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DocuSign Envelope ID: E63EEB4C- 6DE4- 4BE1- A8C8- 30ACB3F24B10 <br />FEESCHEIDULE <br />TYPE OF MEDICAL PROCEDURE <br />COST PER TEST <br />AUDIOGRAM <br />$ <br />25.00 <br />BACK X -RAY <br />$ <br />72.00 <br />BLOOD LEAD LEVEL ZZP <br />$ <br />61.00 <br />BLOOD SCREENS- 7 panel drug screen <br />$ <br />86.00 <br />CHFSTX -RAY <br />$ <br />55.00 <br />CORE EXAM* <br />$ <br />80.00 <br />DMV <br />$ <br />99.00 <br />HEP A BLOOD SCREEN <br />$ <br />50.00 <br />HEP B BLOOD SCREEN <br />$ <br />55.00 <br />HEP B BOOSTER <br />$ <br />100.00 <br />HEP 3TITER <br />$ <br />55.00 <br />HEP B VACCINE <br />$ <br />100.00 <br />HEP AVACCINE <br />$ <br />132.00 <br />HEP C BLOOD SCREEN <br />$ <br />55.00 <br />HIV BLOOD SCREEN <br />$ <br />45.00 <br />PULMONARY FUNCTION TEST <br />$ <br />70.00 <br />RESPIRATOR FIT TEST <br />$ <br />50,00 <br />RESPIRATOR PHYSICAL (requires Pulmonary Function Test) <br />$ <br />80.00 <br />RESPIRATOR QUESTIONIARE IF PX IS NOT REQUIRED W /CLEARANCE <br />$ <br />28.00 <br />TB <br />$ <br />28.00 <br />URINALYSIS <br />$ <br />15.00 <br />URINE COLLECTION FEE <br />$ <br />28.00 <br />"Core exams are basic physicals: include vital signs, vision testing, physical exam, and urinalysis. <br />8 <br />