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Lee County Health Department <br /> FY 22-23 Fee Schedule <br /> Charges <br /> CPT Name 100% <br /> 83986 PH BODY FLUID NOT ELSEWHERE SPECIFIED 6.00 <br /> 84080 ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES 32.00 <br /> 84146 ASSAY OF PROLACTIN 30.00 <br /> 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL 28.00 <br /> 84155 PROTEIN XCPT REFRACTOMETRY 7.00 <br /> 84156 SERUM PLASMA/.... PROTEIN TOTAL XCPTREFRACTOMETRY 156.00 <br /> URINE <br /> 84166 PROTEIN ELECTROP FXJ&QUAN 0TH FLUS CONCE.... 156.00 <br /> 84260 ASSAY OF SEROTONIN 442.00 <br /> 84402 ASSAY OF TESTOSTERONE FREE 332.00 <br /> 84403 ASSAY OF TESTOSTERONE TOTAL 150.00 <br /> 84436 ASSAY OF THYROXINE TOTAL 22.00 <br /> 84439 ASSAY OF FREE THYROXINE 96.00 <br /> 84443 ASSAY OF THYROID STIMULATING HORMONE TSH 9.00 <br /> 84450 TRANSFERASE ASPARTATE AMINO AST SGOT 8.00 <br /> 84478 ASSAY OF TRIGLYCERIDES 18.00 <br /> 84479 THYROID HORM UPTK/THYROID HORMONE BINDIN.... 22.00 <br /> 84480 ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 10.00 <br /> 84481 ASSAY OF TRIIODOTHYRONINE T3 FREE 14.00 <br /> 84520 ASSAY OF UREA NITROGEN QUANTITATIVE 7.00 <br /> 84550 ASSAY OF BLOOD/URIC ACID 6.00 <br /> 84702 GONADOTROPIN CHORIONIC QUANTITATIVE 58.00 <br /> 84703 GONADOTROPIN CHORIONIC 18.00 <br /> 85018 QUALITATIVE HEMOGLOBIN 5.00 <br /> 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL W.... 8.00 <br /> 85044 BLOOD COUNT RETICULOCYTE 8.00 <br /> 85045 AUTOMATEDBLOOD COUNT RETICULOCYTE 9.00 <br /> 85610 AUTOMATED PROTHROMBIN TIME 9.00 <br /> 85651 SEDIMENTATION RATE RBC NON-AUTOMATED :LUU <br /> 95652 SEDIMENTATION RATE RBC 10.00 <br /> 85730 AUTOMATEDTHROMBOPLASTIN TIME PARTIAL 41.00 <br /> 4 <br />