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Denver Genetic Laboratories
 

Mitochondrial Laboratory

Test Information, Pricing, and CPT Codes for Mitochondrial Assays


Printer-friendly format: Biochemical Laboratory Tests, CPT Codes, and Prices (PDF)

  • Click on any underlined test below for more detailed information.

Requsition Form for Mitochondrial Assays


PLEASE NOTE: WE DO NOT BILL PATIENTS OR THEIR INSURANCE COMPANIES.

Mitochondrial Assays:

Test Shipping
Temperature
Price Sample
Size (mL)
CPT
Code

Glycine cleavage microassay

Frozen

$600

Liver

82657, 82658

Mitochondrial respiratory chain enzyme regular assay1

Frozen

$750

Muscle or Liver

82657 x 6

Mitochondrial respiratory chain enzyme assay - skin fibroblasts

Ambient

$1,090

Fibroblasts 82657 x 6, 88233 x 1, 88240 x1

Mitochondrial respiratory chain enzyme microassay1

Frozen

$1,000

Liver

82657 x 6

Blue native electrophoresis with in-gel mitochondrial enzyme analysis - muscle or liver1

Frozen

$800

Muscle or Liver

82657 x 4, 82664 x 1

Blue native electrophoresis with in-gel mitochondrial enzyme analysis - skin fibroblasts

Ambient

$1,150

Fibroblasts

82657 x 4, 82664 x 1, 88233 x 1, 88240 x 1

Combined mitochondrial respiratory chain enzyme assay and blue native electrophoresis with in-gel mitochondrial enzyme analysis - muscle or liver1

Frozen

$1,300

Muscle or Liver

82657 x 10, 82664 x 1

Combined mitochondrial respiratory chain enzyme assay and blue native electrophoresis with in-gel mitochondrial enzyme analysis - skin fibroblasts

Ambient

$1,550

Fibroblasts

82657 x 10, 82664 x 1, 88233 x 1, 88240 x 1

Pyruvate dehydrogenase enzyme assay - skin fibroblasts

Ambient

$750

Fibroblasts

82657 x 1, 82658 x 1, 88233 x 1, 88240 x 1



1Tissue specimens must be immediately frozen on dry ice, stored at -70oC, and shipped frozen on dry ice. In both the regular assay and the microassay, six assays are performed — all with the same CPT code. Microassay (available on liver only) is required for specimens of less than 60 mg.

 
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