Net Fee Schedule LabCorp Net Fee Schedule …

1 Net Fee ScheduleLabCorp Net Fee Schedule VADMHMRSAS Contract RFP720C-04093-07D0493 - 15/17 Price ListPeriod: September 1, 2015 through August 31, 2017 LabCorp Test NumberLabCorp Test NameComments2015 CPT Code**RFP TestDirectory of Services TestATB Discountable Test2015 Book Price2015 Book Price Less 65% ATBS pecial PriceNet FeeStat Fees:099895 Stat Fee (normal hours) 99199 YNN$ $ $ $ Service (normal hours)99199 NNN$ $ $ $ Fee (after hours) 99199 YNN$ $ $ $ Fee (normal hours) 99199 YNN$ $ $ $ (normal hours) 99199 YNN$ $ $ $ Fee (normal hours) 99199 YNN$ $ $ $ Charge (normal hours) 99199 YNN$ $ $ $ Fees:998120 Courier Charge99199 YNN$ $ $ Fees.

2 099812 Drawing Fee 36415 YNN$ $ $ $ Fee 36415 YNN$ $ $ $ 36415 YNN$ $ $ $ Phlebotomy Fee 36415 NNN$ $ $ $ Fee 36415 NNN$ $ $ Venipuncture Multi Pt 36415 NNN$ $ $ Phlebotomy Coverage Fee (>72 Hours Notice)Charge for each hour phleb service provided where notice >72 hours and not regularly scheduled. This charge is in addition to the per collection or draw fee referenced $ $ $ $ Testing Fees:480848%fPSA Reflex84154 NNN$ $ $ $ 7 Drug-Unb80301 YNN$ $ $ $ 7 Drug-Scr80301 YNN$ $ $ 7+Alc-Scr80301 YNN$ $ $ $ 9 Drug-Scr80301 YNN$ $ $ $ P/Creat Ratio, Urine83498, 82570 YYN$ $ $ Progesterone LCMS83498 YYN$ $ $ $ D LCMS D2+D3 82306 NYN$ $ $ $ ' Nucleotidase83915 YYN$ $ $ $ Qn,Random Urine83497, 82570 YYN$ $ $ $ ,Quant.

3 ,24 Hr Urine83497 YYN$ $ $ $ , Conf80356 YYN$ $ $ $ 5 Drug-Unbund80301 NNN$ $ $ $ 7 Drug-Unbund80301 YYN$ $ $ 7+Alc-Unbund80301 YYN$ $ $ $ 10+Alc-Scr80301 NNN$ $ $ $ 12+Oxycodone+Crt-Scr80301, 80302 (x3)YYN$ $ $ $ 9+Oxycodone+Crt-Scr80301 NYN$ $ $ $ 9+Alc+Crt-Scr 80301 NNN$ $ $ $ **Please Note Disclaimer: CPT codes are provided here for your convenience; however, correct coding often varies from one carrier to another. Consequently, the AMA CPT* manual codes presented here are intended as general guidelines and should not be used without confirming with the applicable payor that their use is appropriate in each 1 of 144 Net Fee ScheduleLabCorp Net Fee Schedule VADMHMRSAS Contract RFP720C-04093-07D0493 - 15/17 Price ListPeriod.

4 September 1, 2015 through August 31, 2017 LabCorp Test NumberLabCorp Test NameComments2015 CPT Code**RFP TestDirectory of Services TestATB Discountable Test2015 Book Price2015 Book Price Less 65% ATBS pecial PriceNet Fee**Please Note Disclaimer: CPT codes are provided here for your convenience; however, correct coding often varies from one carrier to another. Consequently, the AMA CPT* manual codes presented here are intended as general guidelines and should not be used without confirming with the applicable payor that their use is appropriate in each 13+Oxycodone+Crt-Scr80301, 80302 (x3)YYN$ $ $ 9+Alc+Crt-Scr80301 YNN$ $ $ 3 Drug-ScrTest Not CodedYNN$ $ $ $ 5 Drug-Scr80301 YNN$ $ $ $ 6 Drug-ScrTest Not CodedYNN$ $ $ $ 7 Drug-ScrTest Not CodedYNN$ $ $ $ 12+Oxycodone+Crt-Unbund 80301, 80302 (x3)

5 , 80346 NNN$ $ $ $ 12+Oxycodone+Crt-Unbund80301, 80302 (x3)YYN$ $ $ 9+Oxyco+Crt-Unbund80301, 80346 NNN$ $ $ $ 11+Oxyco+Alc+Crt-Bund80301, 80302 (x2)YNN$ $ $ $ 10+Oxyco+Alc+Crt-Bund80301, 80302 YYN$ $ $ $ 11+Oxycodone+Crt-Bund80301, 80302 (x3), 80346 NNN$ $ $ $ 11+Oxyco+Alc+Crt-Bund80301, 80302 (x2)NNN$ $ $ $ 15+Oxyco-Bund+Bup-Scr80301, 80302 (x4), 80304 YNN$ $ $ $ 9+MDMA+Oxyco+Crt-Bund80301 YNN$ $ $ $ 10+Oxycodone+Crt-Bund80301, 80302 NNN$ $ $ $ 7 Drug-Scr80301 YNN$ $ $ $ 9+Alc+Crt-Scr80301 YNN$ $ $ $ 8+Alc-Scr80301 YNN$ $ $ $ 10+Alc-Bund80301 YNN$ $ $ $ 7 Drug-Bund80301 NNN$ $ $ $ 10+Crt-Bund80301 YNN$ $ $ $ 9+MDMA-Bund80301 YNN$ $ $ 7+MDMA-Bund80301 NNN$ $ $ $ 7+Crt-Bund80301 YNN$ $ $ $ 6+MDMA+Crt-Bund Test Not CodedNNN$ $ $ $ 9+MDMA+Crt-Bund80301 YNN$ $ $ 10+Oxycodone+Alc-Bund80301.

6 80302 YNN$ $ $ 7 Drug-Bund80301 YYN$ $ $ $ 7 Drug-Bund80301 YNN$ $ $ $ 5 Drug-Bund80301 YNN$ $ $ $ Surgical Pathology88300 YNN$ $ $ $ Tech Comp-1st Site88300 TCNNN$ $ $ $ Surgical Path-1st Site88304 YNN$ $ $ $ Surgical Path-2nd Site88304 YNN$ $ $ $ Tech Comp-1st Site88304 TCNNN$ $ $ $ Tech Comp-2nd Site88304 TCNNN$ $ $ $ Prof Comp-1st Site88305 26 NNN$ $ $ $ Prof Comp-2nd Site88305 26 NNN$ $ $ $ Prof Comp-3rd Site88305 26 NNN$ $ $ $ Prof Comp-4th Site88305 26 NNN$ $ $ $ Prof Comp-5th Site88305 26 NNN$ $ $ $ Prof Comp-6th Site88305 26 NNN$ $ $ $ Prof Comp-7th Site88305 26 NNN$ $ $ $ Prof Comp-8th Site88305 26 NNN$ $ $ $ 2 of 144 Net Fee ScheduleLabCorp Net Fee Schedule VADMHMRSAS Contract RFP720C-04093-07D0493 - 15/17 Price ListPeriod: September 1, 2015 through August 31, 2017 LabCorp Test NumberLabCorp Test NameComments2015 CPT Code**RFP TestDirectory of Services TestATB Discountable Test2015 Book Price2015 Book Price Less 65% ATBS pecial PriceNet Fee**Please Note Disclaimer.

7 CPT codes are provided here for your convenience; however, correct coding often varies from one carrier to another. Consequently, the AMA CPT* manual codes presented here are intended as general guidelines and should not be used without confirming with the applicable payor that their use is appropriate in each Surg Path-1st Site88305 YNN$ $ $ $ Surg Path-2nd Site88305 YNN$ $ $ $ Surg Path-3rd Site88305 YNN$ $ $ $ Surg Path-4th Site88305 YNN$ $ $ $ Surg Path-5th Site88305 YNN$ $ $ $ Surg Path-6th Site88305 YNN$ $ $ $ Surg Path-7th Site88305 NNN$ $ $ $ Surg Path-8th Site88305 NNN$ $ $ $ Tech Comp-1st Site88305 TCNNN$ $

8 $ $ Tech Comp-2nd Site88305 TCNNN$ $ $ $ Tech Comp-3rd Site88305 TCNNN$ $ $ $ Tech Comp-4th Site88305 TCNNN$ $ $ $ Tech Comp-6th Site88305 TCNNN$ $ $ $ Tech Comp-7th Site88305 TCNNN$ $ $ $ Tech Comp-8th Site88305 TCNNN$ $ $ $ Surgical Pathology88307 YNN$ $ $ $ Surgical Pathology88307 YNN$ $ $ $ Surgical Pathology88307 YNN$ $ $ Tech Comp-1st Site88307 TCNNN$ $ $ $ Tech Comp-2nd Site88307 TCNNN$ $ $ $ Tech Comp-1st Stain88312 TCNNN$ $ $ $ Scr+Antibody ID86870 YNN$ $ $ $ Grouping86900 YYY$ $ $ Grouping and Rho(D) Typing86900, 86901 YYY$ $ $ $ (Tylenol), S80329 YYN$ $ $ $ Receptor Ab, All83519 (x3)YYN$ $ $ Binding Abs, Serum83519 NYN$ $ $ $ Fast Smear+Culture87206, 87116 YYN$ $ $ $ Fast Smear+Culture W/Rflx87206, 87116 YYN$ $ $ $ , Plasma82024 YYN$ $ $ $ (Smooth Muscle) Antibody83516 YYN$ $ $ $ Protein C Resistance85307 NYN$ $ $ $ On.

9 HCG,uE3,Inhibin84702, 82677, 86336 YNN$ $ $ 'l IHC Per Slide X1 Glbl Test Not CodedNNN$ $ $ $ 'l IHC Per Slide X1 Prof Test Not CodedNNN$ $ $ $ 'l IHC Per Slide X1 Tech Test Not CodedNNN$ $ $ $ $ $ $ $ (Dilution), UrineTest Not CodedYYN$ $ $ $ ID + Suscept87077 YYN$ $ $ $ Bacterial Culture87070 YYN$ $ $ $ Cult, Extend Incubat 87073 NYN$ $ $ $ Antibiotic Suscep87190 (x4)NYN$ $ $ $ Cult/Smear, Broth, Suscep87081, 87149 YNN$ $ $ $ Culture and Smear,Broth87116, 87206, 87015 YNN$ $ $ $ Tetra82105, 82677, 84702, 86336 YYN$ $ $ $ 3 of 144 Net Fee ScheduleLabCorp Net Fee Schedule VADMHMRSAS Contract RFP720C-04093-07D0493 - 15/17 Price ListPeriod.

10 September 1, 2015 through August 31, 2017 LabCorp Test NumberLabCorp Test NameComments2015 CPT Code**RFP TestDirectory of Services TestATB Discountable Test2015 Book Price2015 Book Price Less 65% ATBS pecial PriceNet Fee**Please Note Disclaimer: CPT codes are provided here for your convenience; however, correct coding often varies from one carrier to another. Consequently, the AMA CPT* manual codes presented here are intended as general guidelines