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Biomarkers Order Form

Lab OrderPatient Name & Address
Shipping
Payment
Select BiomarkersQuantityPrice
Testosterone, Free, Bioavailable & Total, MS
1
$40.00
Testosterone, Free (Dialysis) & Total, MS
1
$35.00
Testosterone, Total, MS
1
$20.00
Testosterone, Free
1
$25.00
Sex Hormone Binding Globulin (SHBG)
1
$25.00
Comprehensive Metabolic Panel (CMP) & Complete Blood Count (CBC)
1
$20.00
Prostate-Specific Antigen (PSA, Total)
1
$20.00
Liver Function: ALT, AST, ALP, Bilirubin, Albumin, A/G Ratio
1
$16.00
C-Reactive Protein (CRP)
1
$19.00
IGF-1
1
$30.00
Kidney Profile
1
$32.00
Hemoglobin A1c
1
$10.00
Prolactin
1
$20.00
Cortisol, A.M.
1
$14.00
Thyroid with TSH
1
$25.00
Iron, TIBC and Ferritin
1
$23.00
Lipid
1
$10.00
Estradiol
1
$20.00
LH & FSH
1
$25.00
Order Summary
Biomarkers ~ Quest DiagnosticsQuantityAmount
Testosterone, Free, Bioavailable & Total, MS1$ 40.00
Order Total
$0.00

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