The URL can be used to link to this page

Browse Search

Home My WebLink About20233554.tiff RESOLUTION RE: APPROVE REVISIONS TO FEE SCHEDULE FOR FEES COLLECTED BY WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT WHEREAS,the Board of County Commissioners of Weld County,Colorado,pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County,Colorado,and WHEREAS,the Board has been presented with revisions to the fee schedule for fees collected by the Weld County Department of Public Health and Environment,and WHEREAS,after study and review,the Board deems it advisable to approve the proposed revisions,effective January 1,2024,copies of which are attached hereto and incorporated herein by reference. NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that the revised fee schedule for fees collected by the Weld County Department of Public Health and Environment,as attached hereto,be,and hereby are,approved,effective January 1,2024. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 6th day of December,A.D.,2023. BOARD OF COUNTY COMMISSIONERS WELDS COUNTY,COLORADO ATTEST: .:eltf eA M. reeman,Chair Weld County Clerk to the Board B � �� erry L.B ,Pro-Tem Deputy Clerk to the Board �,,..�_ AI, , �t K.James AP'''•VE ORM: i• �� 4 "ED Al! t..t •- .Ross 'vii` "`.j County Attorney j 12`I ZI Z3 \ raine Date of signature: l �_:r► Cc,I-IL(Tc/HS),FI(RR/cP/To),AcT(cD) 2023-3554 12/2g/23 HL0003 Memorandum lir 1"41 i To:Mike Freeman,Chair BOCC r I 1 - From:Jason Chessher - w, Date:November 27,2023 Subject:Health Department 2024 Fee Schedules- Environmental Health Services&Clinical and Community Health Services For the Board's approval are the Health Department proposed Environmental Health Services and Clinical and Community Health Services fee schedules for 2024. Environmental Health Services: Program fees are evaluated on an annual basis to ensure adequate cost recovery and program sustainability. This year our evaluation revealed that fees were in line with program costs and as such most fees will remain the same from 2023. There were a few minor amendments to listing of fees in the laboratory section(to help consolidate and eliminate duplicates)and only two new fees were added. The first new fee was for shipping of lab samples(a few tests still need to be sent out to other laboratories for completion as they required specialized equipment that we do not have on hand)and the second was for a handling fee of latex paint from business in our household hazardous waste program. Clinical and Community Health:A focused effort in FY 2024 Clinical Services fees was made to adopt a reproducible methodology for the establishment of fees and charges related to the delivery of clinical services within the department.Key elements within this methodology are 1) Mission/Vision/Strategic Plan driven 2)recover cost plus 15%as much as possible when possible and appropriate 3)seek and maintain grant funding in alignment with strategic priorities.Cost recovery will be ensured first by setting our fees for services for Medicaid and private insurances at the maximum reimbursement allowed.For those that are uninsured or underinsured,we will charge a sliding fee schedule,and seek and maintain grants to reduce cost barriers.It is also important to report over 200 unnecessary clinical service codes were removed in this 2024 Clinical Services fee update. On November 21,2023,Health Department staff met with the Board in a work session to discuss the changes to the fee schedules and answer the Board's questions. The Board gave their approval to place the Health Department's 2024 fee schedules on the Board's agenda for formal approval. Staff is recommending approval of the proposed 2024 Environmental Health Services and Clinical and Community Health Services fee schedules. 2023-3554 I2/L0 HL-0003 BOCC STAFF USE Date Set: Time: BOARD OF COUNTY COMMISSIONERS WORK SESSION REQUEST WORK SESSION TITLE:Health Department Fees 2024 DEPARTMENT:Public Health&Environment DATE: 11/8/2023 PERSON REQUESTING:Jason Chessher EXTENSION:2293 Has your Commissioner Coordinator or BOCC Chair approved the work session? X Yes,Commissioner Coordinator X Yes,BOCC Chair Recommended length of time needed for discussion: 15 minutes X 30 minutes other(list): In addition to yourself and the board,please list who should attend: Shaun May,Dan Joseph,Eric Aakko,Holly Smith,Sonya Oyster,Jennifer Oftelie Brief description of the issue: X Informational only Action needed Staff will present proposed 2024 fees for services. Options for the board: Endorse updated fees for 2024 Decline updated fees in which case 2023 fees will remain in place. Recommendation to the board: Endorse 2024 fee schedule. **Please be sure to have all materials to Karla Ford by a minimum of one day prior to the scheduled work session for inclusion into electronic work session packets to be viewed on the Board's laptops."* ' � � c n 1 sf,1 ,r} Corn` unity linic Feet,-Schedule - „ , _ � lT�yri r-� � } ,- _ �- �i �_ F .. � _ �- 4.� „- Ii�l '-• ' i 1 � ^ _ ` r , 1 Clinic"Fees��' `, > The majority_of our patients,come to,us because-they have:Medicaid,are under-insured-or have no health`-insurance _ s A ' _ r .n r�-,.. r ,G 1 n ..�2a i E� 1" l 1°- , ,s,) rl - `x�' ' 1 E � -y= � T iti+ �y` . �C ', t� N' ��;` "➢ It`'is.our missionitto'be'a.safety net for_our communitymembers and reduce barriers,to service;amcludmggco`sts`- r Y ➢'Aimto recoupi-the maximum reimbursement from Medicaid_and private insurance _ -- � _ >,-Forthose-that are,under-insured and uninsured;-we'seek grants to eliminate cost barriers ��;��',`,�� ,�_�. ti - ➢��Ou aiin.with this,year's fee sche'dulelwas t9 set and adopt a,methodology that-is reproducib�le,logical=and,`� ,�� ` -- aligns'wr`th our'Mission and Guidmg`Principles`" ._ - � —_ 'r �= r _y _ r_- -- � , -�,� � J e , �4e � i , �, r,a r , �; � f1, 1 u r1'ny r Kj — 5 � �1 i �1 ta ti�3H ,Q'AF ,.S [ L I� `t - r t "-,��,.k�i n r it- i{�.,'` ,rr^cdr`^ rt 4 _v `f� �t_ , -_ 1 '1" _ ..-w ' l _,r 1 - i� c S' _ -1 T zr F�,''._ �� ,"-r.. r_a - c j rr, _ _ ',-s, '� c`�,.,'• _ . � �- - J - Y s o.m � f,,�i °f _ 1 { t i - ' ,, ,- ', Ct ' ' ECom ; uityC1inic Fee Sc--,e l u1e.�21 24� , _ ` _➢ For those that don't have health insurance and are not eligible for grants are considered self-pay-, ' : ' - - ' `_ ' ` -,➢'.Self-pay fees will'slide similar our clients covered by grants ` ', ', �' ➢, 5 Self Pay,Codes , -s➢ Code 5 will be set at Medicaid x270%(mid-range of private ins rates) . ', ,➢,Code 4 will be set at;Medicaid x125%(industry,standard for Medicare rates) , ' `➢ Code 3 will be our starting point—It will be set at Medicaid or Cost Plus,whichever is greater ' - (Cost Plus cost+15%) - ' _➢ Code 2 will be set at 25%less than Code 3 , _ ' > Code 1 will slide to zero for FPP,,STI and Medications covered by Grants , , ' ,, ' > All others will slide to Cost Plus 15% We are going'to pilot a sliding fee schedule for some of our Adult Immunizations If an adult would normally'' ' ______�__qualify_for a_3.17_vaccine_(no cost,provided by the_State)-and Our_monthl_y-stock,has been,depleted,_w_will_slide___,________:__L 'the fees on Immunizations}over$50(our cost) ' _ ' ', ,_-,- - ` " ' , ` ' >,'We will evaluate theselees on a monthly basis , ➢,TRAVEL IMMUNIZATIONS'—Will not slide and we will charge Cost Plus 25% , , , WCDPHE Community Clinic Fee Schedule 2024 Self- Pay Codes are determined by a client ' s gross family income and family size Weld County will use the CDPHE income levels from the Family Planning Title X grant ....be,.,. Gross Family Income and ...tM11 Family Size Codes for 2023 r. CDPHE Colorado Family Planning Program r ANNUAL INCOME MONTHLY INCOME WEEKLY INCOME CODE $14,580 $ 1 ,215 $280 1 c S14.581 to $21 ,870 S1 ,216 to 51 .823 5281 to S421 2 $21 .871 to $26,973 _ 51 ,824 to $2,248 $422 ,to 5519 3 a, 526.974 to 532.076 52,249 to S2.673 ' $484 to S617 4 wr $32,077 to $36.450 , S2,674 to S3.038 $618 to S701 5 $36,451 and over 53.039 and over $702 and over 6 1 ti $19.720 $1 ,643 $379 1 N 441 $19.721 to S29,580 51 .644 to S2,465 $380 to S569 _ 2 R ,°„ 529.581 to 536.482 52,466 to 53.040 $570 to $702 3 o a $36,483 to $43,384 $3,041 to S3,615 $703 to $834 1 4 tA N $43.385 to 549.300 $3,616 to S4. 108 $835 to S948 5 o $49,301 and over $4, 109 and over $949 and over • 6 co $24.860 52,072 5478 1 0 N 2 $24,861 to 537.290 $2,073 to S3, 108 $479 to S717 2 in o $37,291 to $45,991 $3, 109 to S3.833 5718 to 5884 3 * E a. 0 $45.992 to $54,692 $3,834 to S4.558 5885 to $ 1 ,052 4 , m M $54.693 to $62,150 S4,559 to 55, 179 $1 .053 to $ 1 . 195 5 562. 151 and over S5. 180 and overI $ 1 , 196 and over 6 1° 530.000 52,500 S577 1 2 S30,001 to $45.000 $2.501 to S3.750 $578 to $865 1 2 r 8 g $45.001 to 555.500 53,751 to S4,625 i $866 to 51 .067 3 • 555.501 to $66.000 S4,626 to 55.500 S1 ,068 to $1 .269 4 -E v 566.001 to $75,000 $5,501 to 56,250 51 ,270 to $1 ,442 5 LL $75.001 and over $6,251 and over $1 ,443 and over 6 N 535. 140 52.928 5676 1 2 a $35, 141 to $52,710 52.929 to S4. 393 $677 to 51 .014 2 O °° 552,711 to $65.009 1 $4,394 to S5,417 $1 .015 to S1 ,250 3 in 2 $65,010 to $77,308 $5,418 to 56,442 + $1 ,251 to $1 ,487 4 o No $77,309 to 587,850 S6,443 to S7,321 $1 ,488 to 51 .689 5 a $87.851 and over $7.322 and over $1 .690 and over 6 2024 Fee schedule DELETED 20C Fee Codes Deleted — Unused or Expired ADDED 15 Lab Tests / 2 Vaccines ( Adult & Child RSV & Adult & Child Privatized Covid ) RESULTS 233 Billing Fee Codes WCDPITE Environment Health Fee schedule 2024 o Most fee changes are minor amendments, consolidation , or clean - up from previous years fee schedules . o Only two new fees added : • Secure transportation- the board adopted new code/fees in 2023 , we are just adding fees to fee schedule . • HHW latex paint handling fee ( for businesses)- we are able to dispose of paint for free , however it does take staff time to handle the waste, this fee covers our time . o Lab fee section • Consolidation of tests that we would not be able to complete in house (designated by term market rate ) . Most of these are specialized tests that require specific equipment to run . • Eliminating if fee was listed twice ( repeats) . • Addition of shipping fee ( limited, but occasionally we have to ship items out) . • Word addition of E coli to specific test (more accurate description) . WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - PROPOSED 2024 FEE SCHEDULE PROPOSED CHANGES FOR 2024 IN RED Fees set locally IIIFees set by state statute Fees previously limited by statute- 2020 new legislation that allows cost recovery was approved BODY ART FACILITY SERVICES Body Art Facility License $350.00 Body Art Facility - Delinquent License Surcharge $ 75 .00 $90/hour determined using method developed with Don Body Art Facility - Plan Review Application Fees and Pre-opening Application fee of $ 100 plus $90.00/hour Warden . Body Art Facility - Real Estate Site Review $90.00/hour Body Art Facility - Temporary License $350.00 Body Art Facility - Mobile Facility License $ 350.00 Autoclave Sterilization Spore Test (Steam ) $ 13 .00 CHILD CARE CENTER FEES Child Care Center - Facility Inspection Fee 5-20 Children $ 170.00 Note 1 : Fees assessed every other year- recommend staying Child Care Center - Facility Inspection Fee 21-50 Children $212 . 5O $ 215 .00 the same to capture 2nd year billing group. Child Care Center - Facility Inspection Fee 51- 100 Children $255 .00 Note 2 : These fees provide inspectional cost recovery . Child Care Center - Facility Inspection Fee 101+ Children $297 .50 $300.00 Note 3 : Just did some rounding for simplisity. Group Home - Facility Inspection Fee $212 .5O $215 .00 Residential Treatment Facility - Facility Inspection Fee $297. 5O $ 300.00 Child Care Center - Plan Review/Walk-thru/Pre-opening Inspection Fee $90.00/hour Child Care Center - Plan Review Application Fee $ 100.00 FOOD PROTECTION SERVICES No Fee License ( K- 12 schools, non- profits as defined in CRS 25-4- 1607(9)(a ) ( III ) ) $0.00 Limited Food Service (convenience, other) $ 270.00 Restaurant (0- 100 seats) $385 .00 Restaurant ( 101-200 seats ) $430.00 Restaurant (>200 seats) $465 .00 Grocery Store (0- 15,000 sq . ft. ) $ 195 .00 Grocery Store (>15,000 sq . ft. ) $353 .00 Grocery Store w/ Deli (0- 15,000 sq . ft. ) $375 .00 Grocery Store w/ Deli (> 15,000 sq . ft. ) $715 .00 Mobile Unit ( prepackaged ) $ 270.00 Mobile Unit (full food service) $ 385 .00 Oil & Gas Temporary $855 .00 Special/Temporary Event License - Non- Profits (as defined in CRS 25-4- 1607(9)(a )( III ) ) and Licensed Mobile Units $0.00 lin Special/Temporary Event License - Full Service Single Event g $ 150.00 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - PROPOSED 2024 FEE SCHEDULE PROPOSED CHANGES FOR 2024 IN RED Fees set locally _ Fees set by state statute Fees previously limited by statute- 2020 new legislation that allows cost recovery was approved Special/Temporary Event License - Full Service Calendar Year $ 385 .00 Special Event License ( non-TCS food ) $ 100.00 Special/Temporary Event Vendor License - Late/Expedite Fee : up to 2 days before event $50.00 Special/Temporary Event Coordinator Fee ( plan review time and additional miscellaneous time, if applicable) $90.00/hour Requested Full Re-inspection $ 189.00 Plan Review Application Fees and Preopening Application fee of $ 100 plus $90.00/hour ( not to exceed $580) Equipment Review Fee $90.00/hour ( not to exceed $500) HACCP Plan (Written ) ( Not to exceed ) $ 100.00 HACCP Plan (On-site Eval . )( Not to exceed ) $400.00 Real Estate Review ( 1st hour) $75 .00 Real Estate Review of Property ( Billed after 1st hour) $90.00/hour Miscellaneous Services $90.00/hour Weld Star Education Course - For- profit Establishments $30.00/pp Weld Star Education Course - Non- profit Establishments $ 15 .00/pp Weld Star Education Course - Off-site Presentation Fee (charged for groups of <25) $50.00 Weld Star Education Course (groups >25) - For- profit Establishments $640 .00 Weld Star Education Course (groups >25 ) - Non-profit Establishments $375 .00 INSTITUTION SERVICES Ambulance Inspection License Fee $ 170.00/company Ambulance Unit Inspection Fee $ 130.00/ambulance Note: Fees provide inspectional cost recovery Secure Transportation Services License $ 170.00/company Secure Transportion Services Unit Inspection Fee $ 130.00/ambulance MISCELLANEOUS SERVICES/FEES Environmental Health Specialist Field Time Charge $90.00/hour Biosolids Permit ( 160 Acre Parcel ) $375 .00 ($ 2 . 34 for each acre over 160 Acres) • Septage Permit ( 160 Acre Parcel ) $375 .00 ($2 .34 for each acre over 160 Acres) - Cistern Usage Permit ( Initial ) $250.00 m1ECistern - Variance Request $50.00 2 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - PROPOSED 2024 FEE SCHEDULE PROPOSED CHANGES FOR 2024 IN RED Fees set locally 11 Fees set by state statute Fees previously limited by statute- 2020 new legislation that allows cost recovery was approved Radon Kits $ 6 .00 Radon Kits ( mailed ) $8 .00 Lead Investigation - Requested Inspection (actual cost based on hourly rate, 1 hour min ) $90.00/hour Fax Fee ( up to 10 pages, $ . 50 per each additional page) $5 .00+ IIFile Review Fees Per Appendix 5- D, Chapter 5, of the Weld County Code Non-Sufficient Funds ( Bounced Check) Return Fees $25 .00 ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) OWTS Permit $ 1, 100.00 OWTS Repair/Alteration Permit $ 1, 110.00 OWTS Permit Extension $50.00 Commercial OWTS New Permit $ 1, 200.00 Commercial OWTS Repair Permit $ 1, 200.00 OWTS Minor Repair Permit $ 250.00 OWTS Reinspection Fee $90.00 Holding Tank/Vault Permit $450.00 Weld County OWTS Regulations $5 .00 Systems Contractor License $50.00 Renewal of Systems Contractor License (Annually) $25 .00 Systems Cleaners License $50.00 Renewal of System Cleaners License (Annually) $ 25 . 00 Existing OWTS Evaluation $200.00 Statement of Existing $ 25 .00 Loan Approval Inspection without Water Sample $ 200.00 Loan Approval Inspection with Water Sample $ 248 .00 Potable Water Sample (collection and analysis) $ 28 .00 Variance Request $90.00 METHAMPHETAMINE PROGRAM SERVICES • Methamphetamine Lab Decontamination Permit - Covers up to 4 hours of staff time. $ 360.00 ( Review and inspection activities in excess of 4 hours will be billed at an hourly rate . ) Methamphetamine Lab - Hourly Rate $90.00/hour LABORATORY SERVICES COVI-D/Respiratory Panel Test $ 180.00 3 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - PROPOSED 2024 FEE SCHEDULE PROPOSED CHANGES FOR 2024 IN RED Fees set locally Fees set by state statute Fees previously limited by statute- 2020 new legislation that allows cost recovery was approved WATER QUALITY - BACTERIOLOGICAL ASSESSMENT After hours Stat Fee for individual tests 3 x stated fee Total Coliform, E . Coli, PA $21 . 50 Total Coliform, E . Coli, Quantitray $ 23 . 50 Pseudomonas aeruginosa $32 .00 Potable Water Sample (collection and analysis), PA $48.00 Potable Water Sample (collection and analysis), Quantitray $ 50.00 WATER QUALITY - CHEMICAL ASSESSMENT Alkalinity, Total $ 17 .00 Alkalinity, Phenophthalein ( hydroxide, carbonate, bicarbonate) $ 17 .00 Aluminum (reference lab) Market Rate Ammonia $23 .00 Arsenic $ 21 . 50 BTEX ( benzene, toluene, ethyl benzene, xylene) $ 106 .00 Barium (reference lab) Market Rate Biochemical Oxygen Demand ( BOD) $64 .00 Bromide $ 20.00 Cadmium $21 . 50 Calcium as CaCO3 $21 . 50 Chloride $ 20. 50 Chlorine $ 17 .00 Chlorite (reference lab) Market Rate Chromium $21 . 50 Copper $21 . 50 Dissolved Oxygen $ 15 .00 Fluoride $ 20 . 50 Haloacetic Acids (reference lab) Leaving in our list instead of summary at bottom as normally requested item . We have cost with lab that we sub this out to, but they are supposed to provide new fees- not set as of this reading so leaving as market rate rather than setting a fee Market Rate higher or lower than our actual cost. Hardness, Total $21 .50 Hexavalent Chromium $30.00 Iron $ 21 .50 Lead, water $22 .00 4 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - PROPOSED 2024 FEE SCHEDULE PROPOSED CHANGES FOR 2024 IN RED Fees set locally Fees set by state statute Fees previously limited by statute- 2020 new legislation that allows cost recovery was approved Magnesium ( by hardness calculation ) $ 7 .00 Manganese $ 21 . 50 Mercury (reference lab) Market Rate Metal digestion (if necessary) $22 . 50 Molybdenum (reference lab) Market Rate Nickel ( reference lab) Market Rate Nitrate $20. 50 Nitrite $ 20. 50 Oil and Grease, Visual Market Rate 2 . 00 PH/Temperature $ 17 .00 Phosphate, Ortho $26 . 50 Phosphate, Total $34. 50 WATER QUALITY - CHEMICAL ASSESSMENT 'Continued Selenium $22 .00 Silver (reference lab) Market Rate Sodium $22 . 00 Solids, Total $ 17 .00 Solids, Total Dissolved $ 18 . 00 Solids, Total Suspended $ 18.00 Autoclave Spore Test $ 13 .00 Specific Conductance $ 17 .00 Sulfate $20. 50 Thallium (reference lab) Market Rate Total Kjeldahl Nitrogen $48 . 00 _ ... Total Organic Carbon (reference lab) Market Rate Total Trihalomethanes $85 .00 Leaving in our list instead of summary at bottom as normally requested item . We have cost with lab that we sub this out to, but they are supposed to provide new fees- not set as of this reading so leaving as market rate rather than setting a fee ,` Uranium Market Rate higher or lower than our actual cost . VOC screen ( EPA Method 524. 2 ) $ 159 .00 Volatile Organics Group $ 140.00 Just moved from below . Zinc $ 21 . 50 Services not listed may be offered and pricing will be determined by market rate. Market rate services may include 5 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES - PROPOSED 2024 FEE SCHEDULE PROPOSED CHANGES FOR 2024 IN RED Fees set locally Fees set by state statute Fees previously limited by statute- 2020 new legislation that allows cost recovery was approved but are not limited to : Aluminum, Silver, Cadmium, Cholrite, and Pseudomonas Aeruginosa . MISCELLANEOUS LABORATORY SERVICES Zoonotic Testing ( rabies, tularemia, plague, WNV mosquitoe pool, etc. ) Market Rate Chemical Sample/Courier Sampling FeeIII $26.50 Shipping Fee $ 15 .00 State Sample Point ID Verification Fee $6.00 Non Returned Sampling Bottle Fee 537-50 OIL AND GAS - LABORATORY CHEMICAL ASSESSMENT Dissolved Gasses ( methane, ethane, propane) $85 .00 Total Bicarbonate $ 17 .00 Total Petroleum Hydrocarbons (TPH ) $85 .00 Total Trihalomethanes $85.00 repeat, already listed above Just grouping with others in water testing list rather than oil Volatile Organics Group $140.00 and gas- similar but a little different NOTE : Analyses are the rates cited above unless the amount is set by a contract approved by the Board of County Commissioners. 6 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES-2024 FEE SCHEDULE BODY ART FACILITY SERVICES Body Art Facility License $350.00 Body Art Facility-Delinquent License Surcharge $75.00 Body Art Facility-Plan Review Application Fees and Pre-opening Application fee of$100 plus$90.00/hour Body Art Facility-Real Estate Site Review $90.00/hour Body Art Facility-Temporary License $350.00 Body Art Facility-Mobile Facility License $350.00 Autoclave Sterilization Spore Test(Steam) $13.00 CHILD CARE CENTER FEES Child Care Center-Facility Inspection Fee 5-20 Children $170.00 Child Care Center-Facility Inspection Fee 21-50 Children $212.50 Child Care Center-Facility Inspection Fee 51-100 Children $255.00 Child Care Center-Facility Inspection Fee 101+Children $297.50 Group Home-Facility Inspection Fee $212.50 Residential Treatment Facility-Facility Inspection Fee $297.50 Child Care Center-Plan Review/Walk-thru/Pre-opening Inspection Fee $90.00/hour Child Care Center-Plan Review Application Fee $100.00 FOOD PROTECTION SERVICES No Fee License(K-12 schools,non-profits as defined in CRS 25-4-1607(9)(a)(III)) $0.00 Limited Food Service(convenience,other) $270.00 Restaurant(0-100 seats) $385.00 Restaurant(101-200 seats) $430.00 Restaurant(>200 seats) $465.00 Grocery Store(0-15,000 sq.ft.) $195.00 Grocery Store(>15,000 sq.ft.) $353.00 Grocery Store w/Deli(0-15,000 sq.ft.) $375.00 Grocery Store w/Deli(>15,000 sq.ft.) $715.00 Mobile Unit(prepackaged) $270.00 Mobile Unit(full food service) $385.00 Oil&Gas Temporary $855.00 Special/Temporary Event License-Non-Profits(as defined in CRS 25-4-1607(9)(a)(III)) and Licensed Mobile Units $0.00 Special/Temporary Event License-Full Service Single Event $150.00 Special/Temporary Event License-Full Service Calendar Year $385.00 Special Event License(non-TCS food) $100.00 Special/Temporary Event Vendor License-Late/Expedite Fee:up to 2 days before event $50.00 Special/Temporary Event Coordinator Fee(plan review time and additional miscellaneous time,if appli< $90.00/hour Requested Full Re-inspection $189.00 Plan Review Application Fees and Preopening Application fee of$100 plus$90.00/hour (not to exceed$580) Equipment Review Fee $90.00/hour (not to exceed$500) HACCP Plan(Written)(Not to exceed) $100.00 HACCP Plan(On-site Eval.)(Not to exceed) $400.00 Real Estate Review(1st hour) $75.00 Real Estate Review of Property(Billed after 1st hour) $90.00/hour Miscellaneous Services $90.00/hour Weld Star Education Course-For-profit Establishments $30.00/pp Weld Star Education Course-Non-profit Establishments $15.00/pp Weld Star Education Course-Off-site Presentation Fee(charged for groups of<25) $50.00 Weld Star Education Course(groups>25)-For-profit Establishments $640.00 Weld Star Education Course(groups>25)-Non-profit Establishments $375.00 INSTITUTION SERVICES Ambulance Inspection License $170.00/company Ambulance Unit Inspection Fee $130.00/ambulance Secure Transportation Services License $170.00/company Secure Transportion Services Unit Inspection Fee $130.00/Unit MISCELLANEOUS SERVICES 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES-2024 FEE SCHEDULE Environmental Health Specialist Field Time Charge $90.00/hour Biosolids Permit(160 Acre Parcel) $375.00($2.34 far each acre over 160 Acres) Septage Permit(160 Acre Parcel) $375.00($2.34 far each acre over 160 Acres) Cistern Usage Permit(Initial) $250.00 Cistern-Variance Request $50.00 Radon Kits $6.00 Radon Kits(mailed) $8.00 Lead Investigation-Requested Inspection(actual cost based on hourly rate,1 hour min) $90.00/hour Fax Fee(up to 10 pages,$.50 per each additional page) $5.00+ File Review Fees Per Appendix 5-D,Chapter 5,of the Weld County Code Non-Sufficient Funds(Bounced Check)Return Fees $25.00 ONSITE WASTEWATER TREATMENT SYSTEM(OWTS) OWTS Permit $1,100.00 OWTS Repair/Alteration Permit $1,100.00 OWTS Permit Extension $50.00 Commercial OWTS New Permit $1,200.00 Commercial OWTS Repair Permit $1,200.00 OWTS Minor Repair Permit $250.00 OWTS Reinspection Fee $90.00 Holding Tank/Vault Permit $450.00 Weld County OWTS Regulations $5.00 Systems Contractor License $50.00 Renewal of Systems Contractor License(Annually) $25.00 Systems Cleaners License $50.00 Renewal of System Cleaners License(Annually) $25.00 Existing OWTS Evaluation $200.00 Statement of Existing $25.00 Loan Approval Inspection without Water Sample $200.00 Loan Approval Inspection with Water Sample $248.00 Potable Water Sample(collection and analysis) $48.00 Variance Request $90.00 METHAMPHETAMINE PROGRAM SERVICES Methamphetamine Lab Decontamination Permit-Covers up to 4 hours of staff time. $360.00 (Review and inspection activities in excess of 4 hours will be billed at an hourly rate.) Methamphetamine Lab-Hourly Rate $90.00/hour WATER QUALITY-BACTERIOLOGICAL ASSESSMENT After hours Stat Fee for individual tests 3 x stated fee Total Coliform,E.Coli,PA $21.50 Total Coliform,E.Coli,Quantitray $23.50 Potable Water Sample(collection and analysis),PA $48.00 Potable Water Sample(collection and analysis),Quantitray $60.00 2 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT ENVIRONMENTAL HEALTH SERVICES-2024 FEE SCHEDULE WATER QUALITY-CHEMICAL ASSESSMENT Alkalinity,Total $17.00 Alkalinity,Phenophthalein(hydroxide,carbonate,bicarbonate) $17.00 Ammonia $23.00 Arsenic $21.50 BTEX(benzene,toluene,ethyl benzene,xylene) $106.00 Biochemical Oxygen Demand(BOD) $64.00 Bromide $20.00 Cadmium $21.50 Calcium as CaCO3 $21.50 Chloride $20.50 Chlorine $17.00 Chromium $21.50 Copper $21.50 Dissolved Oxygen $15.00 Fluoride $20.50 Haloacetic Acids Market Rate Hardness,Total $21.50 Hexavalent Chromium $30.00 Iron $21.50 Lead,water $22.00 Magnesium(by hardness calculation) $7.00 Manganese $21.50 Nitrate $20.50 Nitrite $20.50 Oil and Grease,Visual $2.00 PH/Temperature $17.00 Phosphate,Ortho $26.50 Phosphate,Total $34.50 Selenium $22.00 Sodium $22.00 Solids,Total $17.00 Solids,Total Dissolved $18.00 Solids,Total Suspended $18.00 Autoclave Spore Test $13.00 Specific Conductance $17.00 Sulfate $20.50 Total Kjeldahl Nitrogen $48.00 Total Trihalomethanes $85.00 Uranium Market Rate VOC screen(EPA Method 524.2) $159.00 Volati'e Organic Group(new) $140.00 Zinc $21.50 Services not listed may be offered and pricing will be determined by market rate.Market rate services may include but are not limited to:Aluminum,Silver,Cadmium,Cholrite,and Pseudomonas Aeruginosa. MISCELLANEOUS LABORATORY SERVICES Zoonotic Testing(rabies,tularemia,plague,WNV mosquitos pool,etc.) Market Rate Chemical Sample/Courier Sampling Fee $26.50 Shipping Fee $15.00 OIL AND GAS-LABORATORY CHEMICAL ASSESSMENT Dissolved Gasses(methane,ethane,propane) $85.00 Total Bicarbonate $17.00 Total Petroleum Hydrocarbons(TPH) $85.00 NOTE:Analyses are the rates cited above unless the amount is set by a contract approved by the Board of County Commissioners. 3 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT Proposed 2024 HHW Facility - VSQG Fees Waste Type Cost per container Cost per pound gallon $ 13 . 60 Acid 5 gallon $68.00 $ 1 . 70/pound 55 gallon $ 340 . 00 Aerosol ( paint, pesticide ) $ 1 . 20/ pound Antifreeze $ 0 . 08/gallon gallon $9 .60 Base 5 gallon $48 . 00 $ 1 . 20/pound 55 gallon $ 240 . 00 Battery ( excluding alkaline ) $0 . 25/ pound Battery ( alkaline ) $ 0 . 68/pound Compressed Gas Cylinders (small ) tank $ 2 . 63 Compressed Gas Cylinders ( large ) tank Market Price $ 1 . 40/pound ( Cyanide Cpds ) Cyandie Compounds 5 gallon $ 105 . 00 Flammable Liquid ( bulkable ) or Cooking Oil $0 . 20/pound Flammable Liquid quart $ 1 . 75 $ 0 . 87 pound if < quart or loose- gallon $6.96 ( non - PaintCare ) pack _ 5 gallon $ 34 . 80 Fluorescent Tubes Pound $0 . 84 Mercury Containing Bulbs ( HID, Sodium, Misc ; Pound $ 3 . 17 Filter, oil $ 0 . 30/ pound Grease Gallon Market Price Mercury thermometer $0 . 75 $ 5 . 00/pound Motor Oil ( used ) $0 . 08/gallon Oily Waste Water $ 1 . 40/gallon gallon $31 .84 Oxidizer 5 gallon $ 159 . 20 $ 3 . 98/pound 55 gallon $995 . 00 quart no fee * Paint ( Latex & Oil Based ) gallon no fee * $0 . 25/pound handling fee 5 gallon no fee* _ Non - PCB/Electronic Ballast $0 . 46/pound PCB Ballast ( and non PCB ) $ 1 . 50/pound gallon Market Price Peroxide Formers 5 gallon Market Price gallon $6 .96 Pesticide/Poison Liquid 5 gallon $ 34 . 80 $ 0 . 87/pound 55 gallon $ 240.00 Pesticide, dry $ 1 . 22/pound Miscellaneous Items To be determined, subject to market rate . * Latex and certain oil based paint are not charged due to contract with PaintCare . If the number of individual containers of a waste type fills a 55 gallong drum , the drum cost will be the cost administered . WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 2024 HHW W Facility - VSQG Fees Waste Type Cost per container Cost per pound gallon $ 13 . 60 Acid 5 gallon $ 68 . 00 $ 1 . 70 55 gallon $ 340 . 00 Aerosol ( paint, pesticide ) $ 1 . 20 Antifreeze $ 0 . 60/ gallon gallon $ 9 . 60 Base 5 gallon $48 . 00 $ 1 . 20 55 gallon $ 240 . 00 Battery ( excluding alkaline ) $ 0 . 25 Battery ( alkaline ) $0 . 68 Compressed Gas Cylinders ( small ) tank $ 2 . 63 Compressed Gas Cylinders ( large ) tank Market Price $ 1 . 40 ( cyanide Cpds ) Cyandie Compounds 5 gallon $ 105 . 00 Flammable Liquid ( bulkable ) or Cooking Oil $0 . 20 Flammable Liquid quart $ 1 . 75 gallon $ 6 . 96 $ 0 . 87 if < quart or loose- pack ( non - PaintCare ) 5 gallon $ 34 . 80 Fluorescent Tubes $ 0 . 84 Mercury Containing Bulbs ( HID, Sodium , Misc ) $ 3 . 17 Filter, oil $0 . 40/ filter Grease gallon Market Price Mercury thermometer $ 0 . 75 $ 5 . 00 Motor Oil ( used ) gallon $ 0 . 08 Oily Waste Water gallon $ 1 . 40 gallon $ 31 . 84 Oxidizer 5 gallon $ 159 . 20 $ 3 . 98 55 gallon $ 995 . 00 quart no fee * Paint ( Latex & Oil Based ) gallon no fee * $ 0 . 25 5 gallon no fee * Non - PCB/ Electronic Ballast $0 . 46 PCB Ballast ( and non PCB ) $ 1 . 50 gallon Market Price Peroxide Formers 5 gallon Market Price gallon $ 6 . 96 Pesticide/ Poison Liquid 5 gallon $ 34 . 80 $0 . 87 55 gallon * * $ 240 . 00 Pesticide, dry $ 1 . 22 Miscellaneous Items To be determined , subject to market rate . * Latex and certain oil based paints are not charged due to contract with PaintCare . * * If the number of individual containers of a waste type fills a 55 gallong drum, the drum cost will be the cost administered . CPT DESCRIPTION Code 1 Code 2 I Code 3 Code 4 1 Code 5 0018W, WELD LIPITOR 10 MG #30 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 0019W, WELD GLUMETZA 500 MG #30 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 0022W, WELD MONKEYPOX TESTING LABCORP $ 82 . 00 $ 82 . 00 $ 82 . 00 $ 82 . 00 $ 82 . 00 0038W, WELD MICROGESTIN 1 . 5/30 $ 0 . 00 $ 3 . 00 $ 6 . 00 $ 8 . 00 $ 11 . 00 0051W, WELD AVIANE $ 0 . 00 $ 3 . 00 $ 6 . 00 $ 8 . 00 $ 11 . 00 0068W, WELD SEASONAL/SEASONIQUE ( 3 MONTH SUPPLY ) $ 0 . 00 $ 9 . 00 $ 17 . 00 $ 25 . 00 $ 39 . 00 081950, WELD VITAMIN D, 25 - HYDROXY $ 12 . 00 $ 30 . 00 $ 39 . 00 $49 . 00 $ 70 . 00 10060, WELD INCISION & DRAINAGE OF ABSCESS, SINGLE OR SIMPLE $ 22 . 00 $ 22 . 00 $ 29 . 00 $ 36 . 00 $ 51 . 00 11102 , WELD BIOPSY OF SKIN , SINGLE $ 45 . 00 $ 45 . 00 $ 60 . 00 $ 75 . 00 $ 109 . 00 SHAVING OF EPIDERMAL LESION , SINGLE ON TRUNK, 11300, WELD ARMS OR LEGS, . 5CM $ 25 . 00 $ 25 . 00 $ 33 .00 $41 . 00 $ 59 . 00 11400, WELD EXCISIONS, BENIGN LESION $ 60 . 00 $ 60 . 00 $ 80 . 00 $ 100 . 00 $ 144 . 00 11976, WELD REMOVAL, IMPLANT CONTRACEPTIVE $ 0 . 00 $ 66 . 00 $ 132 . 00 $ 175 . 00 $ 218 . 00 11981 , WELD IMPLANT INSERTION $ 0 . 00 $ 62 . 00 $ 124 . 00 $ 165 . 00 $ 207 . 00 11983 , WELD REMOVAL IMPLANT, WITH REINSERTION $ 0 . 00 $ 95 . 50 $ 191 . 00 $ 254 . 00 $ 317 . 00 144025, WELD HEP B & HEP C SCREENING 4 $ 28 . 00 $ 28 . 00 $ 28 . 00 $ 28 . 00 $ 28 . 00 17000, WELD CRYOTHERAPY FIRST LESION $ 20 . 00 $ 39 . 00 $ 52 . 00 $ 65 . 00 $ 94 . 00 17003 , WELD CRYOTHERAPY 2 - 14 LESIONS $ 3 . 00 $ 6 . 00 $ 7 . 00 $ 9 . 00 $ 13 . 00 17004, WELD CRYOTHERAPY 15 + LESIONS $ 57 . 00 $ 113 . 00 $ 150 . 00 $ 187 . 00 $ 271 . 00 183160, WELD CHLAMYDIA, GONORRHEA, TRICHOMONAS $ 22 . 00 $44 . 00 $ 58 . 00 $ 58 . 00 $ 64 . 00 36415 , WELD VENIPUNCTURE $ 0 . 00 $ 3 . 00 a $ 3 . 00 $ 4 . 00 $ 6 . 00 36416, WELD VENIPUNCTURE - CAPILLARY BLOOD SPECIMEN $ 0 . 00 $ 3 . 00 $4 . 00 $ 5 . 00 $ 7 . 00 484006W, WELD IMMUNOHISTOCHEMICAL STAIN $ 0 . 00 $ 24 . 00 $48 . 00 $ 72 . 00 $ 96 . 00 56420, WELD BARTHOLIN CYST TREATMENT $ 23 . 00 $ 23 . 00 $ 30 . 00 $ 38 . 00 $ 55 . 00 57452 , WELD COLPOSCOPY WITHOUT BIOSPY $ 99 . 00 $ 99 . 00 $ 131 . 00 $ 164 . 00 $ 237 . 00 57454, WELD COLPOSCOPY WITH BIOSPY $ 89 . 00 $ 89 . 00 $ 118 . 00 $ 148 . 00 $ 214 . 00 57460, WELD LEEP WITH BIOSPY $ 116 . 00 $ 116 . 00 $ 154 . 00 h $ 192 . 00 $ 279 . 00 57461, WELD LEEP WITH CONIZATION $ 195 . 00 $ 195 . 00 $ 259 . 00 $ 324 . 00 $ 469 . 00 57500, WELD CERVICAL LESION BIOSPY $ 23 . 00 $ 23 . 00 $ 30 . 00 $ 38 . 00 $ 55 . 00 57511 , WELD CRYOCAUTERY CERVIX- INITIAL OR REPEAT $ 57 . 00 $ 57 . 00 $ 75 . 00 $ 94 . 00 $ 136 . 00 58100, WELD ENDOMETRIAL BIOPSY WITH OR WITHOUT BIOPSY $ 23 . 00 $ 23 . 00 $ 30 . 00 a $ 38 . 00 $ 55 . 00 58110, WELD ENDOMETRIAL BIOPSY WITH COLPOSCOPY $ 31 . 00 $ 31 . 00 $41 . 00 4 $ 51 . 00 $ 74 . 00 58300, WELD INSERTION IUD $ 0 . 00 $43 . 00 $ 57 . 00 $ 71 . 00 $ 103 . 00 58301 , WELD REMOVAL IUD $ 0 . 00 $ 43 . 50 $ 87 . 00 $ 116 . 00 $ 144 . 00 76857 , WELD ULTRASOUND - PELVIC NON -OBSTETRIC $ 75 . 00 $ 75 . 00 $ 100 . 00 $ 124 . 00 $ 180 . 00 80048, WELD BASIC METABOLIC PANEL $ 3 . 00 $ 7 . 00 $ 9 . 00 $ 11 . 00 $ 16 . 00 80053 , WELD COMPREHENSIVE METABOLIC PANEL $ 3 . 00 $ 9 . 00 $ 11 . 00 $ 14 . 00 $ 20 . 00 80061 , WELD E L D LAB LIPID PANEL $ 3 . 00 $ 11 . 00 $ 14 . 00 $ 17 . 00 $ 25 . 00 80074, WELD HEPATITIS PANEL ( ABC ) $ 28 . 00 $ 36 . 00 $ 48 . 00 $ 60 . 00 $ 87 . 00 80076, WELD LIVER PANEL $ 3 . 00 $ 7 . 00 $ 9 . 00 $ 11 . 00 4 $ 15 . 00 81002 , WELD URINALYSIS, W/O SCOPE ( UA) $ 3 . 00 $ 3 . 00 $ 4 . 00 $ 5 . 00 $ 7 . 00 81025 , QW, WELD PREGNANCY TEST - URINE $ 0 . 00 4 $ 5 . 00 $ 9 . 00 $ 11 . 00 $ 16 . 00 82274, WELD OCCULT BLOOD TEST, FECAL, IA $ 7 . 00 $ 14 . 00 $ 18 .00 $ 20 . 00 $ 29 . 00 82306, WELD VITAMIN D , 25 - HYDROXY, TOTAL, SERUM $ 12 . 00 $ 23 . 00 $ 30 . 00 $ 37 . 00 $ 54 . 00 82465 , WELD TOTAL CHOLESTEROL $ 3 . 00 $ 4 . 00 $ 5 . 00 $ 6 . 00 $ 8 . 00 r 4 82565 , WELD ASSAY OF CREATINE $ 3 . 00 $ 5 . 00 $ 6 . 00 $ 7 . 00 $ 10 . 00 82627 , WELD DHEAS $ 12 . 00 $ 18 . 00 $ 23 . 00 $ 28 . 00 $ 41 . 00 826270, WELD DHEA-SULFATE , SERUM $ 12 . 00 $ 18 . 00 $ 23 . 00 $ 28 . 00 $ 41 . 00 82670, WELD ESTRADIOL $ 7 . 00 $ 21 . 00 $ 28 . 00 $ 35 . 00 $ 51 . 00 82947 , WELD ASSAY, BODY FLUID, GLUCOSE , ( BS ) $ 3 . 00 $ 3 . 00 4 $4 . 00 $ 5 . 00 $ 8 . 00 82948, WELD GLUCOSE RANDOM $ 3 . 00 $ 5 . 00 $ 6 . 00 $ 7 . 00 $ 10 . 00 1 82951 , WELD GLUCOSE TOLERANCE TEST 2 HR ( GTT) $ 3 . 00 $ 10 . 00 $ 13 . 00 $ 17 . 00 $ 24 . 00 . 83001 , WELD FSH $ 6 . 00 $ 15 . 00 $ 19 . 00 $ 24 . 00 $ 34 . 00 830010, WELD LH + FSH , SERUM $ 12 . 00 $ 15 . 00 $ 19 . 00 $ 24 . 00 $ 34 . 00 83002 , WELD LH $ 6 . 00 $ 15 . 00 $ 19 . 00 $ 24 . 00 $ 34 . 00 83036, WELD HGB A1C $4 . 00 4 $ 8 . 00 $ 10 . 00 $ 13 . 00 $ 18 . 00 83037 , WELD HGB A1C ( FINGER STICK ) $4 . 00 $ 8 . 00 $ 10 . 00 $ 13 . 00 $ 18 . 00 83525 , WELD INSULIN , FASTING a $ 6 . 00 4 $ 9 . 00 $ 12 . 00 $ 15 . 00 4 $ 21 . 00 835250, WELD INSULIN , SERUM $ 6 . 00 $ 9 . 00 $ 12 . 00 $ 15 . 00 $ 21 . 00 83540, WELD Iron Panel $ 6 . 00 $ 7 . 00 $ 7 . 00 $ 9 . 00 $ 12 . 00 83718, WELD HDL CHOLESTEROL $ 3 . 00 $ 7 . 00 $ 9 . 00 $ 11 . 00 $ 15 . 00 84114, WELD PROGESTERONE LEVEL $ 12 . 00 $ 12 . 00 $ 12 . 00 $ 12 . 00 $ 12 . 00 84146, WELD PROLACTIN $ 7 . 00 $ 10 . 00 $ 15 . 00 $ 20 . 00 $ 25 . 00 84402, WELD TESTOSTERONE , FREE + TOTAL, SERUM 4 $ 17 . 00 $ 20 . 00 $ 26 . 00 $ 32 . 00 $ 47 . 00 84403 , WELD TESTOSTERONE, TOTAL $ 17 . 00 $ 20 . 00 $ 26 . 00 $ 33 . 00 $ 47 . 00 84436, WELD T4 THYROXINE $ 3 . 00 $ 6 . 00 $ 7 . 00 $ 9 . 00 $ 13 . 00 844360, WELD TSH + FREE T4, SERUM % $ 5 . 00 $ 6 . 00 $ 7 .00 $ 9 . 00 $ 13 . 00 84439, WELD T4 (TOTAL FREE - UNBOUND ) $ 5 . 00 $ 8 . 00 4 $ 10 . 00 $ 12 . 00 $ 17 . 00 84443 , WELD E L D TSH $ 5 . 00 $ 15 . 00 I $ 17 . 00 $ 19 . 00 $ 21 . 00 84480, WELD T3 TRIIODOTHYRONINE $ 11 . 00 $ 11 . 00 $ 14 . 00 $ 18 . 00 4 $ 26 . 00 84481 , WELD TT- 3 ( FREE - UNBOUND ) $ 11 . 00 $ 13 . 00 $ 17 . 00 $ 22 . 00 $ 31 . 00 844810, WELD T3 , FREE , SERUM OR PLASMA 4 $ 17 . 00 $ 19 . 00 $ 38 . 00 I $ 50 . 00 $ 50 . 00 84482 , WELD REVERSE T3 $ 6 . 00 $ 12 . 00 $ 16 . 00 $ 20 . 00 $ 29 . 00 84702 , WELD HCG QUANTITIVE - SERUM PREGNANCY TEST $ 0 . 00 $ 5 . 00 $ 16 . 00 $ 19 . 00 $ 28 . 00 85018, QW, WELD HGB - FINGER STICK $ 0 . 00 $ 3 . 00 $ 3 . 00 $ 4 . 00 $ 5 . 00 85025 , WELD CBC W/ DIFF i $ 3 . 00 $ 6 . 00 $ 8 . 00 $ 10 . 00 $ 15 . 00 85027 , WELD CBC W/O DIFF $ 3 . 00 $ 6 . 00 $ 7 . 00 $ 10 . 00 $ 12 . 00 86317 , WELD HEP B SURFACE AB QUANTITATIVE $ 7 . 00 $ 12 . 00 $ 15 . 00 $ 19 . 00 $ 28 . 00 86376, WELD MICROSOMAL ANTIBODIES $ 14 . 00 $ 14 . 00 $ 18 . 00 $ 19 . 00 $ 27 . 00 863760, WELD THYROID PEROXIDASE ( TPO ) AB , SERUM $ 7 . 00 $ 12 . 00 $ 15 . 00 $ 19 . 00 I $ 27 . 00 86480, WELD TUBERCULOSIS TEST-QUANTIFERON ( IGRA ) $ 52 . 00 $ 47 . 00 $ 62 . 00 $ 78 . 00 $ 113 . 00 86580, WELD TUBERCULOSIS INTERDERMAL SKIN TEST ( PPD ) $ 20 . 00 $ 20 . 00 $ 20 . 00 $ 20 . 00 $ 20 . 00 86592 , WELD RPR/SYPHILIS TEST $ 0 . 00 $4 . 00 4 $ 5 . 00 $ 6 . 00 $ 8 . 00 86593 , WELD RPR/SYPHILIS ( QUANT) $ 3 . 00 $ 4 . 00 $ 5 . 00 $ 6 . 00 $ 8 . 00 86695 , WELD HERPES SELECT - TYPE I ( 89999A33 ) $ 16 . 00 I $ 16 . 00 $ 16 . 00 $ 19 . 00 $ 26 . 00 86696 , WELD HERPES SELECT - TYPE II ( 89999A33 ) $ 23 . 00 $ 23 . 00 $ 23 . 00 i $ 27 . 00 I $ 38 . 00 86704, WELD HBV, HCV screening and diagnosis $ 28 . 00 4 $ 28 . 00 $ 28 . 00 4 $ 28 . 00 $ 28 . 00 86705 , WELD HEP B CORE AB- HEP B CORE ANTIBODY IGM $ 7 . 00 $ 9 . 00 $ 12 . 00 $ 15 . 00 $ 22 . 00 I ' 86706 , WELD HEP B SURFACE ANTIBODY-QUALITATIVE $ 7 . 00 $ 9 . 00 $ 11 . 00 $ 14 . 00 4 $ 20 . 00 86708 , WELD HEP A ANTIBODY $ 7 . 00 4 $ 10 . 00 $ 13 . 00 $ 16 . 00 $ 23 . 00 86709 , WELD HEP A IGM ANTIBODY 4 $ 9 . 00 % $ 9 . 00 4 $ 12 . 00 $ 15 . 00 $ 21 . 00 86780, WELD TREPONEMA PALLIDUM $ 5 . 00 $ 11 . 00 $ 14 . 00 $ 17 . 00 $ 24 . 00 86800, WELD THYROGLOBULIN AB $ 9 . 00 $ 12 . 00 $ 16 . 00 $ 20 . 00 $ 29 . 00 868000, WELD THYROGLOBULIN AB, SERUM $ 9 . 00 4 $ 12 . 00 $ 16 . 00 % $ 20 . 00 $ 29 . 00 86803 , WELD HEPATITIS C ANTIBODY A $ 10 . 00 4 $ 12 . 00 $ 15 . 00 $ 18 . 00 $ 26 . 00 87086, WELD URINE CULTURE, COMPREHENSIVE $ 8 . 00 $ 8 . 00 $ 14 . 00 $ 14 . 00 $ 14 . 00 87210, QW, WELD WET PREP $ 0 . 00 $ 5 . 00 $ 6 . 00 $ 8 . 00 $ 11 . 00 87254, WELD INFLUENZA - VIRAL CULTURE $46 . 00 $46 . 00 $ 46 . 00 $ 46 . 00 $46 . 00 87255, WELD HERPES CULTURE $ 10 . 00 $ 20 . 00 $ 30 . 00 $ 40 . 00 $ 62 . 00 r 87340, WELD HEP B SURFACE AG $ 9 . 00 $ 9 . 00 $ 11 . 00 $ 13 . 00 $ 19 . 00 87389, WELD HIV - 1 ANTIGEN W/ HIV- 1 & HIV- 2 $ 0 . 00 $ 5 . 00 $ 8 . 00 a $ 12 . 00 $ 24 . 00 87389W, WELD HIV, STATE CREDITS $ 0 . 00 $ 0 . 00 $ 0 . 00 a $ 0 . 00 4 $ 0 . 00 87491 , WELD CHLAMYDIA PCR $ 0 . 00 $ 12 . 00 $ 36 . 00 $ 44 . 00 $ 64 . 00 874910, WELD Chlamydia , Gonorrhea , Trichomonas $ 36 . 00 $ 36 . 00 $ 36 . 00 $ 36 . 00 $ 36 . 00 87522 , WELD HEPATITIS C PCR $ 110 . 00 $ 110 . 00 $ 110 . 00 $ 110 . 00 $ 110 . 00 87536, WELD HIV RNA Viral Load $ 108 . 00 4 $ 108 . 00 $ 108 . 00 $ 108 . 00 4 $ 108 . 00 87563 , WELD Mycoplasma Genitalium Swab $ 35 . 00 $ 35 . 00 $ 35 . 00 $ 35 . 00 $ 35 . 00 875630, WELD Mycoplasma Genitalium Urine 4 $ 35 . 00 $ 35 . 00 $ 35 . 00 4 $ 35 . 00 $ 35 . 00 87591 , WELD GONORRHEA PCR $ 0 . 00 a $ 12 . 00 4 $ 36 . 00 $ 44 . 00 $ 64 . 00 87593 , WELD MONKEYPOX TESTING STATE $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 87624, WELD HPV, HIGH RISK $ 0 . 00 a $ 26 . 00 $ 36 . 00 $ 44 . 00 $ 64 . 00 87625 , WELD HPV TYPING 16, 18, 45 $ 0 . 00 $ 26 . 00 $ 41 . 00 $ 51 . 00 $ 74 . 00 87661 , WELD TRICHOMONAS VAGINALIS - AMPLIFIED $ 5 . 00 $ 10 . 00 $ 20 . 00 $ 25 . 00 $ 30 . 00 88141 , WELD PHYSICIAN READ PAP I $ 0 . 00 $ 15 . 00 $ 19 . 00 $ 24 . 00 $ 35 . 00 88142 , WELD PAP - THIN PREP $ 0 . 00 $ 35 . 00 $46 . 00 4 $ 46 . 00 $ 46 . 00 88175 , WELD PAP, THIN PREP, W HR HPV, REFLEX 16, 18,45 $ 0 . 00 $ 35 . 00 $46 . 00 $ 46 . 00 $ 46 . 00 88305 , WELD LEVEL 4 - SURGICAL PATHOLOGY $ 37 . 00 $ 49 . 00 $ 65 . 00 $ 82 . 00 $ 118 . 00 LEVEL 4 - SURGICAL PATHOLOGY 2ND SITE & EACH 88305W, WELD ADDL 4 $ 37 . 00 $ 49 . 00 $ 65 . 00 $ 81 . 00 $ 118 . 00 90281, WELD IG HEPATITIS A - STATE SUPPLIED 4 $ 0 . 00 $ 0 . 00 $ 0 . 00 $0 . 00 $ 0 . 00 90380, VFC, WELD RSV - CHILD ( UNDER 5 KGS . ) - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90380, WELD RSV - CHILD ( UNDER 5 KGS . ) $ 70 . 00 $ 140 . 00 $ 279 . 00 $419 . 00 $ 558 . 00 90381 , VFC, WELD RSV - CHILD ( OVER 5 KGS . ) - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90381 , WELD RSV - CHILD ( OVER 5 KGS . ) $ 70 . 00 $ 140 . 00 $ 279 . 00 $ 419 . 00 $ 558 . 00 90471 , WELD IMMUNIZATION - ADMIN FEE - ONE VACCINE $ 21 . 00 $ 71 . 00 $ 21 . 00 $ 21 . 00 $ 21 . 00 IMMUNIZATION - ADMIN FEE - EACH ADDITIONAL 90472 , WELD VACCINE $ 21 . 00 $ 21 . 00 $ 21 . 00 $ 21 . 00 $ 21 . 00 90473 , WELD IMMUNIZATION - ADMIN FEE - INTRANASAL OR ORAL $ 21 . 00 4 $ 21 . 00 $ 21 . 00 $ 21 . 00 $ 21 . 00 90480, WELD ADMINISTRATION INJ - MODERNA $ 0 . 00 $ 47 . 00 $ 62 . 00 $ 78 . 00 $ 112 . 00 90611 , WELD MONKEYPOX - SUBQ 0 . 5 ML - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90620, VFC, WELD MENB - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90620, WELD MENB $ 53 . 00 _ $ 106 . 00 $ 212 . 00 $ 264 . 00 $ 383 . 00 90622 , WELD MONKEYPOX - IM 0 . 1 ML -STATE SUPPLIED 4 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90632 , 317 , WELD HEPATITIS A - ADULT - STATE SUPPLIED a $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90632 , WELD HEPATITIS A - ADULT $ 20 . 00 $ 40 . 00 $ 80 . 00 $ 100 . 00 $ 145 . 00 90633 , VFC, WELD HEPATITIS A - CHILD - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90633 , WELD HEPATITIS A - CHILD $ 42 . 00 $ 42 . 00 $ 42 . 00 $42 . 00 $ 42 . 00 90636, WELD TWINRIX - HEP A & HEP B $ 60 . 00 $ 90 . 00 $ 120 . 00 $ 152 . 00 $ 221 . 00 90647, VFC, WELD HIB - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $0 . 00 $ 0 . 00 $ 0 . 00 90647 , WELD HIB $ 9 . 00 $ 17 . 00 $ 33 . 00 $ 37 . 00 $ 53 . 00 90651 , 317 , WELD HPV 9 - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90651 , VFC, WELD HPV 9 - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90651 , WELD HPV 9 $ 63 . 00 $ 126 . 00 $ 252 . 00 $ 336 . 00 $ 488 . 00 90662 , 317 , WELD INFLUENZA - HIGH DOSE - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 4 $ 0 . 00 90662 , WELD INFLUENZA - HIGH DOSE $ 19 . 00 $ 38 . 00 $ 75 . 00 $ 80 . 00 $ 116 . 00 90670, 317 , WELD PREVNAR 20 ( PCV20 ) - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90670, VFC, WELD PREVNAR - ( PCV13 ) - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90670, WELD PREVNAR - ( PCV13 ) $49 . 00 $ 98 . 00 $ 196 . 00 $ 261 . 00 $ 261 . 00 90675,VFC, WELD RABIES IM - STATE SUPPLIED 4 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90675 , WELD RABIES IM $ 70 . 00 $ 139 . 00 $ 277 . 00 4 $ 369 . 00 $ 535 . 00 90675T, WELD RABIES IM - TRAVEL $ 532 . 00 $ 532 . 00 $ 532 . 00 $ 532 . 00 $ 532 . 00 90679, WELD RSV - ADULT $ 367 . 00 $ 367 . 00 $ 367 . 00 $ 367 . 00 $ 367 . 00 90680,VFC, WELD ROTAVIRUS - STATE SUPPLIED I $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90680, WELD ROTAVIRUS $ 24 . 00 $ 47 . 00 $ 93 . 00 $ 123 . 00 $ 123 . 00 90686, 317 , WELD INFLUENZA - ADULT - STATE SUPPLIED 4 $ 0 . 00 $ 0 . 00 i $ 0 . 00 $ 0 . 00 $ 0 . 00 90686, VFC, WELD INFLUENZA - CHILD - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90686, WELD INFLUENZA - GSK FLUARIX QUAD $ 40 . 00 $ 40 . 00 $ 40 . 00 $ 40 . 00 $ 40 . 00 90690, WELD TYPHOID - ORAL $ 125 . 00 $ 125 . 00 $ 125 . 00 $ 125 . 00 $ 125 . 00 90691 , WELD TYPHOID - 1 SHOT $ 243 . 00 $ 243 . 00 $ 243 . 00 $ 243 . 00 $ 243 . 00 90696, VFC, WELD KINRIX - ( DTAP/ IPV )/QUADRACEL - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90696, WELD KINRIX - ( DTAP/ IPV )/QUADRACEL $ 60 . 00 $ 60 . 00 $ 60 . 00 $ 60 . 00 $ 60 . 00 90698,VFC, WELD PENTACEL - ( DTAP/ IPV/ HEPB ) - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $0 . 00 $ 0 . 00 $ 0 . 00 90698, WELD PENTACEL - ( DTAP/ IPV/ HEPB ) $ 12 . 00 $ 23 . 00 $ 45 . 00 $ 60 . 00 $ 60 . 00 907OO, VFC, WELD DTAP- STATE SUPPLIED $0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $0 . 00 90700, WELD DTAP $ 25 . 00 $ 25 . 00 $ 25 . 00 $ 25 . 00 _ $ 25 . 00 90702 , VFC, WELD DT - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90707, 317 , WELD MMR - ADULT - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $0 . 00 $ 0 . 00 90707, VFC, WELD MMR - CHILD - STATE SUPPLIED $ 0 . 00 4 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90707 , WELD MMR $ 19 . 00 $ 38 . 00 $ 75 . 00 $ 100 . 00 $ 100 . 00 90710, VFC, WELD PROQUAD - MMR -VARICELLA - STATE SUPPLIED $ 0 . 00 a $ 0 . 00 $ 0 . 00 $ 0 . 00 4 $ 0 . 00 90710, WELD PROQUAD - MMR -VARICELLA $ 57 . 00 4 $ 113 . 00 $ 225 . 00 $ 299 . 00 $ 299 . 00 9O713 ,VFC, WELD IPV ( Polio ) - VFC - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90713 , WELD IPV ( Polio ) $47 . 00 $ 47 . 00 $ 47 . 00 $ 47 . 00 $47 . 00 90714, 317, WELD TD - STATE SUPPLIED - ADULT $0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90714,VFC, WELD TD - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90714, WELD TD $ 38 . 00 $ 38 . 00 $ 38 . 00 $ 38 . 00 $ 38 . 00 90715 , 317 , WELD TDAP - STATE SUPPLIED - ADULT $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90715 ,VFC, WELD TDAP - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90715, WELD E LD TDAP $44 . 00 $ 44 . 00 $44 . 00 4 $44 . 00 $44 . 00 90716 , 317 , WELD VARICELLA - ADULT - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 9O716, VFC, WELD i VARICELLA - CHILD - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 i $ 0 . 00 90716, WELD VARICELLA $ 35 . 00 $ 69 . 00 4 $ 138 . 00 $ 184 . 00 $ 184 . 00 90717 , WELD YELLOW FEVER $ 202 . 00 $ 202 . 00 $ 202 . 00 $ 202 . 00 $ 1 . 00 9O723 , VFC, WELD PEDIARIX - ( DTAP/ IPV/ HEPB ) - STATE SUPPLIED $0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90723 , WELD PEDIARIX - ( DTAP/ IPV/ HEPB ) $ 20 . 00 i $ 40 . 00 $ 79 . 00 $ 105 . 00 $ 105 . 00 9O732 ,VFC, WELD PNEUMOVAX - STATE SUPPLIED $0 . 00 $ 0 . 00 $0 . 00 $0 . 00 $ 0 . 00 90732 , WELD PNEUMOVAX ( PNEUMOCOCCAL POLYSACCHARIDE ) $ 28 . 00 I $ 56 . 00 $ 111 . 00 $ 147 . 00 $ 213 . 00 90734, 317, WELD MCV4 - STATE SUPPLIED $ 0 . 00 $ 0 . 00 p. $ 0 . 00 $ 0 . 00 $ 0 . 00 90734, WELD MCV4 $ 36 . 00 $ 71 . 00 $ 141 . 00 I $ 187 . 00 $ 270 . 00 90738, WELD JAPANESE ENCEPHALITIS ( NEW FORMULATION ) 4 $433 . 00 a $433 . 00 a $433 . 00 $433 . 00 r $433 . 00 90744, VFC, WELD HEPATITIS B - CHILD - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90744, WELD HEPATITIS B - CHILD $ 25 . 00 $ 25 . 00 $ 25 . 00 $ 25 . 00 $ 25 . 00 90746, 317, WELD HEPATITIS B - ADULT - STATE SUPPLIED a $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 90746, WELD HEPATITIS B - ADULT 4 $ 30 . 00 $ 45 . 00 $ 60 . 00 $ 84 . 00 $ 122 . 00 90750, 317, WELD SHINGRIX - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $0 . 00 $ 0 . 00 $0 . 00 90750, WELD SHINGRIX $ 92 . 00 $ 138 . 00 $ 184 . 00 $ 230 . 00 $ 333 . 00 91321 , VFC, WELD MODERNA - 6 MONTHS - 11 YRS . - STATE SUPPLIED $0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 91321 , WELD MODERNA - 6 MONTHS - 11 YRS . $ 145 . 00 $ 145 . 00 $ 145 . 00 r $ 145 . 00 $ 145 . 00 91322 , 317 , WELD MODERNA - 12 YRS . AND UP - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 91322 , VFC, WELD MODERNA - 12 YRS . AND UP - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 91322 , WELD , MODERNA - 12 YRS . AND UP $ 145 . 00 $ 145 . 00 $ 145 . 00 $ 145 . 00 $ 145 . 00 99202 , WELD NEW CLIENT VISIT - EXPANDED $ 0 . 00 $ 102 . 00 $ 135 . 00 $ 168 . 00 $ 244 . 00 99203 , TD, HD, WELD NURSE HOME VISITOR $ 0 . 00 $ 102 . 00 $ 135 . 00 $ 168 . 00 $ 244 . 00 99203 , WELD NEW CLIENT VISIT - DETAILED $ 0 . 00 r $ 152 . 00 $ 202 . 00 $ 252 . 00 $ 366 . 00 99204, WELD NEW CLIENT VISIT - COMPREHENSIVE $ 0 . 00 $ 152 . 00 $ 202 . 00 $ 252 . 00 $ 366 . 00 99205, WELD NEW CLIENT - COMPREHENSIVE $ 0 . 00 $ 23 . 00 i $ 30 . 00 $ 38 . 00 $ 54 . 00 99211 , WELD ESTABLISHED CLIENT VISIT - MINIMAL $ 0 . 00 $ 23 . 00 i $ 30 . 00 $ 38 . 00 $ 54 . 00 99212 , WELD ESTABLISHED CLIENT VISIT - FOCUSED $ 0 . 00 $ 44 . 00 $ 58 . 00 $ 73 . 00 $ 105 . 00 99213 , WELD ESTABLISHED CLIENT VISIT - EXPANDED $ 0 . 00 $ 60 . 00 $ 80 . 00 $ 100 . 00 $ 145 . 00 { 99214, WELD ESTABLISHED CLIENT VISIT - DETAILED - $ 0 . 00 $ 79 . 00 I $ 105 . 00 $ 131 . 00 $ 190 . 00 99215 , WELD ESTABLISHED CLIENT VISIT - COMPREHENSIVE $ 0 . 00 $ 110 . 00 $ 146 . 00 $ 183 . 00 $ 265 . 00 99341 , WELD TB NEW CLIENT ( FOCUSED ) - HOME VISIT $ 37 . 00 $ 56 . 00 $ 74 . 00 $ 92 . 00 $ 134 . 00 99342 , WELD TB NEW CLIENT ( EXPANDED ) - HOME VISIT $ 25 . 00 $ 37 . 00 $ 49 . 00 $ 61 . 00 $ 88 . 00 99347 , WELD ESTABLISHED - FOCUSED - HOME VISIT $ 28 . 00 $ 55 . 00 $ 73 . 00 $ 91 . 00 $ 132 . 00 99348, WELD TB ESTABLISHED ( EXPANDED ) HOME VISIT $ 44 . 00 $ 87 . 00 I $ 115 . 00 $ 144 . 00 $ 208 . 00 99401 , WELD PREVENTIVE MEDICINE - FOCUSED $ 0 . 00 $ 22 . 00 $ 29 . 00 $ 35 . 00 $ 52 . 00 99401W, WELD PREVENTIVE MEDICINE TRV RETURN $ 55 . 00 $ 55 . 00 $ 55 . 00 $ 55 . 00 $ 55 . 00 99402 , WELD PREVENTIVE MEDICINE - EXPANDED $ 0 . 00 $ 57 . 00 I $ 75 . 00 $ 94 . 00 $ 136 . 00 99403 , WELD PREVENTIVE MEDICINE - DETAILED $ 0 . 00 $ 72 . 00 $ 95 . 00 $ 119 . 00 $ 173 . 00 99404, WELD PREVENTIVE MEDICINE - COMPREHENSIVE $ 0 . 00 $ 10 . 00 $ 13 . 00 $ 16 . 00 $ 23 . 00 99406, WELD TOBACCO USE CESSATION COUNSELING ( 3 - 10 MIN ) $ 0 . 00 $ 21 . 00 $ 27 . 00 $ 33 . 00 $ 48 . 00 99407 , WELD TOBACCO USE CESSATION COUNSELING ( 11 + MIN ) $ 0 . 00 $ 10 . 00 $ 13 . 00 $ 16 . 00 $ 23 . 00 PREVENTIVE MEDICINE - GROUP INITIAL VISIT ( PER 99412 , WELD PERSON ) $ 75 . 00 $ 75 . 00 $ 75 . 00 $ 75 . 00 $ 75 . 00 r . A4267 , WELD CONDOMS PKG 10 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 A4268 FEMALE CONDOMS $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 G0435 , WELD HIV SCREEN , RAPID TEST $ 0 . 00 $ 25 . 00 $ 33 . 00 $ 41 . 00 $ 59 . 00 a G0435W, WELD HIV SCREEN , RAPID TEST - STATE SUPPLIED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 4 $0 . 00 MATERNAL DEPRESSION SCREENING NOT- G8431 , HD, WELD DOCUMENTED - POSITIVE $ 12 . 00 a $ 12 . 00 $ 12 . 00 $ 15 . 00 $ 22 . 00 MATERNAL DEPRESSION SCREENING NOT- G8431 , WELD DOCUMENTED- POSITIVE $ 12 . 00 $ 12 . 00 $ 12 . 00 $ 15 . 00 $ 22 . 00 MATERNAL DEPRESSION SCREENING DOCUMENTED - G8510, HD, WELD NEGATIVE $ 17 . 00 4 $ 30 . 00 $40 . 00 $49 . 00 a $ 71 . 00 MATERNAL DEPRESSION SCREENING DOCUMENTED- G8510, WELD NEGATIVE $ 17 . 00 $ 30 . 00 a $40 . 00 a $ 49 . 00 $ 71 . 00 G9006, HD, WELD NFP - E & M ( MOM ) $ 15 . 00 $ 15 . 00 , $ 20 . 00 $ 25 . 00 $ 36 . 00 G9006, WELD NHV MOTHER - TASK CARE MANAGEMENT $ 15 . 00 $ 15 . 00 $ 20 . 00 $ 25 . 00 $ 36 . 00 J0561 , WELD LA BICILLIN 2 . 4 UNITS $ 3 . 00 a $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 4 . 00 J0696, WELD CEFTRIAXONE 500 MG $ 3 . 00 $ 21 . 00 $ 27 . 00 $ 34 . 00 $ 49 . 00 MEDROXYPROGESTERONE ( DEPO ) 1 MG = 104 UNITS J1050, 104, WELD = $ . 12 PER UNIT $ 0 . 00 $ 10 . 00 $ 15 . 00 $ 30 . 00 $ 44 . 00 MEDROXYPROGESTERONE ( DEPO ) 1 MG = 150 UNITS = J1050, 150, WELD $ . 12 PER UNIT $ 0 . 00 4 $ 10 . 00 $ 15 . 00 $ 30 . 00 $ 74 . 00 J7295 , WELD ELURYNG/ NUVARING $ 0 . 00 $ 5 . 00 $ 10 . 00 $ 15 . 00 $ 20 . 00 J7296, WELD IUD KYLEENA $ 0 . 00 4 $ 517 . 00 $ 689 . 00 $ 845 . 00 $ 1 , 057 . 00 J7297 , WELD IUD LILETTA $ 0 . 00 4 $ 58 . 00 $ 115 . 00 $ 144 . 00 $ 209 . 00 J7300, WELD IUD PARAGARD $ 0 . 00 $ 249 . 00 $ 332 . 00 $ 415 . 00 $ 602 . 00 J7301N , WELD IUD SKYLA - NO CHARGE $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 J7307 , WELD NEXPLANON $ 0 . 00 4 $ 120 . 50 $ 241 . 00 $ 361 . 50 $482 . 00 J8499 , WELD DOXYCYCLINE 100 MG # 14 $ 3 . 00 a $ 3 . 00 $ 3 . 00 i $ 3 . 00 $ 3 . 00 MISC0004W, WELD SULFATRIM SMX/TMP $4 . 00 $ 4 . 00 $4 . 00 $ 4 . 00 $ 4 . 00 MISC0006W, WELD MISOPROSTOL ( CYTOTEC ) 200 MG #2 a $ 5 . 00 4 $ 5 . 00 $ 5 . 00 $ 5 . 00 $ 5 . 00 MISC0008W, WELD METROGEL $ 8 . 00 $ 8 . 00 $ 8 . 00 $ 8 . 00 $ 8 . 00 MISC0009W, WELD METRONIDAZOLE 500 MG - #4 4 $ 6 . 00 4 $ 6 . 00 $ 6 . 00 $ 6 . 00 $ 6 . 00 MISC0010W, WELD METRONIDAZOLE 500 MG - # 14 a $ 3 . 00 $ 3 . 00 4 $ 3 . 00 $ 3 . 00 $ 3 . 00 MISC0011W, WELD FLUCONAZOLE 150 MG # 1 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 MISC0012W, WELD IRON _ $ 3 . 00 $ 3 . 00 $ 3 . 00 I $ 3 . 00 $ 3 . 00 MISC0015W, WELD NITROFURANTOIN 100 MG # 10 $ 4 . 00 $ 4 . 00 $ 4 . 00 $ 4 . 00 $4 . 00 MISC0016W, WELD PODOPHYLLIN /TCA $ 3 . 00 $ 9 . 00 $ 11 . 00 $ 14 . 00 $ 20 . 00 MISC0017W, WELD CEFIXIME 400 MG # 2 $ 7 . 00 $ 7 . 00 $ 7 . 00 $ 7 . 00 $ 7 . 00 MISC0059W, WELD ESTRADIOL 1 MG - # 100 $ 5 . 00 $ 5 . 00 $ 5 . 00 $ 5 . 00 4 $ 5 . 00 MISC0060W, WELD MEDROXYPROGESTERONE 10 MG - #5 $4 . 00 $ 4 . 00 4 $ 4 . 00 $4 . 00 $4 . 00 MISC0069W, WELD PRINT/ MEDICAL RECORDS $ 0 . 50 $ 0 . 50 $ 0 . 50 $ 0 . 50 $ 0 . 50 MISC0071W, WELD COMMUNITY EDUCATION 1 HR $45 . 00 $ 45 . 00 $ 60 . 00 $ 75 . 00 $ 108 . 00 MISC0073W, WELD TRUVADA #3 $ 0 . 00 $ 18 . 00 $ 35 . 00 $ 53 . 00 $ 70 . 00 MISC0075W, WELD DESCOVY $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MISC0090W, WELD COURT ORDERED LAB DRAW - PER TEST $ 60 . 00 $ 60 . 00 $ 60 . 00 $ 60 . 00 $ 60 . 00 MISC0561W, WELD LA BICILLIN 2 . 4 UNITS - GRANT COVERED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MISC0696W, WELD CEFTRIAXONE 500 MG GRANT COVERED $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 4 $ 0 . 00 MISC101456W, WELD AZITHROMYCIN 1G - PARTNER PACK $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 MISCDON , WELD DONATION $ 1 . 00 $ 1 . 00 $ 1 . 00 $ 1 . 00 $ 1 . 00 MISCJ7296N , WELD IUD KYLEENA - NO CHARGE $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MISCJ7300, WELD IUD PARAGARD - NO CHARGE $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MISCJ7301 , WELD IUD SKYLA - NO CHARGE $ 0 . 00 $ 0 . 00 $0 . 00 $ 0 . 00 $ 0 . 00 MISCMYRIAD, WELD MYRIAD GENETIC TESTING $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MISCNSF, WELD NON -SUFFICIENT FUNDS ( BOUNCED CHECK ) $ 25 . 00 $ 25 . 00 $ 25 . 00 $ 25 . 00 $ 25 . 00 MISCQ0144, WELD AZITHROMYCIN , Z PACK 4 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 $ 3 . 00 MYRISK0, WELD MYRISK RESULT $ 0 . 00 4 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MYRISK1, WELD MYRISK BRACA - 2 TESTS $ 0 . 00 4 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MYRISK2 , WELD MYRISK - BRCA 1 & 2 ONLY $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MYRISK3 , WELD MYRISK MULTISITE 3 W/ REFLEX TO BRACA $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MYRISK5 , WELD MYRISK COLARIS 2 TESTS $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MYRISKO, WELD MYRISK UPDATE TEST $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 MYRISK0, WELD MYRISK SINGLE -SITE $ 0 . 00 $ 0 . 00 4 $ 0 . 00 $ 0 . 00 $ 0 . 00 S4993 , WELD ORAL CONTRACEPTIVES $ 0 . 00 $ 3 . 00 $ 6 . 00 $ 8 . 00 $ 11 . 00 T1017 , HD,TD, WELD NFP - E & M ( BABY ) - TELEHEALTH $ 39 . 00 $ 39 . 00 $ 39 . 00 $ 39 . 00 $ 39 . 00 T1017 , HD , WELD NFP - E & M ( BABY ) $ 39 . 00 $ 39 . 00 $ 39 . 00 $ 39 . 00 $ 39 . 00 VOIDCHARGE , WELD DCHARG E , W E LD VOIDCHARGE E $ 0 . 00 $ 0 . 00 $0 . 00 $ 0 . 00 $ 0 . 00 Hello