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Commissioner Approved Fee Schedule - FY 2020-21 Attachment 4 <br />* Any fee changes will be included in this column; <br />a blank beside each fee means there is no fee change in FY 2020-21 Commissioner Approved Fee Schedule <br />Department/Program Description Current Fee <br />Commissioner Approved <br />Fee Change for <br />FY 2020-21* <br />Last <br />Revision <br />85660 Sickle Cell (UNC Lab)$6.12 2019 <br />86038 ANA (anti-nuclear antibody) titer (UNC Lab)$13.43 2019 <br />86039 Confirmation, if ANA+ (UNC Lab)$12.40 2019 <br />86308 MONO Spot (UNC Lab)$6.39 2019 <br />86336 Inhibin a (UNC Lab)$17.32 2019 <br />86403 Particle agglut antibody screen (UNC Lab)$11.54 2019 <br />86430 RA Factors - Qual (UNC Lab)$6.30 2019 <br />86431 RA Factors - Quan (UNC Lab)$6.30 2019 <br />86480 TB Blood Test (UNC Lab)$68.87 2019 <br />86580 PPD (OCHD Lab)$17.00 2012 <br />86592 Syphilis Qualitative (UNC Lab)$4.75 2019 <br />86593 Syphilis Quantative (UNC Lab)$4.89 2019 <br />86677 H. Pyloric (UNC Lab)$16.85 2019 <br />86694 Herpes Simplex IGM AB (UNC Lab)Delete fee 2015 <br />86695 Herpes Simplex Antibodies Type 1 (UNC Lab)$14.65 2019 <br />86696 Herpes Simplex Antibodies Type 2 (UNC Lab)$21.51 2019 <br />86704 Hep B Core Antibody Total (UNC Lab)$13.39 2019 <br />86705 Hep B Core Antibody Igm (UNC Lab)$13.08 2019 <br />86706 Hepatitis B Surface Antibody (UNC Lab)$11.93 2019 <br />86709 Hepatitis A Antibody (UNC Lab)$12.51 2019 <br />86735 Mumps Virus AB IGG (UNC Lab)$14.50 2019 <br />86765 Measles Antibodies (UNC Lab)$14.31 2019 <br />61