Orange County NC Website
Page 2 of 6 <br />CPT Code Description Current Fee <br />Requested Fee <br />Change for FY <br />2015-16 <br />Last <br />Revision <br />ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE <br />PERSONAL HEALTH SERVICES + NUTRITION <br />59430 Postpartum care only $175.00 2012 <br />64435 Paracervical Block $176.00 2008 <br />65205 Remove Foreign Body from External Eye $67.00 2007 <br />69200 Remove Foreign Body from Outer Ear Canal $140.00 2006 <br />69210 Remove Ear Wax $67.00 2006 <br />80061 Lipid Panel (Fasting) - UNC Lab $18.00 2006 <br />80101 Urine Toxicology Screen (UNC Lab)$160.88 2010 <br />80178 Lithium Level (UNC Lab)$9.46 2011 <br />81000 U/A (W/Micro)$28.00 2006 <br />81002 U/A (Dipstick Only)$18.00 2006 <br />81025 Pregnancy Test $15.00 2012 <br />82040 Albumin Serum (UNC Lab Test)$6.00 2006 <br />82044 Urine Micro-Albumin (UNC Lab) $4.18 2010 <br />82150 Amylase (UNC Rate)$9.00 2006 <br />82239 Bile Acid Test $93.00 2006 <br />82247 Total Bilirubin (UNC Lab Test)$7.00 2006 <br />82248 Direct Bilirubin (UNC Lab Test)$7.00 2006 <br />82251 Neonatal Bilirubin (UNC Lab Test)$9.00 2006 <br />82270 Hemoccult $11.00 2008 <br />82306 Vitamin D 25 (UNC Lab)$71.00 2011 <br />82310 Ca (UNC Lab Test)$7.00 2008 <br />82374 CO2 (UNC Lab Test)$6.22 2014 <br />82435 CL (UNC Lab Test)$6.00 2007 <br />82465 Total Cholesterol (UNC Lab Test)$6.00 2006 <br />82565 CREAT (UNC Lab Test)$7.00 2007 <br />82607 B12 (UNC Lab Test)$21.00 2006 <br />82728 Ferritin (UNC Lab Test)$19.00 2006 <br />82746 Folate (UNC Lab Test)$20.00 2006 <br />82772 Fecal occult blood, single spec.$10.00 2006 <br />82784 Iga (UNC Lab) $13.58 2010 <br />82947 GLU (UNC Lab Test)$5.00 2006 <br />82952 GGT 3 HR $25.00 2012 <br />82977 GGT (UNC Lab Test)$11.00 2006 <br />83001 FSH (UNC Lab Test)$25.00 2006 <br />83002 Luteinizing Hormone *UNC rate $25.00 2006 <br />83516 Ttg (UNC Lab $16.85 2010 <br />83540 Iron Profile (FE): IBC (UNC Lab Test)$9.00 2006 <br />83615 LDH (UNC Lab Test)$8.00 2006 <br />83690 Lipase (UNC Rate)$9.00 2006 <br />83718 Lipid Panel (Non-Fasting) HDL (UNC Lab Test)$11.00 2006 <br />83721 LDL (UNC Lab Test)$13.00 2006 <br />84075 ALK PHOS (UNC Lab Test)$7.00 2006 <br />84132 K (UNC Lab Test)$6.00 2006 <br />84146 Prolactin (UNC Lab)$27.00 2006 <br />84153 PSA Screen (UNC Lab)$25.00 2006 <br />84153 PSA Diagnostic (UNC Lab)$25.00 2006 <br />84155 TP-Serum (UNC Lab Test)$5.00 2007 <br />84156 TP-Urine (UNC Lab Test)$5.00 2006 <br />84295 NA (UNC Lab Test)$6.12 2014 <br />84436 Thyroxine (T4) - (UNC Lab Test)$8.00 2006 <br />84439 Free T4 (UNC Lab Test)$12.00 2006 <br />84443 TSH (UNC Lab Test)$22.00 2006 <br />84450 SGOT, AST (UNC Lab Test)$7.00 2006 <br />84460 SGPT, ALT (UNC Lab Test)$7.00 2008 <br />84466 Iron Profile/Tranferrin: % Saturation (UNC Lab Test)$17.00 2006