Outpatient Lab Charges Augusta Part 2
30200080 HC HEPATITIS A ANTIBODY; IGM 86709 $123.27
30200081 HC ANTIBODY; LEGIONELLA 86713 $72.29
30200083 HC ANTIBODY; MUMPS 86735 $116.24
30200085 HC AB; PARVOVIRUS 86747 $190.50
30200086 HC PLASODIUM (MALARIA) 86750 $487.62
30200087 HC ANTIBODY; PROTOZOA 86753 $77.96
30200088 HC ANTIBODY; RICKETTSIA 86757 $100.89
30200089 HC ANTIBODY; RUBELLA 86762 $72.86
30200090 HC ANTIBODY; RUBEOLA 86765 $137.27
30200091 HC ANTIBODY; TETANUS 86774 $151.31
30200092 HC AB; TOXOPLASMA 86777 $126.08
30200093 HC AB; TOXOPLASMA, IGM 86778 $176.49
30200094 HC AB;TREPONEMA CONFIRM 86780 $68.04
30200095 HC ANTIBODY; TRICHINELLA 86784 $287.75
30200096 HC ANTIBODY; VARICELLA-ZOSTER 86787 $120.46
30200097 HC ANTIBODY; WEST NILE VIRUS, IGM 86788 $116.24
30200098 HC ANTIBODY; WEST NILE VIRUS 86789 $116.24
30200099 HC ANTIBODY; VIRUS, NES 86790 $116.24
30200100 HC ANTIBODY; THYROGLOBULIN` 86800 $210.14
30200101 HC HEPATITIS C ANTIBODY 86803 $130.28
30200103 HC HLA TYPE; A, B, C, SGL ANTIGEN 86812 $212.94
30200105 HC BLOOD TYPING; RH PHENOTYPING 86906 $37.68
30200106 HC COMPATIBILITY TEST, SPIN; EACH 86920 $211.95
30200107 HC IMMUNOASSAY, QUANT; CA 19-9 86301 $95.81
30200108 HC COMPLEMENT; ANTIGEN, EACH COMP 86160 $100.89
30200110 HC ENA; ANY METHOD, EACH ANTIBODY 86235 $399.74
30200111 HC FLUORESCENT AB; TITER, EA AB 86256 $114.89
30200113 HC PA; SCREEN, EA AB 86403 $156.80
30200115 HC SYPHILIS TEST (RPR, VDRL);QUAL 86592 $33.63
30200116 HC VDRL - QUANTITATIVE 86593 $137.50
30200117 HC ANTIBODY; RUBELLA 86762 $34.09
30200118 HC ANTIBODY; RUBEOLA 86765 $116.24
30200122 HC VDRL - QUANTITATIVE 86593 $42.03
30200123 HC IMMUNOELECTROPHORESIS; FLUIDS 86335 $201.80
30200124 HC IMMUNOELECTROPHORESIS; SERUM 86334 $260.43
30200125 HC CYTOMEGALOVIRUS ANTIBODY IGG 86644 $142.90
30200126 HC CYTOMEGALOVIRUS ANTIBODY IGM 86645 $151.28
30200127 HC MYCOPLASMA PNEUMONIAE ANTIBODY 86738 $67.07
30500002 HC BLOOD SMEAR W/DIFF WBC COUNT 85007 $30.82
30500003 HC HEMOGLOBIN 85018 $58.63
30500004 HC COMPL CBC W PLT W AUTOM DIFF 85025 $57.27
30500005 HC COMPL AUTOM CBC W PLT 85027 $47.72
30500006 HC AUTOMATED RETICULOCYTE COUNT 85045 $28.01
30500007 HC RETICULOCYTES HEMOGLOBIN CONT 85046 $82.22
30500008 HC AUTOMATED WBC 85048 $100.90
30500009 HC AUTOMATED PLATELET COUNT 85049 $12.27
30500010 HC CLOT LYSIS TIME, WH BLD DILUTE 85175 $39.54
30500011 HC FACTOR II, PROTHROMBIN SPECIF 85210 $272.16
30500012 HC CLOTTING; FACTOR V 85220 $155.93
30500013 HC CLOTTING; FACTOR VII 85230 $170.10
30500014 HC FACTOR VIII (F8) 85240 $138.92
30500015 HC CLOT;FACT 8, RISTOCETIN COFACT 85245 $186.41
30500016 HC FACTOR VIII, VW FACTOR ANTIGEN 85246 $186.41
30500017 HC FACTOR 8 VWF MULTIMRIC 85247 $186.41
30500018 HC FACTOR IX (F9) 85250 $232.47
30500019 HC CLOTTING; FACTOR X 85260 $184.28
30500020 HC CLOTTING; FACTOR XI 85270 $320.36
30500021 HC CLOTTING; FACTOR XII 85280 $320.36
30500022 HC FACTOR XIII (13) ASSAY (F13) 85291 $155.93
30500023 HC ANTITHROMBIN III ACTIVITY 85300 $221.32
30500024 HC ANTITHROMBIN III ANTIGEN ASSAY 85301 $130.41
30500025 HC PROTEIN C, AG 85302 $238.15
30500026 HC PROTEIN C ACTIVITY 85303 $155.93
30500027 HC PROTEIN S, TOTAL 85305 $162.49
30500028 HC PROTEIN S, FREE 85306 $252.32
30500029 HC ACTIVATED PROTEIN C RESISTANCE 85307 $153.09
30500030 HC COAGULATION TIME; ACTIVATED 85347 $100.90
30500030 HC COAGULATION TIME; ACTIVATED 85347 $101.90
30500031 HC FIBRIN DEGRADATION PRODUCTS 85362 $174.53
30500032 HC D-DIMER; QUAL/SEMIQUANT 85378 $126.81
30500033 HC FIBRINOGEN; ACTIVITY 85384 $65.45
30500034 HC ADAMTS-13 85397 $884.52
30500035 HC K-B STAIN FOR FETAL HEMOGLOBIN 85460 $136.35
30500037 HC HEPARIN ASSAY (F10A) 85520 $497.54
30500038 HC LEUKOCYTE ALK PHOS W COUNT 85540 $331.70
30500039 HC MURAMIDASE (LYSOZYME) 85549 $86.36
30500040 HC PLT, AGGREGATION(IN VITRO), EA 85576 $143.17
30500041 HC PLATELET NEUTRALIZATION (STAY) 85597 $484.79
30500042 HC PROTHROMBIN TIME 85610 $39.22
30500043 HC PT;SUBSTITUTION,PLASMA FRAC,EA 85611 $87.26
30500044 HC DILUTE RUSSELL VIPER VENOM 85613 $151.67
30500045 HC AUTOM ERYTHROCYTE SED RATE 85652 $39.22
30500046 HC SICKLING OF RBC, REDUCTION 85660 $39.22
30500047 HC THROMBIN TIME; PLASMA 85670 $77.72
30500048 HC PTT; PLASMA OR WHOLE BLOOD 85730 $47.64
30500049 HC PTT;SUBSTITUTION,PLASM FRAC,EA 85732 $115.90
30500050 HC VISCOSITY 85810 $68.04
30500051 HC INVESTIG TRANSFUSION REACTION 86078 $170.83
30500052 HC POC OACT ELITE 85347 $101.90
30500054 HC PROTHROMBIN TIME 85610 $39.22
30500057 HC COAGULATION TIME; ACTIVATED 85347 $36.81
30600001 HC AEROB BACTERIAL BLOOD CULTURE 87040 $86.86
30600002 HC AEROB BACTERIAL CULTURE, STOOL 87045 $84.06
30600003 HC STOOL CUL, ADD PATH, EA PLATE 87046 $25.91
30600004 HC BACTERIAL CULT - OTHER SOURCE 87070 $70.05
30600005 HC ANAEROB BACT CULTURE WITH ID 87075 $64.42
30600006 HC ANAEROBIC ISOLATE ID, EA ISOL 87076 $89.67
30600007 HC CULTURE, BACTERIA - ID,EA ISOL 87077 $19.09
30600008 HC CULTURE, PRESUMPT PATH; SCREEN 87081 $54.54
30600009 HC BACT CULT URINE;QUAN COL COUNT 87086 $56.04
30600010 HC CULT FUNGUS W/ID; SKIN, HR, NL 87101 $57.27
30600011 HC FUNGUS CULTURE; NOT BLOOD 87102 $89.67
30600012 HC CULTURE, AFB; ANY SOURCE 87116 $54.54
30600013 HC CULT MYCOBACTERIA ID, EA ISOL 87118 $186.80
30600014 HC O&P DIRECT SMEARS, CONC. & ID 87177 $168.68
30600015 HC SUSCEPTIBILITY, MIC; MICROBE 87186 $642.21
30600016 HC SENSITIVITY MYCOBACTER,EA AGNT 87190 $61.36
30600017 HC SMEAR W/INTERP; GRAM OR GIEMSA 87205 $33.63
30600018 HC SMEAR;FLUORESCENT OR AFB STAIN 87206 $100.89
30600019 HC O&P TRICHROME STAIN 87209 $168.68
30600021 HC VIRUS ISOLATE; TISSUE CUL INOC 87252 $361.80
30600022 HC VIRUS ISOL, SHELL VIAL TECHN 87254 $496.80
30600024 HC HERPES SIMPLEX 2 AG BY IF 87273 $28.63
30600025 HC HERPES SIMPLEX 1 AG BY IF 87274 $55.27
30600026 HC VARICELLA ZOSTER AG BY DFA 87290 $55.27
30600027 HC ASPERGILLUS ANTIGEN, EIA 87305 $496.13
30600028 HC CLOSTRIDIUM AG, EIA 87324 $101.25
30600029 HC CRYPTOSPORIDIUM AG, EIA 87328 $78.44
30600030 HC GIARDIA ANTIGEN, EIA 87329 $98.17
30600031 HC HELICOBACTER PYLORI AG; STOOL 87338 $292.01
30600032 HC HEPATITIS B SURFACE AG, EIA 87340 $34.09
30600033 HC HEPATITIS BE AG, EIA 87350 $106.46
30600034 HC HISTOPLASMA CAPSUL AG, EIA 87385 $567.00
30600035 HC INFLUENZA A/B, ANTIGEN, EIA 87400 $49.09
30600036 HC RSV ANTIGEN, EIA 87420 $66.81
30600037 HC ROTAVIRUS ANTIGEN, EIA 87425 $55.90
30600038 HC INFECTIOUS AGENT AG-EIA, MULTI 87449 $77.72
30600039 HC B BURGDORFERI, AMP PROBE TECH 87476 $619.45
30600042 HC C DIFF AMPLIFIED PROBE 87493 $58.63
30600043 HC CMV, AMP PROBE TECHNIQUE 87496 $608.11
30600044 HC CYTOMEGALOVIRUS DNA QUANT 87497 $823.57
30600045 HC ENTEROVIRUS, AMPLIFIED PROBE 87498 $864.68
30600046 HC HEP-B, NA QUAN 87517 $559.91
30600047 HC HEPATITIS C, NUCLEI ACID QUANT 87522 $585.43
30600048 HC HSV, AMP PROBE TECHNIQ (HSPC) 87529 $577.52
30600049 HC HIV-1, AMPLIF NA PROBE 87535 $1,349.46
30600050 HC HIV-1, NUCLEI ACID QUANT 87536 $552.83
30600051 HC MYCOBACTERIA, DNA PROBE 87550 $310.88
30600052 HC N GONORRHOEAE AMP PROBE TECH 87591 $174.35
30600054 HC PAPILLOMAVIRUS TYPES 16 AND 18 87625 $457.85
30600056 HC HIV GENOTYPE, DNA 87901 $1,477.04
30600057 HC HEPATITIS C GENOTYPE 87902 $1,185.56
30600059 HC SMEAR W/INTERP; GRAM OR GIEMSA 87205 $33.63
30600066 HC CHLAMYDIA TRACH, DNA PROBE 87491 $174.35
30700002 HC AUTOM URINALYSIS WO MICRO 81003 $25.22
30700003 HC URINALYSIS; QUAL NOT IA 81005 $39.54
30700004 HC URINALYSIS - MICRO ONLY 81015 $50.45
30700005 HC VOLUME MEASUREMENT TIMED URINE 81050 $38.30
30700006 HC AUTOM URINALYSIS WO MICRO 81003 $17.73
30900001 HC CRYSTAL EXAM - BODY FLUID 89060 $64.42
31000001 HC TISSUE CULTURE 88235 $754.65
31000002 HC TISSUE CULTURE 88237 $815.40
31000004 HC CHROMOSOME ANALYSIS 88262 $873.67
31000006 HC MCG; DNA PROBE; EACH (EG,FISH) 88271 $552.83
31000007 HC MCG; IP SITU, 100-300 CELLS 88275 $552.83
31000009 HC CYTOGENETICS REPORT/INTERPRET 88291 $1,491.75
31000023 HC IMMUNOHISTOCHEMISTRY, EACH AB 88342 $473.85
31000028 HC INSITU HYBRIDIZATION, EA PROBE 88365 $1,790.10
31000030 HC TISSUE CULTURE 88237 $983.91
31100010 HC CELL SURFACE MARKER FIRST MKR 88184 $245.70
31100011 HC CELL SURFACE MARKER EACH ADDL 88185 $507.47
31100015 HC CELL SURFACE MARKER FIRST 88184 $84.54
31100016 HC CELL SURFACE MARKER EACH ADDL 88185 $507.47
31100017 HC CELL SURFACE MARKER FIRST 88184 $84.54
39000001 HC WHOLE BLOOD/RBC'S 20 ML P9011 $135.00
39000002 HC WHOLE BLOOD/RBC'S 1 ML P9011 $95.58
39000003 HC WHOLE BLOOD/RBC'S 75 ML P9011 $506.25
39000004 HC WHOLE BLOOD/RBC'S 10 ML P9011 $95.58
39000005 HC WHOLE BLOOD/RBC'S 5 ML P9011 $95.58
39000006 HC WHOLE BLOOD/RBC'S 225 ML P9011 $264.60
39000007 HC WHOLE BLOOD/RBC'S 40 ML P9011 $337.50
39000008 HC WHOLE BLOOD/RBC'S 50 ML P9011 $159.30
39000011 HC LEUKOCYTE POOR BLD, EACH UNIT P9016 $580.14
39000012 HC SINGLE DONOR FFP, EACH UNIT P9017 $294.30
39000013 HC PLATELETS, EACH UNIT P9019 $224.94
39000014 HC RED BLOOD CELLS, EACH UNIT P9021 $445.50
39000015 HC WASHED RED BLOOD CELLS P9022 $1,460.70
39000016 HC PLATELETS, LEUKOREDUCED-EACH P9031 $729.00
39000017 HC LEUKOREDUCED IRRAD PLTS. EACH P9033 $866.70
39000018 HC PLTS PHERESIS LEUKOREDUCE/UNIT P9035 $1,580.96
39000019 HC PLTS PHER LEUKORED IRRAD/UNIT [39000019] P9037 $2,006.84
39000019 HC PLTS PHER LEUKORED IRRAD/UNIT [39000019] P9037 $2,006.84
39000020 HC RBC'S IRRADIATED, EACH UNIT P9038 $769.85
39000021 HC RBC'S DEGLYCEROLIZED,EACH UNIT P9039 $1,460.70
39000022 HC RBC, LR, IRRADIATED, EACH UNIT P9040 $771.81
39000023 HC CMV NEG LR WB/RBC, EACH UNIT P9051 $486.00
39000024 HC CMV NEG LR IRRAD RBC, EA UNIT P9058 $925.67
39000025 HC PLASMA, FRZ BETWEEN 8-24 HR P9059 $294.30
39000026 HC CRYOPRECIPITATE, EACH UNIT P9012 $147.15
39000027 HC LEUKOCYTE POOR BLD, EACH UNIT [39000027] P9016 $580.14
39000028 HC SINGLE DONOR FFP, EACH UNIT [39000028] P9017 $294.30
30100399 HC INFECTIOUS AGNT ANTIGEN DETECT BY IMMUNOASSAY NOT SPECIFIED 87899 $89.10
30100400 DEFINITIVE DRUG IDENTIFICATION, METHADONE 80358 $233.25
30100401 DEFINITIVE DRUG IDENTIFICATION, AMPHETAMINES 80324 $483.68
30100403 DEFINITIVE DRUG IDENTIFICATION, BENZODIAZEPINES 80346 $763.43
30100404 DEFINITIVE DRUG IDENTIFICATION, BARBITURATES 80345 $294.79
30100405 DEFINITIVE DRUG IDENTIFICATION, COCAINE 80353 $340.20
30100406 DEFINITIVE DRUG IDENTIFICATION,CANNABINOIDS 80349 $383.51
30100407 DEFINITIVE DRUG IDENTIFICATION, OPIATES 80361 $675.43
30100408 DEFINITIVE DRUG IDENTIFICATION, PROPOXYPHENE 80367 $395.55
30100409 DEFINITIVE DRUG IDENTIFICATION, ALKALOIDS, NOT OTHERWISE SPECIFIED 80323 $379.22
30100411 SINGLE DRUG CLASS METHOD BY INSTRUMENTED TEST SYSTEMS 80307 $500.85
30100412 DRUG SCREEN, ANY NUMBER OF DRUG CLASSES FROM DRUG CLASS LIST A 80307 $354.17
30100413 DRUG SCREEN, ANY NUMBER OF DRUG CLASSES FROM DRUG CLASS LIST A 80307 $236.25
30100414 ALCOHOLS 80320 $86.40
30100415 DEFINITIVE DRUG IDENTIFICATION, ANTIDEPRESSANTS 80335 $94.45
30100417 HC AMPLIFIED NA PROBE, NOS AGENT 80335 $190.35
30100419 HC PROCALCITONIN 84145 $152.55
30100427 HC TRANSFERASE; ASPARTATE AMINO 84450 $205.20
30100430 HC HISTOPLASMA CAPSUL AG, EIA 87385 $410.67
30100431 HC INFECTIOUS AGENT AG-EIA, MULTI 87449 $737.10
30100432 HC CRYPTOCOCCUS NEOFORMANS 87327 $130.05
30100474 HC LIPID PANEL [30100474] 80061 $91.80
30100475 HC STR MARKERS SPEC ANAL ADDL [30100475] 81226 $2,790.45
30100476 HC DEFINITIVE DRUG IDENTIFICATION, OXYCODONE [30100476] 80365 $87.75
30100477 HC DEFINITIVE DRUG IDENTIFICATION, FENTANYL [30100477] 80354 $210.60
30100478 HC DEFINITIVE DRUG IDENTIFICATION, SEDATIVE HYPNOTICS, METHAQUALONE [30100478] 80368 $778.95
30100479 HC ASSAY FOR CALPROPECTIN FECAL [30100479] 83993 $611.55
30100480 HC VITAMIN K [30100480] 84597 $252.72
30100482 HC DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2 [30100482] 80362 $248.40
