Newborn Screening Fees for providers July 1, 2019 through June 30th, 2020

	A	B	C
1	Laboratory Services Division
2	Laboratory Fees, Effective July 1, 2024 through June 30, 2025
3	NEWBORN SCREENING FEES
4	Program	Fee Name	Fee
5	Newborn Screening	Newborn Screen, Colorado (includes MS/MS)	$111.00
6	Newborn Screening	Newborn Screen, non-Colorado - First Screen (includes MS/MS)	$60.00
7	Newborn Screening	Newborn Screen, non-Colorado - Second Screen (no MS/MS)	$40.00
8	Newborn Screening	Newborn Screen, Wyoming/non-Colorado - First and Second Screen (includes MS/MS), does not include courier costs nor linkage to specialty consultations	$80.00
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11	CPT Codes for Panel:
12	84030	Phenylalanine (PKU)
13	83498	17-alpha-hydroxyprogesterone (Congenital adrenal hyperplasia - CAH)
14	84437	Thyroxine or T4 (Hypothyroidism)
15	84443	Thyroid Stimulating Hormone or TSH (Hypothyroidism)
16	82261	Biotinidase (Biotinidase Defeciency)
17	83020	Hemoglobin Electrophoresis (Hemoglobinopathies)
18	82776	Galactose -1-phosphate uridyl transferase (Galactosemia)
19	83520	CF-- Immunoassay, analyte, quantitative; not otherwise specified
20	83789	MS-MS Expanded Screen
21	81479	Severe Combined Immune Deficiency (SCID)
22	81401	Spinal Muscular Atrophy (SMA)
23	S3620	Newborn Screening Panel
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