| Item Number | Description | Schedule Fee |
|---|---|---|
| 69393 | 4 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 estimations specified on the request form or performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6) |
$55.70 |
| Total: | $55.70 | |