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Commissioner Approved Fee Schedule - FY 2019-20 <br />* Any fee changes will be included in this column; <br />a blank beside each fee means there is no fee change in FY 2019-20 Commissioner Approved Fee Schedule <br />Department/Program Description Current Fee <br />Commissioner Approved <br />Fee Change for <br />FY 2019-20* <br />Last <br />Revision <br />30300 Remove foreign body intranasal $244.00 2009 <br />30901 Control Nosebleed $123.00 2009 <br />36415 Lab: Venipuncture $18.00 2009 <br />Self Pay Only 36415LU Lab: Venipuncture (Minimum Fee for Primary Care <br />Labs Only) (OCHD Lab)$15.00 2016 <br />36416 Capillary Puncture $15.00 2012 <br />46083 Incise External Hemmorrhoids $184.00 2009 <br />46600 Diagnostic Anoscopy $100.00 2009 <br />51701 Insertion of non-dwelling bladder cath $94.00 2009 <br />54050 Destroy Lesion (Male)$315.00 2012 <br />54056 Destruction of Lesion (Male) Simple Cryosurgery $150.00 2018 <br />54060 Treatment of Lesion (Male)$155.00 2018 <br />54065 Destruction of Lesion (Male) Extensive $210.00 2018 <br />56405 Incision/Drainage of Vulva or Perineum $140.00 2009 <br />56420 Incision/Drainage of Gland Abscess $173.00 2009 <br />56501 Destroy Lesions (Female)$260.00 2012 <br />57170 Diaphragm Fit $95.00 2009 <br />57452 Colposcopy of the cervix (without biopsy)$160.00 2012 <br />Self Pay Only 57452LU Minimum Fee - Colposcopy of the Cervix $30.00 $32.00 NEW <br />57454 Colposcopy of the cervix, with biopsy and <br />endocervical curettage $208.00 2012 <br />Self Pay Only 57454LU Minimum Fee - Colposcopy of the Cervis <br />w/Biopsy and Endocervical Curettage $30.00 $42.00 NEW <br />57455 Colposcopy of the cervix, with biopsy $193.00 2012 <br />Self Pay Only 57455LU Minimum Fee - Colposcopy of the Cervix <br />w/Biopsy $30.00 $39.00 NEW <br />57456 Colposcopy of the cervix, with endocervical <br />curettage $183.00 2012 <br />Self Pay Only 57456LU Minimum Fee - Colposcopy of the Cervix <br />w/Endocervical curettage $30.00 $37.00 NEW <br />58100 Endometrial Biopsy $85.88 2018 <br />58300 Insert Intrauterine Device (IUD)$160.00 2012 <br />58301 IUD Removal $200.00 2012 <br />59025 Fetal Non Stress $90.00 2012 <br />59425 Antepartum package 4-6 visits $1,900.44 2014 <br />59426 Antepartum package 7+ visits $3,408.75 2014 <br />56