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FINANCIAL IMPACT: The service will be provided to Orange County residents with no <br />insurance coverage on an income based sliding fee scale with a minimum of $30. Medicaid and <br />other insurance providers will be billed for clients with coverage. Startup and supply costs are <br />minimal, and are based on Medicaid Reimbursement rates, the department's scheduling ability, <br />and the cost of providing services. The Health Department is requesting to add the following <br />fees: <br />CPT Code <br />Procedure <br />Proposed <br />Orange <br />County <br />Fee <br />(minimum <br />of $30.00) <br />57452 <br />Colposoopy of the <br />$160.00 <br />cervix (without <br />biopsy) <br />57454 <br />Colposoopy of the <br />$208.00 <br />cervix, with <br />biopsy and <br />endocervical <br />curettage <br />57455 <br />Col posoopy of the <br />$193.00 <br />cervix, with <br />biopsy <br />57456 <br />Col posoopy of the <br />$183.00 <br />cervix, with <br />endocervical <br />curettage <br />Staff anticipates having the capacity to perform sixty (60) colposcopies in one year, and if <br />needed, additional appointments could be set aside for the procedure. <br />RECOMMENDATION(S): The Manager recommends that the Board approve the addition of <br />Colposcopy fees for the Health Department as requested. <br />