The Alaska State Public Health Laboratories offer some services that include fees. Health care providers may use these services once a memorandum of agreement (MOA) is on file at the Alaska State Public Health Laboratories. Download and complete the necessary form below for the testing desired and email to theresa.savidge@alaska.gov.
*Note: There is no charge for filing the MOA. However, it is recommended that MOA's are on file prior to submitting specimens to reduce processing delays.
FY25 Memorandum of Agreement with Alaska State Public Health Laboratories
Notification to Providers
FY25 Increased Testing Fees - Delay
Test |
CPT Code |
Price per Test |
Measles PCR |
87798 |
$33.34 |
Mumps PCR |
87798 |
$33.34 |
Respiratory Pathogen Panel
| 87633 | $395.94
|
Hepatitis A Screening | 86708 | $11.77 |
Hepatitis B Screening | 86704, 86706, 87340 | $31.46 |
HSV Serology
| 86695, 86696 | $30.91 |
Measles IgG (immunity check) | 86765 | $12.24 |
Mumps IgG (immunity check) | 86735 | $12.40 |
| Rubella IgG (immunity check) | 86762 | $13.67 |
Varicella Zoster IgG (immunity check) | 86787 | $12.24 |
*QuantiFERON Gold (TB Screening) | 86480 | $58.88 |
Chlamydia trachomatis (eye) NAAT | 87491 | $33.34 |
Trichomonas vaginalis NAAT |
87661 |
$33.34 |
Mycoplasma genitalium NAAT | 87563 | $33.34 |