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EXHIBIT A-NC Project Access Services Fee Schedule <br /> Fee <br /> Service Department, Schedule <br /> Service code(CDM Service Code(cdm #of Amount <br /> Entity/Provider Charge#,CPT Code) EAP#) Charge description lesions due* <br /> UNC Hospitals Radiology/G0202 74030002 SCREENING MAMMOGRAM 92.57 <br /> UNC Hospitals Radiology/G0204 74010004 BILATERAL DIAGNOSTIC MAMMOGRAM 111.9 <br /> UNC Hospitals Radiology/G0206 74010005 UNILATERAL DIAGNOSTIC MAMMOGRAM 87.57 <br /> UNC Hospitals Radiology/76641 74020073 ULTRASOUND BREAST COMPLETE 92.07 <br /> UNC Hospitals Radiology/76642 74020072 ULTRASOUND BREAST LIMITED 92.07 <br /> UNC Hospitals Radiology/19081 73610326 STERO BX BREAST 1ST LESION 941.98 <br /> UNC Hospitals Radiology/19082 73610327 STERO BX BREAST ADD'L LESION No Charge <br /> UNC Hospitals Radiology/19083 73610328 US BX BREAST 1ST LESION 941.98 <br /> UNC Hospitals Radiology/19084 73610329 US BX BREAST ADD'L LESION No Charge <br /> UNC Hospitals Radiology/19085 73610330 MR BX BREAST 1ST LESION 941.98 <br /> UNC Hospitals Radiology/19086 73610331 MR BX BREAST ADD'L LESION No Charge <br /> UNC Hospitals Radiology/77063 74030011 HC MG SCREENING DIGITAL BREASTTOMO BIL 23.93 <br /> UNC Hospitals Radiology/G0279 74030012 HC MG DX DIGITAL BREASTTOMO UNIL OR BIL 23.66 <br /> UNC Hospitals Radiology/76882 74020033 HC US EXTREMITY NV W IMAGE LTD 92.07 <br /> UNC Hospitals Radiology/19000 53610039 HC ASPIRAT PUNCT BREAST CYST 480.64 <br /> UNC Hospitals Radiology/19001 63610010 HC ASPIRAT BREAST CYST EA ADD No Charge <br /> UNC Hospitals Radiology/10160 73610001 HC ASPIR HEMATOMA ABCES BUL CYST 228.27 <br /> UNC Hospitals Radiology/76942 74020040 HC S&I US GUIDANCE NEEDLE PLACEMENT 33.1 <br /> UNC Faculty Physicians Radiology/G0202 SCREENING MAMMOGRAM 34.51 <br /> UNC Faculty Physicians Radiology/G0204 BILATERAL DIAGNOSTIC MAMMOGRAM 43.21 <br /> UNC Faculty Physicians Radiology/G0206 UNILATERAL DIAGNOSTIC MAMMOGRAM 34.51 <br /> UNC Faculty Physicians Radiology/76641 ULTRASOUND BREAST COMPLETE 36.25 <br /> UNC Faculty Physicians Radiology/76642 ULTRASOUND BREAST LIMITED 33.79 <br /> UNC Faculty Physicians Radiology/19081 STERO BX BREAST 1ST LESION 168.92 <br /> UNC Faculty Physicians Radiology/19082 STERO BX BREAST ADD'L LESION XX 84.67 <br /> UNC Faculty Physicians Radiology/19083 US BX BREAST 1ST LESION 159.01 <br /> UNC Faculty Physicians Radiology/19084 US BX BREAST ADD'L LESION XX 79.2 <br /> UNC Faculty Physicians Radiology/19085 MR BX BREAST 1ST LESION 186.4 <br /> UNC Faculty Physicians Radiology/19086 MR BX BREAST ADD'L LESION XX 92.54 <br /> UNC Faculty Physicians Radiology/G0279 HC MG DX DIGITAL BREASTTOMO UNIL OR BIL 29.65 <br /> UNC Faculty Physicians Radiology/77063 HC MG SCREENING DIGITAL BREASTTOMO BIL 29.65 <br /> UNC Faculty Physicians Radiology/7882 HC US EXTREMITY NV W IMAGE LTD 24.38 <br /> UNC Faculty Physicians Radiology/19000 HC ASPIR OF CYST BREAST 43.45 <br /> UNC Faculty Physicians Radiology/19001 HC ASPIR OF CYST BREAST ADD'L CYST 21.75 <br /> UNC Faculty Physicians Radiology/10160 HC ASPIR HEMATOMA ABCES BUL CYST 93.84 <br /> UNC Faculty Physicians Radiology/76942 HC S&I US GUIDANCE NEEDLE PLACEMENT 33.1 <br /> *Fee schedule amount subject to periodic increases based on price changes <br /> XX add'l lesions billed per lesions sampled <br />