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3 <br /> Personal Health Services Division <br /> New Fees Proposal <br /> November 2008 <br /> Final December 2008 <br /> Implanon—small, thin, implantable hormonal contraceptive that is effective for up to 3 <br /> years (J7307 CPT Code) <br /> > Cost: $446.51/unit <br /> > Medicaid reimbursement: $637.97 <br /> ➢ Proposed fee: $765.00/unit* <br /> Insertion, non-biodegradable drug delivery(11981 CPT Code) <br /> > Medicaid reimbursement: $109.90 <br /> > Proposed fee: $132.00* <br /> Removal,non-biodegradable drug delivery(11982 CPT Code) <br /> > Medicaid reimbursement: $126.82 <br /> > Proposed fee: $152.00* <br /> Removal with re-insertion, non-biodegradable drug delivery(11983 CPT Code) <br /> > Medicaid reimbursement: $192.71 <br /> > Proposed fee: $231.00* <br /> Oral Contraceptive Pills(S4493 CPT Code) <br /> > Average Cost of all: $5.98/pack <br /> Average Cost of most used: $5.56/pack <br /> > Medicaid reimbursement: $3.35/pack <br /> > Proposed fee: $7.00 <br /> > (WalMart Pharmacy provides at $9/pack) <br /> Employee Varicella Titer(LU214 CPT Code)—Flat Fee for new employees, volunteers, <br /> contractors <br /> ➢ UNC Lab Cost: $78.00 <br /> > Proposed fee: $78.00 <br /> Employee Measles (Rubeola) Titer(86765 CPT Code) <br /> > UNC Lab Cost: $48.00 <br /> > Proposed fee: $48.00 <br /> Employee Mumps Titer(86735 CPT Code) <br /> ➢ UNC Lab Cost: $50.00 <br /> ➢ Proposed fee: $50.00 <br /> Employee Rubella Titer(86762 CPT Code) <br /> > UNC Lab Cost: $75.00 <br /> ➢ Proposed fee: $75.00 <br /> Bile Acid Test-UNC Lab (82239 CPT Code) <br /> ➢ UNC Lab Cost: $93.00 <br />