Procedure / Test Group Sub-Group Price
CLAVICLE VIEW IMAGING XRAY 550
CERVICAL SERIES IMAGING XRAY 1130
CERVICAL AP/ LATERAL IMAGING XRAY 810
CALCANEAL BONE IMAGING XRAY 690
COCCYX / SACRUM IMAGING XRAY 740
APICO-LORDOTIC VIEW IMAGING XRAY 380
ANKLE MORTIS VIEW IMAGING XRAY 470
CLAVICLE VIEW, BOTH (PEDIA) IMAGING XRAY 870
ANKLE AP / LATERAL IMAGING XRAY 640
ABDOMEN AP IMAGING XRAY 1000
ABDOMEN (PEDIA) IMAGING XRAY 880
CHEST PA / LAT IMAGING XRAY 520
CHEST PA IMAGING XRAY 330
CHEST AP/LAT (PEDIA) IMAGING XRAY 470
CRANIAL ULTRASOUND IMAGING GEN UTZ 1350
BREAST ULTRASOUND IMAGING GEN UTZ 1280
APPENDIX (ULTRASOUND) IMAGING GEN UTZ 620
2D ECHO (PLAIN) IMAGING 2DECHO 2300
2D ECHO (DOPPLER) IMAGING 2DECHO 3250
ARTERIAL DUPLEX SCAN IMAGING VASCULAR UTZ 3260
CAROTID DUPLEX SCAN IMAGING VASCULAR UTZ 5200
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 585
SARS-CoV-2 IgG and IgM (Automated) LABORATORY MOLECULAR 1735
PTT LABORATORY HEMATOLOGY 425
Complete Blood Count (CBC) LABORATORY HEMATOLOGY 315
Reticulocyte Count LABORATORY HEMATOLOGY 205
ESR LABORATORY HEMATOLOGY 170
Blood Typing w/ RH Factor LABORATORY HEMATOLOGY 315
Prothrombin Time LABORATORY HEMATOLOGY 405
Dengue NS1 AG LABORATORY HEMATOLOGY 1695
Peripheral Smear LABORATORY HEMATOLOGY 285
Malarial Smear LABORATORY HEMATOLOGY 205
Dengue Duo (IGM/IGG) LABORATORY HEMATOLOGY 2645
Sputum Culture & Sensitivity LABORATORY MICROBIOLOGY 900
Stool Culture LABORATORY MICROBIOLOGY 675
Stool Culture & Sensitivity LABORATORY MICROBIOLOGY 900
Nasal Swab C/S LABORATORY MICROBIOLOGY 900
Gram Stain LABORATORY MICROBIOLOGY 225
AFB Stain LABORATORY MICROBIOLOGY 225
Blood CS ARD LABORATORY MICROBIOLOGY 2250
Body Fluid CS LABORATORY MICROBIOLOGY 900
C/S Swab LABORATORY MICROBIOLOGY 900
Throat Swab CS LABORATORY MICROBIOLOGY 900
Urine CS ARD LABORATORY MICROBIOLOGY 2475
Urine Culture & Sensitivity LABORATORY MICROBIOLOGY 900
Vaginal Discharge C/S LABORATORY MICROBIOLOGY 900
Wound Discharge C/S LABORATORY MICROBIOLOGY 900
Pap Smear (With Specimen) LABORATORY MICROBIOLOGY 340
Total Bilirubin LABORATORY CHEMISTRY 250
24 Hour Urine Protein LABORATORY CHEMISTRY 510
Microalbumin LABORATORY CHEMISTRY 380
Random Urine Creatinine LABORATORY CHEMISTRY 425
CK Total LABORATORY CHEMISTRY 485
Lipid Profile LABORATORY CHEMISTRY 675
SGPT/ALT LABORATORY CHEMISTRY 160
CK-MB LABORATORY CHEMISTRY 620
Creatinine LABORATORY CHEMISTRY 150
Potassium LABORATORY CHEMISTRY 195
Sodium LABORATORY CHEMISTRY 195
Total Protein LABORATORY CHEMISTRY 165
24 Hour Urine Creatinine LABORATORY CHEMISTRY 420
Random Urine Protein LABORATORY CHEMISTRY 510
BUN LABORATORY CHEMISTRY 150
Total Cholesterol LABORATORY CHEMISTRY 150
SGOT/AST LABORATORY CHEMISTRY 160
Folic/Folate LABORATORY CHEMISTRY 6735
FBS (Glucose) LABORATORY CHEMISTRY 100
Alkaline Phosphatase LABORATORY CHEMISTRY 200
Total Calcium LABORATORY CHEMISTRY 195
Albumin LABORATORY CHEMISTRY 160
Chloride LABORATORY CHEMISTRY 205
RBS Glucose LABORATORY CHEMISTRY 115
OGTT (Glucose) LABORATORY CHEMISTRY 935
Uric Acid LABORATORY CHEMISTRY 150
Triglycerides LABORATORY CHEMISTRY 195
CK-MM LABORATORY CHEMISTRY 960
Vitamin B 12 Assay LABORATORY CHEMISTRY 4385
HBSAG LABORATORY IMMUNOLOGY 330
Beta HCG (QUANTITATIVE) LABORATORY IMMUNOLOGY 1360
CMV DNA LABORATORY IMMUNOLOGY 15145
Pro BNP (NT Pro-BNP) LABORATORY IMMUNOLOGY 4560
VALPROIC ASSAY LABORATORY IMMUNOLOGY 1610
TSH (IRMA) LABORATORY IMMUNOLOGY 2010
FT4 RIA LABORATORY IMMUNOLOGY 2010
FT3 RIA LABORATORY IMMUNOLOGY 2010
T4 LABORATORY IMMUNOLOGY 395
Anti-HBC (IGM) LABORATORY IMMUNOLOGY 525
Anti-HCV LABORATORY IMMUNOLOGY 845
ANTI-HAV (IGG) LABORATORY IMMUNOLOGY 440
Anti-HAV (IGM) LABORATORY IMMUNOLOGY 565
Anti-HBE LABORATORY IMMUNOLOGY 525
CMV (IGG) LABORATORY IMMUNOLOGY 2010
CMV (IGM) LABORATORY IMMUNOLOGY 2010
Fasting Insulin LABORATORY IMMUNOLOGY 1575
Anti-HAV (Total) LABORATORY IMMUNOLOGY 630
Anti-HBC (Total) LABORATORY IMMUNOLOGY 525
Anti-HBS LABORATORY IMMUNOLOGY 335
HBEAG LABORATORY IMMUNOLOGY 525
Varicella-Zoster IGG LABORATORY IMMUNOLOGY 4690
Tacrolimus LABORATORY IMMUNOLOGY 3810
HIV 1/2 LABORATORY IMMUNOLOGY 790
TSH LABORATORY IMMUNOLOGY 620
FT4 LABORATORY IMMUNOLOGY 630
VDRL (Qualitative) LABORATORY IMMUNOLOGY 285
Beta HCG (QUANTITATIVE) LABORATORY IMMUNOLOGY 1350
T3 LABORATORY IMMUNOLOGY 395
FSH LABORATORY IMMUNOLOGY 964
VDRL (Quantitative) LABORATORY IMMUNOLOGY 560
Cyclosporin (CYA) LABORATORY IMMUNOLOGY 3485
Anti-HAV (IGG) LABORATORY IMMUNOLOGY 575
FT3 LABORATORY IMMUNOLOGY 630
Semen Analysis LABORATORY MICROSCOPY 845
Fecalysis LABORATORY MICROSCOPY 120
Pregnancy Test LABORATORY MICROSCOPY 240
Occult Blood LABORATORY MICROSCOPY 1105
Urinalysis LABORATORY MICROSCOPY 125
SARS-CoV-2 RT-PCR LABORATORY MOLECULAR 2500
SARS-CoV-2 Antigen LABORATORY MOLE 299
SARS-CoV-2 RT-PCR SALIVA LABORATORY MOLECULAR 2200
SARS-CoV-2 Antigen LABORATORY MOLECULAR 600
Folic Acid LABORATORY SO 6735
Procedure / Test Group Sub-Group Price
Item Price

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