N.B.: The Invoice for blood services must be accompanied by blood requisition form reflecting clinical indications, number of units required and haemoglobin level.

Tariff Codes

Code

Code Description

RAND

10345

Bioplasma FDP - 50ml

492.16

10349

Bioplasma FDP - 200ml

1,390.68

10351

Haemosolvate Factor VIII 300 IU - 10ml

1,414.98

10352

Haemosolvate Factor VIII 500 IU - 10ml

2, 289.86

10341

Haemosolvate Factor VIII 500 IU: 1000 IU - 2 X 10ml

4,451.82

10390

Haemosolvex Factor IX (500 IU) - 10ml

2,752.82

10300

Albusol 4 % - 200ml

534.10

10311

Ibusol 20 % - 50ml

600.40

10310

Albusol 20 % - 100ml

1,030.88

10347

Polygam 1g - 50ml

827.71

10343

Polygam 3g - 100ml

2,091.62

10332

Polygam 6g - 200ml

3,600.27

10338

Polygam 12g - 400ml

6,265.48

10321

Intragam 2ml

178.57

10320

Intragam 5ml

345.74

10337

Tetagam IM 500 IU - 1 ml

481.46

10335

Tetagam IM 250 IU - 2ml

220.09

10340

Hebagam IM - 2ml

926.85

10346

Rabigam IM - 2ml

931.58

10348

Vazigam IM - 2ml

843.99

10330

Rhesugam IM - 2ml

887.09

Red Cells

78040

Red Cell Concentrate

3,010.88

78051

Red Cell Conc. Leucocyte Depleted

4,919.76

78043

Red Cell Conc. Paed. Leucodepleted

2,784.74

Platelets

78124

Platelet Conc. Single Donor Apherisis

15,732.81

78125

Platelet Conc. Leucocyte Depleted, Pooled

14,030.29

78127

Platelet Concentrate (Paediatric)

3,830.07

78122

Platelet Concentrate Pooled

12,685.54

780041

Compatibility Testing QC

316.30

Whole Blood

78001

Whole Blood

3,334.51

78059

Whole Blood Leucocyte Depleted

5,243.28

78011

Whole Blood Paediatric

2,783.77

Plasma

78103

Cryoprecipitate (Fibrinogen Rich)

1,701.80

78174

Frozen Plasma - Cryo Poor Donor

1,943.45

78176

Fresh Frozen Plasma - Donor Retested

2,338.70

78686

Fresh Frozen Plasma

2,248.75

Diagnostic

78450

Anti-A Monoclonal 5ml

123.64

78452

Anti-B Monoclonal 5ml

123.64

78454

Anti-A, B Monoclonal 5ml

123.64

78461

Anti-D saline tube & slide monoclonal 5ml

197.12

78467

Anti-D IgM + IgG blend Monoclonal 5ml

206.61

78471

Anti-Human Globulin Polyspecific 5ml

166.99

78478

AB serum 5ml

125.03

78479

Human Complement 2ml

107.92

78482

Lyoph. Bromelin tube & microwell 5ml

101.60

78484

Antibody positive control serum 5ml

108.87

78487

AB serum 20ml

446.42

78488

Group A1 5ml

102.95

78490

Group A2 5ml

102.95

Pathology Services

78137

Bone Marrow Typing (Serology)

539.56

4763

Blood DNA Extraction

669.05

4428

HLA High res. Class I/II DNA allele

1,154.35

4427

HLA low res. Class II PCR/DNA Locus DQB/DRB1

1,475.32

78492

Group B 5ml

102.95

78494

Group O R1R2 5ml

112.80

78496

Group O r 5ml

112.80

78502

Sensitized cells 5ml

138.13

78508

Screen cell set (1 & 2) - 2 X 5ml

271.94

78510

Pooled screen cells - 5ml 60.42

136.38

78516

Panel cell set 9 x 2ml

719.08

78517

Panel cell set 9 x 1 ml

359.36

78015

Anti-Human Globulin Polyspecific 15ml

447.54

78018

Group A1 15ml

264.43

78019

Group A2 15ml

264.43

78020

Group B 15ml

264.43

78519

Group O Rh Positive (R1 R2) 15 ml

293.99

78521

Group O r 15ml

293.99

78529

Anti-A Monoclonal 15ml

332.11

78530

Anti-B Monoclonal 15ml

332.11

78531

Anti A,B Monoclonal 15ml

332.11

78536

Screening Cells Pooled

332.95

78522

Group O Screen 1 Cells 15ml

372.51

78523

Group O Screen 2 Cells 15ml

372.51

78524

Panel cell set 9 x 15ml

2,581.72

78525

Sensitized cells 15ml

370.16

78518

Panel cell set 9 x 5 ml

1,818.06

10580

Packaging

113.22

78004

Whole Blood Reagent

1,301.43

78012

Buffy Coats

650.71

78940

CD 34 Testing

676.49

78550

HLA Class 1 and 2 Antibody Screen

4,227.60

78551

HLA Single Antigen Class 1

3,973.41

78552

HLA single Antigen Class 2

2,970.33

Blood and Administration

78199

Blood Filters : 1 Units

1,416.19

78200

Blood Filters : 2 Units

2,715.06

78197

Platelet Filter 3 - 6 Unit PL2VAE

2,621.57

78201

Set, Blood and plasma Recipient Set

54.72

78202

Set, Platelet Recipient

109.04

Additional Services and Surcharges

78050

Irradiation Fee

627.13

10210

Transfusion Crossmatch

1,339.78

10333

Type and Screen

582.41

78400

Routine Collection Fee

265.23

78401

Routine Delivery Fee

265.19

78402

Emergency Round Trip

1,805.10

78403

Emergency One Way Fee

1,263.58

78989

Telephone Consultation 18-0130

372.72

78177

FFP Autologous/Directed Fee

264.18

78049

Directed Donation

322.51

78404

<5 Day Rcc

355.33

78405

<5 Day Whole Blood

253.84

78406

After Hours

676.94

78408

Autologous/Directed WB

333.48

78407

Autologous/Directed RCC

301.05

78409

Blood Return Basis

268.23

78410

Emergency Cross-Match

204.23

78411

Foreign

1,085.72

78412

HLA Match

1,966.68

78413

Rare Donation

2,311.42

78415

Washed RCC/WB

1,926.11

78414

Offsite Charge

2,714.32

78417

Emergency Blood Surcharge

301.10

Transplant Services

78078

HLA low res.Classl DNA/Locus A/B/C

2,135.65

4424

HLA Specific Allele DNA -PCR

629.53

4603

HLA Specific locus/Antigen

392.08

4604

HLA Class I

755.05

78024

Panel Typing Antibody Class I

2,892.69

78046

T & B Cell Crossmatch

1,851.47

78213

Tissue Rapid HBsAg Screen

445.33

78231

Bone Marrow Engraftment Monitoring

1,960.81

78214

Tissue Rapid HIV Screen

608.46

Laboratory Services

4425

CHE Test

183.07

4757

Additional analysis, Mosaicism/Staining Procedure

1,040.81

4522

Alpha Feto Protein(AFP): Amnio Fluid

180.35

4755

Karyotyping, amniotic Fluid/Chorionic villus sample/prod of conception

4,014.25

3932

Anti - HIV

204.73

3712

Antibody Identification

122.80

78013

Antibody identification QC

97.90

3709

Antibody Screen/Antiglobulin Test (DAT & IAT)

53.06

3710

Antibody Titration

104.51

4531

HBsAg/Anti -HCV

210.36

4750

Cell Culture, blood/cord blood

268.61

4751

Cell Culture, Products of conception/Amniotic Fluid

669.05

3729

Cold Agglutinins

52.36

3739

Erythrocyte count

32.74

3764

Grouping : A B O Antigen

52.36

3765

Grouping : Rh antigen

52.36

3791

Haematocrit

26.18

3762

Haemoglobin

26.18

3953

Haemolysin/Test Tube Agglutination

60.27

4430

HIV p24 antigen

362.97

78921

Human Platelet AG Genotyping

2,741.11

78014

Aneuploidy Detection

2,511.74

4754

Karyotyping, Blood/Cord Blood

2,007.12

3785

Leucocyte Count

26.18

4117

Protein : Total

49.66

78922

Rapid CMV Screen

271.77

3834

Red Cell Rh Phenotype

143.79

78230

Human Platelet Antibody Screen

3,962.06

Clinical Services

78003

Additional Disposal Kit

6,271.92

78054

Autologous Serum Eye Drops

5,850.18

78030

Designated Serum Eye Drops

5,850.18

78005

Chronic wound treatment kit

2,291.27

78007

Platelet growth Factor macular hole repair

2,274.67

78008

Platelet growth factor wound treatment

1,009.87

78006

Topical Haemostatic Agent

2,728.33

78090

Medical Examination & Consultation 18-0141

473.13

78204

Red Cell Exchange

10,582.14

78923

Re-Infusion Of Cryo Preserve Stem Cells

1,094.82

78926

Stem Cell Collection/Leucopherisis

17,864.05

78928

Stem Cell Cryopreservation

14,388.29

78106

Therapeutic Plasma Exchange

11,085.44

78129

Theurapeutic Venesection

115.25

78416

Theurapeutic Exchange (DALI)

19,705.04

78211

Thrombocytapherisis

10,687.91

Miscellaneous

10298

Stabilised Human Serum 5% 250ml

1,023.96

10299

Stabilised Human Serum 5% 50ml

196.69

78100

Paternity Investigation - 1 Client

2,117.61

78950

Paternity Investigation - 3 Client

6,352.99

78535

Blood Pack For therapeutic Venesection

363.50

78203

Blood Pack with Anticoagulant

159.63

78206

Blood Pack, No Anticoagulant

218.63