- 2021 MORL Test Catalog/Menu- No Weekend Deliveries
- Current MORL Hearing Loss Test Requisition Form
- Current MORL Kidney Testing Requisition Form
- Current HEAR VUS -Request Evaluation Form
Hearing Genetic Testing | Test Codes | CPT Codes | Cost | TAT |
---|---|---|---|---|
OtoSCOPE® panel | OTOSC09 | 81430, 81431 | $1950 | 6 weeks |
Usher panel (10 genes; Next Generation Sequencing (NGS) panel and copy number variant analysis) | USH01 | 81404(x2), 81407(x3), 81408 (x2), 81479(x3) |
$1650 | 6 weeks |
GJB2/GJB6 (Connexin 26/30) | GJB2_6 | 81252 / 81254 | $356 | 8 weeks |
GJB2/GJB6 (Connexin 26/30) familial | GJB2_6F | 81253 | $220 | 8 weeks |
MT-RNR1- C1494T and A1555G variants | MTRNR1 | 81401 – MT-RNR1 | $185 | 8 weeks |
MT-TL1-A3243G variant | MTTL1 | 81401 – MT-TL1 | $185 | 8 weeks |
MT-TS1-A7445G variant | MTTS1 | 81401 – MT-TS1 | $185 | 8 weeks |
OtoSCOPE® Familial Variant Testing (cost is per person/per gene) | OTOSCFAM | 81403 | $220 | 8 weeks |
HEAR VUS Program: Variant reclassification program for qualifying families | HEARVUS | 81403 | --- | 6 weeks |
Gene Specific Testing: Please contact MORL prior to ordering to discuss availability, test methods, and cost. |
Single gene testing may be available for hearing loss genes included on the current OtoSCOPE panel. | Please contact MORL | Please contact MORL | |
Kidney Genetic Testing | Test Codes | CPT Codes | Cost | TAT |
Genetic Renal Panel (CFH, CFI, MCP, CFB, CFHR5, C3, THBD, ADAMTS13, PLG, DGKE, MMACHC, G6PD and MLPA) | GRP07 | 81479, 81405 |
$3000 | 3 weeks |
MLPA (screening the CFH-CFHR5 genomic region) | MLPA02 | 81405 | $686 | 3 weeks |
Genetic Renal Panel Familial Variant Testing (cost is per person/per gene) | GRPFAM | 81403 | $220 | 2 weeks |
Functional/Biomarker Tests - Panels | Test Codes | CPT Codes | Cost | TAT |
C3G Functional Panel (Includes the three micro-panels below [Complement Antibody Panel, Complement Biomarker Panel, Complement Pathway Panel]; appropriate for the initial evaluation of C3G patients, i.e. DDD or C3GN) | 07C3GFP | 86161 (x5), 83516 (x2), 86160 (x10), 83520, 86334, 86162 | $4500 | 4 weeks |
TMA Functional Panel (11 tests - CH50eq, APFA, Hemolytic Assay, FH autoantibody, C3, C4, FB, Bb, sC5b-9, FH, & FI .) | 07TMAFP | 83516, 83520, 86160 (x6), 86161(x2), 86162 | $2389 | 4 weeks |
Complement Antibody Micro-Panel (6 tests - FB autoantibody, FH autoantibody, Nef Activity Assay (IFE), C3Nef (C3CSA), C4Nef, C5Nef (C3CSAP); appropriate for following antibody levels) |
01AMP | 83516 (x2), 86161(x3), 86334 | $1812 | 4 weeks |
Complement Biomarker Micro-Panel (11 tests - soluble C5b-9, FB, FH, FI, Ba, Bb, C3, C3c, C4, C5 and Properdin Levels; appropriate for following biomarker levels) |
02CBMP | 83520, 86160 (x10) | $2605 | 4 weeks |
Complement Pathway Micro-Panel (3 tests - Hemolytic Assay, APFA, CH50eq; appropriate for following complement activity and complement blockade) | 01CPMP | 86161 (x2), 86162 | $691 | 4 weeks |
Functional Tests - a la carte - Serum (1 ml frozen) | Test Codes | CPT Codes | Cost | TAT |
CH50eq | 06CH50 | 86161 | $119 | 2 weeks |
Alternative Pathway Functional Assay (APFA) | 06APFA | 86161 | $220 | 2 weeks |
Hemolytic Assay | 06HA | 86162 | $352 | 4 weeks |
C3b Deposition Assay | 01C3BDA | 86162 | $300 | 4 weeks |
FB Autoantibody Testing | 06FBAA | 83516 | $356 | 4 weeks |
FH Autoantibody Testing | 06FHAA | 83516 | $356 | 2 weeks |
Nef Activity Assay (IFE) | 06NAA | 86334 | $200 | 4 weeks |
C3Nef (C3CSA) | 06C3NEF | 86161 | $250 | 4 weeks |
C5Nef (C3CSAP) | 06C5NEF | 86161 | $250 | 4 weeks |
C4Nef | 06C4NEF | 86161 | $400 | 4 weeks |
Biomarker Tests - a la carte - EDTA Plasma (1 ml frozen) | Test Codes | CPT Codes | Cost | TAT |
C3 Level | 06C3L | 86160 | $110 | 2 weeks |
C3c Level | 06C3CL | 86160 | $358 | 4 weeks |
C4 Level | 06C4L | 86160 | $110 | 2 weeks |
Factor B Level (FB) | 06FBL | 86160 | $165 | 2 weeks |
Ba Level | 06BAL | 86160 | $275 | 2 weeks |
Bb Level | 06BBL | 86160 | $275 | 2 weeks |
Properdin Level | 06PL | 86160 | $330 | 2 weeks |
C5 Level | 06C5L | 86160 | $300 | 2 weeks |
Soluble C5b-9 (sMAC) | 06SMAC | 83520 | $352 | 2 weeks |
Factor H Level (FH) | 06FHL | 86160 | $165 | 2 weeks |
Factor I Level (FI) | 06FIL | 86160 | $165 | 2 weeks |
ADAMTS-13 Assays - Citrated Plasma (1 ml frozen) | Test Codes | CPT Codes | Cost | TAT |
ADAMTS-13 Activity Assay | 01ATS13 | 85397 | $400 | 24 hours |
ADAMTS-13 Activity Assay w/ reflex to ADAMTS-13 Inhibitor Assay if activity <25% | 01ATS13RFX | 85397, 85335 | $800 | 24 hours |
Prices & tests offered subject to change on an quarterly basis. Effective 1/4/2021