N.H. Code Admin. R. 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
Source. #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; ss by #10935, INTERIM, eff 9-22-15, EXPIRED: 3-20-16 New. #11064, eff 4-1-16