| Test |
Price |
CPT
Code |
| ■ Acid maltase & neutral maltase |
$175 |
82657, 83912, 84311 |
| ■ Amino acids (full profile, plasma, urine or CSF) |
$275 |
82139, 83912 |
■ PKU and MSUD follow-up testing |
Phenylalanine + tyrosine (dried blood assay) |
Short run – phenylalanine + tyrosine only |
Short run – branched chain (val, leu, ileu) only |
|
$100
$100
$100
|
82136, 83912
82136, 83912
82136, 83912 |
| ■ Carnitine (tissue, serum) |
$180 |
82379, 82658, 83912 |
| ■ Carnitine palmitoyltransferase + citrate synthase |
$280 |
82658, 82657, 83912 |
| ■ Citrate synthase |
$115 |
82657, 84311, 83912 |
| ■ Coenzyme Q10 |
$225 |
82491, 83912 |
| ■ Cytochrome c oxidase |
$115 |
82657, 84311, 83912 |
| ■ Fumarase |
$115 |
82657, 84311, 83912 |
| ■ α-Galactosidase |
$100 |
84155, 82657 83912 |
| ■ β-Galactosidase |
$100 |
84155, 82657, 83912 |
| ■ α-1,4-Glucosidase |
$100 |
84155, 82657, 83912 |
| ■ β-Glucosidase |
$100 |
82963, 84155, 83912 |
■ β-Hexosaminidase A & B |
(Qualitative, Tay-Sachs carrier screen) |
|
$150 |
82664, 83080, 83912 |
| ■ Lactate dehydrogenase |
$115 |
82657,84311, 83912 |
| ■ Mucopolysaccharide spot test (MPS) |
$56 |
83864, 83912 |
| ■ Myoadenylate deaminase |
$235 |
82657, 84311, 83912 |
■ NADH cytochrome c reductase |
|
|
$115 |
82657, 84311, 83912 |
| ■ NADH dehydrogenase |
$115 |
82657, 84311, 83912 |
| ■ Phosphofructokinase |
$150 |
82657, 84311, 83912 |
| ■ 3-Phosphoglycerate kinase |
$150 |
82657, 84311, 83912 |
| ■ Phosphoglycerate mutase |
$150 |
82657, 84311, 83912 |
| ■ Phosphorylase |
$150 |
82657, 84311, 83912 |
| ■ Phosphorylase b kinase |
$150 |
82657, 84311, 83912 |
| ■ Succinate cytochrome c reductase |
$115 |
82657, 84311, 83912 |
| ■ Succinate dehydrogenase |
$115 |
82657, 84311, 83912 |
| Test Profiles |
|
|
| ■ Glycogen Storage Disease Profile (4 tests) |
$575 |
(82657, 84311) x 6 (83912) |
| ■ Mitochondrial Myopathy Profile (6 tests) |
$600 |
(82657, 84311) x 6 (83912) |
| ■ Modified Mitochondrial Myopathy Profile (3 tests) |
$325 |
(82657, 84311) x 3 (83912) |
| ■ Myoglobinuria Profile (9 tests, incl. citrate synthase) |
$850 |
(82658) (82657, 84311) x 9 (83912) |
■ Exercise Intolerance Mutation Profile |
(CPT2, PYGM, AMPD1 genes) |
(8 mutations) |
|
$525 |
(83891) (83898, 83914, 83894) x 16 (83912) |
■ Exercise Intolerance Mutation Profile + Expanded |
CPT2 gene mutation analysis (10 mutations) |
|
$600 |
(83891) (83898, 83914, 83894) x 20 (83912) |
■ Carnitine Palmitoyltransferase II (CPT2 gene) |
Mutation Profile (6 mutations) |
|
$435 |
(83891) (83898, 83914, 83894) x 12 (83912 |
■ Myophosphorylase (McArdle disease GSD V; PYGM |
Gene) Mutation Profile (2 mutations) |
|
$230 |
(83891) (83898, 83914, 83894) x 4 (83912) |
■ Myoadenylate Deaminase (AMPD1 gene) |
Mutation Profile (2 mutations) |
|
$230 |
(83891) (83898, 83914, 83894) x 4 (83912) |
■ Individual Mutation Analysis |
(Any single mutation analysis may be requested from |
the above Profiles) |
|
$230 |
(83891) (83898, 83914, 83894) x 2 (83912) |
| Gene Sequence Analysis |
|
|
■ Carnitine Palmitoyltransferance II (CPT2) |
(Gene Sequence Analysis) |
|
$650 |
(83891) (83904) x 14 (83898) x 5 (83912) |
|