IGF Binding Protein-3 (IGFBP-3)
*Build Your Own Panel Eligible [?]
|
$333
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Description:
Insulin-like growth factor binding protein 3 (IGFBP-3) is the main carrier of somatomedin C (also called insulin-like growth factor-1, or IGF-1) in the body. Blood levels of both these proteins are controlled by human growth hormone (hGH), a hormone made by the pituitary gland.
Patient Instructions:
No fasting needed.
Categories:
Price:
$333
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IgG
*Build Your Own Panel Eligible [?]
|
$113
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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:
$113
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IgG4 Food Panel III
*Build Your Own Panel Eligible [?]
|
$528
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|
Description:
- Pinpoint food sensitivities causing discomfort
- Reveal hidden triggers behind digestive issues
- Clarify the cause of unexplained symptoms
Includes:
Sugar Beet Seed (Beta vulgaris)
Green Bean
Pineapple
Shrimp
Onion
Turkey
Tuna
Broccoli
Grape
Categories:
Allergy blood testing,
Price:
$528
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IgG4 Food Panel IV
*Build Your Own Panel Eligible [?]
|
$564
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|
Description:
- Pinpoint food sensitivities causing discomfort
- Reveal hidden triggers behind digestive issues
- Clarify the cause of unexplained symptoms
Includes:
Peach
Cauliflower
Clam
Lettuce
Green Pea
Sweet Potato
Lobster
Black Pepper
Sesame Seed
Walnut Food (Juglans spp)
Categories:
Allergy blood testing,
Price:
$564
|
|
IgG4 Food Panel IX
*Build Your Own Panel Eligible [?]
|
$783
|
|
Description:
- Detect hidden food sensitivity triggers
- Check bloating and digestive discomfort causes
- Track skin and energy symptom patterns
Categories:
Price:
$783
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IgG4 Food Panel V
*Build Your Own Panel Eligible [?]
|
$528
|
|
Description:
- Identify foods causing digestive discomfort
- Screen for hidden food sensitivities
- Track symptoms linked to specific foods
Categories:
Price:
$528
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|
IgG4 Food Panel VI
*Build Your Own Panel Eligible [?]
|
$564
|
|
Description:
- Pinpoint food sensitivities causing discomfort
- Reveal hidden triggers behind digestive issues
- Clarify the cause of unexplained symptoms
Includes:
Cashew
Celery
Coffee
Crab
Flounder
Kiwi
Lamb
Pecan
Salmon
Categories:
Allergy blood testing,
Price:
$564
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|
IgG4 Food Panel VII
*Build Your Own Panel Eligible [?]
|
$492
|
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Description:
- Screen for hidden food sensitivities
- Identify digestive discomfort triggers
- Track skin and energy symptoms
Categories:
Price:
$492
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IgG4, IHC with Interpretation
*Build Your Own Panel Eligible [?]
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$436
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Description:
IgG4-related sclerosing disease is a clinicopathologically-defined immune disorder that can present in lymph node or other tissues. An increased number of IgG4+ plasma cells detected by this antibody can help establish the diagnosis, with cases showing histologic features of cutaneous pseudolymphomas and/or intra-germinal center and interfollicular plasmacytosis. Although the presence of increased numbers of IgG4+ plasma cells is not specific for this disease it can help differentiate it from inflammatory myofibroblastic tumor which typically shows absent or rare IgG4+ plasma cells.
Categories:
Price:
$436
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IgG4, IHC without Interpretation
*Build Your Own Panel Eligible [?]
|
$366
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Description:
IgG4-related sclerosing disease is a clinicopathologically-defined immune disorder that can present in lymph node or other tissues. An increased number of IgG4+ plasma cells detected by this antibody can help establish the diagnosis, with cases showing histologic features of cutaneous pseudolymphomas and/or intra-germinal center and interfollicular plasmacytosis. Although the presence of increased numbers of IgG4+ plasma cells is not specific for this disease it can help differentiate it from inflammatory myofibroblastic tumor which typically shows absent or rare IgG4+ plasma cells.
Categories:
Price:
$366
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IgG, CSF
*Build Your Own Panel Eligible [?]
|
$139
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Description:
- Detect nervous system immune activity
- Screen for neurological inflammation signs
- Monitor unexplained numbness or weakness
Categories:
Price:
$139
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IgG, IgA, Indirect Immunofluorescence
*Build Your Own Panel Eligible [?]
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$293
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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:
$293
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IgG, IHC with Interpretation
*Build Your Own Panel Eligible [?]
|
$442
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Description:
The following CD markers are expressed on specific hemotologic cells. Individual and a series of IHC markers can be run on unknown cells and presence or absence of the antigen can help to characterize the cell of interest.
Categories:
Price:
$442
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IgM
*Build Your Own Panel Eligible [?]
|
$113
|
|
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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:
$113
|
|
IgM, CSF
*Build Your Own Panel Eligible [?]
|
$139
|
|
Description:
- Detect central nervous system infections early
- Screen for brain and spinal inflammation
- Track immune response during neurological symptoms
Categories:
Price:
$139
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IgM, IHC with Interpretation
*Build Your Own Panel Eligible [?]
|
$263
|
|
Description:
- Check your immune system response
- Detect recent or active infections
- Monitor recurring illness patterns
Categories:
Price:
$263
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Imipramine
*Build Your Own Panel Eligible [?]
|
$269
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Description:
Imipramine is a tricyclic antidepressant drug used to treat depression. Therapeutic drug monitoring is used to optimize dose and to avoid toxicity.
Categories:
Price:
$269
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Immune Cell Function
*Build Your Own Panel Eligible [?]
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$615
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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:
$615
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Immune Complex Detection by C1q Binding
*Build Your Own Panel Eligible [?]
|
$346
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|
Description:
- Detect ongoing immune system inflammation
- Screen for autoimmune disease activity
- Monitor joint pain and fatigue causes
Categories:
Price:
$346
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Immunization Panel
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$194
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Description:
The immunization panel includes the 3 most commonly requested titer/immunity tests.
Includes:
Varicella-Zoster Virus (VZV) Antibodies, IgG (Chickenpox)
Hepatitis B Surface Antibody Test
Measles, Mumps, Rubella (MMR) Immunity Profile
Categories:
Immunization blood testing,
Price:
$194
|
|
Immunofixation (IFE) and Immunoglobulins Panel (IgG, IgA, IgM), Serum
*Build Your Own Panel Eligible [?]
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$368
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Description:
Immunofixation is useful in characterizing M components identified by protein electrophoresis. Quantitation of immunoglobulins provides an assessment of the magnitude and measure for monitoring the M component.
Categories:
Price:
$368
|
|
Immunofixation (IFE), Urine
*Build Your Own Panel Eligible [?]
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$302
|
|
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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
|
|
Immunofixation, Serum
*Build Your Own Panel Eligible [?]
|
$368
|
|
|
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
|
|
Immunoglobulin G Subclass 2
*Build Your Own Panel Eligible [?]
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$316
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Description:
Measurement of subclasses may be valuable aid in the management and understanding of immunodeficiency diseases, hypersensitivity states, and conditions involving susecptability to infection.
Categories:
Price:
$316
|
|
Immunoglobulin G Subclass 3
*Build Your Own Panel Eligible [?]
|
$316
|
|
|
Description:
IgG 3 deficiencies are found in a small percentage of individuals with recurrent infections. Increased levels are found in diseases such as Kawasaki's Disease, Primary Biliary Cirrhosis, Hepatitis B, Secondary Syphilis and Borreliosis.
Categories:
Price:
$316
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|
Immunoglobulin G Subclass 4
*Build Your Own Panel Eligible [?]
|
$316
|
|
Description:
- Check immune system inflammation levels
- Screen for unexplained gland swelling
- Monitor antibody activity over time
Categories:
Price:
$316
|
|
Immunoglobulins Panel, Serum
*Build Your Own Panel Eligible [?]
|
$268
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Description:
Elevations of IgG, A and/or M are seen in generalized hypergammaglobulinemia, chronic inflammatory conditions and in lymphoproliferative diseases such as multiple myeloma, lymphoma and leukemias. Decreased levels are found in immunodeficiency states, generalized hypogammaglobulinemia and in unrecognized pediatric patients.
Alternative names: Quantitative Immunoglobulins
Includes:
IgA
IgG
IgM
Categories:
Gastrointestinal diseases,
Infectious diseases,
Price:
$268
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In-Depth Kidney & Liver Checkup
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$1029
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|
Description:
- Reveal hidden kidney issues effortlessly
- Expose liver problems before they escalate
- Clarify the cause of your fatigue
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 Cystatin-C
Uric Acid, Serum Serum phosphorus Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated) Lactate; Plasma Lactate.
Lactic Acid Dehydrogenase (LD)(LDH), serum. Alpha-Fetoprotein (AFP), Serum Ammonia, Plasma Gamma Glutamyl Transpeptidase (GGT) Copper, Serum or Plasma Aldosterone, LC/MS Plasma Renin Activity, LC/MS/MS Aldo/Pra Ratio Beta-2 Microglobulin, Serum.
Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment. Ceruloplasmin
Alternative Name(s) Ferroxidase,Copper Oxidase,Copper Binding Globulin
Patient Instructions:
You should fast for 12-14 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12-14 hours before testing. Patient should avoid smoking prior to phlebotomy since smoking increases plasma ammonia levels. Phlebotomist should not use a tourniquet when collecting sample. Patient should not clench fist during collection, as muscular exertion often increases venous ammonia levels. Discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing.
Estimated turnaround for results is 5 business days. If confirmation testing is required, the estimated time may be extended.
Categories:
Price:
$1029
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In-Depth Thyroid Checkup
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$129
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|
Description:
- Measure if low energy is from thyroid
- Assess weight gain linked to thyroid issues
- Evaluate reasons for sleep and mood changes
Includes:
Tri-iodothyronine Free (FT3)
Thyroxine Free, Direct Dialysis (FT4)
Thyroid Peroxidase (TPO) Antibodies
Thyroid-Stimulating Hormone (TSH)
Patient Instructions:
No fasting needed. Some tests in this panel may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). Samples should not be collected during or soon after the administration of heparin. Patient should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.
Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended.
Categories:
Thyroid Tests,
Price:
$129
|
|
Indican, Urine
*Build Your Own Panel Eligible [?]
|
$62
|
|
Description:
- Check digestive discomfort and bloating causes
- Screen for gut bacteria imbalance
- Track digestion problems over time
Categories:
Price:
$62
|
|
Indium, Blood
*Build Your Own Panel Eligible [?]
|
$451
|
|
|
Description:
Exposure monitoring/investigation.
Categories:
Price:
$451
|
|
Industrial Cadmium Screen
*Build Your Own Panel Eligible [?]
|
$877
|
|
|
Description:
This panel is used for monitoring workers for potential exposure to cadmium in the workplace. The beta-2-microglobulin, blood and urine cadmium are integrated to specify the exposure category.
Categories:
Price:
$877
|
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Inflammation Test
*Build Your Own Panel Eligible [?]
|
$53
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Description:
This test is used to evaluate the nonspecific activity of infections, inflammatory conditions, autoimmune disorders, and plasma cell dyscrasias. Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. Patients with polycythemia and many hemoglobin abnormalities may have depressed sed rates whereas patients with anemia may have elevated sed rates.
A significant deviation from the normal range may require further evaluation by your physician.
Alternative Names(s):
Erythrocyte Sedimentation Rate; ESR; Westergren Sedimentation Rate: Sed Rate by Modified Westergren
Includes:
Sedimentation Rate, Modified Westergren
Patient Instructions:
There are no special instructions/requirements for the tests you ordered. No fasting needed.
Categories:
Musculoskeletal diseases,
Autoimmune diseases,
General wellness,
Price:
$53
|
|
Inflammatory Bowel Disease Differentiation Panel
*Build Your Own Panel Eligible [?]
|
$541
|
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Description:
This panel is useful in the diagnosis of Inflammatory Bowel diseases and can help to distinguish patients with ulcerative colitis from those with Crohn's Disease.
Alternative names: UC,IBD,Ulcerative Colitis,CD,Crohn's Disease
Includes:
ANCA Screen with Reflex to ANCA Titer
Myeloperoxidase Antibody (MPO)
Proteinase-3 Antibody
Saccharomyces cerevisiae Antibodies (ASCA) (IgG)
Saccharomyces cerevisiae Antibodies (ASCA) (IgA)
Categories:
Allergy blood testing,
Gastrointestinal diseases,
Infectious diseases,
Pediatrics,
Price:
$541
|
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Infliximab Anti-Drug Antibody
*Build Your Own Panel Eligible [?]
|
$548
|
|
|
Description:
Infliximab is a therapeutic monoclonal antibody with the ability to bind to tumor necrosis factor (TNF), an inflammatory cytokine, blocking its action. Infliximab is indicated for the treatment of Crohn's disease, ulcerative colitis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, plaque psoriasis, and juvenile idiopathic arthritis. It is immunogenic and a significant percentage of treated patients develop antibodies. In these patients, antibodies may be associated with lower trough levels of the drug. Results >38 AU/mL indicate the presence of anti-drug antibody.
Categories:
Price:
$548
|
|
Infliximab Level
*Build Your Own Panel Eligible [?]
|
$548
|
|
|
Description:
Infliximab is a therapeutic monoclonal antibody with the ability to bind to tumor necrosis factor (TNF), an inflammatory cytokine, blocking its action. Infliximab is indicated for the treatment of Crohn's disease, ulcerative colitis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, plaque psoriasis, and juvenile idiopathic arthritis. Trough concentrations of infliximab correlate with the likelihood of clinical remission, but the role of routine monitoring is not clear. Target concentrations may depend on indication, induction vs. maintenance, dosing schedules, drug clearance, and other factors.
Categories:
Price:
$548
|
|
Infliximab Level and Anti-Drug Antibody
*Build Your Own Panel Eligible [?]
|
$948
|
|
|
Description:
Infliximab is a therapeutic monoclonal antibody with the ability to bind to tumor necrosis factor (TNF), an inflammatory cytokine, blocking its action. Infliximab is indicated for the treatment of Crohn's disease, ulcerative colitis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, plaque psoriasis, and juvenile idiopathic arthritis. Trough concentrations of infliximab correlate with the likelihood of clinical remission, but the role of routine monitoring is not clear. Target concentrations may depend on indication, induction vs. maintenance, dosing schedules, drug clearance, and other factors. Infliximab is immunogenic and a significant percentage of treated patients develop antibodies. In these patients, antibodies may be associated with lower trough levels of the drug. Measuring both drug level and antibody may help manage patients with an inadequate clinical response. If drug concentrations are low and antibody levels are also low, drug optimization may be necessary. If drug concentrations are low and antibody levels are high, switching to another class of biologic agents may be necessary.
Categories:
Price:
$948
|
|
Influenza A and B and RSV RNA, Qualitative, Real-Time RT-PCR
*Build Your Own Panel Eligible [?]
|
$1215
|
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Description:
Persons at higher risk for Influenza include children 65, and those with significant co-morbidities. RSV infection is more prevalent in infants and toddlers, but is also observed in the adult population particularly in elder care facilities or among the immunocompromised population.
Categories:
Price:
$1215
|
|
Influenza A and B Antigen, DFA
*Build Your Own Panel Eligible [?]
|
$372
|
|
|
Description:
Respiratory viruses are responsible for a significant proportion of illness in human populations. Diagnosis may facilitate appropriate selection of specific antiviral drug therapy, prevent inappropriate use of antibiotics and guide patient management decisions.
Categories:
Price:
$372
|
|
Influenza A and B Antigen, Immunoassay
*Build Your Own Panel Eligible [?]
|
$411
|
|
|
Description:
Influenza is an acute viral disease that is seasonal in incidence, occurring in the colder months. The illness classically presents with sudden onset of fever, chills, headache, myalgia and a non-productive cough. Influenza A or B virus cause the majority of clinically significant disease, with influenza C virus being responsible only for mild, predominately upper respiratory tract illness. Patients who present with suspected influenza may benefit from treatment with antiviral agents. Since the therapeutic options have expanded to include options for the treatment of influenza B disease, it is important to rapidly distinguish influenza A from influenza B in order to allow physicians a choice in selective antiviral intervention. This will also allow for the appropriate preventative intervention to be taken in institutions where measures can be taken for susceptible individuals. It is therefore important to not only rapidly determine whether influenza is present, but also which type of influenza virus is present.
Categories:
Price:
$411
|
|
Influenza A and B RNA, Qualitative Real-Time PCR
*Build Your Own Panel Eligible [?]
|
$634
|
|
|
Description:
This test is used to determine the presence of Influenza A or B in a patient's specimen. Organisms may be detected by PCR prior to diagnosis by immunological methods. PCR provides more rapid results than other methods, including culture.
Categories:
Price:
$634
|
|
Influenza A and B RNA, Qualitative RT-PCR, Conjunctiva with Reflex to H5
*Build Your Own Panel Eligible [?]
|
$634
|
|
|
Description:
This test is for detection of Influenza A virus, with reflex to H5 typing. The H5 reflex is a qualitative molecular diagnostic test performed on Influenza A positive samples to identify Influenza A H5 virus, including H5N1, commonly known as Avian Influenza. The reflex test does not subtype for seasonal influenza viruses. This test is intended to be performed on conjunctiva specimens collected from individuals suspected of infection with Influenza A H5, or who meet the Centers for Disease Control and Prevention (CDC) clinical and/or epidemiological criteria for Influenza A H5N1 testing. For details visit: https://www.cdc.gov/bird-flu/hcp/clinicians-evaluating-patients.Laboratory test results should always be considered in the context of clinical observations and epidemiological data in making a final diagnosis and patient management decisions.
Categories:
Price:
$634
|
|
Influenza A and B RNA, Qualitative RT-PCR, Respiratory with Reflex to H5
*Build Your Own Panel Eligible [?]
|
$634
|
|
|
Description:
This screening test reflexes to the Influenza A (H5) Virus RNA, Qualitative Real-Time PCR test when influenza A is detected. The H5 reflex is a qualitative multi-target molecular diagnostic test that aids in the detection of the Influenza A H5 virus, including H5N1, commonly known as Avian Influenza. The reflex test does not detect Influenza B or other respiratory viurses. This test is intended to be performed on respiratory specimens collected from individuals suspected of infection with Influenza A H5, or who meet the Centers for Disease Control and Prevention (CDC) clinical and/or epidemiological criteria for Influenza A H5N1 testing. For details visit: https://www.cdc.gov/bird-flu/hcp/clinicians-evaluating-patients.Laboratory test results should always be considered in the context of clinical observations and epidemiological data in making a final diagnosis and patient management decisions.
Categories:
Price:
$634
|
|
Influenza A and B Virus with Subtyping, Real-Time PCR
*Build Your Own Panel Eligible [?]
|
$929
|
|
|
Description:
This test is used to determine the presence of Influenza A or B viral RNA in a patient's specimen, and to differentiate among possible Influenza A virus subtypes.
Categories:
Price:
$929
|
|
Inhibin A
*Build Your Own Panel Eligible [?]
|
$451
|
|
|
Description:
Inhibin A is useful as an indicator of gonadal function, and ovarian response to hMg or to FSH stimulation. Inhibin A, produced by the placenta, is used along with other maternal serum biochemical markers to improve sensitivity of the screen for Down Syndrome risk.
Categories:
Price:
$451
|
|
Inhibin B
*Build Your Own Panel Eligible [?]
|
$281
|
|
Description:
- Measures ovarian function in women.
- Checks testicular function in men.
- Assesses fertility health indicators.
Categories:
Price:
$281
|
|
Insulin, 2-Hour
*Build Your Own Panel Eligible [?]
|
$137
|
|
|
Description:
For diagnosis and monitoring of diabetes and insulin-secreting tumors.
Categories:
Price:
$137
|
|
Insulin Autoantibody
*Build Your Own Panel Eligible [?]
|
$413
|
|
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Description:
Key clinical use and differentiatorsMeasurement of Insulin Autoantibody (IAA) is used to: 1. Screen for presymptomatic type 1 diabetes (T1D) in individuals with a family history of T1D or those known to have a high-risk HLA genotype, 2. Distinguish between T1D, type 2 diabetes mellitus (T2D), and atypical forms of diabetes such as latent autoimmune diabetes in adults (LADA). [1] Insulin Autoantibody (IAA) is used to help predict the need for insulin treatment in adults with diabetes who have not received treatment with insulin. [1]Intended Clinical UseThis test is crucial for differentiating between T1D and T2D. It is important to note that classifying diabetes type can be challenging at the time of presentation, and misdiagnosis can occur in approximately 40% of adults with new T1D. [1]Identifying individuals affected by stage 1 T1D is important for applying eligibility criteria to drugs, such as Teplizumab, which have demonstrated the ability to delay the transition of stage 1 to stage 3 T1D in clinical trials [2,3]IAA has some distinctive features, including that usually it is the first detected autoantibody in young children, [4] its appearance is more common in younger children [5] and its frequency of appearance declines with age. IAA is not informative for individuals treated with insulin, who often develop antibodies in response to injected insulin. [6]LimitationsT1D is classified into three stages, with stages 1 and 2 considered presymptomatic. Since the presence of stage 1 and 2 T1D requires at least two islet autoantibodies, relying solely on IAA as a screening test limits the ability to make an accurate diagnosis. Professional organizations, including the American Diabetes Association (ADA), recommend using tests for all four islet cell autoantibodies: IAA, glutamic acid decarboxylase (GAD65), Zinc Transporter 8 (ZnT8), and islet cell antigen 2 antibody (IA-2).[1]References1. American Diabetes Association Professional Practice C. 2. Diagnosis and Classification of Diabetes: Standards of care in Diabetes-2025. Diabetes Care. 2025;48:S27-S49. doi: 10.2337/dc25-S0022. Herold KC, Gitelman SE, Gottlieb PA, Knecht LA, Raymond R, Ramos EL. Teplizumab: A Disease-Modifying Therapy for Type 1 Diabetes That Preserves beta-Cell Function. Diabetes Care. 2023;46:1848-1856. doi: 10.2337/dc23-06753. Ramos EL, Dayan CM, Chatenoud L, Sumnik Z, Simmons KM, Szypowska A, Gitelman SE, Knecht LA, Niemoeller E, Tian W, et al. Teplizumab and beta-Cell Function in Newly Diagnosed Type 1 Diabetes. N Engl J Med. 2023;389:2151-2161. doi: 10.1056/NEJMoa23087434. Hummel S, Ziegler AG. Early determinants of type 1 diabetes: experience from the BABYDIAB and BABYDIET studies. Am J Clin Nutr. 2011;94:1821S-1823S. doi: 10.3945/ajcn.110. 0006465. Ziegler AG, Bonifacio E, Group B-BS. Age-related islet autoantibody incidence in offspring of patients with type 1 diabetes. Diabetologia. 2012;55:1937-1943. doi: 10.1007/ s00125-012-2472-x6. Phillip M, Achenbach P, Addala A, Albanese-O'Neill A, Battelino T, Bell KJ, Besser REJ, Bonifacio E, Colhoun HM, Couper JJ, et al. Consensus Guidance for Monitoring Individuals With Islet Autoantibody-Positive Pre-Stage 3 Type 1 Diabetes. Diabetes Care. 2024. doi: 10.2337/ dci24-0042
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Price:
$413
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Insulin, Fasting
*Build Your Own Panel Eligible [?]
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$58
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Description:
The lack of insulin causes the level of sugar in your blood to become abnormally high. When your body does not have enough insulin, it is hard for sugar to enter your cells. Sugar builds up in the blood. Too much sugar in your blood can cause many problems. These problems can be life-threatening if they are not treated. However, proper treatment can control your blood sugar level.
A significant deviation from the normal range may require further evaluation by your physician.
Includes:
Insulin.
Patient Instructions:
Fast for 12 hours prior to specimen collection. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing.
Categories:
Diabetes blood testing,
Price:
$58
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Insulin, Free (Bioactive)
*Build Your Own Panel Eligible [?]
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$374
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Description:
The free insulin measurement is helpful in interpreting blood sugar concentration and its relationship to insulin injections in insulin-treated patients with insulin antibodies.
Patient Instructions:
Overnight fasting is required
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Price:
$374
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