IGENEX: What tests?

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+Lyme
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Date Joined Apr 2009
Total Posts : 1304
   Posted 5/8/2009 9:06 PM (GMT -7)   
I don't know yet what my PCP will recommend or how much he knows about my Western blots from Quest, which I, amongst others, believe is significant, and at the very least shows exposure to Lyme, as well as antibodies to lyme presently in the blood. Why would I have the antibodies without having Lyme?
 
OK: IF I can convince my PCP to order tests from IGENEX, then my insurance should pay me for them.
 
My questions: Do you have a copy of the IGX Panels that are offered?  (if you email them, they will send to you. If you don't, I would try to post here, but don't know any way except thru email)
 
If you do have these test/panels with costs, would you please look at this and tell me what you would recommend?  Ill paste Igenex tests and costs below.
 
Just like everyone, I need to be tested for Bartonella and Babesia, possibly Rocky Mt. (it hit our dog park/woods). HECK, I NEED THEM ALL.
 
I already understand that the MASTER CO-INFECTION panel is probably the best. However, I have little money and need this test to count. Is there one I can start with and gain some necessary info which would could lead to a diagnosis?
 
I WILL do the master, as long as I can be reimbursed.
 
from the panels, I see that ala carte, the expenses are not that bad.  Igenex info pasted below.  I am very anxious for comments and opinions regarding the panel.  ie; WOULD ONE OF YOU VETERANS, OR OTHERS please

Razzle
Veteran Member


Date Joined Aug 2007
Total Posts : 4399
   Posted 5/8/2009 10:05 PM (GMT -7)   
You can print a copy of the test request form from the IGeneX website http://igenex.com/files/PATIENT_TEST_REQUEST_FORM.pdf

I don't know about the coinfection tests, haven't had them done through IGeneX. I did mine through Fry labs, and they didn't find any coinfections at all even though I have a clinical diagnosis of Bartonella and personally also suspect I have Anaplasmosis (a type of ehrlichia).

Take care,
-Razzle
Chronic Lyme Disease, Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD ("Secondary Lupus-Like Syndrome"), Osteoporosis, Pancytopenia, chronic malabsorption/malnutrition, etc.; G-Tube; Currently TPN-dependent.
Meds:  Zofran, Pulmicort, Heparin (to flush PICC line), Claritin, Colloidal Silver (used topically), IV Milk Thistle, probiotics.


+Lyme
Veteran Member


Date Joined Apr 2009
Total Posts : 1304
   Posted 5/9/2009 6:28 AM (GMT -7)   
Thanks, Razzle! And sorry, I meant to paste the tests/prices and get opinions. Also I had questions about the co-infection panels. It doesn't look to me like they include Lyme, or do they? Was hoping to find one test that covered them all -- or at least lyme, babs, bart.
® IGeneX, Inc., Reference Laboratory
795/797 San Antonio Road – Palo Alto – CA 94303 – Tel: (800) 832-3200
PRICE LIST – OCTOBER 2008
PREPAYMENT IS REQUIRED FOR ALL TESTING. The following Panels are offered for price savings. All samples required for the panel must be received at the same time.
PREPAY COST
LYME IFA PANELS
BASIC LYME PANEL

4090 Western Blot IgG, Western Blot IgM, Lyme IgG/IgM/IgA Screen (IFA)** $260.00
COMPLETE LYME PANEL
6050 Western Blot IgG, Western Blot IgM, Lyme IgG/IgM/IgA Screen ( IFA),
Lyme PCR-Serum, and Lyme PCR - Whole Blood** $475.00
INITIAL LYME PANEL
5010 Western Blot IgG, Western Blot IgM, Lyme PCR-Serum and Lyme PCR-Whole Blood $410.00

FOLLOW-UP LYME TESTS
875 Lyme DOT BLOT and PCR Panel for B. burgdorferi ** $400.00
Includes LDA – 3 samples (Test# 805) and PCR on pooled samples (#465)

COMPLETE CO-INFECTION PANELS
5080 WESTERN REGIONAL COMPLETE CO-INFECTION PANEL** $660.00
B duncani IgG & IgM (WA-1), Babesia FISH, HME IgG & IgM, HGE IgG & IgM, Bartonella IgG & IgM

5090 COMPLETE CO-INFECTION PANEL $660.00
B microti IgG & IgM, Babesia FISH, HME IgG & IgM, HGE IgG & IgM, Bartonella IgG & IgM

5099 MASTER CO-INFECTION PANEL** *********NEW********** $820.00
B microti IgG & IgM, B duncani IgG & IgM, Babesia FISH, HME IgG & IgM, HGE IgG & IgM,
Bartonella IgG & IgM, Rickettsia ricketsii/typhi IgG Antibody

INITIAL REGIONAL CO-INFECTION PANELS

5020 MID-WEST/EASTERN REGIONAL PANEL $540.00
B microti IgG & IgM, Babesia FISH, HGE IgG & IgM, Bartonella IgG & IgM
5030 SUPPLEMENTAL MID-WEST/EASTERN PANEL $540.00
HME IgG & IgM, HME PCR, HGE PCR
5040 WESTERN REGIONAL PANEL** $540.00
B duncani IgG & IgM (WA-1), Babesia FISH, HGE IgG & IgM, Bartonella IgG & IgM
5050 SOUTHERN REGIONAL PANEL $540.00
B microti IgG & IgM, Babesia FISH, HME IgG & IgM, Bartonella IgG & IgM

BABESIA PANELS

670 COMPREHENSIVE BABESIA PANEL (B. Microti) $475.00
B microti IgG & IgM, Babesia PCR Panel, Babesia FISH
690 WEST COAST BABESIA PANEL** $475.00
B duncani IgG & IgM (WA-1), Babesia PCR Panel, Babesia FISH
695 COMPLETE BABESIA PANEL** (B duncani and B microti)
B duncani IgG & IgM (WA-1), B microti IgG & IgM, Babesia PCR Panel, Babesia FISH $550.00

RICKETTSIA PANEL

995 COMPLETE RICKETTSIA PANEL** $290.00
Rickettsia ricketsii/typhi IgG Antibody, Rickettsia PCR Panel

® IGeneX, Inc., Reference Laboratory
795/797 San Antonio Road – Palo Alto – CA 94303 – Tel: (800) 832-3200

PRICE LIST – OCTOBER 2008
INDIVIDUAL TESTS AVAILABLE Patient Prepay/
Test # Description (Name) CPT Code Client Price

LYME TESTS (Borrelia burgdorferi)
230 *B. burgdorferi G/M/A IFA Screen** 86618 $ 70.00
183 *Lyme Serology IgG/IgM 86618 $ 70.00
195 *Lyme Serology IgM 86618 $ 70.00
170 C6 Peptide – B. burgdorferi 86618 $108.00
* Only performed in conjunction with Western Blots.
188 Lyme Western Blot IgM 86617 $100.00
189 Lyme Western Blot IgG 86617 $100.00
488 31 kDa Epitope Test IgM** 86617 $100.00
489 31 kDa Epitope Test IgG** 86617 $100.00
Multiplex PCR (B. Burgdorferi) (includes confirmation by Southern Blot)
456 Whole Blood 87800,87801 $235.00
453 Serum 87800,87801 $235.00
450 Urine 87800,87801 $235.00
465 Urine (pooled from 3 samples) 87800,87801 $235.00
459 Cerebral Spinal Fluid 87800,87801 $265.00
462 Miscellaneous (Tissue, Breast Milk, etc.) 87800,87801 $265.00
800 Lyme DOT BLOT Assay (LDA) for antigen ** 87449 $ 70.00
802 Lyme DOT BLOT Assay (LDA) 2-Sample ** 87449 x 2 $140.00
805 Lyme DOT BLOT Assay (LDA) 3-Sample ** 87449 x 3 $210.00
140 TICK TEST by PCR for B. burgdorferi $ 65.00

BARTONELLA TESTS
285 Bartonella henselae IgG & IgM Antibody 86611 X 2 $135.00
280 Bartonella henselae PCR – Whole Blood 87471 $207.00
290 TICK TEST by PCR for Bartonella henselae $ 65.00

BABESIOSIS TESTS
200 B. microti IgG & IgM Antibody 86317 X 2 $135.00
663 Babesia PCR Panel for B microti and B duncani 87797,87798 X 2 $207.00
640 Babesia FISH (RNA) 88365 $198.00
720 B duncani IgG & IgM Antibody (WA-1) ** 86317 X 2 $135.00
689 TICK TEST by PCR for B microti and B duncani $ 65.00

EHRLICHIOSIS TESTS
203 HME (Monocytic) IgG & IgM Antibody 86317 X 2 $135.00
770 HME PCR – Whole Blood 87797,87798 $207.00
206 HGE (Anaplasma phagocytophila) IgG & IgM Antibody 86317 X 2 $135.00
775 HGE (Anaplasma phagocytophila) PCR – Whole Blood 87797,87798 $207.00
148 TICK TEST by PCR for Ehrlichia $ 65.00

RICKETTSIA TESTS (Rocky Mountain Spotted Fever)
965 Rickettsia rickettsii/typhi IgG Antibody** 86757 X 2 $135.00
998 Rickettsia rickettsii and felis/typhi PCR Panel – Whole Blood 87797, 87798 X 2 $207.00
975 TICK TEST by PCR for Rickettsia $ 65.00
CENTRAL NERVOUS SYSTEM (Cerebral Spinal Fluid)
810 Lyme DOT BLOT Assay - CSF ** 87449 $ 85.00
459 Multiplex PCR - CSF 87800,87801 $265.00
281 Bartonella henselae PCR - CSF 87471 $265.00
986 Rickettsia rickettsii and felis/typhi PCR Panel – CSF 87797,87798 X 2 $207.00

What would be the difference in the more expensive tests on the first half vs tests like the ones for $100?

+Lyme
Veteran Member


Date Joined Apr 2009
Total Posts : 1304
   Posted 5/9/2009 8:20 AM (GMT -7)   
I am sorry for bringing this back to the top, because others' questions are just as important. But if there's anyone knowledgable about these tests and panels, I would consider advice on the best, minimum that would cover lyme, babs and bart. Some of them are cheap, but maybe just as reliable? (but we have no tick for tick test)

And maybe it will be helpful for other newbies here??

I don't believe I would test for Rcky Mt or Erlich, depending on the results.
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