Procedure / Test Group Sub-Group Price
CLAVICLE VIEW IMAGING XRAY 585
CERVICAL SERIES IMAGING XRAY 1165
CERVICAL AP/ LATERAL IMAGING XRAY 845
CALCANEAL BONE IMAGING XRAY 725
COCCYX / SACRUM IMAGING XRAY 775
APICO-LORDOTIC VIEW IMAGING XRAY 380
ANKLE MORTIS VIEW IMAGING XRAY 505
CLAVICLE VIEW, BOTH (PEDIA) IMAGING XRAY 905
ANKLE AP / LATERAL IMAGING XRAY 675
ABDOMEN AP IMAGING XRAY 1035
ABDOMEN (PEDIA) IMAGING XRAY 915
CHEST PA / LAT IMAGING XRAY 520
CHEST PA IMAGING XRAY 330
CHEST AP/LAT (PEDIA) IMAGING XRAY 470
CRANIAL ULTRASOUND IMAGING GEN UTZ 1420
BREAST ULTRASOUND IMAGING GEN UTZ 1350
APPENDIX (ULTRASOUND) IMAGING GEN UTZ 670
2D ECHO (PLAIN) IMAGING 2DECHO 2370
2D ECHO (DOPPLER) IMAGING 2DECHO 3320
ARTERIAL DUPLEX SCAN IMAGING VASCULAR UTZ 3330
CAROTID DUPLEX SCAN IMAGING VASCULAR UTZ 5270
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 590
SARS-CoV-2 IgG and IgM (Automated) LABORATORY MOLECULAR 1735
PTT LABORATORY HEMATOLOGY 437
Complete Blood Count (CBC) LABORATORY HEMATOLOGY 315
Reticulocyte Count LABORATORY HEMATOLOGY 215
ESR LABORATORY HEMATOLOGY 178
Blood Typing w/ RH Factor LABORATORY HEMATOLOGY 315
Prothrombin Time LABORATORY HEMATOLOGY 417
Dengue NS1 AG LABORATORY HEMATOLOGY 1705
Peripheral Smear LABORATORY HEMATOLOGY 296
Malarial Smear LABORATORY HEMATOLOGY 208
Dengue Duo (IGM/IGG) LABORATORY HEMATOLOGY 2735
Sputum Culture & Sensitivity LABORATORY MICROBIOLOGY 1150
Stool Culture LABORATORY MICROBIOLOGY 685
Stool Culture & Sensitivity LABORATORY MICROBIOLOGY 950
Nasal Swab C/S LABORATORY MICROBIOLOGY 1150
Gram Stain LABORATORY MICROBIOLOGY 228
AFB Stain LABORATORY MICROBIOLOGY 227
Blood CS ARD LABORATORY MICROBIOLOGY 2400
Body Fluid CS LABORATORY MICROBIOLOGY 1150
C/S Swab LABORATORY MICROBIOLOGY 950
Throat Swab CS LABORATORY MICROBIOLOGY 1150
Urine CS ARD LABORATORY MICROBIOLOGY 2625
Urine Culture & Sensitivity LABORATORY MICROBIOLOGY 1150
Vaginal Discharge C/S LABORATORY MICROBIOLOGY 1150
Wound Discharge C/S LABORATORY MICROBIOLOGY 950
Pap Smear (With Specimen) LABORATORY MICROBIOLOGY 345
Total Bilirubin LABORATORY CHEMISTRY 260
24 Hour Urine Protein LABORATORY CHEMISTRY 515
Microalbumin LABORATORY CHEMISTRY 395
Random Urine Creatinine LABORATORY CHEMISTRY 442
CK Total LABORATORY CHEMISTRY 505
Lipid Profile LABORATORY CHEMISTRY 685
SGPT/ALT LABORATORY CHEMISTRY 163
CK-MB LABORATORY CHEMISTRY 650
Creatinine LABORATORY CHEMISTRY 153
Potassium LABORATORY CHEMISTRY 198
Sodium LABORATORY CHEMISTRY 198
Total Protein LABORATORY CHEMISTRY 168
24 Hour Urine Creatinine LABORATORY CHEMISTRY 425
Random Urine Protein LABORATORY CHEMISTRY 530
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 208
Total Calcium LABORATORY CHEMISTRY 203
Albumin LABORATORY CHEMISTRY 168
Chloride LABORATORY CHEMISTRY 215
RBS Glucose LABORATORY CHEMISTRY 121
OGTT (Glucose) LABORATORY CHEMISTRY 945
Uric Acid LABORATORY CHEMISTRY 153
Triglycerides LABORATORY CHEMISTRY 203
CK-MM LABORATORY CHEMISTRY 1000
Vitamin B 12 Assay LABORATORY CHEMISTRY 3010
HBSAG LABORATORY IMMUNOLOGY 335
Beta HCG (QUANTITATIVE) LABORATORY IMMUNOLOGY 1400
CMV DNA LABORATORY IMMUNOLOGY 15145
Pro BNP (NT Pro-BNP) LABORATORY IMMUNOLOGY 4570
VALPROIC ASSAY LABORATORY IMMUNOLOGY 1610
TSH (IRMA) LABORATORY IMMUNOLOGY 2010
FT4 RIA LABORATORY IMMUNOLOGY 2010
FT3 RIA LABORATORY IMMUNOLOGY 2010
T4 LABORATORY IMMUNOLOGY 400
Anti-HBC (IGM) LABORATORY IMMUNOLOGY 530
Anti-HCV LABORATORY IMMUNOLOGY 855
ANTI-HAV (IGG) LABORATORY IMMUNOLOGY 440
Anti-HAV (IGM) LABORATORY IMMUNOLOGY 570
Anti-HBE LABORATORY IMMUNOLOGY 530
CMV (IGG) LABORATORY IMMUNOLOGY 2010
CMV (IGM) LABORATORY IMMUNOLOGY 2010
Fasting Insulin LABORATORY IMMUNOLOGY 1585
Anti-HAV (Total) LABORATORY IMMUNOLOGY 640
Anti-HBC (Total) LABORATORY IMMUNOLOGY 530
Anti-HBS LABORATORY IMMUNOLOGY 340
HBEAG LABORATORY IMMUNOLOGY 530
Varicella-Zoster IGG LABORATORY IMMUNOLOGY 4690
Tacrolimus LABORATORY IMMUNOLOGY 3820
HIV 1/2 LABORATORY IMMUNOLOGY 800
TSH LABORATORY IMMUNOLOGY 630
FT4 LABORATORY IMMUNOLOGY 640
VDRL (Qualitative) LABORATORY IMMUNOLOGY 296
Beta HCG (QUANTITATIVE) LABORATORY IMMUNOLOGY 1360
T3 LABORATORY IMMUNOLOGY 400
FSH LABORATORY IMMUNOLOGY 974
VDRL (Quantitative) LABORATORY IMMUNOLOGY 560
Cyclosporin (CYA) LABORATORY IMMUNOLOGY 3595
Anti-HAV (IGG) LABORATORY IMMUNOLOGY 580
FT3 LABORATORY IMMUNOLOGY 660
Semen Analysis LABORATORY MICROSCOPY 880
Fecalysis LABORATORY MICROSCOPY 123
Pregnancy Test LABORATORY MICROSCOPY 240
Occult Blood LABORATORY MICROSCOPY 1145
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 2210
SARS-CoV-2 Antigen LABORATORY MOLECULAR 610
Folic Acid LABORATORY SO 6735
Procedure / Test Group Sub-Group Price
Item Price

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