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Orange County Commissioner Approved Fee Schedule - FY 2013 -14 41 <br />Department/Program <br />Description <br />Current Fee <br />\` \ <br />Last <br />Revision <br />Urine Culture (UNC Lab Test) <br />$11.00 <br />2006 <br />ID & Sensitivity (UNC Lab Test) <br />$9.00 <br />2006 <br />STAT Male Smear <br />$22.00 <br />2007 <br />Fungal Direct Test (FDIR) (UNC Lab Test) <br />$7.00 <br />2006 <br />Wet Mount <br />$18.00 <br />2008 <br />Parasitology Test #9807 - Giardia (UNC Lab 1 <br />$16.00 <br />2006 <br />Parasitology Test #9807 - Cryptosporidium (U <br />$16.00 <br />2006 <br />HBsAG (UNC Lab Test) <br />$13.00 <br />2006 <br />Streptococcus Group A Assay W /Optic (UN <br />$20.00 <br />2006 <br />Pap, Thin Prep (State Lab) <br />$18.38 <br />2011 <br />Rhogam Injection <br />$88.00 <br />2012 <br />Administration ofHlNlVaccine <br />$18.00 <br />2009 <br />Admin Fee (1 vaccine) <br />$15.70/$8.84 <br />2011 <br />Admin Fee (2+ vaccines) <br />$15.70/$8.84 <br />2011 <br />Vaccine Admin. To Child Q9 RN or Higher <br />$15.70/$8.84 <br />2011 <br />IM Administration <br />$18.00 <br />2011 <br />Hep A - Adult <br />$45.00 <br />2012 <br />Hep A (Ped/Adol) <br />$25.00 <br />2010 <br />Gardasil <br />$136.00 <br />2012 <br />Admin. Influenza Vaccine - Medicare <br />$18.00 <br />2008 <br />Reimbursable <br />$20.00 <br />2012 <br />Admin. Pneumococcal Vaccine - Medicare <br />$18.00 <br />2008 <br />Adult Medicaid Co -pay <br />$3.00 <br />2008 <br />Preservative free influenza vaccine 6 -35 mo. <br />$16.00 <br />2010 <br />Preservative free influenza vaccine <br />$18.00 <br />2012 <br />Influenza Split 6 -35 mo. <br />$14.00 <br />2008 <br />Influenza Split 3yr and Above <br />$15.00 <br />2012 <br />Influenza Virus Vaccine Live for hitranasal <br />$23.00 <br />2012 <br />Rabies (IM) <br />$237.00 <br />2009 <br />Adult MMR <br />$56.00 <br />2009 <br />Varicella vaccine <br />$89.00 <br />2009 <br />Zostavax vaccine <br />$179.00 <br />2009 <br />Immunization: Pneumococcal - State <br />$65.00 <br />2012 <br />Meningococcal Vaccine, Subcutaneous /Jet <br />$100.00 <br />2009 <br />Menactra Meningococcal Vaccine <br />$105.00 <br />2010 <br />Immunization: Hep B (20 +yrs) <br />$58.00 <br />2009 <br />Employee Varicella Titer (UNC Lab) <br />$78.00 <br />2008 <br />Employee Measles ( Rubeola) Titer <br />$48.00 <br />2008 <br />Employee Mumps Titer <br />$50.00 <br />2008 <br />Employee Rubella Titer <br />$75.00 <br />2008 <br />Bile Acid Test <br />$93.00 <br />2008 <br />N Infusion Up to One Hour <br />$140.00 <br />2009 <br />Psychiatric Diagnostic Interview Exam <br />$151.00 <br />2009 <br />*Any fee changes wi I I be included in this column; <br />a bl ank besi de each f ee means there i s no f ee change i n FY 2013 -14 Comm i ssi oner Approved Fee Schedule <br />