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2025-439-E-Health Dept-UNC Healthcare System-BCCCP Mammogram Screening
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2025-439-E-Health Dept-UNC Healthcare System-BCCCP Mammogram Screening
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Last modified
7/22/2025 1:29:55 PM
Creation date
7/22/2025 1:29:50 PM
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Contract
Date
7/18/2025
Contract Starting Date
7/18/2025
Contract Ending Date
7/22/2025
Contract Document Type
Contract
Amount
$90,287.00
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2025 Office Fee <br />Code Fee Allowed <br />Excision of cyst, fibroadenoma or other benign or malignant tumor, 19120 474.50$ Yes <br /> aberrant breast tissue, duct lesion, nipple or areolar lesion; open; <br /> one or more lesions <br />Excision of breast lesion identified by preoperative placement of 19125 522.93$ Yes <br /> radiological marker; open; single lesion <br /> Each additional lesion separately identified by a preoperative 19126 144.11$ Yes <br /> radiological marker <br />Placement of breast localization device, percutaneous; mammographic 19281 218.11$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19282 152.38$ Yes <br />Placement of breast localization device, percutaneous; stereotactic 19283 231.94$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19284 166.29$ Yes <br />Placement of breast localization device, percutaneous; ultrasound 19285 320.22$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19286 258.95$ Yes <br />Needle biopsy of axillary lymph node 38505 156.71$ Yes <br />Ultrasonic guidance for needle placement, imaging 76942 54.28$ No <br /> supervision and interpretation 76942-TC 25.97$ <br />76942-26 28.31$ <br />Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 88172 52.10$ No <br /> study to determine adequacy of specimen(s), first evaluation episode 88172TC 19.68$ <br />88172-26 32.42$ <br />Cytopathology, evaluation of fine need aspirate; immediate cytohistologic 88177 27.58$ No <br /> study to determine adequacy of specimen(s), each separate additional 88177TC 7.79$ <br /> evaluation episode 88177-26 19.79$ <br />Cytopathology, evaluation of fine needle aspirate; interpretation and report 88173 156.78$ No <br />88173TC 93.12$ <br />88173-26 63.66$ <br />Surgical pathology, gross and microscopic examination 88305 66.03$ No <br />88305TC 31.97$ <br />88305-26 34.06$ <br />Surgical pathology, gross and microscopic examination; requiring microscopic 88307 260.81$ No <br /> evaluation of surgical margins 88307TC 186.27$ <br />88307-26 74.54$ <br />Morphometric analysis, tumor immunohistochemistry, per specimen; manual 88360 108.80$ <br /> 88360TC 70.90$ <br /> 88360-26 37.89$ <br />Morphometric analysis, tumor immunohistochemistry, per specimen; 88361 106.04$ <br /> using computer-assisted technology 88361TC 66.41$ <br /> 88361-26 39.63$ <br />00400 19.63$ <br />Moderate anesthesia, 10-22 minutes for individuals 5 years or older 99156 68.50$ <br /> Each additional 15 minutes (8)99157 53.11$ <br />Anesthesia for procedures on the integumentary system, anterior trunk, not <br />otherwise specified (7) <br />2025 Services Fee Schedule (1) <br />North Carolina Breast and Cervical Cancer Control Program <br />Breast Cancer Screening and Diagnostic Procedures <br />Docusign Envelope ID: 5E743756-FAB9-4264-90BB-2E7F1176312C
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