Orange County NC Website
Browse       Search
Commissioner Approved Fee Schedule - FY 2024-25 46 <br /> Last <br /> Department/Program Description Current Fee Revision <br /> 87804 Influenza A&B(UNC Lab) $17.00 2023 <br /> 87880 Strep A(UNC Lab) $17.00 2023 <br /> 87902 Hep C Genotype(UNC Lab) $257.00 2023 <br /> 88141 Pap Smear with Dr.Interpretation(Wake Med Lab) $80.00 2016 <br /> 88142 Cytopath CerNag Thin Layer(UNC Lab) $20.00 2023 <br /> 88175 Pap Thin Prep(Wake Med Lab) $27.00 2023 <br /> 88305 Tissue Exam by Pathologist-Surg Path IV UNC $50.00 2023 <br /> 88341 Imhistochem/Cytchm Each Addl Antibody Slide <br /> (UNC Lab) $94.05 2024 <br /> 88342 Imhistochem/Cytchm Antibody Stain Procedure(UNC <br /> Lab) $86.35 2024 <br /> 90380 RSV,monoclonal antibody,seasonal dose,0.5 mL <br /> dosage for intramuscular-Beyfortus $485.10 2024 <br /> 90381 RSV,monoclonal antibody,seasonal dose, 1.0 mL <br /> dosage for intramuscular-Beyfortus $485.10 2024 <br /> 90470 Administration ofHIN1 Vaccine $18.00 2010 <br /> 90471 Admin Fee(1 vaccine) $20.45 2022 <br /> 90472 Admin Fee(2+vaccines) $20.45 2022 <br /> 90473 Immunization Adm.-Intranasal/Oral $20.45 2022 <br /> 90474 Immunization Adm.-Intranasal/Oral Additional $20.45 2022 <br /> 90480 COVID-19 Administration Fee $65.00 2024 <br /> 90619 Meningococcal conjugate vaccine,serogroups ACYW- <br /> MEN UADFI $149.54 2024 <br /> Meningococcal recombinant protein and outer <br /> 90620 membrane vesicle vaccine,serogroup B(MenB-4C),2 <br /> dose schedule-BEXSERO $198.03 2024 <br /> 90620SL Meningococcal recombinant protein and outer <br /> membrane vesicle vaccine,serogroup B(MenB-4C),2 <br /> Medicaid only dose schedule-BEXSERO $0.00 2019 <br /> 90621 Meningococcal recombinant lipoprotein vaccine, <br /> serogroup B,2 or 3 dose schedule-TRUMENBA $158.86 2024 <br /> 90621 SL Meningococcal recombinant lipoprotein vaccine, <br /> Medicaid only serogroup B,2 or 3 dose schedule-TRUMENBA $0.00 2019 <br /> 90632 Hepatitis A vaccine,adult dose-HAVRIX $71.60 2024 <br /> Medicaid only 90632SL Hepatitis A vaccine,adult dose-HAVRIX $0.00 2019 <br /> 90633 Hepatitis A vaccine,pediatric/adolescent dose,2 dose- <br /> HAVRIX $31.60 2024 <br /> 90633SL Hepatitis A vaccine,pediatric/adolescent dose,2 dose- <br /> Medicaid only HAVRIX $0.00 2019 <br /> 90636 Hepatitis A and Hepatitis B recombinant vaccine,3 <br /> doses-TWINRIX $109.48 2024 <br /> 90636SL Hepatitis A and Hepatitis B recombinant vaccine,3 <br /> Medicaid only doses-TWINRIX $0.00 2019 <br /> 90647 Hemophilus Influenzae B vaccine(Hib),PRP-OMP <br /> conjugate,3 dose-PedVaxHIB $30.45 2024 <br /> 90647SL Hemophilus Influenzae B vaccine(Hib),PRP-OMP <br /> Medicaid only conjugate,3 dose-PedVaxHIB J$0.00 12019 <br /> 90648 Hemophilus Influenzae B vaccine(Hib),PRP-T <br /> conjugate,4 dose-ActHIB 1$12.68 2024 <br />