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HazMat Pricing

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					                   Test/Procedure
Audiogram                                     $ 24.25
Benzene (exposure to gasoline)                $ 43.65
Blood Lead ZPP                                $ 57.23
ChemPanel + CBC + UA                          $ 35.89
Chest X-Ray 2 view                            $ 38.80
Chest X-Ray 3 view                            $ 48.50
Cholinesterase RBC (Serum)                    $ 42.68
EKG (Resting)                                 $ 38.80
Heavy Metals/24 Hr Urine                      $ 78.57
Hep A - 2 shot inoculation series             $ 116.40
Hep B - 3 shot inoculation series             $ 174.60
Hep C Reba test (if positive C from screen)   $ 143.56
Hepatitis B Antibody                          $ 19.40
Hepatitis Panel Screen                        $ 83.42
PCB Serum                                     $ 57.23
Physical Exam                                 $ 48.50
Physician's Statement                         $ 14.55
Pulmonary Function Test (Spirometry)          $ 36.86
Respiratory Compliance Letter                 $ 9.70
Review of Medical Questionaire/HazMat Form   $ 19.40
Stress EKG test                              $ 111.55
Tetanus inoculation                          $ 48.50
      Hazmat Exam-Level I/Baseline Exam
Audiogram                                    $ 24.25
ChemPanel +CBC+ UA                           $ 35.89
Chest X-Ray 3 view                           $ 48.50
Cholinesterase RBC (Serum)                   $ 42.68
Heavy Metals/24 Hr Urine                     $ 78.57
Hep A 2 shot inoculation series              $ 116.40
Hep B 3 shot inoculation series              $ 174.60
Hepatitis Panel Screen                       $ 83.42
PCB Serum                                    $ 57.23
Physical Examination                         $ 48.50
Physician's Statement                        $ 14.55
Pulmonary Function Test                      $ 36.86
Review of Medical Questionaire/HazMat Form   $ 19.40
Stress EKG test                              $ 38.80
Tetanus inoculation                          $ 48.50
                   Total Cost                $ 868.15
                Hazmat Exam-Level I/Annual Exam
Audiogram                                                           $ 24.25
Blood Lead ZPP                                                      $ 57.23
ChemPanel +CBC+ UA                                                  $ 35.89
Chest X-Ray 3 view                                                  $ 48.50
Cholinesterase RBC (Serum)                                          $ 42.68
Heavy Metals/24 Hr Urine                                            $ 78.57
Heb B Surface Antibody *                                            $ 19.40
PCB Serum                                                           $ 57.23
Physical Examination                                                $ 48.50
Physician's Statement                                               $ 14.55
Pulmonary Function Test                                             $ 36.86
Review of Medical Questionaire/HazMat Form                          $ 19.40
Stress EKG test                                                     $ 111.55
                             Total Cost                             $ 594.61
Panel 3
Audiometry with interpretation (air conduction or pure tone test)   $    -
Blood Pressure Monitoring¹                                          $    -
Chest X-Ray (Dual View) includes radiologist over-read              $    -
Coronary Risk II (CBC + Chem. Panel + HDL + LDL)                    $    -
Heart and Lung Physical Exam (¹ denotes included in cost)                                                                   $    -
Hepatitis C Screen                                                                                                          $ 27.16
Nicotine Test with Quant Levels                                                                                             $ 26.19
Per-Cent Body Fat (BMI Method)                                                                                              $   7.76
Pulmonary Function Test                                                                                                     $    -
State of Nevada Medical History Form¹                                                                                       $    -
State of Nevada Physician’s Report of Results Form                                                                          $    -
Stress EKG                                                                                                                  $    -
TB Skin Test (Excludes: Department of Corrections employees)                                                                $   4.85
Urinalysis¹                                                                                                                 $    -
Vision Screening¹                                                                                                           $    -
Work Capacity Readiness Form¹                                                                                               $    -
Written Report to Agency and Employee¹                                                                                      $    -
           Total Cost to Complete a Panel 3 in Addition                                                                     $ 65.96
                 Cost for HazMat I with a Panel 3                                                                           $ 660.57
NOTE: These costs are optional tests to be ordered by the physician only after a review of the Questionnaire-they are not
standard annual costs.
Included Above

Included Above
Included Above
Included Above



Included Above

Included Above
            Hazmat Exam-Level I/Termination Exam
Audiogram                                          $ 24.25
Blood Lead ZPP                                     $ 57.23
ChemPanel +CBC+ UA                                 $ 35.89
Chest X-Ray 3 view                                 $ 48.50
Cholinesterase RBC (Serum)                         $ 42.68
Heavy Metals/24 Hr Urine                           $ 78.57
Hepatitis Panel Screen                             $ 83.42
PCB Serum                                          $ 57.23
Physical Examination                               $ 48.50
Physician's Statement                              $ 14.55
Pulmonary Function Test                            $ 36.86
Review of Medical Questionaire/HazMat Form         $ 19.40
Stress EKG test                                    $ 111.55
                           Total Cost              $ 658.63
                Hazmat Exam-Level II Baseline
Audiogram                                       $ 25.00
Blood Lead ZPP                                  $ 57.23
ChemPanel +CBC+ UA                              $ 35.89
Chest X-Ray 2 view                              $ 38.80
Cholinesterase RBC (Serum)                      $ 42.68
EKG (Resting)                                   $ 38.80
Heavy Metals/24 Hr Urine                        $ 78.57
Hep A 2 shot inoculation series                 $ 116.40
Hep B 3 shot inoculation series                 $ 174.60
Hepatitis Panel Screen                          $ 83.42
PCB Serum                                       $ 57.23
Physical Examination                            $ 48.50
Physician's Statement                           $ 14.55
Pulmonary Function Test                         $ 36.86
Review of Medical Questionaire/HazMat Form      $ 19.40
Tetanus inoculation                             $ 48.50
                             Total Cost         $ 916.43
                     Hazmat Exam-Level II Annual
Audiogram                                                           $ 24.25
Blood Lead ZPP*                                                     $ 57.23
ChemPanel+CBC+UA                                                    $ 35.89
Chest X-Ray 2 view*                                                 $ 38.80
Cholinesterase RBC (Serum)*                                         $ 42.68
EKG (Resting)                                                       $ 38.80
Heavy Metals/24 Hr Unine*                                           $ 78.57
Hep B Surface Antibody*                                             $ 19.40
PCB Serum*                                                          $ 57.23
Physical Examination                                                $ 48.50
Physician's Statement                                               $ 14.55
Pulmonary Function Test                                             $ 36.86
Review of Medical Questionaire/HazMat Form                          $ 19.40
                              Total Cost                            $ 512.16
Panel 3
Audiometry with interpretation (air conduction or pure tone test)   $    -     Included Above
Blood Pressure Monitoring¹                                          $    -
Chest X-Ray (Dual View) includes radiologist over-read              $    -     Included Above
Coronary Risk II (CBC + Chem. Panel + HDL + LDL)                    $    -     Included Above
Heart and Lung Physical Exam (¹ denotes included in cost)                                                                   $    -   Included Above
Hepatitis C Screen                                                                                                          $  27.16
Nicotine Test with Quant Levels                                                                                             $  26.19
Per-Cent Body Fat (BMI Method)                                                                                              $   7.76
Pulmonary Function Test                                                                                                     $    -   Included Above
State of Nevada Medical History Form¹                                                                                       $    -
State of Nevada Physician’s Report of Results Form                                                                          $    -   Included Above
Stress EKG                                                                                                                  $ 111.55
TB Skin Test (Excludes: Department of Corrections employees)                                                                $   4.85
Urinalysis¹                                                                                                                 $    -
Vision Screening¹                                                                                                           $    -
Work Capacity Readiness Form¹                                                                                               $    -
Written Report to Agency and Employee¹                                                                                      $    -
            Total Cost to Complete a Panel 3 in Addition                                                                    $ 177.51
                  Cost for HazMat II with a Panel 3                                                                         $ 689.67
NOTE: These costs are optional tests to be ordered by the physician only after a review of the Questionnaire-they are not
standard annual costs.
               Hazmat Exam-Level II Termination
Audiogram                                         $ 24.25
Blood Lead ZPP                                    $ 57.23
ChemPanel+CBC+UA                                  $ 35.89
Chest X-Ray 2 view                                $ 38.80
Cholinesterase RBC (Serum)                        $ 42.68
EKG (Resting)                                     $ 38.80
Heavy Metals/24 Hr Urine                          $ 78.57
Hepatitis Panel Screen                            $ 83.42
PCB Serum                                         $ 57.23
Physical Examination                              $ 48.50
Physician's Statement                             $ 14.55
Pulmonary Function Test                           $ 36.86
Review of Medical Questionaire/HazMat Form        $ 19.40
                           Total Cost             $ 576.18
             Hazmat Exam-Level III Baseline Exam
Audiogram                                          $ 24.25
ChemPanel +CBC+ UA                                 $ 35.89
Chest X-Ray 2 view                                 $ 38.80
Hep A 2 shot inoculation series                    $ 116.40
Hep B 3 shot inoculation series                    $ 174.60
Hepatitis Panel Screen                             $ 83.42
Physical Examination                               $ 48.50
Physician's Statement                              $ 14.55
Review of Medical Questionaire/HazMat Form         $ 19.40
Tetanus inoculation                                $ 48.50
                             Total Cost            $ 604.31
                    Hazmat Exam-Level III Annual/Biennial Exam
Audiogram                                                                                                                   $ 24.25
ChemPanel +CBC+ UA                                                                                                          $ 35.89
Hep B Surface Antibody*                                                                                                     $ 19.40
Physical Examination                                                                                                        $ 48.50
Physician's Statement                                                                                                       $ 14.55
Review of Medical Questionaire/HazMat Form                                                                                  $ 19.40
                           Total Cost                                                                                       $ 161.99

NOTE: These costs are optional tests to be ordered by the physician only after a review of the Questionnaire-they are not
standard annual costs.
           Hazmat Exam-Level III Termination Exam
Audiogram                                           $ 24.25
ChemPanel +CBC+ UA                                  $ 35.89
Chest X-Ray 2 view                                  $ 38.80
Hepatitis Panel Screen                              $ 83.42
Physical Examination                                $ 48.50
Physician's Statement                               $ 14.55
Review of Medical Questionaire/HazMat Form          $ 19.40
                           Total Cost               $ 264.81
            Hazmat Exam- with Panel 3 Annual Exam
Blood Lead ZPP*                                     $ 57.23
Cholinesterase RBC (Serum)*                         $ 42.68
Heavy Metals/24 Hr Urine*                           $ 78.57
PCB Serum*                                          $ 57.23
Review of Medical Questionaire/HazMat Form          $ 19.40
                           Total Cost               $ 255.11

				
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posted:11/23/2011
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