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SH21-049 Replacing EXHIBIT B price list
EXHIBIT 'B" COMPENSATION As full compensation for satisfactory performance of the work, the County shall pay Contractor compensation not to exceed: Description Code Price Physical Exam 99203 $ 115.00 Range of Motion (no charge) 97750 $ XR Chest, 1 View 71045 $ 30.00 XR Spine Thoracolumbar 2+ Views 72080 $ 35.00 PPD - Tuberculosis Screen 86580 $ 15.00 Urinalysis w/Micro 81001 $ 10.00 Fecal Occult Blood 82270 $ 5.00 Lab - CBC 005009 $ 5.00 Lab - LP 303756 $ 5.00 Lab - CMP 303756 $ 5.00 Lab - TSH w/Reflex 004259, 349829 $ 10.00 Venipuncture (no charge) 36415 $ Breathing Capacity Test (PFT, Pre Only) 94010 $ 25.00 EKG 930001 $ 25.00 Pure Tone Audiometry (Hearing Test) 92SS21 $ 10.00 295.00 Professional Services Agreement (rev. 09!24/2018) Page 14 of 17