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Description Current Fees Proposed Fee FY Last Revision <br /> 2009-10 <br /> Insert Intrauterine Device (IUD) $99.00 $100.00 2008 <br /> IUD Removal $112.00 $113.00 2008 <br /> Fetal Non Stress $67.00 $68.00 2008 <br /> Paracervical Block $174.00 $176.00 2006 <br /> Remove Foreign Body from External Eye $66.00 $67.00 2008 <br /> Remove Foreign Body from Outer Ear Canal $138.00 $140.00 2008 <br /> Remove Ear Wax $66.00 $67.00 2008 <br /> OGTT(3 HR) $50.00 $51.00 2008 <br /> Pap, thin prep, *state Lab rate $12.00 New <br /> Rho am injection $127.00 $128.00 2008 <br /> Hep A-Adult $73.00 $74.00 2008 <br /> Cardasil $138.00 $141.00 2008 <br /> Rabies (IM) $234.00 $237.00 2008 <br /> Rabies (ID) $210.00 $212.00 2008 <br /> Adult MMR $55.00 $56.00 2008 <br /> Varicella vaccine $88.00 $80.00 2008 <br /> Menin ococcal Vaccine, Subcutaneous/Jet $99.00 $100.00 2008 <br /> Menactra Menin ococcal Vaccine $99.00 $101.00 2008 <br /> Zostavax vaccine $177.00 $179.00 2008 <br /> Immunization: Hep B (20+ r5) $40.00 $58.00 2008 <br /> IV fluid/infusion therapy, up to 1 hr $72.00 $73.00 2008 <br /> IV Infusion Up to One Hour $138.00 $140.00 2008 <br /> Psychiatric Diagnostic Interview Exam $149.00 $151.00 2008 <br /> Psychiatric Diag Interview Exam, Interactive $159.00 $161.00 2008 <br /> Ps chother, Indiv, Insi ht, 2030 min. $64.00 $65.00 2008 <br /> Ps chother, Indiv, lnsi ht, 45-50 min. $96.00 $97.00 2008 <br /> Ps chother, Indiv, Insi ht, 75-80 min. $144.00 $146.00 2008 <br /> Ps chother, Indiv, Interac, 20-30 min. $69.00 $70.00 2008 <br /> Ps chother, Indiv, Interac, 4550 min. $102.00 $103.00 2008 <br /> Ps chother, Indiv, Interac, 75-80 min. $150.00 $152.00 2008 <br /> Psychotherapy, Family, wlo Patient $94.00 $95.00 2008 <br /> Ps chothera , Famil , (Conjoint)W/Pt Present $114.00 $115.00 2008 <br /> Medical Nutrition Thera /initial 15 min. Unit $25.00 $30.00 2008 <br /> Medical Nutrition Therapy/Re-Assess 15 min. Unit $22.00 $30.00 2008 <br /> Induction of Vomiting $66.00 $67.00 2008 <br /> New Office/Out t Tx Brief E&M $83.00 $84.00 2008 <br /> New Office/Out t Tx Expanded Prob Focused E&M $127.00 $128.00 200$ <br /> New OffcelDut t Tx!Detailed E&M $171.00 $173.00 2008 <br /> New Off ce/Out t Tx Moderate Complex E&M $248.00 $251.00 2008 <br /> New Office/Out t Tx High Complex E&M $314.00 $317.00 2008 <br /> Estab OffcelDut t Tx Prob Focused E&M $77.00 $78.00 2008 <br /> Estab Office/Gaut t Tx Expanded Focused E&M $104.00 $105.00 2008 <br /> Estab Office/4ufi t Tx Detailed E&M $155.00 $157.00 2008 <br /> Estab OfficelDut t Tx Comprehensive E&M $231.00 $234.00 2008 <br /> Initial Office Consultation Minor Problem $138.00 $140.00 2008 <br /> Preventive/New Pt< 1 yr. $104.00 1$105.00 2008 <br /> Preventive/New Pt 1-4 yrs. $106.00 $107.00 2008 <br /> Preventive/New Pt 511 rs. $204.00 $206.00 2008 <br /> Preventive/New Pt 12-17 yrs. $226.00 $228.00 2008 <br /> Preventive/New Pt 1839 yrs. $221.00 $223.00 200$ <br /> Preventive/New Pt 40-64 y rs. $264.00 $267.00 2008 <br /> Preventive/New Pt 65+yrs. $239.00 $242.00 2008 <br /> Preventive/Estab Pt < 1 yr. $99.00 $100.00 2008 <br /> Preventive/Estab Pt 1-4 yrs. $99.00 $100.00 2008 <br /> Preventive/Estab Pt 5-11 yr s. $165.00 $167.00 2008 <br /> PreventivelEstab Pt 12-17 yrs. $193.00 $195.00 2008 <br /> Preventive/Estab Pt 1839 yrs. $188.00 $190.00 2008 <br /> Preventive/Estab Pt 4064 yrs. $210.00 $212.00 2008 <br /> Preventive/Estab Pt 65+ yrs. $210.00 $212.00 2008 <br /> Horne Visit for Postnatal Assmt& FIU Care $83.00 $84.00 2008 <br /> Home Visit for Newborn Care &Assessment $83.00 $84.00 2006 <br /> Oral eval <3 yrs with counselin g $50.00 $51.00 2008 <br /> 2015 <br />