| Item Number | Description | Schedule Fee |
|---|---|---|
| 69396 | 5 or more tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6) |
$69.10 |
| Total: | $69.10 | |