Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 05 - Practices and Procedures › Part 2 - Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health › Section 216-RICR-10-05-2.15 - Fees for Clinical Laboratory Services Provided by the State Health Laboratories

Current through June 14, 2024
TEST
CPT CODE
DESCRIPTION
R.I. Gen. Laws
FEE
SARS-CoV-2
87635
HCPCS U0004
Detection of severe acute respiratory syndrome
								  coronavirus 2 (SARS-CoV-2) by amplified probe
High-Throughput Technique
§ 23-1-3(b)
$55.00
$100.00
SARS-CoV-2, Influenza A, and Influenza B
								  Multiplex
87636
Infectious agent detection by nucleic acid (DNA
								  or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
								  Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex
								  amplified probe technique
§ 23-1-3(b)
$142.63
SARS-CoV-2, Influenza A, Influenza B, and
								  respiratory syncytial virus Multiplex
87637
Infectious agent detection by nucleic acid (DNA
								  or RNA); severe acute respiratory syndrome coronavirus 2 (SARS CoV-2)
								  (Coronavirus disease [COVID-19]), influenza virus types A and B, and
								  respiratory syncytial virus, multiplex amplified probe
								  technique
§ 23-1-3(b)
$142.63
SARS-CoV-2 (Serology)
86769
Antibody, severe acute respiratory syndrome
								  coronavirus 2 (SARS-CoV-2)
§ 23-1-3(b)
$45.00
Blood Lead
83655
Quantitative Blood Lead
§ 23-1-3(b)
$25.00
TEST
CPT CODE
DESCRIPTION
R.I. Gen. Laws
FEE
Heavy Metals in Urine
83018
Quantitative Heavy Metals panel in
								  urine
§ 23-1-3(b)
$35.00
Enteric Screen
87045
85046
87427
Enteric Pathogen screen including Salmonella,
								  Shigella, Vibrio, Campylobacter, Yersinia, Shiga toxin producing E.
								  coli
§ 23-1-3(b)
$15.00
$15.00
Chlamydia (cervical, urethral, urine, pharyngeal,
								  rectal, vaginal)
87491
Chlamydia trachomatis identification by amplified
								  DNA probe
§ 23-1-3(b)
$52.00
Gonorrhea (cervical, urethral, urine, pharyngeal,
								  rectal, vaginal)
87591
Neisseria gonorrhoeae identification by amplified
								  DNA probe
§ 23-1-3(b)
$52.00
Trichomonas (cervical, vaginal)
87661
Trichomonas vaginalis by amplified DNA
								  probe
§ 23-1-3(b)
$52.00
HIV 1,2 screen
87389
HIV1 and HIV2 antibody and p24 antigen
								  detection
§ 23-1-3(b)
$35.00
HIV antibody confirmation
86701
86702
HIV-1 antibody confirmation
HIV-2 antibody confirmation
§ 23-1-3(b)
$14.00
$16.00
HIV-1 antigen confirmation
87535
HIV-1 RNA confirmation
§ 23-1-3(b)
$52.00
TEST
CPT CODE
DESCRIPTION
R.I. Gen. Laws
FEE
Hepatitis A IgM
86709
IgM antibody to Hepatitis A
§ 23-1-3(b)
$18.00
Hepatitis B core IgM
86705
IgM antibody to Hepatitis B core
								  antigen
§ 23-1-3(b)
$18.00
Hepatitis B surface Antibody
86706
Hepatitis B surface antibody
§ 23-1-3(b)
$18.00
Hepatitis B core total Antibody
86704
Total antibody to Hepatitis B core
								  antigen
§ 23-1-3(b)
$18.00
Hepatitis B surface Antigen
87340
Hepatitis B surface antigen
§ 23-1-3(b)
$18.00
Hepatitis C screen
86803
Antibody to Hepatitis C virus
§ 23-1-3(b)
$21.00
Hepatitis C confirmation
87521
Hepatitis C virus identification by amplified
								  probe
§ 23-1-3(b)
$52.00
Syphilis RPR
86592
Syphilis RPR test
§ 23-1-3(b)
$8.00
Syphilis TP
86780
Syphilis TP test
§ 23-1-3(b)
$20.00
Syphilis TP-PA
86780
Syphilis TP-PA test
§ 23-1-3(b)
$20.00
Pertussis PCR
87798
Bordetella pertussis detection by
								  RT-PCR
§ 23-1-3(b)
$52.00
Pertussis culture
87070
87140
Bordetella pertussis culture and
								  identification
§ 23-1-3(b)
$13.00
$8.00
Norovirus PCR
87798
Norovirus detection by RT-PCR
§ 23-1-3(b)
$52.00
TEST
CPT CODE
DESCRIPTION
R.I. Gen. Laws
FEE
Measles PCR
87798
Measles virus detection by RT-PCR
§ 23-1-3(b)
$52.00
Mumps PCR
87798
Mumps virus detection by RT-PCR
§ 23-1-3(b)
$52.00
TB Smear and Culture
87206
87015
87116
Mycobacteria smear, concentration and
								  culture
§ 23-1-3(b)
$8.00
$10.00
$30.00
TB ID
87149
87118
Mycobacteria identification, biochemicals or DNA
								  probe
§ 23-1-3(b)
$30.00
$15.00
TB NAAT
87556
Mycobacteria Nucleic Acid Amplification
								  Test
§ 23-1-3(b)
$52.00
Rabies
Unnecessary Rabies test (An unnecessary rabies
								  test is one that does not meet criteria established by the Department's
								  Division of Infectious Disease and Epidemiology. The Division will determine
								  the validity of each specimen prior to testing at the State Health
								  Laboratories. If the rabies test is determined to be unnecessary, the owner or
								  person submitting the animal being tested shall be responsible for payment
								  should they still want the test performed. Payment shall be received prior to
								  testing)
§ 23-1-3(b)
$125.00