Piedmont McDuffie Lab Charges Part 2
30200066 HC ANTIBODY; HELICOBACTER PYLORI 86677 $147.15
30200067 HC ANTIBODY; HTLV-I 86687 $246.13
30200069 HC AB; HEPATITIS D 86692 $50.09
30200070 HC AB; HSV, NON-SPECIFIC 86694 $117.34
30200071 HC HERPES SIMPLEX, TYPE 1 (HRP1) 86695 $122.85
30200072 HC HERPES VIRUS TYPE 2 IGG (HS2G) 86696 $147.39
30200073 HC ANTIBODY; HISTOPLASMA 86698 $60.82
30200075 HC HEP B CORE AB, TOTAL (HBCA) 86704 $106.65
30200076 HC HEPATITIS B CORE ANTIBODY, IGM 86705 $91.80
30200077 HC HEPATITIS B SURFACE ANTIBODY 86706 $97.20
30200078 HC ANTIBODY; HEPATITIS BE 86707 $63.18
30200079 HC HEPATITIS A ANTIBODY TOTAL-HAT 86708 $124.20
30200080 HC HEPATITIS A ANTIBODY; IGM 86709 $121.50
30200081 HC ANTIBODY; LEGIONELLA 86713 $116.10
30200083 HC ANTIBODY; MUMPS 86735 $117.34
30200085 HC AB; PARVOVIRUS 86747 $116.10
30200086 HC PLASODIUM (MALARIA) 86750 $492.26
30200087 HC ANTIBODY; PROTOZOA 86753 $78.71
30200088 HC ANTIBODY; RICKETTSIA 86757 $98.74
30200089 HC ANTIBODY; RUBELLA 86762 $70.48
30200090 HC ANTIBODY; RUBEOLA 86765 $137.27
30200091 HC ANTIBODY; TETANUS 86774 $75.60
30200092 HC AB; TOXOPLASMA 86777 $70.48
30200093 HC AB; TOXOPLASMA, IGM 86778 $81.00
30200094 HC AB;TREPONEMA CONFIRM 86780 $121.50
30200095 HC ANTIBODY; TRICHINELLA 86784 $290.49
30200096 HC ANTIBODY; VARICELLA-ZOSTER 86787 $70.12
30200097 HC ANTIBODY; WEST NILE VIRUS, IGM 86788 $101.93
30200098 HC ANTIBODY; WEST NILE VIRUS 86789 $117.34
30200099 HC ANTIBODY; VIRUS, NES 86790 $117.34
30200100 HC ANTIBODY; THYROGLOBULIN` 86800 $81.57
30200101 HC HEPATITIS C ANTIBODY 86803 $120.15
30200103 HC HLA TYPE; A, B, C, SGL ANTIGEN 86812 $170.10
30200106 HC COMPATIBILITY TEST, SPIN; EACH 86920 $211.95
30200107 HC IMMUNOASSAY, QUANT; CA 19-9 86301 $264.60
30200108 HC COMPLEMENT; ANTIGEN, EACH COMP 86160 $108.00
30200110 HC ENA; ANY METHOD, EACH ANTIBODY 86235 $403.54
30200111 HC FLUORESCENT AB; TITER, EA AB 86256 $148.50
30200113 HC PA; SCREEN, EA AB 86403 $135.00
30200115 HC SYPHILIS TEST (RPR, VDRL);QUAL 86592 $41.85
30200116 HC VDRL - QUANTITATIVE 86593 $138.81
30200117 HC ANTIBODY; RUBELLA 86762 $69.26
30200118 HC ANTIBODY; RUBEOLA 86765 $117.34
30200122 HC VDRL - QUANTITATIVE 86593 $60.75
30200123 HC IMMUNOELECTROPHORESIS; FLUIDS 86335 $125.55
30200124 HC IMMUNOELECTROPHORESIS; SERUM 86334 $237.60
30200125 HC CYTOMEGALOVIRUS ANTIBODY IGG 86644 $62.51
30200126 HC CYTOMEGALOVIRUS ANTIBODY IGM 86645 $66.07
30200127 HC MYCOPLASMA PNEUMONIAE ANTIBODY 86738 $67.70
30500002 HC BLOOD SMEAR W/DIFF WBC COUNT 85007 $32.40
30500004 HC COMPL CBC W PLT W AUTOM DIFF 85025 $58.05
30500005 HC COMPL AUTOM CBC W PLT 85027 $48.60
30500006 HC AUTOMATED RETICULOCYTE COUNT 85045 $97.20
30500007 HC RETICULOCYTES HEMOGLOBIN CONT 85046 $83.00
30500008 HC AUTOMATED WBC 85048 $16.20
30500009 HC AUTOMATED PLATELET COUNT 85049 $52.65
30500011 HC FACTOR II, PROTHROMBIN SPECIF 85210 $274.75
30500012 HC CLOTTING; FACTOR V 85220 $206.55
30500013 HC CLOTTING; FACTOR VII 85230 $171.72
30500014 HC FACTOR VIII (F8) 85240 $248.40
30500015 HC CLOT;FACT 8, RISTOCETIN COFACT 85245 $188.18
30500016 HC FACTOR VIII, VW FACTOR ANTIGEN 85246 $188.18
30500017 HC FACTOR 8 VWF MULTIMRIC 85247 $188.18
30500018 HC FACTOR IX (F9) 85250 $213.30
30500019 HC CLOTTING; FACTOR X 85260 $186.03
30500020 HC CLOTTING; FACTOR XI 85270 $248.40
30500021 HC CLOTTING; FACTOR XII 85280 $323.41
30500022 HC FACTOR XIII (13) ASSAY (F13) 85291 $128.79
30500023 HC ANTITHROMBIN III ACTIVITY 85300 $121.50
30500024 HC ANTITHROMBIN III ANTIGEN ASSAY 85301 $131.65
30500025 HC PROTEIN C, AG 85302 $252.45
30500026 HC PROTEIN C ACTIVITY 85303 $157.41
30500027 HC PROTEIN S, TOTAL 85305 $232.20
30500028 HC PROTEIN S, FREE 85306 $234.90
30500029 HC ACTIVATED PROTEIN C RESISTANCE 85307 $154.55
30500030 HC COAGULATION TIME; ACTIVATED 85347 $99.90
30500031 HC FIBRIN DEGRADATION PRODUCTS 85362 $172.80
30500032 HC D-DIMER; QUAL/SEMIQUANT 85378 $183.60
30500033 HC FIBRINOGEN; ACTIVITY 85384 $66.15
30500034 HC ADAMTS-13 85397 $892.94
30500037 HC HEPARIN ASSAY (F10A) 85520 $260.55
30500038 HC LEUKOCYTE ALK PHOS W COUNT 85540 $334.80
30500039 HC MURAMIDASE (LYSOZYME) 85549 $83.00
30500041 HC PLATELET NEUTRALIZATION (STAY) 85597 $489.40
30500042 HC PROTHROMBIN TIME 85610 $52.65
30500043 HC PT;SUBSTITUTION,PLASMA FRAC,EA 85611 $86.40
30500044 HC DILUTE RUSSELL VIPER VENOM 85613 $89.10
30500045 HC AUTOM ERYTHROCYTE SED RATE 85652 $44.55
30500046 HC SICKLING OF RBC, REDUCTION 85660 $62.10
30500047 HC THROMBIN TIME; PLASMA 85670 $76.95
30500048 HC PTT; PLASMA OR WHOLE BLOOD 85730 $64.80
30500049 HC PTT;SUBSTITUTION,PLASM FRAC,EA 85732 $114.75
30500050 HC VISCOSITY 85810 $121.50
30500051 HC INVESTIG TRANSFUSION REACTION 86078 $170.83
30500054 HC PROTHROMBIN TIME 85610 $22.95
30500057 HC COAGULATION TIME; ACTIVATED 85347 $99.90
30600001 HC AEROB BACTERIAL BLOOD CULTURE 87040 $198.45
30600002 HC AEROB BACTERIAL CULTURE, STOOL 87045 $168.75
30600003 HC STOOL CUL, ADD PATH, EA PLATE 87046 $82.35
30600004 HC BACTERIAL CULT - OTHER SOURCE 87070 $168.75
30600005 HC ANAEROB BACT CULTURE WITH ID 87075 $168.75
30600006 HC ANAEROBIC ISOLATE ID, EA ISOL 87076 $36.45
30600007 HC CULTURE, BACTERIA - ID,EA ISOL 87077 $55.35
30600008 HC CULTURE, PRESUMPT PATH; SCREEN 87081 $174.15
30600009 HC BACT CULT URINE;QUAN COL COUNT 87086 $168.75
30600010 HC CULT FUNGUS W/ID; SKIN, HR, NL 87101 $220.05
30600011 HC FUNGUS CULTURE; NOT BLOOD 87102 $220.05
30600012 HC CULTURE, AFB; ANY SOURCE 87116 $206.55
30600013 HC CULT MYCOBACTERIA ID, EA ISOL 87118 $184.95
30600014 HC O&P DIRECT SMEARS, CONC. & ID 87177 $68.85
30600015 HC SUSCEPTIBILITY, MIC; MICROBE 87186 $66.15
30600016 HC SENSITIVITY MYCOBACTER,EA AGNT 87190 $60.75
30600017 HC SMEAR W/INTERP; GRAM OR GIEMSA 87205 $89.10
30600018 HC SMEAR;FLUORESCENT OR AFB STAIN 87206 $58.05
30600019 HC O&P TRICHROME STAIN 87209 $82.35
30600021 HC VIRUS ISOLATE; TISSUE CUL INOC 87252 $303.40
30600022 HC VIRUS ISOL, SHELL VIAL TECHN 87254 $360.65
30600024 HC HERPES SIMPLEX 2 AG BY IF 87273 $51.30
30600025 HC HERPES SIMPLEX 1 AG BY IF 87274 $51.30
30600026 HC VARICELLA ZOSTER AG BY DFA 87290 $97.20
30600027 HC ASPERGILLUS ANTIGEN, EIA 87305 $500.85
30600031 HC HELICOBACTER PYLORI AG; STOOL 87338 $294.79
30600032 HC HEPATITIS B SURFACE AG, EIA 87340 $91.80
30600033 HC HEPATITIS BE AG, EIA 87350 $63.18
30600034 HC HISTOPLASMA CAPSUL AG, EIA 87385 $572.40
30600035 HC INFLUENZA A/B, ANTIGEN, EIA 87400 $114.75
30600036 HC RSV ANTIGEN, EIA 87420 $147.15
30600037 HC ROTAVIRUS ANTIGEN, EIA 87425 $118.80
30600038 HC INFECTIOUS AGENT AG-EIA, MULTI 87449 $222.75
30600039 HC B BURGDORFERI, AMP PROBE TECH 87476 $202.50
30600042 HC C DIFF AMPLIFIED PROBE 87493 $116.10
30600043 HC CMV, AMP PROBE TECHNIQUE 87496 $613.90
30600044 HC CYTOMEGALOVIRUS DNA QUANT 87497 $391.50
30600045 HC ENTEROVIRUS, AMPLIFIED PROBE 87498 $872.91
30600046 HC HEP-B, NA QUAN 87517 $565.25
30600047 HC HEPATITIS C, NUCLEI ACID QUANT 87522 $591.00
30600049 HC HIV-1, AMPLIF NA PROBE 87535 $1,362.31
30600050 HC HIV-1, NUCLEI ACID QUANT 87536 $669.60
30600051 HC MYCOBACTERIA, DNA PROBE 87550 $305.10
30600052 HC N GONORRHOEAE AMP PROBE TECH 87591 $176.01
30600054 HC PAPILLOMAVIRUS TYPES 16 AND 18 87625 $1,403.81
30600056 HC HIV GENOTYPE, DNA 87901 $1,491.10
30600057 HC HEPATITIS C GENOTYPE 87902 $472.50
30600059 HC SMEAR W/INTERP; GRAM OR GIEMSA 87205 $87.75
30600066 HC CHLAMYDIA TRACH, DNA PROBE 87491 $176.01
30700002 HC AUTOM URINALYSIS WO MICRO 81003 $47.71
30700002 HC AUTOM URINALYSIS WO MICRO 81003 $18.90
30700003 HC URINALYSIS; QUAL NOT IA 81005 $39.15
30700004 HC URINALYSIS - MICRO ONLY 81015 $56.94
30700005 HC VOLUME MEASUREMENT TIMED URINE 81050 $13.50
30700006 HC AUTOM URINALYSIS WO MICRO 81003 $47.71
30900001 HC CRYSTAL EXAM - BODY FLUID 89060 $62.10
31000002 HC TISSUE CULTURE 88237 $815.40
31000004 HC CHROMOSOME ANALYSIS 88262 $902.48
31000006 HC MCG; DNA PROBE; EACH (EG,FISH) 88271 $557.55
31000007 HC MCG; IP SITU, 100-300 CELLS 88275 $558.09
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 $512.30
31100011 HC CELL SURFACE MARKER EACH ADDL 88185 $512.30
31100016 HC CELL SURFACE MARKER EACH ADDL 88185 $512.30
39000011 HC LEUKOCYTE POOR BLD, EACH UNIT P9016 $467.10
39000012 HC SINGLE DONOR FFP, EACH UNIT P9017 $294.30
39000013 HC PLATELETS, EACH UNIT P9019 $186.30
39000014 HC RED BLOOD CELLS, EACH UNIT P9021 $315.90
39000016 HC PLATELETS, LEUKOREDUCED-EACH P9031 $729.00
39000018 HC PLTS PHERESIS LEUKOREDUCE/UNIT P9035 $1,381.05
39000019 HC PLTS PHER LEUKORED IRRAD/UNIT [39000019] P9037 $1,509.30
39000020 HC RBC'S IRRADIATED, EACH UNIT P9038 $444.15
39000022 HC RBC, LR, IRRADIATED, EACH UNIT P9040 $604.80
39000024 HC CMV NEG LR IRRAD RBC, EA UNIT P9058 $614.25
39000025 HC PLASMA, FRZ BETWEEN 8-24 HR P9059 $294.30
39000027 HC LEUKOCYTE POOR BLD, EACH UNIT [39000027] P9016 $467.10
39000028 HC SINGLE DONOR FFP, EACH UNIT [39000028] P9017 $294.30
