Specific Diagnosisand Treatment

Laboratory Examination

20%

()

20

21-30

31

10

11-15

16

40

41-60

61

30

31-40

41

Urine Test

(06001-06017)

7575

06001C

PH

v

v

v

v

15

06002C

SP.gr (specific gravity)

v

v

v

v

15

06003C

Protein (qualitative)

v

v

v

v

15

06004C

Sugar (qualitative)

v

v

v

v

15

06005C

Urobilinogen

v

v

v

v

15

06006C

Bilirubin

v

v

v

v

15

06007C

Ketone body

v

v

v

v

15

06008C

Benedict reaction

v

v

v

v

15

06009C

Sediments

v

v

v

v

25

06010C

Bence Jones protein

v

v

v

v

25

06011B

Chyuria

v

v

v

40

06012C

()

General urine examination

v

v

v

v

75

06013C

()

Urine biochemistry examination

v

v

v

v

75

06014B

PH by PH meter

v

v

v

50

06015C

Nitrite

v

v

v

v

15

06016B

Fat stain

v

v

v

25

06017B

Leukocyte rsterase

v

v

v

25

(06503-06513)

06503B

Urine-osmolarity test

v

v

v

70

Pregnancy test

06504C

Latex agglutination

v

v

v

v

70

06505C

EIA

v

v

v

v

100

06508B

Porphyrin

v

v

v

40

06509B

Porphobilinogen Porphobilinogen test

v

v

v

30

06510C

Paraquet (qualitative) test

v

v

v

v

50

06511C

Sugar 4 section

v

v

v

v

120

06512B

Coproporphyrin

v

v

v

30

06513B

CNP, DNPH, AAT

v

v

v

50

Stool Test (07001-07018)

7575

07001C

Occult blood

v

v

v

v

20

07002C

Stool bilirubin

v

v

v

v

20

07003C

()Amoeba (direct smear)

v

v

v

v

20

07004C

Starch stain

v

v

v

v

20

07005C

Neutral fat stain

v

v

v

v

20

07006C

Fatty acid stain

v

v

v

v

20

07007C

PH

v

v

v

v

20

07008C

Stool urobilinogen

v

v

v

v

20

07009C

()

Stool routine

v

v

v

v

75

07010B

Trypsin test

v

v

v

50

Parasite ova

07011C

direct smear

v

v

v

v

25

07012C

conc. method of ova

v

v

v

v

50

07013C

count/gram

v

v

v

v

150

07015C

Reducing substances

v

v

v

v

35

07016C

Perianal swab

v

v

v

v

25

07017B

APT APT test

v

v

v

40

07018C

v

v

v

v

25

Hematology Test (08001-08133)

08001C

R.B.C

v

v

v

v

20

08002C

W.B.C

v

v

v

v

20

08003C

Hemoglobin (Hb)

v

v

v

v

20

08004C

Hematocrite (Hct)

v

v

v

v

20

08005C

E.S.R.

(Erythrocyte sedimentation rate)

v

v

v

v

30

08006C

Platelet count

v

v

v

v

40

08007C

Parasite (malaria or filaria)

v

v

v

v

50

08008C

Reticulocyte count

v

v

v

v

30

08009C

RBC morphology

v

v

v

v

30

08010C

Eosinophil count

v

v

v

v

30

08011C

CBC-I

(WBCRBCHbHctplatelet countMCVMCHMCHC )

v

v

v

v

200

08012C

CBC-

(WBCRBCHbHctMCVMCHMCHC )

v

v

v

v

130

08082C

CBC-

(WBC,RBC,Hb,Hct,MCV)

v

v

v

v

90

08013C

WBC differential count

v

v

v

v

70

08014C

Blood routine

v

v

v

v

50

08015C

LE cell preparation

(Lupus-Ery thromatosus)

v

v

v

v

100

08016C

LE factor

v

v

v

v

120

08017B

Serum viscosity

v

v

v

50

08018C

Bleeding time (Duke method)

v

v

v

v

30

08019C

Bleeding time (Ivy method)

v

v

v

v

150

08020C

Clotting time, coagulation time

(Lee-White method)

v

v

v

v

40

08021C

Clot retraction test

v

v

v

v

40

08022B

() Fibrinogen (qualitative)

v

v

v

40

08023B

() Fibrinogen (quantitative)

v

v

v

120

08024B

()

Fibrinogen (Nephelometry)

v

v

v

275

08025B

Thrombin time

v

v

v

100

08026C

Prothrombin time ()

v

v

v

v

150

08027B

B.M. (bone marrow examination)

1.Hematopathology

2.

v

v

v

603

08128B

1.Hematopathology

2.

v

v

v

946

08028B

Hb F quantitation (fetal Hb)

v

v

v

150

08029B

Hb H preparation

v

v

v

40

08030C

Hb electrophoresis

v

v

v

v

300

08031B

RBC fragility

v

v

v

400

08032B

Acid Ham test

v

v

v

200

08033B

Autohemolysis test

v

v

v

300

08034B

Capillary fragility test

v

v

v

40

08035C

Plasma clotting time

v

v

v

v

90

08036B

APTT (activated partial thromboplastin time)

v

v

v

180

FDP (fibrin degradation product)

08037B

qualitative

v

v

v

270

08038B

quantitative

v

v

v

600

08039B

Semiquantitative clot retraction

v

v

v

340

08040B

Methemoglobin

v

v

v

100

08041B

Sugar water test

v

v

v

50

08042C

B.M. iron stain

v

v

v

v

100

08043C

B.M. Sudan black B stain

v

v

v

v

80

08044B

LAP stain (leukocyte-alkaline phosphatase)

v

v

v

225

08045B

Clot lysis test

v

v

v

80

08046B

3P test

v

v

v

160

08047B

B.M. peroxidase stain

v

v

v

100

08048B

Specific esterase stain

v

v

v

200

08049B

Nonspecific esterase stain

v

v

v

200

08050B

Acid phosphatase stain

v

v

v

200

08051B

PAS (periodic acid schiff) stain

v

v

v

150

08052B

Betke stain (fetal Hb)

v

v

v

150

08053B

Heinz body stain

v

v

v

160

08054B

A2Hemoglobin A2 (Hb-A2)

v

v

v

190

08055B

Prothrombin consumption test

v

v

v

200

08056B

PTT substitution test

v

v

v

200

08057B

Factor assay

v

v

v

400

08058B

Factor assay

v

v

v

400

08059B

Factor assay

v

v

v

400

08060B

Factor assay

v

v

v

400

08061B

Factor assay

v

v

v

400

08062B

Factor assay

v

v

v

400

08063B

Urea solubility test

v

v

v

100

08064B

Prothrombin-proconvertin test (P&P)

v

v

v

400

08065B

T.d.T. terminal deoxy-transferase

v

v

v

640

08066B

Euglobulin clot lysis test

v

v

v

400

08067B

Factor inhibitor test

v

v

v

700

08068B

Thrombin time correction test

v

v

v

200

08069B

Platelet aggregation test

ADP, collagen epinephrin

v

v

v

800

08070B

Platelet retention test

v

v

v

400

08071B

Cytochemical stain

v

v

v

900

08072B

AT (antithrombin)

v

v

v

300

08073B

Isopropanol HR stability test

v

v

v

360

08074B

ART

v

v

v

180

08075C

Blood osmolality

v

v

v

v

150

08076B

ZPP (zincprotoporphrin)

v

v

v

90

08077B

CProtein C

v

v

v

367

08078B

2-2-Antiplasmin

v

v

v

367

08079B

D-D D-Dimer test

v

v

v

367

08080B

Factor assay

v

v

v

400

08081B

Factor assay

v

v

v

400

08127C

MCV

08011C08012C08082C

v

v

v

v

20

08083C

MCH

08011C08012C

v

v

v

v

20

08084C

MCHC

08011C08012C

v

v

v

v

20

08085B

Plasma viscosity

v

v

v

50

08086B

Whole blood viscosity

v

v

v

50

08087B

Urine fibrinogen degeneration product (Urine FDP)

v

v

v

275

08088B

Mixing PT

v

v

v

150

08089B

ACT test

08026C08036B

v

v

v

150

08090B

Plasma hemoglobin

v

v

v

300

08091B

Isoelectric hemoglobin electrophoresis

v

v

v

300

08092B

Mixed APTT

v

v

v

180

08093B

Unstable hemoglobin

v

v

v

100

08094B

Beta-glucuronidase stain

v

v

v

200

08095B

Factor 2 antigen

v

v

v

400

08096B

Factor 5 antigen

v

v

v

400

08097B

Factor 7 antigen

v

v

v

400

08098B

Factor 12 antigen

v

v

v

400

08099B

Factor 13 antigen

v

v

v

400

08100B

Factor 2 inhibitor

v

v

v

700

08101B

Factor 5 inhibitor

v

v

v

700

08102B

Factor 7 inhibitor

v

v

v

700

08103B

Factor 9 inhibitor

v

v

v

700

08104B

Factor 10 inhibitor

v

v

v

700

08105B

Factor 11 inhibitor

v

v

v

700

08106B

Factor 12 inhibitor

v

v

v

700

08107B

G

IgG subclass (IgG1IgG2IgG3IgG4)

v

v

v

700

08109B

Reptilase time

v

v

v

200

08111B

Ristocetin cafactor activity

Von-willebrands disease

v

v

v

800

08112B

Platelat factor-3 availbility test

v

v

v

400

08113B

Platelat factor 4 test

v

v

v

400

08114B

- -tromboglobulin

v

v

v

400

08115B

Throm. gener. test

v

v

v

400

08116B

TPA (Tissue-type plaseminogen activator)

v

v

v

400

08117B

PAI-1

v

v

v

400

08118B

Von willebrand factor

v

v

v

400

08119B

Adhesion

v

v

v

400

08120B

1+2

Prothrombin fragment 1+2

v

v

v

400

08122B

S Protein S

v

v

v

367

08123B

C Protein C Ag

v

v

v

367

08124B

S Protein S Ag

v

v

v

367

08125B

Heparin level

v

v

v

400

08126B

Lupus anticoagulant test

v

v

v

700

08129C

v

v

v

v

160

08130C

Bone-alkaline phosphatase

33064B

v

v

v

v

325

08131C

-/Platelet function closure time-Col/Epi08018C08019C08069B

v

v

v

v

367

08132C

-/Platelet function closure time-Col/ADP08018C08019C08069B

v

v

v

v

367

08133B

C

Cystatin C

1.

2.

3.

v

v

v

200

Biochemistry Examination

(09001-09137)

09001C

Cholestero1, total

v

v

v

v

70

09002C

BUN, blood urea nitrogen

v

v

v

v

40

09003C

Urea-N (urine)

v

v

v

v

40

09004C

Triglyceride (TG)

v

v

v

v

120

09005C

Glucose

v

v

v

v

50

09006C

glycosylated Hb (HbA1)

v

v

v

v

200

09008B

P.S.P.(Phenol-sulfon-phthalein)

v

v

v

40

09009C

T3

v

v

v

v

280

09010C

T4

v

v

v

v

280

09011C

Ca (Calcium)

v

v

v

v

40

09012C

P (Phosphoras)

v

v

v

v

40

09013C

Uric acid

v

v

v

v

40

09014C

Creatin

v

v

v

v

40

09015C

Creatinine (B) CRTN

v

v

v

v

40

09016C

Creatinine (U) CRTN

v

v

v

v

40

09017C

Amylase (B)

v

v

v

v

50

09018B

Mucoprotein

v

v

v

40

09019B

r- r-globulin

v

v

v

85

09020C

Fe (Iron-bound)

v

v

v

v

90

09021C

Na (Sodium)

v

v

v

v

40

09022C

K(Potassium)

v

v

v

v

40

09023C

Cl (Chloride)

v

v

v

v

40

09024C

Carbon dioxide

v

v

v

v

80

09025C

S-GOT

(Glutamic-oxaiacetic-transaminase)

v

v

v

v

50

09026C

S-GPT

(Glutamic-pyvuvic-transaminase)

v

v

v

v

50

09027C

Alkaline phosphatase

v

v

v

v

50

09028C

Acid phosphatase

v

v

v

v

50

09029C

Bilirubin total

v

v

v

v

50

09030C

Bilirubin direct

v

v

v

v

40

09031C

r-GT(r-glutamyl transferase)

v

v

v

v

70

09032C

CPK(Creatine-phospho-kinase)

v

v

v

v

70

09033C

LDH(Lactic dehydrogenase)

v

v

v

v

60

09034B

BSP45' (Sulfobromophthalein)

v

v

v

40

09035C

Serum iron & TIBC

v

v

v

v

270

09036B

C.C.F. (Cephalin cholestered flocculation)

v

v

v

35

09037C

Blood ammonia

v

v

v

v

200

09038C

Albumin

v

v

v

v

40

09039C

Globubin

v

v

v

v

40

09040C

Total protein

v

v

v

v

40

09041B

Blood gas analysis

1.PHPCOPO2HCO3

2.

v

v

v

200

09042C

P.A.P. (Prostatic acid phoshpatase)

v

v

v

v

240

09043C

H.D.L. cholesterol

(highdensity lipoprotein cholesterol)

v

v

v

v

200

09044C

L.D.L. cholesterol

(Lowdensity lipoprotein cholesterol)

v

v

v

v

250

09046B

Mg (Magnesium)

v

v

v

50

09047B

Cu (Copper)

v

v

v

130

09048B

Zn (Zinc)

v

v

v

225

09049B

Pb (Lead)

v

v

v

400

09050B

Galactose

v

v

v

350

09051C

G-6-P-D (Glucose-6-

phosphate-dehydrogenase)

v

v

v

v

250

09052B

VMA (Vanillyle-mandelic-acid) (quantative)

v

v

v

300

09053B

17 17-KS (17-ketosteroids)

v

v

v

270

09054B

17

17-OHCS(17-hydroxycorticosteroids)

v

v

v

200

09055B

Urinary estriol E3

v

v

v

250

09056B

5- 5-HIAA

(5-Hydroxyindoleacetic-acid)

v

v

v

200

09057B

S-ALA (S-Aminolevulinic acid)

v

v

v

315

09058B

S-ALA dehydrase

v

v

v

225

09059B

Lactic Acid (lactate)

v

v

v

270

09060B

Pyruvate

v

v

v

270

09061B

CPK isoenzyme

v

v

v

450

09062B

LDH isoenzyme

v

v

v

450

09063B

D-xylose test

v

v

v

90

09064C

Lipase

v

v

v

v

150

09065B

protein electrophoresis

v

v

v

300

09066B

Lipoprotein electrophoresis

v

v

v

360

09067B

Alkalinephosphatase isoenzyme electrophoresis

v

v

v

390

09068B

Amylase isoenzyme electrophoresis

v

v

v

390

09069B

Aldolase

v

v

v

300

09070B

HBDH (Hydroxbutyric-dehydrogenase)

v

v

v

150

09071C

CK-MB (Creatine phosphokinase-MB)

v

v

v

v

150

09072B

ICDH (Isocitric dehydrogenase)

v

v

v

150

09073B

Vitamin A

v

v

v

85

09074B

Vitamin C

v

v

v

85

09075B

Metanephrine

v

v

v

300

09076B

5- 5-Nucleotidase

v

v

v

320

09077B

Catecholamine

v

v

v

1000

09078B

Stone analysis

1.

2.()

v

v

v

500

09079C

T.T.T.

v

v

v

v

30

09080C

Z.T.T.

v

v

v

v

30

09081C

N.P.N.

v

v

v

v

40

09082B

Sucrose hemolysis test

v

v

v

120

09083B

Cholinesterase

v

v

v

90

09084B

-lipoprotein

v

v

v

135

09085C

Leucine aminopeptidase(LAP)

v

v

v

v

70

09086C

N-

NAG (N-acetyl--D-glucosaminidase)

v

v

v

v

100

09087B

TBK

v

v

v

240

09088B

Enzyme test for inborn errors of metabolism

1.

2.

3.

4.

5.4003500

v

v

v

400

09089B

Organic acdis analysis quantitative

1.

2.

3.

4.

v

v

v

1800

09090B

Organic acids analysis qualitative

1.

2.

3.

4.

v

v

v

1080

09091B

Transcutaneous biliubin

v

v

v

35

09092B

Free cholesterol

v

v

v

70

09093B

ICG

ICG (Indocyanine green)

v

v

v

40

09094B

Urine hemosiderin

v

v

v

90

09095B

Total lipid

v

v

v

200

09096B

Amino acids analysis qualitative

1.

2.

3.

4.

v

v

v

350

09097B

G6PD G6PD quantitative

v

v

v

250

09098B

T Troponin T

I

v

v

v

450

09099B

Troponin I

T

v

v

v

450

09100B

Urine protein electrophoresis

v

v

v

300

09101B

Sucrose confirmation

v

v

v

120

09102B

ADA

v

v

v

240

09103C

Insulin (EIA/LIA)

v

v

v

v

120

09104C

HPL (EIA/LIA)

v

v

v

v

200

09105C

Progesteron (EIA/LIA)

v

v

v

v

200

09106C

Free T4 (EIA/LIA)

v

v

v

v

200

09107C

Free T3 (EIA/LIA)

v

v

v

v

200

09108C

GH (Growth hormon), EIA/LIA

v

v

v

v

200

09109C

17-

17-OHP (EIA/LIA)

v

v

v

v

200

09110B

Osteocalcin (EIA/LIA)

v

v

v

280

09111B

Thyroglobulin (EIA)

v

v

v

90

09112C

TSH(EIA/LIA)

v

v

v

v

240

09113B

Cortisol (EIA/LIA)

(Free cortisol)

v

v

v

240

09114B

Aldosterone (EIA/LIA)

v

v

v

240

09115B

Calcitonin (EIA/LIA)

v

v

v

240

09116B

ADH (EIA/LIA)

v

v

v

400

09117B

T3 (EIA/LIA)

v

v

v

250

09118B

-

C-terminal PTH (EIA/LIA)

v

v

v

315

09119B

ACTH (EIA/LIA)

v

v

v

450

09120C

Prolactin (PRL), EIA/LIA

v

v

v

v

150

09121B

Testosterone (EIA/LIA)

v

v

v

150

09122B

Intact

Intact parathyrin (EIA/LIA)

v

v

v

360

09123B

MM- MM-parathyrin (EIA/LIA)

v

v

v

360

09124B

PRA (EIA/LIA)

v

v

v

320

09125C

FSH (EIA/LIA)

v

v

v

v

180

09126C

LH (EIA/LIA)

v

v

v

v

180

09127C

Estradiol (E2), EIA/LIA

v

v

v

v

180

09128B

C- C-peptide (EIA/LIA)

v

v

v

180

09129B

B12 VIT-B12 (EIA/LIA)

v

v

v

180

09130B

Folic acid (EIA/LIA)

v

v

v

180

09131C

Estriol (E3), EIA/LIA

v

v

v

v

180

09132B

Gastrin (EIA/LIA)

v

v

v

180

09133B

C-AMP (EIA/LIA)

v

v

v

180

09134C

Stool occult blood (EIA/LIA)

v

v

v

v

80

09135B

- Lactic acid, pyruvic acid

v

v

v

400

09136B

Carbohydrate-deficient transferrin, CDT

v

v

v

450

09137B

1.

2.06007C

v

v

v

150

(10001-10012)

10001B

Silver (Ag)

v

v

v

400

10002B

Aluminum (Al)

v

v

v

400

10003B

Arsenic (As)

v

v

v

400

10004B

Gold (Au)

v

v

v

400

10005B

Cadmium (Cd)

v

v

v

400

10006B

Cobalt (Co)

v

v

v

400

10007B

Chromium (Cr)

v

v

v

400

10008B

Mercury (Hg)

v

v

v

200

10009B

Manganese (Mn)

v

v

v

320

10010B

Nickel (Ni)

v

v

v

400

10011B

Molybdenium (Mo)

v

v

v

400

10012B

Zn

v

v

v

400

Therapeutic Drug Monitoring (10501-10537)

10501B

Carbamazepine

v

v

v

320

10502B

Diphenylhydantoin

v

v

v

320

10503B

Ethosuximide

v

v

v

320

10504B

Methotrexate

v

v

v

320

10505B

Procainamide & NAPA

v

v

v

320

10506B

Netilmicin

v

v

v

320

10507B

Primidone

v

v

v

320

10508B

Salicylate

v

v

v

320

10509B

Theophylline

v

v

v

320

10510B

Valproic acid

v

v

v

320

10511C

Digoxin

v

v

v

v

320

10512B

Amikacin

v

v

v

320

10515B

Lidocaine

v

v

v

320

10516B

Quinidine

v

v

v

320

10517B

Disopyramide

v

v

v

320

10518B

Gentamicin

v

v

v

320

10519B

Tobramycin

v

v

v

320

10520B

Li(Lithium)

v

v

v

150

10521B

Imipramine

v

v

v

150

10522B

-Cyclosporine-A

Therapeutic drug monitoring- cyclosporine

v

v

v

320

10523B

-

Therapeutic drug monitoring- amitriptyline

v

v

v

320

10524B

-Desipramine

Therapeutic drug monitoring- desipramine

v

v

v

320

10525B

-Phenobarbital (luminal)

Therapeutic drug monitoring- phenobarbital (luminal)

v

v

v

320

10526B

-Diazepam (valium)

Therapeutic drug monitoring- diazepam (valium)

v

v

v

320

10527B

() Benzodiazepine

v

v

v

320

10529B

-

Therapeutic drug monitoring- propanolol

v

v

v

320

10530B

-Dibekacin

Therapeutic drug monitoring- dibekacin

v

v

v

320

10531B

-Vancomycin

Therapeutic drug monitoring- vancomycin

v

v

v

320

10532B

-

Therapeutic drug monitoring- chloramphenicol

v

v

v

320

10533B

-

Therapeutic drug monitoring- kanamycin

v

v

v

320

10534B

-Nortriptyline

Therapeutic drug monitoring- nortriptyline

v

v

v

320

10535B

-

Therapeutic drug monitoring- TCA (tricyclic antidepressant)

v

v

v

150

10536B

-FK-506

Therapeutic drug monitoring-FK-506

v

v

v

1080

10537C

Sirolimus

v

v

v

v

1600

Toxicologic Examination (10801-10819)

10801B

() Drug test(qualitative)

v

v

v

250

10802B

Barbiturate

v

v

v

320

10803B

Acetaminophen

v

v

v

320

10804B

Carboxylhemoglobin

v

v

v

150

10805B

Cyanide

v

v

v

150

10806B

Methyl alcohol

v

v

v

150

10807B

Ethyl alcohol

v

v

v

180

10808B

Methemoglobin

v

v

v

100

10809B

v

v

v

270

10810B

()

Amphetamine (EIA/LIA)

1.

2.

v

v

v

250

10811B

() Morphine (EIA/LIA)

1.

2.

v

v

v

250

10812B

() Cocaine (EIA/LIA)

1.

2.

v

v

v

250

10813B

() Connabinoids (EIA/LIA)

1.

2.

v

v

v

250

10814B

() Phonclidine (EIA/LIA)

1.

2.

v

v

v

250

10815B

Organophosphate confirmation test

v

v

v

270

10816B

() Cholinestrase-RBC

v

v

v

270

10817B

- Ethanol-drunk not driving

v

v

v

180

10818B

- Ethanol-DUI (Driving under the influence)

v

v

v

180

10819C

Rodenticide test

v

v

v

v

240

5 Pre-tranfusion Examination (11001~11012)

11001C

(A.B.AB.O blood grouping)

1.

2.

v

v

v

v

30

11002C

Crossmatching test

1.(cryoprecipitate)(thrombin)(plasma)

2.

v

v

v

v

200

11003C

RH(D)

1.

2.

v

v

v

v

90

11004C

Antibody screening

v

v

v

v

100

11005B

Antibody identification

v

v

v

400

11006B

Elution & antibody identification

v

v

v

500

11007B

Platelet antibody

v

v

v

500

Special blood group studies

11008B

Lewis antigen

v

v

v

315

11009B

DECec

v

v

v

300

11010B

v

v

v

1600

11011B

Investigation transfusion reaction

v

v

v

500

11012B

HLA

HLA compatible donor searching

v

v

v

300

Immunology Examination (12001-12198)

12001C

RPR/VDRL test

S.T.S

v

v

v

v

70

12002B

Widal & Weil-Felix test

v

v

v

100

O

ASLO, anti-streptolysin-O test

12003C

v

v

v

v

150

12004C

Nephelometry

v

v

v

v

275

12005B

Streptokinase

v

v

v

180

12006B

Brucella agglutinin test

v

v

v

80

12007C

AFP -fetoprotein

v

v

v

v

200

12008B

Cold hemoagglutinin

v

v

v

70

Rheumatoid factor test

12009C

Latex agglutination

v

v

v

v

90

12010C

PHA

v

v

v

v

130

12011C

Nephelometry

v

v

v

v

275

12012B

Cryoglobulin

v

v

v

50

C.R.P (C-reactive protein)

12013C

Latex agglutination

v

v

v

v

90

12014C

Macinni immunodifusion

v

v

v

v

150

12015C

Nephelometry

v

v

v

v

275

Chlamydia trachomatis Ag

12016C

EIA

v

v

v

v

260

12017B

FA

v

v

v

400

12018C

TPHA test

v

v

v

v

300

12019B

FTA-ABS

v

v

v

300

12020B

Mycoplasma pneumonia Ab test

v

v

v

225

12021C

CEA

v

v

v

v

400

12022C

-HCG (EIA)

v

v

v

v

400

12023B

Amebiasis Ab test(IHA)

v

v

v

160

IgG

12024B

Single radial immunodiffusion

v

v

v

120

12025B

Nephelometry

v

v

v

275

IgA

12026B

Single radial immunodiffusion

v

v

v

120

12027B

Nephelometry

v

v

v

275

IgM

12028B

Single radial immunodiffusion

v

v

v

120

12029B

Nephelometry

v

v

v

275

12030B

IgD

v

v

v

180

12031C

IgE

v

v

v

v

250

12032B

-1 C'1 quantitation

v

v

v

200

3 C'3 (C3c)

12033B

Single radial immunodiffusion

v

v

v

120

12034B

Nephelometry

v

v

v

275

3 C'3 Activator

(properdin factor B)

12035B

Single radial immunodiffusion

v

v

v

135

12036B

Nephelometry

v

v

v

275

4 C'4

12037B

Single radial immunodiffusion

v

v

v

120

12038B

Nephelometry

v

v

v

275

12039B

-5 C'-5

v

v

v

275

1- 1-antitrypsin

12040B

Single radial immunodiffusion

v

v

v

160

12041B

Nephelometry

v

v

v

275

12042B

1- ()

1-acid glycoprotein ( Nephelometry)

v

v

v

275

2- 2-macroglobulin

12043B

Single radial immunodiffusion

v

v

v

160

12044B

Nephelometry

v

v

v

275

Heptoglobin

12045B

Single radial immunodiffusion

v

v

v

160

12046B

Nephelometry

v

v

v

275

Transferrin

12047B

Single radial immunodiffusion

v

v

v

160

12048B

Nephelometry

v

v

v

275

Ceruloplasmin

12049B

Single radial immunodiffusion

v

v

v

160

12050B

Nephelometry

v

v

v

275

12051B

Plasminogen

v

v

v

160

12052B

2- 2-microglobulin

v

v

v

300

12053B

ANA (antinuclear antibody) FIA

v

v

v

330

12054B

AMIA (anti-microsomal antibody)

v

v

v

200

12055B

SMA (skeletal muscle antibody)

v

v

v

200

12056B

AMA (atni-mitochontrial antibody)

v

v

v

200

12057B

ASMA (anti-smooth muscle antibody)

v

v

v

200

12058B

APCA (anti-parietal cell antibody)

v

v

v

200

12059B

Mono-spot test (hetrophile Ab)

v

v

v

80

12060B

DNAAnti-DNA (FIA)

v

v

v

300

12061B

Myoglobin

v

v

v

100

12062B

Cryoglobubin

v

v

v

163

12063B

()

Anti-ENA test (qualitative)

v

v

v

300

Anti-ENA

12064B

Ro/La Ro/La Ab

v

v

v

561

12173B

Sm/RNP Sm/RNP Ab

v

v

v

561

12174B

Scl-70 Scl-70 Ab

v

v

v

507

12065B

EB Capsid Ab (Epstein-Barr virus C.A)

v

v

v

180

12066B

Basement membrane zone Ab

v

v

v

300

12067B

Intercellular substance antibody

v

v

v

300

12068B

TA (Thyroglobulin antibody)

v

v

v

200

12069B

Cryptococcus antigen

v

v

v

360

12070B

Cryofibrinogen identification

v

v

v

180

Lymphocyte surface marker

12071B

Total T & B lymphocytes

TBEEAC-rosette

v

v

v

400

12072B

Tumor/cancer

TT

v

v

v

1000

12073B

Infectious disease

TT

v

v

v

800

12074B

Immunological disease

TTTHLA

v

v

v

1747

12075B

Leukemia/lymphoma

TB

v

v

v

2000

12076B

Others

TB

v

v

v

1000

12077B

CA-125 (EIA) CA-125

v

v

v

400

12078B

CA-153 (EIA) CA-153

v

v

v

400

12079B

CA-199 (EIA) CA-199

v

v

v

400

12080B

SCC (EIA) Anti-SCC

v

v

v

400

12081C

PSA(prostate specific antigen)

v

v

v

v

400

12082B

PMN phagocytosis

v

v

v

684

12083B

PMN bacterial capacity

v

v

v

977

12084B

Total B-cell count

v

v

v

360

Lymphocyte transformation

12085B

Mitogen stimulation

v

v

v

1940

12175B

Antigen stimulation

v

v

v

1940

Tissue typing HLA

12086B

HLA-B27

v

v

v

1351

12087B

HLA-ABC () multiple antige

v

v

v

5053

12176B

HLA-ABC() single antigen

v

v

v

3285

12088B

HLA-DR () multiple antige

v

v

v

4383

12177B

HLA-DR () single antigen

v

v

v

2849

1.12087B12176B

2.12088B12177B12087B12176B

12089B

One-way MLR

1. two-way MLR

2.

v

v

v

1108

12090B

Lymphocytotoxic test

v

v

v

1228

12091B

Immunopathology Kidney

v

v

v

450

12092B

Immunopathology Skin

v

v

v

450

12093B

Immunopathology Liver

v

v

v

450

12094B

Immunopathology Lung

v

v

v

450

12095B

Immunopathology Stomach

v

v

v

450

12096B

Immunopathology Others

v

v

v

450

12097B

Direct Coombs' polyspecific test

v

v

v

70

12098B

Indirect Coombs' polyspecific test

v

v

v

100

12099B

IgG

Coombs IgG monospecific test

v

v

v

250

12100B

C3d

Coombs (D) C3d monospecific test

v

v

v

250

12101B

Chemotaxis

v

v

v

489

12102B

Immunodiffusion

v

v

v

652

12103B

Immunoelectrophoresis

v

v

v

900

12104B

CH50

v

v

v

529

12105B

Migration inhibition factor

v

v

v

360

12106C

Tuberculin test

v

v

v

v

60

12107C

Chlamydia Ab

v

v

v

v

315

12108B

Immune complex

v

v

v

433

12109B

T Anti-HTLV-

Anti-ATLA Ab (quantitative test)

v

v

v

400

12110B

Prealbumin

v

v

v

275

12111C

()

Microalbumin (Nephelometry)

v

v

v

v

275

12112B

() Albumin (Nephelometry)

v

v

v

275

12113B

B ()

Apolipoprotein B (Nephelometry)

v

v

v

275

12114B

A1 ()

Apolipoprotein A1 (Nephelometry)

v

v

v

275

12115B

()

Anti-thrombin (Nephelometry)

v

v

v

275

12116C

Ferritin (EIA)

Lambda chain (Quantitation)

v

v

v

v

300

12117B

T

T lymphocyte crossmatch

1.B (B lymphocyte cross-match)

2.

v

v

v

1000

12118B

Legionnarires disease serum test

v

v

v

250

12120B

TPA(EIA/LIA)

v

v

v

350

12121B

Ab-TSH recepter (EIA/LIA)

v

v

v

360

12122B

E

Reaginic IgE (EIA/LIA)

v

v

v

390

12123C

C-

C-Reactive protein (Turbidity method)

v

v

v

v

30

12124B

TBG (EIA/LIA)

v

v

v

240

12125C

B Streptococcus group B latex screen rapid

v

v

v

v

90

12126B

Streptococcus pneumonia latex screen rapid

v

v

v

90

12127B

Hameophilus influenzae type B latex screen rapid

v

v

v

90

12128B

Neisseria meningitides latex screen rapid

v

v

v

90

12129C

CSF quick test

v

v

v

v

90

12130B

Salmonella AG test

v

v

v

90

12131B

Shigalla AG test

v

v

v

90

12132B

(TWAR)

Chlamydia pneumoniae antigen

v

v

v

400

12133B

B2I

Anti-B2-glycoprotein-I Ab

v

v

v

300

12134B

Anti-TPO Ab

12054B

v

v

v

200

12135B

Anti-keratin antibody

v

v

v

200

12136B

DNA DNA analysis

v

v

v

300

12137B

Myositis auto antibodies

t-(T-synthetase Ab)(Anti-SRP Antibody)Mi-2 (Mi-2 Ab)

v

v

v

600

12138B

Anti-glomerular basment menbrane antibody

v

v

v

300

12139B

Cryptococcus neoformans stain (CSF)

v

v

v

360

12140B

T3+DR+, T3+DR-

v

v

v

400

12141B

3+8+, 3+8-

LEU3+8+, LEU3+8- CELL

v

v

v

400

12142B

2+15+, 2+15-

LEU2+15+, LEU2+15- CELL

v

v

v

400

12143B

ADCC cytotoxicity

v

v

v

400

12144B

NK activity

v

v

v

400

12145B

Direct cytotoxicity

v

v

v

400

12146B

1 IGG1 level

v

v

v

400

12147B

2 IGG2 level

v

v

v

400

12148B

3 IGG3 level

v

v

v

400

12149B

4 IGG4 level

v

v

v

400

12150B

Amino acids analysis quantitative

1.

2.

3.

4.

v

v

v

2000

12151B

Homocysteine

v

v

v

400

12152B

In vitro IgG, A, M synthesis

v

v

v

4500

12153B

MLC (Mixed lymphocyte culture)

v

v

v

1000

12154B

J 0-1 ()

J 0-1(ID)

v

v

v

600

12155B

KI, KU ()

KI, KJ (ID)

v

v

v

600

12156B

Ribosomal-P Anti-Ribosomal-P

v

v

v

600

12157B

IEP for CSF

v

v

v

900

12158B

Urine immunoelectrophoresis

v

v

v

900

12159B

Urine immunofixation electrophoresis

v

v

v

900

12160B

/ IgG/

v

v

v

900

12161B

-2 IL-2 level

v

v

v

405

12162B

TNF level

v

v

v

405

12163B

T()

HTLV-1 antibody (qualitative)

v

v

v

400

12164B

A Lipoprotein (A)

v

v

v

275

12165B

A() Streptococcus a type antigen (EIA/LIA)

v

v

v

200

12166B

Meningococcal Ag test

v

v

v

200

12167B

Histoplasma capsutatum Ab test

v

v

v

200

12168B

Blastomycosis Ab test

v

v

v

200

12169B

C. immitis Ab test

v

v

v

200

12170B

Aspergillus Ab test

v

v

v

200

12171B

ANCA (Anti-nutrophil cytoplasmic Ab)

v

v

v

380

12172B

Pneumococcus rapid screen (Urine

v

v

v

320

12178C

Adrenal antibody

v

v

v

v

350

12179C

Aspergillus

v

v

v

v

250

12180C

Glutamic acid decarboxylase autoantibody

v

v

v

v

397

12181C

Acetylcholine receptor antibody

v

v

v

v

300

12182C

DNA qualitative amplification test

v

v

v

v

1000

12183C

RNA qualitative amplification test

v

v

v

v

1200

12184C

DNA quantitative amplification test

v

v

v

v

2000

12185C

RNA quantitative amplification test

v

v

v

v

2200

12186C

Chromosomal translocation gene recombination analysis by southern blot

v

v

v

v

2000

12187C

STR polymorphism analysis

v

v

v

v

4500

12188C

Chromosomal translocation fusion gene analysis by RT-PCR

v

v

v

v

1200

12189C

IgM

v

v

v

v

300

12190C

IgG

v

v

v

v

300

12191C

Legionella pneumophila urine antigen test

1.

2.

v

v

v

v

400

12192C

Procalcitonin(PCT)

v

v

v

v

1000

12193B

B(B)

Pro-BNP(BNP)

v

v

v

800

12194B

Tandem Mass Analysis of Metabolites

1.

2.

3.

4.

v

v

v

500

12195B

Her-2/neu FISH

Her-2/neu fluorescence in situ hybridization(FISH)

1.invasive carcinoma()

2.IHC

3.Her-2/neu IHC score2+

v

v

v

10400

12196B

HLA-B 1502

HLA-B 1502 gene typing

1. Carbamazepine

2.

v

v

v

3285

12197B

-Everolimus

Certican

v

v

v

1500

12198C

Free PSA

v

v

v

v

400

Bacteriology & Fumgus Test (13001-13024)

13001C

(, )

Sputum Routine (Include Crystal, Parasite)

v

v

v

v

40

13002B

Amoebic hemagglutination test

v

v

v

320

13003B

Cryptococcus neoformans antigen test

v

v

v

320

13004B

Virulence test for c. diphtherise

v

v

v

90

13005B

()

DNA test for chlamydia (qualitative)

v

v

v

360

13006C

1.,,

2.

v

v

v

v

45

13007C

()

1.

v

v

v

v

200

13008B

2.

v

v

v

100

13009B

1

v

v

v

150

13010B

2

v

v

v

230

13011B

3

v

v

v

300

1.

2.

3.

13012C

Acid-fast culture

v

v

v

v

180

13013C

v

v

v

v

200

Sensitivity test of acid-fast

13014B

v

v

v

280

13015C

v

v

v

v

350

13016B

1.

2.13007C13008B

380

13017B

KOH KOH preparation

v

v

v

45

13018C

Helicobacter pyroli test (Clotest)

v

v

v

v

200

13019B

Sensitivity test

v

v

v

150

13020C

(MIC) (minimum inhibitory concentration MIC)

Bacteria MIC test (1 species)

13009B-13011B

v

v

v

v

150

13021B

(MIC) (minimum inhibitory concentration MIC)

Bacteria MIC test (2 species)

13009B-13011B

v

v

v

230

13022B

(MIC) (minimum inhibitory concentration MIC)

Bacteria MIC test (3 species)

13009B-13011B

v

v

v

300

13023C

Bacterial minimal inhibition concentration rapid detection

v

v

v

v

300

13024C

TuberculosisT.Btest

v

v

v

v

200

Virology Examination (14001-14081)

14001B

Isolation and identification of virus

v

v

v

350

14002B

Adenovirus CF Ab

v

v

v

100

Cytomegalovirus CMV

14003B

CF Ab

v

v

v

135

14004B

EIA

v

v

v

240

14005C

I II()

Herpes simpliex virus CF HSV Ab (each)

v

v

v

v

135

14006B

Measles virus Ag

v

v

v

150

14007B

IgM Measles virus IgM Ab

v

v

v

750

14008B

Measles CF virus Ab

v

v

v

135

14009C

Mumps CF virus Ab

v

v

v

v

200

14010B

Respiratory syncytial virus Ag

v

v

v

120

14011B

Respiratory syncytial virus (RSV) CF Ab

v

v

v

120

14012B

Varicella-zoster virus CF Ab

v

v

v

120

14013B

IgM

Varicella-zoster virus IgM

v

v

v

1080

14014B

Mycoplasma pneumoniae CF Ab

v

v

v

120

14015B

1

Parainfluenza virus type 1 Ag

v

v

v

150

14016B

2

Parainfluenza virus type 2 Ag

v

v

v

150

14081B

3

Parainfluenza virus type 3 Ag

()()

v

v

v

150

14017B

1

Parainfluenza type 1 CF Ab

v

v

v

145

14018B

2

Parainfluenza type 2 CF Ab

v

v

v

145

14019B

3

Parainfluenza type 3 CF Ab

v

v

v

145

14020B

Influenza A CF Ab

v

v

v

110

14021B

Influenza B CF Ab

v

v

v

110

14022B

Japanese encephalitis CF Ab

v

v

v

145

14023B

()

Coxsackie B virus Ab (each)

v

v

v

150

14024B

(B1-B6)

Coxsackie virus Ab (type B1-B6)

v

v

v

850

14025C

70 Entero virus type 70 Ab

v

v

v

v

150

14026B

Rota virus Ag

v

v

v

280

14027C

Rota virus Ab

v

v

v

v

120

14028B

Reo virus Ab

v

v

v

220

14029B

1.2.3

Polio virus type .. Ab each

v

v

v

145

HBsAg

14030C

Latex

v

v

v

v

80

14031C

RPHA

v

v

v

v

100

14032C

EIA

v

v

v

v

160

14033C

Anti HBs

v

v

v

v

200

Be HBeAg

14034C

RPHA

v

v

v

v

110

14035C

EIA

v

v

v

v

250

14036C

e Anti-HBe (EIA)

v

v

v

v

250

14037C

Anti-HBc (EIA)

v

v

v

v

250

14038C

Anti-HBc IgM (EIA)

v

v

v

v

315

14039C

Anti-HAV IgMEIA

v

v

v

v

240

14040C

Anti HAV

v

v

v

v

225

14041B

Anti-delta

v

v

v

320

14042B

IgG

Toxoplasma IgG Ab

v

v

v

200

14043B

Rubella Ab titer (HI)

v

v

v

180

14044B

Anti-rubella IgG (EIA)

v

v

v

240

14045B

Anti-rubella IgM (EIA)

v

v

v

400

14046B

EBG.M.A. (IFA)

EB VCA IgG, IgM, IgA, IFA method, each

v

v

v

540

14047B

EB EBNA Ab

v

v

v

14048B

Cytomegalo virus IgM Ab

v

v

v

700

Anti-HIV test

14049C

EIA

v

v

v

v

240

14050B

PA

v

v

v

300

14051C

Anti-HC (EIA)Ab

v

v

v

v

250

14052B

IgM

Herpes simplex virus IgM Ab

v

v

v

750

14053B

-1-2

Herpes Simplex Virus-1 Ag or-2 Ag

v

v

v

150

14054B

IgM Mumps virus IgM

v

v

v

400

14055B

B Anti-HBS titer

v

v

v

90

14056B

71-IgM

Enterovirus 71 IgM antibody

1.

2.

v

v

v

600

14057B

B

Haemophilus influenzae type B test

v

v

v

200

14058B

RSV screening test

v

v

v

350

14059B

CMV Ag test

v

v

v

135

14060B

Human herpesvirus-6 antibody

v

v

v

135

14061B

- VZV Ag test

v

v

v

120

14062B

IgM Dengue virus 1gM test

v

v

v

120

14063B

IgG Dengue virus 1gG test

v

v

v

120

14064B

Adenovirus Ag test

v

v

v

150

14065B

A Influenza A Ag

v

v

v

150

14066B

B Influenza B Ag

v

v

v

150

14067B

IgM Toxoplasma-1gM

v

v

v

250

14068B

IgG Varicella/zoster-1gG

v

v

v

200

14069B

IgG HSV-IgG

v

v

v

180

14070B

IgG Measles Ab (IgG)

v

v

v

240

14071B

T. GONDII Ab (IgM)

v

v

v

700

14072B

C RIBA test

v

v

v

250

14073B

pp67

CMV in RIA PP67

1.

2.

3.

v

v

v

2560

14074B

HIV HIV viral load test

1.

2.

v

v

v

4000

14075B

HIV-I ()

HIV-I Ab (Western blot)

1.

2.14049C14050B

v

v

v

1564

14076B

HIV-II ()

HIV-II Ab (Western blot)

1.

2.14049C14050B

3.HIV-IIHIV-Igp120band

v

v

v

1564

14077C

pp65

v

v

v

v

500

14078C

E

Anti-HEV IgM

v

v

v

v

240

14079C

Pavovirus B19 G

v

v

v

v

240

14080C

Pavovirus B19 M

v

v

v

v

800

Cytology Examination (15001-15022)

15001C

Body fluid cytology

(Sputum)(Urine)(Ascites)(C.S.F.)(Pleural Effusion)(Pericardial effusion)(bronchial brushing)(bronchial washing)

v

v

v

v

480

15007B

Needle aspiration cytology

(Thyroid)(Lymph node)(Breast)(Lung)(Mediastinum)(Liver)(Pancreas)(Mass)(Nasal)

v

v

v

667

15017C

Pap's smear (Cytology)

1.3~61

2.6

(1)

(2)

(3)

v

v

v

v

245

15018B

Fluid cytology plus cell block

v

v

v

990

15020B

Impint bronchial biopsy-CM

v

v

v

265

15021C

Thin-prep cytology

v

v

v

v

1200

15022C

Blood smear interpretation08009C08013C

v

v

v

v

360

Fluid Examination (16001-16013)

16001C

Semen analysis

motility, count, morphology, amount, appearance, PH

v

v

v

v

70

16002C

Ascitic fluid

Include protein-qualitativecell count & DC

v

v

v

v

170

16003C

Pleural fluid

Include protein-qualitativecell count & DC

v

v

v

v

170

16004C

Gastric juice

PHPepsin

v

v

v

v

170

16005B

Duodenal juice

PHPepsin

v

v

v

170

16006C

CSF

WBC, RBC, Pandy's, neutrophil, lymphocyte, eosinophil

v

v

v

v

170

16007C

Pus or discharge

,

v

v

v

v

70

Synovial fluid analysis

16008C

Routine

v

v

v

v

168

16012C

S Alizarin Red S stain

v

v

v

v

174

16013C

Crystal exam.

v

v

v

v

131

16009C

()

Pericardial fluid routine test (Pandytest, cell count, differential count )

,..

v

v

v

v

170

16010C

Analysis of total cell count and differntiation in BAL fluid

v

v

v

v

170

16011C

Shake test

v

v

v

v

170

Respiratory Function Examination (17001-17021)

17001C

Wrights peak flow meter-portable

v

v

v

v

50

17002B

Pi max and Pe max

weaning

v

v

v

50

17003C

Flow-volume curve

v

v

v

v

270

17004B

(FRC)

Lung volume with functional residual capacity

(flow-volume test)(ventilation test)(residual volume test)

v

v

v

450

17005B

Single breath nitrogen washout test

v

v

v

240

17020B

Mutiple breath nitrogen washout test

v

v

v

300

17006B

Bronchodilator test

v

v

v

450

17007B

Standard bronchodilator test

v

v

v

800

17008B

1.EEGEMGECGEOGrespiratory airflowthoracic respiratory effortabdominal respiratory effort

2.

(1)parasomnia

(2)

(3)

v

v

v

4500

17009B

CO diffusing capacity

v

v

v

320

17010B

Pressure volume curve

v

v

v

240

17011B

Pressure flow curve

v

v

v

240

17012B

Pressure volume curve and pressure flow curve

v

v

v

450

17013B

CO2 stimulation test and mouth occlusion pressure

v

v

v

240

17014B

Closing volume

v

v

v

270

17015B

Hypoxic stimulation test

v

v

v

410

17016B

Exercise pulmonary function test (stress test)

v

v

v

1500

17017B

Haloscale respiration

weaning

v

v

v

55

17018B

Basal metabolic rate

v

v

v

270

17019C

Bronchial provocation test

v

v

v

v

450

17021B

Microbobble test

38

v

v

v

140

Circulative Function Examination (18001-18043)

1.

2.

18001C

E.K.G. (Electrocardiography)

v

v

v

v

150

18002B

V.C.G. (Vectorcardiography)

v

v

v

360

18003C

Masters two-step test

1.with contrast

2.

v

v

v

v

250

18004C

v

v

v

v

450

18005B

()

Echocardiography (-M-mode and -sector- scan)

v

v

v

1200

18006B

Doppler echocardiography

v

v

v

600

18007B

Doppler color flow mapping

1.18006B

2.

(1)

(2)

(3)

(4)

(5)

(6)

v

v

v

2000

18008C

()

Doppler flowmetry (perivasculary)

v

v

v

v

150

18009B

PVR (pulse volume recorder)

v

v

v

1170

18010B

CPA (carotid phonoangiography)

v

v

v

900

18011B

Doppler extremity and pressure recording

v

v

v

540

18012B

PRG (phleborheograph)

v

v

v

2340

18013C

3

Fetal monitor 3hrs

v

v

v

v

259

18014C

3

Fetal monitor, per hour after the first 3 hours

v

v

v

v

45

18015B

Treadmill exercise test or graded exercise test, GXT

v

v

v

900

18016B

J.P. (Jugular pulse)

v

v

v

180

18017B

C.P. (Carotid pulse)

v

v

v

180

18018B

P.C.G. (Phonocardiography)

v

v

v

700

18019B

24hrs. Holtor's scan

1. (patient kit)

2.

v

v

v

2800

Cardiac cath

18020B

one side

v

v

v

3840

18021B

both side

v

v

v

5120

18022B

Coronary angiography

v

v

v

7000

18023B

HBE (His Bundle electrogram)

v

v

v

2560

Electrophysiology

18024B

general

v

v

v

3600

18025B

complex

v

v

v

5500

18026B

Cardioangiography

v

v

v

4830

18027B

Aortography(cineangiography)

v

v

v

4830

18028B

Cardioversion (one course)

v

v

v

960

18029B

Cardiac output

v

v

v

1000

18030B

Second time cardiac output

1.100

2.

v

v

v

100

18031B

Regitine test (phentolamine test)

v

v

v

200

18032B

Histamine test

v

v

v

200

18033B

T.E.E

v

v

v

4000

18034B

Wrist ECG Recorder

v

v

v

1020

18035B

() Fetal monitor, per day

v

v

v

550

18036B

R-R interval variationRRIV

v

v

v

150

18037B

Fetal, umbilical cord, or gravid uterine artery Doppler ultrasound

v

v

v

760

18038B

Pelvic Doppler ultrasound

v

v

v

555

18039B

Non-stress test

v

v

v

313

18040B

()

Oxytocin challenge test

v

v

v

626

18041B

Sonography for peripheral vessel

v

v

v

800

18042B

Tourniquet test (including Perthes's test and Brodie-Trendelenburg test--etc.)

v

v

v

200

18043B

Coronary Intravascular Ultrasound

1.

2.

(1)

(2)

(3)355

(4)()

(5)

(6) (DCA)

v

v

v

7500

Sonography

(19001-19018)

19001C

liver, gall bladder, pancreas,spleen, inferior vena cava, abdominal aorta, kidneyabdominal others

v

v

v

v

882

19009C

v

v

v

v

643

19002B

Intra-operative echo

v

v

v

1307

19003C

Gynecologic ultrasound

1.

2.19011C

v

v

v

v

450

19010C

Obstetric ultrasound

1.

2.19011C

v

v

v

v

550

19011C

Fetal biophysical profile

1.

2.18013C18014C18035C19003C19010C

3.

(1)(IUGR)(DM)()

(2)NSTOCT

4.

v

v

v

v

1500

19004C

Echo for sinus

v

v

v

v

240

19005B

Echo for others

1.2.

v

v

v

600

19012C

(thyroidparathyroidparotid)

v

v

v

v

610

19014C

v

v

v

v

588

19015C

v

v

v

v

697

19016C

v

v

v

v

588

19017C

()

Transurethral (transrectal) ultrasonography

v

v

v

v

800

19018C

Brain echo

v

v

v

v

719

19007B

()

Ultrasonic guidance for needle placement

(eg, biopsy, aspiration, injection)

1.

2.

v

v

v

1302

19008B

Sono guided intrahepatic drug injection

v

v

v

1430

Neurological Test (20001-20043)

EEG

20001C

v

v

v

v

990

20002C

v

v

v

v

1943

20003C

v

v

v

v

110

20004B

EEG (portable)

v

v

v

700

20005B

Sphenoid EEG

v

v

v

1080

20006B

Nasopharyngeal lead EEG

v

v

v

1200

20007B

Brainstem auditory evoked potentials(A.E.P Bs)

v

v

v

1000

20008B

Middle-latency auditory evoked potentials

(A.E.P. ML)

v

v

v

720

20009B

Long-latency auditory evoked potentials(A.E.P. L.L)

v

v

v

720

Somatosensory evoked potentials (S.E.P.)

20010B

upper limb

v

v

v

720

20011B

lower limb

v

v

v

720

20012B

Visual evoked potentials (V.E.P.)

v

v

v

720

20013B

(Dopscan)

v

v

v

800

20014B

Needle electromyogram

v

v

v

1000

Mortor nerve conduction velocity

20015B

upper

v

v

v

560

20016B

lower

v

v

v

560

20017B

Tensilon or vagostigmin test

v

v

v

270

20018B

Repetitive stimulation test

v

v

v

540

20019B

Sensory nerve conductive velocity, SNCV

v

v

v

720

20020B

Single fiber EMG

v

v

v

900

20021B

Oculoplethymography(O.P.G.)

v

v

v

540

20022B

Blink reflex

v

v

v

1170

20023B

F F wave

v

v

v

720

20024B

H H reflex

v

v

v

600

20025B

Single nerve fiber tearing

v

v

v

900

20026B

()

(Transcranial Doppler sonography)

v

v

v

2000

20027B

24

(24 hours ambulatory EEG)

v

v

v

4000

20028B

Electrocorticography

v

v

v

6460

20029B

Wada's test

v

v

v

10310

20030B

Histocheical examination of muscle tissue

v

v

v

800

20031B

Steady state evoked potential(SSEP)

v

v

v

1000

20032B

()

Motor evoked potential upper

v

v

v

720

20033B

Quantotive thsrmal thresheld

v

v

v

720

20034B

()

Magnetic stimulation (upper extremity)

v

v

v

720

1.

2.

20035B

()

Motor evoked potential lower limb

v

v

v

720

20036B

()

Magnetic stimulation (lower extremity)

v

v

v

720

1.

2.

20037B

Sympathetic skin response

v

v

v

560

20038B

Tremography

v

v

v

560

20039B

Autonomic function test(SSR+RRIV)

v

v

v

560

20040B

Surface EMG

v

v

v

900

20041B

Sensation testing

v

v

v

540

1.

2.

20042B

Neurobehavior exaluation

v

v

v

968

20043B

UPDRS

Evaluation of Unified Parkinson's Disease Rating Scale (UPDRS) in Parkinson's Disease

1

v

v

v

500

Urinology Test (21001-21012)

(1) (2) (3)

(4) (5) (6)

21003C

External sphincter electromyogram (EMG)

v

v

v

v

702

21004C

Uroflowmetry (UFR)

v

v

v

v

671

21011C

Pressure-flow study

v

v

v

v

1404

21005C

Urethral pressure profile studies (UPP)

v

v

v

v

1254

21006B

Video-urodynamic study

v

v

v

7883

21007C

Cystometry (CMG)

v

v

v

v

832

21008C

Bladder sonography

v

v

v

v

210

21009B

Urecholine

Cystometry and Urecholine test

v

v

v

918

21012B

Stress urethral pressure profile (stress UPP)

v

v

v

918

21010C

Bladder sonography for measurement of urine amount

v

v

v

v

50

E.N.T. Examination (22001-22039)

22001C

Pure tone audiometry ( PTA )

v

v

v

v

405

22002B

Recruitment test ( SISI )

v

v

v

300

22003C

Impedance audiometry

v

v

v

v

452

22004C

Tympanometry

v

v

v

v

300

22005C

Medium speech evaluation

v

v

v

v

210

22006C

Complex speech evaluation

v

v

v

v

357

22007C

Sound record testing

v

v

v

v

280

22008B

Sound field testing

v

v

v

2270

22009B

Sound spectrography

v

v

v

497

22010C

Swallowing evaluation

v

v

v

v

350

22011B

Speech discrimination

v

v

v

279

22012B

Tone decay test

v

v

v

300

22013B

Speech audiometry

v

v

v

300

22014B

E.R.A.( electrical responce audiometry )

v

v

v

706

22015B

Functional hearing test

v

v

v

800

22016B

ENG ( electronystagmography )

v

v

v

640

22017B

V.F.T. ( vestibular function test )

v

v

v

450

22018B

B.S.R. ( brain stem response )

v

v

v

1792

22019B

Caloric test

v

v

v

596

22020B

Glycerine test

v

v

v

765

Maxillary sinus moljodol exam.

22021B

single side

v

v

v

1076

22022B

both side

v

v

v

1292

22023B

Econg

v

v

v

2012

22024B

Phonatory ability test

v

v

v

2218

22025B

Bekesy audiometry

v

v

v

300

22026C

(ART) Acoustic emission test

v

v

v

v

312

22027C

OTO acoustic emission test

v

v

v

v

837

22028C

E-tube function test

v

v

v

v

336

22029C

Stapedial reflex decay

v

v

v

v

452

22030C

Larynageal acoustic analysis

v

v

v

v

280

22031B

Acoustic reflex decay test

v

v

v

364

22032B

Alternate binaural loundness balance test(ABLB)

v

v

v

300

22033B

()

Argo-1 infant hearing testargo-1 infant hearing test

v

v

v

800

22034B

Posturography

v

v

v

678

22035B

()

Laryngeal aerodynamic analysis

v

v

v

852

22037B

Vestibular evoked myogenic potential

v

v

v

720

22038B

Laryngeal EMG

v

v

v

2218

22039C

ASSR

v

v

v

v

1500

Ophthalmology Examination (23001-23813)

Refrauction Ex.(23001~23004)

23001C

Ophthalmometry exam (Keratometry)

v

v

v

v

60

23002C

Light perception

v

v

v

v

121

23003B

Low vision test

v

v

v

450

23004B

Photokeratoscopy (color)

v

v

v

410

Retina Function Ex.(23101~23104)

23101C

Color blindness test

v

v

v

v

38

23102C

15 Panel D-15 test

v

v

v

v

70

23103C

100 100 hue test

v

v

v

v

145

23104B

Dark adaptation test

v

v

v

410

Strabismus Ex.(23201~23208)

23201C

Synoptometry

v

v

v

v

90

23202C

Worth-4-dots test

v

v

v

v

120

23203C

Prism cover test

v

v

v

v

120

23204C

Titmus test

v

v

v

v

120

23205C

Maddox rod test

v

v

v

v

120

23206C

Comitance test

v

v

v

v

120

23207C

Cheiroscope

v

v

v

v

120

23208C

Squint examination

v

v

v

v

80

Glaucoma Ex. (23301~23308)

23301C

Schiotz's tonometry

v

v

v

v

44

23302C

Goldman applantation tonometry

v

v

v

v

98

23303C

Tonography

v

v

v

v

250

23304C

Mydriatic test (provocative test)

v

v

v

v

180

23305C

Penumotonometry

v

v

v

v

135

23306C

Dark room + prone test

v

v

v

v

270

23307B

Water drinking test

v

v

v

270

23308B

Diurnal variation

v

v

v

675

Slit Lamp Ex. (23401~23405)

23401C

Slit lamp exam

v

v

v

v

51

23402C

Gonioscope exam

v

v

v

v

179

23403C

Pachymetry

v

v

v

v

91

23404C

Corneal endothelial microscope

v

v

v

v

493

23405C

Slit lamp contact mirror funduscopy

v

v

v

v

276

Fundus Ex..(23501~23506)

23501C

Funduscopic exam

v

v

v

v

62

23502C

Fundus color photo picture/picture

v

v

v

v

43

23503C

AEcho exam (A.scan)

v

v

v

v

201

23504C

BEcho exam (B.scan)

v

v

v

v

540

23505C

Fluorescein angiography (FAG)

v

v

v

v

1004

23506C

Microsonography

1.UBM(Uetrobiomicrosonography)2.OCT(Optical Coherent Tomography)3.HRT(Heiderburg Retina Tomography)

4. central retinal artery ophthalamic artery

v

v

v

v

600

Medical & Neuro-ophthalmological Ex. (23601~23610)

23601C

Visual field exam.(perimetry)

v

v

v

v

225

23602C

Scotometry

v

v

v

v

217

23605C

Exophthalmometry

v

v

v

v

40

23606C

Diplopia test ( Hess chart test,etc)

v

v

v

v

127

23607C

Static visual field examination

v

v

v

v

400

23608C

Kinetic visual field examination

v

v

v

v

225

23609B

Threshold

Automated perimetry Threshold

v

v

v

862

23610C

Screen

Automated perimetry Screen

v

v

v

v

424

Nasolacrimal Apparatus (23701~23707)

23701C

Schirmer test

v

v

v

v

55

23702C

Indirect ophthalmoscopy

v

v

v

v

180

23703B

Electro-retinography (ERG)

v

v

v

676

23704B

Electro-oculogram (EOG)

v

v

v

750

23705B

Electromyogram (EMG)

v

v

v

468

23706C

Fluorescein stain of cornea

v

v

v

v

80

23707B

Visual evoked potential

v

v

v

675

Others (23801~23813)

23801C

Anisometropia examination

v

v

v

v

135

23802B

Rose bengal stain of cornea

v

v

v

100

23803C

Pupil dilatation

v

v

v

v

40

23804C

Fungus dark field examination

v

v

v

v

90

23805C

Conjunctival scraping

v

v

v

v

90

23806C

Tensilon or neostigmine test

v

v

v

v

300

23807C

DBR

(IOL)

v

v

v

v

362

23809C

Localization of retinal break

v

v

v

v

290

23810B

Ophthalmodynamometer

v

v

v

405

23811C

External eye photography

v

v

v

v

150

23812C

Amblyopia examination

v

v

v

v

400

23813B

ICG

Indocyanine green (ICG) angiography

(23505C)(CNB)

v

v

v

1277

Loading Test (24001-24029)

24003B

Plasma somatostatin

v

v

v

160

24007B

Plasma free Ca++

v

v

v

400

24008B

Insulin hypoglycemic stimulation test

1.09005C*527008B*5

2.

v

v

v

1800

24009C

Oral glucose tolerance test

09005C*5

v

v

v

v

313

24010B

Intravenous glucose stimulation test

09005C*527015B*7

v

v

v

1257

24011B

Calcium infulsion test

1.09005C*509011C*527015B*5

2.

v

v

v

1191

24012B

Water loading test

v

v

v

180

24013B

Saline loading test

27032B*227031B*2

v

v

v

1235

24014B

Hypertonic saline loading test

v

v

v

300

24015B

Water deprivation test

06503B*808075C*8

v

v

v

2060

24016B

Water deprivation + pitressin test

1.06503B*808075C*8

2.

v

v

v

2060

24017B

Tegretol

Water deprivation + tegretol test

06503B*808075C*8

v

v

v

2060

24018B

ACTH stimulation test

1.27006B*5

2.

v

v

v

1145

24027B

LHRH Test

1.27014B*627013B*6

2.

v

v

v

1834

24019B

Exercise test for GH

1.27008B*2

2.

v

v

v

567

24020B

L-dopa

L-dopa test for GH

1.27008B*5

2.

v

v

v

1265

24021B

Secretin test

1.27016B*6

2.

v

v

v

895

24022B

Pentagastrin test

1.27068B*4

2.

v

v

v

720

24023B

Somatomedine C

(insulin-like growth factor 1)

v

v

v

480

24024B

Clonidine

Clonidine stimulation test for HGH

1.27008B*5

2.

v

v

v

1307

24025B

Glucagon Test for HGH

1.27008B*809005C*5

2.

v

v

v

2110

24028B

-Glucagon Test for -cell function

1.09005C*627022B*6

2.

v

v

v

1049

24026B

Insulin stimulation test for G. H.

v

v

v

540

24029B

75Plasma glucose(fasting and 2 hours post 75 gm oral glucose loading)

v

v

v

144

1.09005C*2

2.24009C

3.

Specimen Examination (25001-25026)

25001C25004C25024C25025C

25001C

Surgical pathology Level

()

v

v

v

v

266

25002C

Surgical pathology Level

()()()

v

v

v

v

816

25003C

Surgical pathology Level III

Bartholin/Dupuytren's contracture()()Morgagni//()

v

v

v

v

1014

25004C

Surgical pathology Level IV

/()(margin)fibrocystic change////()()/()-(///)-(//)/-(//)

v

v

v

v

1741

25024C

Surgical pathology Level V

(margin)()/()()()()()/()

v

v

v

v

2778

25025C

Surgical pathology Level VI

()()()()()()()//()

v

v

v

v

4302

25006B

Frozen section

1.

2.

3.()

v

v

v

5618

25007B

Cytogenetics

1.

2.

(1)

(2)

(3)(pancytopenia)

(4)

(5)

3.

v

v

v

11871

25009B

Muscle biopsy

v

v

v

2182

25010B

Histochemical stain group

v

v

v

450

25011B

Histochemical stain group

v

v

v

1200

25012B

()

Immunohistochemical stains, each antibody

v

v

v

1354

25013B

()

Immunofluorescence group I, each antibody

(direct immunofluorescence)

v

v

v

4217

25026B

Immunofluorescence group II

(indirect immunofluorescence)

v

v

v

5010

25014B

Electron microscopy

v

v

v

12391

25021B

()

Chromosomal analysis , special

1.

2.

3.

4.

5.

v

v

v

4067

25022B

DOPA

DOPA reaction

v

v

v

450

25023B

Indirect immunofluorescence

v

v

v

614

Radioisotope Scanning

Scanning (26001-26077)

1.

2.

26001B

Brain scan

v

v

v

2160

26002B

Dacryoscintigraphy

v

v

v

1502

26003B

CSF dynamic study

v

v

v

2466

26004B

-99m Tc99m thyroid scan

v

v

v

1346

26005B

-13124

I-131 thyroid scan and 24 hrs uptake

v

v

v

1332

26006B

-131

I-131-uptake (1,3,6 or 24hrs)

v

v

v

801

26007B

T3 suppression test with uptake

v

v

v

878

26008B

T3 suppression with scan

v

v

v

836

26009B

TSH stimulation test

v

v

v

893

26010B

TSH stimulation test with scan

v

v

v

1658

26011B

-131 I-131 neck & chest scan

v

v

v

1766

26012B

-131 I-131 cancer work-up

v

v

v

2693

26013B

-201 Tl-201 cancer work-up

v

v

v

4868

26014B

Lung perfusion scan

v

v

v

2250

26015B

Lung ventilation study

v

v

v

2694

26016B

Liver and spleen scan

v

v

v

2035

26017B

whole body Bone marrow scan

v

v

v

4000

26018B

Ectopic gastric mucosa scan

v

v

v

2024

26019B

Scrotal scan

v

v

v

1952

26020B

Renal scan

v

v

v

1899

26021B

Adrenal scan

v

v

v

12337

26023B

Myocardial infarct study

v

v

v

1997

26024B

Resting myocardial perfusion study with SPECT

SPECT(26049B)

v

v

v

4959

26025B

Stress & redistribution myocardial perfusion study with SPECT

1.Persantin

2.26024B26049B

v

v

v

6328

26026B

Meckle's diverticulum scan

v

v

v

2051

26027B

Venography

v

v

v

1833

26028B

Arteriography

v

v

v

1852

26029B

Whole body bone scan

v

v

v

2352

26030B

Whole body tumor scan

v

v

v

6500

26031B

Whole body inflammation scan

v

v

v

5070

26032B

Plasma volume

v

v

v

1374

26033B

Red cell volume

v

v

v

1331

26034B

Red cell survival

v

v

v

2020

26035B

Spleen sequestration

v

v

v

2250

26036B

99m

Tc-99m RBC liver/spleen scan

v

v

v

2268

26037B

59 Fe-59 ferrokinetics study

v

v

v

5786

26038B

-131 I-131I treatment 1 mci per 1 mci

v

v

v

478

26039B

-125

I-125 fibrinogen uptake test

v

v

v

1964

26040B

Cholescintigraphy

v

v

v

2643

26041B

Schilling test

v

v

v

2168

26042B

-32

32P treatment for polycythemia vera

v

v

v

1360

26043B

Pulmonary function test

v

v

v

2800

26044B

Ventricular ejection fraction measurements

v

v

v

1813

26045B

Ventricular ejection fraction measurement & wall motion study

v

v

v

2372

26046B

-131

I-131 uptake after thyroxine intake

v

v

v

960

26047B

Resting cardiac function study

v

v

v

2250

26048B

Stress cardiac function study

v

v

v

3000

26049B

SPECT

v

v

v

1200

26050B

/

Dynamic renal/urinary function study

v

v

v

2370

26071B

/

Dynamic renal/urinary function study after intervention

v

v

v

3136

26051B

Sialoscintigraphy

v

v

v

2124

26052B

//

Shunt/peritoneal/pleural scan

v

v

v

2010

26053B

Esophageal transit study

v

v

v

1966

26054B

Gastrointestinal motility study

v

v

v

2430

26055B

Parathyroid scan

v

v

v

5349

26056B

Perchlorate discharge test

v

v

v

1500

26057B

Three-phase bone scan

v

v

v

2260

26058B

Quantitative sacroiliac scan

v

v

v

1870

26059B

Whole body muscle scan

v

v

v

2082

26060B

Bleeding scan

v

v

v

2770

26061B

Fatty liver study

v

v

v

2250

26062B

Gastric emptying study