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
Includes: IgG (Dye Test), IgM ELISA (6 months of age or older) OR IgM ISAGA ( less than 6 months of age)

 

$192

86777, 86778

Toxoplasma Pregnancy Panel (16 weeks gestation or earlier)
Includes: IgG (Dye test), IgM ELISA, Avidity

$303

86777, 86778, 86777-59,

Toxoplasma Pregnancy Panel (more than 16 weeks gestation)
Includes: IgG (Dye test), IgM ELISA, AC/HS

 

$303

86777, 86778, 86406 (2 units)

Toxoplasma Infant Panel (less than 6 months of age)
Includes: IgG (Dye test), IgM ISAGA, IgA ELISA

 

$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.)