G021

PDF page 479 / J65

A. Reproductive medicine
   G015 FSH (pituitary gonadotrophins)...............................................                 11.35
   G016 TSH (thyroid stimulating hormone) .........................................                    9.80
   G017 Prolactin..................................................................................   14.50
   G018 Estradiol..................................................................................   28.45
   G019 LH (luteinizing hormone).........................................................              9.30
   G020 Progesterone ..........................................................................       14.50
   G021 HCG (human chorionic gonadotrophins) quantitative.............                                15.50
      Note:
      G021 is not eligible for payment for pregnancy tests. See G005.
   G022 Testosterone ...........................................................................      14.50
   G023 Testosterone, free ...................................................................        25.85
   G024 Androstenedione.....................................................................          38.80
   G025 Dehydroepiandrosterone sulphate (DHEAS)..........................                             20.70
   G026 17-OH progesterone ...............................................................            31.00
   G027 Seminal fluid examination (complete).....................................                     11.35
   G028 Cervicovaginal mucous specimen for cellular analysis for
          postcoital testing.................................................................         10.35
      Note:
      G028 is not eligible for payment for obtaining or preparing cervical cancer screening
      specimen(s) or interpreting a cervical cancer screening test.
   G029 Antithrombin III assay ............................................................. 28.45

Master, record 1814. Record Layout PDF, page 1.

G02120260401999999990000015500000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.