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Georgia Crime Victims Compensation Program Forensic Medical Examination Fee Schedule The fee schedule below reflects the maximum allowable cost for each service and/or procedure related to a forensic medical examination
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Document Date: 2014-06-09 14:12:27


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Currency

USD / /

Facility

LABORATORY SERVICES Rape Kit / Laboratory Test / /

MedicalCondition

HIV / Tetanus / Trichomonas Vaginalis Herpes Simplex / /

Person

Ethinyl Estradiol / Ulipristal Acetate (Ella) / /

Product

Combivir / Lidocaine / Flagyl / Levofloxacin / Zidovudine / Doxycycline / Zofran / Levonorgestrel / Lamivudine / Estradiol / Ovral / Cipro / Viracept / Epivir / Ofloxacin / Vibramycin / Ciprofloxacin / Penicillin / Azithromycin / Suprax / Levaquin / Metronidazole / Floxin / Promethazine / Retrovir / Rocephin / Phenergan / Bicillin L-A / Truvada / Ondansetron / Zithromax / Ceftriaxone / /

Technology

Digital Imaging / /

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