Sibley Memorial Hospital

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  • HCPCS J1745

    A biologic medication

    $1,811.55
    Cash Price
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  • HCPCS 86618

    Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)

    $101.60
    Cash Price
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  • HCPCS 86644

    Analysis for antibody (IgM) to Cytomegalovirus (CMV)

    $297.20
    Cash Price
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  • HCPCS 86694

    Analysis for antibody to Herpes simplex virus

    $134.40
    Cash Price
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  • HCPCS 86695

    Analysis for antibody to Herpes simplex virus, type 1

    $149.60
    Cash Price
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  • HCPCS 86701

    Analysis for antibody to HIV -1 virus

    $166.40
    Cash Price
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  • HCPCS 86803

    Confirmation test for Hepatitis C antibody

    $174.80
    Cash Price
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  • HCPCS 86318

    Covid-19 antibody test

    $112.00
    Cash Price
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  • HCPCS 86225

    Deoxyribonucleic acid (DNA) antibody; native or double stranded

    $200.80
    Cash Price
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  • HCPCS 99214

    Established patient office or other outpatient visit, typically 25 minutes

    $206.80
    Cash Price
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  • HCPCS 99215

    Established patient office or other outpatient, visit typically 40 minutes

    $246.00
    Cash Price
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  • HCPCS 86704

    Hepatitis B core antibody (IgM) measurement

    $128.40
    Cash Price
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  • HCPCS 86706

    Hepatitis B surface antibody measurement

    $165.20
    Cash Price
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  • HCPCS 86317

    Immunoassay for infectious agent antibody

    $129.20
    Cash Price
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  • HCPCS 86334

    Immunofixation electrophoresis; serum

    $193.20
    Cash Price
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  • HCPCS J0702

    Injection to treat reaction to a drug

    $50.24
    Cash Price
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  • HCPCS 86140

    Measurement C-reactive protein

    $212.00
    Cash Price
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  • HCPCS 86003

    Measurement of antibody (IgE) to allergic substance

    $197.60
    Cash Price
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  • HCPCS 86161

    Measurement of Complement (Immune System Proteins)

    $68.40
    Cash Price
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  • HCPCS 86708

    Measurement of Hepatitis A antibody (IgM)

    $132.00
    Cash Price
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  • HCPCS 86376

    Microsomal Antibodies Measurement

    $56.40
    Cash Price
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  • HCPCS 99211

    Outpatient visit of established patient not requiring a physician

    $88.40
    Cash Price
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  • HCPCS G0103

    Prostate cancer screening; prostate specific antigen test (psa)

    $311.60
    Cash Price
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  • HCPCS G2061

    Qualified non physician healthcare professional online assessment, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes

    $26.40
    Cash Price
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  • HCPCS G2062

    Qualified non physician healthcare professional online assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes

    $45.60
    Cash Price
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  • HCPCS G2063

    Qualified non physician qualified healthcare professional assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes

    $72.00
    Cash Price
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  • HCPCS 86431

    Rheumatoid factor level

    $25.60
    Cash Price
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  • HCPCS 86255

    Screening test for antibody to noninfectious agent

    $233.20
    Cash Price
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  • HCPCS 86308

    Screening test for mononucleosis (mono)

    $91.60
    Cash Price
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  • HCPCS 86592

    Syphilis Detection Test

    $91.20
    Cash Price
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  • HCPCS 86361

    T cell count and ratio

    $230.00
    Cash Price
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  • HCPCS 86360

    T cells; absolute CD4 and CD8 count, including ratio

    $259.20
    Cash Price
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  • HCPCS 86359

    T cells count, total

    $244.80
    Cash Price
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  • HCPCS 86800

    Thyroglobulin (thyroid protein) antibody measurement

    $134.40
    Cash Price
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  • HCPCS 86580

    Tuberculosis Test

    $80.00
    Cash Price
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