Chiropractic Schedule
Payment For Services is Due
At Time of
Appointment
Chiropractic
Fee Schedule
When performed by an
Independent
Participating Chiropractor
Rev Jan '22
Member's
Services
Member Pays
Consultation
(initial)................... NO
CHARGE
Examination
(initial).................. NO
CHARGE
X-Ray&
Interpretation(initial)....
NO CHARGE
Each
Additional Film (one view)..............
$
48.00
Emergency Call (Holidays/
After Hours)...... 62.00
Physical
Medicine
Spinal Manipulation
(simple).........................
49.00
Cryotherapy
(heat/cold)...................................
47.00
Neuromuscular
Reeducation........................
48.00
Massage (30
minutes)....................................
51.00
Acupuncture......................................................
62.00
Ultrasound.........................................................
37.00
Supplies
Car Lumbar
Supports..................................... 15%
off
Ortho. Sleep Pillow
(Basic)............................ 15%
off
Tennis Elbow Strap
(Basic)........................... 15%
off
Ice
Collar............................................................
15% off
Lab
(Office Procedure)
Thyroid
Panel....................................................
42.00
Urinalysis...........................................................
29.00
HDL
Cholesterol..............................................
39.00
A fee will be charged for broken
appointments.
These charges are the maximum
allowable.
A deposit may be required prior to
services.
Not compatible with Medicare
ANY PROCEDURE NOT LISTED IS AVAILABLE AT 20% SAVINGS FROM
USUAL AND CUSTOMARY CHARGES
copyright American Chiropractic Plan 2022
No benefits qualify for work done outside the Doctor's
office.
Not all services are available at all
locations.
Members agree to terms of membership.
Complete copy available upon
request.
Doctor assumes full responsibility and liability for
services offered and
performed.
Acupuncture Fee Schedule
effect Jan 22
Member's
Services
Member Pays
Initial Comprehensive Medical
History.................... $77.00
(includes patient
response, health concerns, diet, lifestyle analysis, tongue
diagnosis, pulse exam, orthopedic evaluation, functional
musculoskeletal assessment, explanation of Chinese medical
theory.)
Acupuncture (30 minutes
treatment)............................$64.00
Electro
Acupuncture.............................................$89.00
Herb
consultation/dispensing (herbs
extra)...............20% off
Additional
Services..............................................20%
off