LABACCESS PARTNERSHIP

1 LABACCESS PARTNERSHIP (LAP) PROGRAMA ccess to affordable health care is widely recognized as a national other members of the health care community, LabCorp wants to help. LabCorp is making available its LABACCESS PARTNERSHIP (LAP) program to assist the uninsured population in obtaining and/or continuing access to quality laboratory services. What is the LAP Program?The LAP program is a menu of routine clinical tests that are available to uninsured patients at discounted prices when those patients use LabCorp Patient Service Centers (PSC) for specimen collection. A list of LAP tests and their discounted fees is is eligible for the LAP Program?

2 The LAP program is available to self-pay patients who are uninsured or whose health care benefits exclude coverage for clinical laboratory testing services. How can uninsured patients participate? Patients must present their test request paperwork at a LabCorp PSC for specimen collection. A list of PSCs, including hours of operation and directions, is available by calling toll-free 888-LabCorp (522-2677) or by visiting the LabCorp Web site ( ). LabCorp is pleased to make the LABACCESS PARTNERSHIP program available to uninsured patients. If you have questions or would like additional information, contact your LabCorp : Patients with prior unpaid laboratory charges may not be eligible for the program until overdue balances are access the LAP Program, patients must pay the discounted fees of the ordered laboratory tests in full at the time of service.

3 **If reflex testing is performed, additional CPT codes and charges may apply. Fees are subject to N Test NameLAP Price006056 ABO Grouping$ Grouping and Rho(D) Typing$ Concentration and Antiadalimumab Antibody (Serial Monitor)$ Bacterial Culture, General$ Culture, Extended Incubation$ Aminotransferase (ALT/SGPT)$ $ Phosphatase$ Profile With Total IgE, Respiratory Area 2$ Profile With Total IgE, Respiratory Area 3$ Profile, Food$ Profile, Food Basic$ Profile, Food Berry$ Profile, Food Citrus$ Profile, Food Fish$ Profile, Food Fruit$ Profile, Food Grain$ Profile, Food Milk$ Profile, Food Nuts$ Profile, Food Shellfish$ Profile, Hymenoptera Profile 2$ Profile, Mini Profile$ Profile, Mold$ Profile, Perennial Allergen$ Profile Plus, IgE (Pediatric)$ -Fetoprotein (AFP) Tetra Profile$ -Fetoprotein (AFP), Amniotic Fluid$ -Fetoprotein (AFP)

4 , Maternal Serum for Open Spina Bifida$ -Fetoprotein (AFP), Tumor Marker$ $ and Aerobic Culture$ and Aerobic Culture and Gram Stain$ Profile B$ (Double-stranded) Antibodies$ N Test NameLAP Price161455 Anti-Jo-1$ llerian Hormone (AMH) (Endocrine Sciences)$ Screen$ B Antibodies$ Nuclear Antigens$ Antibodies$ Antibodies (ANA) Direct$ Antibodies (ANA) Profile, Comprehensive$ Antibodies (ANA) Reflex Cascade$ Antibodies (ANA) With Reflex$ Antibodies (ANA) With Reflex to Multiple Confirmatory Tests$ 70 Antibodies$ B$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): DSC2 (Full Gene Sequencing)$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): DSC2 (Known Mutation)$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): DSG2 (Full Gene Sequencing)$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): DSG2 (Known Mutation)$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): DSP (Full Gene Sequencing)$1, Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): DSP (Known Mutation)$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C).

5 Five-gene Profile (PKP2, DSP, DSC2, DSG2, TMEM43) (Full Gene Sequencing)$3, Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): PKP2 (Full Gene Sequencing)$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): PKP2 (Known Mutation)$ **If reflex testing is performed, additional CPT codes and charges may apply. Fees are subject to N Test NameLAP Price252386 Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): TMEM43 (Full Gene Sequencing)$ Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C): TMEM43 (Known Mutation)$ Jewish Carrier Profile$ Aminotransferase (AST/SGOT)$ Septal Defect (ASD) With Atrioventricular Block (AVB): (Full Gene Sequencing)$ Septal Defect (ASD) With Atrioventricular Block (AVB): (Known Mutation)$ Polyglandular Syndrome Type 1 (APS1/APECED): AIRE (Full Gene Sequencing)$ Polyglandular Syndrome Type 1 (APS1/APECED).

6 AIRE (Known Mutation)$ Natriuretic Peptide$ Syndrome (BBS): BBS1 (Full Gene Sequencing)$ Syndrome (BBS): BBS1 (Known Mutation)$ Syndrome (BBS): BBS2 (Full Gene Sequencing)$ Syndrome (BBS): BBS2 (Known Mutation)$ Syndrome (BBS): Two-gene Profile (BBS1, BBS2) (Full Gene Sequencing)$1, -Hemolytic Streptococcus Culture, Group A Only$ -Thalassemia: HBB (Full Gene Sequencing)$ -Thalassemia: HBB (Known Mutation)$ , Direct$ , Total$ , Total and Direct$ , Total, Neonatal$ Culture, Routine$ Syndrome, DNA Analysis$ Disorders Evaluation Rule-out Cascade$ N Test NameLAP Price010108C-Peptide$ protein (CRP), High Sensitivity (Cardiac Risk Assessment)$ protein (CRP), Quantitative$ (1,25 di-OH Vitamin D)$ $ , Urinary$ Disease, DNA Analysis$ Antigen (CA) 125$ Dioxide, Total$ Antigen (CEA)$ :CD8 Ratio Profile$ Antibody Profile With EMA$ Disease Profile$ $ , Total$ Granulomatous Disease (CGD): CYBB (Full Gene Sequencing)$1, Granulomatous Disease (CGD).

7 CYBB (Known Mutation)$ Variable Immunodeficiency Syndrome (CVID): TNFRSF13B (TACI) (Full Gene Sequencing)$ Variable Immunodeficiency Syndrome (CVID): TNFRSF13B (TACI) (Known Mutation)$ Blood Count (CBC) With Differential$ Blood Count (CBC) Without Differential$ Bilateral Absence of the Vas Deferens (CBAVD): CFTR (Full Gene Sequencing)$1, Bilateral Absence of the Vas Deferens (CBAVD): CFTR (Known Mutation)$ , Direct$ $ , AM$ Kinase (CK), MB$ Kinase (CK), MB and Total$ Kinase (CK), Total$ $ **If reflex testing is performed, additional CPT codes and charges may apply. Fees are subject to N Test NameLAP Price003004 Creatinine Clearance$ , 24-Hour Urine$ , Random Urine$ s Disease Prognostic Profile$ Fibrosis (CF) Profile, 32 Mutations, DNA Analysis$ Fibrosis (CF) Profile, 32 Mutations, Fetal Analysis$ Fibrosis (CF) Profile, 97 Mutations, CFplus $ Fibrosis (CF): CFTR (Full Gene Sequencing)$1, Fibrosis (CF): CFTR (Known Mutation)$ Fibrosis (CF): CFTR Prenatal Test (Full Sequencing)$1, Fibrosis (CF): CFTR Prenatal Test (Known Mutation)$ $ (DHEA) Sulfate$ Cardiomyopathy (DCM): ACTC (Full Gene Sequencing)$ Cardiomyopathy (DCM).

8 ACTC (Known Mutation)$ Cardiomyopathy (DCM): LMNA (Full Gene Sequencing)$ Cardiomyopathy (DCM): LMNA (Known Mutation)$ Cardiomyopathy (DCM): MYBPC3 (Full Gene Sequencing)$1, Cardiomyopathy (DCM): MYBPC3 (Known Mutation)$ Cardiomyopathy (DCM): MYH7 (Full Gene Sequencing)$1, Cardiomyopathy (DCM): MYH7 (Known Mutation)$ Cardiomyopathy (DCM): Six-gene Profile (TNNT2, TPM1, MYH7, MYBPC3, ACTC, LMNA) (Full Gene Sequencing)$3, Cardiomyopathy (DCM): TNNI3 (Full Gene Sequencing)$ Cardiomyopathy (DCM): TNNI3 (Known Mutation)$ Cardiomyopathy (DCM): TNNT2 (Full Gene Sequencing)$ Cardiomyopathy (DCM): TNNT2 (Known Mutation)$ N Test NameLAP Price252354 Dilated Cardiomyopathy (DCM): TPM1 (Full Gene Sequencing)$ Cardiomyopathy (DCM): TPM1 (Known Mutation)$ Coronary Heart Disease/Familial Hypercholesterolemia: APOB (Known Mutation)$ Coronary Heart Disease/Familial Hypercholesterolemia: APOB (Single Exon Sequencing)$ Coronary Heart Disease/Familial Hypercholesterolemia: LDLR (Full Gene Sequencing)$1, Coronary Heart Disease/Familial Hypercholesterolemia: LDLR (Known Mutation)$ Coronary Heart Disease/Familial Hypercholesterolemia.

9 Two-gene Profile (LDLR, APOB) (LDLR-Full Gene Sequencing, APOB-Single Exon Sequencing)$1, Panel$ Antibody, IgA$ $ Dysautonomia, DNA Analysis$ Mediterranean Fever: MEFV (Full Gene Sequencing)$ Mediterranean Fever: MEFV (Known Mutation)$ Anemia (Type C), DNA Analysis$ $ Trimester Screen With Nuchal Translucency$ (Folic Acid)$ , RBC$ , RBC and Serum$ Hormone (FSH)$ Hormone (FSH) and Luteinizing Hormone (LH)$ X Syndrome, DNA Analysis, Prenatal With Southern Blot Analysis$ X Syndrome, PCR With Reflex to Southern Blot$ : GALT (Full Gene Sequencing)$ **If reflex testing is performed, additional CPT codes and charges may apply.

10 Fees are subject to N Test NameLAP Price252820 Galactosemia: GALT (Known Mutation)$ -Glutamyl Transferase (GGT)$ Disease, DNA Analysis$ Diabetes Screen (ACOG Recommendations)$ Glucose Tolerance Diagnostic Test (Three-hour, ACOG Recommendations)$ Filtration Rate, Estimated (eGFR)$ $ , Plasma$ , Two-hour Postprandial$ Storage Disease 1a$ A Streptococcus Direct, DNA Probe$ Pap Test (Image-guided), Liquid-based Preparation and Chlamydia/Gonococcus, NAA and Human Papillomavirus (HPV) (Aptima ) With Reflex to HPV Genotypes 16 and 18,45$ Pap Test (Image-guided), Liquid-based Preparation and Chlamydia/Gonococcus, NAA and Human Papillomavirus (HPV) DNA