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Lee County Health Department <br /> FY 22-23 Fee Schedule <br /> Charges <br /> CPT Name 100% <br /> 87077 CUL BACT AEROBIC ADDL METHS DEFINITIVE E.... 0.00 <br /> 87081 CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLON.... 10.00 <br /> 87086 CULTURE BACTERIAL QUANTTATIVE COLONY COU.... 23.00 <br /> 87088 CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA U.... 0.00 <br /> 87116 CULTURE TUBERCLE/OTH ACID-FAST BACILLI A.... 0.00 <br /> 87149 CULTURE TYPING NUCLEIC ACID 35.00 <br /> 87340 IAAD EIA HEPATITIS B SURFACE ANTIGEN 70.00 <br /> 87389 IAAD EIA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY.... 0.00 <br /> 87490 IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE.... 0.00 <br /> 87491 IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PR.... 70.00 <br /> 87591 IADNA NEISSERIA GONORRHOEAE AMPLIFIED PR.... 0.00 <br /> 87624 IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYP.... 38.27 <br /> 87797 IADNA NOS DIRECT PROBE TQ EACH ORGANISM 28.00 <br /> 87798 IADNA NOS AMPLIFIED PROBE TQ EACH ORGANI... 74.00 <br /> 87850 IAADIADOO NEISSERIA 20.00 <br /> 87880 GONORRHOEAE STREPTOCOCCUS GROUP A 21.00 <br /> 88142 CYTP CERV/VAG AUTO THIN LAYER PREP MNL S.... 60.00 <br /> 88143 CYTP C/V FLU AUTO THIN MNL SCR&RESCR PHY.... 0.00 <br /> 88150 CYTP SLIDES C/V MNL SCR UNDER PHYS 37.00 <br /> 88175 CYTP C/V AUTO THIN LYR PREPJ SCR MNL RES.... 42.00 <br /> 90281 IMMUNE GLOBULIN IG HUMAN IM USE 0.00 <br /> 90371 HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN I.... 9.00 <br /> 90384 RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE I.... 140.00 <br /> 90385 RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE I.... 21.70 <br /> 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE 22.00 <br /> 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE 25.00 <br /> 90473 IM ADM INTRANSL/ORAL 1 VACCINE 15.00 <br /> 90474 IM ADM INTRANSL/ORAL EA VACCINE 10.00 <br /> 90620 Meningococcal recombinant protein and ou.... 0.00 <br /> 90621 Meningococcal recombinant lipoprotein VA... 0.00 <br /> 90632 HEPATITIS A VACCINE ADULT FOR INTRAMUSCULAR 67.00 <br /> 6 <br />