Fee Schedule 2008
Test |
Prices |
CPT Code |
IgG (Dye Test)
|
$99 |
86777 |
IgM ELISA (6 months of age or older)
|
$105 |
86778 |
IgM ISAGA (less than 6 months of age)
|
$105 |
86778 |
IgA ELISA
|
$108 |
86777-59 |
AC/HS
|
$111 |
86406 (2 units) |
IgE ELISA (Offered only as part of a panel and not as a single test.)
|
$113 |
86777-59 |
Avidity (Offered only with IgG (Dye test) and IgM ELISA.) See: Toxoplasma Pregnancy Panel (16 weeks gestation or earlier)
|
$303 |
86777-59 |
PCR (amniotic fluid, cerebrospinal fluid, vitreous fluid, urine, other body fluids)
|
$325 |
83890, 83896 (2 units), 83898 (2 units)
|
PCR (whole blood, bone marrow, solid tissues)
|
$398 |
83890, 83896 (2 units), 83898 (2 units) |
Isolation |
$360 |
87003
|
IgG/IgM Toxo Panel
|
$192 |
86777, 86778 |
Toxoplasma Pregnancy Panel (16
weeks gestation or earlier) |
$303 |
86777, 86778, 86777-59, |
Toxoplasma Pregnancy Panel (more
than 16 weeks gestation)
|
$303 |
86777, 86778, 86406 (2 units) |
Toxoplasma Infant Panel (less
than 6 months of age)
|
$296 |
86777, 86778, 86777-59 |
| Toxoplasma Panel (6 months of age
or older) Includes: IgG (Dye test), IgM ELISA, IgA ELISA, IgE ELISA, AC/HS |
$456 | 86777, 86778, 86777-59, 86777-59, 86406 (2 units) |
Note: If a previously tested specimen is indicated for parallel testing with a new sample, the fee for the previous sample will be $35.00 per test. The new sample will be charged the regular fee.. Refer to Test Menu & Information for complete detail. See also Discount Pricing Policy in Billing Information (Panels only.) |
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