| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | AA | AB | AC | AD | AE | AF | AG | AH | AI | AJ | AK | AL | AM | AN | AO | AP | AQ | AR | AS | AT | AU | AV | AW | AX | AY | AZ | BA | BB | BC | BD | BE | BF | BG | BH | BI | |
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1 | Clinical Diagnostic Laboratory Fee Schedule- 2022 Gapfill Preliminary Determinations to be implemented in CY 2023 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2 | CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
3 | As outlined in Sec 1834A(c)(4); Explanation of payment rates.--In the case of a clinical diagnostic laboratory test for which payment is made under this subsection, the Secretary shall make available to the public an explanation of the payment rate for the test. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
4 | Comments may be submitted to clfs_inquiries@cms.hhs.gov by by July 11, 2022 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
5 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
6 | HCPCS | Descriptor | National Limit | CA1 | CA2 | HI | NV | AK | ID | OR | WA | AZ | MT | ND | SD | UT | WY | CO | NM | OK | TX | IA | KS | KS | MO2 | MO1 | NE | IL | MN | WI | AR | LA | MS | IN | MI | FL | PR | AL | GA | TN | SC | VA | WV | NC | DE | DC | MD | NJ | PA | CT | NY2 | NY1 | NY3 | ME | MA | NH | RI | VT | KY | OH | |
7 | 1112 | 1182 | 1212 | 1312 | 2102 | 2202 | 2302 | 2402 | 3102 | 3202 | 3302 | 3402 | 3502 | 3602 | 4112 | 4212 | 4312 | 4412 | 5102 | 5202 | 5202 | 5302 | 5302 | 5402 | 6102 | 6202 | 6302 | 7102 | 7202 | 7302 | 8102 | 8202 | 9102 | 9202 | 10102 | 10202 | 10302 | 11202 | 11302 | 11402 | 11502 | 12102 | 12202 | 12302 | 12402 | 12502 | 13102 | 13202 | 13282 | 13292 | 14112 | 14212 | 14312 | 14412 | 14512 | 15102 | 15202 | ||||
8 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 01 | LOC 02 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 12 | LOC 15 | LOC 07 | LOC 15 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 20 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | LOC 00 | ||||
9 | 81349 | Cytog alys chrml abnr lw-ps | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,160.00 | $1,160.00 | $1,160.00 | $1,160.00 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,160.00 | $1,160.00 | $1,160.00 | $1,197.94 | $1,197.94 | $1,160.00 | $1,160.00 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,160.00 | $1,160.00 | $1,160.00 | $1,160.00 | $1,160.00 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | $1,197.94 | |
10 | 81560 | Trnsplj pd lvr&bwl cd154+cll | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $519.72 | $519.72 | $519.72 | $519.72 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $519.72 | $519.72 | $519.72 | $263.21 | $263.21 | $519.72 | $519.72 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $519.72 | $519.72 | $519.72 | $519.72 | $519.72 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | |
11 | 86408 | Neutrlzg antb sarscov2 scr | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | |
12 | 86409 | Neutrlzg antb sarscov2 titer | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $105.33 | $105.33 | $105.33 | $105.33 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $105.33 | $105.33 | $105.33 | $84.26 | $84.26 | $105.33 | $105.33 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $105.33 | $105.33 | $105.33 | $105.33 | $105.33 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | $84.26 | |
13 | 86413 | Sars-cov-2 antb quantitative | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $42.13 | $42.13 | $42.13 | $42.13 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $42.13 | $42.13 | $42.13 | $51.43 | $51.43 | $42.13 | $42.13 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | |
14 | 87426 | Sarscov coronavirus ag ia | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $42.03 | $42.03 | $42.03 | $42.03 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $42.03 | $42.03 | $42.03 | $35.33 | $35.33 | $42.03 | $42.03 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $42.03 | $42.03 | $42.03 | $42.03 | $42.03 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | $35.33 | |
15 | 87811 | Sars-cov-2 covid19 w/optic | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | $41.38 | |
16 | 0018M | Trnsplj rnl meas cd154+cll | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $519.72 | $519.72 | $519.72 | $519.72 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $519.72 | $519.72 | $519.72 | $263.21 | $263.21 | $519.72 | $519.72 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $519.72 | $519.72 | $519.72 | $519.72 | $519.72 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | $263.21 | |
17 | 0224U | Antibody sars-cov-2 titer(s) | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $42.13 | $42.13 | $42.13 | $42.13 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $42.13 | $42.13 | $42.13 | $51.43 | $51.43 | $42.13 | $42.13 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $42.13 | $42.13 | $42.13 | $42.13 | $42.13 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | $51.43 | |
18 | 0226U | Svnt sarscov2 elisa plsm srm | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | $42.28 | |
19 | 0228U | Onc prst8 ma molec prfl alg | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $26.22 | $26.22 | $26.22 | $26.22 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $26.22 | $26.22 | $26.22 | $173.03 | $173.03 | $26.22 | $26.22 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $26.22 | $26.22 | $26.22 | $26.22 | $26.22 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | $173.03 | |
20 | 0245U | Onc thyr mut alys 10 gen&37 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $806.59 | $806.59 | $806.59 | $806.59 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $806.59 | $806.59 | $806.59 | $1,195.82 | $1,195.82 | $806.59 | $806.59 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $806.59 | $806.59 | $806.59 | $806.59 | $806.59 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | $1,195.82 | |
21 | 0248U | Onc brn sphrd cll 12 rx pnl | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,532.62 | $2,532.62 | $2,532.62 | $2,532.62 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,532.62 | $2,532.62 | $2,532.62 | $2,698.45 | $2,698.45 | $2,532.62 | $2,532.62 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,532.62 | $2,532.62 | $2,532.62 | $2,532.62 | $2,532.62 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | $2,698.45 | |
22 | 0249U | Onc brst alys 32 phsprtn alg | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,510.21 | $2,510.21 | $2,510.21 | $2,510.21 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,510.21 | $2,510.21 | $2,510.21 | $2,219.13 | $2,219.13 | $2,510.21 | $2,510.21 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,510.21 | $2,510.21 | $2,510.21 | $2,510.21 | $2,510.21 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | $2,219.13 | |
23 | 0252U | Ftl aneuploidy str alys dna | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $900.00 | $900.00 | $900.00 | $900.00 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $900.00 | $900.00 | $900.00 | $759.05 | $759.05 | $900.00 | $900.00 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $900.00 | $900.00 | $900.00 | $900.00 | $900.00 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | |
24 | 0253U | Rprdtve med rna gen prfl 238 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $1,167.84 | $1,167.84 | $1,167.84 | $1,167.84 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $1,167.84 | $1,167.84 | $1,167.84 | $3,159.42 | $3,159.42 | $1,167.84 | $1,167.84 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $1,167.84 | $1,167.84 | $1,167.84 | $1,167.84 | $1,167.84 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | $3,159.42 | |
25 | 0254U | Reprdtve med alys 24 chrmsm | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | $759.05 | |
26 | 0255U | Andrology infertility assmt | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $5.57 | $5.57 | $5.57 | $5.57 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $5.57 | $5.57 | $5.57 | $31.60 | $31.60 | $5.57 | $5.57 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $5.57 | $5.57 | $5.57 | $5.57 | $5.57 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | $31.60 | |
27 | 0256U | Tma/tmao prfl ms/ms ur alg | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $62.14 | $62.14 | $62.14 | $62.14 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $62.14 | $62.14 | $62.14 | $159.95 | $159.95 | $62.14 | $62.14 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $62.14 | $62.14 | $62.14 | $62.14 | $62.14 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | $159.95 | |
28 | 0257U | Vlcad leuk nzm actv whl bld | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $22.17 | $22.17 | $22.17 | $22.17 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $22.17 | $22.17 | $22.17 | $712.47 | $712.47 | $22.17 | $22.17 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $22.17 | $22.17 | $22.17 | $22.17 | $22.17 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | $712.47 | |
29 | 0260U | Rare ds id opt genome mapg | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,424.34 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | |
30 | 0262U | Onc sld tum rtpcr 7 gen | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $1,167.84 | $1,167.84 | $1,167.84 | $1,167.84 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $1,167.84 | $1,167.84 | $1,167.84 | $3,200.00 | $3,200.00 | $1,167.84 | $1,167.84 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $1,167.84 | $1,167.84 | $1,167.84 | $1,167.84 | $1,167.84 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | |
31 | 0264U | Rare ds id opt genome mapg | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,424.34 | $1,424.34 | $1,424.34 | $1,424.34 | $1,424.34 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | $1,263.53 | |
32 | 0265U | Rar do whl gn&mtcdrl dna als | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.20 | $5,475.20 | $5,475.20 | $5,475.20 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.20 | $5,475.20 | $5,475.20 | $5,475.80 | $5,475.80 | $5,475.20 | $5,475.20 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.20 | $5,475.20 | $5,475.20 | $5,475.20 | $5,475.20 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | $5,475.80 | |
33 | 0266U | Unxpl cnst hrtbl do gn xprsn | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $2,919.60 | $2,919.60 | $2,919.60 | $2,919.60 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,201.00 | $3,202.00 | $2,919.60 | $2,919.60 | $2,919.60 | $3,200.00 | $3,200.00 | $2,919.60 | $2,919.60 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $3,200.00 | $2,919.60 | $2,919.60 | $2,919.60 | $2,919.60 | $2,919.60 | $3,200.00 | $3,201.00 | $3,202.00 | $3,203.00 | $3,204.00 | $3,205.00 | $3,206.00 | $3,207.00 | $3,208.00 | $3,200.00 | $3,200.00 | |
34 | 0267U | Rare do id opt gen mapg&seq | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,455.54 | $6,455.54 | $6,455.54 | $6,455.54 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,455.54 | $6,455.54 | $6,455.54 | $6,739.33 | $6,739.33 | $6,455.54 | $6,455.54 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,455.54 | $6,455.54 | $6,455.54 | $6,455.54 | $6,455.54 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | $6,739.33 | |
35 | 0268U | Hem ahus gen seq alys 15 gen | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,020.28 | $1,020.28 | $1,020.28 | $1,020.28 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,020.28 | $1,020.28 | $1,020.28 | $608.17 | $608.17 | $1,020.28 | $1,020.28 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,020.28 | $1,020.28 | $1,020.28 | $1,020.28 | $1,020.28 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
36 | 0269U | Hem aut dm cgen trmbctpna 14 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $777.13 | $777.13 | $777.13 | $777.13 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $777.13 | $777.13 | $777.13 | $608.17 | $608.17 | $777.13 | $777.13 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $777.13 | $777.13 | $777.13 | $777.13 | $777.13 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
37 | 0270U | Hem cgen coagj do 20 genes | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $766.79 | $766.79 | $766.79 | $766.79 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $766.79 | $766.79 | $766.79 | $608.17 | $608.17 | $766.79 | $766.79 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $766.79 | $766.79 | $766.79 | $766.79 | $766.79 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
38 | 0271U | Hem cgen neutropenia 23 gen | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $733.62 | $733.62 | $733.62 | $733.62 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $733.62 | $733.62 | $733.62 | $608.17 | $608.17 | $733.62 | $733.62 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $733.62 | $733.62 | $733.62 | $733.62 | $733.62 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
39 | 0272U | Hem genetic bld do 51 genes | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,511.48 | $1,511.48 | $1,511.48 | $1,511.48 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,511.48 | $1,511.48 | $1,511.48 | $608.17 | $608.17 | $1,511.48 | $1,511.48 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,511.48 | $1,511.48 | $1,511.48 | $1,511.48 | $1,511.48 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
40 | 0273U | Hem gen hyprfibrnlysis 8 gen | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $676.28 | $676.28 | $676.28 | $676.28 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $676.28 | $676.28 | $676.28 | $608.17 | $608.17 | $676.28 | $676.28 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $676.28 | $676.28 | $676.28 | $676.28 | $676.28 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
41 | 0274U | Hem gen pltlt do 43 genes | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,363.63 | $1,363.63 | $1,363.63 | $1,363.63 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,363.63 | $1,363.63 | $1,363.63 | $608.17 | $608.17 | $1,363.63 | $1,363.63 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,363.63 | $1,363.63 | $1,363.63 | $1,363.63 | $1,363.63 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
42 | 0276U | Hem inh thrombocytopenia 23 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $996.55 | $996.55 | $996.55 | $996.55 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $996.55 | $996.55 | $996.55 | $608.17 | $608.17 | $996.55 | $996.55 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $996.55 | $996.55 | $996.55 | $996.55 | $996.55 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
43 | 0277U | Hem gen pltlt funcj do 31 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,061.69 | $1,061.69 | $1,061.69 | $1,061.69 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,061.69 | $1,061.69 | $1,061.69 | $608.17 | $608.17 | $1,061.69 | $1,061.69 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $1,061.69 | $1,061.69 | $1,061.69 | $1,061.69 | $1,061.69 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
44 | 0278U | Hem gen thrombosis 12 genes | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $658.99 | $658.99 | $658.99 | $658.99 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $658.99 | $658.99 | $658.99 | $608.17 | $608.17 | $658.99 | $658.99 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $658.99 | $658.99 | $658.99 | $658.99 | $658.99 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | $608.17 | |
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