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Schedule of Laboratory Fees
IMMUNOHEMATOLOGY / IMMUNOLOGY |
| IMMUNOHEMATOLOGY | ||
| L471 | Antibody identification, per specimen (see Preamble, paragraph 16(a)) | 45 |
| L481 | Antibody titre per antibody, per specimen - to be claimed only if L471 yields a positive identification | 15 |
| L482 | Antibody screening (see Preamble, paragraph 16) | 20 |
| L473 | Parallel titration on two specimens to include confirmation of | |
| previously detected antibody (see Preamble, paragraph 16b) | 75 |
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| L490 | Blood Group - ABO and RhD (see Preamble, paragraph 16) | 18 |
| L493 | Blood Group - ABO and Rh phenotype (see Preamble, paragraph 16) . . . . . . | 40 |
| L494 | Blood Group per antigen (see Preamble, paragraph 16) | 8 |
| L492 | Crossmatch per unit of blood (see Preamble, paragraph 16) | 10 |
| L495 | Direct anti-human globulin test (see Preamble, paragraph 16) | 4 |
| IMMUNOLOGY | ||
| L567 | C1 esterase inactivator screen | 5 |
| L665 | C-Reactive protein | 6 |
| L660 | Cold agglutinins- screen | 6 |
| L661 | Cold agglutinins - titre | 15 |
| L560 | Complement proteins - C1q | 12 |
| L551 | Complement proteins - C3 (B1C) | 12 |
| L552 | Complement proteins - C4 (B1E) | 12 |
| L557 | Complement proteins - C5 | 12 |
| L558 | Complement proteins - C3 proactivator | 12 |
| L561 | Complement proteins - C1 esterase inactivator | 12 |
| L553 | Miscellaneous proteins - Ceruloplasmin | 12 |
| L554 | Miscellaneous proteins - Transferrin | 12 |
| L555 | Miscellaneous proteins - Alpha 1 antitrypsin | 12 |
| L556 | Miscellaneous proteins - Alpha 2 macroglobulin | 12 |
| L576 | Cryoglobulin characterization | 30 |
| L568 | Double gel diffusion, qualitative (Ouchterlony) per antigen: antibodies to food | |
| antigens (milk, wheat proteins) or fungal antigens (allergic alveolitis screening | ||
| series) - maximum of 4 antisera per patient screen | 5 |
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| L575 | Gammopathy Screen by immunoelectrophoresis or immunofixation | |
| Serum | 120 |
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| Urine | 120 |
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| NOTE: | Maximum one serum and one urine per patient (see Preamble, paragraph 29) | |
| L655 | Pregnancy test (see Preamble, paragraph 25) | 6 |
| L550 | Single gel diffusion and nephelometric quantitative assays | |
| Immunoglobulin G, A, D, M | 15 |
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| NOTE: | 15 LMS units applies to each of the listed immunoglobulins | |
| L500 | Screen for miscellaneous agglutination reactions (see Preamble, paragraph 24), | |
e.g., Rheumatoid factor |
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Antithyroid (thyroglobulin or microsomal |
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Streptolysin screen |
6 |
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| L900 | Screen by secondary laboratory (see Preamble, paragraph 24) | 6 |
| L501 | Titre - serial tube single antigen | 15 |
| L502 | Serial tube 4 or more antigens | 30 |
| L596 | Sperm antibodies - screen | 20 |
| L597 | Sperm antibodies - titre | 40 |
| Cellular Assays | ||
| L528 | Antibody dependent cellular cytotoxicity | 200 |
| L533 | ATP depletion test | 275 |
| L532 | Caffeine - halothane contracture test | 300 |
| L521 | Intracellular leukocyte bacterial killing capacity | 100 |
| L522 | Leukocyte chemotactic activity | 150 |
| L523 | Leukocyte phagocytic capacity | 40 |
| L524 | Lymphocyte activation (transformation) by isotope incorporation (limited | |
| to 3 mitogens and/or antigens) | 200 |
|
| L525 | Lymphocyte surface immunoglobulins by immunofluorescence | 200 |
| L526 | Lymphocyte T and B cell rosettes | 200 |
| L527 | Mixed lymphocyte reaction | 300 |
| L529 | Naturally occurring cell cytotoxicity | 200 |
| L520 | Nitroblue tetrazolium test - screen for enzyme deficiency | 30 |
| Complement - kinetic (activity) assays | ||
| L530 | Total hemolytic complement (CH50 non-kit) | 40 |
| L531 | Complement components (activity assays) | 60 |
| Fluorescent Antibody Tests (Immunofluorescent Studies) | ||
| Tests for serum antibodies to tissue and cell components (Codes L535 | ||
| and L544) should be claimed per type of tissue section examined and per | ||
| serum dilution used, irrespective of number of antibodies identified, | ||
| maximum, four slides. | ||
| L544 | Antinuclear (see Preamble, paragraph 24) | 35 |
| L944 | Antinuclear by secondary laboratory (see Preamble, paragraph 24) | 35 |
| L535 | Other antibody tests | 50 |
Antimitochondrial |
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Antithyroid |
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Antiadrenal |
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antismooth muscle |
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Antiparietal |
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Antiskin |
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Antisperm |
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| L545 | Protein deposition in tissues (per tissue examined, any number of antisera, e.g., | |
| Immunoglobulin, complement component, fibrinogen and pathogens, etc.) | 75 |
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| Histocompatibility Testing | ||
| L582 | Antibody screening (per panel of 15 antigens) | 150 |
| L581 | Crossmatch | 50 |
| L583 | HLA 27 typing | 50 |
| L580 | Tissue typing | 200 |
| Microbial Immunology | ||
| L659 | Antistreptolysin O, or anti-DNaseB, titre or micro-technique | 25 |
| L662 | Complement fixation, screen | 20 |
| L663 | Complement fixation, titre, single antigen | 30 |
| L664 | Complement fixation, multiple antigens | 50 |
| L503 | Febrile agglutinins, slide or tube agglutination | 25 |
| L668 | Heterophile antibodies-screen (slide or single tube) with or without absorption | 5 |
| L670 | Heterophile antibodies - with absorption by guinea pig kidney or ox cells, multiple tube titres (Paul Bunnell) |
30 |
| L667 | Non-cultural direct bacterial antibody or antigen assays by fluorescence, agglutination or ELISA techniques. Not to be claimed with any of the codes listed under cultures and not to include Group A streptococcus or chlamydia | 12 |
| L682 | For each additional antibody add | 4 |
| L683 | Non-cultural indirect antibody or antigen assays by fluorescence, agglutination or ELISA techniques | 15 |
| L684 | For each additional antibody add | 5 |
| L319 | Hepatitis associated antigen or antibody immunoassay - per assay, e.g., hepatitis B surface antigen or antibody, hepatitis B core antibody,hepatitis A antibody (see Preamble, paragraphs 24 & 28) |
28 |
| L919 | Hepatitis associated antigen or antibody immunoassay by secondary Laboratory per assay (see Preamble, paragraphs 24 & 28) |
28 |
| N.C. | Serology HIV Antibody | NAB |
| L685 | Leukocyte phenotyping by monoclonal antibodies - first antibody | 200 |
| L686 | Leukocyte phenotyping by monoclonal antibodies - each additional antibody, to a maximum of 20 antibodies | 15 |
| L658 | Trichinella antibody | 6 |
| N.C. | VDRL (patient out of the Province) | 5 |
| L680 | Virus antibodies - neutralization test | 40 |
| L681 | Virus antibodies - sucrose gradient separation of IgM plus inhibition test | 90 |
| L679 | Virus antibodies - hemagglutination inhibition or ELISA technique | 30 |
| NOTE: | not to be used for AIDS testing | |
| Miscellaneous | ||
| L599 | Cryofibrinogen - qualitative | 5 |
| L600 | Cryoglobulin - qualitative | 5 |
| L601 | Cryoglobulin - quantitative | 30 |
| L602 | Pyroglobulin - qualitative | 5 |
| L604 | Serum viscosity - relative | 10 |
| L603 | Serum viscosity - quantitative | 20 |
| Radioimmunoassay - see listings under Immunoassays modifiers (units in addition to units for the basic test where applicable - immunologic procedures) | ||
| L610 | Concentration of sample before testing (any method) | 2 |
| L611 | Radio-modification of standard technique utilizing isotope labelled reagents, e.g., anti-insulin, anti-diphtheria, anti-tetanus | 50 |
| - immunoelectrophoresis | ||
| - double diffusion | ||
| - radial diffusion | ||
| NOTE: | Radio-modifications other than specifically listed under code L611 are not a benefit as such until approved by the Ministry of Health | |
| N.C. | Preparation of special antigens or antisera | NAB |
| N.C. | Special investigations | NAB |
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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 |
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