Wyo. Code R. 048-0048-1
Public Health Laboratory
Chapter 1: Public Health Laboratory Testing Fees
Effective Date: 01/13/2016 to Current
Rule Type: Current Rules & Regulations
Reference Number: 048.0048.1.01132016
Section 1. Authority. The Wyoming Department of Health is promulgating this Rule pursuant to requirements in 2012 Wyoming Session Laws, Chapter 26, Section 048, Department of Health, Footnote 4, and the Wyoming Administrative Procedure Act at W.S. § 16-3-101, et seq.
(a) These Rules establish the fees charged by the Public Health Laboratory for providing laboratory testing services to other State of Wyoming agencies, local law enforcement entities and other individuals or organizations.
(b) The Department may issue Manuals or Bulletins to providers and/or other affected parties to interpret the provisions of this Chapter. Such manuals or bulletins shall be consistent with and reflect the policies contained in the Chapter. The provisions contained in manuals or bulletins shall be subordinate to the provisions of this Chapter.
(c) The incorporation by reference of any external standard is intended to be the incorporation of that standard as it is in effect on the effective date of this Chapter.
Section 3. Definitions. The following definitions shall apply in the interpretation and enforcement of these rules, where the context in which words are used in these rules indicates that such is the intent, words in the singular number shall include the plural and vice versa. Throughout these rules gender pronouns are used interchangeably. The drafters have attempted to utilize each gender pronoun in equal numbers, in random distribution. Words in each gender include individuals of the other gender.
(a) 'Facility' is defined as a location that submits samples to the public health laboratory for testing.
(b) 'Public Health Laboratory' is defined as the Department of Health Public Health Laboratory located at 208 South College Drive, Cheyenne, WY 82002.
(c) 'Submitter list' is defined as all submitting locations currently included in the Microbiology and Chemical laboratory information systems.
Section 4. Facilities and programs.
(a) Facilities and programs already on the submitter list that have submitted samples for Public Health Laboratory analysis will receive a monthly or quarterly invoice for all analytical services completed according to the fee schedule established in these rules.
(b) Only facilities and programs currently on the Public Health laboratory submitter list will be authorized to submit samples under this fee structure.
(c) Facilities and programs that are not currently on the Public Health Laboratory submitter list that are, or that may need to request laboratory testing services should contact the Public Health Laboratory for information and assistance to get on the submitter list.
Section 5. Fees.
(a) The Public Health Laboratory may increase individual fee assessments by up to twenty percent (20%) without a rule change, if it is determined that the costs of laboratory testing necessitates such increases. The Public Health Laboratory will notify all facilities and programs on the submitters list at least 90 days before any increase is effective. Increases in the fee assessments that are greater than twenty percent (20%) will require a rule change.
(b) The Public Health Laboratory reserves the option to enter into agreements with State Agency programs that would adjust or waive fees included in these rules and regulations.
(c) The Department of Health laboratory programs and specific tests affected by this fee schedule include:
Section 6. Fee Schedule for Services. The following fees shall apply for each test request submitted:
| Chemistry | |
|---|---|
| Fee | Test Description |
| $14.00 | Oral fluid collection kit and 4 drug screen w/confirmation |
| $9.00 | Urine analysis kit and 8 drug screen w/confirmation |
| $9.50 | Blood alcohol collection kit w/confirmation and 10 drug screen |
| $90.00 | 20 drug blood screening panel w/alcohol screen and confirmation |
| $9.00 | Ethyl Glucuronide (ETG) |
| $9.00 | Methadone |
| $9.00 | Propoxyphene |
| $8.00 | Cotinine |
| $23.00 | Synthetic marijuana |
| $23.00 | Inhalants |
| $23.00 | Emerging drugs |
| $9.00 | Toxicology screen |
| $9.00 | Toxicology confirmation |
| Microbiology | ||
|---|---|---|
| Fee | Test Description | CPT code |
| $8.00 | Drinking water total coliform | N/A |
| $8.00 | Drinking water E. coli screen | N/A |
| $4.00 | Occult blood feces | 82270 |
| $20.00 | Immunoassay for blood fecal | 82274 |
| $15.00 | Chemiluminescent assay | 82397 |
| $45.00 | Electrophoretic test | 82664 |
| $10.00 | Assay IgA/IgD/IgG/IgM each | 82784 |
| $6.00 | IgG 1 2 3 or 4 each | 82787 |
| $15.00 | Immunoassay nonAntibody | 83516 |
| $10.00 | Immunoassay dipstick | 83518 |
| $15.00 | Immunoassay quant nos nonab | 83520 |
| $20.00 | Western blot test | 84181 |
| $20.00 | Protein western blot test | 84182 |
| $4.00 | Bl smear w/o diff wbc count | 85008 |
| $5.00 | Chromogenic substrate assay | 85130 |
| $15.00 | Immunoglobulin assay | 86023 |
| $5.00 | Complement fixation each | 86171 |
| $15.00 | Fluorescent Antibody screen | 86255 |
| $15.00 | Fluorescent Antibody titer | 86256 |
| $5.00 | Heterophile Antibody screen | 86308 |
| $5.00 | Heterophile Antibody titer | 86309 |
|---|---|---|
| $10.00 | Heterophile Antibody absrbj | 86310 |
| $15.00 | Immunoassay infectious agent | 86318 |
| $10.00 | Particle agglut antibody scrn | 86403 |
| $10.00 | Particle agglut antibody titr | 86406 |
| $40.00 | Quantiferon Gold (Tb immun measure) | 86480 |
| $3.00 | Syphilis test non-trep qual | 86592 |
| $5.00 | Syphilis test non-trep quant | 86593 |
| $6.00 | Bacterium Antibody | 86609 |
| $15.00 | Borrelia Antibody | 86619 |
| $15.00 | CMV Antibody | 86644 |
| $15.00 | CMV Antibody IgM | 86645 |
| $20.00 | Diphtheria Antibody | 86648 |
| $15.00 | Encephalitis californ antibody | 86651 |
| $15.00 | Encephalitis east eqne anby | 86652 |
| $15.00 | Encephalitis st louis antibody | 86653 |
| $15.00 | Encephalitis west eqne anby | 86654 |
| $15.00 | Epstein-barr Antibody | 86663 |
| $15.00 | Epstein-barr nuclear antigen | 86664 |
| $15.00 | Epstein-barr capsid vca | 86665 |
| $10.00 | Francisella tularensis | 86668 |
| $6.00 | Fungus nes Antibody | 86671 |
| $15.00 | Helicobacter pylori Antibody | 86677 |
| $15.00 | Helminth Antibody | 86682 |
| $15.00 | Herpes simplex nes anby | 86694 |
| $15.00 | HIV-1/hIV-2 1 result screen | 86703 |
| $15.00 | Hepatitis B Core Antibody total | 86704 |
| $15.00 | Hepatitis B Core Antibody IgM | 86705 |
| $15.00 | Hepatitis B Surface Antibody | 86706 |
| $15.00 | Hepatitis A Antibody total | 86708 |
| $15.00 | Hepatitis A Antibody IgM | 86709 |
| $15.00 | Legionella Antibody | 86713 |
| $15.00 | Leishmania Antibody | 86717 |
| $15.00 | Leptospira Antibody | 86720 |
| $6.00 | Mumps Antibody | 86735 |
| $15.00 | Mycoplasma Antibody | 86738 |
| $15.00 | Neisseria meningitidis | 86741 |
| $15.00 | Parvovirus Antibody | 86747 |
| $14.00 | Protozoa Antibody nos | 86753 |
| $20.00 | Rickettsia Antibody | 86757 |
| $6.00 | Rubella Antibody | 86762 |
|---|---|---|
| $6.00 | Rubeola Antibody | 86765 |
| $15.00 | Toxoplasma Antibody | 86777 |
| $15.00 | Toxoplasma Antibody IgM | 86778 |
| $15.00 | Treponema pallidum | 86780 |
| $5.00 | Trichinella Antibody | 86784 |
| $6.00 | Varicella-zoster Antibody | 86787 |
| $20.00 | West Nile virus ab IgM | 86788 |
| $20.00 | West Nile virus Antibody | 86789 |
| $15.00 | Virus Antibody nos | 86790 |
| $20.00 | Hepatitis C Antibody | 86803 |
| $5.00 | Specimen infect agnt concntj | 87015 |
| $5.00 | Feces culture aerobic bact | 87045 |
| $5.00 | Stool cultr aerobic bact ea | 87046 |
| $5.00 | Culture othr specimn aerobic | 87070 |
| $5.00 | Culture aerobic quant other | 87071 |
| $5.00 | Culture bacteria anaerobic | 87073 |
| $5.00 | Cultr bacteria except blood | 87075 |
| $10.00 | Culture anaerobe ident each | 87076 |
| $10.00 | Culture aerobic identify | 87077 |
| $5.00 | Culture screen only | 87081 |
| $10.00 | Culture of specimen by kit | 87084 |
| $5.00 | Urine culture/colony count | 87086 |
| $5.00 | Skin fungi culture | 87101 |
| $5.00 | Fungus isolation culture | 87102 |
| $5.00 | Fungi identification yeast | 87106 |
| $5.00 | Fungi identification mold | 87107 |
| $5.00 | Mycoplasma | 87109 |
| $10.00 | Mycobacteria culture | 87116 |
| $10.00 | Mycobacteric identification | 87118 |
| $25.00 | DNA/RNA direct probe | 87149 |
| $40.00 | DNA/RNA amplified probe | 87150 |
| $50.00 | Culture type pulse field gel (PFGE) | 87152 |
| $50.00 | DNA/RNA sequencing | 87153 |
| $4.00 | Macroscopic exam arthropod | 87168 |
| $4.00 | Macroscopic exam parasite | 87169 |
| $4.00 | Pinworm exam | 87172 |
| $5.00 | Tissue homogenization cultr | 87176 |
| $8.00 | Ova and parasites smears | 87177 |
| $5.00 | Microbe susceptible diffuse | 87181 |
| $5.00 | Microbe susceptible disk | 87184 |
|---|---|---|
| $10.00 | Microbe susceptible mic | 87186 |
| $10.00 | Microbe susceptible mlc | 87187 |
| $3.00 | Smear fluorescent/acid stai | 87206 |
| $5.00 | Smear special stain | 87207 |
| $15.00 | Smear complex stain | 87209 |
| $3.00 | Smear wet mount saline/ink | 87210 |
| $25.00 | Assay toxin or antitoxin | 87230 |
| $15.00 | Cryptosporidium ag if | 87272 |
| $15.00 | Legionella micdadei ag if | 87277 |
| $15.00 | Legion pneumophila ag if | 87278 |
| $15.00 | Pneumocystis carinii ag if | 87281 |
| $16.32 | Antibody detection nos if | 87299 |
| $15.00 | Adenovirus ag eia | 87301 |
| $15.00 | Aspergillus ag eia | 87305 |
| $15.00 | Chylmd trach ag eia | 87320 |
| $15.00 | Cryptococcus neoform ag eia | 87327 |
| $15.00 | Cryptosporidium ag eia | 87328 |
| $15.00 | Giardia ag eia | 87329 |
| $15.00 | Cytomegalovirus ag eia | 87332 |
| $15.00 | E. coli 0157 ag eia | 87335 |
| $15.00 | H. pylori stool eia | 87338 |
| $15.00 | H. pylori ag eia | 87339 |
| $15.00 | Hepatitis B Surface Antigen | 87340 |
| $15.00 | Histoplasma capsul ag eia | 87385 |
| $15.00 | Influenza A/B ag eia | 87400 |
| $15.00 | Resp syncytial ag eia | 87420 |
| $15.00 | Rotavirus ag eia | 87425 |
| $15.00 | Shiga-like toxin ag eia | 87427 |
| $15.00 | Ag detect nos eia mult | 87449 |
| $13.00 | Ag detect nos eia single | 87450 |
| $13.00 | Ag detect polyval eia mult | 87451 |
| $40.00 | Bartonella DNA amp probe | 87471 |
| $40.00 | Lyme dis DNA amp probe | 87476 |
| $40.00 | Candida DNA amp probe | 87481 |
| $40.00 | Chylmd pneum DNA amp probe | 87486 |
| $12.00 | Chylmd trach DNA amp probe | 87491 |
| $14.00 | Chylmd trach and N. gono DNA amp probe | 87491 |
| $40.00 | C. diff amplified probe | 87493 |
| $40.00 | Cytomeg DNA amp probe | 87496 |
| $40.00 | Enterovirus probe&revrs trns | 87498 |
|---|---|---|
| $20.00 | Influenza DNA amp prob 1+ | 87501 |
| $20.00 | Influenza DNA amp probe | 87502 |
| $100.00 | Nfct agent detection gi | 87505 |
| $150.00 | IaDNA-DNA/RNA probe tq 6-11 | 87506 |
| $250.00 | IaDNA-DNA/RNA probe tq 12-25 | 87507 |
| $40.00 | Hepatitis B DNA amp probe | 87516 |
| $50.00 | Hepatitis B DNA quant | 87517 |
| $25.00 | Hepatitis C RNA dir probe | 87520 |
| $40.00 | Hepatitis C probe&rvrs trnsc | 87521 |
| $55.00 | Hepatitis C revrs trnscrp | 87522 |
| $45.00 | Hsv DNA amp probe | 87529 |
| $45.00 | HIV-1 probe&reverse trnscrpj | 87535 |
| $115.00 | HIV-1 quant&reverse trnscrpj | 87536 |
| $25.00 | Legion pneumo DNA dir prob | 87540 |
| $40.00 | Legion pneumo DNA amp prob | 87541 |
| $56.82 | Legion pneumo DNA quant | 87542 |
| $20.00 | Mycobacteria DNA dir probe | 87550 |
| $40.00 | Mycobacteria DNA amp probe | 87551 |
| $20.00 | M.tuberculo DNA dir probe | 87555 |
| $40.00 | M.tuberculo DNA amp probe | 87556 |
| $20.00 | M.avium-intra DNA dir prob | 87560 |
| $40.00 | M.avium-intra DNA amp prob | 87561 |
| $40.00 | M.pneumon DNA amp probe | 87581 |
| $12.00 | N.gonorrhoeae DNA amp prob | 87591 |
| $45.00 | HPV low-risk types | 87623 |
| $45.00 | HPV high-risk types | 87624 |
| $45.00 | HPV types 16 & 18 only | 87625 |
| $100.00 | Resp virus 3-11 targets | 87631 |
| $150.00 | Resp virus 6-11 targets | 87632 |
| $200.00 | Resp virus 12-25 targets | 87633 |
| $47.76 | Staph a DNA amp probe | 87640 |
| $47.76 | Mr-Staph DNA amp probe | 87641 |
| $27.29 | Strep A DNA dir probe | 87650 |
| $47.76 | Strep A DNA amp probe | 87651 |
| $47.76 | Strep B DNA amp probe | 87653 |
| $45.00 | Trichomonas vaginalis amplif | 87661 |
| $25.00 | Detect agent nos DNA dir | 87797 |
| $35.00 | Pertussis (PCR) | 87798 |
| $40.00 | Norovirus molecular | 87798 |
| $40.00 | Detect agent nos DNA amp | 87798 |
|---|---|---|
| $55.00 | Detect agent nos DNA quant | 87799 |
| $50.00 | Detect agnt mult DNA direc | 87800 |
| $95.00 | Detect agnt mult DNA ampli | 87801 |
| $16.32 | Strep B assay w/optic | 87802 |
| $30.00 | HIV antigen w/HIV antibodies | 87806 |
| $15.00 | RSV assay w/optic | 87807 |
| $15.00 | Adenovirus assay w/optic | 87809 |
| $6.00 | Group A Strep assay | 87880 |
| $16.32 | Agent nos assay w/optic | 87899 |
| $300.00 | Genotype DNA/RNA Hep C | 87902 |
| $250.00 | Genotype DNA Hepatitis B | 87912 |
| $26.88 | Protein analysis w/probe | 88372 |
| $15.00 | HIV-1/HIV-2 confirm | 86703-92 |