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BioHealth DIAGNOSTICS Test Fee Schedule Fees/panels subject to change - Specimen collection kits sent within the United States include prepaid FedEx mailers. Clients in all other countries are urged to use a similarly reliable carrier for rapid return of specimens to the lab. - Complimentary clinical support, including test interpretation and therapeutic suggestions, are available by appointment with practicing clinicians with real world experience resolving health disorders. - BioHealth Diagnostics Laboratory, founded in 1998, is based in California, a state with the strictest laboratory regulations in the United States. CLIA certified (Federal certification) License Number: 05D0982456. California Department of Health Services certified, License Number: CLF11695 TEST # Test Name and Description Specimen FEE HORMONES Functional Adrenal Stress Profiles 201 Functional Adrenal Stress Profile 4 cortisol, 2 averaged DHEA-S Saliva $106 201-S Functional Adrenal Stress Profile w/ sIgA x 4 4 cortisol, 2 averaged DHEA-S; Secretory IgA x 4; includes 1-Day Patient Diary Saliva $166 202 Functional Adrenal Stress Profile II 4 cortisol, 2 averaged DHEA-S, estradiol, testosterone (AM) Saliva $141 202-S Functional Adrenal Stress Profile II w/ sIgA x 4 4 cortisol, 2 averaged DHEA-S, estradiol, testosterone (AM); Secretory IgA x 4; includes 1-Day Patient Diary Saliva $201 203 Functional Adrenal Stress Profile plus III 4 cortisol, 2 averaged DHEA-S, estradiol, testosterone (AM), melatonin (bedtime) Saliva $161 203-S Functional Adrenal Stress Profile plus III w/ sIgA x 4 4 cortisol, 2 averaged DHEA-S, estradiol, testosterone (AM), melatonin (bedtime); Secretory IgA x 4; includes 1-Day Patient Diary Saliva $221 204 Functional Adrenal Cortisol Rhythm 4 cortisol Saliva $86 204-S Functional Adrenal Cortisol Rhythm w/ sIgA x 4 4 cortisol; Secretory IgA x 4; includes 1-Day Patient Diary Saliva $146 205 Functional Adrenal Stress Profile plus V 4 cortisol, 2 averaged DHEA-S, estradiol, estriol, testosterone (AM), melatonin (bedtime), progesterone (bedtime) Saliva $176 205-S Functional Adrenal Stress Profile plus V w/ sIgA x 4 4 cortisol, 2 averaged DHEA-S, estradiol, estriol, testosterone (AM), melatonin (bedtime), progesterone (bedtime); Secretory IgA x 4; includes 1-Day Patient Diary Saliva $236 205E Functional Adrenal Stress Profile plus V with Estrone 4 cortisol, 2 averaged DHEA-S, estradiol, estriol, estrone, testosterone (AM), melatonin (bedtime), progesterone (bedtime) Saliva $196 205E-S Functional Adrenal Stress Profile plus V w/ sIgA x 4 with Estrone 4 cortisol, 2 averaged DHEA-S, estradiol, estriol, estrone, testosterone (AM), melatonin (bedtime), progesterone (bedtime); Secretory IgA x 4; includes 1-Day Patient Diary Saliva $256 Female/Male Hormone Profiles 207 Premenopause Hormone Profile 11 estradiol, 2 testosterone (AM), 11 progesterone Saliva $186 208 Expanded Premenopause Hormone Profile 17 estradiol, 2 testosterone (AM), 17 progesterone Saliva $221 209 Female Hormone Profile DHEA-S, estradiol, estriol, testosterone (AM), progesterone Saliva $101 BioHealth Diagnostics - 800-570-2000 - www.biodia.com Page 1 of 3 BioHealth DIAGNOSTICS TEST # Test Fee Schedule Fees/panels subject to change Test Name and Description HORMONES Specimen FEE (continued) Female/Male Hormone Profiles (continued) 209E Female Hormone Profile w/ Estrone DHEA-S, estradiol, estriol, estrone, testosterone (AM), progesterone Saliva $123 235 3-Day Female Hormone Profile Estradiol, progesterone and testosterone x 3; DHEA-S x 1 Saliva $170 237 Male Hormone Profile Cortisol, DHEA-S, Progesterone, Testosterone, DHT, Estrone, Androstenedione Saliva $121 Single Hormone Markers 251 Single Cortisol Saliva $37 252 Single Estradiol Saliva $37 253 Single Estriol Saliva $37 254 Single Melatonin Saliva $47 255 Single Progesterone Saliva $37 256 Single Testosterone Saliva $37 258 Single Estrone Saliva $42 259 Single DHT Saliva $52 260 Single Androstenedione Saliva $47 Hormones - Other 206 DHEA Monitoring DHEA-S, estradiol, testosterone (AM) Saliva $72 210 Melatonin Biorhythm Profile 4 melatonin Saliva $102 211 DHEA-S Average 2 averaged DHEA-S Saliva $62 270 Expanded Circadian Rhythm Saliva Cortisol (8am, Noon, 4pm, 8pm, Midnight, 4am); DHEA-S (8am, 8pm, Midnight); Estradiol (8am); Testosterone (8am); Progesterone (8am) Saliva $190 METABOLISM 101 Metabolic Assessment Profile Lipid peroxides, urinary bile acid sulfates (UBAS), indican Urine $132 107 Indican Urine $57 108 Urinary Bile Acid Sulfates (UBAS) Urine $67 109 Lipid Peroxides (LPO-CC) Urine $67 401 GI Pathogen Screen Ova & parasites x 4 (Trichrome stain) plus antibodies to the antigens of Giardia lamblia, Cryptosporidium parvum, Entamoeba histolytica. Plus Stool x 1: Bacteria, fungi, yeasts, occult blood, Clostridium difficile: Colitis toxins A & B Stool $172 401H GI Pathogen Screen with H. pylori Antigen (Combination: #401 and #418) Stool $267 402 GI Parasite Screen Ova & parasites x 4 (Trichrome stain) plus antigens to Giardia lamblia, Cryptosporidium parvum, Entamoeba histolytica Stool $157 GI INFECTIONS Page 2 of 3 BioHealth Diagnostics - 800-570-2000 - www.biodia.com BioHealth DIAGNOSTICS TEST # Test Fee Schedule Fees/panels subject to change Test Name and Description GI INFECTIONS Specimen FEE (continued) 410 Ova & Parasite Ova & parasites x 4 (Trichrome stain): protozoa, flatworms, roundworms, etc. Stool $132 411 Bacterial Pathogens Culture for bacterial pathogens Stool $57 412 Yeast Culture Stool $57 413 Occult Blood Stool $27 414 Giardia Antigen Giardia lamblia antigen w/ Trichrome stain Stool $47 415 Cryptosporidium Antigen Cryptosporidium parvum antigen w/ Trichrome stain Stool $47 416 Entamoeba histolytica Antigen Entamoeba histolytica antigen w/ Trichrome stain Stool $47 417 Clostridium difficile: Colitis Toxins A & B Clostridium difficile: Colitis toxins A & B Stool $47 418 Helicobacter pylori Stool Antigen Stool $107 383 Helicobacter pylori Antibodies Antibodies IgG, IgM, IgA to Helicobacter pylori Blood $128 397 Parasite Antibodies Profile II IgM, IgG to Giardia lamblia, Entamoeba histolytica Blood $120 398 Parasite Antibodies Profile III IgM, IgG to Giardia lamblia, Entamoeba histolytica, Toxoplasma gondii Blood $140 IMMUNOLOGY Invasive Candida 228 D-Arabinitol (Blood) Blood $80 238 D-Arabinitol (Saliva) Saliva $57 Celiac Disease/Gluten Intolerance 230 Celiac/Gluten Sensitive Enteropathy Profile Total Serum IgA, IgA to Transglutaminase, IgA/IgG to gliadin; Salivary sIgA, IgA to gliadin Blood/ Saliva $177.50 234 Secretory IgA/Gliadin IgA Saliva $78 236 Gliadin IgA Blood $60 262 Gliadin IgG Blood $60 263 Transglutaminase IgG Blood $60 264 Gliadin IgA/IgG w/ Transglutaminase IgG Blood $120 Mucosal Barrier 302 Mucosal Immunity Profile Secretory IgA x 4; includes 1-Day Patient Diary Saliva $92 304 Mucosal Barrier Function Screen (Salivary) Available March, 2009 IgA+IgM (combined) to: Combined dietary proteins (Wheat, Corn, Soy, Cow's Milk, Egg); aerobic bacteria; anaerobic bacteria; Candida yeast Saliva $250 309 Mucosal Barrier Function Screen (Serum) Available Late March, 2009 IgG, IgM, IgA to: Combined dietary proteins (Wheat, Corn, Soy, Cow's Milk, Egg); aerobic bacteria; anaerobic bacteria; Candida yeast Serum $250 Saliva $47 Immunology – Other 310 Secretory IgA BioHealth Diagnostics - 800-570-2000 - www.biodia.com Page 3 of 3