Procedure / Test Group Sub-Group Price
CLAVICLE VIEW IMAGING XRAY 595
CERVICAL SERIES IMAGING XRAY 1175
CERVICAL AP/ LATERAL IMAGING XRAY 855
CALCANEAL BONE IMAGING XRAY 735
COCCYX / SACRUM IMAGING XRAY 785
APICO-LORDOTIC VIEW IMAGING XRAY 380
ANKLE MORTIS VIEW IMAGING XRAY 515
CLAVICLE VIEW, BOTH (PEDIA) IMAGING XRAY 915
ANKLE AP / LATERAL IMAGING XRAY 685
ABDOMEN AP IMAGING XRAY 1045
ABDOMEN (PEDIA) IMAGING XRAY 925
CHEST PA / LAT IMAGING XRAY 520
CHEST PA IMAGING XRAY 330
CHEST AP/LAT (PEDIA) IMAGING XRAY 470
CRANIAL ULTRASOUND IMAGING GEN UTZ 1430
BREAST ULTRASOUND IMAGING GEN UTZ 1360
APPENDIX (ULTRASOUND) IMAGING GEN UTZ 680
2D ECHO (PLAIN) IMAGING 2DECHO 2370
2D ECHO (DOPPLER) IMAGING 2DECHO 3320
ARTERIAL DUPLEX SCAN IMAGING VASCULAR UTZ 3340
CAROTID DUPLEX SCAN IMAGING VASCULAR UTZ 5280
SARS-CoV-2 Antibody (Automated) LABORATORY MOLECULAR 750
Maglumi SARS-CoV-2 Neutralizing Antibody LABORATORY MOLECULAR 1735
CPASS SARS-CoV-2 Neutralizing Antibody LABORATORY MOLECULAR 2310
SARS-CoV-2 IgM LABORATORY MOLECULAR 350
SARS-CoV-2 IgG II Quant LABORATORY MOLECULAR 2080
SARS-CoV-2 S Antibody Quantitative LABORATORY MOLECULAR 1390
Pap Smear (Without Specimen) LABORATORY MICROBIOLOGY 593
SARS-CoV-2 IgG and IgM (Automated) LABORATORY MOLECULAR 1735
PTT LABORATORY HEMATOLOGY 440
Complete Blood Count (CBC) LABORATORY HEMATOLOGY 280
Reticulocyte Count LABORATORY HEMATOLOGY 217
ESR LABORATORY HEMATOLOGY 180
Blood Typing w/ RH Factor LABORATORY HEMATOLOGY 280
Prothrombin Time LABORATORY HEMATOLOGY 420
Dengue NS1 AG LABORATORY HEMATOLOGY 1710
Peripheral Smear LABORATORY HEMATOLOGY 298
Malarial Smear LABORATORY HEMATOLOGY 210
Dengue Duo (IGM/IGG) LABORATORY HEMATOLOGY 2740
Sputum Culture & Sensitivity LABORATORY MICROBIOLOGY 1700
Stool Culture LABORATORY MICROBIOLOGY 690
Stool Culture & Sensitivity LABORATORY MICROBIOLOGY 1700
Nasal Swab C/S LABORATORY MICROBIOLOGY 1700
Gram Stain LABORATORY MICROBIOLOGY 230
AFB Stain LABORATORY MICROBIOLOGY 229
Blood CS ARD LABORATORY MICROBIOLOGY 2200
Body Fluid CS LABORATORY MICROBIOLOGY 1700
C/S Swab LABORATORY MICROBIOLOGY 950
Throat Swab CS LABORATORY MICROBIOLOGY 1700
Urine CS ARD LABORATORY MICROBIOLOGY 1900
Urine Culture & Sensitivity LABORATORY MICROBIOLOGY 1700
Vaginal Discharge C/S LABORATORY MICROBIOLOGY 1700
Wound Discharge C/S LABORATORY MICROBIOLOGY 1700
Pap Smear (With Specimen) LABORATORY MICROBIOLOGY 348
Total Bilirubin LABORATORY CHEMISTRY 262
24 Hour Urine Protein LABORATORY CHEMISTRY 518
Microalbumin LABORATORY CHEMISTRY 398
Random Urine Creatinine LABORATORY CHEMISTRY 445
CK Total LABORATORY CHEMISTRY 508
Lipid Profile LABORATORY CHEMISTRY 685
SGPT/ALT LABORATORY CHEMISTRY 163
CK-MB LABORATORY CHEMISTRY 655
Creatinine LABORATORY CHEMISTRY 153
Potassium LABORATORY CHEMISTRY 200
Sodium LABORATORY CHEMISTRY 200
Total Protein LABORATORY CHEMISTRY 170
24 Hour Urine Creatinine LABORATORY CHEMISTRY 428
Random Urine Protein LABORATORY CHEMISTRY 533
BUN LABORATORY CHEMISTRY 153
Total Cholesterol LABORATORY CHEMISTRY 153
SGOT/AST LABORATORY CHEMISTRY 163
Folic/Folate LABORATORY CHEMISTRY 6735
FBS (Glucose) LABORATORY CHEMISTRY 100
Alkaline Phosphatase LABORATORY CHEMISTRY 210
Total Calcium LABORATORY CHEMISTRY 205
Albumin LABORATORY CHEMISTRY 170
Chloride LABORATORY CHEMISTRY 217
RBS Glucose LABORATORY CHEMISTRY 121
OGTT (Glucose) LABORATORY CHEMISTRY 950
Uric Acid LABORATORY CHEMISTRY 153
Triglycerides LABORATORY CHEMISTRY 203
CK-MM LABORATORY CHEMISTRY 1005
Vitamin B 12 Assay LABORATORY CHEMISTRY 3015
HBSAG LABORATORY IMMUNOLOGY 338
Beta HCG (QUANTITATIVE) LABORATORY IMMUNOLOGY 1405
CMV DNA LABORATORY IMMUNOLOGY 15145
Pro BNP (NT Pro-BNP) LABORATORY IMMUNOLOGY 4575
VALPROIC ASSAY LABORATORY IMMUNOLOGY 2000
TSH (IRMA) LABORATORY IMMUNOLOGY 2010
FT4 RIA LABORATORY IMMUNOLOGY 2010
FT3 RIA LABORATORY IMMUNOLOGY 2010
T4 LABORATORY IMMUNOLOGY 403
Anti-HBC (IGM) LABORATORY IMMUNOLOGY 533
Anti-HCV LABORATORY IMMUNOLOGY 860
ANTI-HAV (IGG) LABORATORY IMMUNOLOGY 440
Anti-HAV (IGM) LABORATORY IMMUNOLOGY 573
Anti-HBE LABORATORY IMMUNOLOGY 533
CMV (IGG) LABORATORY IMMUNOLOGY 2010
CMV (IGM) LABORATORY IMMUNOLOGY 2010
Fasting Insulin LABORATORY IMMUNOLOGY 1590
Anti-HAV (Total) LABORATORY IMMUNOLOGY 645
Anti-HBC (Total) LABORATORY IMMUNOLOGY 533
Anti-HBS LABORATORY IMMUNOLOGY 343
HBEAG LABORATORY IMMUNOLOGY 533
Varicella-Zoster IGG LABORATORY IMMUNOLOGY 4690
Tacrolimus LABORATORY IMMUNOLOGY 3825
HIV 1/2 LABORATORY IMMUNOLOGY 805
TSH LABORATORY IMMUNOLOGY 635
FT4 LABORATORY IMMUNOLOGY 645
VDRL (Qualitative) LABORATORY IMMUNOLOGY 298
Beta HCG (QUANTITATIVE) LABORATORY IMMUNOLOGY 1365
T3 LABORATORY IMMUNOLOGY 403
FSH LABORATORY IMMUNOLOGY 979
VDRL (Quantitative) LABORATORY IMMUNOLOGY 560
Cyclosporin (CYA) LABORATORY IMMUNOLOGY 3600
Anti-HAV (IGG) LABORATORY IMMUNOLOGY 583
FT3 LABORATORY IMMUNOLOGY 665
Semen Analysis LABORATORY MICROSCOPY 885
Fecalysis LABORATORY MICROSCOPY 123
Pregnancy Test LABORATORY MICROSCOPY 240
Occult Blood LABORATORY MICROSCOPY 1150
Urinalysis LABORATORY MICROSCOPY 128
SARS-CoV-2 RT-PCR LABORATORY MOLECULAR 2500
SARS-CoV-2 Antigen LABORATORY MOLE 299
SARS-CoV-2 RT-PCR SALIVA LABORATORY MOLECULAR 2215
SARS-CoV-2 Antigen LABORATORY MOLECULAR 610
Folic Acid LABORATORY SO 6735
Procedure / Test Group Sub-Group Price
Item Price

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