contents and information - functional medicine university
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Contents and Information
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com2
Prices Subject to Change without Prior Notice.We Cannot Draw or Ship Specimens for Other Companies.
Professional Co-op® is proud to be celebrating 11 years of Service with Integrity. Ourvision back in 2000 was to make a ordable lab testing available to every quali edpractitioner in America – that continues to be our mission everyday. Please do nothesitate to contact us if you have any questions and one of our friendly sta memberswill be happy to assist you.
Professional Co-op® is pleased to o er BioStation™, a no-cost EHR by Soren Technology.BioStation™ is a web-based medical records solution, which can be accessed fromany web-enabled device. The best part is that the basic system is paid for with low-keyadvertising. The full PCS price compendium, now approaching 2,000 tests includingpanels, is available on BioStation™ for your ordering convenience.
Lab test orders can also be initiated directly through the Professional Co-op website.Requisition forms are no longer needed! The website ordering is convenient and userfriendly. Past orders are archived for easy access to repeat testing. All orderable testcodes, prices, and descriptions are available and updated in real time.
PCS is a part of the healthcare solution and we thank you for your continued support.
LabCorp’s entire Directory of Services isavailable online with technical information ontests. Go to LabCorp.com and click on theI Am a Healthcare Provider tab.
Visit LabTestsOnline.org for peer-reviewedinformation on many lab tests, as well asinformation on disease conditions.
The site is non-pro t and maintained by theAmerican Association for Clinical Chemistry(AACC) and other professional groups. It is a greatresource for both patient and doctor. PCS is proudto be a site sponsor for LabTestsOnline.org.
Visit ClinLabNavigator.com for over 500 detailedtest interpretive guides as well as other helpfulservices and information on speci c diseaseconditions.
This site is produced by Dr. Fred Plapp, MD,Ph.D, a board certi ed Clinical Pathologist atthe renowned St. Luke’s Hospital in KansasCity, MO. PCS is proud to be a site sponsor forClinLabNavigator.com.
Please see the Members tab ofProfessionalCo-op.com for technical informationon many tests in our pricelist. A downloadablePDF version of this pricelist is also available underthis tab listed as PDF Pricelist.
earch For LabCorpDraw Stations
You can nd draw station information at LabCorp.com. Please look under the I Am a Patient tab andclick on Find a Lab to enter a zip code and distance
preference. Online appointment scheduling isnow available for most LabCorp draw stations.
eed More TestInformation?
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Footnote Key
* See Panel Description1 Kit Must be Picked Up and Returned to Draw Station2 Extra Cost of $50 if Re ex Test is Necessary3 Extra Cost of $15 per Organism Sensitivity4 Call Professional Co-op at 866-999-4041 for Collection Kit5 Only Available at Select Draw Stations. Call 866-999-4041 Before Ordering6 Collection Available Monday-Wednesday Only7 Non-Invasive Algorithim to Assess Liver Damage8 Extra Cost of $69 if Re exed to HPV High Risk9 Extra Cost of $240 for Con rmation by Western Blot if Positive
10 Extra Cost of $30 for Urine Culture, if Indicated11 Extra Cost of $59 for tTG, IgG if IgA, Total is decreased.12 Test not performed for persons under the age of 18.13 Must Indicate Height and Weight on Lab Order14 Extra Cost of $15 per Parasite Identi cation
A $7 phlebotomy fee will be added to your total for each patient.
Service with Integrity Since 2001
S
Contents PagesSuper Panel Directory 3
Alphabetical Listing of All Tests 4-14
PCS Super Panel Tests 15-22
PCS Mini Panels 23-25
Test Category Lists 26-38
CPT Codes 39-47
Physician Notes 47-48
Tests requiring fasting are noted as “FASTING” throughoutlistings. Fasting is for 12 hours with water only.
Fasting
Some tests are noted as “AVOID EXERCISE” throughout listings.
Please avoid strenuous exercise for at least 24 to 48 hours priorto collection.
Avoid Exercise
3P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Super Panel Directory
PCS™ Super Panels
See Pages 15 - 22 for tests included in panels with CPT codes
Special Coagulation Testing
Professional Co-op® is pleased to now o er special coagulation testing through Esoterix®!Esoterix® is a LabCorp® company that o ers cutting-edge methodologies as well as proprietary tests and discountedpricing that is exclusive to Professional Co-op® members.
Our sta is eager to answer any questions and can provide the Esoterix® Coagulation Test Directory, collectioninstructions, and an Esoterix® requisition form. Esoterix® tests cannot be ordered with a LabCorp requisition andrequire special collection instructions from Professional Co-op directly.
Please call our o ce at 866-999-4041 or email us directly at [email protected] for discounted pricing andspeci c ordering instructions.
Esoterix® tests o ered include:
Ordering Code | Panel Name Test Price202999 Opti-Chem™ $69.00 Fasting
339071 Opti-Plus™ $109.00 Fasting345572 Opti-Plus D™ $133.00 Fasting348421 Opti-Cardio™ $169.00 Fasting349751 Opti-Cardio Plus™ $179.00 Fasting346054 Opti-Plex™ $79.00 Fasting
346041 Opti-K-Plex™ $133.00 Fasting346029 Opti-K-Plex 2™ $179.00 Fasting373428 Opti-Thyro-Plex™ $215.00 Fasting297990 Maxi-Chem™ $65.00 Fasting381822 Mini-Chem™ $40.00 Fasting
365422 Best Value™ $229.00 Fasting502330 Hormone Panel A $150.00502340 Hormone Panel B $165.00
Ordering Code | Panel Name Test Price502510 Hormone Panel C $190.00
502511 Hormone Panel D $205.00503389 Hormone Panel E $165.00503390 Hormone Panel F $269.00341443 S.T.I. Panel $159.00331089 Thyroid Extender Panel™ $89.00
505015 T&B Lymphocyte/NK Cell Panel $129.00815295 Cytokine Panel A $279.00815250 Cytokine Panel B $219.00815494 Cytokine Panel C $139.00815557 Cytokine Panel D $139.00
601778 Allergen Panel - 96 Foods, IgE $259.00600550 Allergen Panel - 96 Foods, IgG $259.00600457 Allergen Panel - Mold, IgG $69.00
ISAC Coagulation Panel Hereditary Thrombosis Risk Panel (HTRP) Platelet Activation by Flow Cytometry Thrombin / Antithrombin Complexes
This is not a COMPLETE listing of tests o ered. Please see our website atwww.ProfessionalCo-op.com for the full PCS Test Directory.
4
Alphabetical Listing
* See Panel Description1 Kit Must be Picked Up and Returned to Draw Station 3 Extra Cost of $15 per Organism Sensitivity4 Call Professional Co-op at 866-999-4041 for Collection Kit
17- -Hydroxyprogesterone 070085 $120.00
ABO Grouping 006056 $12.00
ABO Grouping with Rh Factor 006049 $18.00
Actin (Smooth Muscle) Antibody (ASMA) 006643 $59.00
Adrenal 21-Hydroxylase Autoantibodies 500092 $69.00
Adrenocorticotropic Hormone (ACTH) 004440 $75.00
Aerobic Bacterial Culture 3, 4 008649 $30.00
Albumin, Serum 001081 $5.00
Aldolase 002030 $39.00
Aldosterone, Serum 004374 $79.00
Aldosterone, 24 Hour Urine 1 004291 $79.00
Alkaline Phosphatase, Bone Speci c 513002 $49.00
Alkaline Phosphatase Isoenzymes FASTING 001612 $50.00
Alkaline Phosphatase, Serum FASTING 001107 $5.00
Allergen Panel – 96 Foods, IgE * 601778 $259.00
Allergen Panel – 96 Foods, IgG * 600550 $259.00
Allergen Panel – Mold, IgG * 600457 $69.00
Alpha-1-Antitrypsin, Serum FASTING PREFERRED 001982 $49.00
Alpha-Fetoprotein (AFP), Tumor Marker Not a Screening Test 480012 $19.00
Alpha Subunit, Free 140269 $85.00
ALT (SGPT) 001545 $5.00
Aluminum, Serum or Plasma 071548 $59.00
Ammonia, Plasma FASTING 007054 $59.00
Amylase, Serum 001396 $19.00
Amylase Isoenzymes 123110 $75.00
Angiotensin-Converting Enzyme (ACE) 010116 $45.00
Antiadrenal Antibodies, Quantitative 082024 $49.00
Antibody Screen (Coombs’, Indirect) 006015 $15.00
Antibody Identi cation 006213 $45.00
Anticardiolipin Antibodies (ACA) IgA 161836 $50.00
Anticardiolipin Antibodies (ACA) IgG 161810 $50.00
Anticardiolipin Antibodies (ACA) IgM 161828 $50.00
Anticardiolipin Antibodies (ACA) IgG and IgM 161802 $99.00
Anticardiolipin Antibodies (ACA) IgA, IgG, IgM 161950 $149.00
Anticentromere B Antibodies 164814 $99.00
Antichromatin, IgG Antibodies 012580 $59.00
Antidiuretic Hormone (ADH) Pro le (Includes Osmolality, Serum) 046557 $285.00
Alphabetical Test ListingThis is not a COMPLETE listing of tests o ered. Please see our website at
www.ProfessionalCo-op.com for the full PCS Test Directory.
TEST NAME TEST CODE PRICESEE FOOTNOTES
5
Alphabetical Listing
TEST NAME TEST CODE PRICE
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
3 Extra Cost of $15 per Organism Sensitivity 4 Call Professional Co-op at 866-999-4041 for Collection Kit
Anti-DNase B (Streptococcal) Antibodies 096289 $109.00
Anti-dsDNA (Double-Stranded) Antibodies, EIA 096339 $59.00
Antihistone Antibodies 012518 $59.00
Anti-Jo-1 Antibody 161455 $105.00
Anti-Müllerian Hormone (AMH), Serum 500183 $89.00
Antimyelin Associated Glycoprotein, IgG (Mag Ab) 806387 $59.00
Antimyelin Associated Glycoprotein, IgM (Mag Ab) 808973 $79.00
Antinuclear Antibodies (ANA), IFA with FANA Pattern 164947 $29.00
Antipancreatic Islet Cells 160721 $59.00
Antiparietal Cell Antibodies (APCA) 006486 $59.00
Antiphosphatidylserine Antibodies, IgA 117906 $59.00
Antiphosphatidylserine Antibodies, IgG 117952 $59.00
Antiphosphatidylserine Antibodies, IgM 117900 $59.00
Antiphosphatidylserine Antibodies, IgA, IgG, IgM 117994 $175.00
Antiscleroderma-70 Antibodies 018705 $59.00
Antistreptolysin O Antibody (ASO) 006031 $25.00
Antithyroglobulin Antibody (TGA) 006692 $25.00
Apolipoprotein A-1 FASTING 016873 $18.00
Apolipoprotein Assessment (A-1/B/+Ratio) FASTING 216010 $32.00
Apolipoprotein B FASTING 167015 $14.00
Ascaris Allergy, IgE 064618 $5.00
ASO Antibodies (Antistreptolysin O Antibody) 006031 $25.00
AST (SGOT) 001123 $5.00
B-Type Natriuretic Peptide (BNP) 140889 $75.00
Babesia microti Antibodies, IgG and IgM 138315 $89.00
Beta-2 Microglobulin, Serum 010181 $29.00
Beta-2 Microglobulin, Random Urine 010173 $29.00
Bile Acids FASTING 010330 $39.00
Bilirubin, Direct 001222 $5.00
Bilirubin, Total, Direct, and Indirect 001214 $10.00
Blood Culture 3 008300 $50.00
Bordetella pertussis, Nasopharyngeal Culture 4 180224 $50.00
BUN and Creatinine 024778 $9.00
C-Peptide of Insulin 010108 $52.00
C-Reactive Protein (CRP), High Sensitivity (Cardiac) 120766 $19.00
C-Telopeptide, Serum 500089 $79.00
CA 125 (Cancer Antigen) Not a Screening Test 002303 $39.00
CA 15-3 (Cancer Antigen) Not a Screening Test 143404 $29.00
CA 19-9 (Carbohydrate Antigen) Not a Screening Test 002261 $39.00
CA 27.29 (Cancer Antigen) Not a Screening Test 140293 $39.00
Calcitonin FASTING 004895 $109.00
SEE FOOTNOTES
6
Alphabetical Listing
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
TEST NAME TEST CODE PRICECalcium, Serum FASTING 001016 $5.00
Calculi, Urinary (Kidney Stone Analysis) 4 120790 $75.00
Candida albicans Allergy, IgG 663231 $25.00
Carbon Dioxide, Total 001578 $5.00
Carboxyhemoglobin (CO) 007187 $55.00
Carotene, FASTING 001529 $45.00
Catecholamines, Fractionated, Plasma 084152 $45.00
Catecholamines, Urinary Free, 24 Hour Urine 1 004176 $79.00
Catecholamines, Urinary Free, Random Urine 1 316203 $69.00
CBC with Di erential and Platelet Count 005009 $10.00
CCP Antibodies, IgA and IgG (Cyclic Citrullinated Peptide or CPA) 164914 $39.00
CD 4 / CD 8 Ratio Pro le * 505271 $79.00
CD 57 (HNK1) Panel * 505026 $69.00
CEA Not a Screening Test 002139 $25.00
Celiac Disease HLA DQ Association 167082 $179.00
Celiac Disease Pro le * 11 165142 $125.00
Celiac Disease Comprehensive Pro le * 165126 $289.00
Ceruloplasmin (CER) 001560 $29.00
Chlamydia pneumoniae Antibodies, IgG and IgM 138338 $88.00
Chlamydia trachomatis by NAA, Urine 1 188078 $39.00
Chlamydia / Gonococcus by NAA, Urine 1 183194 $79.00
Chloride, Serum 001206 $5.00
Cholinesterase, RBC 007286 $39.00
Cholinesterase, Serum 007211 $39.00
Cholinesterase, Serum and RBC 028290 $78.00
Clostridium di cile Toxins A & B, EIA 1 086207 $69.00
CO2, Total 001578 $5.00
Coenzyme Q10, Total 120251 $79.00
Coccidioides Antibodies, DID 164301 $59.00
Cold Agglutinin Titer, Quantitative 006353 $45.00
Complement C1 Esterase Inhibitor, Serum 004648 $59.00
Complement C2, Serum 161414 $59.00
Complement C3, Serum 006452 $39.00
Complement C3a 004220 $79.00
Complement C4, Serum 001834 $49.00
Complement C4a 004330 $79.00
Complement, Total (CH50) 001941 $69.00
Comprehensive Metabolic Panel (CMP14) * FASTING 322000 $15.00
Coombs’, Direct 006270 $25.00
Coombs’, Indirect (Antibody Screen) 006015 $15.00
Copper, Serum or Plasma 001586 $85.00
* See Panel Description 4 Call Professional Co-op at 866-999-4041 for Collection Kit1 Kit Must be Picked Up and Returned to Draw Station 11 Extra Cost of $59 for tTG, IgG if IgA, Total is decreased.
SEE FOOTNOTES
7
Alphabetical Listing
TEST NAME TEST CODE PRICE
* See Panel Description1 Kit Must be Picked Up and Returned to Draw Station 13 Must Indicate Height and Weight on Lab Order
Cortisol, 24 Hour Urine, HPLC 1 004432 $69.00
Cortisol, AM 104018 $19.00
Cortisol, PM 104026 $19.00
Cortisol, Random 004051 $19.00
C-Peptide of Insulin 010108 $52.00
C-Reactive Protein (CRP), High Sensitivity (Cardiac) 120766 $19.00
Creatinine, Serum 001370 $5.00
Creatinine Clearance, 24 Hour Urine 1, 13 003004 $35.00
Creatine Kinase (CK/CPK) AVOID EXERCISE 001362 $5.00
Creatine Kinase (CK) Isoenzymes AVOID EXERCISE 002154 $50.00
Creatine Kinase (CK), MB 120816 $40.00
Creatine Kinase (CK), Total and MB AVOID EXERCISE 002311 $45.00
Creatinine / Total Protein, Random Urine 003129 $40.00
Cryptosporidium and Isospora, Stool 1 182378 $55.00
C-Telopeptide, Serum 500089 $79.00
Cystatin C FASTING PREFERRED 121251 $79.00
Cytokine Panel A, Plasma, Luminex * 815295 $279.00
Cytokine Panel B, Plasma, Luminex * 815250 $219.00
Cytokine Panel C, Plasma, Luminex * 815494 $139.00
Cytokine Panel D, Plasma, Luminex * 815557 $139.00
Cytomegalovirus (CMV), IgG 006494 $39.00
Cytomegalovirus (CMV), IgM 096727 $39.00
Cytomegalovirus (CMV), IgG and IgM 221085 $78.00
D-Dimer 115188 $65.00
Deoxypyridinoline (DPD) Cross-Links, Random Urine 511105 $49.00
DHEA-Sulfate, ECLIA 004020 $25.00
DHEA-Sulfate, RIA 500161 $25.00
Dihydrotestosterone (DHT), HPLC/MS 500142 $45.00
Drug Screen (Urine Test - 9 Elements) * 788681 $50.00
Endomysial Antibody, IgA 164996 $69.00
Eosinophil Cationic Protein (ECP) 004180 $79.00
Epstein-Barr Pro le (EBV) * 216655 $115.00
Erythrocyte Sedimentation Rate (ESR) - Westergren 005215 $12.00
Estradiol, Serum, ECLIA 004515 $25.00
Estradiol, Serum, LC/MS/MS 500108 $25.00
Estriol, Serum 004614 $29.00
Estrogens, Total, RIA 004549 $29.00
Estrone 004564 $42.00
Ferritin 004598 $10.00
Ferritin, Iron, and TIBC (Total Iron Binding Capacity) FASTING PREFERRED 030825 $22.00
Fibrinogen Activity 001610 $20.00
SEE FOOTNOTES
8
Alphabetical Listing
TEST NAME TEST CODE PRICE
* See Panel Description1 Kit Must be Picked Up and Returned to Draw Station 3 Extra Cost of $15 per Organism Sensitivity4 Call Professional Co-op at 866-999-4041 for Collection Kit 7 Non-Invasive Algorithim to Assess Liver Damage8 Extra Cost of $69 if Re exed to HPV High Risk 13 Must Indicate Height and Weight on Lab Order
FibroSure® - NASH (Fatty Liver Disease Assessment) * 7, 13 550140 $229.00
FibroSure® - ASH (Alcoholic Liver Disease Assessment) * 7, 13 550180 $229.00
FibroSure® - Hepatitis C Virus (HCV Liver Status Assessment) * 7, 13 550123 $189.00
Folate (Folic Acid) FASTING PREFERRED 002014 $16.00
Folate, RBC 266015 $49.00
Follicle-Stimulating Hormone (FSH) 004309 $22.00
FSH & LH (Follicle-Stimulating & Luteinizing Hormones) 028480 $42.00
Fungus Culture with Stain 4 188243 $79.00
GAD-65 Autoantibody (Glutamic Acid Decarboxylase) 143008 $69.00
Gastrin, Serum FASTING 004390 $49.00
Genital Culture 3, 4 008334 $30.00
Gestational Diabetes Evaluation, 1 Hour Screen 102277 $10.00
GGT FASTING 001958 $5.00
Giardia lamblia, Direct Detection EIA 1 182204 $49.00
Gliadin Antibodies, IgA (Deamidated) 161646 $45.00
Gliadin Antibodies, IgG (Deamidated) 161687 $45.00
Gliadin Antibodies, IgA and IgG (Deamidated) 163402 $89.00
Glucose, Plasma FASTING 001818 $5.00
Glucose, Serum FASTING 001032 $5.00
Glucose, 1 Hour Post Prandial 101303 $10.00
Glucose, 2 Hour Post Prandial 002022 $10.00
Glucose 6 Phosphate Dehydrogenase (G6PD) Quant., Blood and RBC 001917 $39.00
Glucose/Insulin Response - 4 Specimens FASTING 146696 $110.00
Glucose Tolerance Test (GTT) - 5 Specimens FASTING 090373 $50.00
Glutathione, Total, Whole Blood 823542 $79.00
Gluten Allergy, IgE 069781 $10.00
Gluten Allergy, IgG 663073 $10.00
Glycohemoglobin (GHB), Total 001693 $22.00
Gonococcus (Neisseria gonorrhoeae) by NAA, Urine 1 188086 $39.00
Chlamydia / Gonococcus by NAA, Urine 1 183194 $79.00
Group A Streptococcus Culture (Beta Strep) 4 008169 $30.00
Group B Streptococcus Culture 4 188128 $30.00
Growth Hormone, RIA 500632 $59.00
Gynecologic Pap Test - Image Guided (IG) 4 193000 $49.00
Gynecologic Pap Test (IG) and HPV High and Low Risk 4 198190 $128.00
Gynecologic Pap Test (IG) w/ re ex to HPV High Risk when ASC-US 4, 8 194540 $49.00
Gynecologic Pap Test (IG) w/ re ex to HPV High Risk 4, 8 196250 $49.00
Gynecologic Pap Test (IG) and GC/ Chlamydia 4 196402 $109.00
Gynecologic Pap Test (IG) and Chlamydia 4 197676 $79.00
Gynecologic Pap Test (IG) and GC/ Chlamydia and HPV High Risk 4 192153 $178.00
Gynecologic Pap Test (IG) and GC/ Chlamydia, re ex to HPV High Risk 4, 8 196565 $109.00
SEE FOOTNOTES
9
Alphabetical Listing
TEST NAME TEST CODE PRICE
* See Panel Description 1 Kit Must be Picked Up and Returned to Draw Station5 Only Available at Select Draw Stations. Call Before Ordering 7 Non-Invasive Algorithim to Assess Liver Damage8 Extra Cost of $69 if Re exed to HPV High Risk 9 Extra Cost of $65 for Con rmation by Western Blot if Positive12 Test not performed for persons under the age of 18. 13 Must Indicate Height and Weight on Lab Order
Haptoglobin, Serum AVOID EXERCISE 001628 $39.00
HCG, Beta, Serum (Human Chorionic Gonadotropin), Quantitative 004416 $25.00
Helicobacter pylori Antibodies, IgA, IgG, IgM 163683 $55.00
Helicobacter pylori Stool Antigen 1 180764 $69.00
Helicobacter pylori Urea Breath Test 5, 12 180836 $89.00
Hemochromatosis, DNA Analysis 511345 $265.00
Hemogloblin (HGB) A1c 001453 $20.00
Hemoglobinopathy Pro le & Solubility (HGB Electrophoresis) * 121679 $79.00
Hemoglobin Solubility (Sickle Cell Test) 005223 $49.00
Hepatic Function Panel * FASTING 322755 $15.00
Hepatitis 5 (HP5) Panel * 303744 $90.00
Hepatitis A, Total Antibodies (For Acute use IgM) 006726 $25.00
Hepatitis A, IgM 006734 $34.00
Hepatitis B Core Antibody, IgM 016881 $25.00
Hepatitis B Core Antibody, Total 006718 $19.00
Hepatitis B Surface Antibody 006395 $19.00
Hepatitis B Surface Antigen 006510 $19.00
Hepatitis C Virus (HCV) Antibody 140659 $29.00
Hepatitis C Virus (HCV) FibroSure ® * 7, 13 550123 $189.00
Hepatitis C Virus (HCV), Real Time PCR (Viral Load) 550080 $179.00
Hereditary Hemochromatosis, DNA Analysis 511345 $265.00
Herpes Simplex (HSV) Type I Speci c, IgG 164897 $50.00
Herpes Simplex (HSV) Type II Speci c, IgG 163147 $65.00
Herpes Simplex (HSV) Types I and II Speci c, IgG 138815 $99.00
Herpes Varicella Zoster, IgG (Chicken Pox) 096206 $39.00
HIV (Re exes to Western Blot if Positive) 9 083824 $25.00
HLA B 27 Disease Association 006924 $69.00
HLA DQ Association (Celiac Disease) 167082 $179.00
HLA DRB, DQB, Typing 012542 $199.00
HNK1 (CD 57) Panel * 505026 $69.00
Homocysteine FASTING PREFERRED 706994 $25.00
H. pylori Antibodies, IgA, IgG, IgM 163683 $55.00
H. pylori Stool Antigen 1 180764 $69.00
H. pylori Urea Breath Test 5, 12 180836 $89.00
Human Herpes Virus Type 6 (HHV-6), IgG 161075 $129.00
Human Herpes Virus Type 6 (HHV-6), IgM 138529 $165.00
IA2 Autoantibodies 141531 $99.00
IgA, Total Antibodies FASTING 001784 $15.00
IgE, Total Antibodies FASTING 002170 $15.00
IgG, Total Antibodies FASTING 001776 $15.00
IgM, Total Antibodies FASTING 001792 $15.00
SEE FOOTNOTES
Alphabetical Listing
TEST NAME TEST CODE PRICE
10 * See Panel Description 1 Kit Must be Picked Up and Returned to Draw Station
IgA, E, G, M, Total Antibodies FASTING 002295 $59.00
IGF-1 (Insulin-Like Growth Factor) 010363 $39.00
IGF, Binding Protein 3 (Insulin-Like Growth Factor) 140152 $89.00
Immuno xation (IFE), Serum FASTING 001685 $35.00
Immuno xation (IFE) and Protein Electrophoresis, Serum FASTING 001495 $89.00
Inhibin B 146795 $245.00
Insulin Autoantibodies (IAA) 141598 $49.00
Insulin FASTING 004333 $25.00
Insulin, 1 Hour 014357 $25.00
Insulin, 2 Hour 312114 $25.00
Post Prandial Mini Panel * FASTING 337823 $39.00
Interleukin 1 (IL-1 ), Serum 805255 $79.00
Interleukin 2 (IL-2), Serum, ELISA 140912 $39.00
Interleukin 4 (IL-4), Serum, ELISA 140914 $39.00
Interleukin 5 (IL-5), Serum, ELISA 805271 $79.00
Interleukin 6 (IL-6), Serum, ELISA 140916 $39.00
Interleukin 8 (IL-8), Serum, ELISA 140918 $39.00
Interleukin 10 (IL-10), Serum, ELISA 140920 $39.00
Interleukin 12p70 (IL-12p70), Serum, ELISA 805263 $64.00
Interleukin 13 (IL-13), Serum, ELISA 805267 $79.00
Interferon (INF ), Serum, ELISA 805259 $79.00
Cytokine Panel A, Plasma, Luminex * 815295 $279.00
Cytokine Panel B, Plasma, Luminex * 815250 $219.00
Cytokine Panel C, Plasma, Luminex * 815494 $139.00
Cytokine Panel D, Plasma, Luminex * 815557 $139.00
Intrinsic Factor Blocking Antibodies 010413 $79.00
Iodine, Serum or Plasma 070034 $49.00
Iron, Serum FASTING PREFERRED 001339 $5.00
Iron/TIBC (Total Iron Binding Capacity) FASTING PREFERRED 001321 $12.00
Kidney Stone Analysis 1 120790 $75.00
Kidney Stone Formation Risk Panel with Saturation, 24 Hour Urine * 1 306266 $269.00
LDH, Isoenzymes AVOID EXERCISE 001842 $50.00
LDH, Serum AVOID EXERCISE 001115 $5.00
Lead, Blood (Adult) 007625 $35.00
Lead, Blood (Pediatric) 717009 $35.00
Leptin 146712 $55.00
LH (Luteinizing Hormone) 004283 $22.00
Lipase, Serum 001404 $30.00
Lipid Panel * FASTING 235010 $15.00
Lipoprotein (a) 120188 $19.00
Lipoprotein Phenotyping FASTING 235036 $62.00
SEE FOOTNOTES
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Alphabetical Listing
TEST NAME TEST CODE PRICE
11* See Panel Description1 Kit Must be Picked Up and Returned to Draw Station 3 Extra Cost of $15 per Organism Sensitivity4 Call Professional Co-op at 866-999-4041 for Collection Kit 14 Extra Cost of $15 per Parasite Identi cation
Lithium, Serum 007708 $35.00
Lower Respiratory Culture 3, 4 180810 $30.00
Lupus Anticoagulant (PTT-LA) 117002 $65.00
Luteinizing Hormone (LH) 004283 $22.00
Lyme Antibodies Total and IgM Responses, EIA 223586 $69.00
Lyme Disease, PCR 550012 $269.00
Lyme Disease, Western Blot 163600 $37.00
Magnesium, Serum 001537 $5.00
Magnesium, RBC 080283 $25.00
MMP - 9 (Matrix Metalloproteinase - 9) 500124 $59.00
Melanocyte–Stimulating Hormone (MSH) 010421 $79.00
Methylmalonic Acid, Serum 706961 $89.00
Methylmalonic Acid, Random Urine 716365 $85.00
Microalbumin / Creatinine Ratio, Urine 140285 $39.00
Mineral Pro le, RBC * 811394 $289.00
Mitochondrial (M2) Antibody 006650 $59.00
MMR (Measles, Mumps, Rubella) 058495 $99.00
Mononucleosis, Qualitative 006189 $19.00
MTHFR (Methylenetetrahydrofolate Reductase Thermolabile Variant), DNA Analysis 511238 $99.00
Mycoplasma pneumoniae, IgG 163741 $55.00
Mycoplasma pneumoniae, IgM 163212 $55.00
Mycoplasma pneumoniae, IgG and IgM 163758 $99.00
NMR Lipopro le ® FASTING 884247 $65.00
N-Telopeptide, Random or 24 Hour Urine 1 511097 $49.00
Occult Blood, Fecal, Immunoassay 1 182949 $49.00
Osmolality, Serum 002071 $36.00
Osteocalcin 010249 $49.00
Ova and Parasites Exam, Stool 1, 14 008623 $29.00
Ovarian Antibodies, IgG 808616 $59.00
Pancreatic Islet Cell Antibody 160721 $59.00
Parathyroid Hormone (PTH) FASTING PREFERRED 335398 $45.00
Parietal Cell Antibodies (APCA) 006486 $59.00
Partial Thromboplastin Time (PTT), Activated 005207 $15.00
Partial Thromboplastin Time (PTT), Lupus Anticoagulant 117002 $65.00
Phosphorus, Serum FASTING 001024 $5.00
PLAC Test ® (Lipoprotein Associated Phospholipase A2) 123240 $59.00
Platelet Antibody, Direct 500054 $99.00
Platelet Count, Citrated Blood 115345 $10.00
Porphyrins, Quantitative, 24 Hour Urine 1 003194 $49.00
Potassium, Serum FASTING 001180 $5.00
Pregnancy Test, Serum 004416 $25.00
SEE FOOTNOTES
Alphabetical Listing
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
TEST NAME TEST CODE PRICE
12
Pregnenolone, MS 140707 $49.00
Prenatal Pro le * 202945 $54.00
Progesterone, Serum, ECLIA 004317 $25.00
Progesterone, Serum, HPLC/MS 500167 $25.00
Prolactin 004465 $29.00
Prostate-Speci c Antigen (PSA), Serum 010322 $25.00
Prostate-Speci c Antigen (PSA), Total and Free 480947 $42.00
Prostatic Acid Phosphatase (PAP) Not a Screening Test 004747 $45.00
Protein Electrophoresis, 24 Hour Urine 1 003368 $69.00
Protein Electrophoresis, Random Urine 354928 $49.00
Protein Electrophoresis, Serum 001487 $39.00
Protein Electrophoresis and Immuno xation (IFE), Serum FASTING 001495 $89.00
Protein, Total 001073 $5.00
Prothrombin Time (PT/INR) 005199 $15.00
Prothrombin Time (PT/INR) + Partial Thromboplastin Time (PTT), Activated 020321 $30.00
PSA, Serum 010322 $25.00
PSA, Total and Free 480947 $42.00
QuantiFERON-TB Gold (Tuberculosis Screening Test) 182873 $125.00
Renal Function Panel * FASTING 322777 $15.00
Renin Activity, Plasma 002006 $115.00
Reticulocyte Count 005280 $12.00
Reverse T3 070104 $35.00
Rheumatoid Arthritis Factor 006502 $25.00
Rocky Mountain Spotted Fever (Rickettsia rickettsii), IgG 016592 $69.00
RPR (Syphilis) 006072 $20.00
Saccharomyces cerevisiae, IgA and IgG (Crohn's Disease) 164657 $99.00
Sedimentation Rate (ESR) - Westergren 005215 $12.00
Serotonin, Serum 120204 $89.00
Serotonin, Whole Blood 120089 $89.00
Sex Hormone Binding Globulin 082016 $39.00
Sexually Transmitted Infection Panel * 341443 $159.00
Sickle Cell Test (Hemoglobin Solubility) 005223 $49.00
Sjögren’s Antibodies (Anti-SS-A/Anti-SS-B) 012708 $79.00
Sodium, Serum 001198 $5.00
Soluble Liver Antigen, IgG 007441 $75.00
Soluble Transferrin Receptor 143305 $69.00
Spermatozoa Antibodies 808813 $79.00
Stool Culture 1, 3 008144 $85.00
Syphilis Screen 006072 $20.00
T3, Reverse 070104 $35.00
T3, Total (Triiodothyronine, Total) 002188 $15.00
* See Panel Description3 Extra Cost of $15 per Organism Sensitivity 1 Kit Must be Picked Up and Returned to Draw Station
SEE FOOTNOTES
Alphabetical Listing
TEST NAME TEST CODE PRICE
13* See Panel Description 10 Extra Cost of $30 for Urine Culture, if Indicated3 Extra Cost of $15 per Organism Sensitivity 4 Call Professional Co-op at 866-999-4041 for Collection Kit
T3, Free (Triiodothyronine, Free) 010389 $20.00
T4, Free, Direct (Thyroxine, Free) 001974 $20.00
T4, Free, Direct, and T3, Free 214540 $40.00
T4, Total (Thyroxine, Total) 001149 $7.00
T and B Lymphocyte / Natural Killer Cell (CD56) Panel * 505015 $129.00
Testosterone, Total and Free, HPLC/MS 070038 $69.00
Testosterone, Total, Serum, LC/MS-MS 070001 $29.00
Thyroid Antithyroglobulin Antibody (TGA) 006692 $25.00
Thyroid Autoantibodies (TPO and TGA) 006684 $49.00
Thyroid Extender Panel * 331089 $89.00
Thyroid Panel with Thyroid-Stimulating Hormone (TSH) * 000620 $22.00
Thyroid Peroxidase Antibodies (TPO) 006676 $25.00
Thyroid-Stimulating Hormone (TSH) 004259 $12.00
Thyroid-Stimulating Hormone (TSH); Free T4, Direct; Free T3 376137 $52.00
Thyroid-Stimulating Immunoglobulin (TSI) 140749 $99.00
Thyrotropin Receptor Antibody, Serum 010314 $79.00
Thyroxine Binding Globulin (TBG) 001735 $45.00
Thyroxine, Free (T4, Free), Direct 001974 $20.00
Thyroxine, Total (T4, Total) 001149 $7.00
Thyroxine, Free (T4, Free), Direct and Triiodothyronine, Free (T3, Free) 214540 $40.00
TIBC + Iron, Serum FASTING PREFERRED 001321 $12.00
Tissue Transglutaminase (tTG), IgA 164640 $59.00
Tissue Transglutaminase (tTG), IgG 164988 $59.00
Toxoplasma gondii, IgG 006478 $59.00
Toxoplasma gondii, IgM 096651 $59.00
Toxoplasma gondii, PCR 138602 $199.00
Transferrin FASTING PREFERRED 004937 $15.00
Triiodothyronine, Free (T3, Free) 010389 $20.00
Triiodothyronine, Total (T3, Total) 002188 $15.00
Troponin I 120832 $129.00
TSH (Thyroid-Stimulating Hormone) 004259 $12.00
TSH; Free T4, Direct; Free T3 376137 $52.00
TSI (Thyroid-Stimulating Immunoglobulin) 140749 $99.00
Tuberculosis Screening Test 182873 $125.00
Tumor Growth Factor -1 (TGF- 1) 905036 $99.00
Tumor Necrosis Factor (TNF ), Serum 140673 $49.00
Upper Respiratory Culture 3, 4 008342 $30.00
Urea Nitrogen (BUN), Serum 001040 $5.00
Urinalysis, Routine 003038 $10.00
Urinalysis, Complete with Re ex to Urine Culture with Sensitivity 3, 10 377069 $10.00
Uric Acid, Serum FASTING 001057 $5.00
SEE FOOTNOTES
Alphabetical Listing
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
TEST NAME TEST CODE PRICE
14
Urine Culture, Routine with Sensitivity 3 008847 $30.00
VAP™ Cholesterol Test * FASTING 804500 $69.00
Varicella Zoster, IgG (Chicken Pox) 096206 $39.00
Vascular Endothelial Growth Factor (VEGF), Plasma 117006 $99.00
Vasoactive Intestinal Polypeptide (VIP), Plasma 010397 $99.00
Vitamin A, Serum FASTING 017509 $45.00
Vitamin B-1 (Thiamine), Plasma 121178 $49.00
Vitamin B-3 (Niacin), Plasma 070115 $99.00
Vitamin B-5 (Pantothenic Acid), Plasma 070086 $99.00
Vitamin B-6 (Pyridoxal 5-Phosphate), Plasma 004655 $59.00
Vitamin B-7 (Biotin), Serum or Plasma 070097 $99.00
Vitamin B-12, Serum FASTING PREFERRED 001503 $16.00
Vitamin B-12 and Folate (Folic Acid), Serum FASTING PREFERRED 000810 $32.00
Vitamin C, Serum or Plasma 001479 $49.00
Vitamin D, 1,25 Dihydroxy (Calcitriol) 081091 $45.00
Vitamin D, 25-Hydroxycalciferol 081950 $29.00
Vitamin D, 25-Hydroxycalciferol and Vitamin D, 1,25 Dihydroxy (Calcitriol) 080325 $74.00
Vitamin E, Serum or Plasma 081000 $49.00
Vitamin K1, Serum or Plasma 121200 $79.00
Zinc, Serum or Plasma 001800 $49.00
Zinc, RBC 070029 $49.00
NOTES:
SEE FOOTNOTES
* See Panel Description 3 Extra Cost of $15 per Organism Sensitivity
Professional Co-op® Super Panels
15P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Professional Co-op® Super Panels
Custom Super Panels are non-reimbursable tests for insurance purposes. It may be possible to getreimbursement for some of the individual components depending on the type of policy and based onproper diagnostic codes. CPT codes are furnished if you want to bill insurance through your o ce.
Please Note: CPT codes are not diagnostic or ordering codes.
Opti-Chem™Ordering Code: 202999 Cost: $69.00 Fasting/Avoid Exercise
Includes - Glucose, Serum; Uric Acid, Serum; BUN; Creatinine, Serum; Sodium, Serum; Potassium,Serum; Chloride, Serum; Carbon Dioxide, Total; Calcium, Serum; Phosphorus, Serum; Magnesium,Serum; Protein, Total, Serum; Albumin, Serum; Globulin, Total; A/G Ratio; Bilirubin, Total; AlkalinePhosphatase, Serum; LDH; AST (SGOT); ALT (SGPT); GGT; Iron, Serum; Cholesterol, Total;Triglycerides; HDL Cholesterol; VLDL Cholesterol Calculation; LDL Cholesterol Calculation; TotalCholesterol/HDL Ratio; LDL/HDL Ratio; TSH; Thyroxine (T4), Total; T3 Uptake; Free Thyroxine Index;CBC with Di erential and Platelet Count.
CPT Codes85025 CBC / Di erential & Platelet Count 84100 Phosphorus, Serum82977 GGT 84436 T483540 Iron 84443 TSH80061 Lipid Panel 84479 T3 Uptake83735 Magnesium 84550 Uric Acid80053 Metabolic Panel, Comprehensive 81003 Urinalysis83615 LDH
Opti-Plus™Ordering Code: 339071 Cost: $109.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel plus Hb A1c; TIBC & % Iron Saturation;Ferritin; C-Reactive Protein (High Sensitivity).
CPT Codes– see Opti-Chem for other codes83036 Hemoglobin A1c 83550 TIBC/% Saturation86141 C-Reactive Protein, High Sensitivity 82728 Ferritin
16
Contents and InformationProfessional Co-op® Super Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Opti-Plus D™Ordering Code: 345572 Cost: $133.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel plus Hb A1c; TIBC & % Iron Saturation;Ferritin; C-Reactive Protein (High Sensitivity); 25-Hydroxy Vitamin D.
CPT Codes– see Opti-Chem for other codes82306 Vitamin D, 25-Hydroxycalciferol 83036 Hemoglobin A1c83550 TIBC/% Saturation 82728 Ferritin86141 C-Reactive Protein, High Sensitivity
Opti-Cardio™Ordering Code: 348421 Cost: $169.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel plus Hb A1c; TIBC & % Iron Saturation;Ferritin; C-Reactive Protein (High Sensitivity); 25-Hydroxy Vitamin D; Homocysteine; FibrinogenActivity.
CPT Codes– see Opti-Chem for other codes83036 Hemoglobin A1c 83550 TIBC/% Saturation86141 C-Reactive Protein, High Sensitivity 82728 Ferritin82306 Vitamin D, 25-Hydroxycalciferol 83090 Homocysteine85384 Fibrinogen Activity
Opti-Cardio Plus™Ordering Code: 349751 Cost: $179.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Cardio™ Panel plus Insulin, Fasting.
CPT Codes– see Opti-Chem for other codes83036 Hemoglobin A1c 83550 TIBC/% Saturation86141 C-Reactive Protein, High Sensitivity 82728 Ferritin82306 Vitamin D, 25-Hydroxycalciferol 83090 Homocysteine85384 Fibrinogen Activity 83525 Insulin, Fasting
Opti-Plex™Ordering Code: 346054 Cost: $79.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel plus Triiodothyronine (Total T3).
CPT Codes– see Opti-Chem for other codes84480 Triiodothyronine, Total
Professional Co-op® Super Panels
17P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Opti-K-Plex™Ordering Code: 346041 Cost: $133.00 Fasting/Avoid Exercise
Includes - All the components of an Opti-Chem™ Panel plus Triiodothyronine (Total T3); Hb A1c;Ferritin; TIBC & % Iron Saturation; 25-Hydroxy Vitamin D. This panel does not include C-ReactiveProtein (High Sensitivity).
CPT Codes– see Opti-Chem for other codes83036 Hemoglobin A1c 83550 TIBC/% Saturation82728 Ferritin 84480 Triiodothyronine, Total82306 Vitamin D, 25-Hydroxycalciferol
Opti-K-Plex 2™Ordering Code: 346029 Cost: $179.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel plus Triiodothyronine (Total T3); Hb A1c;Ferritin; TIBC & % Iron Saturation; 25-Hydroxy Vitamin D; C-Reactive Protein (High Sensitivity);Homocysteine; Fibrinogen Activity.
CPT Codes– see Opti-Chem for other codes83036 Hemoglobin A1c 83550 TIBC/% Saturation82728 Ferritin 84480 Triiodothyronine, Total82306 Vitamin D, 25-Hydroxycalciferol 83090 Homocysteine85384 Fibrinogen Activity 86141 C-Reactive Protein, High Sensitivity
Opti-Thyro-Plex™Ordering Code: 373428 Cost: $215.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel plus Triiodothyronine (Total T3); Hb A1c;Ferritin; TIBC & % Iron Saturation; 25-Hydroxy Vitamin D; C-Reactive Protein (High Sensitivity);Homocysteine; Fibrinogen Activity; Thyroid Peroxidase Ab (TPO); Thyroid Antithyroglobulin Ab(TGA); T4, Free; T3, Free.
CPT Codes85025 CBC / Di erential & Platelet Count 84100 Phosphorus, Serum82977 GGT 84436 T483540 Iron 84443 TSH80061 Lipid Panel 84479 T3 Uptake86376 TPO Ab 86800 TGA84481 T3, Free 84439 T4, Free83735 Magnesium 84550 Uric Acid80053 Metabolic Panel, Comprehensive 81003 Urinalysis83615 LDH
18
Contents and InformationProfessional Co-op® Super Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Mini-Chem™Ordering Code: 381822 Cost: $40.00 Fasting/Avoid Exercise
Includes - Glucose, Serum; Uric Acid, Serum; BUN; Creatinine, Serum; BUN:Creatinine Ratio; Sodium,Serum; Potassium, Serum; Chloride, Serum; Carbon Dioxide, Total; Calcium, Serum; Phosphorus, Serum;Protein, Total, Serum; Albumin, Serum; Globulin, Total; A/G Ratio; Bilirubin, Total; Alkaline Phosphatase,Serum; LDH; AST (SGOT); ALT (SGPT); Iron, Serum; Cholesterol, Total; Triglycerides; HDL Cholesterol; VLDLCholesterol Calculation; LDL Cholesterol Calculation; Total Cholesterol/HDL Cholesterol Ratio; CBC withDi erential and Platelet Count.
CPT Codes85025 CBC / Di erential and Platelet Count 83540 Iron80061 Lipid Panel 84100 Phosphorus, Serum80053 Metabolic Panel, Comprehensive 84550 Uric Acid83615 LDH
Best Value™Ordering Code: 365422 Cost: $229.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel plus IgA, Total, Quantitative; IgE, Total, Quantitative;IgG, Total, Quantitative; IgM, Total, Quantitative; Cortisol; ANA, IFA with FANA Pattern; Beta-2 Microglobulin,Random Urine; Beta-2 Microglobulin, Serum; C-Reactive Protein, High Sensitivity; Glucose 6PD, Quant., Blood,& RBC; Iron/ TIBC; Ferritin; Creatine Kinase, Total
CPT Codes80053 Metabolic Panel, Comprehensive80061 Lipid Panel81003 Urinalysis82977 GGT83615 LDH83735 Magnesium, Serum84100 Phosphorus Serum84436 T484443 TSH84479 T3 Uptake85025 CBC/ Di erential with Platelet Count84550 Uric Acid, Serum82784 IgA, Total, Quantitative
82785 IgE, Total, Quantitative82784 IgG, Total, Quantitative82784 IgM, Total, Quantitative82533 Cortisol86038 ANA, IFA with FANA Pattern82232 Beta-2 Microglobulin, Random Urine82232 Beta-2 Microglobulin, Serum86140 C-Reactive Protein, High Sensitivity82955, 85041 Glucose 6PD, Quant., Blood, & RBC83540, 83550 Iron/ TIBC82728 Ferritin82550 Creatine Kinase, Total
Maxi-Chem™Ordering Code: 297990 Cost: $65.00 Fasting/Avoid Exercise
Includes - All the components of the Opti-Chem™ Panel EXCEPT does not include Urinalysis, Magnesium orTSH; but does include Ferritin.
CPT Codes85025 CBC / Di erential and Platelet Count 82728 Ferritin82977 GGT 83540 Iron83615 LDH 84100 Phosphorus, Serum80061 Lipid Panel 84479 T3 Uptake84436 T4 84550 Uric Acid80053 Metabolic Panel, Comprehensive
Professional Co-op® Super Panels
19P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Hormone Panel DOrdering Code: 502511 Cost: $205.00
Includes - Pregnenolone; Estradiol; Total Estrogens; DHEA-Sulfate; Testosterone, Total;Progesterone plus Testosterone, Free.
CPT Codes - see Hormone Panel B for other codes84402 Testosterone, Free
Hormone Panel AOrdering Code: 502330 Cost: $150.00
Includes - Pregnenolone; Total Estrogens; DHEA-Sulfate; Testosterone, Total; Progesterone.
CPT Codes84140 Pregnenolone 84144 Progesterone82672 Total Estrogens 84403 Testosterone, Total82627 DHEA-Sulfate
Hormone Panel COrdering Code: 502510 Cost: $190.00
Includes - Pregnenolone; Total Estrogens; DHEA-Sulfate; Testosterone, Total; Progesterone plusTestosterone, Free.
CPT Codes - see Hormone Panel A for other codes84402 Testosterone, Free
Hormone Panel BOrdering Code: 502340 Cost: $165.00
Includes - Pregnenolone; Estradiol; Total Estrogens; DHEA-Sulfate; Testosterone, Total;Progesterone.
CPT Codes84140 Pregnenolone 82627 DHEA-Sulfate82670 Estradiol 84144 Progesterone82672 Total Estrogens 84403 Testosterone, Total
20
Contents and InformationProfessional Co-op® Super Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Hormone Panel FOrdering Code: 503390 Cost: $269.00
Includes - Testosterone, Free; Testosterone, Total; Estradiol; Sex Hormone Binding Globulin; FSH;LH; DHEA-Sulfate; Progesterone; Pregnenolone; Total Estrogens.
CPT Codes84402 Testosterone, Free 84403 Testosterone, Total82670 Estradiol 84270 Sex Hormone Binding Globulin83001 FSH 83002 LH82627 DHEA-Sulfate 84144 Progesterone84140 Pregnenolone 82672 Total Estrogens
Sexually Transmitted Infection PanelOrdering Code: 341443 Cost: $159.00
Includes - Gonococcus / Chlamydia – NAA; HIV- EIA; HSV- Type 2; RPR (Syphilis).*Extra Cost of $65 for HIV con rmation by Western Blot if positive.
CPT Codes87491 Gonococcus, NAA 86696 HSV- Type 287591 Chlamydia, NAA 86592 RPR86703 HIV, EIA
Thyroid Extender Panel™Ordering Code: 331089 Cost: $89.00
Includes - Thyroid Peroxidase Ab(TPO); Thyroid Antithyroglobulin Ab (TGA); T4, Free; T3, Free.
CPT Codes86376 TPO Ab 86800 TGA84481 T3, Free 84439 T4, Free
Hormone Panel EOrdering Code: 503389 Cost: $165.00
Includes - Testosterone, Free; Testosterone, Total; Estradiol; Total Estrogens; DHEA-Sulfate;Progesterone.
CPT Codes84402 Testosterone, Free 84403 Testosterone, Total82670 Estradiol 82672 Total Estrogens82627 DHEA-Sulfate 84144 Progesterone
Professional Co-op® Super Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com21
T & B Lymphocyte & Natural Killer Cell (CD56) PanelOrdering Code: 505015 Cost: $129.00
Includes - Absolute and % CD 19; Absolute and %CD 3; Absolute and %CD 4 Helper; Absolute and%CD 8 Supressor; CD4:CD8 ratio; Absolute and % Natural Killer (CD 56); WBC; Lymphocytes.
CPT Codes 86355, 86357, 86359, 86360
Cytokine Panel BOrdering Code: 815250 Cost: $219.00
Includes - Interleukin 2; Interleukin 4; Interleukin 5; Interleukin10; Interferon ; Tumor NecrosisFactor .
CPT Codes 83520 (x6)
Cytokine Panel COrdering Code: 815494 Cost: $139.00
Includes - Interleukin 2; Interleukin 12(p70); Interferon ; Tumor Necrosis Factor .
CPT Codes 83520 (x4)
Cytokine Panel DOrdering Code: 815557 Cost: $139.00
Includes - Interleukin 4; Interleukin 5; Interleukin 6; Interleukin 10.
CPT Codes 83520 (x4)
Cytokine Panel AOrdering Code: 815295 Cost: $279.00
Includes - Interleukin 2; Interleukin 4; Interleukin 5; Interleukin 6; Interleukin10; Interleukin12(p70); Interferon ; Tumor Necrosis Factor .
CPT Codes 83520 (x8) * This Test is Performed by Luminex Methodology
* This Test is Performed by Luminex Methodology
* This Test is Performed by Luminex Methodology
* This Test is Performed by Luminex Methodology
22
Contents and InformationProfessional Co-op® Super Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Allergen Panel - 96 Foods, IgGOrdering Code: 600550 Cost: $259.00
Includes - Almond; Apple; Asparagus; Avocado; Banana; Barley (Whole Grain); Basil; Bayleaf (Laurel);Green Bean; Lima Bean; Pinto Bean; Beef; Red Beet; Blueberry; Broccoli; Cabbage; Cantaloupe;Carrot; Casein; Cashew Nut; Cauli ower; Celery; Cheese (Processed American); Cheddar Cheese;Parmesan Cheese; Swiss Cheese; Chicken; Cinnamon; Clam; Chocolate/Cocoa; Coconut; Cod sh;Co ee; Corn; Crab; Cucumber; Dill; Eggplant; Egg White; Egg Yolk; Garlic; Ginger; Gluten; Grape;Grapefruit; Honey; Lamb; Lemon; Lime; Lettuce; Lobster; Malt; Milk (Cow); Goat’s Milk; Mushroom;Mustard; Oat; Green Olive; Onions; Orange; Oregano; Green Pea; Peach; Peanut; Pear; Black Pepper;Chili Pepper; Green Bell Pepper; Pineapple; Pork; Potato (Sweet); Potato (White); Rice; Rye; Sa owerSeed; Salmon; Scallop; Sesame Seed; Shrimp; Soybean; Spinach; Pumpkin/Summer Squash;Strawberry; Cane Sugar; Sun ower Seed; Tea; Tomato; Tuna; Turkey; Walnut; Watermelon; Wheat;Whey; Baker’s Yeast; Brewer’s Yeast; Yogurt.
CPT Codes 86001(x96)
Allergen Panel - Mold, IgGOrdering Code: 600457 Cost: $69.00
Includes - Penicillium notatum; Cladosporium herbaru; Aspergillus fumigatus; Mucor racemosus;Candida albicans; Alternaria tenuis; Botrytis cinerea; Helminthosporium hald; Stemphyliumbotryosu; Rhizopus nigricans; Aureobasiduim pullul; Epicoccum purpurasce; Fusaruim oxysporum;Aspergillus niger.
CPT Codes 86001(x14)
Allergen Panel - 96 Foods, IgEOrdering Code: 601778 Cost: $259.00
Includes - Almond; Apple; Asparagus; Avocado; Banana; Barley (Whole Grain); Basil; Bayleaf (Laurel);Green Bean; Lima Bean; Pinto Bean; Beef; Red Beet; Blueberry; Broccoli; Cabbage; Cantaloupe;Carrot; Casein; Cashew Nut; Cauli ower; Celery; Cheese (Processed American); Cheddar Cheese;Parmesan Cheese; Swiss Cheese; Chicken; Cinnamon; Clam; Chocolate/Cocoa; Coconut; Cod sh;Co ee; Corn; Crab; Cucumber; Dill; Eggplant; Egg White; Egg Yolk; Garlic; Ginger; Gluten; Grape;Grapefruit; Honey; Lamb; Lemon; Lime; Lettuce; Lobster; Malt; Milk (Cow); Goat’s Milk; Mushroom;Mustard; Oat; Green Olive; Onions; Orange; Oregano; Green Pea; Peach; Peanut; Pear; Black Pepper;Chili Pepper; Green Bell Pepper; Pineapple; Pork; Potato (Sweet); Potato (White); Rice; Rye; Sa owerSeed; Salmon; Scallop; Sesame Seed; Shrimp; Soybean; Spinach; Pumpkin/Summer Squash;Strawberry; Cane Sugar; Sun ower Seed; Tea; Tomato; Tuna; Turkey; Walnut; Watermelon; Wheat;Whey; Baker’s Yeast; Brewer’s Yeast; Yogurt.
CPT Codes 86001(x96)
23
PCS® Mini Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Selected Mini Panel Descriptions
CD 4 / CD 8 Cell Ratio Pro le Ordering Code: 505271 Cost: $79.00CPT Codes: 86360Includes: Absolute and % CD 4; Absolute and % CD 8; Complete Blood Count with Di erential and Platelets.
CD 57 (HNK1 Panel) Ordering Code: 505026 Cost: $69.00CPT Codes: 86357, 86356Includes: Absolute and % CD 8; Absolute and % CD 57; Complete Blood Count with Di erential and Platelets.
Celiac Disease Pro le Ordering Code: 165142 Cost: $125.00CPT Codes: 82784, 83516, 86255Includes: Endomysial Antibody, IgA; Immunoglobulin A (IgA), Total; Tissue Transglutaminase (tTG), IgA.Extra cost of $59 for tTG, IgG if IgA,Total is decreased.
Please review our Selected Mini Panels. We have reduced prices and added some new panels for yourconvenience. CPT codes are furnished if you choose to bill insurance through your o ce.
Please note: CPT codes are not diagnostic codes or ordering codes.
Drug Screen (9 Elements) Ordering Code: 788681 Cost: $50.00CPT Codes: 80101 (x9)Includes: Amphetamines; Barbiturates; Benzodiazepines; Cannabinoid; Cocaine; Opiates; Methadone;Propoxyphene; Phencyclidine; Creatinine, Urine; pH, Urine. *All components are con rmed by GC/MS
Epstein-Barr Pro le Ordering Code: 216655 Cost: $115.00CPT Codes: 86663, 86664, 86665 (x2)Includes: EBV, Ab VCA (Viral Capsid Antigen), IgM; EBV Early Antigen Ab, IgG; EBV Ab VCA, IgG; EBV NuclearAntigen Ab, IgG; Interpretation.
Celiac Disease Comprehensive Pro le Ordering Code: 165126 Cost: $289.00CPT Codes: 82784, 83516 (x4), 86255Includes: Endomysial Antibody, IgA; Deamidated Gliadin Abs, IgA and IgG; Immunoglobulin A (IgA), Total;Tissue Transglutaminase (tTG), IgA and IgG.
FibroSure® - NASH (Algorithm to Assess FattyLiver-Induced Liver Damage - Noninvasive)
Ordering Code: 550140 Cost: $229.00
CPT Codes: 82172, 82247, 82465, 82947, 82977, 83010, 83883, 84450, 84460, 84478Includes: A2-Macroglobulin; Haptoglobin; Apolipoprotein A1; Bilirubin, Total; GGT; ALT (SGPT);AST (SGOT); Cholesterol, Total; Glucose, Serum; Triglycerides; Interpretations.
*Must Indicate Height and Weight on Lab Order
24
PCS® Mini Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Hepatitis Panel (HP5) Ordering Code: 303744 Cost: $90.00
CPT Codes: 86704, 86706, 86708, 86803, 87340Includes: Hepatitis A Total Abs; Hepatitis B Surface Ag; Hepatitis B Surface Ab; Hepatitis B Core TotalAb; Hepatitis C Ab.
Hepatic Function Panel Ordering Code: 322755 Cost: $15.00
CPT Codes: 80076Includes: Albumin, Serum; Alkaline Phosphatase, Serum; ALT (SGPT); AST(SGOT); Bilirubin, Direct;Bilirubin, Total; Protein, Total, Serum.
Lipid Panel Ordering Code: 235010 Cost: $15.00
CPT Code: 80061Includes: Total Cholesterol; HDL; LDL; VLDL; HDL:LDL Ratio; Triglycerides.
FibroSure® - ASH (Algorithm to Assess Alcohol-Induced Liver Damage - Noninvasive)
Ordering Code: 550180 Cost: $229.00
CPT Codes: 82172, 82247, 82465, 82947, 82977, 83010, 83883, 84450, 84460, 84478Includes: A2-Macroglobulin; Haptoglobin; Apolipoprotein A1; Bilirubin, Total; GGT; ALT (SGPT);AST (SGOT); Cholesterol, Total; Glucose, Serum; Triglycerides; Interpretations.
Hepatitis C FibroSure® (Algorithm to AssessHCV-Induced Liver Damage - Noninvasive)
Ordering Code: 550123 Cost: $189.00
CPT Codes: 82172, 82247, 82977, 83010, 83883, 84460Includes: A2-Macroglobulin; Haptoglobin; Apolipoprotein A1; Bilirubin, Total; GGT; ALT (SGPT);AST (SGOT); Cholesterol, Total; Glucose, Serum; Triglycerides; Interpretations.
Kidney Stone Formation Risk Panel withSaturation, 24 Hour Urine
Ordering Code: 306266 Cost: $269.00
CPT Codes: 81003, 82131, 82140, 82340, 82436, 82507, 82570, 83735, 83935, 83945, 84105, 84133, 84300Includes: Calcium, Urine; Sodium, Urine; Phosphorus, Urine; Uric Acid, Urine; Potassium, Urine;Chloride, Urine; Citric Acid (Citrate), Urine; Oxalates, Urine; Magnesium, Urine; Sulfate, Urine; Cystine,Urine; Osmolality, Urine; Creatinine, Urine; pH, Urine; Ammonia, Urine; Calcium Oxalate, Urine;Brushite, Urine; Monosodium Urate, Urine; Struvite, Urine; Saturation Ratios.
*Must Indicate Height and Weight on Lab Order
*Must Indicate Height and Weight on Lab Order
FASTING
25
PCS® Mini Panels
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Metabolic Panel, Comprehensive (14) Ordering Code: 322000 Cost: $15.00
CPT Codes: 80053Includes: A/G ratio; Albumin; Alkaline Phosphatase; ALT (SGPT); AST (SGOT); Bilirubin, Total; BUN; BUN:Creatinineratio; Calcium; Carbon Dioxide; Chloride; Creatinine; Globulin; Glucose; Potassium; Total Protein; Sodium.
Renal Function Panel Ordering Code: 322777 Cost: $15.00
CPT Code: 80069Includes: Albumin; BUN; BUN:Creatinine Ratio; Calcium; Carbon Dioxide; Chloride; Creatinine;Glucose; Phosphorus; Potassium; Sodium.
Thyroid Panel with TSH Ordering Code: 000620 Cost: $22.00
CPT Codes: 84443, 84436, 84479Includes: T4, Total; T3 Uptake; Free Thyroxine Index (FTI); TSH.
Prenatal Pro le Ordering Code: 202945 Cost: $54.00
CPT Codes: 85025, 86592, 86762, 86850, 86900, 86901, 87340Includes: Hep B Surface Ag; RPR; Rubella Antibodies, IgG; ABO Blood Grouping; Rh Factor; AntibodyScreen; CBC with Di erential and Platelet Count.
Mineral Pro le, RBC Ordering Code: 811394 Cost: $289.00
CPT Codes: 82495, 82525, 83018 (x2), 83785, 84255, 84630, 83735Includes: Chromium; Cobalt; Copper; Manganese; Molybdenum; Selenium; Zinc.
VAP™ Cholesterol Test Ordering Code: 804500 Cost: $69.00
CPT Codes: 83701, 84478Includes: LDL Cholesterol; HDL Cholesterol; VLDL Cholesterol; Cholesterol, Total; Triglycerides; Non-HDL Cholesterol (LDL+VLDL); ApoB100-calculation; LDL-R (Real)-Cholesterol; Lipoprotein(a); IDLCholesterol; Remnant Lipoprotein (IDL+VLDL3); Probable Metabolic Syndrome Evaluation; HDL-2(Most Protective); HDL-3 (Less Protective); VLDL-3 (Small Remnant); LDL1 Pattern A; LDL2 Pattern A;LDL3 Pattern B; LDL4 Pattern B; LDL Density Pattern.
FASTING
FASTING
FASTING
26
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Test Category ListsAdrenal Function500092 – Adrenal 21-Hydroxylase Autoantibodies
004440 – Adrenocorticotropic Hormone (ACTH)
004374 – Aldosterone, Serum
004291 – Aldosterone, 24 Hour Urine
010116 – Angiotensin-Converting Enzyme (ACE)
082024 – Antiadrenal Antibodies, Quantitative
084152 – Catecholamines, Fractionated, Plasma
004176 – Catecholamines, Fractionated, Urinary Free, 24 Hour Urine
316203 – Catecholamines, Fractionated, Urinary Free, Random Urine
004432 – Cortisol, 24 Hour Urine, HPLC
104018 – Cortisol, AM
104026 – Cortisol, PM
004051 – Cortisol, Random
010421 – Melanocyte–Stimulating Hormone (MSH)
002006 – Renin Activity, Plasma
Anemia Related Testing001222 – Bilirubin, Direct
001214 – Bilirubin, Total, Direct, and Indirect
005009 – CBC with Di erential and Platelet Count
004598 – Ferritin, Serum
030825 – Ferritin, Iron, and TIBC (Total Iron Binding Capacity) – Fasting Preferred
002014 – Folate (Folic Acid) – Fasting Preferred
266015 – Folate, RBC
010413 – Intrinsic Factor Blocking Antibodies, Serum
001339 – Iron, Serum - Fasting – Fasting Preferred
001321 – Iron / TIBC (Total Iron Binding Capacity) – Fasting Preferred
706961 – Methylmalonic Acid (MMA), Serum
716365 – Methylmalonic Acid (MMA), Urine
005280 – Reticulocyte Count
004937 – Transferrin – Fasting Preferred
001503 – Vitamin B12 – Fasting Preferred
000810 – Vitamin B12 and Folate – Fasting Preferred
Bacterial Testing008649 – Aerobic Bacterial Culture
096289 – Anti-DNase B (Streptococcal) Antibodies
006031 – Antistreptolysin O Antibodies (ASO)
008300 – Blood Culture, Routine
180224 – Bordetella pertussis, Nasopharyngeal Culture
183194 – Chlamydia / Gonococcus by NAA, Urine
27
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Bacterial Testing, continued138338 – Chlamydia pneumoniae Antibodies, IgG and IgM
188078 – Chlamydia trachomatis by NAA, Urine
006353 – Cold Agglutinin Titer, Quantitative
086207 – Clostridium di cile Toxins A & B, EIA
188086 – Gonococcus (Neisseria gonorrhoeae) by NAA, Urine
008169 – Group A Streptococcus Culture (Beta Strep)
188128 – Group B Streptococcus Culture
008334 – Genital Culture
163683 – Helicobacter pylori Antibodies, IgM, IgG, IgA
180764 – Helicobacter pylori Stool Antigen
180836 – Helicobacter pylori Urea Breath Test
180810 – Lower Respiratory Culture
223586 – Lyme Antibodies, Total and IgM Responses, EIA
550012 – Lyme Disease, PCR
163600 – Lyme Disease, Western Blot
163758 – Mycoplasma pneumoniae, IgG and IgM
163741 – Mycoplasma pneumoniae, IgG
163212 – Mycoplasma pneumoniae, IgM
182873 – QuantiFERON – TB Gold (Tuberculosis Screening Test)
016592 – Rocky Mountain Spotted Fever (Rickettsia rickettsii), IgG
006072 – RPR (Syphilis)
341443 – Sexually Transmitted Infection Panel – See Super Panel Description
008144 – Stool Culture
006478 – Toxoplasma gondii, IgG
096651 – Toxoplasma gondii, IgM
138602 – Toxoplasma gondii, PCR
008342 – Upper Respiratory Culture
003038 – Urinalysis, Routine
377069 – Urinalysis with Re ex to Urine Culture and Sensitivity
008847 – Urine Culture with Sensitivity
Bone Related Tests001107 – Alkaline Phosphatase, Serum
001612 – Alkaline Phosphatase, Isoenzymes, Serum
513002 – Alkaline Phosphatase, Bone Speci c
500089 – C-Telopeptide, Serum
001016 – Calcium, Serum – Fasting
511105 – Deoxypyridinoline (DPD) Cross-links, Random Urine
004515 – Estradiol, Serum, ECLIA
500108 – Estradiol, Serum, LC/MS/MS
004549 – Estrogens, Total, RIA
28
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Bone Related Tests, continued006924 – HLA B27 Disease Association
511097 – N-Telopeptide, Random or 24 Hour Urine
010249 – Osteocalcin
335398 – Parathyroid Hormone – PTH
001024 – Phosphorus, Serum – Fasting
004317 – Progesterone, ECLIA
500167 – Progesterone, HPLC/MS
070001 – Testosterone, Total, Serum, LC/MS-MS
070038 – Testosterone, Total and Free, HPLC/MS
081950 – Vitamin D, 25-Hydroxycalciferol
Cardiovascular Function016873 – Apolipoprotein A-1 – Fasting
216010 – Apolipoprotein (A1/B/+Ratio) – Fasting
167015 – Apolipoprotein B – Fasting
140889 – B-Type Natriuretic Peptide (BNP)
007187 – Carboxyhemoglobin (CO)
120766 – C-Reactive Protein (CRP), High Sensitivity (Cardiac)
001362 – Creatine Kinase (CK/CPK), Total – Avoid Exercise
002154 – Creatine Kinase (CK) Isoenzymes – Avoid Exercise
120816 – Creatine Kinase (CK), MB
002311 – Creatine Kinase (CK), MB and Total – Avoid Exercise
115188 – D-Dimer
001610 – Fibrinogen Activity
706994 – Homocysteine – Fasting Preferred
001115 – LDH, Serum – Avoid Exercise
001842 – LDH Isoenzymes – Avoid Exercise
235036 – Lipid Electrophoresis (Lipoprotein Phenotyping) – Fasting
235010 – Lipid Panel – Fasting
120188 – Lipoprotein (a)
001537 – Magnesium, Serum
080283 – Magnesium, RBC
511238 – MTHFR (Methylenetetrahydrofolate Reductase Thermolabile Variant), DNA Analysis
884247 – NMR Lipopro le® – Fasting
005207 – Partial Thromboplastin Time (PTT), Activated
123240 – PLAC Test ™
001180 – Potassium, Serum – Fasting
005199 – Prothrombin Time (PT/INR)
020321 – Prothrombin Time (PT/INR) + Partial Thromboplastin Time (PTT), Activated
120832 – Troponin I
804500 – VAP® Cholesterol Test – Fasting – See Mini Panel Description
29
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Cytokines, Complements and Speci c Immune Testing004648 – Complement C1 Esterase Inhibitor, Serum
161414 – Complement C2, Serum
006452 – Complement C3, Serum
004220 – Complement C3a
001834 – Complement C4, Serum
004330 – Complement C4a
001941 – Complement, Total (CH50)
004180 – Eosinophil Cationic Protein (ECP)
012542 – HLA DRB, DQB, Typing
002295 – IgA, E, G, M, Total Antibodies – Fasting
001784 – IgA, Total Antibodies – Fasting
002170 – IgE, Total Antibodies – Fasting
001776 – IgG, Total Antibodies – Fasting
001792 – IgM, Total Antibodies – Fasting
001685 – Immuno xation (IFE), Serum – Fasting
001495 – Immuno xation (IFE) and Protein Electrophoresis, Serum – Fasting
805259 – Interferon (INF ), Serum, ELISA
805255 – Interleukin 1 (IL-1 ), Serum
140912 – Interleukin 2 (IL-2), Serum, ELISA
140914 – Interleukin 4 (IL-4), Serum, ELISA
805271 – Interleukin 5 (IL-5), Serum, ELISA
140916 – Interleukin 6 (IL-6), Serum, ELISA
140918 – Interleukin 8 (IL-8), Serum, ELISA
140920 – Interleukin 10 (IL-10), Serum, ELISA
805263 – Interleukin 12p70 (IL-12p70), Serum, ELISA
805267 – Interleukin 13 (IL-13), Serum, ELISA
815295 – Cytokine Panel A, Plasma, Luminex – See Super Panel Description
815250 – Cytokine Panel B, Plasma, Luminex – See Super Panel Description
815494 – Cytokine Panel C, Plasma, Luminex – See Super Panel Description
815557 – Cytokine Panel D, Plasma, Luminex – See Super Panel Description
905036 – Tumor Growth Factor -1 (TGF- 1)
140673 – Tumor Necrosis Factor (TNF ), Serum, ELISA
Fungal Testing600457 – Allergy Panel – Mold, IgG – See Super Panel Description
663231 – Candida albicans Allergy, IgG
164301 – Coccidioides Antibodies, DID
188243 – Fungus Culture with Stain
164657 – Saccharomyces cerevisiae , IgA and IgG
General In ammatory Markers164947 – Antinuclear Antibodies (ANA), IFA with FANA Pattern
30
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
General In ammatory Markers, continued120766 – C-Reactive Protein, High Sensitivity (Cardiac)
006502 – Rheumatoid Arthritis Factor
005215 – Sedimentation Rate (ESR)
Glucose Metabolism160721 – Antipancreatic Islet Cells
010108 – C-Peptide of Insulin
143008 – GAD-65 Autoantibody (Glutamic Acid Decarboxylase)
102277 – Gestational Diabetes Evaluation, 1 Hour Screen
101303 – Glucose, 1 Hour Post Prandial
002022 – Glucose, 2 Hour Post Prandial
001818 – Glucose, Plasma – Fasting
001032 – Glucose, Serum – Fasting
146696 – Glucose/Insulin Response – 4 Specimens – Fasting
090373 – Glucose Tolerance (GTT) – 5 Specimens – Fasting
001693 – Glycohemoglobin (GHB), Total
001453 – Hemoglobin (HGB) A1c
141531 – IA2 Autoantibodies
014357 – Insulin, 1 Hour
312114 – Insulin, 2 Hour
004333 – Insulin – Fasting
141598 – Insulin Antibodies (IAA)
146712 – Leptin
Food Sensitivity / Celiac Disease Testing600550 – Allergy Panel – 96 Foods, IgG – See Super Panel Description
167082 – Celiac Disease HLA DQ Association
165142 – Celiac Disease Pro le – See Mini Panel Description
165126 – Celiac Disease Comprehensive Pro le – See Mini Panel Description
164996 – Endomysial Antibody, IgA
161646 – Gliadin Antibodies, IgA (Deamidated)
161687 – Gliadin Antibodies, IgG (Deamidated)
163402 – Gliadin Antibodies, IgG and IgA (Deamidated)
069781 – Gluten Allergy, IgE
663073 – Gluten Allergy, IgG
164657 – Saccharomyces cerevisiae , IgA and IgG (Crohn’s Disease)
164640 – Tissue Transglutaminase (tTG), IgA
164988 – Tissue Transglutaminase (tTG), IgG
Hematology/ Blood Products
006056 – ABO Grouping
006049 – ABO Grouping with Rh Factor
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com31
Hematology/ Blood Products, continued006015 – Antibody Screen (Indirect Coombs’)
006213 – Antibody Identi cation
007187 – Carboxyhemoglobin (CO)
005009 – CBC with Di erential and Platelet Count
505271 – CD4/CD8 Ratio Pro le
505026 – CD57 (HNK1) Panel
006270 – Coombs’, Direct
006015 – Antibody Screen (Indirect Coombs’)
001917 – Glucose 6 Phosphate Dehydrogenase (G6PD), Quant., Blood and RBC
823542 – Glutathione, Serum
121679 – Hemoglobinopathy Pro le & Solubility (HGB Electrophoresis)
005223 – Hemoglobin Solubility (Sickle Cell Test) (Sickle Cell Test)
117002 – Lupus Anticoagulant (PTT- LA)
005207 – Partial Thromboplastin Time (PTT), Activated
500054 – Platelet Antibody, Direct
115345 – Platelet Count, Citrated Blood
005199 – Prothrombin Time (PT/INR)
020321 – Prothrombin Time (PT/INR) + Partial Thromboplastin Time (PTT), Activated
005280 – Reticulocyte Count
005215 – Sedimentation Rate (ESR)
505015 – T and B Lymphocyte / Natural Killer Cell (CD 56) Panel – See Super Panel Description
Hepatic/Pancreatic Function001081 – Albumin, Serum
002030 – Aldolase, Serum
001107 – Alkaline Phosphatase, Serum – Fasting
001612 – Alkaline Phosphatase Isoenzymes – Fasting
001982 – Alpha-1-Antitrypsin, Serum – Fasting Preferred
480012 – Alpha-Fetoprotein (AFP), Tumor Marker, Serum
001545 – ALT (SGPT)
007054 – Ammonia, Plasma – Fasting
001396 – Amylase, Serum
123110 – Amylase, Isoenzymes
160721 – Antipancreatic Islet Cells
001123 – AST (SGOT)
010330 – Bile Acids – Fasting
001222 – Bilirubin, Direct
001214 – Bilirubin, Total, Direct, and Indirect
002303 – CA 125 (Cancer Antigen)
001560 – Ceruloplasmin (CER)
010108 – C-Peptide of Insulin
32
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Hepatic/Pancreatic Function, continued004598 – Ferritin
030825 – Ferritin, Iron, and TIBC (Total Iron Binding Capacity) – Fasting Preferred
001610 – Fibrinogen Activity
550140 – FibroSure® - NASH (Fatty Liver Disease Assessment) – See Mini Panel Description
550180 – FibroSure® - ASH (Alcoholic Liver Disease Assessment) – See Mini Panel Description
550123 – FibroSure® - Hepatitis C Virus (HCV Liver Status Assessment) – See Mini Panel Description
004390 – Gastrin, Serum – Fasting
001958 – GGT – Fasting
823542 – Glutathione, Total, Whole Blood
001628 – Haptoglobin – Avoid Exercise
322755 – Hepatic Function Panel – See Mini Panel Description
303744 – Hepatitis 5 (HP5) Panel – See Mini Panel Description
006726 – Hepatitis A, Total Antibodies (For Acute use IgM)
006734 – Hepatitis A, IgM
006395 – Hepatitis B Surface Antibody
006510 – Hepatitis B Surface Antigen
016881 – Hepatitis B Core Antibody, IgM
006718 – Hepatitis B Core Antibody, Total
140659 – Hepatitis C Virus (HCV) Antibody
550123 – Hepatitis C Virus (HCV) FibroSure® – See Mini Panel Description
550080 – Hepatitis C Virus (HCV), Real Time PCR (Viral Load)
511345 – Hereditary Hemochromatosis, DNA Analysis
141531 – IA2 Autoantibodies
004333 – Insulin – Fasting
141598 – Insulin Antibodies (IAA)
001339 – Iron, Serum – Fasting Preferred
001321 – Iron/TIBC (Total Iron Binding Capacity) – Fasting Preferred
001115 – LDH – Avoid Exercise
001842 – LDH Isoenzymes – Avoid Exercise
001404 – Lipase, Serum
002071 – Osmolality, Serum
003194 – Porphyrins, Quantitative, 24 Hour Urine
003368 – Protein Electrophoresis, 24 Hour Urine
354928 – Protein Electrophoresis, Random Urine
001487 – Protein Electrophoresis, Serum
001495 – Protein Electrophoresis and Immuno xation (IFE), Serum – Fasting
001073 – Protein, Total
007441 – Soluble Liver Antigen, IgG
143305 – Soluble Transferrin Receptor
004937 – Transferrin – Fasting Preferred
33
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Mold Toxicity004440 – Adrenocorticotropic Hormone (ACTH)
161836 – Anticardiolipin Antibodies (ACA), IgA
161810 – Anticardiolipin Antibodies (ACA), IgG
161828 – Anticardiolipin Antibodies (ACA), IgM
161802 – Anticardiolipin Antibodies (ACA), IgG & IgM
161950 – Anticardiolipin Antibodies (ACA), IgA, IgG, IgM
046557 – Antidiuretic Hormone (ADH) Pro le (Includes Osmolality, Serum)
004220 – Complement C3a
004330 – Complement C4a
104018 – Cortisol, AM
104026 – Cortisol, PM
161646 – Gliadin Antibodies, IgA (Deamidated)
161687 – Gliadin Antibodies, IgG (Deamidated)
163402 – Gliadin Antibodies, IgG and IgA (Deamidated)
012542 – HLA DRB, DQB, Typing
146712 – Leptin
500124 – MMP-9 (Matrix Metalloproteinase - 9)
010421 – Melanocyte–Stimulating Hormone (MSH)
905036 – Tumor Growth Factor -1 (TGF- 1)
117006 – Vascular Endothelial Growth Factor (VEGF), Plasma
010397 – Vasoactive Intestinal Polypeptide (VIP), Plasma
Parasite Testing064618 – Ascaris Allergy, IgE
138315 – Babesia microti Antibodies, IgG and IgM
182378 – Cryptosporidium and Isospora, Stool
182204 – Giardia lamblia, Antigen by EIA
008623 – Ova/ Parasite Exam – Stool
Pituitary Function004440 – Adrenocorticotropic Hormone (ACTH)
046557 – Antidiuretic Hormone (ADH) Pro le (Includes Osmolality, Serum)
500632 – Growth Hormone, RIA
004309 – Follicle-Stimulating Hormone (FSH)
028480 – Follicle-Stimulating Hormone and Luteinizing Hormone (FSH and LH)
010363 – IGF-1 (Insulin-Like Growth Factor)
140152 – IGF, Binding Protein 3
004283 – Luteinizing Hormone (LH)
004465 – Prolactin, Serum
004259 – Thyroid-Stimulating Hormone (TSH)
Renal Function004374 – Aldosterone, Serum
34
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Renal Function, continued004291 – Aldosterone, 24 Hour Urine
046557 – Antidiuretic Hormone (ADH) Pro le (Includes Osmolality, Serum)
010181 – Beta-2 Microglobulin, Serum
010173 – Beta-2 Microglobulin, Random Urine
024778 – BUN and Creatinine
001016 – Calcium, Serum – Fasting
120790 – Calculi, Urinary (Kidney Stone Analysis)
001370 – Creatinine , Serum
003004 – Creatinine Clearance, 24 Hour Urine
003129 – Creatinine/Total Protein, Random Urine
121251 – Cystatin C – Fasting Preferred
306266 – Kidney Stone Formation Evaluation, 24 Hour Urine – See Mini Panel Description
140285 – Microalbumin/Creatinine Ratio, Urine
002071 – Osmolality, Serum
001024 – Phosphorus, Serum – Fasting
322777 – Renal Function Panel – Fasting – See Mini Panel Description
002006 – Renin Activity, Plasma
001040 – Urea Nitrogen (BUN)
001057 – Uric Acid, Serum – Fasting
003038 – Urinalysis, Routine
377069 – Urinalysis, Complete with Re ex to Urine Culture with Sensitivity
008847 – Urine Culture with Sensitivity
Sex Hormones / Fertility Testing500092 – Adrenal 21-Hydroxylase Autoantibodies
070085 – 17- -Hydroxyprogesterone
500183 – Anti-Müllerian Hormone (AMH), Serum
500142 – Dihydrotestosterone (DHT), HPLC/MS
004697 – DHEA-Sulfate, ECLIA
500161 – DHEA-Sulfate, RIA
004515 – Estradiol, Serum, ECLIA
500108 – Estradiol, Serum, LC/MS/MS
004614 – Estriol, Serum, ICMA
004549 – Estrogens, Total, RIA
004564 – Estrone, Serum, RIA
004309 – Follicle-Stimulating Hormone (FSH)
028480 – Follicle-Stimulating Hormone and Luteinizing Hormone (FSH and LH)
146795 – Inhibin B
146712 – Leptin
004283 – Luteinizing Hormone (LH)
35
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Sex Hormones / Fertility Testing, continued004416 – HCG, Beta, Serum (Human Chorionic Gonadotropin), Quantitative
502330 – Hormone Panel A – See Super Panel Description
502340 – Hormone Panel B – See Super Panel Description
502510 – Hormone Panel C – See Super Panel Description
502511 – Hormone Panel D – See Super Panel Description
503389 – Hormone Panel E – See Super Panel Description
503390 – Hormone Panel F – See Super Panel Description
140707 – Pregnenolone, MS
202945 – Prenatal Pro le – See Mini Panel Description
004317 – Progesterone, ECLIA
500167 – Progesterone, HPLC/MS
004465 – Prolactin, Serum
082016 – Sex Hormone Binding Globulin, Serum
070001 – Testosterone, Total, Serum, LC/MS-MS
070038 – Testosterone, Total and Free, HPLC/MS
Speci c Autoantibodies500092 – Adrenal 21-Hydroxylase Autoantibodies
082024 – Antiadrenal Antibodies, Quantitative
161836 – Anticardiolipin Antibodies (ACA), IgA
161810 – Anticardiolipin Antibodies (ACA), IgG
161828 – Anticardiolipin Antibodies (ACA), IgM
161802 – Anticardiolipin Antibodies (ACA), IgG and IgM
161950 – Anticardiolipin Antibodies (ACA), IgA, IgG, IgM
164814 – Anticentromere B Antibodies
012580 – Antichromatin, IgG Antibodies
096339 – Anti-dsDNA (Double-Stranded) Antibodies, EIA
012518 – Antihistone Antibodies
161455 – Anti-Jo-1 Antibody
806387 – Antimyelin Associated Glycoprotein (Mag Ab), IgG
808973 – Antimyelin Associated Glycoprotein (Mag Ab), IgM
164947 – Antinuclear Antibodies (ANA), IFA with FANA Pattern
160721 – Antipancreatic Islet Cells
117906 – Antiphosphatidylserine, IgA
117952 – Antiphosphatidylserine, IgG
117900 – Antiphosphatidylserine, IgM
117994 – Antiphosphatidylserine, IgA, IgG, IgM
018705 – Antiscleroderma-70 Antibodies
164914 – CCP Antibodies, IgA and IgG (Cyclic Citrullinated Peptide or CPA)
143008 – GAD-65 Autoantibody (Glutamic Acid Decarboxylase)
141531 – IA2 Autoantibodies
36
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Speci c Autoantibodies, continued
141598 – Insulin Antibodies (IAA)
010413 – Intrinsic Factor Blocking Antibodies
006650 – Mitochondrial (M2) Antibody
808616 – Ovarian Antibodies, IgG
006486 – Parietal Cell Antibodies (APCA)
500054 – Platelet Antibody, Direct
006502 – Rheumatoid Arthritis Factor
012708 – Sjögren’s Antibodies (Anti-SS-A/Anti-SS-B)
808813 – Spermatozoa Antibodies
006692 – Thyroid Antithyroglobulin Antibodies (TGA)
006684 – Thyroid Autoantibodies (TPO and TGA)
006676 – Thyroid Peroxidase Antibodies (TPO) – For patients with TPO <600
140749 – Thyroid-Stimulating Immunoglobulin (TSI)
010314 – Thyrotropin Receptor Antibodies
Thyroid Function004895 – Calcitonin – Fasting
070034 – Iodine, Serum or Plasma
070104 – Reverse T3
010389 – T3, Free (Triiodothyronine, Free)
002188 – T3, Total (Triiodothyronine, Total)
001974 – T4, Free, Direct (Thyroxine, Free)
001149 – T4, Total (Thyroxine, Total)
214540 – T3, Free (Triiodothyronine, Free) and T4, Free, Direct (Thyroxine, Free)
006692 – Thyroid Antithyroglobulin Antibody (TGA)
006684 – Thyroid Autoantibodies (TPO and TGA)
331089 – Thyroid Extender Panel – See Super Panel Description
000620 – Thyroid Panel with TSH – See Mini Panel Description
006676 – Thyroid Peroxidase Antibodies (TPO)
004259 – Thyroid-Stimulating Hormone (TSH)
140749 – Thyroid-Stimulating Immunoglobulin (TSI)
010314 – Thyrotropin Receptor Antibody, Serum
001735 – Thyroxine Binding Globulin (TBG)
376137 – TSH. T4, Free , Direct, and T3, Free
Tumor Markers / Cancer Related Testing with Tissue Type004440 – Adrenocorticotropic Hormone (ACTH) - Pituitary
480012 – Alpha-Fetoprotein (AFP), Serum – Liver, Ovary, Testis
140269 – Alpha Subunit, Free – Testis
002303 – CA 125 (Cancer Antigen) – Ovary
143404 – CA 15-3 (Cancer Antigen) – Breast
37
Test Category Lists
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Tumor Markers / Cancer Related Testing with Tissue Type, continued
002261 – CA 19-9 (Carbohydrate Antigen) – Colorectal
140293 – CA 27.29 (Cancer Antigen) – Breast
004895 – Calcitonin – Thyroid – Fasting
002139 – CEA – Colorectal, Gastric, Lung
004390 – Gastrin, Serum – Gastric – Fasting
004416 – HCG, Beta, Serum (Human Chorionic Gonadotropin), Quantitative – Pituitary, Testis, Ovary
500632 – Growth Hormone, RIA – Pituitary
500124 – MMP-9 (Matrix Metalloproteinase - 9) – Tumor Metastasis
010322 – Prostate-Speci c Antigen (PSA), Total – Prostate
480947 – Prostate-Speci c Antigen (PSA), Free and Total – Prostate
004747 – Prostatic Acid Phosphatase – Prostate
120204 – Serotonin, Serum – Carcinoid Syndrome
120089 – Serotonin, Whole Blood – Carcinoid Syndrome
140749 – Thyroid-Stimulating Immunoglobulin (TSI) – Thyroid
Viral Testing
006494 – Cytomegalovirus (CMV), IgG
096727 – Cytomegalovirus (CMV), IgM
221085 – Cytomegalovirus (CMV), IgG and IgM
216655 – Epstein-Barr Pro le (EBV) – See Mini Panel Description
006726 – Hepatitis A, Total Antibodies
006734 – Hepatitis A, IgM
006395 – Hepatitis B Surface Antibody
006510 – Hepatitis B Surface Antigen
016881 – Hepatitis B Core Antibody, IgM
006718 – Hepatitis B Core Antibody, Total
140659 – Hepatitis C Virus (HCV) Antibody
550123 – Hepatitis C Virus (HCV) FibroSure® – See Mini Panel Description
550080 – Hepatitis C Virus (HCV), Real Time PCR (Viral Load)
303744 – Hepatitis 5 Panel (HP5) – See Mini Panel Description
164897 – Herpes Simplex Type I Speci c, IgG
163147 – Herpes Simplex Type II Speci c, IgG
138815 – Herpes Simplex Types I and II Speci c, IgG
096206 – Herpes Varicella Zoster, IgG (Chicken Pox)
083824 – HIV, Re ex to Western Blot on Positives
161075 – Human Herpes Virus Type 6 (HHV-6), IgG
138529 – Human Herpes Virus Type 6 (HHV-6), IgM
058495 – MMR (Measles, Mumps, & Rubella) Immunity
006189 – Mononucleosis, Qualitative
341443 – Sexually Transmitted Infection Panel – See Super Panel Description
38
Test Category Lists
P: 866.999.4041 F: 866.999.9175 W: www.ProfessionalCo-op.com
Vitamin and Mineral Related Tests071548 – Aluminum, Serum or Plasma
001016 – Calcium, Serum – Fasting
001578 – Carbon Dioxide, Total
001529 – Carotene, - Fasting
001560 – Ceruloplasmin (CER)
001206 – Chloride, Serum
120251 – Coenzyme Q10, Total
001586 – Copper, Serum or Plasma
002014 – Folate (Folic Acid) – Fasting Preferred
010413 – Intrinsic Factor Blocking Antibodies, Serum
070034 – Iodine, Serum or Plasma
007625 – Lead (Adult)
717009 – Lead (Pediatric)
007708 – Lithium, Serum
001537 – Magnesium, Serum
080283 – Magnesium, RBC
706961 – Methylmalonic Acid (MMA), Serum
716365 – Methylmalonic Acid (MMA), Urine
811394 – Mineral Pro le, RBC – See Mini Panel Description
511238 – MTHFR (Methylenetetrahydrofolate Reductase Thermolabile Variant), DNA Analysis
001024 – Phosphorus, Serum – Fasting
001180 – Potassium, Serum
001198 – Sodium, Serum
017509 – Vitamin A, Serum – Fasting
121178 – Vitamin B1 (Thiamine), Plasma
070115 – Vitamin B-3 (Niacin), Plasma
070086 – Vitamin B-5 (Pantothenic Acid), Plasma
004655 – Vitamin B-6 (Pyridoxal 5-Phosphate), Plasma
070097 – Vitamin B-7 (Biotin), Serum or Plasma
001503 – Vitamin B12 – Fasting Preferred
000810 – Vitamin B12 and Folate – Fasting Preferred
001479 – Vitamin C, Serum or Plasma
081950 – Vitamin D, 25-Hydroycalciferol
081091 – Vitamin D 1, 25 Dihydroxy (Calcitriol)
080325 – Vitamin D, 25-Hydroxycalciferol + Vitamin D, 1,25 Dihydroxy (Calcitriol)
081000 – Vitamin E, Serum or Plasma
121200 – Vitamin K1, Serum or Plasma
001800 – Zinc, Serum or Plasma
070029 – Zinc, RBC
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