MERITER LABORATORIES Prices as of January 1, 2021 Code Name Amount 17OHPA 17-HYDROXYPROGESTERONE QNT, HPLC-MS/MS A * $46.27 25VITD 25 HYDROXY VITAMIN D $59.58 ABORH ABO/RH $41.90 ACTMN ACETAMINOPHEN LEVEL $78.79 ACTHA ADRENOCORTICOTROPIN A * $44.27 AFPTM AFP TUMOR MARKER $101.55 ALB $7.32 FALB ALBUMIN, FLUID $13.50 ALKP ALKALINE PHOSPHATASE $7.32 ALT ALT $7.32 AMMON AMMONIA $45.58 AMYL AMYLASE $12.94 FAMYL AMYLASE, BODY FLUID $32.07 ANAA ANA, IGG ELISA W/ REFLEX TO ANA, IGG IFA A * $32.27 ZCXANA ANAEROBIC CULTURE $65.57 ANDSTA ANDROSTENEDIONE BY TMS A * $51.27 ABID IDENTIFICATION $156.56 ABSCR ANTIBODY SCREEN $37.42 SV2TAB ANTI-SARS-COV-2 $50.50 AST AST $7.32 ZSCORE BACT VAGINOSIS SMEAR $21.63 ZCXBAC BACTERIAL CULTURE $43.61 BASIC BASIC METABOLIC PANEL $70.95 B2MGA BETA-2-, SERUM OR PLASMA A * $38.27 BHB Beta-Hydroxybutyrate $46.14 BILTDI BILIRUBIN PANEL $22.50 DBIL BILIRUBIN, DIRECT $7.33 ZCXBLD BLOOD CULTURE $58.56 CCNT BODY FLUID CELL COUNT $56.62 FCRYS BODY FLUID CRYSTAL $14.04 ZCXBAL BRONCHIAL CULTURE, QUANTITATIVE $56.74 BUN BUN $10.65 C3 C3 COMPLEMENT $31.49 C4 C4 COMPLEMENT $31.49 CA CALCIUM $10.65 CA199A CANCER ANTIGEN-GI (CA 19-9) A * $38.27 CARBAM CARBAMAZEPINE LEVEL, TOTAL $74.88 COHGB CARBON MONOXIDE $59.65 CEAA CARCINOEMBRYONIC ANTIGEN A * $38.50 CBCND CBC (HEMOGRAM) $12.93 CBCWD CBC WITH DIFFERENTIAL $18.00 CERULA A * $34.27

*These tests are subject to change without notice ZCTNAA CHLAMYDIA BY NAA $65.11 CL CHLORIDE $7.32 CHOL CHOLESTEROL $10.65 CHRBL CHROMOSOME ANALYSIS HEMATOLOGIC BLOOD * $537.26 CHRAM CHROMOSOME ANALYSIS, AMNIOTIC FLUID * $537.26 CHRBM CHROMOSOME ANALYSIS, BONE MARROW * $537.26 CHRCV CHROMOSOME ANALYSIS, CHORIONIC VILLI BIOPSY * $587.26 CHRTI CHROMOSOME, TISSUE * $558.51 CK CK $29.80 SCDMOL CLOSTRIDIUM DIFFICILE BY PCR $80.67 CLOZAP CLOZAPINE AND METABOLITES, S/P, QUANT A * $42.27 COMPNL COMP METABOLIC PANEL QC/V/Y/D/E/H+ $126.18 CH50A COMPLEMENT ACTIVITY, TOTAL EIA A * $38.27 SCV2 CORONAVIRUS SARS-COV- 2 PCR $93.00 CORTR CORTISOL $36.49 ICRP C-REACTIVE INFLAMMATORY $57.14 CREAT CREATININE QC/V/Y/D/E/H/J/N/Q/S+ $10.65 UCR24H CREATININE, URINE, 24 HOUR $25.33 ZCXBLC CULTURE BLOOD CATHETER EVALUATION $29.15 ZCXCAT CULTURE CATH TIP $19.01 ZCXCHL CULTURE CHLAMYDIA $133.60 ZCXCSF CULTURE CSF/SMEAR $57.02 ZCXENV CULTURE ENVIRONMENTAL $21.37 ZCXRES CULTURE RESPIRATORY W GRAM $52.91 ZCXYST CULTURE YEAST SCREEN $39.49 ZCXTBB CULTURE, MYCOBACTERIUM BLOOD $74.71 CMVPCR CYTOMEGALOVIRUS BY QUALITATIVE PCR A * $97.27 DDIMSB D-DIMER $71.16 ZCXFNS DERMAL FUNGAL CULTURE $91.10 DHEASA DHEA SULFATE, SERUM A * $38.27 DIG DIGOXIN LEVEL $32.07 UDP4 DRUG SCREEN, UR BASIC 4 $24.29 UDP6 DRUG SCREEN, UR BASIC 6 $28.69 UDP8 DRUG SCREEN, UR BASIC 8 $32.11 LYTES ELECTROLYTE PANEL $29.40 EPPCR ENTERIC PATHOGENS PCR $196.49 EOSMR EOSINOPHIL SMEAR $17.97 EBVQNT EPSTEIN-BARR VIRUS BY QUANTITATIVE PCR A * $107.27 E2 ESTRADIOL $83.85 ALC ETHANOL $45.58 UALC ETHANOL, URINE $15.05 SMABA F-ACTIN AB, IGG EIA WITH RFLX TO ASM IFA A * $36.77 F5A FACTOR V, ACTIVITY A * $51.32 FVIIIA FACTOR VIII:C, ACTIVITY A * $47.27 FERR FERRITIN $46.65 FFN FETAL $503.97

*These tests are subject to change without notice RHIGZ FETAL SCREEN $31.94 FIBR FIBRINOGEN $41.64 FOL FOLATE $41.82 FSH FOLLICLE STIMULATING HORMONE $83.65 FRAGI FRAGILE X-CYTOGENETIC AND MOLECULAR ANALYSIS * $597.26 ZCXFUN FUNGUS CULTURE $91.10 ZCXFNB FUNGUS CULTURE, BLOOD $57.16 GGT GAMMA GT $14.04 VBGZ GASES, VENOUS $121.09 ZCGNAA GC/CHLAMYDIA BY NAA $65.11 GENTRA GENTAMICIN LEVEL, RANDOM $65.89 GLU50C GESTATIONAL DIABETES SCREEN TEST $10.65 GESGTT GESTATIONAL GLUCOSE TOLERANCE, 2 HOUR $28.65 ZGIARD GIARDIA / CRYPTOSPORIDUM ANTIGENS $72.91 GLU GLUCOSE $9.54 ZCXGC GONOCOCCUS CULTURE $21.98 ZGBSSC GROUP B STREP PCR $71.34 GHA GROWTH HORMONE A * $37.27 HAPT $58.50 HCGQNT HCG, QUANTITATIVE $80.48 HCGSCR HCG, SERUM, QUALITATIVE $20.24 HCRT HCT $12.93 HDL HDL CHOLESTEROL $33.47 GLYCO HEMOGLOBIN A1C $28.08 UHSID HEMOSIDERIN, URINE $33.20 HBIMM HEP B IMMUNITY $83.19 HEPB HEP B-HBSAG-AB-CORE $137.19 HEPZ HEPARIN LEVEL $86.31 PLLIVR HEPATIC FUNC PANEL D/I/N/S+ $62.59 HAVABB HEPATITIS A ANTIBODY, IGM $49.01 HAVGM HEPATITIS A VIRUS , TOTAL A * $36.27 ACUTEZ HEPATITIS ACUTE PANEL $278.91 HBCIGM HEPATITIS B CORE ANTIBODY, IGM $110.34 HBCTT HEPATITIS B CORE ANTIBODY, TOTAL $32.40 HBSAB HEPATITIS B SURFACE ANTIBODY $50.54 HBSAG HEPATITIS B SURFACE ANTIGEN $54.02 HCVAB HEPATITIS C ANTIBODY $67.57 HGBN HGB $12.93 HGBHT HGB/HCT $12.93 HSCRP HIGH SENSITIVITY CRP $57.14 HIV4G HIV 4TH GEN $29.81 HSVNRP HSV PCR, NON RESP $87.24 IMFXA IMMUNOFIX ELECTROPHORESIS QUAL, GEL A * $45.27 IGAMA IMMUNOGLOBULINS (IGG, IGA, IGM), QUANT A * $45.27 INSFTA INSULIN, FREE AND TOTAL A * $49.97 CAIONP IONIZED CALCIUM $39.96 FE IRON $10.65

*These tests are subject to change without notice IRONP IRON DEFICIENCY PANEL $43.81 FETCS KLEIHAUER-BETKE STAIN $102.97 ZKOH KOH PREP $21.37 LDH LACTATE DEHYDROGENASE $10.65 LACTV LACTATE VENOUS $50.97 LACTOZ LACTOSE TOLERANCE $45.40 LDLD LDL CHOLESTEROL, DIRECT $102.80 LEADCA LEAD, BLOOD (CAPILLARY) A * $32.27 ULEGAG LEGIONELLA URINE ANTIGEN $125.17 LIPAS LIPASE $32.07 LIPIDS LIPID PANEL $67.25 LI LITHIUM LEVEL $33.16 LH LUTEINIZING HORMONE $83.65 MG MAGNESIUM $16.55 MALARI MALARIA SMEAR $24.71 MTHGB METHEMOGLOBIN VENOUS $47.27 ANCAAB MPO/PR-3 (ANCA) ANTIBODIES A * $53.33 ZCXMRS MRSA CULTURE $47.35 MRSPCR MRSA DNA $114.38 SMRSST MSSA/MRSA DNA Test $220.88 UMYOGA MYOGLOBIN, URINE A * $39.65 OPATUA OPIATES, URN, QUANT A * $52.27 OSMO OSMOLALITY $26.97 UOSMO OSMOLALITY, URINE $26.97 PHENO PHENOBARBITAL LEVEL $45.58 PTN PHENYTOIN LEVEL, TOTAL $45.58 PHOS PHOSPHORUS $10.65 PINPAD PINWORM SMEAR $14.60 PLTCNT PLATELET COUNT $12.93 K POTASSIUM $7.32 PREALB PREALBUMIN $91.20 OBPANZ PRE-ECLAMPSIA PANEL $45.33 UHCGSC , URINE $20.24 PBNP PRO B-TYPE NATRIURETIC PEPTIDE $132.91 PROCLT PROCALCITONIN $162.45 PROG PROGESTERONE $81.55 PROLAC PROLACTIN $58.42 UTPCRR PROTEIN / CREATININE RATIO, URINE $61.38 UTP24H PROTEIN 24 HOUR UR $36.01 FTP PROTEIN, BODY FLUID $36.01 SFTP PROTEIN, CSF $36.01 TP PROTEIN, TOTAL $10.65 PTIM PROTIME-INR $13.50 PSAT PSA $82.16 PSASCM PSA - MEDICARE SCREENING $82.16 PTHIN PTH, INTACT $78.95 PTHWCA PTH, INTACT AND CALCIUM $90.41

*These tests are subject to change without notice PTPTT PTPTT $55.17 PRENAL RENAL FUNCTION PANEL $88.95 RESPCR RESPIRATORY PATHOGENS PCR $400.27 RETICZ RETICULOCYTES $22.93 RHUF RHEUMATOID FACTOR (QUANT) $40.28 ZRPRPT RPR, POST TREATMENT $14.06 RUBIMM RUBELLA IGG IMMUNE STATUS $32.51 SALIC SALICYLATE LEVEL $32.07 ESR SEDIMENTATION RATE $16.85 SICKLE SICKLE CELL SCREEN $26.28 EHR SMEAR FOR EHRLICHIA $128.58 NA SODIUM $7.32 ZCXSPU SPUTUM CULTURE $52.91 ZCXSTR STERILITY CULTURE $43.61 ZCXTSS STREP A CULTURE, THROAT $12.93 USPNAG STREPTOCOCCUS PNEUMONIAE URINARY ANTIGEN $108.71 FT3 T3, FREE $48.72 FT4C T4, FREE $48.72 TESTL TESTOSTERONE $59.02 THEO THEOPHYLLINE LEVEL $42.77 ZCXTHR THROAT CULTURE $20.82 ZRSS THROAT STREP A ANTIGEN $21.78 TOBRA TOBRAMYCIN LEVEL, RANDOM $65.89 TRIG TRIGLYCERIDES $12.35 TROPP TROPONIN I $23.22 TSH TSH $49.03 TSHR TSH WITH FREE T4 REFLEX $49.03 URIC URIC ACID $9.29 UAREF URINALYSIS WITH REFLEX TESTING $13.10 ZCXURN URINE CULTURE $38.83 ZCXUIF URINE CULTURE IF INDICATED $38.83 ULYTES URINE ELECTROLYTES $75.98 VALP VALPROIC ACID LEVEL, TOTAL $78.79 VANRA VANCOMYCIN, RANDOM $98.54 VITB12 VITAMIN B12 $41.82 B12FOL VITAMIN B12 AND FOLATE $83.63 ZWETPR WET PREP, GENITAL $20.82 ZCXWND WOUND CULTURE $43.61

*These tests are subject to change without notice