Fee Schedule.pdf

To Be Ordered on an “As Needed Basis”

1. 783-04625315160 CoaguChek XS PT Test Strips, CLIA Waived Box of 48

2. 170-368100 QuikHeel Preemie Lancet, Pink, 0.85 mm Incision Depth, 1.75mm Incision Length Pack of 50

3. 170-368101 Lancets, Quickheel Microtainer Infant 1 x 2.5mm Pack of 50

4. 3000B Hemo Temp? II Reversible/Irreversible Blood Temperature Indicator Pack of 40

5. 10007500C/5 Drummond Scientific Hemato-Clad? Mylar?-Wrapped Hematocrit Tubes; Blue; Pack of 100

0.12cm x 7.5cm

6. 714-S100 Polymedco Brand ESR, Sediplast W/ Diluant, (Dispettes) Box of 100

7. 9-08-801 Fisherbrand? Gram Control/Test Slides Pack of 50

8. 904-9048 Pipet Tips; MLA Brand; Volume: 5ML (Macro Tip); Packaging: Dense Pack of 100

9. 777-R21230 Remel? Potassium Hydroxide 10%; 25mL/Bottle Each

10. 813-214104 ESR-Chex; Control, Clinical; Levels 1 and 2; 4 x 9mL Pack of 4

11. 783-04348150001 Roche CoaguChek Lancets Box of 200

12. 353326 **HM** Methanol Solution, UN1230, 3, Reagent, Purified 1 Gal. Gallons

13. 94410210 ClipTip? Non-Filtered Pipette Tips; Clip Tip 20, nonsterile; Pink; 20µL Pack of 960

14. R064141 Remel? Regan-Lowe Semi-Solid Transport Medium; 15mm X 103mm Tube Pack of 20

15. 40346001 VistaLab Technologies? Tips for MLA? Pipetters; 200mL Pack of 200

16. 06F2355 9V, Power Pack for i-STAT Handheld Blood Analyzer Each

17. 9-14-377-259 Slide, 10-Test; Urine Specimen Collection Pack of 100

18. 9-02-681-410 Maxi Pipet Tips, Volume: 5000µL; Length: 4.75 in. (12cm) Pack of 250

19. 94410317 ClipTip? Non-Filtered Pipette Tips; Yellow; 200µL Pack of 960

20. NATRVP-IDI ZeptoMetrix Corporation NATtrol? Respiratory Verification Panel; 20 x 0.6mL Each

21. 221815 BBL? Mycoflask? Trypticase? Soy Broth Prepared Media; 100 x 2mL Pack of 100

22. 170-221742 BBL? Mycoflask? Thioglycollate Prepared Media Enriched with Vitamin K1 and Pack of 100

Hemin; 100 x 5mL

23. 170-221136 BBL? Sabouraud Dextrose Agar Mycoflask? Prepared Media Pack of 10

24. 170-230793 BBL? Sensi-Disc? Susceptibility Test Discs: Erythromycin (15µg) Pack of 10

25. 170-231650 Cefinase Paper Disc (For the Detection Of β-Lactamase Enzymes) Each

26. 170-231213 BD BBL Sensi-Disc Clindamycin CC-2, 10 EA Each

27. 777-R682005 AnaeroPouch? –MicroAero Gas Generator Pack of 20

28. R686001 AnaeroPouch?-Bag; Mitsubishi AnaeroPouch-Bag Pack of 20

29. 170-261203 BD Diagnostic Reagent and Stain Droppers, Catalase; Enzyme Tested Pack of 50

30. 170-221087 BBL? Mycoflask? Trypticase? Soy Agar Slants Prepared Media Pack of 100

31. 170-261181 Dropper, Oxidase Reagent Pack of 50

32. 23-038010 Fisherbrand? Sure-Vue? RPR Test Kit Pack of 500

33. 170-261187 BD Diagnostic Reagent and Stain Droppers, DMACA Indole Pack of 50

34. AN0005C Oxoid? AnaeroGen? Compact Sealing Clip Pack of 5

35. 170-240826 BD BBL? Rabbit Coagulase Plasma; 10 x 15mL Pack of 10

36. 170-222641 BD Salmonella O Poly A-I Factors Each

37. R064890 Tryptic Soy Broth; 2mL Pack of 100

38. NATCT/NGNEG-6MC ZeptoMetrix Corporation NATtrol? CT/NG External Run Controls; 6 x 1mL Each

39. NATCT(434)6MC ZeptoMetrix Corporation NATtrol? Chlamydia trachomatis Positive Control Each

(6 x 1 mL)

40. NATNG6MC ZeptoMetrix Corporation NATtrol Neisseria gonorrhoeae Positive Control Each

(6 x 1 mL)

41. NATMSSE6MC ZeptoMetrix Corporation NATtrol? MRSA/SA External Run Controls; Each

6 x 0.5mL

42. NATLAC6MC ZeptoMetrix Corporation NATtrol? GBS External Run Controls; 6 x 0.5mL Each

43. NATSAG6MC ZeptoMetrix Corporation NATtrol? GBS External Run Controls; 6 x 0.5mL Each

44. NATSAU(MRSA)ERCL ZeptoMetrix Corporation NATtrol? Staphylococcus aureus (MRSA) COL Each

External Run Controls; 6 x 1mL

45. NATCDI6MC ZeptoMetrix Corporation NATtrol? Clostridium difficile External Run Each

Controls; 6 x 0.5mL

46. NATCSO6MC ZeptoMetrix Corporation NATtrol? Clostridium sordellii External Run Each

Controls; 6 x 0.5Ml

47. 9-02-897-8 Bottle, Wash; Fisherbrand; Easy Squeeze; LDPE; Drip-free, sputter-free Case of 6

During use; Color-coded; For saline; PP natural color, 38-415 size closure w/PTFE membrane; 17 oz. (500mL)

48. 777-R4607050 Culti-Loops Escherichia coli ATCC 25922 Pack of 5

49. 777-R4607010 Culti-Loops? Staphylococcus aureus subsp. Aureus ATCC 25923 Pack of 5

50. R4607000 Thermo Scientific? Culti-Loops? Streptococcus pyogenes ATCC 19615 Pack of 5

51. R4607030 Thermo Scientific? Culti-Loops? Enterococcus faecalis ATCC 29212 Pack of 5

52. R4607049 Thermo Scientific? Culti-Loops? Neisseria meningitidis serogroup B ATCC 13090 Pack of 5

53. R4607060 Thermo Scientific? Culti-Loops? Pseudomonas aeruginosa ATCC 27853 Pack of 5

54. R4601250 Thermo Scientific? Remel? Bacteroides fragilis ATCC? 25285? Culti-Loops? Pack of 5

55. R4607024 Thermo Scientific? Culti-Loops? Streptococcus pneumoniae ATCC 6305? Pack of 5

56. R4601261 Thermo Scientific? Culti-Loops? Bacteroides vulgatus ATCC 8482? Pack of 5

57. R4601600 Thermo Scientific? Culti-Loops? Clostridium perfringens ATCC 13124 Pack of 5

58. R4601511 Thermo Scientific? Culti-Loops? Candida glabrata ATCC 66032? Pack of 5

59. R4601006 Thermo Scientific? Culti-Loops? Alcaligenes faecalis subsp. Faecalis Pack of 5

ATCC 8750?

60. NATCXVA96C ZeptoMetrix NATtrol? Influenza/RSV Negative Control; 6 x 0.5mL Each

61. NATFLUAB6C ZeptoMetrix NATtrol? Influenza A/B Positive Control; 6 x 0.5mL Each

62. NATRSV6C ZeptoMetrix NATtrol? RSV Positive Control; 6 x 0.5mL Vials Each

63. 752-1461-31 Cell Count Control, 3x3mL, High, Spinal Scopic Each

64. 1440-02 Dropper Urinalysis Dipstick Control; Level 1 & 2; 4 x 25 mL Box of 4

65. 242-4627 Traceable Refrigerator/Freezer Plus Thermometer -58 to 158°F Each

66. 752-1462-31 Cell Count Control, 3x3mL, Low, Spinal Scopic Each

67. 220710 BD Falcon Swube Applicators; 6 x 150; Sterile, Individually Wrapped Pack of 200

68. M210v1.1 FilmArray RP Control Panel; 12 tubes x 300 µL; 6 each of M2115521v1.1 & Pack of 12

M2126721v1.1

69. M235v1.1 FilmArray BCID Control Panel; 12 tubes x 200µL; 6 each of M23618v1.1 & Pack of 12

M23718v1.1

70. M238 FilmArray GI Control Panel; 12 tubes x 200µL; 6 each of M2393718 & Pack of 12

M2402818

71. M262 INTROL ME Control Panel M262; 12 tubes x 200 µL; 6 each of M26318 & Pack of 12

M26418

72. M315 FilmArray RP2/RP2plus Control Panel; 12 tubes x 300 µL; 6 Positive controls Pack of 12 and 6 Negative controls

73. M441 BioFire RP2.1/RP2.1plus Control Panel; 12 tubes x 300µL; 6 Positive controls Each and 6 Negative controls

74. C3850001 Nasopharyngeal Swabs, Sterile Case of 2000

75. C3850110 UTM (Urinary Transport Media)

76. C389-00100 10mL Labeled with VTM - Viral-Transport-Medium Case of 750

77. C38900500 Nasopharyngeal swabs 250/box

78. Estimated Shipping and Handling Costs