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Schedule of Laboratory Fees

BIOCHEMISTRY

(Applicable to all specimens except as denoted by B-blood, U-urine, F-faeces, C-CSF, A-amniotic fluid).
L059 Acetaminophen

25
L001 Acetone, qualitative

3
L002 Acetone, quantitative

35
L003 Addis count -U

32
L004 Albumin, qualitative

3
L005 Albumin, quantitative (excluded if globulin and/or protein electrophoresis done)

5
L006 Alcohol, ethyl - quantitative

25
L008 Alcohols, fractionation and quantification

45
L009 Aldolase

30
L010 Aldosterone.

120
L011 Amino acids - one way chromatography - B.U.

15
L012 Amino acids - two way chromatography - U

30
L013 Amino acids, fractionation and quantitation

200
L014 Amino acid nitrogen

33
L044 Acid profile - organic (by GC-MS)

200
(Applicable to all specimens except as denoted by B-blood, U-urine, F-faeces, C-CSF, A-amniotic fluid).
L071 Aminoglycosides (e.g., gentamicin, tobramycin)

40
L015 Ammonia

39
L016 Amniotic fluid scan

20
L017 Amniotic fluid L/S ratio

50
L018 Amylase

5
L021 Androstenedione

75
L019 Ascorbic acid (ascorbate)

25
L225 Automated chemical analyzers with simultaneously functioning channels, single Sample (see Preamble, paragraph 15)

5
L026 Barbiturates, quantitative

35
L027 Barbiturates, fractionation and quantification (serum) - includes other drugs requiring similar methodology, e.g. tricyclic antidepressants

60
L028 Bile microscopy

4
L029 Bilirubin, qualitative - F

3
L030 Bilirubin, total

5
L031 Bilirubin, conjugated
Blood gases (see listings on pages 11-12)

10
L037 Blood volume - excluding injection of dye

20
L038 Bromides

15
L039 Bromosulphthalein (BSP) excluding injection of dye

14
L045 Calcium

5
L046 Calcium ionized

20
L047 Calculus analysis - chemical, qualitative

15
L048 Calculus analysis, qualitative and quantitative

25
L040 Carbamazepine, quantitative (Tegretol)

35
L049 Carotene

16
L050 Catecholamines, total

60
L051 Catecholamines, fractionated

80
L052 Ceruloplasmin

19
L041 Chlordiazepoxide, quantitative (Librium)

40
L053 Chloride

5
L054 Chloride (sweat)

33
L055 Cholesterol, total - not to be claimed with L156 (see Preamble, paragraph 26)

5
L056 Cholesterol, ester - not to be claimed with L156

14
L057 Cholinesterase - pseudo or true

30
(Applicable to all specimens except as denoted by B-blood, U-urine,
F-faeces, C-CSF, A-amniotic fluid).
L058 Cholinesterase genotyping (includes pseudo, dibucaine and fluoride)

50
L060 Carboxyhemoglobin

15
L061 CO2 content, CO2 combining power, bicarbonate (measured, not calculated)

5
L062 Chymotrypsin

22
L063 Copper

40
L064 Cortisol

35
L065 Creatine (see Preamble, paragraph 8)

26
L066 Creatine phosphokinase

5
L070 Creatine phosphokinase, fractionation

34
L067 Creatinine - not with L068 (see Preamble, paragraph 10)

5
L068 Creatinine clearance

15
L075 Crystal identification (x-ray powder diffraction analysis)

30
L069 Cystine screening - U

8
L199 Delta-aminolevulinic acid (ALA), quantitative - U

25
L074 Diazepam, quantitative (Valium, Vivol)

40
L072 Digoxin

45
L077 Diphenylhydantoin, quantitative (Phenytoin, Dilantin)

35
L076 Disopyramide

35
L078 Drugs of abuse screen, urine

68
L079 Broad spectrum toxicology screen, urine - includes confirmatory testing

72
L085 Electrophoresis, serum - including total protein

36
L086 Electrophoresis, other than serum - including total protein

50
L080 Electrophoresis, serum - alone

26
L092 Ethosuximide, quantitative (Zarontin)

35
L095 Fat, total- F

72
L096 Fat, differential - F

92
L097 Fat and/or meat fibres (microscopic) - F

6
L098 Fat (microscopic) - U

6
L099 Fatty acids, free

25
L094 Flurazepam, quantitative (Dalmane)

40
L105 Galactose (per sample)

16
L106 Galactose-l-phosphate uridyl transferase (quantitative)

65
L113 Galactose-l-phosphate uridyl transferase (screening)

10
L107 Gamma glutamyl transpeptidase

5
L109 Gastric analysis titration (per sample)

7
(Applicable to all specimens except as denoted by B-blood, U-urine,
F-faeces, C-CSF, A-amniotic fluid).
L110 Globulin (excluded if albumin and/or protein electrophoresis done)

10
L111 Glucose, quantitative - not by dipstick (see Preamble, paragraph 4)

5
L112 Glucose, semi-quantitative (dipstick if read with reflectance meter)

3
L104 Glucose tolerance test (see Preamble, paragraph 4)

30
L103 Glucose tolerance test in pregnancy (see Preamble, paragraph 4)

24
L114 Glutathione

20
L115 Glycoproteins

60
L093 Glycosylated hemoglobin - HgbAl

22
L116 Gold

40
L119 Hexosaminidase A

15
L132 Hemoglobin A2 by chromatography

25
L121 5HIAA screening - U

9
L122 5HIAA quantitation - U

50
L117 High density lipoprotein cholesterol

18
L118 Histamine

90
L123 Homogentisic acid (homogentisate) - qualitative

9
L101 Homovanillic acid (homovanillate), HVA

60
L124 Hydroxybutyrate dehydrogenase

10
L125 17-Hydroxycorticosteroids - U

34
L126 17-Ketogenic steroids - U

40
L127 17-Ketosteroids, total - U

34
L128 17-Ketosteroids, fractionated - U

80
L129 Hydroxyproline - B

25
L130 Hydroxyproline, total - U

90
L131 Hydroxyproline, total and free - U

150
L135 Inulin clearance test

40
L136 Inulin

40
L142 Intestinal enzymes - qualitative

6
L143 Intestinal enzymes - quantitative

22
L137 Iodine protein bound

21
L139 Iron, total -with iron binding capacity and per cent saturation - not to be claimed with L329

34
L141 Iso-citric dehydrogenase

15
L145 Lactic acid (lactate)

27
L146 Lactic dehydrogenase (L.D.H.), total

10
L147 Lactic dehydrogenase fractionation

29
(Applicable to all specimens except as denoted by B-blood, U-urine,
F-faeces, C-CSF, A-amniotic fluid).
L148 Lead

40
L149 Leucine aminopeptidase

15
L150 Lipase

22
L151 Lipid (total)

16
L152 Lipids (thin layer chromatography)

30
L153 Lipoprotein, electrophoresis - not to be claimed with L156

20
(see Preamble, paragraph 26)
L154 Lipoprotein, ultracentrifugation

50
L155 Lipoprotein lipase

100
L156 Lipoprotein phenotyping (includes sample appearance, cholesterol, triglycerides, Lipoprotein electrophoresis and interpretation) - not to be claimed with L055, L153 or L243

40
L157 Lithium

10
L165 Magnesium

5
L166 Malic acid (malate) dehydrogenase

15
L167 Melanin - U

10
L168 Mercury

30
L169 Metanephrines, total - U

75
L170 Metanephrines, fractionated - U

90
L171 Methemalbumin

21
L172 Methemoglobin

21
L160 Methotrexate (amethopterin)

35
L175 Methylphenidate, quantitative (Ritalin)

40
L173 Mucopolysaccharides - U

25
L174 Myoglobin, qualitative - U

30
L161 N-acetylprocainamide

35
L180 5' - Nucleotidase

25
L181 Occult blood

3
L182 Ornithine carbamoyl transferase

15
L183 Osmolality (osmolarity)

10
L184 Oxalic acid (oxalate) - U

40
L185 P.A.H. clearance

40
L032 pCO2

8
L033 pO2 arterial

8
L034 pH

7
L035 pCO2 , pO2 and pH in combination

17
L036 pCO2 , pO2 pH- calculation of one or more of standard bicarbonate, base
excess, etc (see Preamble, paragraph 9)

3
L187 Phenothiazines, qualitative - U

6
(Applicable to all specimens except as denoted by B-blood, U-urine, F-faeces, C-CSF, A-amniotic fluid)
L188 Phenothiazines, quantitative - U

30
L189 Phenylalanine

15
L190 Phosphatase, acid

15
NOTE: L190 - no additional claim may be made for a repeat test using an Inhibitor (such as for prostatic acid phosphatase determination).
L191 Phosphatase, alkaline

5
L192 Phosphatase, alkaline fractionation

29
L193 Phospholipids

30
L194 Phosphorus (inorganic phosphate)

5
L195 Plasma clearing factor (Baker)

35
L196 Plasma hemoglobin

15
L197 Porphobilinogen (PBG), screen - U

10
L198 Porphobilinogen (PBG), quantitative - U

25
L200 Porphyrins, screen

10
L201 Porphyrins, quantitation (copro, proto, uro) - U

60
L202 Porphyrins, quantitation (copro, proto, uro) - B

75
L203 Porphyrins, quantitation (copro, proto, uro) - F

90
L204 Potassium

5
L205 Pregnanediol - U

70
L206 Pregnanetriol - U

80
L211 Primidone, quantitative (Mysoline)

35
L212 Procainamide

35
L213 Propranolol

35
L208 Protein, total - not to be claimed with L085 or L086

5
L209 PSP (Phenosulphonphthalein)

15
L210 Pyruvic acid (pyruvate)

27
L215 Quinidine

18
L216 Reducing substances, identified by chromatography

30
L220 Salicylate, qualitative

5
L221 Salicylate, quantitative

12
L222 SGOT (AST)

5
L223 SGPT (ALT)

5
L226 Sodium

5
L227 Spectroscopic examination (any)

20
(Applicable to all specimens except as denoted by B-blood, U-urineF-faeces, C-CSF, A-amniotic fluid).
L228 Sulfhemoglobin

21
L229 Sulfonamides

27
L073 Target drug testing, urine, qualitative or quantitative

17
L240 Thiocyanates

15
L243 Triglycerides - not to be claimed with L156 (see Preamble, paragraph 26)

5
L244 Trypsin

22
L250 Urea clearance

15
L251 Urea nitrogen (B.U.N.)

5
L252 Uric acid (urate)

5
L253 Urinal Urinalysis, routine chemical (any of S.G., pH, protein, sugar, hemoglobin, ketones, urobilinogen, bilirubin, leukocyte esterase, nitrate) see Preamble, paragraph 4

5
L254 Urinalysis, microscopic examination of centrifuged specimen

2
L267 Urobilin, qualitative - U

7
L256 Urobilinogen, quantitative - U

15
L257 Valproic acid (valproate)

35
L260 Vitamin A

30
L261 VMA, vanillylmandelic acid (vanillylmandelate)

60
L265 Xylose absorption test (per specimen)

6
L266 Zinc

25
L299 Biochemical assays not included above

IC
NOTE: Biochemical assays other than specifically listed are not a benefit as such until approved by the Ministry of Health.


For more information
Call the ministry INFOline at 1-866-532-3161
(Toll-free in Ontario only)
TTY 1-800-387-5559
Hours of operation : 8:30am - 5:00pm

The content of this website is provided for information only. No assurance is given that the content is current or accurate. Users are cautioned against relying upon it without making reference to the regulation in effect defining the Schedule of Benefits as it is published from time to time pursuant to Ontario Regulation 552 under the Health Insurance Act.

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