Compare DVA fees against MBS rates for 5,800+ items — essential for practices treating DVA card holders
| Item No. | Description | MBS Fee | DVA Fee | ||||
|---|---|---|---|---|---|---|---|
| 63551 | $463.80 | $452.05 ▼ | |||||
|
Item Number
63551
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI - scan of head for a patient 16 years or older, after a request by a medical practitioner (other than a specialist or consultant physician), for any of the following: (a) unexplained seizure(s);(b) unexplained chronic headache with suspected intracranial pathology (R) (Contrast) (Anaes.)
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| 63554 | $412.25 | $401.80 ▼ | |||||
|
Item Number
63554
Fee Comparison
MBS
$412.25
→
DVA
$401.80
-$10.45 (-3%)
Additional DVA Rates
DI Fee
$401.80
Full Description
MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical radiculopathy (R) (Contrast) (Anaes.)
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| 63557 | $566.90 | $552.55 ▼ | |||||
|
Item Number
63557
Fee Comparison
MBS
$566.90
→
DVA
$552.55
-$14.35 (-3%)
Additional DVA Rates
DI Fee
$552.55
Full Description
MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical spinal trauma (R) (Contrast) (Anaes.)
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| 63560 | $463.80 | $452.05 ▼ | |||||
|
Item Number
63560
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI - scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 to 49 years with: (a) inability to extend the knee suggesting the possibility of acute meniscal tear; or(b) clinical findings suggesting acute anterior cruciate ligament tear (R) (Contrast) (Anaes.)
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| 63563 | $463.80 | $452.05 ▼ | |||||
|
Item Number
63563
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI scan of the pelvis or abdomen, if the request for the scan identifies that the investigation is for: (a) sub‑fertility that requires one or more of the following: (i) an investigation of suspected Mullerian duct anomaly seen in pelvic ultrasound or hysterosalpingogram; (ii) an assessment of uterine mass identified on pelvic ultrasound before consideration of surgery; (iii) an investigation of recurrent implantation failure in IVF (2 or more embryo transfer cycles without viable pregnancy); or (b) surgical planning of a patient with known or suspected deep endometriosis involving the bowel, bladder or ureter (or any combination of the bowel, bladder or ureter), where the results of pelvic ultrasound are inconclusive Applicable not more than once in a 2 year period (R) (Contrast) (Anaes.)
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| 63564 | $1698.25 | $1655.20 ▼ | |||||
|
Item Number
63564
Fee Comparison
MBS
$1698.25
→
DVA
$1655.20
-$43.05 (-3%)
Additional DVA Rates
DI Fee
$1655.20
Full Description
Note: the requirements for services provided under item 63564 are detailed under note IN.5.4 MRI – whole body scan for the early detection of cancer: a) requested by a specialist or consultant physician in consultation with a clinical geneticist in a familial cancer or genetic clinic; and b) the request identifies that the patient has a high risk of developing cancer malignancy due to heritable TP53 - related cancer (hTP53rc) syndrome (R) (Anaes.)
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| 63740 | $525.90 | $512.55 ▼ | |||||
|
Item Number
63740
Fee Comparison
MBS
$525.90
→
DVA
$512.55
-$13.35 (-3%)
Additional DVA Rates
DI Fee
$512.55
Full Description
MRI—scan to evaluate small bowel Crohn’s disease if the service is provided to a patient for: (a) evaluation of disease extent at time of initial diagnosis of Crohn’s disease; or(b) evaluation of exacerbation, or suspected complications, of known Crohn’s disease; or(c) evaluation of known or suspected Crohn’s disease in pregnancy; or(d) assessment of change to therapy in a patient with small bowel Crohn’s disease (R) (Contrast)
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| 63741 | $305.10 | $297.35 ▼ | |||||
|
Item Number
63741
Fee Comparison
MBS
$305.10
→
DVA
$297.35
-$7.75 (-3%)
Additional DVA Rates
DI Fee
$297.35
Full Description
MRI—scan with enteroclysis for Crohn’s disease if the service is related to item 63740 (R)
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| 63743 | $463.80 | $452.05 ▼ | |||||
|
Item Number
63743
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan for fistulising perianal Crohn’s disease if the service is provided to a patient for:(a) evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn’s disease; or(b) assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease (R) (Contrast)
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| 64990 | $8.25 | $8.05 ▼ | |||||
|
Item Number
64990
Fee Comparison
MBS
$8.25
→
DVA
$8.05
-$0.20 (-2%)
Additional DVA Rates
LMO Fee
$8.05
DI Fee
$8.05
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64991, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service
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| 64991 | $12.50 | $12.20 ▼ | |||||
|
Item Number
64991
Fee Comparison
MBS
$12.50
→
DVA
$12.20
-$0.30 (-2%)
Additional DVA Rates
LMO Fee
$12.20
DI Fee
$12.20
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area
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| 64992 | $13.30 | $12.95 ▼ | |||||
|
Item Number
64992
Fee Comparison
MBS
$13.30
→
DVA
$12.95
-$0.35 (-3%)
Additional DVA Rates
LMO Fee
$12.95
DI Fee
$12.95
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 are; or (ii) a Modified Monash 4 area
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| 64993 | $14.05 | $13.70 ▼ | |||||
|
Item Number
64993
Fee Comparison
MBS
$14.05
→
DVA
$13.70
-$0.35 (-2%)
Additional DVA Rates
LMO Fee
$13.70
DI Fee
$13.70
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 5 area
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| 64994 | $15.00 | $14.60 ▼ | |||||
|
Item Number
64994
Fee Comparison
MBS
$15.00
→
DVA
$14.60
-$0.40 (-3%)
Additional DVA Rates
LMO Fee
$14.60
DI Fee
$14.60
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 6 area
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| 64995 | $16.35 | $15.95 ▼ | |||||
|
Item Number
64995
Fee Comparison
MBS
$16.35
→
DVA
$15.95
-$0.40 (-2%)
Additional DVA Rates
LMO Fee
$15.95
DI Fee
$15.95
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64994) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 7 area
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| 65060 | $8.25 | $8.05 ▼ | |||||
|
Item Number
65060
Fee Comparison
MBS
$8.25
→
DVA
$8.05
-$0.20 (-2%)
Additional DVA Rates
Pathology Fee
$8.05
Full Description
Haemoglobin, erythrocyte sedimentation rate, blood viscosity - 1 or more tests
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|
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| 65066 | $10.95 | $10.65 ▼ | |||||
|
Item Number
65066
Fee Comparison
MBS
$10.95
→
DVA
$10.65
-$0.30 (-3%)
Additional DVA Rates
Pathology Fee
$10.65
Full Description
Examination of: (a) a blood film by special stains to demonstrate Heinz bodies, parasites or iron; or (b) a blood film by enzyme cytochemistry for neutrophil alkaline phosphatase, alpha-naphthyl acetate esterase or chloroacetate esterase; or (c) a blood film using any other special staining methods including periodic acid Schiff and Sudan Black; or (d) a urinary sediment for haemosiderin including a service described in item 65072
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| 65070 | $17.80 | $17.35 ▼ | |||||
|
Item Number
65070
Fee Comparison
MBS
$17.80
→
DVA
$17.35
-$0.45 (-3%)
Additional DVA Rates
Pathology Fee
$17.35
Full Description
Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and manual or instrument generated differential count - not being a service where haemoglobin only is requested - one or more instrument generated sets of results from a single sample; and (if performed) (a) a morphological assessment of a blood film; (b) any service in item 65060 or 65072
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| 65072 | $10.70 | $10.45 ▼ | |||||
|
Item Number
65072
Fee Comparison
MBS
$10.70
→
DVA
$10.45
-$0.25 (-2%)
Additional DVA Rates
Pathology Fee
$10.45
Full Description
Examination for reticulocytes including a reticulocyte count by any method - 1 or more tests
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| 65075 | $54.60 | $53.20 ▼ | |||||
|
Item Number
65075
Fee Comparison
MBS
$54.60
→
DVA
$53.20
-$1.40 (-3%)
Additional DVA Rates
Pathology Fee
$53.20
Full Description
Haemolysis or metabolic enzymes - assessment by: (a) erythrocyte autohaemolysis test; or (b) erythrocyte osmotic fragility test; or (c) sugar water test; or (d) G-6-P D (qualitative or quantitative) test; or (e) pyruvate kinase (qualitative or quantitative) test; or (f) acid haemolysis test; or (g) quantitation of muramidase in serum or urine; or (h) Donath Landsteiner antibody test; or (i) other erythrocyte metabolic enzyme tests 1 or more tests
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| 65078 | $94.75 | $92.35 ▼ | |||||
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Item Number
65078
Fee Comparison
MBS
$94.75
→
DVA
$92.35
-$2.40 (-3%)
Additional DVA Rates
Pathology Fee
$92.35
Full Description
Tests for the diagnosis of thalassaemia consisting of haemoglobin electrophoresis or chromatography and at least 2 of: (a) examination for HbH; or (b) quantitation of HbA2; or (c) quantitation of HbF; including (if performed) any service described in item 65060 or 65070
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| 65079 | $94.75 | $92.35 ▼ | |||||
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Item Number
65079
Fee Comparison
MBS
$94.75
→
DVA
$92.35
-$2.40 (-3%)
Additional DVA Rates
Pathology Fee
$92.35
Full Description
Tests described in item 65078 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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| 65081 | $101.45 | $98.90 ▼ | |||||
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Item Number
65081
Fee Comparison
MBS
$101.45
→
DVA
$98.90
-$2.55 (-3%)
Additional DVA Rates
Pathology Fee
$98.90
Full Description
Tests for the investigation of haemoglobinopathy consisting of haemoglobin electrophoresis or chromatography and at least 1 of: (a) heat denaturation test; or (b) isopropanol precipitation test; or (c) tests for the presence of haemoglobin S; or (d) quantitation of any haemoglobin fraction (including S, C, D, E); including (if performed) any service described in item 65060, 65070 or 65078
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| 65082 | $101.45 | $98.90 ▼ | |||||
|
Item Number
65082
Fee Comparison
MBS
$101.45
→
DVA
$98.90
-$2.55 (-3%)
Additional DVA Rates
Pathology Fee
$98.90
Full Description
Tests described in item 65081 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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| 65084 | $174.25 | $169.85 ▼ | |||||
|
Item Number
65084
Fee Comparison
MBS
$174.25
→
DVA
$169.85
-$4.40 (-3%)
Additional DVA Rates
Pathology Fee
$169.85
Full Description
Bone marrow trephine biopsy - histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070
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| 65087 | $87.30 | $85.10 ▼ | |||||
|
Item Number
65087
Fee Comparison
MBS
$87.30
→
DVA
$85.10
-$2.20 (-3%)
Additional DVA Rates
Pathology Fee
$85.10
Full Description
Bone marrow - examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070
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| 65090 | $11.70 | $11.40 ▼ | |||||
|
Item Number
65090
Fee Comparison
MBS
$11.70
→
DVA
$11.40
-$0.30 (-3%)
Additional DVA Rates
Pathology Fee
$11.40
Full Description
Blood grouping (including back-grouping if performed) - ABO and Rh (D antigen)
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| 65093 | $23.15 | $22.55 ▼ | |||||
|
Item Number
65093
Fee Comparison
MBS
$23.15
→
DVA
$22.55
-$0.60 (-3%)
Additional DVA Rates
Pathology Fee
$22.55
Full Description
Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - 1 or more systems, including item 65090 (if performed)
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| 65096 | $43.10 | $42.00 ▼ | |||||
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Item Number
65096
Fee Comparison
MBS
$43.10
→
DVA
$42.00
-$1.10 (-3%)
Additional DVA Rates
Pathology Fee
$42.00
Full Description
Blood grouping (including back-grouping if performed), and examination of serum for Rh and other blood group antibodies, including: (a) identification and quantitation of any antibodies detected; and (b) (if performed) any test described in item 65060 or 65070
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| 65099 | $114.40 | $111.50 ▼ | |||||
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Item Number
65099
Fee Comparison
MBS
$114.40
→
DVA
$111.50
-$2.90 (-3%)
Additional DVA Rates
Pathology Fee
$111.50
Full Description
Compatibility tests by crossmatch - all tests performed on any 1 day for up to 6 units, including: (a) direct testing of donor red cells from each unit against the serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c) examination for antibodies, and if necessary identification of any antibodies detected; and (d) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5)
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| 65102 | $172.95 | $168.55 ▼ | |||||
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Item Number
65102
Fee Comparison
MBS
$172.95
→
DVA
$168.55
-$4.40 (-3%)
Additional DVA Rates
Pathology Fee
$168.55
Full Description
Compatibility tests by crossmatch - all tests performed on any 1 day in excess of 6 units, including: (a) direct testing of donor red cells from each unit against serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c) examination for antibodies, and if necessary identification of any antibodies detected; and (d) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5)
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| 65105 | $114.40 | $111.50 ▼ | |||||
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Item Number
65105
Fee Comparison
MBS
$114.40
→
DVA
$111.50
-$2.90 (-3%)
Additional DVA Rates
Pathology Fee
$111.50
Full Description
Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day for up to 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5)
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| 65108 | $172.95 | $168.55 ▼ | |||||
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Item Number
65108
Fee Comparison
MBS
$172.95
→
DVA
$168.55
-$4.40 (-3%)
Additional DVA Rates
Pathology Fee
$168.55
Full Description
Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day in excess of 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5)
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| 65109 | $13.55 | $13.20 ▼ | |||||
|
Item Number
65109
Fee Comparison
MBS
$13.55
→
DVA
$13.20
-$0.35 (-3%)
Additional DVA Rates
Pathology Fee
$13.20
Full Description
Release of fresh frozen plasma or cryoprecipitate for the use in a patient for the correction of a coagulopathy - 1 release.
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| 65110 | $13.55 | $13.20 ▼ | |||||
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Item Number
65110
Fee Comparison
MBS
$13.55
→
DVA
$13.20
-$0.35 (-3%)
Additional DVA Rates
Pathology Fee
$13.20
Full Description
Release of compatible fresh platelets for the use in a patient for platelet support as prophylaxis to minimize bleeding or during active bleeding - 1 release.
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| 65111 | $24.35 | $23.75 ▼ | |||||
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Item Number
65111
Fee Comparison
MBS
$24.35
→
DVA
$23.75
-$0.60 (-2%)
Additional DVA Rates
Pathology Fee
$23.75
Full Description
Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected)
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| 65114 | $9.55 | $9.30 ▼ | |||||
|
Item Number
65114
Fee Comparison
MBS
$9.55
→
DVA
$9.30
-$0.25 (-3%)
Additional DVA Rates
Pathology Fee
$9.30
Full Description
1 or more of the following tests: (a) direct Coombs (antiglobulin) test; (b) qualitative or quantitative test for cold agglutinins or heterophil antibodies
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| 65117 | $21.30 | $20.75 ▼ | |||||
|
Item Number
65117
Fee Comparison
MBS
$21.30
→
DVA
$20.75
-$0.55 (-3%)
Additional DVA Rates
Pathology Fee
$20.75
Full Description
1 or more of the following tests: (a) Spectroscopic examination of blood for chemically altered haemoglobins; (b) detection of methaemalbumin (Schumm's test)
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| 65120 | $14.40 | $14.05 ▼ | |||||
|
Item Number
65120
Fee Comparison
MBS
$14.40
→
DVA
$14.05
-$0.35 (-2%)
Additional DVA Rates
Pathology Fee
$14.05
Full Description
Prothrombin time (including INR where appropriate), activated partial thromboplastin time, thrombin time (including test for the presence of heparin), test for factor XIII deficiency (qualitative), Echis test, Stypven test, reptilase time, fibrinogen, or 1 of fibrinogen degradation products, fibrin monomer or D-dimer - 1 test
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| 65123 | $21.40 | $20.85 ▼ | |||||
|
Item Number
65123
Fee Comparison
MBS
$21.40
→
DVA
$20.85
-$0.55 (-3%)
Additional DVA Rates
Pathology Fee
$20.85
Full Description
2 tests described in item 65120
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| 65126 | $29.25 | $28.50 ▼ | |||||
|
Item Number
65126
Fee Comparison
MBS
$29.25
→
DVA
$28.50
-$0.75 (-3%)
Additional DVA Rates
Pathology Fee
$28.50
Full Description
3 tests described in item 65120
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| 65129 | $37.30 | $36.35 ▼ | |||||
|
Item Number
65129
Fee Comparison
MBS
$37.30
→
DVA
$36.35
-$0.95 (-3%)
Additional DVA Rates
Pathology Fee
$36.35
Full Description
4 or more tests described in item 65120
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| 65137 | $26.60 | $25.95 ▼ | |||||
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Item Number
65137
Fee Comparison
MBS
$26.60
→
DVA
$25.95
-$0.65 (-2%)
Additional DVA Rates
Pathology Fee
$25.95
Full Description
Test for the presence of lupus anticoagulant not being a service associated with any service to which items 65175, 65176, 65177, 65178 and 65179 apply
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| 65142 | $26.60 | $25.95 ▼ | |||||
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Item Number
65142
Fee Comparison
MBS
$26.60
→
DVA
$25.95
-$0.65 (-2%)
Additional DVA Rates
Pathology Fee
$25.95
Full Description
Confirmation or clarification of an abnormal or indeterminate result from a test described in item 65175, by testing a specimen collected on a different day - 1 or more tests
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| 65144 | $59.40 | $57.90 ▼ | |||||
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Item Number
65144
Fee Comparison
MBS
$59.40
→
DVA
$57.90
-$1.50 (-3%)
Additional DVA Rates
Pathology Fee
$57.90
Full Description
Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs - 1 or more tests
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| 65147 | $39.80 | $38.80 ▼ | |||||
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Item Number
65147
Fee Comparison
MBS
$39.80
→
DVA
$38.80
-$1.00 (-3%)
Additional DVA Rates
Pathology Fee
$38.80
Full Description
Quantitation of anti-Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid - 1 test
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| 65150 | $74.50 | $72.60 ▼ | |||||
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Item Number
65150
Fee Comparison
MBS
$74.50
→
DVA
$72.60
-$1.90 (-3%)
Additional DVA Rates
Pathology Fee
$72.60
Full Description
Assessment of von Willebrand factor, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, prekallikrein, high-molecular-weight kininogen, circulating coagulation factor inhibitors other than by Bethesda assay—one test
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| 65153 | $149.05 | $145.25 ▼ | |||||
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Item Number
65153
Fee Comparison
MBS
$149.05
→
DVA
$145.25
-$3.80 (-3%)
Additional DVA Rates
Pathology Fee
$145.25
Full Description
2 tests described in item 65150 (Item is subject to rule 6 )
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| 65156 | $223.50 | $217.85 ▼ | |||||
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Item Number
65156
Fee Comparison
MBS
$223.50
→
DVA
$217.85
-$5.65 (-3%)
Additional DVA Rates
Pathology Fee
$217.85
Full Description
3 or more tests described in item 65150 (Item is subject to rule 6 )
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| 65157 | $74.50 | $72.60 ▼ | |||||
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Item Number
65157
Fee Comparison
MBS
$74.50
→
DVA
$72.60
-$1.90 (-3%)
Additional DVA Rates
Pathology Fee
$72.60
Full Description
A test described in item 65150, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
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