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M anager's Recommended Fee Schedule- FY 2015-16 41 <br /> Manager's Recommended Fee Last <br /> Department/Program Description Current Fee Schedule for FY 2015-16* Revision <br /> 84443 TSH NC Lab Test $22.00 2006 <br /> 84450 SGOT,AST NC Lab Test $7.00 2006 <br /> 84460 SGPT,ALT NC Lab Test $7.00 2008 <br /> 84466 Iron Profile/Tranferrin:%Saturation(UNC Lab <br /> Test) $17.00 2006 <br /> 84478 TRIG UNC Lab Test $8.00 2006 <br /> 84479 13U NC Lab Test $8.00 2006 <br /> 84481 Free T3 NC Lab $42.00 2010 <br /> 84520 BUN NC Lab Test 11 $5.01 2014 <br /> 84550 Uric A©d NC Lab Test $6.00 2006 <br /> 84702 QUANT HCG/Serum UNC Lab Test $12.00 2006 <br /> 85025 CBC with Diff UNC Lab Test $10.00 2006 <br /> 85027 CBC w/o Diff NC Lab Test $9.00 2006 <br /> m <br /> 85611 Prothrobin Time(UNC Lab) $5.00 2006 <br /> 85651 SED Rate UNC Lab Test 11 $4.51 2014 <br /> 86038 ANA anti-nuclear antibody)titer UNC Rate $16.00 2006 <br /> 86039 Confirmation,ifANA+ NC Rate $15.00 2008 <br /> 86308 MONO Spot NC Lab Test $7.00 2006 <br /> 86430 RA Factors-Qua] UNC Lab Test $7.00 2006 <br /> 86431 RA Factors-Quan UNC Lab Test $7.00 2006 <br /> 86580 PPD $17.00 2012 <br /> 86677 H.Pyloric NC Lab Test $20.00 2011 <br /> 86706 He ati is B Surface Antibody UNC Lab $15.38 2011 <br /> 86757 RMSF Convalescent NC Rate $27.00 2009 <br /> 86762 Rubella UNC Lab Test $20.00 2009 <br /> 86787 laricella Immune Status Test'UNC rate $17.00 2008 <br /> 86803 Hep C Antibody(UNC Lab) $20.00 2007 <br /> 86804 Hepatitis C RIBA NC Lab Test $16.00 2009 <br /> 86870 Antibody Identification UNC Lab Test $21.00 2010 <br /> 86900 ABO Group UNC Lab Test $4.00 2009 <br /> 86901 RH Type UNC Lab Test $7.00 2009 <br /> 87070 Other Bacterial Culture UNC Lab Test $12.00 2008 <br /> 87081 Throat Culture NC Lab Test $8.00 2008 <br /> 87086 Urine Culture NC Lab Test $11.00 2006 <br /> 87101 Culture,Fungal Dermatology Screen(UNC Lab) $10.00 2008 <br /> 87184 ID&Sensitivi NC Lab Test $9.00 2008 <br /> 87205 STAT Male Smear $22.00 2008 <br /> 87206 Fun al Direct Test FDIR NC Lab Test $7.00 2008 <br /> 87210 Wet Mount $18.00 2009 <br /> 87269 Parasitology Test#9807-Giardia(UNC Lab Test)$16.00 2009 <br /> 87272 Parasitology Test#9807-Cryptosporidium(UNC <br /> Lab) $16.00 2009 <br /> 87340 HBsAG UNC Lab Test $13.00 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 2015-16 Manager Recommended Fee Schedule <br />