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Commissioner Approved Fee Schedule - FY 2024-25 43 <br /> Last <br /> Department/Program Description Current Fee Revision <br /> 83020 Hemo.Elect(UNC Lab) $14.00 2023 <br /> 83021 Hemoglobin/Thalassemia Profile (UNC Lab) $18.00 2023 <br /> 83036 Hemoglobin At (OCHD Lab) $9.71 2023 <br /> 83516 Ttg(UNC Lab) $12.00 2023 <br /> 83540 Iron Profile(FE):IBC(UNC Lab) $6.00 2023 <br /> 83550 Iron Binding Test(UNC Lab) $9.00 2023 <br /> 83615 LDH(UNC Lab) $6.00 2023 <br /> 83655 Blood Lead(UNC Lab) $12.00 2023 <br /> 83690 Lipase(UNC Lab) $7.00 2023 <br /> 83718 Lipid Panel(Non-Fasting)HDL(UNC Lab) $8.00 2023 <br /> 83721 LDL(UNC Lab) $11.00 2023 <br /> 83735 Assay of Magnesium(UNC Lab) $7.00 2023 <br /> 83930 Assay of Blood Osmolality(UNC Lab) $7.00 2023 <br /> 83970 Assay of Parathormone(UNC Lab) $41.00 2023 <br /> 84075 Assay Alkal Phosphatase $6.58 2024 <br /> 84080 ALK PHOS(UNC Lab) $15.00 2023 <br /> 84100 Assay of Inorganic Phosphorus(UNC Lab) $5.00 2023 <br /> 84132 K(UNC Lab) $5.00 2023 <br /> 84144 Assay of Progesterone $26.53 2024 <br /> 84146 Prolactin(UNC Lab) $19.00 2023 <br /> 84152 Assay of PSA Complexed(UNC Lab) $18.00 2023 <br /> 84153 PSA Screen(UNC Lab) $18.00 2023 <br /> 84154 PSA Diagnostic(UNC Lab) $18.00 2023 <br /> 84155 TP-Serum(UNC Lab) $4.00 2023 <br /> 84156 TP-Urine(UNC Lab) $4.00 2023 <br /> 84156 Urine protein ratio UNC lab $3.67 2023 <br /> 84165 Protein E-Phoresis,Serum $15.20 2024 <br /> 84295 NA(UNC Lab) $5.00 2023 <br /> 84436 Thyroxine(T4)-(UNC Lab) $7.00 2023 <br /> 84439 T4-Thyroid(UNC Lab) $9.00 2023 <br /> 84443 TSH(UNC Lab) $17.00 2023 <br /> 84450 SGOT,AST(UNC Lab) $5.00 2023 <br /> 84460 SGPT,ALT(UNC Lab) $5.00 2023 <br /> 84466 Iron Profile/Tranfenin:%Saturation(UNC Lab) $13.00 2023 <br /> 84478 TRIG(UNC Lab) $6.00 2023 <br /> 84479 T3U(UNC Lab) $6.00 2023 <br /> 84480 T3-Total(UNC Lab) $14.00 2023 <br /> 84481 T3-Free(UNC Lab) $17.00 2023 <br /> 84520 BUN(UNC Lab) $4.00 2023 <br /> 84550 Uric Acid(UNC Lab) $5.00 2023 <br /> 84702 QUANT HCG/Ser un(UNC Lab) $15.00 2023 <br /> 85014 Hematocrit(UNC Lab) $2.00 2023 <br /> 85018 Hemoglobin (OCHD Lab) $11.00 2009 <br /> 85025 CBC with Diff(UNC Lab) $8.00 2023 <br /> 85027 CBC w/o Diff(UNC Lab) $6.00 2023 <br /> 85046 Reticyte/hgb concentrate(UNC Lab) $6.00 2023 <br /> 85300 Antithrombin III activity C lab $11.85 2023 <br /> 85300 Antithrombin III Test C lab $11.85 2023 <br /> 85303 Clot Inhib Protein C,Activ(UNC Lab) $14.00 2023 <br /> 85306 Clot Inhib Protein S,Free(UNC Lab) $15.00 2023 <br /> 85397 Clotting function activity not otherwise specified $30.86 <br /> UNC lab 2023 <br /> 85397 Protein S Activity C lab $30.86 12023 <br /> 85610 1 INR C lab $4.29 12023 <br />