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Linda Strickland -Revised Fee Schedule Disclosure 5-3-05.x1s <br />BCBSNC Fee Schedule Disclosure <br />Orange County EMS <br />Code Fee <br />0425 $6.29 <br />0426 $223.97 <br />0427 $354.64 <br />0428 $186.65 <br />0429 $298.63 <br />0432 $326.63 <br />0433 $513.28 <br />0434 $606.60 <br />0435 $7.56 <br />0436 $20.14 <br />3019 $298.63 <br />Q3020 $186.65 <br />-- __ Page 1 <br />Labs, HCPCS, and therapy codes are based on the BCBSNC statewide fee schedule <br />Claims are paid at the lesser of charge or fee schedule <br />accept the reimbursement a~ indicated above. <br />Signature! f/Vt/jf/~'(i6`r C./ov `~~ <br />0 <br />