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a - ' <br /> 086 <br /> ORANGE FAMILY MEDICAL CENTER <br /> FEE SCHEDULE <br /> REFERENCE LABORATORY PROCEDURES <br /> THE FOLLOWING LABORATORY PROCEDURES ARE PERFORMED BY A REFERENCE <br /> LABORATORY. THE ORANGE FAMILY MEDICAL CENTER CHARGES A $10. 00 FEE <br /> FOR COLLECTION AND HANDLING IN ADDITION TO THE PROCEDURAL FEES <br /> LISTEN BELOW: <br /> PROCEDURE <br /> PANEL 1249 80019 12.50 DIGOXIN 82643 24. 00 <br /> PANEL 1144 80019 15. 00 DILANTIN 84045 26. 50 <br /> LIVER PANEL 80010 19. 30 GLUCOSE TOLERANCE 82951 25. 00 <br /> PANEL 1039 80018 13. 00 FSH SERUM 83001 42. 70 <br /> PRENATAL PROFILE 80055 15. 15 FOLIC ACID 82746 29. 40 <br /> ELECTROLYTE PANEL 80004 11. 00 HEPATITIS PANEL 80059 68. 10 <br /> ANEMIA PROFILE II 80086 23. 20 IRON BINDING CAP. 83550 13. 00 <br /> ARTHRITIS PANEL (RA) 80072 27. 40 PINWORM PREP 87208 3. 00 <br /> LIPID PANEL I 80061 20. 10 OVA & PARASITES 87211 14. 80 <br /> CBC & DIFFERENTIAL 85022 6. 95 RH ANTIBODY T I TER 86025 12. 80 <br /> THYROID PANEL 80070 37. 00 URIC ACID 84550 6. 30 <br /> CHOLESTEROL 82465 8. 00 VITAMIN B-12 82607 38. 00 <br /> TRIGLYCERIDES 84478 11. 20 ALPHA FETOPROTEIN 86244 35. 00 <br /> SEROLOGY (RPR) 86592 8. 00 STREP TEST 86045 8. 00 <br /> PRO THROMB I N (PT) 85610 8. 00 BLOOD GROUP & RH 86082 9. 90 <br /> PART. THROMBOPLASTIN CULTURE & SENSI T I V. 87086 . 20. 00 <br /> TIME (PTT) 85730 11. 90 FUNGUS CULTURE 87102 32. 10 <br /> LITHIUM 83725 17. 00 HERPES CULTURE 87250 31. 20 <br /> THEOPHYLLINE 84420 31. 00 CHLAMYDIA CULTURE 87206 10. 80 <br /> PLATELET COUNT 85580 8. 00 ROUTINE CULTURE <br /> PHENOBARBITAL 82210 32. 00 (STOOL, SPUTUM) 87082 20. 00 <br /> Effective 3/1/85 <br />