2020 MORL Test Catalog/Menu- No Weekend Deliveries
2020 MORL Hearing Loss Test Requisition Form
2020 MORL Kidney Testing Requisition Form
2020 HEAR VUS -Request Evaluation Form

Hearing Genetic Testing Test Codes CPT Codes Cost TAT
OtoSCOPE® panel OTOSC08 81430, 81431 $1650   6 weeks   
Usher panel:  USH1 genes: MYO7A, USH1C, CDH23, PCDH15, USHIG, CIB2;
USH2 genes: USH2A, GPR98, WHRN (DFNB31); USH3 genes: CLRN)
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
MTRNR1- C1494T and A1555G variants MTRNR1 81401 – MTRNR1 $185 8 weeks
MTTL1-A3243G variant MTTL1 81401 – MTTL1 $185 8 weeks
MTTS1-A7445G variant MTTS1 81401 – MTTS1 $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 (appropriate for patients with TMA, TTP, aHUS, DDD and
C3GN) - genes included: 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/Sanger Familial Variant Testing (cost is per person/per gene) GRPFAM 81403 $220 2 weeks
Functional/Biomarker Tests - Panels Test Codes CPT Codes Cost TAT
TMA Functional Panel (11 tests - FH autoantibody, Hemolytic Assay, CH50eqAPFA,
Bb, FH, FI, FB, C3, C4, & sC5b-9.)
07TMAFP 83516, 83520, 86160 (x6), 86161(x2), 86162 $2389 4 weeks
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 83516(X2), 83520, 86160 (x10), 86161(x5), 86162, 86334 $4500 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 1/3/2020