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Sunrise Multispecialist Medical Center <br /> Drug Screens: <br /> $45.00-Breath Alcohol Test <br /> $35.00-DS Basic 9 Panel NON-DOT send out Quest <br /> $45.00-DS Rapid 10 Panel Drug Screen <br /> $45.00-DS DOT Drug Screen send out Quest <br /> $90.00-DS Oral Fluid Saliva 40002N 8 Panel <br /> $90.00-DS Oral Fluid Saliva 40004N 7 Panel <br /> $90.00-DS Oral Fluid Saliva 40068N Marijuana <br /> $50.00-MRO fee;Positive Substance results <br /> $5.00 -MRO fee:Negative results:$5.00 <br /> Other Services: <br /> $10.00-Lift Test:waist to chest <br /> $10.00-Lift Test:floor to waist <br /> $10:00-Snellen Vision <br /> $10.00-Near Vision:Titmus <br /> $10.00-Peripheral Vision test(near/far peripheral) <br /> $10.00-Basic Color Vision <br /> $15.00-Ishihara Color Vision 14 Plates <br /> $30.00-Audlogram <br /> $50.00-PFT Pulmonary function/Spirometry Test <br /> $40.00-EKG <br /> $70.00-X-Ray Lumbar <br /> $45.00-X-Ray Chest <br /> $100.00-EIS Protocol(Exercise induced Bronchospasm) <br /> Mask Fit Respirator Testing and Clearance Evaluation: <br /> $50.00-Mask/Respirator Fit Test Qualitative <br /> $15.00-OSHA Respirator Questionnaire <br /> $50.00-Spirometry/Pulmonary Function Test <br /> $45.00-Chest X-ray 2 view <br /> Vaccine/immune Titers: <br /> $95.00-Vaccine Hepatitis B Adult <br /> $35.00-Vaccine Flu <br /> $200.00-Vaccine MMR <br /> $68.00-Vaccine Td-Tetanus&Diptherla <br /> $35.00-TB Skin Test <br /> $150.00-Quantiferon TB Blood Test <br /> $25.00-Venipuncture Lab Draw <br /> $37.00-Titer Varicells Zooster AB IgG <br /> $30.00-Titer Rubella Antibody IgG <br /> $25.00-Titer Hepatitis C Antibody <br /> $25.00-Titer Hepatitis B Surface Antibody AS Quantitative <br /> $30.00-Titer Mumps Virus IgG <br /> 3 <br /> $25.00-Titer Measles AB IgG <br /> $50.00 Titer MMR <br /> i <br /> Sunrise Multispecialist Medical Center <br /> Page j 6 <br />