Alabama Department of Public Health (ADPH) Bureau of Clinical Laboratories (BCL) Services List Effective 5/1/14 BCL Services Basic Metabolic Panel Electrolyte Panel Comprehensive Metabolic Panel Lipid Profile Renal Function Panel Hepatic Function Panel Albumin Amylase Bilirubin,Total Bilirubin,Direct Calcium Carbon Dioxide Cholesterol Creatinine Ferritin Glucose GGT Iron IBC LDH Lead, Quantitative; Blood HDL LDL Alkaline Phosphatase Phosphorous Potassium Total Protein Thyroxine, Total TSH SGOT/AST SGPT/ALT Triglycerides T3 Or T4 Uptake BUN Uric Acid Blood Smear, Microscopic Exam W/Manual Diff WBC Count CBC, Auto W/Auto Diff WBC Count CBC, Auto (Hgb, Hct, RBC, WBC, Plt) Flow Cytometry (T Cell Absolute Count/Ratio) BCL Rate $17.31 $13.07 $21.62 $23.27 $17.78 $16.71 $10.13 $13.26 $10.26 $10.26 $10.56 $7.10 $8.90 $10.49 $27.89 $8.04 $13.13 $13.25 $17.90 $10.92 $24.78 $16.76 $17.28 $10.59 $8.36 $9.41 $7.50 $14.06 $34.40 $10.59 $10.83 $11.76 $9.48 $8.09 $9.24 $7.04 $15.92 $9.48 $96.15 VDRL-Routine VDRL-Quantitative OraSure Western Blot HIV-1 And HIV-2, Single Assay Hepatitis Surface Antibody (HBsAb) Antibody, Rubella IgM or IgG Syphilis EIA, TPPA West Nile Virus, IgM Antibody, West Nile Virus Mouse Innoculation Concentration, For Infectious Agents Blood Culture And Isolation,Salmonella & Shigella Enteric (Stool Culture) Stool Culture Screen With Additional Pathogens Legionella Anaerobic Isolate,Additional Methods Required For Id Aerobic Isolate Id Culture,Presumptive,Pathogenic Organisms,Screeng Only Urine Culture; Colony Count Urinary Pathogen I.D.,Enteric I.D. Mycology, Cul Isol-Skin Mycology, Cul Isol-Other Mycology, Cul Isol-Blood Fungus Cul With ID Culture, Fungi, ID, Each Organism,Mold Culture, Mycobacterial, ID, EA Isolate Mycobact Defin Id 87140 - Fa Typing, Fa Testing Gas Liquid Chromatography Serotyping,Agglutinations (Enteric, Influ., E.Coli 0157) Nucleic Acid Probe PFGE Sequencing Macroscopic Exam, Arthopod Id Pinworm Parasitology (Ova & Parasites, Crypto, Pinworms) Sensitivity Studies Antimicrobial Sensitivities By Break Point Per Plate Susceptibility, Macrobroth Dilution Susceptibility Studies, Mycobacteria, Prop Meth, Each Agt AF Stain Parasitology (Malaria,Crypto) Complex Spec Stain (Trichrome) Ova & Parasite Fungus Wet Mount $8.73 $9.00 $39.60 $28.05 $20.22 $29.46 $27.09 $34.47 $29.46 $27.05 $13.67 $21.14 $19.32 $19.32 $17.63 $16.55 $16.55 $13.58 $16.52 $16.58 $15.78 $17.19 $18.45 $21.14 $21.14 $22.11 $22.40 $11.42 $25.64 $10.59 $46.14 $10.70 $156.95 $8.73 $8.73 $16.68 $14.12 $17.70 $13.59 $11.57 $11.01 $12.27 $36.78 $8.73 KOH Prep Virus Isolation DFA, B Pertussis DFA, Legionella Hepatitis B Surface Antigen (HBsAg) Hepatitis B Surface Antigen Confirmatory (HBsAg neutralization) HIV-1/HIV-2 Ag/Ab EIA Qual Or Semi Quant Multi Step, Shiga-Like Toxin Enzyme Immunoassay Influenza virus HIV-1, Amp Probe HIV-1 Viral Load Mycobacterium Sp Direct Probe M.Tuberculosis Direct Probe M.Avium Direct Probe TV CT-NG HIV-1 Genotype $5.94 $45.26 $22.29 $22.29 $21.15 $21.15 $49.29 $22.29 $22.29 $54.20 $46.14 $100.32 $40.37 $40.37 $40.37 $47.87 $92.25 $214.56 This Services List is provided as a reference to assist providers with the submission of requisitions for laboratory services. Unless altered by written contract or law, fees for these services are set at 150% of the Medicare fee schedule in effect at the time the service is performed. ADPH makes every effort to maintain the accuracy of its Services List and rates are updated frequently. As a result, the ordering provider is responsible for ensuring the accuracy of all labs requested.
© Copyright 2024 ExpyDoc
