Orange County NC Website
North Carolina Breast and Cervical Cancer Control Program <br /> 2019 Services Fee Schedule ( 1 ) <br /> 2019 Office Fee <br /> Cervical Cancer Screening and Diagnostic Procedures Code Fee Allowed <br /> Screening <br /> Pelvic examination - Bimanual N/A Yes <br /> Cytopathology, cervical or vaginal , any reporting system, requiring 88141 $ 31 . 07 <br /> interpretation by physician <br /> Cytopathology ( liquid-based Pap test) cervical or vaginal , collected 88142 $ 22 . 51 <br /> in preservative fluid , automated thin layer preparation ; manual <br /> screening under physician supervision <br /> Cytopathology, cervical or vaginal , collected in preservative fluid, 88143 $ 23404 <br /> automated thin layer preparation ; manual screening and rescreening <br /> under physician supervision <br /> Cytopathology (conventional Pap test) , slides cervical or vaginal 88164 $ 14099 <br /> reported in Bethesda System, manual screening under physician <br /> supervision <br /> Cytopathology (conventional Pap test) , slides cervical or vaginal 88165 $ 42022 <br /> reported in Bethesda System, manual screening and rescreening under <br /> physician supervision <br /> Cytopathology, cervical or vaginal , collected in preservative fluid, 88174 $ 25037 <br /> automated thin layer preparation ; screening by automated system , <br /> under physician supervision <br /> Cytopathology, cervical or vaginal , collected in preservative fluid, 88175 $ 29644 <br /> automated thin layer preparation ; screening by automated system and <br /> manual rescreening, under physician supervision <br /> Human Papillomavirus, high-risk types (9) 87624 $ 38499 No <br /> Human Papillomavirus , types 16 and 18 only (9) 87625 $ 40055 No <br /> Follow-Up <br /> Colposcopy of the cervix 57452 $ 110499 Yes <br /> Colposcopy of the cervix, with biopsy and endocervical curettage 57454 $ 152 . 81 Yes <br /> Colposcopy of the cervix, with biopsy 57455 $ 143 . 74 Yes <br /> Colposcopy of the cervix, with endocervical curettage 57456 $ 135A 8 Yes <br /> Surgical pathology, gross and microscopic examination 88305 $ 67 . 04 No <br /> 88305TC $ 28 . 43 No <br /> 88305 -26 $ 38960 No <br /> Surgical pathology, gross and microscopic examination ; requiring 88307 $ 258 . 11 No <br /> microscopic evaluation of surgical margins 88307TC $ 17163 No <br /> 88307-26 $ 84 . 47 No <br />