Request Barnes Jewish Hospital Laboratory Price Quote

To request a price quotation for Laboratory research tests, please fill in all applicable fields. Click “Send” to submit your request.

Note: Quotes are based on CPT codes provided below and reflect the routine time and activities required when that clinical CPT code is billed. Please realize higher fees may apply if either the technical or professional research activities exceed those performed using that clinical CPT code.

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Date of Request:		PI:
Requester Name		PI Email:
Requester Email:		IRB #:
Phone:		Protocol #:

Campus:

Barnes Jewish Hospital Barnes Jewish West County Hospital

Funding:

Funding Source: Federal/PI Initiated/Foundation/Department Industry Support (please specify):          Funds and Drugs Funds Only Drug Only Sponsor Name: Laboratory: Test Name CPT Code(s)   (** required)   An email request will be sent to you and BJC Corporate Compliance when you click Submit.                         Copyright © 2016 Washington University.