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Test Profiles |
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Related forms in printer-friendly format: 
 Request for
Laboratory Analysis - Metabolic Muscle Disease TestingSpecimen
Requirements for Biochemical and Molecular
Testing
Muscle Disease
Test Price List Comprehensive Test Price
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Price |
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CPT Code |
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Glycogen Storage Disease Profile
Acid & neutral maltase
Phosphorylase
Phosphorylase b kinase
Phosphofructokinase 
Tissue: muscle
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$504.00 |
(82657, 84311) x 4 (83912)
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Mitochondrial Myopathy Profile
NADH dehydrogenase
NADH cytochrome c reductase
Succinate dehydrogenase
Succinate cytochorome c reductase
Cytochrome c oxidase
Citrate synthase
Tissue: muscle, liver
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560.00 |
(82657, 84311) x 6 (83912) |
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Modified Mitochondrial Myopathy Profile
Succinate dehydrogenase
Cytochrome c oxidase
Citrate synthase
Tissue: muscle, liver
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270.00 |
(82657, 84311) x 3 (83912) |
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Myoglobinuria Profile
Phosphorylase
Phosphorylase b kinase
Phosphofructokinase
Phosphoglycerate kinase
Phosphoglycerate mutase
Carnitine palmitoyltransferase
Tissue: muscle
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588.00 |
(82657, 84311) x 6 (83912) |
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Metabolic Profile
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62.00 |
80100 | |||||
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Carnitine
Palmitoyl Transferase II Mutation Profile (6 mutations)
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375.00 |
(83891)
(83892, 83893, 83896) x 12 (83894, 83898 x 4) (83912) |
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Myophosphorylase
(McArdle disease) Mutation Profile (2 mutations)
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200.00 |
(83891)
(83892, 83893, 83896) x 4 (83894, 83898 x 2) (83912) |
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Myoadenylate
Deaminase Mutation Profile (2 mutations) |
200.00 |
(83891)
(83892, 83893, 83896) x 4 (83894, 83898 x 2) (83912) |
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450.00 |
(83891)
(83892, 83893, 83896) x 14 (83894, 83898 x 8) (83912) |
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Individual
Mutation Analysis*
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200.00 |
(83891)
(83892, 83893, 83896) x 2 (83894) (83898) (83912 |
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*Any single mutation analysis may be requested from the above Profiles. |
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FYI: Before Contacting the Laboratory |
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