RESOLUTION OF THE BOARD OF SUPERVISORS OF



RESOLUTION OF THE BOARD OF SUPERVISORS OF

ORANGE COUNTY, CALIFORNIA

FEBRUARY 9, 2010

WHEREAS, the Health Care Agency is proposing to update the fees for Public Health Clinical Laboratory Tests; and

WHEREAS, the Health Care Agency is proposing to establish the fees for Water Quality Laboratory Tests; and

WHEREAS, the California Government Code Section 54985 authorizes Counties to charge fees to recover the cost of providing services; and

WHEREAS, the California Health and Safety Code, Section 101325 provides that fees may be charged when services provided by the Health Officer pursuant to State law are not met by fees prescribed by the State;

NOW, THEREFORE BE IT RESOLVED that this Board finds that, in accordance with Section 15273 of the California Environmental Quality Act (CEQA) Guidelines, the proposed fees, as identified in the supporting information, are only for the purpose of meeting operational expenses and are, therefore, statutorily exempt from compliance with CEQA.

BE IT FURTHER RESOLVED that effective March 1, 2010, this Board hereby establishes fees billed for Public Health Laboratory Services per attached schedules for clinical and water quality tests detailed in Tables 1 and 2, and hereby rescinds Resolution No. 92-1198 dated October 27, 1992, Public Hearing – Approval to Revise the Dollar Conversion Factor Related to the Relative Value Schedule (RVS) Unit Fees for Public Health Laboratory Tests.

BE IT FURTHER RESOLVED that effective March 1, 2010, the rates for Water Quality Laboratory tests and laboratory activities not specifically listed above shall be charged based on the actual cost of performing the test or activity using a “time and materials” billing method.

|TABLE 1 |

|Public Health Laboratory |

|Proposed Clinical Laboratory Test Fee Schedule |

| | | |

|Orderable |CPT Code | Proposed Fee |

|URINALYSIS, NONAUTO W/SCOPE |81000 | $ 4.55 |

|URINALYSIS, AUTO W/SCOPE |81001 | $ 4.55 |

|URINALYSIS, NONAUTO W/O SCOPE |81002 | $ 3.68 |

|URINALYSIS, AUTO, W/O SCOPE |81003 | $ 3.22 |

|URINALYSIS; QUAL OR SEMI-QUAN |81005 | $ 3.12 |

|URINE SCREEN FOR BACTERIA |81007 | $ 3.69 |

|MICROSCOPIC EXAM OF URINE |81015 | $ 4.37 |

|URINE PREGNANCY TEST |81025 | $ 5.64 |

|URINALYSIS, VOLUME MEASURE |81050 | $ 4.30 |

|ASSAY OF BLOOD ACETALDEHYDE |82000 | $ 17.81 |

|ASSAY OF ACETAMINOPHEN |82003 | $ 29.08 |

|TEST FOR ACETONE |82009 | $ 6.50 |

|ACETONE ASSAY |82010 | $ 11.74 |

|ACETYLCHOLINESTERASE ASSAY |82013 | $ 16.06 |

|ACYLCARNITINES, QUAL |82016 | $ 19.93 |

|ACYLCARNITINES, QUANT |82017 | $ 24.25 |

|ASSAY OF ACTH |82024 | $ 55.51 |

|ASSAY OF ADP & AMP |82030 | $ 37.08 |

|ASSAY OF SERUM ALBUMIN |82040 | $ 6.92 |

|ASSAY OF URINE ALBUMIN |82042 | $ 3.68 |

|MICROALBUMIN, QUANTITATIVE |82043 | $ 8.32 |

|MICROALBUMIN, SEMIQUANT |82044 | $ 6.58 |

|ALBUMIN, ISCHEMIA MODIFIED |82045 | $ 49.32 |

|ASSAY OF ETHANOL |82055 | $ 15.52 |

|ASSAY OF BLOOD ALDOLASE |82085 | $ 13.96 |

|ASSAY OF ALDOSTERONE |82088 | $ 58.58 |

|ASSAY OF URINE ALKALOIDS |82101 | $ 43.13 |

|ALPHA - 1 - ANTITRYPSIN, TOTAL |82103 | $ 19.31 |

|ALPHA - 1 - ANTITRYPSIN, PHENO |82104 | $ 20.77 |

|ALPHA-FETOPROTEIN, SERUM |82105 | $ 15.64 |

|ALPHA-FETOPROTEIN, AMNIOTIC |82106 | $ 15.64 |

|ALPHA-FETOPROTEIN L3 |82107 | $ 93.59 |

|ASSAY OF ALUMINUM |82108 | $ 36.63 |

|AMINES, VAGINAL FLUID QUAL |82120 | $ 5.40 |

|AMINO ACID, SINGLE QUAL |82127 | $ 19.93 |

|AMINO ACIDS, MULT QUAL |82128 | $ 19.76 |

|AMINO ACIDS, SINGLE QUANT |82131 | $ 24.25 |

|Orderable |CPT Code | Proposed Fee |

|ASSAY, AMINOLEVULINIC ACID |82135 | $ 23.66 |

|AMINO ACIDS, QUANT, 2-5 |82136 | $ 24.25 |

|AMINO ACIDS, QUAN, 6 OR MORE |82139 | $ 24.25 |

|ASSAY OF BLOOD AMMONIA |82140 | $ 19.76 |

|AMNIOTIC FLUID SCAN |82143 | $ 9.88 |

|ASSAY OF AMPHETAMINES |82145 | $ 22.33 |

|ASSAY OF SERUM AMYLASE |82150 | $ 9.32 |

|ANDROSTANEDIOL GLUCURONIDE |82154 | $ 41.44 |

|RIA ASSAY OF ANDROSTENEDIONE |82157 | $ 42.08 |

|ASSAY OF ANDROSTERONE |82160 | $ 30.03 |

|RIA ASSAY OF ANGIOTENSIN II |82163 | $ 29.51 |

|ANGIOTENSIN ENZYME TEST |82164 | $ 20.98 |

|ASSAY OF APOLIPOPROTEIN |82172 | $ 19.94 |

|ASSAY OF ARSENIC |82175 | $ 27.27 |

|ASSAY OF ASCORBIC ACID |82180 | $ 14.21 |

|ASSAY OF BARBITURATES |82205 | $ 16.46 |

|ASSAY OF BETA-2 PROTEIN |82232 | $ 23.02 |

|ASSAY, BILE ACIDS, TOTAL |82239 | $ 24.62 |

|ASSAY BILE ACIDS IN BLOOD |82240 | $ 38.19 |

|BILIRUBIN, TOTAL |82247 | $ 7.22 |

|BILIRUBIN, DIRECT |82248 | $ 7.22 |

|FECAL BILIRUBIN TEST |82252 | $ 6.53 |

|ASSAY OF BIOTINIDASE |82261 | $ 24.25 |

|OCCULT BLOOD, FECES |82270 | $ 4.51 |

|OCCULT BLOOD, OTHER SOURCES |82271 | $ 4.72 |

|OCCULT BLD FECES, 1-3 TESTS |82272 | $ 4.72 |

|ASSAY TEST FOR BLOOD, FECAL |82274 | $ 5.84 |

|ASSAY OF BRADYKININ |82286 | $ 9.91 |

|ASSAY OF CADMIUM |82300 | $ 33.25 |

|ASSAY OF VITAMIN D |82306 | $ 32.23 |

|RIA ASSAY OF VITAMIN D |82307 | $ 46.05 |

|RIA ASSAY OF CALCITONIN |82308 | $ 38.49 |

|ASSAY OF CALCIUM |82310 | $ 7.41 |

|ASSAY OF CALCIUM |82330 | $ 19.63 |

|CALCIUM INFUSION TEST |82331 | $ 7.44 |

|ASSAY OF CALCIUM IN URINE |82340 | $ 8.67 |

|CALCULUS ANALYSIS, QUAL |82355 | $ 16.63 |

|CALCULUS ASSAY, QUANT |82360 | $ 18.51 |

|CALCULUS SPECTROSCOPY |82365 | $ 18.54 |

|X-RAY ASSAY, CALCULUS |82370 | $ 18.02 |

|ASSAY, C-D TRANSFER MEASURE |82373 | $ 12.12 |

|ASSAY, BLOOD CARBON DIOXIDE |82374 | $ 6.92 |

|Orderable |CPT Code | Proposed Fee |

|ASSAY, BLOOD CARBON MONOXIDE |82375 | $ 17.71 |

|TEST FOR CARBON MONOXIDE |82376 | $ 6.92 |

|CARCINOEMBRYONIC ANTIGEN |82378 | $ 27.27 |

|ASSAY OF CARNITINE |82379 | $ 24.25 |

|ASSAY OF CAROTENE |82380 | $ 13.26 |

|ASSAY, URINE CATECHOLAMINES |82382 | $ 24.71 |

|ASSAY, BLOOD CATECHOLAMINES |82383 | $ 36.01 |

|ASSAY, THREE CATECHOLAMINES |82384 | $ 36.30 |

|ASSAY OF CATHEPSIN-D |82387 | $ 29.90 |

|ASSAY OF CERULOPLASMIN |82390 | $ 15.43 |

|CHEMILUMINESCENT ASSAY |82397 | $ 20.31 |

|ASSAY OF CHLORAMPHENICOL |82415 | $ 18.21 |

|ASSAY OF BLOOD CHLORIDE |82435 | $ 6.60 |

|ASSAY OF URINE CHLORIDE |82436 | $ 6.92 |

|ASSAY, OTHER FLUID CHLORIDES |82438 | $ 6.92 |

|TEST FOR CHLOROHYDROCARBONS |82441 | $ 8.63 |

|ASSAY, BLD/SERUM CHOLESTEROL |82465 | $ 5.24 |

|ASSAY, SERUM CHOLINESTERASE |82480 | $ 11.32 |

|ASSAY, RBC CHOLINESTERASE |82482 | $ 11.05 |

|ASSAY, CHONDROITIN SULFATE |82485 | $ 29.68 |

|GAS/LIQUID CHROMATOGRAPHY |82486 | $ 25.96 |

|CHROMATOGRAPHY, QUALITATIVE; PAPER, 1-DI |82487 | $ 22.95 |

|PAPER CHROMATOGRAPHY |82488 | $ 30.71 |

|THIN LAYER CHROMATOGRAPHY |82489 | $ 26.59 |

|CHROMOTOGRAPHY, QUANT, SING |82491 | $ 25.96 |

|CHROMOTOGRAPHY, QUANT, MULT |82492 | $ 25.96 |

|ASSAY OF CHROMIUM |82495 | $ 29.15 |

|ASSAY OF CITRATE |82507 | $ 39.96 |

|ASSAY OF COCAINE |82520 | $ 21.78 |

|COLLAGEN CROSSLINKS |82523 | $ 26.65 |

|ASSAY OF COPPER |82525 | $ 17.84 |

|ASSAY OF CORTICOSTERONE |82528 | $ 32.36 |

|ASSAY, FREE CORTISOL |82530 | $ 24.02 |

|RIA ASSAY PLASMA CORTISOL |82533 | $ 23.43 |

|ASSAY OF CREATINE |82540 | $ 6.66 |

|COLUMN CHROMOTOGRAPHY, QUAL |82541 | $ 25.96 |

|COLUMN CHROMOTOGRAPHY, QUANT |82542 | $ 25.96 |

|COLUMN CHROMOTOGRAPHY/ISOTOPE |82543 | $ 25.96 |

|COLUMN CHROMOTOGRAPH/ISOTOPE |82544 | $ 25.96 |

|ASSAY OF CK (CPK) |82550 | $ 9.37 |

|ASSAY OF CPK IN BLOOD |82552 | $ 19.25 |

|CREATINE, MB FRACTION |82553 | $ 16.59 |

|Orderable |CPT Code | Proposed Fee |

|CREATINE, ISOFORMS |82554 | $ 17.06 |

|ASSAY OF CREATININE |82565 | $ 6.92 |

|ASSAY OF URINE CREATININE |82570 | $ 6.92 |

|0REATININE CLEARANCE TEST |82575 | $ 13.59 |

|ASSAY OF CRYOFIBRINOGEN |82585 | $ 12.32 |

|ASSAY OF CRYOGLOBULIN |82595 | $ 6.92 |

|ASSAY OF CYANIDE |82600 | $ 27.89 |

|RIA ASSAY FOR VITAMIN B-12 |82607 | $ 21.66 |

|B-12 BINDING CAPACITY |82608 | $ 20.59 |

|CYSTATIN C |82610 | $ 19.76 |

|TEST FOR URINE CYSTINES |82615 | $ 11.74 |

|DEHYDROEPIANDROSTERONE, RIA |82626 | $ 36.32 |

|DEHYDROEPIANDROSTERONE |82627 | $ 31.95 |

|DESOXYCORTICOSTERONE, RIA |82633 | $ 44.53 |

|DEOXYCORTISOL, RIA |82634 | $ 42.08 |

|ASSAY OF DIBUCAINE NUMBER |82638 | $ 17.60 |

|ASSAY OF DIHYDROCODINONE |82646 | $ 29.68 |

|ASSAY OF DIHYDROMORPHINONE |82649 | $ 36.95 |

|ASSAY OF DIHYDROTESTOSTERONE |82651 | $ 37.10 |

|ASSAY OF DIHYDROXYVITAMIN D |82652 | $ 47.11 |

|ASSAY OF DIMETHADIONE |82654 | $ 19.90 |

|*04 *05 PANCREATIC ELASTASE, FECAL |82656 | $ 13.49 |

|ENZYME CELL ACTIVITY |82657 | $ 25.96 |

|ENZYME CELL ACTIVITY, RA |82658 | $ 25.96 |

|ELECTROPHORETIC TEST |82664 | $ 31.21 |

|ASSAY OF EPIANDROSTERONE |82666 | $ 30.88 |

|ASSAY OF ERYTHROPOIETIN |82668 | $ 27.01 |

|ASSAY OF ESTRADIOL |82670 | $ 40.17 |

|ASSAY OF ESTROGENS |82671 | $ 46.42 |

|ASSAY OF ESTROGEN |82672 | $ 31.17 |

|ASSAY OF ESTRIOL |82677 | $ 34.76 |

|ASSAY OF ESTRONE |82679 | $ 35.88 |

|ASSAY OF ETHCHLORVYNOL |82690 | $ 24.84 |

|ASSAY OF ETHYLENE GLYCOL |82693 | $ 21.41 |

|ASSAY OF ETIOCHOLANOLONE |82696 | $ 33.90 |

|FATS/LIPIDS, FECES, QUAL |82705 | $ 7.32 |

|FATS/LIPIDS, FECES, QUANT |82710 | $ 24.14 |

|ASSAY OF FECAL FAT |82715 | $ 24.74 |

|ASSAY OF BLOOD FATTY ACIDS |82725 | $ 19.14 |

|LONG CHAIN FATTY ACIDS |82726 | $ 25.96 |

|ASSAY OF FERRITIN |82728 | $ 19.58 |

|ASSAY OF FETAL FIBRONECTIN |82731 | $ 92.57 |

|Orderable |CPT Code | Proposed Fee |

|ASSAY OF FLUORIDE |82735 | $ 26.65 |

|ASSAY OF FLURAZEPAM |82742 | $ 28.46 |

|BLOOD FOLIC ACID RIA |82746 | $ 21.14 |

|ASSAY OF FOLIC ACID, RBC |82747 | $ 24.88 |

|ASSAY OF RBC GALACTOKINASE |82759 | $ 30.88 |

|ASSAY OF GALACTOSE |82760 | $ 13.83 |

|ASSAY GALACTOSE TRANSFERASE |82775 | $ 30.28 |

|GALACTOSE TRANSFERASE TEST |82776 | $ 11.86 |

|ASSAY OF GAMMAGLOBULIN IGM |82784 | $ 7.90 |

|ASSAY OF GAMMAGLOBULIN IGE |82785 | $ 23.67 |

|IGG 1, 2, 3 OR 4, EACH |82787 | $ 11.53 |

|BLOOD PH |82800 | $ 11.97 |

|BLOOD GASES: PH, PO2 & PCO2 |82803 | $ 27.81 |

|BLOOD GASES W/O2 SATURATION |82805 | $ 40.78 |

|GASES,BLOOD,02 SATURATION ONLY,BY DIRECT |82810 | $ 12.55 |

|HEMOGLOBIN - OXYGEN AFFIN |82820 | $ 14.38 |

|ASSAY OF GASTRIC ACID |82926 | $ 7.41 |

|ASSAY OF GASTRIC ACID |82928 | $ 5.93 |

|SERUM GASTRIN TEST |82938 | $ 25.44 |

|RIA ASSAY OF GASTRIN |82941 | $ 25.35 |

|RIA ASSAY OF GLUCAGON |82943 | $ 20.54 |

|GLUCOSE OTHER FLUID |82945 | $ 5.64 |

|GLUCAGON TOLERANCE TEST |82946 | $ 21.66 |

|ASSAY, GLUCOSE, BLOOD QUANT |82947 | $ 5.64 |

|STICK ASSAY OF BLOOD GLUCOSE |82948 | $ 4.55 |

|GLUCOSE TEST |82950 | $ 6.58 |

|GLUCOSE TOLERANCE TEST (GTT) |82951 | $ 18.51 |

|GTT-ADDED SAMPLES |82952 | $ 5.38 |

|GLUCOSE-TOLBUTAMIDE TEST |82953 | $ 21.76 |

|ASSAY OF G6PD ENZYME |82955 | $ 13.94 |

|TEST FOR G6PD ENZYME |82960 | $ 8.71 |

|GLUCOSE BLOOD TEST |82962 | $ 3.35 |

|ASSAY OF GLUCOSIDASE |82963 | $ 30.88 |

|ASSAY OF GDH ENZYME |82965 | $ 11.10 |

|ASSAY OF GLUTAMINE |82975 | $ 22.75 |

|ASSAY OF GGT ENZYME |82977 | $ 10.35 |

|ASSAY OF GLUTATHIONE |82978 | $ 20.49 |

|ASSAY, RBC GLUTATHIONE |82979 | $ 9.88 |

|ASSAY OF GLUTETHIMIDE |82980 | $ 26.34 |

|GLYCOPROTEIN ELECTROPHORESIS |82985 | $ 21.66 |

|PITUITARY GONADOTROPIN RIA |83001 | $ 26.72 |

|PITUITARY GONADOTROPINS RIA |83002 | $ 26.62 |

|Orderable |CPT Code | Proposed Fee |

|ASSAY, GROWTH HORMONE (HGH) |83003 | $ 23.96 |

|ASSAY OF GUANOSINE |83008 | $ 24.13 |

|H PYLORI (C-13), BLOOD |83009 | $ 97.88 |

|ASSAY OF HAPTOGLOBIN, QUANT |83010 | $ 18.07 |

|ASSAY OF HAPTOGLOBINS |83012 | $ 24.71 |

|H PYLORI (C-13), BREATH |83013 | $ 96.81 |

|H PYLORI DRUG ADMIN |83014 | $ 11.30 |

|HEAVY METAL SCREENING |83015 | $ 15.81 |

|CHROMATOGRAPH SCREEN, METALS |83018 | $ 29.08 |

|HEMOGLOBIN ELECTROPHORESIS |83020 | $ 22.32 |

|HEMOGLOBIN CHROMOTOGRAPHY |83021 | $ 25.96 |

|HEMOGLOBIN, COPPER SULFATE |83026 | $ 3.39 |

|FETAL HEMOGLOBIN, CHEMICAL |83030 | $ 11.88 |

|FETAL HEMOGLOBIN ASSAY, QUAL |83033 | $ 8.57 |

|GLYCOSYLATED HEMOGLOBIN TEST |83036 | $ 13.96 |

|BLOOD METHEMOGLOBIN TEST |83045 | $ 7.12 |

|BLOOD METHEMOGLOBIN ASSAY |83050 | $ 10.53 |

|ASSAY OF PLASMA HEMOGLOBIN |83051 | $ 10.50 |

|BLOOD SULFHEMOGLOBIN TEST |83055 | $ 7.07 |

|BLOOD SULFHEMOGLOBIN ASSAY |83060 | $ 11.88 |

|ASSAY OF HEMOGLOBIN HEAT |83065 | $ 9.91 |

|HEMOGLOBIN STABILITY SCREEN |83068 | $ 12.18 |

|ASSAY OF URINE HEMOGLOBIN |83069 | $ 5.67 |

|ASSAY OF HEMOSIDERIN, QUAL |83070 | $ 6.83 |

|ASSAY OF HEMOSIDERIN, QUANT |83071 | $ 9.88 |

|ASSAY OF B HEXOSAMINIDASE |83080 | $ 24.25 |

|ASSAY OF HISTAMINE |83088 | $ 42.45 |

|ASSAY OF HOMOCYSTINE |83090 | $ 24.25 |

|ASSAY OF FOR HVA |83150 | $ 14.82 |

|RIA ASSAY OF CORTICOSTEROIDS |83491 | $ 25.18 |

|ASSAY OF 5-HIAA |83497 | $ 18.54 |

|RIA ASSAY OF PROGESTERONE |83498 | $ 39.04 |

|ASSAY OF PROGESTERONE |83499 | $ 36.22 |

|ASSAY, FREE HYDROXYPROLINE |83500 | $ 32.55 |

|ASSAY, TOTAL HYDROXYPROLINE |83505 | $ 34.93 |

|IMMUNOASSAY, NONANTIBODY |83516 | $ 13.35 |

|IMMUNOASSAY FOR ANALYTE OTH ANTIBOD/INFE |83518 | $ 7.84 |

|IMMUNOASSAY, NONANTIBODY |83519 | $ 19.42 |

|IMMUNOASSAY |83520 | $ 18.60 |

|RIA ASSAY OF INSULIN |83525 | $ 16.45 |

|INSULIN |83527 | $ 18.62 |

|ASSAY OF INTRINSIC FACTOR |83528 | $ 22.85 |

|Orderable |CPT Code | Proposed Fee |

|ASSAY OF IRON |83540 | $ 9.31 |

|SERUM IRON BINDING TEST |83550 | $ 10.35 |

|ASSAY OF IDH ENZYME |83570 | $ 12.71 |

|ASSAY OF KETOGENIC STEROIDS |83582 | $ 20.37 |

|ASSAY 17- KETOSTEROIDS |83586 | $ 18.40 |

|FRACTIONATION, KETOSTEROIDS |83593 | $ 37.80 |

|ASSAY OF LACTIC ACID |83605 | $ 15.35 |

|UV-ASSAY BLOOD LDH ENZYME |83615 | $ 8.68 |

|ASSAY OF LDH ENZYMES |83625 | $ 18.40 |

|LACTOFERRIN, FECAL (QUAL) |83630 | $ 28.52 |

|*04 *06 LACTOFERRIN, FECAL (QUANT) |83631 | $ 28.52 |

|RIA PLACENTAL LACTOGEN |83632 | $ 29.04 |

|TEST URINE FOR LACTOSE |83633 | $ 7.92 |

|ASSAY OF URINE FOR LACTOSE |83634 | $ 16.56 |

|ASSAY OF LEAD |83655 | $ 17.39 |

|L/S RATIO, FETAL LUNG |83661 | $ 31.59 |

|FOAM STABILITY, FETAL LUNG |83662 | $ 27.18 |

|FLUORO POLARIZE, FETAL LUNG |83663 | $ 13.60 |

|LAMELLAR BDY, FETAL LUNG |83664 | $ 6.79 |

|ASSAY OF LAP ENZYME |83670 | $ 13.17 |

|ASSAY OF LIPASE |83690 | $ 9.91 |

|ASSAY OF LIPOPROTEIN(A) |83695 | $ 18.81 |

|ASSAY LIPOPROTEIN PLA2 |83698 | $ 49.32 |

|*04 *06 LIPOPRO BLD, ELECTROPHORETIC |83700 | $ 16.35 |

|LIPOPROTEIN BLD, HR FRACTION |83701 | $ 36.06 |

|LIPOPROTEIN, BLD, BY NMR |83704 | $ 45.84 |

|ASSAY OF LIPOPROTEIN |83718 | $ 11.77 |

|ASSAY OF BLOOD LIPOPROTEIN |83719 | $ 15.85 |

|ASSAY OF BLOOD LIPOPROTEIN |83721 | $ 13.70 |

|ASSAY OF LRH HORMONE |83727 | $ 24.71 |

|ASSAY OF MAGNESIUM |83735 | $ 9.63 |

|UV-ASSAY OF MD ENZYME |83775 | $ 10.60 |

|ASSAY OF MANGANESE |83785 | $ 35.33 |

|MASS SPECTROMETRY QUAL |83788 | $ 25.96 |

|MASS SPECTROMETRY QUANT |83789 | $ 25.96 |

|ASSAY OF MEPROBAMATE |83805 | $ 25.34 |

|ASSAY OF MERCURY |83825 | $ 18.36 |

|ASSAY OF METANEPHRINES |83835 | $ 24.35 |

|ASSAY OF METHADONE |83840 | $ 23.47 |

|ASSAY OF METHEMALBUMIN |83857 | $ 15.43 |

|ASSAY OF METHSUXIMIDE |83858 | $ 21.29 |

|BLOOD MUCOPOLYSACCHARIDES |83864 | $ 20.72 |

|Orderable |CPT Code | Proposed Fee |

|MUCOPOLYSACCHARIDES SCREEN |83866 | $ 13.83 |

|ASSAY SYNOVIAL FLUID MUCIN |83872 | $ 6.92 |

|ASSAY OF CSF PROTEIN |83873 | $ 24.73 |

|ASSAY OF MYOGLOBIN |83874 | $ 18.55 |

|*03 NATRIURETIC PEPTIDE |83880 | $ 49.32 |

|ASSAY, NEPHELOMETRY NOT SPEC |83883 | $ 19.54 |

|ASSAY OF NICKEL |83885 | $ 35.22 |

|ASSAY OF NICOTINE |83887 | $ 34.03 |

|MOLECULE ISOLATE |83890 | $ 5.76 |

|MOLECULE ISOLATE NUCLEIC |83891 | $ 5.76 |

|MOLECULAR DIAGNOSTICS |83892 | $ 5.76 |

|MOLECULE DOT/SLOT/BLOT |83893 | $ 5.76 |

|MOLECULE GEL ELECTROPHOR |83894 | $ 5.76 |

|MOLECULAR DIAGNOSTICS |83896 | $ 5.76 |

|MOLECULE NUCLEIC TRANSFER |83897 | $ 5.76 |

|MOLECULE NUCLEIC AMPLI, EACH |83898 | $ 24.10 |

|MOLECULE NUCLEIC AMPLI 2 SEQ |83900 | $ 48.71 |

|MOLECULE NUCLEIC AMPLI ADDON |83901 | $ 24.10 |

|MOLECULAR DIAGNOSTICS |83902 | $ 20.40 |

|MOLECULE MUTATION SCAN |83903 | $ 24.10 |

|MOLECULE MUTATION IDENTIFY |83904 | $ 24.10 |

|MOLECULE MUTATION IDENTIFY |83905 | $ 24.10 |

|MOLECULE MUTATION IDENTIFY |83906 | $ 24.10 |

|LYSE CELLS FOR NUCLEIC EXT |83907 | $ 19.41 |

|NUCLEIC ACID, SIGNAL AMPLI |83908 | $ 24.36 |

|NUCLEIC ACID, HIGH RESOLUTE |83909 | $ 24.36 |

|GENETIC EXAMINATION |83912 | $ 5.76 |

|*07MOLECULAR, RNA STABILIZATION |83913 | $ 19.41 |

|MUTATION IDENT OLA/SBCE/ASPE |83914 | $ 24.36 |

|ASSAY OF NUCLEOTIDASE |83915 | $ 16.03 |

|OLIGOCLONAL BANDS |83916 | $ 28.90 |

|ORGANIC ACIDS, TOTAL, QUANT |83918 | $ 23.66 |

|ORGANIC ACIDS, QUAL, EACH |83919 | $ 23.66 |

|ORGANIC ACID, SINGLE, QUANT |83921 | $ 23.66 |

|ASSAY OF OPIATES |83925 | $ 27.96 |

|ASSAY OF BLOOD OSMOLALITY |83930 | $ 9.49 |

|ASSAY OF URINE OSMOLALITY |83935 | $ 9.80 |

|ASSAY OF OXALATE |83945 | $ 18.51 |

|RIA ASSAY OF PARATHORMONE |83970 | $ 59.32 |

|ASSAY OF BODY FLUID ACIDITY |83986 | $ 5.15 |

|ASSAY FOR PHENCYCLIDINE |83992 | $ 20.59 |

|ASSAY FOR CALPROTECTIN FECAL |83993 | $ 28.52 |

|Orderable |CPT Code | Proposed Fee |

|ASSAY URINE PHENOTHIAZINE |84022 | $ 16.95 |

|ASSAY OF BLOOD PKU |84030 | $ 6.92 |

|ASSAY OF PHENYLKETONES |84035 | $ 5.25 |

|ASSAY BLOOD ACID PHOSPHATASE |84060 | $ 9.88 |

|ASSAY PROSTATE PHOSPHATASE |84066 | $ 13.88 |

|ASSAY ALKALINE PHOSPHATASE |84075 | $ 7.44 |

|ASSAY ALKALINE PHOSPHATASE |84078 | $ 7.90 |

|ASSAY ALKALINE PHOSPHATASES |84080 | $ 21.26 |

|AMNIOTIC FLUID ENZYME TEST |84081 | $ 23.75 |

|ASSAY OF RBC PG6D ENZYME |84085 | $ 9.70 |

|ASSAY PHOSPHOHEXOSE ENZYMES |84087 | $ 14.85 |

|ASSAY OF PHOSPHORUS |84100 | $ 6.83 |

|ASSAY OF URINE PHOSPHORUS |84105 | $ 7.44 |

|TEST FOR PORPHOBILINOGEN |84106 | $ 6.16 |

|ASSAY OF PORPHOBILINOGEN |84110 | $ 11.86 |

|TEST URINE FOR PORPHYRINS |84119 | $ 12.38 |

|ASSAY OF URINE PORPHYRINS |84120 | $ 21.14 |

|ASSAY OF FECES PORPHYRINS |84126 | $ 36.61 |

|ASSAY OF FECES PORPHYRINS |84127 | $ 16.74 |

|ASSAY OF SERUM POTASSIUM |84132 | $ 6.60 |

|ASSAY OF URINE POTASSIUM |84133 | $ 6.18 |

|ASSAY OF PREALBUMIN |84134 | $ 20.97 |

|ASSAY OF PREGNANEDIOL |84135 | $ 27.50 |

|ASSAY OF PREGNANETRIOL |84138 | $ 27.21 |

|ASSAY OF PREGNENOLONE |84140 | $ 29.72 |

|ASSAY OF 17-HYDROXYPREGNENO |84143 | $ 32.80 |

|ASSAY OF PROGESTERONE |84144 | $ 29.98 |

|ASSAY OF PROLACTIN |84146 | $ 27.85 |

|RIA ASSAY OF PROSTAGLANDIN |84150 | $ 35.88 |

|ASSAY OF PSA, COMPLEXED |84152 | $ 26.44 |

|ASSAY OF PSA, TOTAL |84153 | $ 26.44 |

|ASSAY OF PSA, FREE |84154 | $ 26.44 |

|ASSAY OF PROTEIN, SERUM |84155 | $ 5.27 |

|ASSAY OF PROTEIN, URINE |84156 | $ 5.33 |

|ASSAY OF PROTEIN, OTHER |84157 | $ 5.33 |

|ASSAY OF PROTEIN, ANY SOURCE |84160 | $ 6.92 |

|PAPPA, SERUM |84163 | $ 21.87 |

|PROTEIN E-PHORESIS, SERUM |84165 | $ 15.43 |

|PROTEIN E-PHORESIS/URINE/CSF |84166 | $ 25.92 |

|WESTERN BLOT TEST |84181 | $ 24.48 |

|WESTERN BLOT TEST |84182 | $ 25.87 |

|ASSAY RBC PROTOPORPHYRIN |84202 | $ 20.62 |

|Orderable |CPT Code | Proposed Fee |

|TEST RBC PROTOPORPHYRIN |84203 | $ 11.86 |

|RIA ASSAY OF PROINSULIN |84206 | $ 25.61 |

|ASSAY OF VITAMIN B-6 |84207 | $ 40.38 |

|ASSAY OF PYRUVATE |84210 | $ 15.61 |

|ASSAY OF PYRUVATE KINASE |84220 | $ 13.56 |

|ASSAY OF QUININE |84228 | $ 16.72 |

|ASSAY OF ESTROGEN |84233 | $ 80.59 |

|ASSAY OF PROGESTERONE |84234 | $ 69.07 |

|ASSAY OF ENDOCRINE HORMONE |84235 | $ 75.21 |

|ASSAY, NONENDOCRINE RECEPTOR |84238 | $ 52.55 |

|RIA ASSAY OF RENIN |84244 | $ 31.62 |

|ASSAY OF VITAMIN B-2 |84252 | $ 29.08 |

|ASSAY OF SELENIUM |84255 | $ 36.69 |

|ASSAY OF SEROTONIN |84260 | $ 44.53 |

|ASSAY OF SEX HORMONE GLOBUL |84270 | $ 31.23 |

|ASSAY OF SIALIC ACID |84275 | $ 19.31 |

|ASSAY OF SILICA |84285 | $ 33.85 |

|ASSAY OF SERUM SODIUM |84295 | $ 6.92 |

|ASSAY OF URINE SODIUM |84300 | $ 6.92 |

|ASSAY OF SWEAT SODIUM |84302 | $ 7.06 |

|ASSAY OF SOMATOMEDIN |84305 | $ 28.50 |

|ASSAY OF SOMATOSTATIN |84307 | $ 26.29 |

|SPECTROPHOTOMETRY |84311 | $ 9.88 |

|BODY FLUID SPECIFIC GRAVITY |84315 | $ 3.60 |

|CHROMATOGRAM ASSAY, SUGARS |84375 | $ 28.17 |

|SUGARS, SINGLE, QUAL |84376 | $ 7.92 |

|SUGARS, MULTIPLE, QUAL |84377 | $ 7.92 |

|SUGARS, SINGLE, QUANT |84378 | $ 16.56 |

|SUGARS MULTIPLE QUANT |84379 | $ 16.56 |

|ASSAY OF URINE SULFATE |84392 | $ 6.83 |

|ASSAY OF TESTOSTERONE |84402 | $ 36.60 |

|ASSAY OF TOTAL TESTOSTERONE |84403 | $ 37.10 |

|ASSAY OF VITAMIN B-1 |84425 | $ 30.52 |

|ASSAY OF THIOCYANATE |84430 | $ 16.72 |

|ASSAY OF THYROGLOBULIN |84432 | $ 23.09 |

|ASSAY OF TOTAL THYROXINE |84436 | $ 9.88 |

|ASSAY OF NEONATAL THYROXINE |84437 | $ 9.31 |

|ASSAY OF FREE THYROXINE |84439 | $ 12.96 |

|ASSAY OF THYROID ACTIVITY |84442 | $ 21.26 |

|ASSAY THYROID STIM HORMONE |84443 | $ 24.14 |

|ASSAY OF TSI |84445 | $ 73.09 |

|ASSAY OF VITAMIN E |84446 | $ 20.38 |

|Orderable |CPT Code | Proposed Fee |

|UV-ASSAY TRANSAMINASE (SGOT) |84450 | $ 7.42 |

|UV-ASSAY TRANSAMINASE (SGPT) |84460 | $ 7.62 |

|ASSAY OF TRANSFERRIN |84466 | $ 18.36 |

|ASSAY OF TRIGLYCERIDES |84478 | $ 8.27 |

|ASSAY OF THYROID (T3 OR T4) |84479 | $ 9.31 |

|ASSAY, TRIIODOTHYRONINE (T3) |84480 | $ 20.38 |

|RIA ASSAY (FT-3) |84481 | $ 23.02 |

|REVERSE ASSAY (T3) |84482 | $ 22.65 |

|ASSAY OF TROPONIN, QUANT |84484 | $ 14.14 |

|ASSAY DUODENAL FLUID TRYPSIN |84485 | $ 10.79 |

|TEST FECES FOR TRYPSIN |84488 | $ 9.88 |

|ASSAY OF FECES FOR TRYPSIN |84490 | $ 10.95 |

|ASSAY OF TYROSINE |84510 | $ 14.82 |

|ASSAY OF TROPONIN, QUAL |84512 | $ 11.06 |

|ASSAY OF UREA NITROGEN |84520 | $ 5.67 |

|STICK-ASSAY BUN |84525 | $ 5.40 |

|ASSAY OF URINE/UREA-N |84540 | $ 6.83 |

|UREA-N CLEARANCE TEST |84545 | $ 9.49 |

|ASSAY OF BLOOD/URIC ACID |84550 | $ 6.50 |

|ASSAY OF URINE/URIC ACID |84560 | $ 6.83 |

|ASSAY OF FECES/UROBILINOGEN |84577 | $ 17.93 |

|TEST URINE UROBILINOGEN |84578 | $ 4.60 |

|ASSAY OF URINE UROBILINOGEN |84580 | $ 10.21 |

|ASSAY OF URINE UROBILINOGEN |84583 | $ 7.23 |

|ASSAY OF URINE VMA |84585 | $ 22.28 |

|ASSAY OF VASOPRESSIN |84588 | $ 48.79 |

|ASSAY OF VITAMIN A |84590 | $ 16.67 |

|ASSAY OF NOS VITAMIN |84591 | $ 16.67 |

|ASSAY OF VITAMIN K |84597 | $ 19.70 |

|ASSAY OF VOLATILES |84600 | $ 23.10 |

|XYLOSE TOLERANCE TEST |84620 | $ 17.03 |

|ASSAY OF ZINC |84630 | $ 16.37 |

|ASSAY OF C-PEPTIDE |84681 | $ 28.13 |

|CHORIONIC GONADOTROPIN TEST |84702 | $ 18.29 |

|CHORIONIC GONADOTROPIN ASSAY |84703 | $ 10.79 |

|HCG, FREE BETACHAIN TEST |84704 | $ 21.87 |

|OVULATION TESTS |84830 | $ 12.82 |

|BLEEDING TIME TEST |85002 | $ 6.47 |

|AUTOMATED DIFF WBC COUNT |85004 | $ 9.40 |

|DIFFERENTIAL WBC COUNT |85007 | $ 4.95 |

|NONDIFFERENTIAL WBC COUNT |85008 | $ 4.95 |

|DIFFERENTIAL WBC COUNT |85009 | $ 5.34 |

|Orderable |CPT Code | Proposed Fee |

|SPUN, MICROHEMATOCRIT |85013 | $ 3.41 |

|HEMATOCRIT |85014 | $ 3.41 |

|HEMOGLOBIN, COLORIMETRIC |85018 | $ 3.41 |

|AUTOMATED HEMOGRAM |85025 | $ 11.17 |

|AUTOMATED HEMOGRAM |85027 | $ 9.31 |

|MANUAL CELL COUNT, EACH |85032 | $ 6.25 |

|RED BLOOD CELL (RBC) COUNT |85041 | $ 4.33 |

|RETICULOCYTE COUNT |85044 | $ 6.18 |

|RETICUTOCYTE COUNT |85045 | $ 5.76 |

|RETICYTE/HGB CONCENTRATE |85046 | $ 8.03 |

|WHITE BLOOD CELL (WBC) COUNT |85048 | $ 3.67 |

|AUTOMATED PLATELET COUNT |85049 | $ 6.50 |

|RETICULATED PLATELET ASSAY |85055 | $ 38.91 |

|BLOOD SMEAR INTERPRETATION |85060 | $ 16.76 |

|BONE MARROW INTERPRETATION |85097 | $ 45.83 |

|CHROMOGENIC SUBSTATE ASSAY |85130 | $ 17.10 |

|BLOOD CLOT RETRACTION SCREEN |85170 | $ 5.20 |

|BLOOD CLOT LYSIS TIME |85175 | $ 6.53 |

|BLOOD CLOT FACTOR II TEST |85210 | $ 18.67 |

|BLOOD CLOT FACTOR V TEST |85220 | $ 25.36 |

|BLOOD CLOT FACTOR VII TEST |85230 | $ 25.74 |

|BLOOD CLOT FACTOR VIII TEST |85240 | $ 25.74 |

|BLOOD CLOT FACTOR VIII TEST |85244 | $ 29.35 |

|BLOOD CLOT FACTOR VIII TEST |85245 | $ 32.99 |

|BLOOD CLOT FACTOR VIII TEST |85246 | $ 32.99 |

|BLOOD CLOT FACTOR VIII TEST |85247 | $ 32.99 |

|BLOOD CLOT FACTOR IX TEST |85250 | $ 27.37 |

|BLOOD CLOT FACTOR X TEST |85260 | $ 25.74 |

|BLOOD CLOT FACTOR XI TEST |85270 | $ 25.74 |

|BLOOD CLOT FACTOR XII TEST |85280 | $ 27.81 |

|BLOOD CLOT FACTOR XIII TEST |85290 | $ 23.48 |

|BLOOD CLOT FACTOR XIII TEST |85291 | $ 12.77 |

|BLOOD CLOT FACTOR ASSAY |85292 | $ 27.22 |

|BLOOD CLOT FACTOR ASSAY |85293 | $ 27.22 |

|ANTITHROMBIN III TEST |85300 | $ 17.03 |

|ANTITHROMBIN III TEST |85301 | $ 15.55 |

|BLOOD CLOT INHIBITOR ASSAY |85302 | $ 17.28 |

|BLOOD CLOT INHIBITOR TEST |85303 | $ 19.88 |

|BLOOD CLOT INHIBITOR ASSA |85305 | $ 16.67 |

|BLOOD CLOT INHIBITOR TEST |85306 | $ 22.02 |

|ASSAY ACTIVATED PROTEIN C |85307 | $ 22.02 |

|FACTOR INHIBITOR TEST |85335 | $ 18.51 |

|Orderable |CPT Code | Proposed Fee |

|THROMBOMODULIN |85337 | $ 14.99 |

|COAGULATION TIME |85345 | $ 6.18 |

|COAGULATION TIME |85347 | $ 6.11 |

|COAGULATION TIME |85348 | $ 5.34 |

|EUGLOBULIN LYSIS |85360 | $ 12.08 |

|FIBRIN DEGRADATION PRODUCTS |85362 | $ 7.90 |

|FIBRINOGEN TEST |85366 | $ 11.14 |

|FIBRINOGEN TEST |85370 | $ 16.33 |

|FIBRIN DEGRADATION |85378 | $ 10.26 |

|FIBRIN DEGRADATION |85379 | $ 14.63 |

|FIBRIN DEGRADATION, ULTRASENSATIVE |85380 | $ 14.79 |

|FIBRINOGEN |85384 | $ 12.21 |

|FIBRINOGEN |85385 | $ 12.21 |

|FIBRINOLYSINS SCREEN |85390 | $ 7.41 |

|FIBRINOLYTIC PLASMIN |85400 | $ 12.71 |

|FIBRINOLYTIC ANTIPLASMIN |85410 | $ 11.09 |

|FIBRINOLYTIC PLASMINOGEN |85415 | $ 24.71 |

|FIBRINOLYTIC PLASMINOGEN |85420 | $ 7.96 |

|FIBRINOLYTIC PLASMINOGEN |85421 | $ 7.96 |

|HEINZ BODIES, DIRECT |85441 | $ 5.93 |

|HEINZ BODIES, INDUCED |85445 | $ 9.80 |

|HEMOGLOB / RBCS, FETAL, F/FETOMATER HEMO |85460 | $ 11.12 |

|HEMOGLOBIN OR RBCS FETAL FOR FETOHEMAGE |85461 | $ 9.54 |

|HEMOLYSIN ACID |85475 | $ 12.75 |

|HEPARIN ASSAY |85520 | $ 18.81 |

|NEUTRALIZE HEPARIN |85525 | $ 13.35 |

|HEPARIN-PROTAMINE TOLERANCE |85530 | $ 20.38 |

|IRON STAIN PERIPHERAL BLOOD |85536 | $ 9.31 |

|WBC ALKALINE PHOSPHATASE |85540 | $ 12.35 |

|RBC MECHANICAL FRAGILITY |85547 | $ 12.35 |

|SERUM MURAMIDASE |85549 | $ 26.96 |

|RBC OSMOTIC FRAGILITY |85555 | $ 9.61 |

|RBC OSMOTIC FRAGILITY |85557 | $ 19.20 |

|BLOOD PLATELET AGGREGATION |85576 | $ 19.76 |

|PLATELET NEUTRALIZATION |85597 | $ 25.83 |

|PROTHROMBIN TIME |85610 | $ 5.64 |

|PROTHROMBIN TEST |85611 | $ 5.67 |

|VIPER VENOM PROTHROMBIN TIME |85612 | $ 13.75 |

|RUSSELL VIPER VENOM, DILUTED |85613 | $ 13.75 |

|REPTILASE TEST |85635 | $ 14.16 |

|RBC SED RATE, NONAUTOMATED |85651 | $ 5.11 |

|RBC SED RATE, AUTOMATED |85652 | $ 3.87 |

|Orderable |CPT Code | Proposed Fee |

|RBC SICKLE CELL TEST |85660 | $ 7.54 |

|THROMBIN TIME; PLASMA |85670 | $ 8.29 |

|THROMBIN TIME; TITER |85675 | $ 9.85 |

|THROMBOPLASTIN INHIBITION |85705 | $ 13.85 |

|THROMBOPLASTIN TIME, PARTIAL |85730 | $ 8.63 |

|THROMBOPLASTIN TIME, PARTIAL |85732 | $ 9.31 |

|BLOOD VISCOSITY EXAMINATION |85810 | $ 16.78 |

|AGGLUTININS, FEBRILE |86000 | $ 6.92 |

|ALLERGEN SPECIFIC IGG |86001 | $ 7.51 |

|ALLERGEN SPEC IGE; QUANTIT/SEMIQ EACH |86003 | $ 7.51 |

|WBC ANTIBODY IDENTIFICATION |86021 | $ 20.64 |

|PLATELET ANTIBODIES |86022 | $ 26.39 |

|IMMUNOGLOBULIN ASSAY |86023 | $ 17.90 |

|ANTINUCLEAR ANTIBODIES, RIA |86038 | $ 17.37 |

|ANTINUCLEAR ANTIBODIES TITER |86039 | $ 16.04 |

|ANTISTREPTOLYSIN O, TITER |86060 | $ 10.49 |

|ANTISTREPTOLYSIN O, SCREEN |86063 | $ 8.29 |

|PHYSICIAN BLOOD BANK SERVICE |86077 | $ 57.95 |

|PHYSICIAN BLOOD BANK SERVICE |86078 | $ 58.60 |

|PHYSICIAN BLOOD BANK SERVICE |86079 | $ 58.60 |

|C-REACTIVE PROTEIN |86140 | $ 7.44 |

|C-REACTIVE PROTEIN, HS |86141 | $ 18.60 |

|GLYCOPROTEIN ANTIBODY |86146 | $ 31.50 |

|CARDIOLIPIN ANTIBODY |86147 | $ 31.50 |

|ANTI-PHOSPHATIDYLSERINE ANTIBODY |86148 | $ 23.09 |

|CHEMOTAXIS ASSAY |86155 | $ 20.37 |

|COLD AGGLUTININ, SCREEN |86156 | $ 9.63 |

|COLD AGGLUTININ, TITER |86157 | $ 11.58 |

|COMPLEMENT, ANTIGEN |86160 | $ 17.25 |

|COMPLEMENT/FUNCTION ACTIVITY |86161 | $ 17.25 |

|COMPLEMENT; TOTAL (CH 50) |86162 | $ 29.20 |

|COMPLEMENT FIXATION, EACH |86171 | $ 14.40 |

|COUNTERELECTROPHORESIS, EACH |86185 | $ 12.87 |

|CCP ANTIBODY |86200 | $ 9.23 |

|DEOXYRIBONUCLEASE, ANTIBODY |86215 | $ 19.06 |

|DNA ANTIBODY |86225 | $ 19.75 |

|DNA ANTIBODY |86226 | $ 17.39 |

|NUCLEAR ANTIGEN ANTIBODY |86235 | $ 19.76 |

|FC RECEPTOR ASSAY |86243 | $ 29.50 |

|FLUORESCENT ANTIBODY, SCREEN |86255 | $ 15.81 |

|FLUORESCENT ANTIBODY, TITER |86256 | $ 17.33 |

|GROWTH HORMONE ANTIBODY, RIA |86277 | $ 22.62 |

|Orderable |CPT Code | Proposed Fee |

|HEMAGGLUTINATION INHIBITION |86280 | $ 11.77 |

|IMMUNOASSAY, TUMOR, QUAL |86294 | $ 28.20 |

|IMMUNOASSAY, TUMOR, CA 15-3 |86300 | $ 29.91 |

|IMMUNOASSAY, TUMOR, CA 19-9 |86301 | $ 29.91 |

|IMMUNOASSAY, TUMOR, CA 125 |86304 | $ 29.91 |

|HETEROPHILE ANTIBODIES SCREEN |86308 | $ 7.44 |

|HETEROPHILE ANTIBODIES TITER |86309 | $ 9.20 |

|HETEROPHILE ANTIBODIES |86310 | $ 10.60 |

|IMMUNOASSAY, TUMOR OTHER |86316 | $ 29.91 |

|IMMUNOASSAY, INFECTIOUS AGENT |86317 | $ 21.55 |

|IMMUNOASSAY F/INFECT AGENT ANTIBODY,QUAL |86318 | $ 18.60 |

|SERUM IMMUNOELECTROPHORESIS |86320 | $ 32.21 |

|OTHER IMMUNOELECTROPHORESIS |86325 | $ 32.14 |

|IMMUNOELECTROPHORESIS ASSAY |86327 | $ 32.60 |

|IMMUNODIFFUSION, EACH |86329 | $ 19.70 |

|IMMUNODIFFUSION OUCHTERLONY |86331 | $ 17.23 |

|ASSAY, CIQ PRECIPITIN |86332 | $ 35.02 |

|IMMUNOFIX E-PHORESIS, SERUM |86334 | $ 26.95 |

|*04 *05 IMMUNFIX E-PHORSIS/URINE/CSF |86335 | $ 42.64 |

|INSULIN ANTIBODIES, RIA |86337 | $ 30.77 |

|INTRINSIC FACTOR ANTIBODY |86340 | $ 21.66 |

|ISLET CELL ANTIBODY |86341 | $ 23.89 |

|LEUKOCYTE HISTAMINE RELEASE |86343 | $ 17.91 |

|LEUKOCYTE PHAGOCYTOSIS |86344 | $ 11.48 |

|LYMPHOCYTE TRANSFORMATION |86353 | $ 70.46 |

|B CELLS, TOTAL COUNT |86355 | $ 71.23 |

|MONONUCLEAR CELL ANTIGEN |86356 | $ 38.91 |

|*04 *06 NK CELLS, TOTAL COUNT |86357 | $ 54.81 |

|T CELLS |86359 | $ 54.21 |

|T CELL, ABSOLUTE COUNT/RATIO |86360 | $ 67.52 |

|T CELL, ABSOLUTE COUNT |86361 | $ 38.48 |

|STEM CELLS, TOTAL COUNT |86367 | $ 54.81 |

|MICROSOMAL ANTIBODY, RIA |86376 | $ 19.76 |

|MIGRATION INHIBITORY FACTOR |86378 | $ 28.31 |

|NEUTRALIZATION TEST, VIRAL |86382 | $ 24.30 |

|NITROBLUE TETRAZOLIUM DYE |86384 | $ 16.37 |

|PARTICLE AGGLUTINATION |86403 | $ 14.64 |

|PARTICLE AGGLUTINATION |86406 | $ 15.29 |

|RHEUMATOID FACTOR TEST |86430 | $ 8.16 |

|RHEUMATOID FATOR, QUANT |86431 | $ 8.16 |

|TB TEST, CELL IMMUN MEASURE |86480 | $ 90.05 |

|COCCIDIOIDOMYCOSIS SKIN TEST |86490 | $ 11.18 |

|Orderable |CPT Code | Proposed Fee |

|HISTOPLASMOSIS SKIN TEST |86510 | $ 10.58 |

|TB INTRADERMAL TEST |86580 | $ 10.50 |

|STREPTOKINASE, ANTIBODY |86590 | $ 15.85 |

|BLOOD SEROLOGY, QUALITATIVE |86592 | $ 5.93 |

|BLOOD SEROLOGY, QUANTITATIVE |86593 | $ 6.33 |

|ANTIBODY, ACTINOMYCES |86602 | $ 14.63 |

|ADENOVIRUS ANTIBODY |86603 | $ 18.50 |

|ANTIBODY, ASPERGILLUS |86606 | $ 21.63 |

|BACTERIUM ANTIBODY |86609 | $ 18.53 |

|BARTONELLA ANTIBODY |86611 | $ 14.63 |

|BLASTOMYCES ANTIBODY |86612 | $ 18.54 |

|ANTIBODY, BORDETELLA |86615 | $ 18.95 |

|ANTIBODY |86617 | $ 22.26 |

|ANTIBODY, LYME DISEASE |86618 | $ 24.48 |

|BORRELIA ANTIBODY |86619 | $ 19.23 |

|BRUCELLA ANTIBODY |86622 | $ 12.69 |

|CAMPYLOBACTER ANTIBODY |86625 | $ 18.85 |

|CANDIDA ANTIBODY |86628 | $ 17.26 |

|CHLAMYDIA ANTIBODY |86631 | $ 17.00 |

|CHLAMYDIA IGM ANTIBODY |86632 | $ 18.25 |

|COCCIDIOIDES ANTIBODY |86635 | $ 16.48 |

|ANTIBODY, Q FEVER |86638 | $ 17.42 |

|ANTIBODY, CRYPTOCOCCUS |86641 | $ 19.92 |

|ANTIBODY, CMV |86644 | $ 19.97 |

|ANTIBODY, CVM, 1GM |86645 | $ 24.21 |

|ANTIBODY, DIPHTHERIA |86648 | $ 20.12 |

|ANTIBODY, ENCEPHALITIS |86651 | $ 18.95 |

|ENCEPHALITIS ANTIBODY |86652 | $ 18.95 |

|ENCEPHALITIS ANTIBODY |86653 | $ 18.95 |

|ENCEPHALITIS ANTIBODY |86654 | $ 18.95 |

|ENTEROVIRUS ANTIBODY |86658 | $ 18.73 |

|ANTIBODY, EPSTEIN - BARR |86663 | $ 18.85 |

|ANTIBODY, EPSTEIN - BARR |86664 | $ 21.98 |

|EPSTEIN-BARR ANTIBODY |86665 | $ 25.56 |

|EHRLICHIA ANTIBODY |86666 | $ 14.63 |

|FRANCISELLA TULARENSIS |86668 | $ 14.95 |

|FUNGUS ANTIBODY |86671 | $ 17.63 |

|GIARDIA LAMBLIA ANTIBODY |86674 | $ 21.15 |

|ANTIBODY, HELICOBACTER PYLORI |86677 | $ 20.85 |

|HELMINTH ANTIBODY |86682 | $ 18.69 |

|ANTIBODY, HEMOPHILUS INFLUENZA |86684 | $ 22.78 |

|HTLV-I ANTIBODY |86687 | $ 12.06 |

|Orderable |CPT Code | Proposed Fee |

|HTLV-II ANTIBODY |86688 | $ 20.15 |

|HTLVI CONFIRM TEST |86689 | $ 27.82 |

|HEPATITIS, DELTA AGENT |86692 | $ 24.67 |

|ANTIBODY, HERPES SIMPLEX |86694 | $ 19.97 |

|ANTIBODY, HERPES SIMPLEX |86695 | $ 18.95 |

|HERPES SIMPLEX TYPE 2 |86696 | $ 27.82 |

|ANTIBODY HISTOPLASMA |86698 | $ 17.97 |

|ANTIBODY, HIV - 1 |86701 | $ 12.77 |

|ANTIBODY, HIV - 2 |86702 | $ 16.45 |

|HIV-1/HIV-2, SINGLE ASSAY |86703 | $ 16.45 |

|HEP B CORE ANTIBODY, TOTAL |86704 | $ 17.33 |

|HEP B CORE ANTIBODY, IGM |86705 | $ 16.93 |

|HEP B SURFACE ANTIBODY |86706 | $ 15.43 |

|HEP BE ANTIBODY |86707 | $ 16.61 |

|HEP A ANTIBODY, TOTAL |86708 | $ 17.81 |

|HEP A ANTIBODY, IGM |86709 | $ 16.17 |

|INFLUENZA VIRUS ANTIBODY |86710 | $ 19.49 |

|LEGIONELLA ANTIBODY |86713 | $ 22.00 |

|LEISHMANIA ANTIBODY |86717 | $ 17.60 |

|LEPTOSPIRA ANTIBODY |86720 | $ 16.16 |

|LISTERIA MONOCYTOGENES AB |86723 | $ 18.95 |

|LYMPH CHORIOMENINGITIS AB |86727 | $ 18.50 |

|LYMPHO VENEREUM ANTIBODY |86729 | $ 17.17 |

|MUCORMYCOSIS ANTIBODY |86732 | $ 18.95 |

|MUMPS ANTIBODY |86735 | $ 18.75 |

|MYCOPLASMA ANTIBODY |86738 | $ 19.05 |

|NEISSERIA MENINGITIDIS |86741 | $ 18.95 |

|NOCARDIA ANTIBODY |86744 | $ 18.95 |

|PARVOVIRUS ANTIBODY |86747 | $ 21.61 |

|MALARIA ANTIBODY |86750 | $ 18.95 |

|PROTOZOA ANTIBODY NOS |86753 | $ 17.81 |

|RESPIRATORY VIRUS ANTIBODY |86756 | $ 18.53 |

|RICKETTSIA ANTIBODY |86757 | $ 27.82 |

|ROTAVIRUS ANTIBODY |86759 | $ 18.95 |

|RUBELLA ANTIBODY |86762 | $ 19.97 |

|RUBEOLA ANTIBODY |86765 | $ 18.53 |

|SALMONELLA ANTIBODY |86768 | $ 18.95 |

|SHIGELLA ANTIBODY |86771 | $ 18.95 |

|TETANUS ANTIBODY |86774 | $ 21.27 |

|TOXOPLASMA ANTIBODY |86777 | $ 19.97 |

|TOXOPLASMA ANTIBODY, IGM |86778 | $ 19.97 |

|TREPONEMA PALLIDUM, CONFIRM |86781 | $ 19.03 |

|Orderable |CPT Code | Proposed Fee |

|TRICHINELLA ANTIBODY |86784 | $ 18.06 |

|VARICELLA-ZOSTER ANTIBODY |86787 | $ 18.53 |

|WEST NILE VIRUS AB, IGM |86788 | $ 24.48 |

|WEST NILE VIRUS ANTIBODY |86789 | $ 20.92 |

|VIRUS ANTIBODY NOS |86790 | $ 18.53 |

|YERSINIA ANTIBODY |86793 | $ 18.95 |

|THYROGLOBULIN ANTIBODY, RIA |86800 | $ 19.46 |

|HEPATITIS C ANTIBODY |86803 | $ 20.51 |

|HEPATITIS C ANTIBODY;CONFIRM TST EG,IMMU |86804 | $ 22.26 |

|LYMPHOCYTOTOXICITY ASSAY |86805 | $ 64.05 |

|LYMPHOCYTHOTOXICITY ASSAY |86806 | $ 48.49 |

|CYTOTOXIC ANTIBODY SCREENING |86807 | $ 56.88 |

|CYTOTOXIC ANTIBODY SCREENING |86808 | $ 36.88 |

|HLA TYPING, A, B, OR C |86812 | $ 37.09 |

|HLA TYPING, A, B, AND/OR C |86813 | $ 71.10 |

|HLA TYPING, DR |86816 | $ 40.03 |

|HLA TYPING, DR |86817 | $ 75.15 |

|LYMPHOCYTE CULTURE, MIXED |86821 | $ 25.34 |

|LYMPHOCYTE CULTURE, PRIMED |86822 | $ 25.34 |

|RBC ANTIBODY SCREEN |86850 | $ 10.31 |

|RBC ANTIBODY SCREEN |86860 | $ 25.78 |

|RBC ANTIBODY IDENTIFICATION |86870 | $ 21.48 |

|COOMBS TEST |86880 | $ 7.72 |

|COOMBS TEST, INDIRECT, QUAL |86885 | $ 8.22 |

|COOMBS TEST, INDIRECT, TITER |86886 | $ 7.44 |

|BLOOD TYPING, ABO ONLY |86900 | $ 4.29 |

|BLOOD TYPING, RH(D) |86901 | $ 6.92 |

|BLOOD TYPING, ANTIGEN SCREEN |86903 | $ 8.89 |

|BLOOD TYPING, ANTIGEN SCREEN |86904 | $ 8.89 |

|BLOOD TYPING, RBC ANTIGENS |86905 | $ 5.49 |

|BLOOD TYPING, RH PHENOTYPE |86906 | $ 11.14 |

|HEMOLYSINS/AGGLUTININS, AUTO |86940 | $ 11.78 |

|HEMOLYSINS AND AGGLUTININS |86941 | $ 17.39 |

|BLOOD PRODUCT/IRRADIATION |86945 | $ 32.71 |

|PRETREATMENT RBC, DRUGS |86970 | $ 22.46 |

|PRETREATMENT RBC, DILUTION |86971 | $ 22.46 |

|PRETREATMENT RBC, SEPARATION |86972 | $ 21.65 |

|PRETREATMENT SERUM, DRUGS |86975 | $ 21.65 |

|RBC PRETREATMENT,SERUM |86976 | $ 21.65 |

|RBC PRETREATMENT, SERUM |86977 | $ 21.65 |

|RBC PRETREATMENT, SERUM |86978 | $ 25.96 |

|SMALL ANIMAL INOCULATION |87001 | $ 19.01 |

|Orderable |CPT Code | Proposed Fee |

|SMALL ANIMAL INOCULATION |87003 | $ 24.19 |

|SPECIMEN CONCENTRATION |87015 | $ 9.59 |

|BLOOD CULTURE FOR BACTERIA |87040 | $ 14.85 |

|FECES CULTURE, BACTERIA |87045 | $ 13.56 |

|STOOL CULTR, BACTERIA, EACH |87046 | $ 3.39 |

|CULTURE, BACTERIA, OTHER |87070 | $ 12.38 |

|CULTURE BACTERI AEROBIC OTHR |87071 | $ 6.79 |

|CULTURE BACTERIA ANAEROBIC |87073 | $ 6.79 |

|CULTR BACTERIA, EXCEPT BLOOD |87075 | $ 13.60 |

|CULTURE ANAEROBE IDENT, EACH |87076 | $ 11.61 |

|CULTURE AEROBIC IDENTIFY |87077 | $ 11.61 |

|CULTURE SCREEN ONLY |87081 | $ 9.53 |

|CULTURE OF SPECIMEN BY KIT |87084 | $ 12.38 |

|URINE CULTURE/COLONY COUNT |87086 | $ 9.88 |

|URINE BACTERIA CULTURE |87088 | $ 7.90 |

|SKIN FUNGI CULTURE |87101 | $ 9.88 |

|FUNGUS ISOLATION CULTURE |87102 | $ 11.86 |

|BLOOD FUNGUS CULTURE |87103 | $ 12.96 |

|FUNGI IDENTIFICATION, YEAST |87106 | $ 14.85 |

|FUNGI IDENTIFICATION, MOLD |87107 | $ 14.85 |

|MYCOPLASMA |87109 | $ 22.11 |

|CHLAMYDIA CULTURE |87110 | $ 25.04 |

|MYCOBACTERIA CULTURE |87116 | $ 11.86 |

|MYCOBACTERIC IDENTIFICATION |87118 | $ 15.73 |

|CULTUR TYPE IMMUNOFLUORESC |87140 | $ 7.90 |

|CULTURE TYPING, GLC/HPLC |87143 | $ 18.02 |

|CULTURE TYPE, IMMUNOLOGIC |87147 | $ 5.93 |

|CULTURE TYPE, NUCLEIC ACID |87149 | $ 28.82 |

|CULTURE TYPE PULSE FIELD GEL |87152 | $ 7.51 |

|CULTURE TYPING, ADDED METHOD |87158 | $ 7.51 |

|DARK FIELD EXAMINATION |87164 | $ 15.43 |

|DARK FIELD EXAMINATION |87166 | $ 16.24 |

|MACROSCOPIC EXAM ARTHROPOD |87168 | $ 6.14 |

|MACACROSCOPIC EXAM PARASITE |87169 | $ 6.14 |

|PINWORM EXAM |87172 | $ 6.14 |

|TISSUE HOMOGENIZATION, CULTR |87176 | $ 8.45 |

|OVA AND PARASITES SMEARS |87177 | $ 12.79 |

|MICROBE SUSCEPTIBLE, DIFFUSE |87181 | $ 1.98 |

|MICROBE SUSCEPTIBLE, DISK |87184 | $ 9.91 |

|MICROBE SUSCEPTIBLE, ENZYME |87185 | $ 3.24 |

|MICROBE SUSCEPTIBLE, MIC |87186 | $ 12.42 |

|MICROBE SUSCEPTIBLE, MLC |87187 | $ 14.90 |

|Orderable |CPT Code | Proposed Fee |

|MICROBE SUSCEPT, MACROBROTH |87188 | $ 9.54 |

|MICROBE SUSCEPT, MYCOBACTERI |87190 | $ 5.93 |

|BACTERICIDAL LEVEL, SERUM |87197 | $ 21.50 |

|SMEAR, GRAM STAIN |87205 | $ 6.14 |

|SMEAR, FLUORESCENT/ACID STAI |87206 | $ 7.72 |

|SMEAR, SPECIAL STAIN |87207 | $ 8.61 |

|SMEAR, COMPLEX STAIN |87209 | $ 26.12 |

|SMEAR, WET MOUNT, SALINE/INK |87210 | $ 6.14 |

|TISSUE EXAM FOR FUNGI |87220 | $ 6.14 |

|ASSAY, TOXIN OR ANTITOXIN |87230 | $ 28.37 |

|VIRUS INOCULATE, EGGS/ANIMAL |87250 | $ 28.11 |

|VIRUS INOCULATION, TISSUE |87252 | $ 29.64 |

|VIRUS INOCULATE TISSUE, ADDL |87253 | $ 21.11 |

|VIRUS INOCULATION, SHELL VIA |87254 | $ 7.03 |

|VIRUS ISOLATE, NON-IMMUN/CYTOPATH |87255 | $ 49.21 |

|ADENOVIRUS AG, IF |87260 | $ 13.35 |

|PERTUSSIS AG, IF |87265 | $ 13.35 |

|ENTEROVIRUS ANTIBODY, DFA |87267 | $ 13.49 |

|GIARDIA AG, IF |87269 | $ 13.49 |

|CHLAMYDIA TRACHOMATIS AG, IF |87270 | $ 13.35 |

|CYTOMEGALOVIRUS DFA |87271 | $ 13.49 |

|CRYPTOSPORIDIUM AG, IF |87272 | $ 13.35 |

|HERPES SIMPLEX 2, AG, IF |87273 | $ 13.35 |

|HERPES SIMPLEX 1, AG, IF |87274 | $ 13.35 |

|INFLUENZA B, AG, IF |87275 | $ 13.35 |

|INFLUENZA A, AG, IF |87276 | $ 13.35 |

|LEGIONELLA MICDADEI, AG, IF |87277 | $ 13.35 |

|LEGION PNEUMOPHILIA AG, IF |87278 | $ 13.35 |

|PARAINFLUENZA, AG, IF |87279 | $ 13.35 |

|RESPIRATORY SYNCYTIAL AG, IF |87280 | $ 13.35 |

|PNEUMOCYSTIS CARINII, AG, IF |87281 | $ 13.35 |

|RUBEOLA, AG, IF |87283 | $ 13.35 |

|TREPONEMA PALLIDUM, AG, IF |87285 | $ 13.35 |

|VARICELLA ZOSTER, AG, IF |87290 | $ 13.35 |

|ANTIBODY DETECTION, NOS, IF |87299 | $ 13.35 |

|AG DETECTION, POLYVAL, IF |87300 | $ 6.68 |

|INFECT AGT ANTIG DETEC BY ENZYME IMM TEC |87301 | $ 13.35 |

|ASPERGILLUS AG, EIA |87305 | $ 13.49 |

|INFEC AGT DETEC BY ENZYME IMMUN TEC |87320 | $ 13.35 |

|CLOSTRIDIUM AG, EIA |87324 | $ 13.35 |

|CRYPTOCOCCUS NEOFORM AG, EIA |87327 | $ 13.35 |

|CRYPTOSPORIDIUM AG, EIA |87328 | $ 13.35 |

|Orderable |CPT Code | Proposed Fee |

|GIARDIA AG, EIA |87329 | $ 13.49 |

|INFECT AGT ANTIGEN DET BY ENZYME IMMUN |87332 | $ 13.35 |

|INFECT AGT ANTIGEN DET BY ENZYME IMMUN |87335 | $ 13.35 |

|ENTAMOEB HIST DISPR, AG, EIA |87336 | $ 13.35 |

|ENTAMOEB HIST GROUP, AG, EIA |87337 | $ 13.35 |

|HPYLORI, STOOL, EIA |87338 | $ 20.67 |

|H PYLORI AG, EIA |87339 | $ 13.35 |

|INFECT AGT ANTIGEN DETEC BY ENZYME IMMUN |87340 | $ 14.85 |

|HEPATITIS B SURFACE, AG, EIA |87341 | $ 14.85 |

|HEPATITIS BE AG, EIA |87350 | $ 16.56 |

|INFECT AGT ANTIG DET BY ENZYME IMMUN TEC |87380 | $ 23.60 |

|INFECT AGT ANT DET BY ENZYME IMMUNO TEC |87385 | $ 13.35 |

|INFECT AGT ANT DET BY ENZYME IMMUNO TEC |87390 | $ 25.35 |

|INFECT AGT ANT DET BY ENZYME IMMUNO TEC |87391 | $ 25.35 |

|INFLUENZA A/B, AG, EIA |87400 | $ 7.53 |

|INFECT AGT ANT DET BY ENZYME IMMUNO TEC |87420 | $ 13.35 |

|INFEDT AGT ANT DET BGY ENZYME IMMUNO TEC |87425 | $ 13.35 |

|SHIGA-LIKE TOXIN AG, EIA |87427 | $ 13.35 |

|INFECT AGT ANT DET BY ENZYME IMMUNO TEC |87430 | $ 13.35 |

|AG DETECT NOS, EIA, MULT |87449 | $ 13.35 |

|AG DETECT NOS, EIA, SINGLE |87450 | $ 5.98 |

|AG DETECT POLYVAL, EIA, MULT |87451 | $ 7.84 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; BAR |87470 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; BAR |87471 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; BA |87472 | $ 61.57 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; BO |87475 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; BOR |87476 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; BOR |87477 | $ 61.57 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CAN |87480 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CAN |87481 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CAN |87482 | $ 60.00 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CHL |87485 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CHL |87486 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CHL |87487 | $ 61.57 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CHL |87490 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CHL |87491 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CHL |87492 | $ 50.25 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CYT |87495 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; CYT |87496 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA;CYT |87497 | $ 61.57 |

|ENTEROVIRUS, DNA, AMP PROBE |87498 | $ 51.00 |

|VANOMYCIN, DNA, AMP PROBE |87500 | $ 51.00 |

|Orderable |CPT Code | Proposed Fee |

|INFECT AGT DET BY NUCL ACID DNA/RNA; GAR |87510 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; GAR |87511 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; GAR |87512 | $ 60.00 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; HEP |87515 | $ 28.82 |

|HEPATITIS B, DNA, AMP PROBE |87516 | $ 50.44 |

|HEPATITIS B, DNA, QUANT |87517 | $ 61.57 |

|HEPATITIS C, RNA, DIR PROBE |87520 | $ 28.82 |

|HEPATITIS C, RNA, AMP PROBE |87521 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; HEP |87522 | $ 61.57 |

|HEPATITIS G, DNA, DIR PROBE |87525 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; HEP |87526 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; HEP |87527 | $ 60.00 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; HER |87528 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA/RNA; HER |87529 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA;RNA HER |87530 | $ 61.57 |

|INFECT AGY DET BY NUCL ACID DNA,RNA; HER |87531 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA;HER |87532 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; HE |87533 | $ 60.00 |

|HIV-1, DNA, DIR PROBE |87534 | $ 28.82 |

|HIV-1, DNA, AMP PROBE |87535 | $ 50.44 |

|HIV-1, DNA, QUANT |87536 | $ 122.29 |

|HIV-2, DNA, DIR PROBE |87537 | $ 28.82 |

|HIV-2, DNA, AMP PROBE |87538 | $ 50.44 |

|HIV-2, DNA, QUANT |87539 | $ 61.57 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; LE |87540 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA;RNA; LEG |87541 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; LE |87542 | $ 60.00 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; MY |87550 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87551 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87552 | $ 61.57 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87555 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87556 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; MY |87557 | $ 61.57 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87560 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87561 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; MY |87562 | $ 61.57 |

|INFECT AGT DET BY NUCL ACID DNA, RNA; MY |87580 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87581 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; MYC |87582 | $ 60.00 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; NEI |87590 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; NEI |87591 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA,RNA; NEI |87592 | $ 61.57 |

|Orderable |CPT Code | Proposed Fee |

|INFECT AGT DET BY NUCL ACID DNA,RNA PAP |87621 | $ 50.44 |

|STAPH A, DNA, AMP PROBE |87640 | $ 51.00 |

|MR-STAPH, DNA, AMP PROBE |87641 | $ 51.00 |

|INFECT AGT DET BY NUCL ACID DNA,RNA STR |87650 | $ 28.82 |

|INFECT AGT DET BY NUCL ACID DNA,RNA STR |87651 | $ 50.44 |

|INFECT AGT DET BY NUCL ACID DNA, RNA STR |87652 | $ 60.00 |

|STREP B, DNA, AMP PROBE |87653 | $ 51.00 |

|TRICHOMONAS VAGIN, DIR PROBE |87660 | $ 29.15 |

|DETECT AGENT NOS, DNA, DIR |87797 | $ 28.82 |

|DETECT AGENT NOS, DNA, AMP |87798 | $ 50.44 |

|DETECT AGENT NOS, DNA, QUANT |87799 | $ 61.57 |

|DETECT AGNT MULT, DNA, DIREC |87800 | $ 28.82 |

|DETECT AGNT MULT, DNA, AMPLI |87801 | $ 50.44 |

|STREP B ASSAY W/OPTIC |87802 | $ 13.35 |

|CLOSTRIDIUM TOXIN A W/OPTIC |87803 | $ 13.35 |

|INFLUENZA ASSAY W/OPTIC |87804 | $ 13.35 |

|RSV ASSAY W/OPTIC |87807 | $ 13.49 |

|TRICHOMONAS ASSAY W/OPTIC |87808 | $ 13.49 |

|ADENOVIRUS ASSAY W/OPTIC |87809 | $ 13.49 |

|INFECT AGT DET BY IMMUNO WITH DIR OPTICA |87810 | $ 13.35 |

|INFECT AGT DET BY IMMUNA WITH DIR OPTICA |87850 | $ 13.35 |

|INFECT AGT DET BY IMMUNO WITH DIR OPTICA |87880 | $ 13.35 |

|INFECT AGT DET BY IMMUNO WITH DIR OPTICA |87899 | $ 13.35 |

|PHENOTYPE, INFECT AGENT DRUG |87900 | $ 189.40 |

|GENOTYPE, DNA, HIV REVERSE T |87901 | $ 370.01 |

|GENOTYPE, DNA, HEPATITIS C |87902 | $ 370.01 |

|PHENOTYPE, DNA HIV W/CULTURE |87903 | $ 702.30 |

|PHENOTYPE, DNA HIV W/CLT ADD |87904 | $ 37.88 |

|TABLE 2 |

|Public Health Laboratory |

|Proposed Water Quality Laboratory Test Fee Schedule |

| | |

|Test Description | Proposed Fee |

|Membrane Filtration E. Coli Quantitative – 2 Dilution | $ 25.97 |

|Membrane Filtration E. Coli Quantitative – 3 Dilution | $ 32.62 |

|Membrane Filtration Enterococcus Quantitative – 2 Dilution | $ 26.12 |

|Membrane Filtration Enterococcus Quantitative – 3 Dilution | $ 33.10 |

|Membrane Filtration Fecal Coliform Quantitative – 2 Dilution | $ 20.65 |

|Membrane Filtration Fecal Coliform Quantitative – 3 Dilution | $ 24.88 |

|Membrane Filtration Total Coliform Quantitative – 2 Dilution | $ 20.02 |

|Membrane Filtration Total Coliform Quantitative – 3 Dilution | $ 23.92 |

|Colilert – 18 | $ 20.56 |

|Water Lab Enterococcus Speciation | $ 48.77 |

|Enterolert | $ 21.11 |

|Heterotrophic Plate Count (HPC) | $ 39.00 |

|IDEXX Presence Absence | $ 15.47 |

|Total Suspended Solids (TSS) | $ 26.29 |

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