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Description - DE Medical Assistance Program

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80049 METABOLIC PANEL, BASIC 9 $0.00<br />

80050 GENERAL HEALTH PANEL 3 $16.32<br />

80051 ELECTROLYTE PANEL 3 $9.85<br />

80052 PRE-MARITAL PROFILE 9 $0.00<br />

80053 COMPREHEN METABOLIC PANEL 3 $14.84<br />

80054 COMPREHEN METABOLIC PANEL 9 $0.00<br />

80055 OBSTETRIC PANEL 3 $23.08<br />

80056 AMENORRHEA PROFILE 9 $0.00<br />

80057 MALE INFERTILITY AND/OR GYNECOMASTI 9 $0.00<br />

80058 HEPATIC FUNCTION PANEL O $0.00<br />

80059 HEPATITIS PANEL O $0.00<br />

80060 HYPERTENSION PANEL O $0.00<br />

80061 LIPID PANEL 3 $18.81<br />

80062 CARDIAC EVALUATION (INCLUDING CORON O $0.00<br />

80063 CARDIAC INJURY PANEL O $0.00<br />

80064 CARDIAC INJURY PANEL WITH CREATINE O $0.00<br />

80065 METABOLIC PANEL O $0.00<br />

80066 MALABSORPTION PANEL O $0.00<br />

80067 PULMONARY (LUNG FUNCTION) PANEL O $0.00<br />

80068 LUNG MATURITY PROFILE O $0.00<br />

80069 RENAL FUNCTION PANEL 3 $12.18<br />

80070 THYROID PANEL O $0.00<br />

80071 THYROID PANEL WITH THYROTROPIN RELE O $0.00<br />

80072 ARTHRITIS PANEL O $0.00<br />

80073 RENAL PANEL O $0.00<br />

80074 ACUTE HEPATITIS PANEL 3 $66.59<br />

80075 PARATHYROID PANEL O $0.00<br />

80076 HEPATIC FUNCTION PANEL 3 $11.47<br />

80080 PROSTATIC PANEL O $0.00<br />

80082 PANCREATIC PANEL O $0.00<br />

80084 PITUITARY PANEL O $0.00<br />

80085 MICROCYTIC ANEMIA PANEL O $0.00<br />

80086 MACROCYTIC ANEMIA PANEL O $0.00<br />

80088 TRANSITION PANEL (FOR MANAGEMENT OF O $0.00<br />

80089 MUSCLE PANEL O $0.00<br />

80090 TORCH ANTIBODY PANEL O $0.00<br />

80091 THYROID PANEL O $0.00<br />

80092 THYROID PANEL W/TSH O $0.00<br />

80099 UNLISTED PANEL O $0.00<br />

80100 DRUG SCREEN, QUALITATE/MULTI 3 $20.41<br />

80101 DRUG SCREEN, SINGLE 3 $19.33<br />

80102 DRUG CONFIRMATION 3 $18.59<br />

80103 DRUG ANALYSIS, TISSUE PREP 5 $0.00<br />

80150 ASSAY OF AMIKACIN 3 $21.16<br />

80152 ASSAY OF AMITRIPTYLINE 3 $25.13<br />

80154 ASSAY OF BENZODIAZEPINES 3 $22.53<br />

80156 ASSAY, CARBAMAZEPINE, TOTAL 3 $20.43<br />

80157 ASSAY, CARBAMAZEPINE, FREE 3 $18.61<br />

80158 ASSAY OF CYCLOSPORINE 3 $25.34

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