?

Chlamydia is one of the most common bacterial sexually transmitted diseases (STD) in the United States and can cause serious complications if not treated. Chlamydia testing identifies the bacteria Chlamydia trachomatis as the cause of a person's infection. Screening for, diagnosing, and treating chlamydia is very important in preventing long-term complications and spread of the infection to others.

Sample Stability

Urine in aptima transport tube: 1 month room temperature; 1 month refrigerated

Ehrlichia Chaffeensis IgG/IgM

CPT Code: 86666

$19.00


What is being tested?

Ehrlichiosis is a tick-borne bacterial infection caused by members of the Anaplasmataceae family. These obligate, intracellular organisms grow within cytoplasmic membrane-bound vacuoles of human and animal leukocytes. Human infection yields an acute febrile illness which resembles Rocky Mountain spotted fever and ranges from asymptomatic seroconversion to fatalities in 1.8% of infections. Severe morbidity is frequently documented. Early diagnosis and treatment is extremely important. Since 2000, there has been at least a twofold increase in prevalence of ehrlichiosis and anaplasmosis (a similar zoonotic disease) in the United States (CDC 2009).

Sample Stability

After separation from cells: 2 days room temperature; 2 weeks refrigerated; 1 year frozen

Gonorrhea, TMA, Simpleswab

CPT Code: 87591

$49.00


What is being tested?

Gonorrhea is a common bacterial sexually transmitted disease (STD) that can cause serious complications if not detected and treated. Gonorrhea testing identifies if the bacteria Neisseria gonorrhoeae is the cause of a person's infection. Screening for, diagnosing, and treating gonorrhea is very important in preventing long-term complications and spread of the infection to others.

Sample Stability

2 months room temperature; 2 months refrigerated; 1 year frozen

GONORRHEA, TMA, URINE

CPT Code: 87591

$49.00


What is being tested?

Gonorrhea is a common bacterial sexually transmitted disease (STD) that can cause serious complications if not detected and treated. Gonorrhea testing identifies if the bacteria Neisseria gonorrhoeae is the cause of a person's infection. Screening for, diagnosing, and treating gonorrhea is very important in preventing long-term complications and spread of the infection to others.

Sample Stability

Urine in aptima transport tube: 1 month room temperature; 1 month refrigerated

H. PYLORI (BREATH)

CPT Code: 83013

$89.00


What is being tested?

Helicobacter pylori is a spiral-shaped gram-negative bacillus, for which the natural reservoir is the gastrointestinal tract of humans. The organism is unique in its ability to survive the acidic pH of gastric fluids. Although most infected individuals will not develop clinically significant complications, infection with this organism has been associated with increased risk of developing duodenal and gastric ulcers, non-ulcer dyspepsia, gastric carcinoma, and mucosa-associated lymphoid tissue lymphoma. To detect infection, either an invasive (requiring endoscopy) or noninvasive testing algorithm is recommended based on patient demographics and symptoms. The urea breath test (UBT) is recommended as a first-line, noninvasive test for the diagnosis of a Helicobacter pylori infection. The simplicity and duration of the testing, which can be performed in the health care provider's office, makes this an agreeable test for both health care provider and patient. There are two types of UBT tests: Nonradioactive 13C test and radioactive 14C test. Both can be performed in 15 to 20 minutes and have similar cost and accuracy. Although the dose of radiation in the 14C assay is minimal, the trend is nonradioactive testing and, as such, is the emphasis of information contained in this monograph. The assay indirectly detects the presence of H. pylori-associated urease by measuring the patient's breath. Urease produced by the organism catalyzes decomposition of ingested, synthetic urea (13C-urea) subsequently releasing carbon dioxide (13CO2) which is measured in exhaled air. The UBT is positive if a current infection exists. This test can be used in initial diagnosis of infection and post-therapy confirmation of organism eradication.

Sample Stability

1 week room temperature

HCV RNA, PCR QUANT

CPT Code: 87522

$89.00


What is being tested?

Hepatitis C virus (HCV) is a small, enveloped, single-stranded RNA virus transmitted primarily through contact with infected blood (sharing needles, inadequately cleaned equipment) and, less commonly, through sexual contact or childbirth. Prior to 1992, which marked the onset of widespread screening of the blood supply in the United States, HCV was also commonly spread through blood transfusions and organ transplants. HCV infection can be either “acute” or “chronic.” Acute HCV infection presents as a short-term illness occurring within the first 6 months after exposure to HCV. It is clinically symptomatic in only ~15% of cases and diagnosis is infrequently made. The majority of acute infections (>60% to 80%) lead to a slowly progressive chronic infection which is often asymptomatic but can result in cirrhosis (20% to 30% incidence after >20 years infection), hepatocellular carcinoma, or even death (CDC, 2013; Sacher, 2000). At present, HCV is the most common cause of chronic hepatitis and the most common reason for liver transplantation in the US (Huffman, 2014).

Molecular tests, also known as nucleic acid tests, are used to confirm a positive screening HCV antibody test by detecting HCV RNA in the blood (CDC, 2013). Molecular tests provide critical prognostic information for guiding treatment and measuring the response to antiviral therapy (Scott, 2007).

Sample Stability

1 day room temperature; 6 days refrigerated; 6 weeks frozen

HEPATITIS A IgM

CPT Code: 86709

$16.00


What is being tested?

Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus (HAV). It is one of several various causes of hepatitis, a condition characterized by inflammation and enlargement of the liver. This test detects antibodies in the blood that are produced by the immune system in response to a hepatitis A infection. One of the five classes of immunoglobulins; a large molecule, it is found in blood and is involved in combating blood infections. It is the first or primary immunoglobulin produced following exposure to an antigen.

Sample Stability

7 days room temperature; 14 days refrigerated; 3 months frozen

HEPATITIS A TOTAL AB REFLEX TO IgM

CPT Code: 86708

$17.00


What is being tested?

Hepatitis A virus (HAV) is a single-stranded, nonenveloped RNA enterovirus of the Picornaviridae family. It causes an acute, self-limited disease transmitted almost exclusively through the fecal-oral route; symptoms include fever, jaundice, anorexia, and diarrhea. Humans appear to be the only reservoir for this virus, and viral replication depends on hepatocyte uptake and synthesis, with assembly occurring only in liver cells (CDC, 2013).

Laboratory diagnosis of acute infection is typically made via the detection of IgM antibody to HAV at the onset of clinical symptoms or within 3-6 months of infection. Past evidence of HAV infection, or immunity, is determined using IgG-specific HAV antibody (rarely ordered or available), or total (IgG + IgM) HAV antibody. Total HAV antibody is also ordered by health care providers as a screen when assessing hepatitis-like symptoms.

Sample Stability

1 day room temperature; 1 week refrigerated; 1 month frozen

HEPATITIS B GENOTYPE

CPT Code: 87912

$370.00


What is being tested?

Hepatitis B is an infection of the liver caused by the hepatitis B virus (HBV). Hepatitis B blood tests detect viral proteins (antigens), the antibodies that are produced in response to an infection, or detect or evaluate the genetic material (DNA) of the virus. The pattern of test results can identify a person who has a current active infection, was exposed to HBV in the past, or has immunity as a result of vaccination. Genotype is specific combination of genes within a cell or cells.

Sample Stability

After separation from cells: 3 days room temperature; 1 week refrigerated; 6 weeks frozen.

HEPATITIS B SURF AG

CPT Code: 87340

$15.00


What is being tested?

Hepatitis B is an infection of the liver caused by the hepatitis B virus (HBV). Hepatitis B blood tests detect viral proteins (antigens), the antibodies that are produced in response to an infection, or detect or evaluate the genetic material (DNA) of the virus. The pattern of test results can identify a person who has a current active infection, was exposed to HBV in the past, or has immunity as a result of vaccination

Sample Stability

6 days room temperature; 14 days refrigerated; 6 months frozen

HEPATITIS B SURFACE AB

CPT Code: 86706

$15.00


What is being tested?

Hepatitis B is an infection of the liver caused by the hepatitis B virus (HBV). Hepatitis B blood tests detect viral proteins (antigens), the antibodies that are produced in response to an infection, or detect or evaluate the genetic material (DNA) of the virus. The pattern of test results can identify a person who has a current active infection, was exposed to HBV in the past, or has immunity as a result of vaccination

Sample Stability

3 days room temperature; 7 days refrigerated; 3 months frozen

HEPATITIS Bs AB QUANT

CPT Code: 86706

$15.00


What is being tested?

Hepatitis B is an infection of the liver caused by the hepatitis B virus (HBV). Hepatitis B blood tests detect viral proteins (antigens), the antibodies that are produced in response to an infection, or detect or evaluate the genetic material (DNA) of the virus. The pattern of test results can identify a person who has a current active infection, was exposed to HBV in the past, or has immunity as a result of vaccination

Sample Stability

3 days room temperature; 7 days refrigerated; 3 months frozen

HEPATITIS C Ab

CPT Code: 86803

$20.00


What is being tested?

The hepatitis C antibody test is a blood test that looks for hepatitis C antibodies in the bloodstream. A positive result usually means that you’ve been exposed to the hepatitis C virus.

Sample Stability

3 days room temperature; 3 weeks refrigerated; 3 months frozen

HEPATITIS C GENOTYPE

CPT Code: 87902

$370.00


What is being tested?

Hepatitis C virus (HCV) is a small, enveloped, single-stranded RNA virus transmitted primarily through contact with infected blood (sharing needles, inadequately cleaned equipment) and, less commonly, through sexual contact or childbirth. Prior to 1992, which marked the onset of widespread screening of the blood supply in the United States, HCV was also commonly spread through blood transfusions and organ transplants. HCV infection can be either “acute” or “chronic.” Acute HCV infection presents as a short-term illness occurring within the first 6 months after exposure to HCV. It is clinically symptomatic in only ~15% of cases and diagnosis is infrequently made. The majority of acute infections (75% to 85%) lead to a slowly progressive chronic infection which is often asymptomatic but can result in cirrhosis (20% to 30% incidence after >20 years infection), hepatocellular carcinoma, or even death (CDC, 2013; Sacher, 2000). At present, HCV is the most common cause of chronic hepatitis and the most common reason for liver transplantation in the US (Huffman, 2014).

There are seven confirmed genotypes of HCV known as genotypes one to seven; however much of the literature refers to 6 (1-6) major genotypes. Genotype prevalence varies based on geographic location, race, and mode of transmission (eg, IV drug use, maternal-fetal transmission, multiple sex partners, etc.). In the US, approximately 70% of cases are due to genotype 1 (the majority type 1a) and 20% are genotype 2. Genotype determination (which should be performed prior to therapy) guides treatment as some viral genotypes respond better to treatment than others.

Sample Stability

1 day room temperature; 3 days refrigerated; 2 months frozen

HEPATITIS C REFLEX PCR

CPT Code: 86803

$20.00


What is being tested?

Reflex testing means the laboratory will perform the hepatitis C antibody test, and if the result is positive, the laboratory will immediately perform an HCV RNA test on the same specimen.

Sample Stability

3 days room temperature; 3 weeks refrigerated; 3 months frozen

HEPATITIS PROFILE (A,B,C)

CPT Code: 86704, 86706, 86708, 86803^QW, 87340

$


What is being tested?

Viral hepatitis is a common form of liver disease which causes cellular inflammation and death. Hepatitis A virus (HAV), hepatitis B virus (HBV) and hepatitis C virus (HCV) are the most common causes of acute viral hepatitis in the United States.

Sample Stability

3 days room temperature; 7 days refrigerated; >7 days frozen

Herpes Simplex 1/2 IgG

CPT Code: 86695, 86696

$


What is being tested?

Herpes simplex virus (HSV), a member of the DNA virus family Herpesviridae (HSV, VZV, CMV, EBV, HHV-6, and HHV-8), has two subtypes: HSV type 1 and HSV type 2. Infection with HSV-1 commonly causes oropharyngeal infection, and transmission is primarily by nongenital personal contact. Infection with HSV-2 causes genital lesions and transmission is usually sexual.

Sample Stability

2 days room temperature; 7 days refrigerated; indefinite frozen (allow no more than 5 freeze/thaw cycles)

Herpes Simplex, PCR

CPT Code: 87529

$79.00


What is being tested?

Infection with either herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2) is common in the United States. Overall seroprevalence in 2015-2016 was 48% for HSV-1 and 12% for HSV-2 among people 14 to 49 years old. However, seroprevalence was much higher in some ethnicities: 72% for HSV-1 among Mexican-Americans (though only 9% for HSV-2) and 35% for HSV-2 among non-Hispanic blacks.

Seropositivity does not necessarily indicate the site of infection, but HSV-1 most often causes oral herpes and HSV-2 most often causes genital herpes. However, HSV-1 is responsible for an increasing proportion of primary genital infections; in some populations (eg, college students, young women), HSV-1 has been reported to account for over half of genital herpes infections.

Genital infections may be associated with small, painful lesions affecting anogenital areas as well as generalized symptoms such as fever, muscle aches, and malaise. However, most genital herpes infections are transmitted by individuals who do not know they are infected, as symptoms are often mild or absent. Genital HSV-1 and HSV-2 infections can also cause neonatal herpes, especially among women who acquire genital herpes near the time of delivery.2 If genital herpetic lesions are present at the onset of delivery, cesarean delivery should be considered to prevent neonatal infection. Newborns exposed to HSV during birth should be followed closely with consideration of antiviral therapy.

Diagnosing infection and determining HSV type can indicate risk of disease recurrence, transmission risks, and prognosis (Table). However, the pathogenesis of herpes infection can make diagnosis difficult, as antibodies and nucleic acids are measurable at different points of pathogenesis (Figure 1). Many laboratory methods, such as viral culture, polymerase chain reaction (PCR), and antibody (serologic) testing, are available to address this difficulty. This Clinical Focus discusses the testing options available for the diagnosis and management of genital HSV infections.

Sample Stability

1 day room temperature; 1 week refrigerated

HIV 1/2 4TH GEN, RFLX CONF

CPT Code: 87389

$34.00


What is being tested?

This 4th generation HIV Ag/Ab Combo assay is intended to be used as an aid in the diagnosis of HIV1/HIV2 infection, including acute or primary HIV-1 infection.

Sample Stability

3 days room temperature; 1 week refrigerated; 3 months frozen

HIV-1 Genotype

CPT Code: 87901

$499.00


What is being tested?

This test is used to guide selection of antiretroviral drugs and detect HIV-1 mutations in the reverse transcriptase (RT) and protease (Pr) genes. This test is used to guide selection of antiretroviral drugs and detect HIV-1 mutations in the reverse transcriptase (RT) and protease (Pr) genes.

Sample Stability

1 day room temperature; 6 days refrigerated; 6 weeks frozen

HSV 1 AND 2 BY PCR

CPT Code: 87529 X2

$


What is being tested?

Infection with either herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2) is common in the United States. Overall seroprevalence in 2015-2016 was 48% for HSV-1 and 12% for HSV-2 among people 14 to 49 years old. However, seroprevalence was much higher in some ethnicities: 72% for HSV-1 among Mexican-Americans (though only 9% for HSV-2) and 35% for HSV-2 among non-Hispanic blacks.

Seropositivity does not necessarily indicate the site of infection, but HSV-1 most often causes oral herpes and HSV-2 most often causes genital herpes. However, HSV-1 is responsible for an increasing proportion of primary genital infections; in some populations (eg, college students, young women), HSV-1 has been reported to account for over half of genital herpes infections.

Genital infections may be associated with small, painful lesions affecting anogenital areas as well as generalized symptoms such as fever, muscle aches, and malaise. However, most genital herpes infections are transmitted by individuals who do not know they are infected, as symptoms are often mild or absent.

Genital HSV-1 and HSV-2 infections can also cause neonatal herpes, especially among women who acquire genital herpes near the time of delivery. If genital herpetic lesions are present at the onset of delivery, cesarean delivery should be considered to prevent neonatal infection. Newborns exposed to HSV during birth should be followed closely with consideration of antiviral therapy.

Diagnosing infection and determining HSV type can indicate risk of disease recurrence, transmission risks, and prognosis (Table). However, the pathogenesis of herpes infection can make diagnosis difficult, as antibodies and nucleic acids are measurable at different points of pathogenesis (Figure 1). Many laboratory methods, such as viral culture, polymerase chain reaction (PCR), and antibody (serologic) testing, are available to address this difficulty. This Clinical Focus discusses the testing options available for the diagnosis and management of genital HSV infections.

Sample Stability

Aptima, Thinprep or Surepath: 2 weeks room temperature; 1 month frozen

Viral transport or universal transport media: 3 days room temperature; 2 weeks refrigerated; 1 month frozen

MMR PROFILE

CPT Code: 86765, 86735, 86762

$


What is being tested?

Measles, mumps, and rubella profile.

Sample Stability

3 days room temperature; 9 days refrigerated; 3 months frozen

PARVOVIRUS B19 IgM

CPT Code: 86747

$22.00


What is being tested?

Parvovirus B19 is a single stranded DNA virus that is a part of the Parvoviridae family. There are three known parvovirus B19 genotypes. Parvovirus B19 replicates in erythrocyte precursor cells and causes five recognized diseases with possible associations to other conditions. Tests related to parvovirus B19 infection include parvovirus B19 serology and parvovirus B19 DNA. In practice, these tests are rarely indicated. Parvovirus B19 IgM antibodies appear 10 to 12 days after exposure (Corcoran 2004) and are a sensitive indicator of acute B19 infection in immunocompetent persons. These IgM antibodies can persist for 2 to 3 months and in some cases up to 6 months after infection (Erdmann 1991).

Sample Stability

2 days room temperature; 3 days refrigerated; 1 year frozen

QUANTIFERON TB GOLD PLUS

CPT Code: 86480

$89.00


What is being tested?

QFT-Plus is a major scientific advance over the 100-year-old TB skin test (sometimes called Mantoux, tuberculin skin test, TST or PPD).

Sample Stability

Prior to 37 degree incubation: 16 hours room temperature; unacceptable refrigerated; unacceptable frozen after 37 degree incubation: 3 days room temperature; 3 days refrigerated; unacceptable frozen

REFLEX MONO TO EBV IGG/IGM IF NEG

CPT Code: 86308

$7.00


What is being tested?

The diagnosis of infectious mononucleosis (IM) is suggested on the basis of the clinical symptoms of fever, sore throat and swollen lymph glands. The highest incidence of symptomatic IM occurs during late adolescence (15-24 years of age). Infectious mononucleosis is caused by the Epstein-Barr Virus (EBV).

Sample Stability

1 day room temperature; 1 week refrigerated

Rickettsia IgG and IgM

CPT Code: 86757

$25.00


What is being tested?

Rickettsial infections in the United States are caused by 2 major groups within the genus Rickettsia: spotted fever group and typhus fever group. The spotted fever group includes R rickettsii (Rocky Mountain spotted fever), R akari, R conorii (Boutonneuse fever), R australis (Queensland tick typhus), and R sibirica (North Asian tick typhus). The typhus fever group includes R typhi (murine typhus; endemic typhus) and R prowazekii (epidemic typhus). R rickettsiae is the most common rickettsial species encountered in the United States and is transmitted through a tick vector (Dermacentor species or, less commonly, Rhipicephalus sanguineus). Following a 2- to 14-day incubation period, patients most commonly present with fever, chills, and myalgia. A maculopapular rash typically appears 2 to 5 days after fever onset, though approximately 10% of patients will not develop a rash. Antibodies to the spotted fever group agents are detectable within 7 to 10 days after illness onset. Demonstration of either 1) seroconversion or 2) a 4-fold change in IgG-specific antibody titers in acute and convalescent serum samples is consistent with acute or ongoing disease.

Sample Stability

3 days refrigerated; 1 year frozen

Rickettsia Spotted AB IgG and IgM

CPT Code: 86757

$25.00


What is being tested?

Rickettsial infections in the United States are caused by 2 major groups within the genus Rickettsia: spotted fever group and typhus fever group. The spotted fever group includes R rickettsii (Rocky Mountain spotted fever), R akari, R conorii (Boutonneuse fever), R australis (Queensland tick typhus), and R sibirica (North Asian tick typhus). The typhus fever group includes R typhi (murine typhus; endemic typhus) and R prowazekii (epidemic typhus). R rickettsiae is the most common rickettsial species encountered in the United States and is transmitted through a tick vector (Dermacentor species or, less commonly, Rhipicephalus sanguineus). Following a 2- to 14-day incubation period, patients most commonly present with fever, chills, and myalgia. A maculopapular rash typically appears 2 to 5 days after fever onset, though approximately 10% of patients will not develop a rash. Antibodies to the spotted fever group agents are detectable within 7 to 10 days after illness onset. Demonstration of either 1) seroconversion or 2) a 4-fold change in IgG-specific antibody titers in acute and convalescent serum samples is consistent with acute or ongoing disease.

Sample Stability

3 days refrigerated; 1 year frozen

RPR

CPT Code: 86592

$6.00


What is being tested?

Syphilis is an infection caused by the bacterium Treponema pallidum that is most often spread by sexual contact, such as through direct contact with a syphilis sore (chancre), a firm, raised, painless sore. The most common syphilis tests detect antibodies in the blood that are produced in response to a T. pallidum infection. Some methods that are used less commonly directly detect the bacterium or its genetic material (DNA).

Sample Stability

5 days room temperature; 7 days refrigerated; 2 weeks frozen. Allow no more than 2 freeze/thaw cycles.

RPR NON-REFLEX

CPT Code: 86592

$6.00


What is being tested?

Syphilis is an infection caused by the bacterium Treponema pallidum that is most often spread by sexual contact, such as through direct contact with a syphilis sore (chancre), a firm, raised, painless sore. The most common syphilis tests detect antibodies in the blood that are produced in response to a T. pallidum infection. Some methods that are used less commonly directly detect the bacterium or its genetic material (DNA).

Sample Stability

5 days room temperature; 7 days refrigerated; 2 weeks frozen. Allow no more than 2 freeze/thaw cycles

RPR REFLEX TO MHA-TP

CPT Code: 86592

$6.00


What is being tested?

Syphilis is an infection caused by the bacterium Treponema pallidum that is most often spread by sexual contact, such as through direct contact with a syphilis sore (chancre), a firm, raised, painless sore. The most common syphilis tests detect antibodies in the blood that are produced in response to a T. pallidum infection. Some methods that are used less commonly directly detect the bacterium or its genetic material (DNA).

Sample Stability

5 days room temperature; 7 days refrigerated; 2 weeks frozen. Allow no more than 2 freeze/thaw cycles.

RPR REFLEX TO TP-PA

CPT Code: 86592

$6.00


What is being tested?

Syphilis is an infection caused by the bacterium Treponema pallidum that is most often spread by sexual contact, such as through direct contact with a syphilis sore (chancre), a firm, raised, painless sore. The most common syphilis tests detect antibodies in the blood that are produced in response to a T. pallidum infection. Some methods that are used less commonly directly detect the bacterium or its genetic material (DNA).

Sample Stability

5 days room temperature; 7 days refrigerated; 2 weeks frozen. Allow no more than 2 freeze/thaw cycles.

SARS-COV-2 (COVID 19) RT-PCR

CPT Code: U0003

$100.00


What is being tested?

SARS-CoV-2 RNA (COVID-19), Qualitative NAAT - The SARS-CoV-2 RNA (COVID-19), Nucleic-acid Amplification Test (NAAT) is a qualitative molecular diagnostics test that aids in the detection of COVID-19.

*Tribal Diagnostics follows the Centers for Medicare and Medicaid Services (CMS) guidance on coding and pricing for certain laboratory tests that detect COVID-19. Tribal Diagnostics accepts, from insurance carriers, the CMS price for CPT Codes U0003 and 86769. Tribal Diagnostics made investments in high throughput technologies to increase COVID-19 testing capacity.

Sample Stability

7 days refrigerated

SARS-CoV-2 IgG

CPT Code: 86769

$42.13


What is being tested?

COVID-19 is the name of the infection and illness caused by the new strain of coronavirus called SARS-CoV-2. This COVID-19 serology blood test detects IgG antibodies produced in response to the infection.

*Tribal Diagnostics follows the Centers for Medicare and Medicaid Services (CMS) guidance on coding and pricing for certain laboratory tests that detect COVID-19. Tribal Diagnostics accepts, from insurance carriers, the CMS price for CPT Codes U0003 and 86769. Tribal Diagnostics made investments in high throughput technologies to increase COVID-19 testing capacity.

Sample Stability

2 days room temperature; 1 week refrigerated

SIMPLEXSWAB

CPT Code: 87799, 87511, 87481, 87661

$


What is being tested?

This test is intended to be used as an aid to the diagnosis of bacterial vaginosis (BV) in women with a clinical presentation consistent with this disorder. The BV test utilizes semiquantitative PCR analysis of the three most predictive marker organisms. Used to detect the presence of Candida albicans and Candida glabrata DNA in vaginal samples as an aid to the diagnosis of vulvovaginal candidiasis in symptomatic women.

Sample Stability

2 weeks room temperature; 2 weeks refrigerated

T. Pallidum

CPT Code: 86780

$19.00


What is being tested?

Treponema pallidum "Syphilis" is caused by a thin, tightly coiled spirochete, Treponema pallidum subspecies pallidum. It is microaerophilic and cannot grow on standard culture media. It is a member of the family Spirochaeticea and is related to other spirochete genera which have the capacity to infect man, namely Borrelia and Leptospira. Other pathogenic treponemes for man include T. pallidum subspecies pertenue, the causative agent of yaws; T. carateum, the causative agent of pinta; and T. pallidum subspecies endemicum, the agent associated with non-venereal or endemic syphilis.

Sample Stability

2 days room temperature; 7 days refrigerated; 10 weeks frozen

Tick-Borne Disease panel By PCR

CPT Code: 87798

$46.00


What is being tested?

Lyme disease is an infection caused by the bacteria Borrelia burgdorferi and Borrelia mayonii. Lyme disease tests measure Borrelia antibodies in the blood, or in the cerebrospinal fluid (CSF) if there are signs and symptoms of central nervous system disease

Sample Stability

3 days room temperature; 2 weeks refrigerated; 1 month frozen

TRICHOMONAS, TMA, URINE-URINE CUP

CPT Code: 87661

$


What is being tested?

To diagnose an infection with the parasite Trichomonas vaginalis, which causes the sexually transmitted disease trichomoniasis.

Sample Stability

Fresh urine: 24 hours room temperature prior to transferring urine in aptima transport tube; 1 month room temperature
1 month refrigerated urine in Roche COBAS urine collection system: 12 months room temperature; 12 months refrigerated

VAGINAL PATHOGENS DNA PANEL

CPT Code: 87480, 87510, 87660

$


What is being tested?

"Vaginitis" is a general term for inflammation of the vagina. The three more well recognized causes of vaginitis are bacterial vaginosis (BV), trichomoniasis (parasitic vaginosis), and vulvovaginal candidiasis (VVC) (yeast vaginosis).

Sample Stability

3 days room temperature; 3 days refrigerated; unacceptable frozen

WEST NILE VIRUS IgG

CPT Code: 86789

$20.00


What is being tested?

West Nile virus (WNV) is the leading cause of mosquito-borne disease in the continental United States. It is most commonly spread to people by the bite of an infected mosquito. The presence of WNV-specific IgM in blood or CSF provides good evidence of recent infection but may also result from cross-reactive antibodies after infection with other flaviviruses or from non-specific reactivity.

Sample Stability

10 hours room temperature; 19 days refrigerated; 4 weeks frozen

WEST NILE VIRUS IgM

CPT Code: 86788

$24.00


What is being tested?

West Nile virus (WNV) is the leading cause of mosquito-borne disease in the continental United States. It is most commonly spread to people by the bite of an infected mosquito. The presence of WNV-specific IgM in blood or CSF provides good evidence of recent infection but may also result from cross-reactive antibodies after infection with other flaviviruses or from non-specific reactivity.

Sample Stability

10 hours room temperature; 19 days refrigerated; 4 weeks frozen

TEST CATEGORY: infectious-stool

C Difficile GDH Reflex Toxin/PCR

CPT Code: 87449

$16.00


What is being tested?

Clostridium difficile (commonly called C. difficile or C. diff) is a type of bacteria that is associated with diarrhea resulting from antibiotic use. C. difficile testing and C. difficile toxin tests identify the presence of these bacteria, genes associated with toxin production, and/or detect the toxins produced by them.

Sample Stability

3 days refrigerated; longer frozen only one freeze/thaw cycle is allowed.

TEST CATEGORY: inflammation

C-REACTIVE PROTEIN

CPT Code: 86140

$7.00


What is being tested?

C-reactive protein (CRP) is a protein made by the liver. CRP levels in the blood increase when there is a condition causing inflammation somewhere in the body. A CRP test measures the amount of CRP in the blood to detect inflammation due to acute conditions or to monitor the severity of disease in chronic conditions.

Sample Stability

11 days room temperature; 2 months refrigerated; 3 years frozen

CCP IgG

CPT Code: 86200

$18.00


What is being tested?

Cyclic citrullinated peptide antibodies are autoantibodies produced by the immune system that are directed against cyclic citrullinated peptides (CCP). This test detects and measures anti-CCP antibodies in the blood.

Sample Stability

24 hours room temperature;1 week refrigerated; 1 month frozen

FECAL LEUKOCYTES

CPT Code: 89055

$6.00


What is being tested?

Evaluation for fecal leukocytes is a part of the initial evaluation of diarrhea (Donowitz 1995). In general, the presence of fecal leukocytes indicates evidence of infection or inflammation such that further evaluation may be necessary (eg, stool culture for enteric pathogens, evaluation for ova and parasites, Clostridioides difficile (formerly Clostridium difficile) testing, and/or colonoscopy). Absence of fecal leukocytes does not exclude bacterial diarrhea or the need for stool culture.

Sample Stability

3 days

FIBRINOGEN

CPT Code: 85384

$24.00


What is being tested?

Fibrinogen (Factor I) is the most abundant coagulation protein (about 2% of the total plasma proteins) and has an essential role in coagulation. It is converted into fibrin by thrombin and forms the fibrin clot by covalent cross-linking. Fibrinogen also plays a role in platelet function and contributes to blood viscosity. Fibrinogen levels <100 mg/dL can be associated with spontaneous bleeding. Acquired decreases in fibrinogen (eg, with liver dysfunction or DIC) are much more common than hereditary deficiencies; however, both can result in impaired coagulation and thrombotic events.

Sample Stability

8 hours room temperature; unacceptable refrigerated; 1 month frozen at -20 degrees C

HIGH SENSITIVITY CRP

CPT Code: 86141

$17.00


What is being tested?

C-reactive protein (CRP) is a protein that increases in the blood with inflammation and infection as well as following a heart attack, surgery, or trauma. Studies have suggested that a persistent low level of inflammation plays a major role in atherosclerosis, the narrowing of blood vessels due to build-up of cholesterol and other lipids, which is often associated with cardiovascular disease (CVD). The hs-CRP test accurately measures low levels of CRP to identify low but persistent levels of inflammation and thus helps predict a person's risk of developing CVD.

Sample Stability

11 days room temperature; 2 months refrigerated; 3 years frozen

SEDIMENTATION RATE

CPT Code: 85652

$5.00


What is being tested?

Erythrocyte sedimentation rate (ESR or sed rate) is a test that indirectly measures the degree of inflammation present in the body. The test actually measures the rate of fall (sedimentation) of erythrocytes (red blood cells) in a sample of blood that has been placed into a tall, thin, vertical tube. Results are reported as the millimeters of clear fluid (plasma) that are present at the top portion of the tube after one hour.

Sample Stability

1 day room temperature; 1 day refrigerated

TEST CATEGORY: lipid

LEPTIN

CPT Code: 83520

$149.00


What is being tested?

Leptin is a hormone that helps regulate appetite by signaling hunger satisfaction (satiety). This test measures the amount of leptin in the blood to detect a deficiency that may be contributing to obesity.

Sample Stability

After separation from cells: 1 day room temperature; 2 days refrigerated; 2 months frozen

Lipid Panel

CPT Code: 80061

$19.00


What is being tested?

Any of a group of fats and fat-like substances, including oils, waxes, steroids, and triglycerides. Lipids are easily stored in the body, and triglycerides serve as a fuel source. Some (such as cholesterol and phospholipids) are an important constituent of cell structures and are involved in many biological functions. Lipids can combine with other compounds to form complexes, such as lipoproteins, phospholipids, and glycolipids.

Sample Stability

5 days refrigerated; 3 months frozen

Lipid Panel w/ Calc VLDL

CPT Code: 80061

$19.00


What is being tested?

VLDL stands for very low density lipoprotein. Lipoproteins are made up of cholesterol, triglycerides, and proteins. They move cholesterol, triglycerides, and other lipids (fats) to around the body.

Sample Stability

5 days refrigerated; 3 months frozen

LIPOPROTEIN a

CPT Code: 83695

$19.00


What is being tested?

Lipoprotein (a) or Lp(a) is one type of lipoprotein that carries cholesterol in the blood. It consists of a low-density lipoprotein (LDL) molecule with another protein (Apolipoprotein (a)) attached to it. This test measures the Lp(a) level in the blood to help evaluate your risk of developing cardiovascular disease (CVD).

Sample Stability

8 hours room temperature; 1 week refrigerated; 1 month frozen

TEST CATEGORY: liver

ACUTE HEPATITIS PROFILE

CPT Code: 80074

$68


What is being tested?

Hepatitis is an inflammation and enlargeme