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IgM *Build Your Own Panel Eligible [?]	$105	Info
Description: Increased IgM is associated with Waldenström's macroglobulinemia, infectious mononucleosis, viral infections, nephrotic syndrome, and estrogen therapy; decreased IgM is found in selective IgM deficiency, Bruton's Disease, and acquired immune deficiency. Alternative names: Immunoglobulin M Categories: Gastrointestinal diseases, Infectious diseases, Cancer detection, Pediatrics, Price: $105
BRAF Mutation Analysis *Build Your Own Panel Eligible [?]	$1599	Info
Description: BRAF encodes a serine/threonine protein kinase downstream of the epidermal growth factor receptor (EGFR) and the RAS family of small G-proteins (KRAS, HRAS and NRAS) in the MAPK pathway. BRAF is mutated in a variety of human tumors, most frequently in melanoma and in papillary thyroid cancer. BRAF mutations are also found in lower frequency in colorectal cancer, non-small cell lung cancer (NSCLC), acute myeloid leukemia (AML), hairy cell leukemia, glioma, sarcomas, breast cancer, hepatoma and ovarian cancer. BRAF mutations are found clustered within the P-loop (exons 11&12) and activation domain (exon 15) of the kinase domain. A single glutamic acid for valine substitution at codon 600 (V600E) in exon 15 comprises approximately 90% of BRAF somatic mutations in cancer. In general, BRAF V600E mutations do not coexist with RAS mutations in the same tumor cells, suggesting that each of these genetic alterations is sufficient for activating downstream effectors that initiate or promote tumorigenesis. The BRAF V600E mutation is also associated with significantly poor prognosis and higher recurrent and persistent disease in patients with melanomas, colorectal carcinoma, and papillary thyroid cancers. In patients with metastatic colorectal cancer, the presence of the BRAF V600E mutation in tumors with wild-type KRAS is associated with resistance to EGFR inhibitor therapy. In contrast, in patients with metastatic melanoma, BRAF V600E mutation may predict for response to BRAF inhibitors. Therefore, BRAF mutation analysis may be used either as a standalone test for the selection of cancer patients who might benefit from BRAF inhibitor therapies, or as an additional tool (along with RAS mutation analysis) for the selection of metastatic colorectal cancer patients that might benefit from EGFR-targeted therapies. Alternative names: BRAF Mutation Analysis,B-RAF Patient Instructions: Fasting is not required. Categories: Cancer detection, Gastrointestinal diseases, Price: $1599
Prostate-Specific Antigen (PSA) (MALES ONLY) *Build Your Own Panel Eligible [?]	$53	Info
Description: Prostate-specific antigen (PSA) is a glycoprotein produced by the epithelial cells lining the prostatic ducts and acini. Normally, it is secreted into the prostatic ducts and is present only in prostate tissue, prostatic fluid, and seminal plasma. PSA is produced by normal, hyperplastic, and cancerous prostatic tissue. PSA is used as a tumor marker for the early detection of prostate cancer and in other areas of prostate disease management. Elevated serum PSA concentrations have been reported in men with prostate cancer, benign prostatic hypertrophy, and inflammatory conditions of the prostate. The Prostate-Specific Antigen Best Practice Statement: 2009 Update published by the American Urologic Association describes the use of PSA testing for: The evaluation of men at risk for prostate cancer Assistance in pretreatment staging Risk assessment posttreatment monitoring Use as a guide in management of men who recur after primary or secondary therapy Significant deviations from the normal range may require further evaluation by your physician. Please Note: This test is for male clients only, due to ordering restrictions on certain tests, the PSA test will not be included on the requisition and will not be performed when ordered by females. Alternative Name(s): PSA, Total Includes: Prostate-Specific Antigen (PSA), Total Patient Instructions: For accurate test results, no ejaculation during the 24 hours preceding the test. Categories: Cancer detection, Specific blood tests for men, Price: $53
Serotonin, Serum *Build Your Own Panel Eligible [?]	$90	Info
Description: Diagnose carcinoid syndrome. The classical syndrome includes flushing and vasomotor instability, diarrhea, hepatomegaly, and endocardial lesions. Ectopic production may occur from oat cell carcinomas of lung, islet cell tumors of pancreas, and medullary carcinoma of the thyroid. Carcinoid tumors occur in multiple endocrine neoplasia, types I or II. Significant deviations from the normal range may require further evaluation by your physician. Includes: Serotonin Patient Instructions: Patient should avoid food high in indoles for 3 days before collection: Avocado, banana, tomato, plum, walnut, pineapple, and eggplant. Patient should also avoid tobacco, tea and coffee 3 days prior to specimen collection. Estimated turnaround for results is 6 business days. Categories: Cancer detection, Price: $90
DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS *Build Your Own Panel Eligible [?]	$79	Info
Description: Evaluate adrenal carcinomas that frequently secrete large amounts of DHEA Dehydroepiandrosterone (DHEA) is an important hormone produced in the adrenal glands. Appropriate levels of DHEA are associated with increased energy, healthy immune system, heart health, good memory and elevated mood. DHEA helps in the production of testosterone therefore a decrease in DHEA results in a decrease of testosrerone. It is also essential in the function and balance of other hormones. DHEA is a weakly androgenic steroid that is useful when congenital adrenal hyperplasia is suspected. It is also useful in determining the source of androgens in hyperandrogenic conditions, such as polycystic ovarian syndrome and adrenal tumors. A significant deviation from the normal range may require further evaluation by your physician. Includes: DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS Patient Instructions: Overnight fasting is preferred. Fasting is defined as no consumption of food or beverage other than water for at least 8 - 10 hours before testing. Estimated turnaround for results is 4 business days. Categories: Cancer detection, Fitness, nutrition, anti-aging, Price: $79
Deluxe Women's Cancer Profile	$191	Info
Description: The Cancer Profile is a group of tests that is performed to look for signs of cancer or to see if you are likely to develop cancer. Screening tests that look for cancer are called early detection tests. Screening tests that show cancer is likely to develop are called preventive screening. Significant deviations from the normal range may require further evaluation by your physician. Includes: CA-125 (Ovarian Cancer Test) Carcinoembryonic Antigen (CEA) C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment) Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Iron Serum Kidney (Renal) Function Profile: Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen Liver (Hepatic) Function Profile: Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT Sedimentation Rate, Modified Westergren Urinalysis, Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment. Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. Estimated turnaround for results is 4 business days. Categories: Cancer detection, Price: $191
Ultimate Male Cancer Profile	$272	Info
Description: Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA (Prostate-Specific Antigen) test will not be included on the requisition and will not be performed. The Ultimate Cancer Profile is a group of tests that are performed to look for signs of cancer or to see if you are likely to develop cancer. Screening tests that look for cancer are called early detection tests. Screening tests that show cancer is likely to develop are called preventive screening. Significant deviations from the normal range may require further evaluation by your physician. Includes: Carbohydrate Antigen (CA) 19-9 Carcinoembryonic Antigen (CEA) Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment) Iron, Serum Kidney Function Profile: Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen Liver Function Profile:Alanine aminotransferase (ALT/SGPT); albumin, serum; alkaline phosphatase, serum; aspartate aminotransferase (AST/SGOT); bilirubin, direct; bilirubin, total; protein, total, serum Prostate-Specific Antigen (PSA), Free and Total: Total PSA, Free PSA, % Free PSA (calculated) Sedimentation Rate, Modified Westergren Urinalysis Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment. Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. For accurate test results, no ejaculation during the 24 hours preceding the test. Categories: Cancer detection, Specific blood tests for men, Price: $272
HLA DQB1 Low Resolution *Build Your Own Panel Eligible [?]	$702	Info
Categories: Allergy blood testing, Gastrointestinal diseases, Infectious diseases, Cancer detection, Price: $702
Pancreatic Cancer Blood Scan	$149	Info
Includes: Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) CA 19-9 Carcinoembryonic Antigen (CEA) Amylase, serum Lipase, serum Patient Instructions: You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $149
Catecholamines, Fractionated, Plasma (Dopamine) *Build Your Own Panel Eligible [?]	$90	Info
Description: This test is primarily used to diagnose pheochromocytoma, a rare type of cancer, and similar tumors which may secrete epinephrine, norepinephrine, or both. Significant deviations from the normal range may require further evaluation by your physician. Includes: Dopamine, Epinephrine, Norepinephrine and Total Catecholamines (calculated) Patient Instructions: Overnight fasting is required. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing. Patient should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Patients should be relaxed in either a supine or upright position before blood is drawn. States of anxiety and stress can cause fluctuations in the catecholamine levels. Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $90
Gallbladder Cancer Blood Scan	$124	Info
Includes: Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Gamma Glutamyl Transpeptidase (GGT) Carcinoembryonic Antigen (CEA) CA 19-9 Patient Instructions: You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $124
Testicular Cancer Blood Scan	$150	Info
Includes: hCG Quantitative, Serum. Alpha-Fetoprotein (AFP), Serum Lactic Acid Dehydrogenase (LD)(LDH), serum. Patient Instructions: There are no special instructions/requirements for the tests you ordered. Fasting is not required. Categories: Cancer detection, Price: $150
Liver Monitoring Blood Scan	$149	Info
Includes: Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Alpha-Fetoprotein (AFP), Serum Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Gamma Glutamyl Transpeptidase (GGT) Patient Instructions: You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Estimated turnaround for results is 4 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $149
Head and Neck Cancer Blood Scan	$128	Info
Includes: Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Carcinoembryonic Antigen (CEA) Ferritin, serum CA 19-9 Patient Instructions: You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration. Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $128
Bile Duct Cancer Blood Scan	$120	Info
Includes: Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Carcinoembryonic Antigen (CEA) CA 19-9 Patient Instructions: You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $120
Prostate Infection Panel (MALES ONLY)	$91	Info
Description: Prostatitis is swelling and tenderness of the prostate gland. It is a common problem in men. The prostate gland is a doughnut-shaped gland located between the base of the penis and the bladder. The average prostate is about the size of a small peach. It surrounds the urethra, which is the tube through which urine and semen pass. The prostate makes the fluid that nourishes and carries sperm. Significant deviations from the normal range may require further evaluation by your physician. Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA test will not be included on the requisition and will not be performed. Includes: Complete Blood Count w/ Differential: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Prostate-Specific Antigen (PSA) Urinalysis, Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment. Patient Instructions: For accurate test results, no ejaculation during the 24 hours preceding the test. Categories: Specific blood tests for men, Cancer detection, Price: $91
Lung Cancer Blood Scan	$82	Info
Includes: Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Carcinoembryonic Antigen (CEA) Patient Instructions: You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $82
Protein Electrophoresis and Total Protein, Random Urine *Build Your Own Panel Eligible [?]	$458	Info
Description: This test is used to analyze the protein content in urine. The proteins are separated into 5 major components: albumin, alpha-1, alpha-2, beta, and gamma. Interpretation of elevations, decreases, or visual changes in different components and/or associated patterns can provide information on various disease states, including inflammatory diseases, autoimmune diseases, different types of kidney injury, plasma cell disorders, and cancers [1,2]. UPEP is used to evaluate an individual with symptoms associated with potential monoclonal gammopathy, or when an individual has abnormally high total protein, albumin, or immunoglobulin levels. This test can help with initial diagnosis, as well as monitoring disease progression and treatment effectiveness [1,2]. Although a 24-hour UPEP (test code 750) is recommended for diagnosis and monitoring, sometimes a random UPEP (test code 8525) is ordered at the discretion of the clinician to help guide the diagnostic process in the right direction. One advantage of a UPEP is that no special handling is required, which may be an important factor depending on clinical conditions [3]. NOTE: The results of this test should not be used in isolation; these results alone are not enough to make a diagnosis or for monitoring. UPEP results should be evaluated along with other laboratory, clinical, and imaging findings as appropriate. Additional testing, such as bone marrow studies, serum protein electrophoresis (SPEP), and immunofixation (IFE), may be required for comprehensive evaluation [1,2]. References 1. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology. Multiple myeloma. Version 2.2020; October 9, 2019. https://www.nccn.org 2. Rajkumar SV, et al. Lancet Oncol. 2014;15:e538-e548. 3. American Association of Clinical Chemistry. Protein electrophoresis, immunofixation electrophoresis. https://labtestsonline.org/tests/protein-electrophoresis-immunofixation-electrophoresis. Accessed November 13, 2019. Alternative names: UPEP Includes: Protein, Total, Random Urine Protein/Creatinine Ratio Creatinine, Random Urine Protein Electrophoresis Categories: Cancer detection, Price: $458
IgG *Build Your Own Panel Eligible [?]	$105	Info
Description: Increased IgG is associated with acute and chronic inflammations, monoclonal IgG myeloma, autoimmune diseases; decreased IgG is found in selective IgG deficiency, Bruton's Disease, and acquired immune deficiency. Alternative names: Immunoglobulin G Categories: Gastrointestinal diseases, Infectious diseases, Cancer detection, General wellness, Price: $105
HLA B Low Resolution *Build Your Own Panel Eligible [?]	$702	Info
Categories: Allergy blood testing, Infectious diseases, Cancer detection, Price: $702
IgA *Build Your Own Panel Eligible [?]	$75	Info
Description: Increased IgA is associated with monoclonal IgA myeloma, respiratory and gastrointestinal infections, and malabsorption; decreased IgA is found in selective IgA deficiency and in ataxia telangiectasia. Alternative names: Immunoglobulin A Categories: Gastrointestinal diseases, Infectious diseases, Cancer detection, Pediatrics, Price: $75
Alpha-Fetoprotein (AFP), Serum, Tumor Marker *Build Your Own Panel Eligible [?]	$80	Info
Description: The most important application of AFP testing in cancer management is for testicular cancer. Elevation of serum AFP above values found in healthy individuals occurs in several malignant diseases, most notably nonseminomatous testicular cancer and primary hepatocellular carcinoma. AFP is not recommended as a screening procedure to detect cancer in the general population. Alternative Name(s): AFP A significant deviation from the normal range may require further evaluation by your physician. Estimated turnaround for results is 4 business days. Includes: Alpha-Fetoprotein (AFP), Serum Patient Instructions: Categories: Cancer detection, Price: $80
Prostatic Acid Phosphatase (PAP), Serum *Build Your Own Panel Eligible [?]	$72	Info
Description: High concentrations of acid phosphatase are found in the prostate gland. Significant amounts are also found in platelets, bone, spleen, kidney and liver. Prostatic Acid Phosphatase (PAP) is a component of total acid phosphates and is a major constituent in seminal fluid and is also secreted in the urine. PAP is normally found in serum in very low levels. PAP measurement has found clinical application in the management of prostatic cancer patients. Serum PAP measurements have been useful in monitoring remission or relapse of a prostatic malignancy and in assessing the effectiveness of various treatment regimes. Thus, normalization in serum PAP levels has been observed following successful therapeutic intervention, while recurrent or residual disease has been associated with elevated levels of PAP. Significant deviations from the normal range may require further evaluation by your physician. Includes: Prostatic Acid Phosphatase (PAP), Serum Patient Instructions: Samples must be obtained before rectal examination, biopsy, prostatectomy or prostatic massage, since manipulating the prostate gland may lead to elevated PAP levels persisting up to 24-48 hours. Estimated turnaround for results is 5 business days. Categories: Cancer detection, Specific blood tests for men, Price: $72
Protein, Total and Protein Electrophoresis *Build Your Own Panel Eligible [?]	$173	Info
Description: Serum protein electrophoresis (SPE) is an analytical technique that provides separation of serum protein into six fractions: Albumin, Alpha-1, Alpha-2, Beta-1, Beta-2, and Gamma. Interpretation of elevation, decreased, or visual change in different fractions can be used as a diagnostic aid for a variety of different disease states and protein abnormalities, including monoclonal gammopathies (MG). Alternative names: SPEP Patient Instructions: Overnight fasting is preferred Categories: Gastrointestinal diseases, Cancer detection, Price: $173
CA-125 (Ovarian Cancer Test) *Build Your Own Panel Eligible [?]	$58	Info
Description: The CA 125 level can provide prognostic information in the follow-up management of patients with ovarian carcinoma. The assay should be used as an adjunctive test in the management of ovarian cancer patients. CA 125 is not recommended as a cancer screening procedure to detect cancer in the general population. The CA-125 blood test has been known to detect the presence of tumors in the ovary. Positive results require further evaluation by your physician. Alternative Names(s): OC125, Cancer Antigen 125, Ovarian Antigen Includes: Cancer Antigen (CA) 125, Serum Estimated turnaround for results is 4 business days. Categories: Cancer detection, Specific blood tests for women, Price: $58
Cancer Antigen (CA) 15-3 *Build Your Own Panel Eligible [?]	$89	Info
Description: CA 15-3 may be useful for monitoring patients with metastatic breast cancer and certain ovarian cancers. The CA 15-3 values from sequential samples have a high correlation with the clinical course in most patients with metastatic breast cancer. Alternative Name(s): Cancer Antigen 15-3 A significant deviation from the normal range may require further evaluation by your physician. Includes: CA 15-3 Estimated turnaround for results is 5 business days. Categories: Cancer detection, Price: $89
Cardiolipin Antibodies (IgA, IgG, IgM) *Build Your Own Panel Eligible [?]	$437	Info
Description: Cardiolipin antibodies (CA) are seen in a subgroup of patients with autoimmune disorders, particularly systemic lupus erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis, and primary Sjögren's syndrome. Categories: Heart & cholesterol, Cancer detection, Price: $437
IgG, IgA, Indirect Immunofluorescence *Build Your Own Panel Eligible [?]	$435	Info
Description: These studies are complementary diagnostic and prognostic tools for autoimmune blistering diseases, connective tissue disorders, and vasculitides. It is a semiquantitative technique whereby a double immunolabeling is performed to evaluate the presence and titer of circulating anti-epithelial cell surface, anti-basement membrane, anti-nuclear, and antineutrophil cytoplasmic antibodies. Alternative names: Cutaneous Indirect Categories: Allergy blood testing, Cancer detection, Price: $435
CA 27.29 *Build Your Own Panel Eligible [?]	$79	Info
Description: For the quantitative determination of CA 27.29 antigen in serum of patients previously treated for stage II or stage III breast cancer. Serial testing for CA 27.29 antigen in patients who are clinically free of disease should be used in conjunction with other clinical methods for the early detection of recurrence. CA 27.29 may be useful for monitoring patients for metastatic breast cancer. Alternative Names(s): Carbohydrate Antigen 27.29, Breast Carcinoma Associated Mucin Antigen, Cancer Associated Breast Antigen (CABA), Cancer Antigen 27.29, CA 27.29 Includes: CA 27.29 Categories: Cancer detection, Price: $79
Colorectal & Colon Cancer Blood Scan	$120	Info
Description: Alternative names: Bowel Cancer Blood Scan Includes: Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Carcinoembryonic Antigen (CEA) CA 19-9 Patient Instructions: You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended. Categories: Cancer detection, Price: $120
FISH, X/Y, Post Opposite Sex Bone Marrow Transplant *Build Your Own Panel Eligible [?]	$2861	Info
Categories: Allergy blood testing, Genetic testing, Infectious diseases, Cancer detection, Price: $2861
Immunofixation, Serum *Build Your Own Panel Eligible [?]	$368	Info
Description: Monoclonal increases in IgG or IgA are often associated with diseases such as multiple myeloma, lymphomas or leukemia. A monoclonal increase in IgM is commonly associated with Waldenström's macroglobulinemia. Alternative names: IFE, Serum Patient Instructions: Overnight fasting is preferred Categories: Cancer detection, General wellness, Specific blood tests for women, Price: $368
Myasthenia Gravis Panel 3 *Build Your Own Panel Eligible [?]	$2853	Info
Description: Myasthenia Gravis is a neurological disorder characterized by a decrease in acetylcholine receptors. Patients exhibit skeletal muscle weakness and fatigability. Approximately 80% of patients with Myasthenia Gravis, excluding ocular involvement only, have detectable acetylcholine receptor antibody. There is a strong correlation between the presence of striated muscle antibody and the presence of thymoma. Includes: Acetylcholine Receptor Binding Antibody Acetylcholine Receptor Blocking Antibody Acetylcholine Receptor Modulating Antibody Striated Muscle Antibody with Reflex to Titer Categories: Allergy blood testing, Neurology, Cancer detection, Price: $2853
Ultimate Female Cancer Profile	$289	Info
Description: The Ultimate Cancer Profile is a group of tests that is performed to look for signs of cancer or to see if you are likely to develop cancer. Screening tests that look for cancer are called early detection tests. Screening tests that show cancer is likely to develop are called preventive screening. Significant deviations from the normal range may require further evaluation by your physician. Includes: CA-125 (Ovarian Cancer Test) Cancer Antigen (CA) 15-3 Carbohydrate Antigen (CA) 19-9 Carcinoembryonic Antigen (CEA) Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment) Iron, Serum Kidney Function Profile: Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen Liver Function Profile:Alanine aminotransferase (ALT/SGPT); albumin, serum; alkaline phosphatase, serum; aspartate aminotransferase (AST/SGOT); bilirubin, direct; bilirubin, total; protein, total, serum Sedimentation Rate, Modified Westergren Urinalysis Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment. Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Estimated turnaround for results is 5 business days. If confirmation testing is required the estimated time may be extended. Categories: Cancer detection, Specific blood tests for women, Price: $289
HLA DRB1,DQB1 Low Resolution *Build Your Own Panel Eligible [?]	$1079	Info
Categories: Allergy blood testing, Infectious diseases, Cancer detection, Price: $1079
HLA-B27 Antigen *Build Your Own Panel Eligible [?]	$324	Info
Description: HLA-B27 is found in 90% of patients with ankylosing spondylitis and 80% in Reiter's disease. Ankylosing spondylitis affects 1 in 1000 caucasians. Ankylosing spondylitis is 10 times more common among individuals with HLA-B27 compared to individuals without this antigen. Alternative names: Ankylosing Spondylitis,Flow Categories: Infectious diseases, Cancer detection, General wellness, Price: $324
Carbohydrate Antigen (CA) 19-9 *Build Your Own Panel Eligible [?]	$69	Info
Description: A large percentage of patients with gastrointestinal tumors (such as pancreatic, liver, gastric, colorectal tumors) and some other malignancies have been shown to have elevated serum CA 19-9 levels. Serum CA 19-9 levels may be useful for monitoring disease activity or predicting relapse following treatment. CA 19-9 should not be used as a screening test. Alternative Name(s): Carbohydrate Antigen 19-9; CA 19-9 A significant deviation from the normal range may require further evaluation by your physician. Includes: CA 19-9 Categories: Cancer detection, Price: $69
Immune Cell Function *Build Your Own Panel Eligible [?]	$1179	Info
Description: This non-pathogen-specific immune function assay detects cell-mediated immunity by measuring intracellular adenosine triphosphate (iATP) levels in stimulated CD4 lymphocytes. This test may be useful in assessing the immunosuppressive status of solid organ transplant (SOT) recipients to help predict the risk of infection and optimize immunosuppressive regimens [1,2]. The risk of infection after transplantation depends upon the epidemiologic exposures and the net state of immunosuppression [3]. Excessive immunosuppression increases the risk of infection; inadequate immunosuppression increases the risk of graft rejection. Because CD4 lymphocytes mediate cell-mediated immunity (CMI), quantification of CD4 activation may be helpful in assessing the immunosuppression status after SOT. Early responses of CD4 lymphocytes can be quantified by measuring iATP production in stimulated CD4 cells. By assessing CMI, this assay may help estimate the aggregate impact of multiple factors, such as the use of immune suppressants and underlying clinical conditions, on a patient's immune status [1,2]. This assay cannot be used as a diagnostic test for infection or graft rejection and does not replace diagnostic assays (eg, culture, viral load, and biopsy) to inform clinical decisions [2]. Without standardized strategies to simultaneously assess a patient's risk for infection and graft rejection, clinical judgment remains crucial for individualizing patient management. The value of this assay for assessing risk of infection [4] and rejection [4,5] in SOT recipients needs further study. Results are most accurate if testing is performed on the day of blood draw. Performing the assay ≥1 day after the draw may lead to falsely low iATP levels [6]. The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings. References 1. ImmuKnow immune cell function assay. Eurofins Viracor. Accessed March 1, 2022. https://www.eurofins-viracor.com/clinical/our-testing/immuknow/ 2. Kowalski RJ, et al. Transplantation. 2006;82(5):663-668. 3. Fishman JA. Am J Transplant. 2017;17(4):856-879. 4. Ling X, et al. Transplantation. 2012;93(7):737-743. 5. Rodrigo E, et al. Liver Transpl. 2012;18(10):1245-1253. 6. Suviolahti E, et al. Transplantation. 2012;94(12):1243-1249. Alternative names: Lymphocyte Stimulation,Cylex® ATP,ImmuKnow® Categories: Allergy blood testing, Gastrointestinal diseases, Infectious diseases, Cancer detection, Price: $1179
Prostate-Specific Antigen (PSA), Ultrasensitive, Post Prostatectomy (MALES ONLY) *Build Your Own Panel Eligible [?]	$99	Info
Description: This test is intended for use as an aid in the management of patients following surgical or medical treatment for prostate cancer. For post-prostatectomy patients. The lower limit of accurate quantification for this assay is 0.02 ng/mL. PSA values less than 0.02 ng/mL cannot be accurately measured and will be reported as less than 0.02 ng/mL. Specimens with PSA levels below the lower limit of accurate quantification should be considered as negative. In patients with a negative result for post-prostatectomy PSA, serial monitoring of PSA levels at regular intervals, along with physical examinations and other tests, may help to detect recurrent prostate cancer. A significant deviation from the normal range may require further evaluation by your physician. Please Note: This test is for male clients only, due to ordering restrictions on certain tests, the PSA test will not be included on the requisition and will not be performed when ordered by females. Includes: PSA, Post Prostatectomy (Ultrasensitive) Patient Instructions: PSA sampling should not be performed for at least 6 weeks after prostatic biopsy. For best results no ejaculation for 24 hours before submitting specimen. Categories: Cancer detection, Specific blood tests for men, Price: $99
Immunofixation (IFE), Urine *Build Your Own Panel Eligible [?]	$302	Info
Description: Immunofixation of urine is useful in evaluation of monoclonal free light chains and other monoclonal gammopathies seen in light chain disease, multiple myeloma, Waldenstrom's macroglobulinemia, amyloidosis, and other lymphoproliferative disorders. Increased polyclonal free light chains in urine may be seen in glomerular leak syndromes and in infection or inflammation. Alternative names: M-Protein, Urine,IEP, Urine,Free Light Chains, Bence-Jones,Bence-Jones proteins,IPEP, Urine,Monoclonal Free Light Chains, Urine,IFE, Urine Categories: Cancer detection, Price: $302
HLA DRB1 Low Resolution *Build Your Own Panel Eligible [?]	$702	Info
Categories: Allergy blood testing, Infectious diseases, Cancer detection, Price: $702
Protein Electrophoresis and Kappa/Lambda Light Chains *Build Your Own Panel Eligible [?]	$516	Info
Description: Serum protein electrophoresis (SPE) is an analytical technique that provides separation of serum protein into six fractions: Albumin, Alpha-1, Alpha-2, Beta-1, Beta-2, and Gamma. Interpretation of elevation, decreased, or visual change in different fractions can be used as a diagnostic aid for a variety of different disease states and protein abnormalities, including monoclonal gammopathies (MG). Includes: Protein, Total Protein Electrophoresis Kappa/Lambda Light Chains, Total, Serum Patient Instructions: Overnight fasting is preferred Categories: Allergy blood testing, Cancer detection, Price: $516
Deluxe Men's Cancer Profile	$198	Info
Description: The Cancer Profile is a group of tests that is performed to look for signs of cancer or to see if you are likely to develop cancer. Screening tests that look for cancer are called early detection tests. Screening tests that show cancer is likely to develop are called preventive screening. Significant deviations from the normal range may require further evaluation by your physician. Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA test will not be included on the requisition and will not be performed. Includes: Carcinoembryonic Antigen (CEA) C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment) Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen Iron Serum Kidney (Renal) Function Profile: Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen Liver (Hepatic) Function Profile: Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT Prostate-Specific Antigen (PSA), Free and Total: Total PSA, Free PSA, % Free PSA (calculated) Sedimentation Rate, Modified Westergren Urinalysis, Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment. Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. PSA sampling should not be performed for at least 6 weeks after prostatic biopsy. For accurate test results, no ejaculation during the 24 hours preceding the test. Estimated turnaround for results is 4 business days. Categories: Cancer detection, Price: $198
Breast Cancer Profile	$146	Info
Description: When abnormal cells grow uncontrollably, they are called cancers. Cancer of the breast is one of the most common cancers in women. The Private MD Breast Cancer Profile is a complete tumor marker profile customized for females. Abnormal results may require further evaluation by your physician. Includes: CA 27.29 Cancer Antigen (CA) 15-3 Carcinoembryonic Antigen (CEA) Estimated turnaround for results is 5 business days. If confirmation testing is required the estimated time may be extended. Categories: Cancer detection, Price: $146
Tumor Marker Panel for Females	$209	Info
Description: The Tumor Marker Panel for Females contains tests which are intended to detect the presence of cancer throughout the body. Significant deviations from the normal range may require further evaluation by your physician. Includes: Alpha-Fetoprotein (AFP), Serum, Tumor Marker Beta-2 Microglobulin, Serum CA-125 (Ovarian Cancer Test) Cancer Antigen (CA) 15-3 Carbohydrate Antigen (CA) 19-9 Carcinoembryonic Antigen (CEA) Estimated turnaround for results is 5 business days. If confirmation testing is required the estimated time may be extended. Categories: Cancer detection, Price: $209
HLA A,B,C Low Resolution *Build Your Own Panel Eligible [?]	$1457	Info
Categories: Allergy blood testing, Infectious diseases, Cancer detection, Price: $1457
Tumor Marker Panel for Males	$174	Info
Description: Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA (Prostate-Specific Antigen) test will not be included on the requisition and will not be performed. The Tumor Marker Panel for Males contains tests which are intended to detect the presence of cancer throughout the body. Significant deviations from the normal range may require further evaluation by your physician. Includes: Alpha-Fetoprotein (AFP), Serum, Tumor Marker Beta-2 Microglobulin, Serum Carbohydrate Antigen (CA) 19-9 Carcinoembryonic Antigen (CEA) Prostate-Specific Antigen (PSA) Patient Instructions: For accurate test results, no ejaculation during the 24 hours preceding the test. Categories: Cancer detection, Price: $174
Carcinoembryonic Antigen (CEA) *Build Your Own Panel Eligible [?]	$55	Info
Description: Increased serum CEA levels have been detected in persons with primary colorectal cancer and in patients with other malignancies involving the gastrointestinal tract, breast, lung, ovarian, prostatic, liver and pancreatic cancers. Elevated serum CEA levels have also been detected in patients with nonmalignant disease, especially patients who are older or who are smokers. CEA levels are not useful in screening the general population for undetected cancers. However, CEA levels provide important information about patient prognosis, recurrence of tumors after surgical removal, and effectiveness of therapy. Alternative names: Carcinoembryonic Antigen Categories: Cancer detection, Gastrointestinal diseases, General wellness, Specific blood tests for women, Price: $55

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