| Item Number | Description | Schedule Fee |
|---|---|---|
| 65175 | Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where the request for the test(s) specifically identifies that the patient has a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test (Item is subject to Rule 6) |
$25.95 |
| Total: | $25.95 | |