| Item Number | Description | Schedule Fee |
|---|---|---|
| 69491 | Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis. To a maximum of 1 of this item in a 12 month period |
$204.80 |
| Total: | $204.80 | |