TABLE C-2 Cost Estimates Per Intervention: Medical Surveillance, Prophylaxis, and Treatment

Source for Cost Estimate

Annual Servicesa

Annual Coat

Treatment Category 1: CD4+ Cells > 500

(1) Arno et al.

4 physician visits, 4 CD4 panels, 4 counseling visits

$ 854

(2) NJ DOH

Physician visits: initial, 1-2 wk. follow-up, then every 4 mos.; x-ray and lab includes VDRL, PPD, CBC with differential, platelets, CD4, HBsAg/Ab, gonococcal culture, Pap smear, chlamydia; case mgmt., nutrition, assess., educ./counseling each visit (visits every 4-8 wks. if CD4 count drops)

1,676

(3) Johns Hopkins

Physician visits: initial, 1-2 wk. follow-up, then every 3-6 mos. with CD4; initial lab includes CBC with differential, CD4, HBsAg/Ab, RPR, PPD, influenza, pneumococcal, hepatitis B virus vaccine

775

Treatment Category 2: CD4+ Cells 200 - 500, with Zidovudine

(1) Arno et al.

6-12 physician visits; 6-12 counseling visits; 6-12 CD4 panels

9,637b

(2) NJ DOH

As for Category 1, plus: physician visits every 2 wks. for 3 mos., then every 1-2 mos.; zidovudine; lab includes CBC with differential, hematocrit, CD4, platelets every visit

6,146

(3) Johns Hopkins

As for Category 1, plus: physician visits every month for 3 mos., then every 3 mos. with CBC with differential, CD4; zidovudine

3,620



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