Orange County NC Website
M anager's Recommended Fee Schedule- FY 2015-16 42 <br /> Manager's Recommended Fee Last <br /> Department/Program Description Current Fee Schedule for FY 2015-16* Revision <br /> 87420 RSV(Respiratory Syncytlal Virus)Antigen <br /> Screen(UNC Lab) $16.00 2008 <br /> 87880 Streptococcus Group A Assay W/Optic(UNC <br /> Lab) $20.00 2009 <br /> 88175 Cytopath C/V Auto Fluid Redo $35.00 2012 <br /> 90460 Adntin Fee 1 vaccine to children by RN or higher $15.70 2012 <br /> 90461 Admin Fee 2 vaccines to children by RN or higher $8.84 2012 <br /> 90470 Administration ofH IN 1 Vaccine $18.00 2010 <br /> 90471 Admin Fee(1 vaccine) $18.00 2012 <br /> 90472 Admire Fee 2+vaccines $18.00 2012 <br /> 90473 Immunization Adm.-h¢ranasal/Oral $13.71 2014 <br /> 90474 Immunization Adm.-h¢ranasal/Oral Additional $13.71 2014 <br /> 90632 Hep A-Adult $45.00 2012 <br /> 90633 Hep A ed/Adol $25.00 2010 <br /> 90647 PedVaxHIS SelfPay $40.00 2012 <br /> 90648 HIB Vaccine $26.00 2012 <br /> 90649 Gardasil $136.00 2012 <br /> 90654 Intradermal flu vaccine $20.00 2012 <br /> 90655 Preservative free influenza vaccine 6-35 mo $16 2011 <br /> 90656 Preservative free influenza vaccine $18.00 2012 <br /> 90657 Influenza Split 6-35 mo. $14.00 2009 <br /> 90658 Influenza Split 3yi and Above $15.00 2012 <br /> 90660 Influenza Virus Vaccine Live for Intranasal $23.00 2012 <br /> 90662 Influenza-hi dose 65+ $40.00 2012 <br /> 90669 Pre-PCV7-Pneumococcal Vaccine $116.00 2009 <br /> 90670 Pre=PCV13 -Pneumococcal Vaccine $130.00 2012 <br /> 90675 Rabies IM $237.00 2009 <br /> 90680 Rotateg otavirus Vaccine $99.00 2009 <br /> 90696 Kinrix DTaP/IPV $52.00 2012 <br /> 90700 Etap Vaccine Pediatric Self Pay $32.00 2012 <br /> 90707 Adult MMR $56.00 2009 <br /> 90713 Inactived Polio Vaccine(IPV) $31.00 2009 <br /> 90715 Tdap Vaccine $39.49 2014 <br /> 90716 Varicella vaccine $89.00 2008 <br /> 90732 Immunization:Pneumococcal-State $65.00 2012 <br /> 90733 Meningococcal Vaccine,Subcutaneous/Jet $100.00 2008 <br /> 90734 Menactra Meningococcal Vaccine $106.87 2014 <br /> 90734 Menveo ovartis $122.00 2010 <br /> 90736 Zostavax vaccine $179.00 2007 <br /> 90744 Pediatric Hep B Vaccine SelfPay $30.00 2012 <br /> 90746 Immunization:Hep B 20+ s $58.00 2007 <br /> 90760 IV hif-ion Up to One Hour $140.00 2007 <br /> 90772 Thera eut c o h lactic/dia onostic injection $23.00 2008 <br /> 90801 Pe cMatri Diagnostic Interview Exam $151.00 2008 <br /> 90802 Psychiatric Diag Interview Exam,Interactive $161.00 2009 <br /> 90804 jPsychother,Indiv,Insight,20-30 min. $65.00 2009 <br /> 90806 Pe chother,Indiv,Insight,45-50 min. $97.00 2007 <br /> 90808 Pe chother,Indiv,Insight,75-80 min. $146.00 2008 <br /> 90810 Pe chother,Indiv,Interac,20-30 min. $70.00 2007 <br /> 90812 Pe chother,Indiv,Interac,45-50 min. $103.00 2009 <br /> 90814 Pe chother,Indiv,Interac,75-80 min. $152.00 2009 <br /> 90846 Psychotherapy,Family,w/o Patient 1$95.00 2009 <br /> 90847 Psychotherapy,Farruly, Conjoint W/PtPresent 1$115.00 2009 <br /> 90853 Pe chothera ,Grou $32.00 2009 <br /> 91781 IV infusion Each atonal Hour u to Ei $39.00 1 2009 <br /> 92551 JAdiornetry 1$18.00 2008 <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 />