SM    (SMaRT) THERAPY SYSTEM

EASY-COMFORTABLE-EFFECTIVE

Initial Evaluation (Medicare): $99

(Includes Evaluation / Therapy Session / Therapy Plan)

(Patient Co-pay after deductible met $19.80)

Initial Evaluation - Long: $99

(Includes Evaluation / Therapy Session / Therapy Plan)

Initial Evaluation - Short: $49

(Includes Evaluation & Therapy Plan)

GUARANTEE: THERE IS NO CHARGE FOR AN EVALUATION RESULT WHEN THE

SM     THERAPY SYSTEM IS ASSESSED AS NON-BENEFICIAL IN OBTAINING

AN IMPROVEMENT FOR THE PATIENT'S HEALTH STATUS.

 Therapy Sessions: 

      $99.00 (45 - 60 Minutes) 

      $40.00 (each 15 Minutes) 

 PT Prescribed Activity Session:

        $10.00      

(each 15 Minutes) 

 PT Prescribed Activity Package 1: 

   10 PT Prescribed Activity Sessions: 

           (15 Minute Sessions)  

          $50.00   

  

 PT Prescribed Activity Package 2: 

 Monthly Unlimited  

 (15 Minute Sessions)  

            $100.00     

 NOTE: ALL PT PRESCRIBED ACTIVITY SESSIONS REQUIRE  

 AN APPOINTMENT.  

(MEDICARE ASSIGNMENT ACCEPTED)

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ELLSWORTH, ME 04605

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