Orange County NC Website
ORANGE FAMILY MEDICAL GROUP PA <br /> 06/15/93 PROCEDURE FEES ?AGE 2 <br /> PROCEDURE DESCRIPTION ALT. DESC. DEPT T.O.S. STD. FEE <br /> ------------------------------------------------------------------------------------------------------------------------------------ <br /> 152 SURGICAL PATH (COMP.) RL RL 99 85.00 <br /> 36315 PROSTATE SPECIFIC ANTIGEN RL 0 36.00 <br /> n 2951 )'SGLLiVAN i:NCLuDES GLUCOSE) RL 0 .00 <br /> 39 HEPATITIS PANEL RL RL 99 .00 <br /> 86140 :4P BLOOD WORK RL 0 .00 <br /> 33001 FSH BLOOD RL 81.75 <br /> 3060 .PPcR RESP.CJL%RE BLOOD WORK RL 1 .00 <br /> 82785 IMMUNEGLOBINS BLOOD WORK RL 1 .00 <br /> ',2485 NORTRiP':YLINE BLOOD YORK RL 1 loo <br /> 83002 LH BLOOD WORK RL 0 81.00 <br /> 83750 MAGNESIUM BLOOD WORK RL 1 39.00 <br /> 83825 MERCURY BLOOD WORK RL 1 .00 <br /> 84066 ACID PHOS. RL 1 .00 <br /> 16255 MUMPS TITER RL 1 .00 <br /> 85999 ANEMIA PROFILE B BLOOD WORK RL 1 30.80 <br /> 85014 HEMATOCRIT BLOOD WORK RL 0 11.00 <br /> 87.05 GRAM STAIN 87205 RL 0 20.00 <br /> 138A HEMOGLOBIN A-1C RL 99 45.00 <br /> 86262 JALPORIC ,ACID RL 1 67.00 <br /> 80178 DNA PROBE (X2) RL 0 .00 <br /> 82705 FECAL FAT RL 1 .00 <br /> 89051 ,,LL COUNT RL RL 1 35.00 <br /> 701149 T4 BLOOD WORK RL 1 .00 <br /> 87086 URINE CULTURE 87086 RL 5 37.00 <br /> 37106 FJNGAL CULTURE RL 1 A <br /> 84231-GP DRUG SCREEN RL 1 20.00 <br /> 37206 CHLAMYDIA MICROTRAK BLOODWORK RL 5 38.00 <br /> 96357 T88 LYMPH PROFILE BLOOD WORK RL 0 .00 <br /> :3'.A COLLECTION, LAB SPECIMEN RL RL 99 18.00 <br /> ?4132A POTASSIUM RL RL 99 22.25 <br /> 1141255 ANA ANA RL 5 .00 <br /> 32.50 AMYLASE BLOODWORK RL 5 32.00 <br /> :x_00 ��OSPHOEJS BLOOD WORK RL 1 .00 <br /> ?t1?0(i3) T-i-vKPHOSYTE SUPP./HELPER PROFILE BLOOD WORK RL 0 154.00 <br /> 30004 c,-ECTROLYTES BLOOD WORK RL 0 23.20 <br /> 39060 CRYSTAL ANALYSIS BLOOD WORK RL 1 .00 <br /> 312 'VITAMIN LAB RL 1 70.50 <br /> :2947 SERUM GLUCOSE BLOOD WORK RL 1 .00 <br /> ;4075 ALKALINE PHO. RL 0 31.50 <br /> 33125 LITHIUM LEVEL RL 99 41.00 <br /> I`2Eti RMSF TITER BLOOD WORK RL 1 95.75 <br /> :_533 CARTISOL AM RL 99 89.25 <br /> 3 _28 RUBELLA RL 1 36.00 <br /> 37040 BLOOD CULTURE BLOODWORK RL 99 60.00 <br /> :2250 TOTAL BILI. BLOOD WORK RL 1 .00 <br /> 799007 URINE TOX SCREEN DRUG SCR. RL 1 55.00 <br /> 146 PROTIM£ RL RL 99 28.00 <br /> 86278 HEP 8 SAG BLOOD AR RL 1 .00 <br /> 86312 HIV TITER BLOOD WORK RL 1 36.00 <br /> 86517 VARCELLA ZOSTER IOG RL 0 70.50 <br /> APA ANEMIA PROFILE A APA RL 5 27.80 <br /> 82468 NARTRIPTHLINE BLOOD WORK RL 1 .00 <br /> 88302 SURD. PATHOLOGY RL 99 .00 <br />