Orange County NC Website
Browse       Search
6 <br /> ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE <br /> PERSONAL HEALTH SERVICES+NUTRITION <br /> Requested Fee <br /> CPT Code Change for FY Last <br /> Description Current Fee 2015-16 Revision <br /> 90473 hmmunization Adm.-Intranasal/Oral $13.71 2014 <br /> 90474 Immunization Adm.-Intranasal/Oral Additional $13.71 2014 <br /> 90620 IMeningococcal Group B(Bexsero) New $177.00 <br /> 90621 Meningococcal Group B(Trumenba) New $248.00 <br /> 90632 Hep A-Adult $45.00 2012 <br /> 90633 Hep A(Ped/Adol) $25.00 2010 <br /> 90636 Twinrix New $102.00 <br /> 90647 PedVaXHIS Self Pa $40.00 2012 <br /> 90648 HIB Vaccine $26.00 2012 <br /> 90649 Gardasil $136.00 $162.00 2012 <br /> 90651 BPV 9(Gardasil 9) New $180.00 <br /> 90654 Intradermal flu vaccine $20.00 2012 <br /> 90655 Preservative free influenza vaccine 6-35 mo $16 $17.00 2011 <br /> 90656 Preservative free influenza vaccine $18.00 2012 <br /> 90657 Influenza Split 6-35 mo. $14.00 2009 <br /> 90658 Influenza Split 3yr and Above $15.00 2012 <br /> 90660 hifluenza Virus Vaccine Live for Intranasal $23.00 2012 <br /> 90662 hifluenza-high dose(65+) $40.00 2012 <br /> 90669 Prevnar(PCV7)-Pneumococcal Vaccine $116.00 2009 <br /> 90670 Prevnar(PCV13)-Pneumococcal Vaccine $130.00 $167.00 2012 <br /> Intranasal administration of live quadrivalent <br /> 90672 influenza vaccine New $26.00 <br /> 90675 Rabies(M) $237.00 $269.00 2009 <br /> 90676 Rabies vaccine,for intradermal use New $212.00 <br /> 90680 Rotateq(Rotavirus Vaccine) $99.00 2009 <br /> 90681 Rotarix New $124.00 <br /> 90685 Influenza vac quadrivalent prsry free 6-35 mo IM New $16.00 <br /> 90686 Influenza vac 4 valent prsry free 3 yrs plus IM New $18.00 <br /> 90696 Kinrix(DTaP/IPV) $52.00 2012 <br /> 90698 Pentacel(DTaP/IPV/Hlb) New $95.00 <br /> 90700 Dtap Vaccine(Pediatric)Self Pay $32.00 2012 <br /> 90702 Diptheria tetanus toxoid absorbed>7yr IM New $40.00 <br /> 90707 Adult MMR $56.00 $66.00 2009 <br /> 90713 Inactived Polio Vaccine(IPV) $31.00 2009 <br /> 90714 Td(pres.free) New $35.00 <br /> 90715 Tdap Vaccine $39.49 2014 <br /> 90716 Varicella vaccine $89.00 $111.00 2008 <br /> 90723 Pediarix(DTaP/Hep B/IPV) New $91.00 <br /> 90732 Immunization:Pneumococcal-State $65.00 $80.00 2012 <br /> 90733 Meningococcal Vaccine,Subcutaneous/Jet $100.00 2008 <br /> 90734 Menactra Meningococcal Vaccine $106.87 $127.00 2014 <br /> 90736 Zostavax vaccine $179.00 $207.00 2007 <br /> 90744 Pediatric Hep B Vaccine Self Pay $30.00 2012 <br /> 90746 Immunization:Hep B(20+yrs) $58.00 2007 <br /> 90760 IV Infusion Up to One Hour $140.00 2007 <br /> 90772 Therapeutic prophylactic/diagonostic injection $23.00 2008 <br /> 90801 Psychiatric Diagnostic Interview Exam $151.00 2008 <br /> 90802 Psychiatric Diag Interview Exam,Interactive $161.00 2009 <br /> 90804 Psychother,Indiv,Insight,20-30 min. $65.00 2009 <br /> 90806 Psychother,Indiv,Insight,45-50 min. $97.00 2007 <br /> 90808 Psychother,Indiv,Insight,75-80 min. $146.00 2008 <br /> 90810 Psychother,Indiv,Interac,20-30 min. $70.00 2007 <br /> 90812 Psychother,Indiv,Interac,45-50 min. $103.00 2009 <br /> 90814 Psychother,Indiv,Interac,75-80 min. $152.00 2009 <br /> 90846 IPsychotherapy,Family,w/o Patient $95.00 2009 <br /> 90847 IPsychotherapy,Family,(Conjoint)W/Pt Present $115.00 2009 <br /> Page 4 of 6 <br />