Outpatient Lab Charges

Our Commitment to Quality

Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.

NOTE: When reviewing the pricing for Lab or Pathology tests, if the section below a test is blank, the test is repeated again and these are additional charges (for example - Glucose four-hour tolerance test will have the test repeated one hour, two hours and then three hours after the initial blood work is collected for a total of four hours. Each test is charged separately). If your lab work is a panel, then several tests may be performed from one blood sample. You may be charged for each test separately

Order Code Description Billing Code Charge CPT Code
UCG URINE CULTURE GS 40300030 $41.51 87086
    40300038 $24.91 87205
UCL CHLORIDE RANDOM URINE 40500082 $58.10 82436
UCOP COPPER, URINE 40200278 $93.39 82525
UCRE CREATININE - RANDOM URINE 40500029 $37.35 82570
UCYS CYSTINE RANDOM URINE 40200176 $286.65 82131
UGDS DRUG SCREEN - GENERAL URINE 30100413 $169.68 80307
UGLU GLUCOSE URINE (SUGAR) 40500067 $18.68
UKET KETONE URINE (ACETONE) 40500067 $18.68 81003
UKLF FREE KAPPA/LAMBDA 24HR URINE 30000006 $79.25 84156
    30200031 $79.25 86335
    30100079 $79.25 83883
    30100079 $79.25 83883
UMCR MICROALBUMIN RANDOM URINE 40500073 $41.51 82043
    40500029 $41.51 82570
UMED METHADONE 300 30100411 $35.00 80307
UMET METANEPHRINES URINE 40200053 $101.85 83835
UMG MAGNESIUM/MG RANDOM URINE 40500109 $67.67 83735
UMIC URINALYSIS MICROSCOPIC 40500069 $37.37 81015
UMICRC URINE MICROSCOPY 40500069 $37.37 81015
UMTQ METHAQUALONE QUANTITATIVE, URINE 30100478 $577.00 80368
UMYO MYOGLOBIN URINE 40200211 $61.95 83874
UNA SODIUM URINE RANDOM 40500123 $29.05 84300
UOPQ OPIATES, URINE, QUANT 30100407 $65.00 80361
    30100476 $65.00 80365
UOSM OSMOLALITY - RANDOM URINE 40500111 $20.32 83935
UPH PH URINE 40500067 $18.68 81003
UPLF UREA PLEURAL FLUID 40500136 $11.11 84520
UPO4 PHOSPHORUS RANDOM URINE 40500114 $14.14 84105
UPRO PROTEIN URINE QUALITATIVE 40500067 $18.68 81003
UPRP PROPOXYPHENE & METABOLITE, URINE 30100408 $293.00 80367
UPTF UREA PERITONEAL FLUID 40500136 $11.11 84520
URAC URIC ACID - SERUM 40500138 $26.96 84550
URAP URIC ACID - PLASMA 40500138 $26.96 84550
URS REDUCING SUBSTANCES URINE 40500068 $29.29 81005
USG SPECIFIC GRAVITY URINE 40500067 $24.24 81003
UTP PROTEIN, TOTAL - RANDOM URINE 40500008 $15.15 84156
UTRY TRICYCLICS, URINE 40500010 $142.41 80101
UTV URINE - TOTAL VOLUME & HOURS 40500027 $28.37 81050
UURE UREA - RANDOM URINE 40500137 $58.58 84540
UUUR URIC ACID - RANDOM URINE 40500139 $31.13 84560
VAAC VALPROIC ACID (DEPAKENE) 40500058 $78.86 80164
VANP VANCOMYCIN PEAK 40500066 $78.78 80202
VANT VANCOMYCIN TROUGH 40500066 $78.78 80202
VB12 B12 + FOLATES 40500085 $112.06 82607
    40500090 $95.47 82746
VB1P VITAMIN B1,PLASMA 40200301 $113.10 84425
VBGA BLOOD GAS VENOUS 40500009 $96.80 82805
VBGN BLOOD GAS VENOUS NEONATAL 40500009 $96.80 82805
VBGO BLOOD GAS VENOUS - ON OXYGEN 40500009 $96.80 82805
VCCN VIRAL CULTURE, NON-RESPIRATORY 40300043 $99.61 87252
VCCR VIRAL CULTURE, RESPIRATORY 40300043 $99.61 87252
VDOH Vitamin D 25-Hydroxy 40500182 $100.99 82306
VEAB VIRAL ENCEPHALITIS AB PANEL 40200321 $88.20 86651
    40200321 $86.10 86651
    40200322 $86.10 86652
    40200322 $86.10 86652
    40200323 $86.10 86653
    40200323 $86.10 86653
    40200324 $86.10 86654
    40200324 $86.10 86654
    40200339 $86.10 86790
    40200339 $86.10 86790
    40200335 $86.10 86765
    40200335 $86.10 86765
    40200332 $86.10 86735
    40200332 $86.10 86735
    40200338 $86.10 86787
    40200338 $86.10 86787
    40200331 $86.10 86727
    40200329 $86.10 86694
    40200329 $86.10 86694
VGP VAGINITIS PANEL 30600081 $90.00 87801
    30600082 $43.75 87481
    30600082 $43.75 87481
    30600082 $43.75 87481
    30600076 $43.75 84661
VIPR VASOACTIVE INTESTINAL POLYPEPTIDE 40200253 $136.50 84586
VIS VISCOSITY 40200183 $50.40 85810
VITE VITAMIN E 40200304 $80.94 84446
VITK VITAMIN K1,SERUM 30100480 $187.20 84597
VMAU VMA, URINE 40200171 $95.47 84585
VPCR VENIPUNCTURE CREDIT 41000002 15.00CR 36415
VRED VOLUME REDUCTION FEE 40400020 $215.00 86960
VTA VITAMIN A (RETINOL) 40200361 $64.05 84590
VTB1 VITAMIN B1, WHOLE BLOOD 40200301 $120.36 84425
VTB6 VITAMIN B6 40200297 $236.58 84207
VWMP VON WILLEBRAND SCREEN 40200203 $138.08 85247
    40200031 $138.08 85240
    40200070 $138.08 85246
    40200307 $138.08 85245
VZC VARICELLA ZOSTER CULTURE 40300043 $99.61 87252
VZDF VARICELLA ZOSTER DFA STAIN 40300047 $40.94 87290
VZG VARICELLA ZOSTER VIRUS AB IGG 40200338 $89.23 86787
VZM VARICELLA ZOSTER VIRUS AB IGM 40200338 $89.23 86787
WATM ALLERGEN, FOOD, WATERMELON 40200062 $39.43 86003
WBK POTASSIUM - WHOLE BLOOD 40500115 $32.32 84132
WBO WHOLE BLOOD - K, NA, & GLUC 40500115 $32.32 84132
    40500122 $32.32 84295
    40500035 $32.32 82947
WCRE CREATININE, WHOLE BLOOD 40500012 $32.32 82565
WCUL WATER CULTURE 40300026 $51.89 87070
WHET ALLERGEN - WHEAT 40200062 $39.43 86003
WHTA ALLERGEN - WHITE ASH TREE 40200062 $39.43 86003
WHTF ALLERGEN - WHITEFISH 40200397 $39.43 86003
WILW ALLERGEN - WILLOW TREE 40200062 $39.43 86003
WLNT ALLERGEN - WALNUT/BLACK WALNUT 40200062 $39.43 86003
WNGC WEST NILE VIRUS AB IGG, CSF 40200353 $75.50 86789
WNMC WEST NILE VIRUS AB IGM, CSF 40200352 $75.50 86788
WNVG WEST NILE VIRUS ANTIBODY IGG 40200339 $86.10 86790
WNVM WEST NILE VIRUS ANTIBODY IGM 40200339 $86.10 86790
XM TYPE AND CROSSMATCH 40400017 $20.00 86901
    40400012 $38.00 86850
    40400016 $13.00 86900
YOAB YO ANTIBODY 40200151 $1,126.65 84182
YSTB ALLERGEN - BAKER'S YEAST 40200062 $39.43 86003
ZAR ZARONTIN (ETHOSUXIMIDE) 40200265 $60.19 80168
ZINC ZINC 40200172 $78.86 84630
ZONE ZONISAMIDE QUANTITATIVE 40200164 $184.00 80203
ZP ZPP TO HEME RATIO 40200182 $178.50 84202
BG BLOOD GAS COLLECTION 41000004 $32.84 36600
BGO BLOOD GAS COLLECTION - OUTREACH 41000004 $32.84 36600
BGR BLOOD GAS 41000004 $15.00 36600
FS FINGERSTICK 41000003 $15.00 36416
FSO FINGERSTICK - OUTREACH 41000003 $15.00 36416
FSR FINGERSTICK 41000003 $15.00 36416
HS HEEL STICK 41000003 $15.00 36416
HSO HEEL STICK - OUTREACH 41000003 $15.00 36416
HSR HEELSTICK 41000003 $15.00 36416
VP VENIPUNCTURE 41000002 $15.00 36415
VPO VENIPUNCTURE - OUTREACH 41000002 $15.00 36415
VPON VENIPUNCTURE/OUTREACH/NURSING HOME 41000002 $15.00 36415
VPR VENIPUNCTURE 41000002 $15.00 36415
KB KIRBY BAUER 40300036 $43.58 87186
    40300061 $14.14 87077
MIC MIC-SUSCEPTIBILITY 40300036 $43.58 87186
    40300061 $14.14 87077
PMIC STREPTOCOCCUS PNEUMONIAE MIC 40300036 $43.58 87186
    40300061 $14.14 87077
%XM CROSSMATCH RESULT 1 40400007 $157.00 86920
%CRP POOLED CRYO Administrative 40400029 $55.13 86965
%CRY CRYO Processing 40400023 $109.00 P9012
%DPC DEGLYC PC Processing 40400037 $1,082.00 P9039
%FFP FFP Administrat 40400028 $76.00 86927
  FFP Processing 40400033 $218.00 P9017
%FP FFP(THAWED) Administrat 40400028 $76.00 86927
  FFP(THAWED) Processing 40400033 $218.00 P9017
%PC PACKED CELLS Processing 40400004 $311.23 P9021
%PCA PC-ADSOL Processing 40400004 $311.23 P9021
%PL5 PLTS 5 DAY Processing 40400026 $166.62 P9019
%PLP POOLED PLTS Administrat 40400029 $150.00 86965
%RHG RHIGG Volume 1 40400043 $121.38 90384
%RWB RECONST WB Volume 1 40400044 $70.80 P9011
  RECONST WB Volume 10 40400045 $70.80 P9011
  RECONST WB Volume 20 40400046 $80.00 P9011
  RECONST WB Volume 50 40400047 $118.00 P9011
  RECONST WB Volume 225 40400048 $196.00 P9011
  RECONST WB Volume 450 40400031 $399.00 P9010
  RECONST WB Administrat 40400030 $150.00 86985
%WPC WASHED PC Processing 40400034 $1,082.00 P9022
AFFP APHERESIS FRESH FROZEN +Administrat 40400028 $76.00 86927
  APHERESIS FRESH FROZEN Processing 40400033 $218.00 P9017
AP PACKED CELLS AUTOLOGOUS Processing 40400004 $311.23 P9021
APLI ACRODOSE PLT LEUKOPOR I+Administrat 40400035 $642.00 P9033
APLK AUTOLOGOUS PC LEUKO RED+Processing 40400032 $429.73 P9016
APLT ACRODOSE PLT LEUKOPOR Processing 40400005 $540.00 P9031
AW WHOLE BLOOD AUTOLOGOUS Processing 40400031 $524.09 P9010
CEPL INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
CEPL1 INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
CEPL2 INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
CEPL3 INTERCEPT APHERESIS PLT+Processing 39000031 $2,332.00 P9073
CRT CRYO THAWED Processing 40400023 $109.00 P9012
DPCI DESIG PEDI CMV NEG PC IRR +Volume 1 40400044 $70.80 P9011
  DESIG PEDI CMV NEG PC IRR Volume 5 40400050 $70.80 P9011
  DESIG PEDI CMV NEG PC IRR Volume 10 40400045 $70.80 P9011
  DESIG PEDI CMV NEG PC IRR Volume 20 40400046 $80.00 P9011
  DESIG PEDI CMV NEG PC IRR Volume 40 40400049 $114.00 P9011
  DESIG PEDI CMV NEG PC IRR Volume 75 40400051 $234.00 P9011
  DESIG PEDI CMV NEG PC IRR Administrat 40400030 $150.00 86985
    40400019 $102.00 86945
DPCN DESIG PEDI CMV NEG PC Volume 1 40400044 $10.00 P9011
  DESIG PEDI CMV NEG PC Volume 5 40400050 $22.00 P9011
  DESIG PEDI CMV NEG PC Volume 10 40400045 $42.00 P9011
  DESIG PEDI CMV NEG PC Volume 20 40400046 $80.00 P9011
  DESIG PEDI CMV NEG PC Volume 40 40400049 $114.00 P9011
  DESIG PEDI CMV NEG PC Volume 75 40400051 $234.00 P9011
  DESIG PEDI CMV NEG PC Administrat 40400030 $150.00 86985
DPIL DES PEDI CMV NEG PC IRR+Volume 1 40400044 $70.80 P9011
  DES PEDI CMV NEG PC IRR Volume 5 40400050 $70.80 P9011
  DES PEDI CMV NEG PC IRR Volume 10 40400045 $70.80 P9011
  DES PEDI CMV NEG PC IRR Volume 20 40400046 $70.70 P9011
  DES PEDI CMV NEG PC IRR Volume 40 40400049 $100.00 P9011
  DES PEDI CMV NEG PC IRR Volume 75 40400051 $187.50 P9011
  DES PEDI CMV NEG PC IRR Administrat 40400030 $150.00 86985
    40400019 $102.00 86945
FFPA APHERESIS FRESH FROZEN +Administrat 40400028 $76.00 86927
FFPA APHERESIS FRESH FROZEN +Processing 40400033 $218.00 P9017
FFPB APHERESIS FRESH FROZEN +Administrat 40400028 $76.00 86927
  APHERESIS FRESH FROZEN Processing 40400033 $218.00 P9017
FFPC APHERESIS FRESH FROZEN +Administrat 40400028 $76.00 86927
  APHERESIS FRESH FROZEN Processing 40400033 $218.00 P9017
FP24 FFP FROZEN WITHIN 24 HO+Administrat 40400028 $76.00 86927
  FFP FROZEN WITHIN 24 HO Processing 40400003 $218.00 P9059
FPAT FFPA(THAWED) Administrat 40400028 $76.00 86927
  FFPA(THAWED Processing 40400033 $218.00 P9017
FPBT FFPB(THAWED) Administrat 40400028 $76.00 86927
  FFPA(THAWED Processing 40400033 $218.00 P9017
FPCT FFPC(THAWED) Administrat 40400028 $76.00 86927
  FFPA(THAWED Processing 40400033 $218.00 P9017
MRHO MICRORHOGAM Volume 1 40400052 $102.00 90385
P3LA APHERESIS PC AS-3 A LEU+Processing 40400032 $429.73 P9016
P3LB APHERESIS PC AS-3 B LEU+Processing 40400032 $429.73 P9016
PAIL PACKED CELLS ADSOL IRR +Processing 40400040 $571.71 P9040
PC3 PC AS-3 Processing 40400004 $311.23 P9021
PC3A APHERESIS PC AS-3 A Processing 40400004 $311.23 P9021
PC3B APHERESIS PC AS-3 B Processing 40400004 $311.23 P9021
PC3L PC AS-3 LEUKOPOR Processing 40400032 $429.73 P9016
PCA5 PC AS-5 Processing 40400004 $311.23 P9021
PCAI ADSOL PC IRRADIATED Processing 40400039 $570.26 P9038
PCAL PACKED CELLS ADSOL LEUK+Processing 40400032 $429.73 P9016
PCC PACKED CELLS CMV NEG Processing 40400004 $311.23 P9021
PCCI CMV NEG PC IRRAD Processing 40400039 $570.26 P9038
PCD PACKED CELLS DESIGNATED Processing 40400004 $330.00 P9021
PCDI PC DESIGNATED IRRADIATEDProcessing 40400039 $570.26 P9038
PCDL PACKED CELLS DESIGNATED+Processing 40400032 $429.73 P9016
PCI PACKED CELLS IRRADIATED Processing 40400039 $570.26 P9038
PCIL PLT POOL CMV NG IR LP Administrat 40400029 $150.00 86965
    40400019 $102.00 86945
PCL PACKED CELLS LEUKOPOR Processing 40400032 $429.73 P9016
PCLA PACKED CELLS ALYX A LEU+Processing 40400032 $429.73 P9016
PCLB PACKED CELLS ALYX B LEU+Processing 40400032 $429.73 P9016
PCLC PACKED CELLS CMV NEG LE+Processing 40400041 $360.00 P9051
PCLI PLATELET CMVN LEUKOPOR +Processing 40400035 $291.59 P9033
PCNC PACKED CELL NEONATE CMV+Volume 1 40400044 $70.80 P9011
  PACKED CELL NEONATE CMV Volume 5 40400050 $70.80 P9011
  PACKED CELL NEONATE CMV Volume 10 40400045 $70.80 P9011
  PACKED CELL NEONATE CMV Volume 20 40400046 $82.00 P9011
  PACKED CELL NEONATE CMV Volume 40 40400049 $116.00 P9011
  PACKED CELL NEONATE CMV Volume 75 40400051 $236.00 P9011
  PACKED CELL NEONATE CMV Administrat 40400030 $150.00 86985
PDIL PACKED CELLS DES IRR LP+Processing 40400040 $571.71 P9040
PIL PACKED CELLS IRR LEUKOP+Processing 40400040 $571.71 P9040
PIL1 PC ALYX A IRR LEUKOPOOR+Processing 40400040 $571.71 P9040
PIL2 PC ALYX B IRR LEUKOPOOR+Processing 40400040 $571.71 P9040
PILC PC NEONATE IRR LEUKO CM+Volume 1 40400044 $70.80 P9011
  PC NEONATE IRR LEUKO CM Volume 5 40400050 $70.80 P9011
  PC NEONATE IRR LEUKO CM Volume 10 40400045 $70.80 P9011
  PC NEONATE IRR LEUKO CM Volume 20 40400046 $70.80 P9011
  PC NEONATE IRR LEUKO CM Volume 40 40400049 $100.00 P9011
  PC NEONATE IRR LEUKO CM Volume 75 40400051 $187.50 P9011
  PC NEONATE IRR LEUKO CM Administrat 40400030 $150.00 86985
    40400019 $102.00 86945
PLA7 PLATELET PHERESIS LEUKO+Processing 40400036 $1,171.08 P9035
PLB7 PLATELET PHERESIS LEUKO+Processing 40400036 $1,171.08 P9035
PLC PLATELET CMV NEG Processing 40400026 $166.62 P9019
PLCP CMV NEG PLT,POOLED Administrat 40400029 $150.00 86965
PLFP POOLED FFP Administrat 40400029 $150.00 86965
PLIL PLATELETS POOLED IRR LE+Administrat 40400029 $150.00 86965
    40400019 $102.00 86945
PLIP PLATELETS IRRADIATED, P+Administrat 40400029 $150.00 86965
    40400019 $102.00 86945
PLPL PLATELETS, POOLED LEUKO+Administrat 40400029 $150.00 86965
PNCI PEDI CMV NEG PC IRRADIA+Volume 1 40400044 $70.80 P9011
  PEDI CMV NEG PC IRRADIA Volume 5 40400050 $70.80 P9011
  PEDI CMV NEG PC IRRADIA Volume 10 40400045 $70.80 P9011
  PEDI CMV NEG PC IRRADIA Volume 20 40400046 $82.00 P9011
  PEDI CMV NEG PC IRRADIA Volume 40 40400049 $116.00 P9011
  PEDI CMV NEG PC IRRADIA Volume 75 40400051 $236.00 P9011
  PEDI CMV NEG PC IRRADIA Administrat 40400019 $102.00 86945
    40400030 $150.00 86985
PNCL PACKED CELLS PEDI CMV N+Volume 1 40400044 $70.80 P9011
  PACKED CELLS PEDI CMV N Volume 5 40400050 $70.80 P9011
  PACKED CELLS PEDI CMV N Volume 10 40400045 $70.80 P9011
  PACKED CELLS PEDI CMV N Volume 20 40400046 $70.80 P9011
  PACKED CELLS PEDI CMV N Volume 40 40400049 $100.00 P9011
  PACKED CELLS PEDI CMV N Volume 75 40400051 $187.50 P9011
  PACKED CELLS PEDI CMV N Administrat 40400030 $150.00 86985
PNDI PACKED CELLS CMVN DES I+Processing 40400039 $570.26 P9038
PPAI PHER PLT LPA IRR Processing 40400038 $1,486.55 P9037
PPBI PHER PLT LPB IRR Processing 40400038 $1,486.55 P9037
PPCI PHER PLT LPC IRR Processing 40400038 $1,486.55 P9037
PPCILA PLT PHER A CMV NEG IRR +Processing 40400038 $1,118.00 P9037
PPCILB PLT PHER B CMV NEG IRR +Processing 40400038 $1,118.00 P9037
PPCILC PLT PHER C CMV NEG IRR +Processing 40400038 $1,118.00 P9037
PPCL PLT PHER CMV NEG LKPO Processing 40400036 $1,023.00 P9035
PPCLA PHER A PLT CMVN LEUKO Processing 40400036 $1,023.00 P9035
PPCLB PHER B PLT CMVN LEUKO Processing 40400036 $1,023.00 P9035
PPCLC PHER C PLT CMVN LEUKO Processing 40400036 $1,023.00 P9035
PPIL PLATELET PHERESIS IRR L+Processing 40400038 $1,486.55 P9037
PPL7 PLATELET PHERESIS LEUKO+Processing 40400036 $1,171.08 P9035
PPLA PLT PHERESIS LEUK A Processing 40400036 $1,171.08 P9035
PPLB PLT PHERESIS LEUK B Processing 40400036 $1,171.08 P9035
PPLC PLT PHERESIS LEUK C Processing 40400036 $1,171.08 P9035
PPPL PLATELET PHERESIS LEUKO+Processing 40400036 $1,171.08 P9035
PSCIL SPLT PLT PHER CMVN IRR +Volume 10 40400048 $70.80 P9011
  SPLT PLT PHER CMVN IRR Volume 20 40400046 $100.00 P9011
  SPLT PLT PHER CMVN IRR Volume 40 40400049 $250.00 P9011
  SPLT PLT PHER CMVN IRR Volume 75 40400051 $375.00 P9011
  SPLT PLT PHER CMVN IRR Administrat 40400030 $150.00 86985
    40400019 $102.00 86945
PSCILA SPLT PLT PHER A CMVN IR+Volume 10 40400048 $50.00 P9011
  SPLT PLT PHER A CMVN IR Volume 20 40400046 $100.00 P9011
  SPLT PLT PHER A CMVN IR Volume 40 40400049 $200.00 P9011
  SPLT PLT PHER A CMVN IR Volume 75 40400051 $375.00 P9011
  SPLT PLT PHER A CMVN IR Administrat 40400030 $150.00 86985
    40400019 $102.00 86945
PSCILB SPLT PLT PHER B CMVN IR+Volume 10 40400048 $50.00 P9011
  SPLT PLT PHER B CMVN IR Volume 20 40400046 $100.00 P9011
  SPLT PLT PHER B CMVN IR Volume 40 40400049 $200.00 P9011
  SPLT PLT PHER B CMVN IR Volume 75 40400051 $375.00 P9011
  SPLT PLT PHER B CMVN IR Administrat 40400030 $150.00 86985
    40400019 $102.00 86945
PSCILC SPLT PLT PHER C CMVN IR+Volume 10 40400048 $50.00 P9011
  SPLT PLT PHER C CMVN IR Volume 20 40400046 $100.00 P9011
  SPLT PLT PHER C CMVN IR Volume 40 40400049 $200.00 P9011
  SPLT PLT PHER C CMVN IR Volume 75 40400051 $375.00 P9011
  SPLT PLT PHER C CMVN IR Administrat 40400030 $150.00 86985
    40400019 $102.00 86945
PVIL PACKED CELLS CMVN IRR L+Processing 40400042 $685.68 P9058
RWBI RECONSTITUTED WB IRRADI+Volume 1 40400044 $70.80 P9011
  RECONSTITUTED WB IRRAD Volume 10 40400045 $70.80 P9011
  RECONSTITUTED WB IRRAD Volume 20 40400046 $80.00 P9011
  RECONSTITUTED WB IRRAD Volume 50 40400047 $118.00 P9011
  RECONSTITUTED WB IRRAD Volume 225 40400048 $196.00 P9011
  RECONSTITUTED WB IRRAD Volume 450 40400031 $399.00 P9010
  RECONSTITUTED WB IRRAD Administrat 40400019 $102.00 86945
    40400030 $150.00 86985
SPIL PLATELET IRRADIATED LEU+Processing 40400035 $291.59 P9033