Page 37 - APPENDICES for Neill McLauchlin
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AMBULANCE


      Ground ambulance

      $245 copay







      THERAPY SERVICES


      Occupational therapy visit

      $20 copay

      Limits apply



      Physical therapy & speech & language therapy visit
      $20 copay

      Limits apply






      MENTAL HEALTH SERVICES



      Outpatient group therapy with a psychiatrist
      $0 copay

      Limits apply




      Outpatient individual therapy with a psychiatrist
      $0 copay

      Limits apply



      Outpatient group therapy visit
      $0 copay

      Limits apply




      Outpatient individual therapy visit
      $0 copay

      Limits apply






      OPIOID TREATMENT PROGRAM SERVICES
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