Clinical Laboratory » Molecular Diagnostics Menu (PCR and Real Time PCR Testing):

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Description	Test#	CPT Code	Price	Turnaround
Viruses (PCR or RT-PCR)
Adenovirus	101	87798	$175	1 - 3 days
Epstein Barr Virus (EBV)	103	87798	$275	1 - 3 days
Hepatitis A Virus	105	--	$329	1 - 3 days
Hepatitis B Virus	106	87517	$275	1 - 3 days
Hepatitis C Virus	107	87521	$329	1 - 3 days
Hepatitis A, B & C Panel	139	--	$750	1 - 3 days
Herpes Simplex Virus 1 (HSV-1)	108	--	$175	1 - 3 days
Herpes Simplex Virus 2 (HSV-2)	109	--	$175	1 - 3 days
Herpes Simplex Virus 1 & 2 (HSV 1&2)	110	87529	$225	1 - 3 days
Human Cytomegalovirus (HCMV)	111	87496	$175	1 - 3 days
Human Herpes Virus 6 (HHV-6)	112	87532	$225	1 - 3 days
Human Herpes Virus 8 (HHV-8)	112a	87798	$329	1 - 3 days
Human Immunodeficiency Virus 1&II- RT-PCR Testing is available for Research only	113a	--	$499	1 - 3 days
Human T-Cell Leukemia Viruses I & II - RT PCR	113b	87798x2	$499	1 - 3 days
Human Papilloma Virus (HPV)	114	--	$175	1 - 3 days
Influenza Virus (A & B) Panel	115	87798x2	$275	1 - 3 days
Rhino Virus	116	--	$135	1 - 3 days
Varicella Zoster	116a	87798	$250	1-3 days
Respiratory Syncytial Virus (RSV)	117	87798	$175	1 - 3 days
West Nile Virus	117a	87798	$329	2 - 4 days
HTLV-1 and HTLV2	117b	--	$499	2 - 4 days
Xenotropic Murine Leukemia - Related Virus (XMRV)	117c	--	$375	3-5 days
Bacteria (PCR Testing)		--
Anaplasma phagocytophila	152		$200	1 - 3 days
Bacillus anthracis (causative agent of Anthrax)	162		$300	1 - 3 days
Bartonella Henselae (Cat Scratch Disease Agent)	136	87471	$150	1 - 3 days
Bartonella species (detects 20 species of Bartonella)	136a		$200	1 - 3 days
Bordetella bronchiseptica	118	--	$150	1 - 3 days
Lyme Disease (Borrelia burgdorferi) - PCR - Human Whole Blood (EDTA tube required)	124	87476	$200	1 - 3 days
Lyme Disease (Borrelia burgdorferi) - PCR - Tick Testing	124C	--	$75	1 - 3 days
Lyme Disease (Borrelia burgdorferi) - Western Blot	124A	86617x2(IgG, IgM)	$300	3 - 5 days
Lyme Panel (PCR & Western Blot)	124B	--	$500	1 - 3 days
Borrelia lonestari	124D		$200	1 - 3 days
Borrelia afzelii	153		$200	1 - 3 days
Borrelia garinii	154		$200	1 - 3 days
Brucella biovars (several Brucella species)	155		$200	1 - 3 days
Campylobacter species	119	--	$150	1 - 3 days
Chlamydia pneumoniae	120	87486	$150	1 - 3 days
Chlamydia-Gonorrhea Panel	138	--	$250	1 - 3 days
Chlamydia trachomatis	121	87491	$150	1 - 3 days
Coxiella burnetii (causative agent of Q Fever)	156		$200	1 - 3 days
*Clostridium difficile*	157		$200	1 - 3 days
Ehrlichia phagocytophila	152		$200	1 - 3 days
Ehrlichia chaffeensis & Ehrlichia canis	158		$200	1 - 3 days
**Ehrlichia ewingii**	159		$200	1 - 3 days
Francisella tularensis (the causative agent of Tularemia)	121d		$200	1 - 3 days
Gardnerella vaginalis	121a	--	$150	1 - 3 days
Helicobacter pylori	121b	--	$150	1 - 3 days
Lactobacilli species in vaginal infections	121c	--	$150	1 - 3 days
Legionella pneumophila	122	87798/ 87541	$150	1 - 3 days
Leptospira serovars	160		$200	1 - 3 days
Mycoplasma pneumonia & Chlamydia pneumonia multiplex panel	123	--	$250	1 - 3 days
Mycobacterium tuberculosis	125	87556	$250	1 - 3 days
Mycoplasma fermentans	126	87798	$119	1 - 3 days
Mycoplasma genitalium	127	--	$119	1 - 3 days
Mycoplasma hominis	128	87798	$119	1 - 3 days
Mycoplasma penetrans	129	87798	$119	1 - 3 days
Mycoplasma pneumoniae	130	87581	$119	1 - 3 days
Mycoplasma species (Price: $119)	131	--	$119	1 - 3 days
Neisseria gonorrhoeae (Gonorrhea Agent)	137	87491/87591	$150	1 - 3 days
Pasteurella maltocida	132	--	$119	1 - 3 days
Rickettsia species (R. akari, R. australis, R. conorii, R. honei, R. marmionii, R. sibirica, R. rickettsia, R. typhi, and R. prowazekii) - Causative agents for Rocky Mountain Spotted Fever and Typhus	163		$300	1 - 3 days
Staphylococcus aureus	133	87798	$119	1 - 3 days
Methicillin-Resistant Staphylococcus aureus (MRSA)	133a		$150	1 - 3 days
Treponema pallidum (Syphilis)	133b		$199	1 - 3 days
Ureaplasma urealyticum	134	87801	$119	1 - 3 days
Yersinia pestis (causative agent of the Plague)	161		$300	1 -3 days
Yeast and Mold (PCR Testing) - Culture available for each from non-human sources only		-
Candida species	139	--	$175	1 - 3 days
Aspergillus fumigatus	140	87798	$175	1 - 3 days
Candida albicans	141	--	$175	1 - 3 days
Candida galbrata	142	--	$175	1 - 3 days
Candida parapsilosis	143	--	$175	1 - 3 days
Candida tropicalis	144	--	$175	1 - 3 days
Pneumocystis jiroveci (P. carinii)	145	--	$250	1 - 3 days
Pan - Fungal Detection - Detection of the presence of any fungus by PCR	145a	--	$200	1 - 3 days
Parasites		--
Babesia microti (PCR)	146	87798	$250	1 - 3 days
Plasmodium falciparum (PCR)	147	87798	$350	1 - 3 days
Trichomonas vaginalis (PCR)	148	87798	$175	1 - 3 days
Leishmania donovani (PCR)	149	--	$250	1-3 days
Toxoplasma gondii (PCR)	150	87798	$250	1-3 Days
*Trypanosoma cruzi (The causative agent of Chaga's Disease)*	151	--	$350	1-3 days

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Clinical Laboratory » Molecular Diagnostics Menu (PCR and Real Time PCR Testing):

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