New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 2200 - PUBLIC HEALTH LABORATORIES
Part He-P 2205 - LABORATORY FEE SCHEDULE
Section He-P 2205.02 - Clinical Specimens, Microbiology
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 |
#2461, eff 9-5-83; ss by #4000, eff 2-26-86; ss by #4233, eff 2-23-87; ss by #4480, eff 8-31-88; ss by #5029, eff 12-20-90; ss by #5761, eff 1-3-94; eff 1-3-94; ss by #7171, INTERIM, eff 1-4-00, EXPIRED: 5-4-00; ss by #7256, eff 5-3-00; ss by #8891, eff 5-25-07
