Member's
Services
Member Pays
Consultation
(initial)................... NO
CHARGE
Examination
(initial).................. NO
CHARGE
X-Ray&
Interpretation(initial)....
NO CHARGE
Each
Additional Film (one view)..............
$
35.00
Emergency Call (Holidays/
After Hours)...... 43.00
Physical
Medicine
Spinal Manipulation
(simple).........................
35.00
Cryotherapy
(heat/cold)...................................
24.00
Neuromuscular
Reeducation........................
32.00
Massage (30
minutes)....................................
36.00
Acupuncture......................................................
43.00
Ultrasound.........................................................
25.00
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....................................................
29.50
Urinalysis...........................................................
17.50
HDL
Cholesterol..............................................
26.00
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
2006