N.H. Admin. Code § He-P 2205.02
The following fees shall be charged for those clinical specimens set forth in Table He-P 2205.02 Microbiology below:
Table He-P 2205.02 Microbiology/Virology
TEST | FEE |
Adenovirus - culture | 50.00 |
Adenovirus - immunofluorescent, each antisera | 20.00 |
Bacterial culture, blood, aerobic | 28.00 |
Bacterial culture, urine | 28.00 |
Bacterial culture, other, aerobic | 28.00 |
Bacterial culture, other, anaerobic | 28.00 |
Bacteria, identification, per isolate, aerobic | 21.00 |
Bacteria, identification, per isolate, anaerobic | 21.00 |
Bacterial identification - 16S rRNA Sequencing | 159.00 |
Bordetella pertussis, PCR | 150.00 |
Bordetella pertussis positive confirmation, PCR | 84.00 |
Bordetella pertussis diluted repeats, PCR | 64.00 |
Chikungunya virus RT-PCR | 50.00 |
Chlamydia culture | 50.00 |
Chlamydia immunofluorescent, each antisera | 20.00 |
Chlamydia trachomatis, amplified method | 25.00 |
Cryptosporidium/Giardia, DFA | 35.00 |
Cryptococcus latex agglutination | 25.00 |
Diphtheria culture | 35.00 |
Direct smear, simple stain | 21.00 |
Eastern Equine Encephalitis (EEE) Virus Antibodies, IgM | 35.00 |
Enteric pathogen culture, stool (single organism) | 21.00 |
Enteric pathogen culture, stool (Salmonella and Shigella) | 21.00 |
Enteric pathogen culture (comprehensive - includes SLT test) | 50.00 |
Enteric isolate for identification, per aerobic isolate | 21.00 |
Enteric isolate for identification, per anaerobic isolate | 21.00 |
Enterovirus culture | 50.00 |
Enterovirus immunofluorescent, each antisera | 20.00 |
Enterovirus RT-PCR | 50.00 |
Enzyme immunoassay, per specimen | 18.00 |
Fluorescent Antibody Tests, Direct | 15.00 |
Gonorrhea culture | 21.00 |
Hepatitis A antibody - total | 30.00 |
Hepatitis A IgM antibody | 30.00 |
Hepatitis B surface antigen | 30.00 |
Hepatitis B surface antibody | 30.00 |
Hepatitis B core antibody - total | 30.00 |
Hepatitis B core antibody IgM | 30.00 |
Hepatitis B - other marker | 50.00 |
Hepatitis C antibody | 30.00 |
Hepatitis C RNA Quantitative | 125.00 |
Hepatitis C Virus Genotyping, Sequencing Method | 159.00 |
Herpes simplex culture | 50.00 |
Herpes simplex immunofluorescent, each antisera | 20.00 |
Herpes simplex DFA, type 1 | 20.00 |
Herpes simplex DFA, type 2 | 20.00 |
Herpes simplex, type 1 antibody | 30.00 |
Herpes simplex, type 2 antibody | 30.00 |
Human Immunodeficiency Virus -1 and 2 antibody, single assay | 40.00 |
Human Immunodeficiency Virus - 1 and 2 antibody, P24 antigen | 40.00 |
Human Immunodeficiency Virus - 1 and 2 antibody differentiation | 50.00 |
Infectious agent screen - other | 35.00 |
Influenza culture | 75.00 |
Influenza immunofluorescent, each antisera | 20.00 |
Influenza A/B, PCR | 100.00 |
Influenza Subtyping, PCR | 200.00 |
Legionella culture | 40.00 |
Legionella DFA | 10.00 |
Legionella referred isolate | 40.00 |
Measles (Rubeola) IgG antibody (Immune Status) | 25.00 |
Measles (Rubeola) IgM antibody | 30.00 |
Measles virus RNA | 50.00 |
MERS CoV RT-PCR | 50.00 |
Mumps culture | 50.00 |
Mumps immunofluorescent, each antisera | 20.00 |
Mumps IgG antibody | 25.00 |
Mumps IgM antibody | 25.00 |
Mumps virus RNA | 50.00 |
Mycobacteria isolate identification | 85.00 |
Mycobacteria (AFB) smear | 10.00 |
Mycobacteria (AFB) culture | 35.00 |
Mycobacterium tuberculosis direct probe | 150.00 |
Mycobacterium tuberculosis susceptibility - first line drugs, each drug | 25.00 |
Mycology culture, blood | 35.00 |
Mycology culture, skin, hair or nails | 35.00 |
Mycology culture, other | 35.00 |
Mycology yeast identification, per isolate | 50.00 |
Mycology non-yeast identification, per isolate | 50.00 |
Mycology contaminated isolates (charged in addition to identification fee) | 20.00 |
Neisseria gonorrhea, amplified method | 25.00 |
Norovirus, PCR | 100.00 |
Parainfluenza culture | 50.00 |
Parainfluenza virus immunofluorescent, each antisera | 20.00 |
Parasitology, blood/tissue parasites | 43.00 |
Parasitology, stool for ova & parasite | 89.00 |
Parasitology, worm identification | 13.00 |
Parasitology, modified acid fast stain for Cyclospora, Isospora and Sarcocystis | 43.00 |
Parasitology, Microsporidium, modified trichrome blue stain | 70.00 |
Pertussis culture | 40.00 |
Phlebotomy-Capillary | 10.00 |
Phlebotomy-Venipuncture | 10.00 |
Pneumocystis jiroveci (carinii) DFA | 35.00 |
Pulsed field gel electrophoresis (PFGE), per isolate | 125.00 |
Rabies (no public health risk) | 175.00 |
Respiratory virus panel, amplified method | 300.00 |
Respiratory synctial virus (RSV) culture | 50.00 |
Respiratory synctial virus (RSV) immunofluorescent, each antisera | 20.00 |
Respiratory synctial virus (RSV) DFA | 20.00 |
Rubella antibody, IgG | 25.00 |
Rubella antibody, IgM | 30.00 |
Serogrouping, Shigella species | 45.00 |
Serotyping, Salmonella species | 50.00 |
Serotyping, Neisseria meningitidis | 66.00 |
Serotyping, Haemophilus influenzae | 66.00 |
Serotyping, Vibrio cholera serotyping | 45.00 |
Serotyping, Enterohemorrhagic Escherichia coli | 66.00 |
Shiga-like Toxin screen | 40.00 |
Shiga Toxin (STEC), PCR | 91.00 |
Specimen to Reference Lab/CDC | Cost of test shipping. |
St. Louis Encephalitis virus antibodies, IgM | 35.00 |
Susceptibility testing - Kirby Bauer (up to 12 disks) | 25.00 |
Susceptibility testing - E-test, per drug | 10.00 |
Susceptibility testing, fungal, per drug | 59.00 |
Syphilis, qualitative | 15.00 |
Syphilis, quantitative | 25.00 |
Syphilis, confirmatory | 30.00 |
Toxin assay | 40.00 |
Varicella zoster virus culture | 50.00 |
Varicella zoster virus immunofluorescent, each antisera | 20.00 |
Varicella zoster virus DFA | 20.00 |
Varicella zoster antibody | 35.00 |
Virus culture - other | 50.00 |
Virus culture immunofluorescent | 20.00 |
Western Blot, other than HIV | 60.00 |
West Nile Virus (WNV), IgM | 35.00 |
MDX - DNA or RNA isolation | 6.00 |
MDX - DNA or RNA purification | 15.00 |
MDX - restriction enzyme digestion, per reaction | 6.00 |
MDX - gel electrophoresis, per lane (reaction) | 6.00 |
MDX - nucleic acid probe, each | 6.00 |
MDX - single PCR amplification | 16.00 |
MDX - duplex PCR amplification | 32.00 |
MDX - multiplex PCR amplification, each additional after duplex | 16.00 |
MDX - reverse transcription | 14.00 |
MDX - cell lysis prior to isolation or purification | 12.00 |
MDX - interpretation and reporting | 20.00 |
MDX - miscellaneous | 75.00/hr |
N.H. Admin. Code § He-P 2205.02
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