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Attachment 3 <br />CPT Code <br />Description <br />Current <br />Fee <br />Requested Fee <br />Change for FY <br />2018-19 <br />Last <br />Revision <br />80048 Metabolic Panel, Basic (UNC Lab)$0.00 $11.00 New <br />80053 Comprehensive Metabolic Panel (UNC Lab)$19.45 $11.59 2017 <br />80076 Hepatic Function Panel (UNC Lab)$0.00 $11.00 New <br />80306 Urine Toxicology Screen (UNC Lab)$0.00 $19.95 New <br />82043 Urine Microalbumin/Creatinine Ratio (UNC Lab)$0.00 $7.93 New <br />82105 Quad Screening (UNC Lab)$0.00 $23.01 New <br />82247 Total Bilirubin (UNC Lab Test)$7.00 $6.88 2006 <br />82565 CREAT (UNC Lab Test)$7.00 $7.03 2007 <br />82570 24 Hour Urine Creatinine (UNC Lab)$0.00 $7.10 New <br />83020 Hemo. Elect (UNC Lab)$0.00 $17.24 New <br />83615 LDH (UNC Lab Test)$8.00 $8.28 2006 <br />83655 Blood Lead (UNC Lab)$0.00 $16.61 2015 <br />83690 Lipase (UNC Rate)$9.00 $9.45 2006 <br />84080 ALK PHOS (UNC Lab)$20.28 $20.28 2006 <br />84132 K (UNC Lab)$6.00 $6.31 2006 <br />84295 NA (UNC Lab)$6.12 $6.60 2014 <br />84436 Thyroxine (T4) - (UNC Lab)$8.00 $7.92 2006 <br />84439 T4 - Thyroid (UNC Lab)$12.00 $12.37 2006 <br />84443 TSH (UNC Lab)$22.00 $22.35 2006 <br />84450 SGOT, AST (UNC Lab)$7.00 $7.10 2006 <br />84460 SGPT, ALT (UNC Lab)$7.00 $7.27 2008 <br />84480 T3 - Total (UNC Lab)$0.00 $19.45 New <br />84481 T3 - Free (UNC Lab) $42.00 $23.24 2010 <br />84550 Uric Acid (UNC Lab)$6.00 $6.20 2006 <br />85025 CBC with Diff (UNC Lab)$10.00 $10.66 2006 <br />85027 CBC w/o Diff (UNC Lab)$9.00 $8.87 2006 <br />FEES NOT INCLUDED ON OCHD FEE SCHEDULE FY19 COMMISSIONER <br />APPROVED <br />13