Last Updated on 9/21/2021 Hospital Name Hospital Code Place of Service Service Code Service Category Service Line Service Description Gross Charge Payer-Specific Negotiated Charge Payer De-identified Minimum Negotiated Charge De-identified Maximum Negotiated Charge Discounted Cash Price * (See Below) Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB - MTN/NB " $4,200.00 " " $3,289.78 " Aetna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB - MTN/NB " $4,200.00 " " $3,289.78 " Cigna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB - MTN/NB " $4,200.00 " " $3,289.78 " Horizon " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB - MTN/NB " $4,200.00 " " $3,289.78 " United Healthcare " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB TOMS R " $4,200.00 " " $3,289.78 " Aetna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB TOMS R " $4,200.00 " " $3,289.78 " Cigna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB TOMS R " $4,200.00 " " $3,289.78 " Horizon " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B GENERAL REHAB TOMS R " $4,200.00 " " $3,289.78 " United Healthcare " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B VENTILATOR " $4,200.00 " " $3,289.78 " Aetna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B VENTILATOR " $4,200.00 " " $3,289.78 " Cigna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B VENTILATOR " $4,200.00 " " $3,289.78 " Horizon " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute R&B VENTILATOR " $4,200.00 " " $3,289.78 " United Healthcare " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute Social Hold DCPP NB IP " $4,200.00 " " $3,289.78 " Aetna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute Social Hold DCPP NB IP " $4,200.00 " " $3,289.78 " Cigna " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute Social Hold DCPP NB IP " $4,200.00 " " $3,289.78 " Horizon " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 128 Med/Surg Acute Med/Surg Acute Social Hold DCPP NB IP " $4,200.00 " " $3,289.78 " United Healthcare " $3,289.78 " " $3,289.78 " " $4,200.00 " Children's Specialized Hospital CSH Outpatient 420 Physical Therapy Physical Therapy PT 15 MIN OF PHYSICAL THERAPY $27.00 $27.00 Aetna $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 420 Physical Therapy Physical Therapy PT 15 MIN OF PHYSICAL THERAPY $27.00 $27.00 Cigna $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 420 Physical Therapy Physical Therapy PT 15 MIN OF PHYSICAL THERAPY $27.00 $27.00 Horizon $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 420 Physical Therapy Physical Therapy PT 15 MIN OF PHYSICAL THERAPY $27.00 $27.00 United Healthcare $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 424 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 424 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 424 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 424 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy NR-OT PLAY THERAPY GROUP $233.00 $225.64 Aetna $27.00 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy NR-OT PLAY THERAPY GROUP $233.00 $225.64 Cigna $27.00 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy NR-OT PLAY THERAPY GROUP $233.00 $225.64 Horizon $27.00 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy NR-OT PLAY THERAPY GROUP $233.00 $225.64 United Healthcare $27.00 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy OT 15 MIN OCCUPATIONAL THERAPY $27.00 $27.00 Aetna $27.00 $225.64 $27.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy OT 15 MIN OCCUPATIONAL THERAPY $27.00 $27.00 Cigna $27.00 $225.64 $27.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy OT 15 MIN OCCUPATIONAL THERAPY $27.00 $27.00 Horizon $27.00 $225.64 $27.00 Children's Specialized Hospital CSH Outpatient 430 Occupational Therapy Occupational Therapy OT 15 MIN OCCUPATIONAL THERAPY $27.00 $27.00 United Healthcare $27.00 $225.64 $27.00 Children's Specialized Hospital CSH Outpatient 440 Speech/Audiology Speech/Audiology ST-15 MIN. OF SPEECH THERAPY $27.00 $27.00 Aetna $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 440 Speech/Audiology Speech/Audiology ST-15 MIN. OF SPEECH THERAPY $27.00 $27.00 Cigna $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 440 Speech/Audiology Speech/Audiology ST-15 MIN. OF SPEECH THERAPY $27.00 $27.00 Horizon $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 440 Speech/Audiology Speech/Audiology ST-15 MIN. OF SPEECH THERAPY $27.00 $27.00 United Healthcare $27.00 $27.00 $27.00 Children's Specialized Hospital CSH Outpatient 16020 Occupational Therapy Occupational Therapy OT-DRESSING BURN SMALL $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16020 Occupational Therapy Occupational Therapy OT-DRESSING BURN SMALL $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16020 Occupational Therapy Occupational Therapy OT-DRESSING BURN SMALL $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16020 Occupational Therapy Occupational Therapy OT-DRESSING BURN SMALL $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16025 Occupational Therapy Occupational Therapy OT - DRESSING MED BURN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16025 Occupational Therapy Occupational Therapy OT - DRESSING MED BURN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16025 Occupational Therapy Occupational Therapy OT - DRESSING MED BURN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16025 Occupational Therapy Occupational Therapy OT - DRESSING MED BURN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16030 Occupational Therapy Occupational Therapy OT DRESSING LG BURN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16030 Occupational Therapy Occupational Therapy OT DRESSING LG BURN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16030 Occupational Therapy Occupational Therapy OT DRESSING LG BURN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 16030 Occupational Therapy Occupational Therapy OT DRESSING LG BURN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 29065 Occupational Therapy Occupational Therapy OT CAST LONG ARM $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29065 Occupational Therapy Occupational Therapy OT CAST LONG ARM $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29065 Occupational Therapy Occupational Therapy OT CAST LONG ARM $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29065 Occupational Therapy Occupational Therapy OT CAST LONG ARM $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29075 Occupational Therapy Occupational Therapy OT CAST SHORT ARM $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29075 Occupational Therapy Occupational Therapy OT CAST SHORT ARM $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29075 Occupational Therapy Occupational Therapy OT CAST SHORT ARM $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29075 Occupational Therapy Occupational Therapy OT CAST SHORT ARM $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29085 Occupational Therapy Occupational Therapy APPLY HAND/WRIST CAST $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29085 Occupational Therapy Occupational Therapy APPLY HAND/WRIST CAST $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29085 Occupational Therapy Occupational Therapy APPLY HAND/WRIST CAST $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29085 Occupational Therapy Occupational Therapy APPLY HAND/WRIST CAST $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29105 Occupational Therapy Occupational Therapy OT APPL LONG ARM SPLINT $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29105 Occupational Therapy Occupational Therapy OT APPL LONG ARM SPLINT $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29105 Occupational Therapy Occupational Therapy OT APPL LONG ARM SPLINT $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29105 Occupational Therapy Occupational Therapy OT APPL LONG ARM SPLINT $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29125 Occupational Therapy Occupational Therapy OT APPL SHORT ARM SPLINT $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29125 Occupational Therapy Occupational Therapy OT APPL SHORT ARM SPLINT $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29125 Occupational Therapy Occupational Therapy OT APPL SHORT ARM SPLINT $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29125 Occupational Therapy Occupational Therapy OT APPL SHORT ARM SPLINT $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29126 Occupational Therapy Occupational Therapy OT APPL DYNAMIC ARM SPLINT $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29126 Occupational Therapy Occupational Therapy OT APPL DYNAMIC ARM SPLINT $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29126 Occupational Therapy Occupational Therapy OT APPL DYNAMIC ARM SPLINT $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29126 Occupational Therapy Occupational Therapy OT APPL DYNAMIC ARM SPLINT $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29130 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT STATIC $272.00 $243.38 Aetna $243.38 $243.38 $272.00 Children's Specialized Hospital CSH Outpatient 29130 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT STATIC $272.00 $243.38 Cigna $243.38 $243.38 $272.00 Children's Specialized Hospital CSH Outpatient 29130 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT STATIC $272.00 $243.38 Horizon $243.38 $243.38 $272.00 Children's Specialized Hospital CSH Outpatient 29130 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT STATIC $272.00 $243.38 United Healthcare $243.38 $243.38 $272.00 Children's Specialized Hospital CSH Outpatient 29131 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT DYNAMIC $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29131 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT DYNAMIC $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29131 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT DYNAMIC $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29131 Occupational Therapy Occupational Therapy OT APPL FINGER SPLINT DYNAMIC $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 29200 Occupational Therapy Occupational Therapy "OT-STRAPPING, THORAX" $101.00 $101.00 Aetna $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 29200 Occupational Therapy Occupational Therapy "OT-STRAPPING, THORAX" $101.00 $101.00 Cigna $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 29200 Occupational Therapy Occupational Therapy "OT-STRAPPING, THORAX" $101.00 $101.00 Horizon $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 29200 Occupational Therapy Occupational Therapy "OT-STRAPPING, THORAX" $101.00 $101.00 United Healthcare $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 29240 Occupational Therapy Occupational Therapy OT-STRAPPING SHOULDER $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29240 Physical Therapy Physical Therapy NEURORHB-PT-STRAP SHOULDR $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29240 Occupational Therapy Occupational Therapy OT-STRAPPING SHOULDER $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29240 Physical Therapy Physical Therapy NEURORHB-PT-STRAP SHOULDR $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29240 Occupational Therapy Occupational Therapy OT-STRAPPING SHOULDER $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29240 Physical Therapy Physical Therapy NEURORHB-PT-STRAP SHOULDR $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29240 Occupational Therapy Occupational Therapy OT-STRAPPING SHOULDER $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29240 Physical Therapy Physical Therapy NEURORHB-PT-STRAP SHOULDR $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29260 Occupational Therapy Occupational Therapy OT STRAPPING ELBOW/WRIST $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29260 Occupational Therapy Occupational Therapy OT STRAPPING ELBOW/WRIST $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29260 Occupational Therapy Occupational Therapy OT STRAPPING ELBOW/WRIST $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29260 Occupational Therapy Occupational Therapy OT STRAPPING ELBOW/WRIST $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29280 Occupational Therapy Occupational Therapy "OT-STRAPPING, FING/HAND" $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29280 Occupational Therapy Occupational Therapy "OT-STRAPPING, FING/HAND" $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29280 Occupational Therapy Occupational Therapy "OT-STRAPPING, FING/HAND" $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29280 Occupational Therapy Occupational Therapy "OT-STRAPPING, FING/HAND" $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 29345 Physical Therapy Physical Therapy PT APPLICATION LONG LEG CAST $500.00 $347.07 Aetna $347.07 $347.07 $500.00 Children's Specialized Hospital CSH Outpatient 29345 Physical Therapy Physical Therapy PT APPLICATION LONG LEG CAST $500.00 $347.07 Cigna $347.07 $347.07 $500.00 Children's Specialized Hospital CSH Outpatient 29345 Physical Therapy Physical Therapy PT APPLICATION LONG LEG CAST $500.00 $347.07 Horizon $347.07 $347.07 $500.00 Children's Specialized Hospital CSH Outpatient 29345 Physical Therapy Physical Therapy PT APPLICATION LONG LEG CAST $500.00 $347.07 United Healthcare $347.07 $347.07 $500.00 Children's Specialized Hospital CSH Outpatient 29515 Physical Therapy Physical Therapy PT APPLICATION LOWR LEG SPLINT $517.00 $354.80 Aetna $354.80 $354.80 $517.00 Children's Specialized Hospital CSH Outpatient 29515 Physical Therapy Physical Therapy PT APPLICATION LOWR LEG SPLINT $517.00 $354.80 Cigna $354.80 $354.80 $517.00 Children's Specialized Hospital CSH Outpatient 29515 Physical Therapy Physical Therapy PT APPLICATION LOWR LEG SPLINT $517.00 $354.80 Horizon $354.80 $354.80 $517.00 Children's Specialized Hospital CSH Outpatient 29515 Physical Therapy Physical Therapy PT APPLICATION LOWR LEG SPLINT $517.00 $354.80 United Healthcare $354.80 $354.80 $517.00 Children's Specialized Hospital CSH Outpatient 29530 Physical Therapy Physical Therapy NEURORHB-PT-STRAP KNEE $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 29530 Physical Therapy Physical Therapy NEURORHB-PT-STRAP KNEE $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 29530 Physical Therapy Physical Therapy NEURORHB-PT-STRAP KNEE $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 29530 Physical Therapy Physical Therapy NEURORHB-PT-STRAP KNEE $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 29799 Occupational Therapy Occupational Therapy "OT-STRAPPING, LOW BACK" $101.00 $101.00 Aetna $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 29799 Occupational Therapy Occupational Therapy "OT-STRAPPING, LOW BACK" $101.00 $101.00 Cigna $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 29799 Occupational Therapy Occupational Therapy "OT-STRAPPING, LOW BACK" $101.00 $101.00 Horizon $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 29799 Occupational Therapy Occupational Therapy "OT-STRAPPING, LOW BACK" $101.00 $101.00 United Healthcare $101.00 $101.00 $101.00 Children's Specialized Hospital CSH Outpatient 90901 Physical Therapy Physical Therapy PT-BIOFEEDBACK $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90901 Occupational Therapy Occupational Therapy BIOFEEDBACK $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90901 Physical Therapy Physical Therapy PT-BIOFEEDBACK $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90901 Occupational Therapy Occupational Therapy BIOFEEDBACK $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90901 Physical Therapy Physical Therapy PT-BIOFEEDBACK $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90901 Occupational Therapy Occupational Therapy BIOFEEDBACK $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90901 Physical Therapy Physical Therapy PT-BIOFEEDBACK $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90901 Occupational Therapy Occupational Therapy BIOFEEDBACK $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 90911 Physical Therapy Physical Therapy PTA PELVIC FLR BFB TRNG 1ST 15 $104.00 $104.00 Aetna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90911 Physical Therapy Physical Therapy PTA PELVIC FLR BFB TRNG 1ST 15 $104.00 $104.00 Cigna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90911 Physical Therapy Physical Therapy PTA PELVIC FLR BFB TRNG 1ST 15 $104.00 $104.00 Horizon $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90911 Physical Therapy Physical Therapy PTA PELVIC FLR BFB TRNG 1ST 15 $104.00 $104.00 United Healthcare $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90912 Physical Therapy Physical Therapy PELVIC FLR BFB TRAINING 1ST 15 $104.00 $104.00 Aetna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90912 Physical Therapy Physical Therapy PELVIC FLR BFB TRAINING 1ST 15 $104.00 $104.00 Cigna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90912 Physical Therapy Physical Therapy PELVIC FLR BFB TRAINING 1ST 15 $104.00 $104.00 Horizon $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90912 Physical Therapy Physical Therapy PELVIC FLR BFB TRAINING 1ST 15 $104.00 $104.00 United Healthcare $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PTA PELVIC FLR BFB EA ADNL 15M $104.00 $104.00 Aetna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PELVIC FLR BFB EA ADDNL 15M $104.00 $104.00 Aetna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PTA PELVIC FLR BFB EA ADNL 15M $104.00 $104.00 Cigna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PELVIC FLR BFB EA ADDNL 15M $104.00 $104.00 Cigna $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PTA PELVIC FLR BFB EA ADNL 15M $104.00 $104.00 Horizon $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PELVIC FLR BFB EA ADDNL 15M $104.00 $104.00 Horizon $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PTA PELVIC FLR BFB EA ADNL 15M $104.00 $104.00 United Healthcare $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 90913 Physical Therapy Physical Therapy PELVIC FLR BFB EA ADDNL 15M $104.00 $104.00 United Healthcare $104.00 $104.00 $104.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN W/TST ASST 1XP DAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN WO/TST ASST 1XPDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN W/TST ASST 1X PDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN WO/TST ASST 1XPDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 30MN 1X PDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND THER 45 MN 1X PDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 60 MN 1XPDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEUST-IND(AUG)THER15 MIN 1PDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND(AUG)THER30MIN 1PDAY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 15MN 1XPER DY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 30MN 1XPER DY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 60MN 1XPER DY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 45MN 1XPER DY $371.00 $288.40 Aetna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN W/TST ASST 1XP DAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN WO/TST ASST 1XPDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN W/TST ASST 1X PDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN WO/TST ASST 1XPDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 30MN 1X PDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND THER 45 MN 1X PDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 60 MN 1XPDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEUST-IND(AUG)THER15 MIN 1PDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND(AUG)THER30MIN 1PDAY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 15MN 1XPER DY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 30MN 1XPER DY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 60MN 1XPER DY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 45MN 1XPER DY $371.00 $288.40 Cigna $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN W/TST ASST 1XP DAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN WO/TST ASST 1XPDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN W/TST ASST 1X PDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN WO/TST ASST 1XPDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 30MN 1X PDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND THER 45 MN 1X PDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 60 MN 1XPDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEUST-IND(AUG)THER15 MIN 1PDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND(AUG)THER30MIN 1PDAY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 15MN 1XPER DY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 30MN 1XPER DY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 60MN 1XPER DY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 45MN 1XPER DY $371.00 $288.40 Horizon $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN W/TST ASST 1XP DAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 30MIN WO/TST ASST 1XPDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN W/TST ASST 1X PDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology VISIT 60MIN WO/TST ASST 1XPDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 30MN 1X PDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND THER 45 MN 1X PDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEURO-ST-IND THER 60 MN 1XPDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEUST-IND(AUG)THER15 MIN 1PDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology NEU-ST-IND(AUG)THER30MIN 1PDAY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 15MN 1XPER DY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 30MN 1XPER DY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 60MN 1XPER DY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92507 Speech/Audiology Speech/Audiology SP-INDIV THERAPY 45MN 1XPER DY $371.00 $288.40 United Healthcare $288.40 $288.40 $371.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology AUD-TEAM THERAPY 30 MIN $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology NEURO-ST-GRP THER PROC 30 MIN $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 60MN 1XPER DY $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER 45 MIN $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 30 MIN $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology AUD-TEAM THERAPY 30 MIN $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology NEURO-ST-GRP THER PROC 30 MIN $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 60MN 1XPER DY $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER 45 MIN $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 30 MIN $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology AUD-TEAM THERAPY 30 MIN $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology NEURO-ST-GRP THER PROC 30 MIN $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 60MN 1XPER DY $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER 45 MIN $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 30 MIN $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology AUD-TEAM THERAPY 30 MIN $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology NEURO-ST-GRP THER PROC 30 MIN $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 60MN 1XPER DY $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER 45 MIN $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92508 Speech/Audiology Speech/Audiology SP-GRP THER PROC 30 MIN $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology NR-EVAL OF SPEECH FLUENCY $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology AUTISM-EVAL OF SPEECH FLUENCY $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology EVAL OF SPEECH FLUENCY $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology IP EVAL OF SPEECH FLUENCY $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology LTC EVAL OF SPEECH FLUENCY $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology NR-EVAL OF SPEECH FLUENCY $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology AUTISM-EVAL OF SPEECH FLUENCY $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology EVAL OF SPEECH FLUENCY $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology IP EVAL OF SPEECH FLUENCY $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology LTC EVAL OF SPEECH FLUENCY $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology NR-EVAL OF SPEECH FLUENCY $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology AUTISM-EVAL OF SPEECH FLUENCY $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology EVAL OF SPEECH FLUENCY $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology IP EVAL OF SPEECH FLUENCY $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology LTC EVAL OF SPEECH FLUENCY $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology NR-EVAL OF SPEECH FLUENCY $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology AUTISM-EVAL OF SPEECH FLUENCY $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology EVAL OF SPEECH FLUENCY $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology IP EVAL OF SPEECH FLUENCY $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92521 Speech/Audiology Speech/Audiology LTC EVAL OF SPEECH FLUENCY $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology NR-EVAL SPEECH PRODUCTION $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology AUTISM-EVAL SPEECH PRODUCTION $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology EVAL SPEECH PRODUCTION $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology IP-EVAL OF SPEECH PRODUCTION $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology LTC EVAL SPEECH PRODUCTION $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology NR-EVAL SPEECH PRODUCTION $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology AUTISM-EVAL SPEECH PRODUCTION $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology EVAL SPEECH PRODUCTION $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology IP-EVAL OF SPEECH PRODUCTION $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology LTC EVAL SPEECH PRODUCTION $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology NR-EVAL SPEECH PRODUCTION $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology AUTISM-EVAL SPEECH PRODUCTION $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology EVAL SPEECH PRODUCTION $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology IP-EVAL OF SPEECH PRODUCTION $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology LTC EVAL SPEECH PRODUCTION $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology NR-EVAL SPEECH PRODUCTION $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology AUTISM-EVAL SPEECH PRODUCTION $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology EVAL SPEECH PRODUCTION $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology IP-EVAL OF SPEECH PRODUCTION $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92522 Speech/Audiology Speech/Audiology LTC EVAL SPEECH PRODUCTION $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology NR-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology AUTISM SPEECH SOUND LANG COMPR $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology IP-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology LTC SPEECH SOUND LANG COMPRE $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology NR-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology AUTISM SPEECH SOUND LANG COMPR $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology IP-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology LTC SPEECH SOUND LANG COMPRE $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology NR-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology AUTISM SPEECH SOUND LANG COMPR $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology IP-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology LTC SPEECH SOUND LANG COMPRE $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology NR-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology AUTISM SPEECH SOUND LANG COMPR $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology SPEECH SOUND LANG COMPREHEN $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology IP-SPEECH SOUND LANG COMPREHEN $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92523 Speech/Audiology Speech/Audiology LTC SPEECH SOUND LANG COMPRE $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology NR-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology AUTISM BEHAV QUAL ANALYS VOICE $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology BEHAVIORAL QUALIT ANAYLS VOICE $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology IP-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology LTC BEHAV QUALITY ANLYS VOICE $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology NR-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology AUTISM BEHAV QUAL ANALYS VOICE $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology BEHAVIORAL QUALIT ANAYLS VOICE $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology IP-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology LTC BEHAV QUALITY ANLYS VOICE $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology NR-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology AUTISM BEHAV QUAL ANALYS VOICE $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology BEHAVIORAL QUALIT ANAYLS VOICE $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology IP-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology LTC BEHAV QUALITY ANLYS VOICE $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology NR-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology AUTISM BEHAV QUAL ANALYS VOICE $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology BEHAVIORAL QUALIT ANAYLS VOICE $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology IP-BEHAVRL QUALIT ANALYS VOICE $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92524 Speech/Audiology Speech/Audiology LTC BEHAV QUALITY ANLYS VOICE $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 15MN 1PR DY $366.00 $286.13 Aetna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 30MN 1PR DY $366.00 $286.13 Aetna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 45MN 1PR DY $366.00 $286.13 Aetna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLW TX 60MN 1XPR DY $366.00 $286.13 Aetna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 15MN 1PR DY $366.00 $286.13 Cigna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 30MN 1PR DY $366.00 $286.13 Cigna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 45MN 1PR DY $366.00 $286.13 Cigna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLW TX 60MN 1XPR DY $366.00 $286.13 Cigna $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 15MN 1PR DY $366.00 $286.13 Horizon $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 30MN 1PR DY $366.00 $286.13 Horizon $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 45MN 1PR DY $366.00 $286.13 Horizon $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLW TX 60MN 1XPR DY $366.00 $286.13 Horizon $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 15MN 1PR DY $366.00 $286.13 United Healthcare $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 30MN 1PR DY $366.00 $286.13 United Healthcare $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW TX 45MN 1PR DY $366.00 $286.13 United Healthcare $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92526 Speech/Audiology Speech/Audiology SP-FEED/SWALLW TX 60MN 1XPR DY $366.00 $286.13 United Healthcare $286.13 $286.13 $366.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology ST- EVAL FOR NON SGD SERVICES $630.00 $406.20 Aetna $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology INPT ST EVAL FOR NON SGD SVCS $630.00 $406.20 Aetna $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology LTC ST EVAL FOR NON SGD SVCS $630.00 $406.20 Aetna $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology ST- EVAL FOR NON SGD SERVICES $630.00 $406.20 Cigna $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology INPT ST EVAL FOR NON SGD SVCS $630.00 $406.20 Cigna $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology LTC ST EVAL FOR NON SGD SVCS $630.00 $406.20 Cigna $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology ST- EVAL FOR NON SGD SERVICES $630.00 $406.20 Horizon $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology INPT ST EVAL FOR NON SGD SVCS $630.00 $406.20 Horizon $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology LTC ST EVAL FOR NON SGD SVCS $630.00 $406.20 Horizon $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology ST- EVAL FOR NON SGD SERVICES $630.00 $406.20 United Healthcare $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology INPT ST EVAL FOR NON SGD SVCS $630.00 $406.20 United Healthcare $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92605 Speech/Audiology Speech/Audiology LTC ST EVAL FOR NON SGD SVCS $630.00 $406.20 United Healthcare $406.20 $406.20 $630.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 30 MINS $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 45 MINS $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 60 MINS $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 30 MINS $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 45 MINS $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 60 MINS $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 30 MINS $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 45 MINS $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 60 MINS $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 30 MINS $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 45 MINS $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92606 Speech/Audiology Speech/Audiology ST-NON SGD SERVICES 60 MINS $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Aetna $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology LTC ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Aetna $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology INPT ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Aetna $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Cigna $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology LTC ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Cigna $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology INPT ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Cigna $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Horizon $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology LTC ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Horizon $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology INPT ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 Horizon $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 United Healthcare $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology LTC ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 United Healthcare $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92607 Speech/Audiology Speech/Audiology INPT ST-EVAL FOR SGD 1ST HOUR $277.00 $245.65 United Healthcare $245.65 $245.65 $277.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD EA ADDL 30MINS $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology LTC ST EVAL FOR SGD EA ADDL 30 $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology INPT ST EVAL SGD EA ADDL 30MIN $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD EA ADDL 30MINS $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology LTC ST EVAL FOR SGD EA ADDL 30 $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology INPT ST EVAL SGD EA ADDL 30MIN $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD EA ADDL 30MINS $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology LTC ST EVAL FOR SGD EA ADDL 30 $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology INPT ST EVAL SGD EA ADDL 30MIN $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology ST-EVAL FOR SGD EA ADDL 30MINS $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology LTC ST EVAL FOR SGD EA ADDL 30 $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92608 Speech/Audiology Speech/Audiology INPT ST EVAL SGD EA ADDL 30MIN $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 30 MINS $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 45 MINS $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 60 MINS $180.00 $180.00 Aetna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 30 MINS $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 45 MINS $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 60 MINS $180.00 $180.00 Cigna $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 30 MINS $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 45 MINS $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 60 MINS $180.00 $180.00 Horizon $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 30 MINS $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 45 MINS $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92609 Speech/Audiology Speech/Audiology ST-SGD SERVICES 60 MINS $180.00 $180.00 United Healthcare $180.00 $180.00 $180.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW EVAL $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-INIT.TEAM FEED EVAL $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SPEECH FEED/SWALLOW EVAL $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology LTC BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 Aetna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW EVAL $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-INIT.TEAM FEED EVAL $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SPEECH FEED/SWALLOW EVAL $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology LTC BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 Cigna $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW EVAL $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-INIT.TEAM FEED EVAL $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SPEECH FEED/SWALLOW EVAL $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology LTC BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 Horizon $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-FEED/SWALLOW EVAL $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SP-INIT.TEAM FEED EVAL $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology SPEECH FEED/SWALLOW EVAL $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology LTC BEDSIDE FEED/SWALLOW EVAL $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 92610 Speech/Audiology Speech/Audiology ST LTC FEEDING ASSESSMENT $713.00 $443.95 United Healthcare $443.95 $443.95 $713.00 Children's Specialized Hospital CSH Outpatient 95831 Occupational Therapy Occupational Therapy "MUS TEST, MAN NO HAND/TRUNK" $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95831 Physical Therapy Physical Therapy "PT-MUSCLE TEST,EXT/TRUNK" $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95831 Occupational Therapy Occupational Therapy "MUS TEST, MAN NO HAND/TRUNK" $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95831 Physical Therapy Physical Therapy "PT-MUSCLE TEST,EXT/TRUNK" $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95831 Occupational Therapy Occupational Therapy "MUS TEST, MAN NO HAND/TRUNK" $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95831 Physical Therapy Physical Therapy "PT-MUSCLE TEST,EXT/TRUNK" $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95831 Occupational Therapy Occupational Therapy "MUS TEST, MAN NO HAND/TRUNK" $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95831 Physical Therapy Physical Therapy "PT-MUSCLE TEST,EXT/TRUNK" $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95832 Physical Therapy Physical Therapy "PT-MUSCLE TEST,HAND" $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95832 Occupational Therapy Occupational Therapy "MUSCLE TESTING, MANUAL HAND" $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95832 Physical Therapy Physical Therapy "PT-MUSCLE TEST,HAND" $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95832 Occupational Therapy Occupational Therapy "MUSCLE TESTING, MANUAL HAND" $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95832 Physical Therapy Physical Therapy "PT-MUSCLE TEST,HAND" $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95832 Occupational Therapy Occupational Therapy "MUSCLE TESTING, MANUAL HAND" $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95832 Physical Therapy Physical Therapy "PT-MUSCLE TEST,HAND" $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95832 Occupational Therapy Occupational Therapy "MUSCLE TESTING, MANUAL HAND" $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95833 Occupational Therapy Occupational Therapy "MUS TST,TOTAL EVAL EXCLUD HAND" $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95833 Occupational Therapy Occupational Therapy "MUS TST,TOTAL EVAL EXCLUD HAND" $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95833 Occupational Therapy Occupational Therapy "MUS TST,TOTAL EVAL EXCLUD HAND" $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95833 Occupational Therapy Occupational Therapy "MUS TST,TOTAL EVAL EXCLUD HAND" $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95834 Occupational Therapy Occupational Therapy TOTAL EVALUATION INCLUD HANDS $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 95834 Occupational Therapy Occupational Therapy TOTAL EVALUATION INCLUD HANDS $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 95834 Occupational Therapy Occupational Therapy TOTAL EVALUATION INCLUD HANDS $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 95834 Occupational Therapy Occupational Therapy TOTAL EVALUATION INCLUD HANDS $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy NEURORHB-PT-ROM FULL BODY $91.00 $91.00 Aetna $91.00 $181.00 $91.00 Children's Specialized Hospital CSH Outpatient 95851 Occupational Therapy Occupational Therapy OT RANGE OF MOT MEAS PER EXTRE $181.00 $181.00 Aetna $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy PT-ROM EXTREMITY/TRUNK $181.00 $181.00 Aetna $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy NEURORHB-PT-ROM FULL BODY $91.00 $91.00 Cigna $91.00 $181.00 $91.00 Children's Specialized Hospital CSH Outpatient 95851 Occupational Therapy Occupational Therapy OT RANGE OF MOT MEAS PER EXTRE $181.00 $181.00 Cigna $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy PT-ROM EXTREMITY/TRUNK $181.00 $181.00 Cigna $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy NEURORHB-PT-ROM FULL BODY $91.00 $91.00 Horizon $91.00 $181.00 $91.00 Children's Specialized Hospital CSH Outpatient 95851 Occupational Therapy Occupational Therapy OT RANGE OF MOT MEAS PER EXTRE $181.00 $181.00 Horizon $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy PT-ROM EXTREMITY/TRUNK $181.00 $181.00 Horizon $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy NEURORHB-PT-ROM FULL BODY $91.00 $91.00 United Healthcare $91.00 $181.00 $91.00 Children's Specialized Hospital CSH Outpatient 95851 Occupational Therapy Occupational Therapy OT RANGE OF MOT MEAS PER EXTRE $181.00 $181.00 United Healthcare $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95851 Physical Therapy Physical Therapy PT-ROM EXTREMITY/TRUNK $181.00 $181.00 United Healthcare $91.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 95852 Physical Therapy Physical Therapy PT-ROM HAND $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95852 Occupational Therapy Occupational Therapy "RANGE OF MOTION MEASURE, HAND" $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95852 Physical Therapy Physical Therapy PT-ROM HAND $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95852 Occupational Therapy Occupational Therapy "RANGE OF MOTION MEASURE, HAND" $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95852 Physical Therapy Physical Therapy PT-ROM HAND $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95852 Occupational Therapy Occupational Therapy "RANGE OF MOTION MEASURE, HAND" $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95852 Physical Therapy Physical Therapy PT-ROM HAND $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 95852 Occupational Therapy Occupational Therapy "RANGE OF MOTION MEASURE, HAND" $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology NEURORHB-ST-COG LNG EVAL P60MN $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology ASSESSMENT OF APHASIA 60 MINS $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology SP - APHASIA ASSESSMENT $362.00 $284.31 Aetna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology NEURORHB-ST-COG LNG EVAL P60MN $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology ASSESSMENT OF APHASIA 60 MINS $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology SP - APHASIA ASSESSMENT $362.00 $284.31 Cigna $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology NEURORHB-ST-COG LNG EVAL P60MN $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology ASSESSMENT OF APHASIA 60 MINS $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology SP - APHASIA ASSESSMENT $362.00 $284.31 Horizon $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology NEURORHB-ST-COG LNG EVAL P60MN $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology ASSESSMENT OF APHASIA 60 MINS $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96105 Speech/Audiology Speech/Audiology SP - APHASIA ASSESSMENT $362.00 $284.31 United Healthcare $284.31 $284.31 $362.00 Children's Specialized Hospital CSH Outpatient 96111 Occupational Therapy Occupational Therapy CNS EXTEND DEVELOP TEST SIPT $723.00 $448.50 Aetna $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96111 Occupational Therapy Occupational Therapy CNS EXTEND DEVELOP TEST SIPT $723.00 $448.50 Cigna $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96111 Occupational Therapy Occupational Therapy CNS EXTEND DEVELOP TEST SIPT $723.00 $448.50 Horizon $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96111 Occupational Therapy Occupational Therapy CNS EXTEND DEVELOP TEST SIPT $723.00 $448.50 United Healthcare $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96112 Speech/Audiology Speech/Audiology SP-IP INFANT/TOD DEV TESTING $723.00 $448.50 Aetna $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96112 Speech/Audiology Speech/Audiology SP-IP INFANT/TOD DEV TESTING $723.00 $448.50 Cigna $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96112 Speech/Audiology Speech/Audiology SP-IP INFANT/TOD DEV TESTING $723.00 $448.50 Horizon $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96112 Speech/Audiology Speech/Audiology SP-IP INFANT/TOD DEV TESTING $723.00 $448.50 United Healthcare $448.50 $448.50 $723.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology SP COGNITIVE PERFORMANCE TEST $560.00 $374.36 Aetna $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology LTC SP COG PERFORM TEST PER HR $560.00 $374.36 Aetna $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology SP COGNITIVE PERFORMANCE TEST $560.00 $374.36 Cigna $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology LTC SP COG PERFORM TEST PER HR $560.00 $374.36 Cigna $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology SP COGNITIVE PERFORMANCE TEST $560.00 $374.36 Horizon $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology LTC SP COG PERFORM TEST PER HR $560.00 $374.36 Horizon $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology SP COGNITIVE PERFORMANCE TEST $560.00 $374.36 United Healthcare $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 96125 Speech/Audiology Speech/Audiology LTC SP COG PERFORM TEST PER HR $560.00 $374.36 United Healthcare $374.36 $374.36 $560.00 Children's Specialized Hospital CSH Outpatient 97001 Physical Therapy Physical Therapy REHT-PT EVAL ASSISTIVE TECH $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97001 Physical Therapy Physical Therapy REHT-PT EVAL ASSISTIVE TECH $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97001 Physical Therapy Physical Therapy REHT-PT EVAL ASSISTIVE TECH $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97001 Physical Therapy Physical Therapy REHT-PT EVAL ASSISTIVE TECH $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy REHT-OT EVAL ASSISTIVE TECH $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy OT-INITIAL TEAM EVAL AUTISM $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy REHT-OT EVAL ASSISTIVE TECH $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy OT-INITIAL TEAM EVAL AUTISM $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy REHT-OT EVAL ASSISTIVE TECH $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy OT-INITIAL TEAM EVAL AUTISM $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy REHT-OT EVAL ASSISTIVE TECH $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97003 Occupational Therapy Occupational Therapy OT-INITIAL TEAM EVAL AUTISM $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy PT-HOT/COLD PACK THERAPY $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy NEURORHB-PT-HOT/COLD PACK $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Occupational Therapy Occupational Therapy OT HOT/COLD PACKS $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy PT-HOT/COLD PACK THERAPY $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy NEURORHB-PT-HOT/COLD PACK $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Occupational Therapy Occupational Therapy OT HOT/COLD PACKS $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy PT-HOT/COLD PACK THERAPY $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy NEURORHB-PT-HOT/COLD PACK $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Occupational Therapy Occupational Therapy OT HOT/COLD PACKS $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy PT-HOT/COLD PACK THERAPY $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Physical Therapy Physical Therapy NEURORHB-PT-HOT/COLD PACK $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97010 Occupational Therapy Occupational Therapy OT HOT/COLD PACKS $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PT- E-STIM NON DIRECT CONTACT $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PTA E-STIM NON DIRECT CONTACT $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Occupational Therapy Occupational Therapy OT-E-STIM NON DIRECT CONTACT $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PT- E-STIM NON DIRECT CONTACT $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PTA E-STIM NON DIRECT CONTACT $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Occupational Therapy Occupational Therapy OT-E-STIM NON DIRECT CONTACT $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PT- E-STIM NON DIRECT CONTACT $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PTA E-STIM NON DIRECT CONTACT $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Occupational Therapy Occupational Therapy OT-E-STIM NON DIRECT CONTACT $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PT- E-STIM NON DIRECT CONTACT $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Physical Therapy Physical Therapy PTA E-STIM NON DIRECT CONTACT $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97014 Occupational Therapy Occupational Therapy OT-E-STIM NON DIRECT CONTACT $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Physical Therapy Physical Therapy PT-PARRAFIN BATH THERAPY $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Occupational Therapy Occupational Therapy PARAFFIN BATH THERAPY $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Physical Therapy Physical Therapy PT-PARRAFIN BATH THERAPY $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Occupational Therapy Occupational Therapy PARAFFIN BATH THERAPY $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Physical Therapy Physical Therapy PT-PARRAFIN BATH THERAPY $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Occupational Therapy Occupational Therapy PARAFFIN BATH THERAPY $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Physical Therapy Physical Therapy PT-PARRAFIN BATH THERAPY $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97018 Occupational Therapy Occupational Therapy PARAFFIN BATH THERAPY $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Physical Therapy Physical Therapy PT-WHIRLPOOL $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Occupational Therapy Occupational Therapy WHIRLPOOL $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Physical Therapy Physical Therapy PT-WHIRLPOOL $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Occupational Therapy Occupational Therapy WHIRLPOOL $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Physical Therapy Physical Therapy PT-WHIRLPOOL $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Occupational Therapy Occupational Therapy WHIRLPOOL $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Physical Therapy Physical Therapy PT-WHIRLPOOL $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97022 Occupational Therapy Occupational Therapy WHIRLPOOL $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PT-ELECT STIM(DIRECT CONTACT) $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PTA E-STIM DIRECT CONTACT $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy NEURORHB-PT-ELEC STIM-15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Occupational Therapy Occupational Therapy ELCTRC STIM/DIRCT CONTCT 15 MN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PT-ELECT STIM(DIRECT CONTACT) $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PTA E-STIM DIRECT CONTACT $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy NEURORHB-PT-ELEC STIM-15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Occupational Therapy Occupational Therapy ELCTRC STIM/DIRCT CONTCT 15 MN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PT-ELECT STIM(DIRECT CONTACT) $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PTA E-STIM DIRECT CONTACT $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy NEURORHB-PT-ELEC STIM-15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Occupational Therapy Occupational Therapy ELCTRC STIM/DIRCT CONTCT 15 MN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PT-ELECT STIM(DIRECT CONTACT) $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy PTA E-STIM DIRECT CONTACT $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Physical Therapy Physical Therapy NEURORHB-PT-ELEC STIM-15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97032 Occupational Therapy Occupational Therapy ELCTRC STIM/DIRCT CONTCT 15 MN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97034 Physical Therapy Physical Therapy PT-CONTRAST BATH 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97034 Physical Therapy Physical Therapy PT-CONTRAST BATH 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97034 Physical Therapy Physical Therapy PT-CONTRAST BATH 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97034 Physical Therapy Physical Therapy PT-CONTRAST BATH 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Physical Therapy Physical Therapy PT-ULTRASOUND THER 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Occupational Therapy Occupational Therapy ULTRASOUND THERAPY 15 MINUTES $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Physical Therapy Physical Therapy PT-ULTRASOUND THER 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Occupational Therapy Occupational Therapy ULTRASOUND THERAPY 15 MINUTES $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Physical Therapy Physical Therapy PT-ULTRASOUND THER 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Occupational Therapy Occupational Therapy ULTRASOUND THERAPY 15 MINUTES $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Physical Therapy Physical Therapy PT-ULTRASOUND THER 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97035 Occupational Therapy Occupational Therapy ULTRASOUND THERAPY 15 MINUTES $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PT-THER EXERCISE EA 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PTA THER EXERCISE EA 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy NEURORHB-PT-THER EXER 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy OT-THERAPEUT EXCRS 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy NEURORHB-OT-THER EXER 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PT-THER EXERCISE EA 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PTA THER EXERCISE EA 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy NEURORHB-PT-THER EXER 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy OT-THERAPEUT EXCRS 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy NEURORHB-OT-THER EXER 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PT-THER EXERCISE EA 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PTA THER EXERCISE EA 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy NEURORHB-PT-THER EXER 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy OT-THERAPEUT EXCRS 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy NEURORHB-OT-THER EXER 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PT-THER EXERCISE EA 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy PTA THER EXERCISE EA 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Physical Therapy Physical Therapy NEURORHB-PT-THER EXER 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy OT-THERAPEUT EXCRS 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97110 Occupational Therapy Occupational Therapy NEURORHB-OT-THER EXER 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PT-NEUROMUS.RE-EDUCATION 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PTA NEUROMUS RE-EDUCATION 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy NEURORHB-PT-NEUROM REED15 $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy OT-NEUROMUSC RE-ED 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy REHT-TX PROC PER 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy NEURORHB-OT-NEURM REED15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PT-NEUROMUS.RE-EDUCATION 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PTA NEUROMUS RE-EDUCATION 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy NEURORHB-PT-NEUROM REED15 $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy OT-NEUROMUSC RE-ED 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy REHT-TX PROC PER 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy NEURORHB-OT-NEURM REED15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PT-NEUROMUS.RE-EDUCATION 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PTA NEUROMUS RE-EDUCATION 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy NEURORHB-PT-NEUROM REED15 $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy OT-NEUROMUSC RE-ED 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy REHT-TX PROC PER 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy NEURORHB-OT-NEURM REED15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PT-NEUROMUS.RE-EDUCATION 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy PTA NEUROMUS RE-EDUCATION 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy NEURORHB-PT-NEUROM REED15 $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy OT-NEUROMUSC RE-ED 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Physical Therapy Physical Therapy REHT-TX PROC PER 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97112 Occupational Therapy Occupational Therapy NEURORHB-OT-NEURM REED15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PT-AQUATIC EXERCISE PROGRAM $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PTA AQUATIC EXERCISE PROGRAM $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Occupational Therapy Occupational Therapy OT-INDIV AQUATIC 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PT-AQUATIC EXERCISE PROGRAM $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PTA AQUATIC EXERCISE PROGRAM $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Occupational Therapy Occupational Therapy OT-INDIV AQUATIC 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PT-AQUATIC EXERCISE PROGRAM $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PTA AQUATIC EXERCISE PROGRAM $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Occupational Therapy Occupational Therapy OT-INDIV AQUATIC 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PT-AQUATIC EXERCISE PROGRAM $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Physical Therapy Physical Therapy PTA AQUATIC EXERCISE PROGRAM $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97113 Occupational Therapy Occupational Therapy OT-INDIV AQUATIC 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PT-GAIT TRAIN THER 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PTA GAIT TRAIN THER 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy NEURORHB-PT-GAIT TRN 15MN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy REHT GAIT TRAIN THER 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Occupational Therapy Occupational Therapy GAIT TRAINING PER 15 MIN. $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PT-GAIT TRAIN THER 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PTA GAIT TRAIN THER 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy NEURORHB-PT-GAIT TRN 15MN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy REHT GAIT TRAIN THER 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Occupational Therapy Occupational Therapy GAIT TRAINING PER 15 MIN. $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PT-GAIT TRAIN THER 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PTA GAIT TRAIN THER 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy NEURORHB-PT-GAIT TRN 15MN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy REHT GAIT TRAIN THER 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Occupational Therapy Occupational Therapy GAIT TRAINING PER 15 MIN. $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PT-GAIT TRAIN THER 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy PTA GAIT TRAIN THER 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy NEURORHB-PT-GAIT TRN 15MN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Physical Therapy Physical Therapy REHT GAIT TRAIN THER 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97116 Occupational Therapy Occupational Therapy GAIT TRAINING PER 15 MIN. $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy PT-MASSAGE THERAPY 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy NEURORHB-PT-MASSAGE TH15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Occupational Therapy Occupational Therapy OT MASSAGE PER 15 MIN. $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy PT-MASSAGE THERAPY 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy NEURORHB-PT-MASSAGE TH15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Occupational Therapy Occupational Therapy OT MASSAGE PER 15 MIN. $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy PT-MASSAGE THERAPY 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy NEURORHB-PT-MASSAGE TH15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Occupational Therapy Occupational Therapy OT MASSAGE PER 15 MIN. $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy PT-MASSAGE THERAPY 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Physical Therapy Physical Therapy NEURORHB-PT-MASSAGE TH15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97124 Occupational Therapy Occupational Therapy OT MASSAGE PER 15 MIN. $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97129 Occupational Therapy Occupational Therapy PSY COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 Aetna $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology SP-COGNITIVE SKILLS DEVL 15 MN $91.00 $91.00 Aetna $91.00 $182.00 $91.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 Aetna $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97129 Occupational Therapy Occupational Therapy PSY COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 Cigna $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology SP-COGNITIVE SKILLS DEVL 15 MN $91.00 $91.00 Cigna $91.00 $182.00 $91.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 Cigna $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97129 Occupational Therapy Occupational Therapy PSY COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 Horizon $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology SP-COGNITIVE SKILLS DEVL 15 MN $91.00 $91.00 Horizon $91.00 $182.00 $91.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 Horizon $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97129 Occupational Therapy Occupational Therapy PSY COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 United Healthcare $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology SP-COGNITIVE SKILLS DEVL 15 MN $91.00 $91.00 United Healthcare $91.00 $182.00 $91.00 Children's Specialized Hospital CSH Outpatient 97129 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCTION 1ST 15M $182.00 $182.00 United Healthcare $91.00 $182.00 $182.00 Children's Specialized Hospital CSH Outpatient 97130 Occupational Therapy Occupational Therapy PSY COG FUNCTION EACH ADL 15M $65.00 $65.00 Aetna $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97130 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCT EA ADDL 15M $65.00 $65.00 Aetna $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97130 Occupational Therapy Occupational Therapy PSY COG FUNCTION EACH ADL 15M $65.00 $65.00 Cigna $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97130 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCT EA ADDL 15M $65.00 $65.00 Cigna $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97130 Occupational Therapy Occupational Therapy PSY COG FUNCTION EACH ADL 15M $65.00 $65.00 Horizon $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97130 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCT EA ADDL 15M $65.00 $65.00 Horizon $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97130 Occupational Therapy Occupational Therapy PSY COG FUNCTION EACH ADL 15M $65.00 $65.00 United Healthcare $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97130 Speech/Audiology Speech/Audiology ST COGNITIVE FUNCT EA ADDL 15M $65.00 $65.00 United Healthcare $65.00 $65.00 $65.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 0-10YR $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 11YR+ $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPL LONG LEG CAST FBGLS $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION AQUAPLAST $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT CAST REMOVE & BIVAL FABRIC $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 0 TO 10 YRS $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE-CAST SHORT LEG-MEDIUM $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 11YRS + $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE APPLICATION BIVALVE 11YR+ $252.00 $234.28 Aetna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 0-10YR $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 11YR+ $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPL LONG LEG CAST FBGLS $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION AQUAPLAST $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT CAST REMOVE & BIVAL FABRIC $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 0 TO 10 YRS $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE-CAST SHORT LEG-MEDIUM $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 11YRS + $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE APPLICATION BIVALVE 11YR+ $252.00 $234.28 Cigna $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 0-10YR $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 11YR+ $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPL LONG LEG CAST FBGLS $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION AQUAPLAST $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT CAST REMOVE & BIVAL FABRIC $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 0 TO 10 YRS $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE-CAST SHORT LEG-MEDIUM $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 11YRS + $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE APPLICATION BIVALVE 11YR+ $252.00 $234.28 Horizon $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 0-10YR $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION BIVALVE 11YR+ $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPL LONG LEG CAST FBGLS $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT APPLICATION AQUAPLAST $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PT CAST REMOVE & BIVAL FABRIC $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 0 TO 10 YRS $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE-CAST SHORT LEG-MEDIUM $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE CAST LONG LEG 11YRS + $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97139 Physical Therapy Physical Therapy PTE APPLICATION BIVALVE 11YR+ $252.00 $234.28 United Healthcare $234.28 $234.28 $252.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy MANUAL THERAPY TECHNIQUES $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy PTA MANUAL THERAPY TECHNIQUES $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy NEURORHB-PT-JNT MOBIL 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT MYOFASC RELEASE MANUAL $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT-MYOFASC. RELEASE 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-JOINT MOB 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-MYOF RLSE 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy MANUAL THERAPY TECHNIQUES $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy PTA MANUAL THERAPY TECHNIQUES $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy NEURORHB-PT-JNT MOBIL 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT MYOFASC RELEASE MANUAL $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT-MYOFASC. RELEASE 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-JOINT MOB 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-MYOF RLSE 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy MANUAL THERAPY TECHNIQUES $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy PTA MANUAL THERAPY TECHNIQUES $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy NEURORHB-PT-JNT MOBIL 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT MYOFASC RELEASE MANUAL $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT-MYOFASC. RELEASE 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-JOINT MOB 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-MYOF RLSE 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy MANUAL THERAPY TECHNIQUES $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy PTA MANUAL THERAPY TECHNIQUES $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Physical Therapy Physical Therapy NEURORHB-PT-JNT MOBIL 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT MYOFASC RELEASE MANUAL $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy OT-MYOFASC. RELEASE 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-JOINT MOB 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97140 Occupational Therapy Occupational Therapy NEURORHB-OT-MYOF RLSE 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy OT - GROUP THERAPY PROC $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-GROUP NEUROREHAB 30MN $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy PT - OP GROUP THERAPY $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy IP PT GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-SW-GROUP NEURORHB30MN $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-WRITING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ACTIVITY GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ADL GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ATTN GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COOKING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COUNSEL GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-CURRENT EVENTS GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXEC FUNC GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXPRESSIVE LANGUAGE GRP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-FUNC APP GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-HUMAN DEV GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-LANG GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MEMORY GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MOVEMENT GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ORIENTATION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-OT SKILLS GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PLAY THERAPY GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PROJECTS GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-READING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SELF ADV GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SENSORY MOTOR GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SOCIALIZATION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-STUDY SKILLS GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy PRAGMATICS GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL PROCESSING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL MOTOR GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ORIENTATION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ATTENTION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT MEMORY GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT EXEC FUNCTIONING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT LANGUAGE GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ADL GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SELF ADVOCACY $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SOCIALIZATION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT COUNSELING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT MOVEMENT GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ORIENTATION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ATTENTION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST MEMORY GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST EXEC FUNCTIONING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST LANGUAGE GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ADL GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SELF ADVOCACY GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SOCIALIZATION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST COUNSELING GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST PLAY THERAPY GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NT ST MOVEMENT GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT COMM INTEGRATION GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT FINE MOTOR GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST PRAGMATIC/CONVERSATION $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST CURRENT EVENTS GROUP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST AUDITORY PROCESSING GRP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST SOCIAL PROBLEM SOLV GRP $233.00 $225.64 Aetna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy OT - GROUP THERAPY PROC $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-GROUP NEUROREHAB 30MN $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy PT - OP GROUP THERAPY $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy IP PT GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-SW-GROUP NEURORHB30MN $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-WRITING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ACTIVITY GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ADL GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ATTN GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COOKING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COUNSEL GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-CURRENT EVENTS GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXEC FUNC GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXPRESSIVE LANGUAGE GRP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-FUNC APP GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-HUMAN DEV GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-LANG GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MEMORY GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MOVEMENT GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ORIENTATION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-OT SKILLS GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PLAY THERAPY GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PROJECTS GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-READING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SELF ADV GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SENSORY MOTOR GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SOCIALIZATION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-STUDY SKILLS GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy PRAGMATICS GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL PROCESSING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL MOTOR GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ORIENTATION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ATTENTION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT MEMORY GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT EXEC FUNCTIONING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT LANGUAGE GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ADL GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SELF ADVOCACY $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SOCIALIZATION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT COUNSELING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT MOVEMENT GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ORIENTATION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ATTENTION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST MEMORY GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST EXEC FUNCTIONING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST LANGUAGE GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ADL GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SELF ADVOCACY GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SOCIALIZATION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST COUNSELING GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST PLAY THERAPY GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NT ST MOVEMENT GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT COMM INTEGRATION GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT FINE MOTOR GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST PRAGMATIC/CONVERSATION $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST CURRENT EVENTS GROUP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST AUDITORY PROCESSING GRP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST SOCIAL PROBLEM SOLV GRP $233.00 $225.64 Cigna $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy OT - GROUP THERAPY PROC $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-GROUP NEUROREHAB 30MN $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy PT - OP GROUP THERAPY $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy IP PT GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-SW-GROUP NEURORHB30MN $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-WRITING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ACTIVITY GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ADL GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ATTN GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COOKING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COUNSEL GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-CURRENT EVENTS GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXEC FUNC GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXPRESSIVE LANGUAGE GRP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-FUNC APP GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-HUMAN DEV GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-LANG GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MEMORY GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MOVEMENT GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ORIENTATION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-OT SKILLS GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PLAY THERAPY GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PROJECTS GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-READING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SELF ADV GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SENSORY MOTOR GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SOCIALIZATION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-STUDY SKILLS GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy PRAGMATICS GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL PROCESSING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL MOTOR GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ORIENTATION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ATTENTION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT MEMORY GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT EXEC FUNCTIONING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT LANGUAGE GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ADL GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SELF ADVOCACY $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SOCIALIZATION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT COUNSELING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT MOVEMENT GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ORIENTATION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ATTENTION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST MEMORY GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST EXEC FUNCTIONING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST LANGUAGE GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ADL GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SELF ADVOCACY GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SOCIALIZATION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST COUNSELING GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST PLAY THERAPY GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NT ST MOVEMENT GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT COMM INTEGRATION GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT FINE MOTOR GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST PRAGMATIC/CONVERSATION $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST CURRENT EVENTS GROUP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST AUDITORY PROCESSING GRP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST SOCIAL PROBLEM SOLV GRP $233.00 $225.64 Horizon $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy OT - GROUP THERAPY PROC $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-GROUP NEUROREHAB 30MN $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy PT - OP GROUP THERAPY $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Physical Therapy Physical Therapy IP PT GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURORHB-SW-GROUP NEURORHB30MN $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-WRITING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ACTIVITY GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ADL GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ATTN GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COOKING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-COUNSEL GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-CURRENT EVENTS GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXEC FUNC GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-EXPRESSIVE LANGUAGE GRP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-FUNC APP GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-HUMAN DEV GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-LANG GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MEMORY GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-MOVEMENT GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-ORIENTATION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-OT SKILLS GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PLAY THERAPY GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-PROJECTS GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-READING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SELF ADV GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SENSORY MOTOR GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-SOCIALIZATION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-STUDY SKILLS GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy PRAGMATICS GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL PROCESSING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NEURO-VISUAL MOTOR GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ORIENTATION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ATTENTION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT MEMORY GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT EXEC FUNCTIONING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT LANGUAGE GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT ADL GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SELF ADVOCACY $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT SOCIALIZATION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR-OT COUNSELING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT MOVEMENT GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ORIENTATION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ATTENTION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST MEMORY GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST EXEC FUNCTIONING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST LANGUAGE GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST ADL GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SELF ADVOCACY GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST SOCIALIZATION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST COUNSELING GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR-ST PLAY THERAPY GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NT ST MOVEMENT GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT COMM INTEGRATION GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Occupational Therapy Occupational Therapy NR OT FINE MOTOR GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST PRAGMATIC/CONVERSATION $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST CURRENT EVENTS GROUP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST AUDITORY PROCESSING GRP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97150 Speech/Audiology Speech/Audiology NR ST SOCIAL PROBLEM SOLV GRP $233.00 $225.64 United Healthcare $225.64 $225.64 $233.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy REHT-PT EVAL LOW COMPLEXITY 20 $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy REHT-PT EVAL LOW COMPLEXITY 20 $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy REHT-PT EVAL LOW COMPLEXITY 20 $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy PT EVAL LOW COMPLEXITY 20 MINS $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97161 Physical Therapy Physical Therapy REHT-PT EVAL LOW COMPLEXITY 20 $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy REHT-PT EVAL MODERATE COMPLEX $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy REHT-PT EVAL MODERATE COMPLEX $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy REHT-PT EVAL MODERATE COMPLEX $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy PT EVAL MODERATE COMPLEX 30MIN $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97162 Physical Therapy Physical Therapy REHT-PT EVAL MODERATE COMPLEX $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy REHT-PT EVAL HIGH COMPLEX 45 M $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy REHT-PT EVAL HIGH COMPLEX 45 M $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy REHT-PT EVAL HIGH COMPLEX 45 M $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy PT EVAL HIGH COMPLEX 45 MINS $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97163 Physical Therapy Physical Therapy REHT-PT EVAL HIGH COMPLEX 45 M $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy PT RE-EVAL EST PLAN CARE $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy REHT-PT RE-EVAL EST PLAN CARE $567.00 $377.54 Aetna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy PT RE-EVAL EST PLAN CARE $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy REHT-PT RE-EVAL EST PLAN CARE $567.00 $377.54 Cigna $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy PT RE-EVAL EST PLAN CARE $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy REHT-PT RE-EVAL EST PLAN CARE $567.00 $377.54 Horizon $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy PT RE-EVAL EST PLAN CARE $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97164 Physical Therapy Physical Therapy REHT-PT RE-EVAL EST PLAN CARE $567.00 $377.54 United Healthcare $377.54 $377.54 $567.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97165 Occupational Therapy Occupational Therapy OT EVAL LOW COMPLEXITY 30 MINS $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97166 Occupational Therapy Occupational Therapy OT EVAL MOD COMPLEXITY 45 MINS $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97167 Occupational Therapy Occupational Therapy OT EVAL HIGH COMPLEXITY 60 MIN $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97168 Occupational Therapy Occupational Therapy OT RE-EVAL EST PLAN OF CARE $660.00 $419.84 Aetna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97168 Occupational Therapy Occupational Therapy OT RE-EVAL EST PLAN OF CARE $660.00 $419.84 Cigna $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97168 Occupational Therapy Occupational Therapy OT RE-EVAL EST PLAN OF CARE $660.00 $419.84 Horizon $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97168 Occupational Therapy Occupational Therapy OT RE-EVAL EST PLAN OF CARE $660.00 $419.84 United Healthcare $419.84 $419.84 $660.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PT-DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PTA DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy NEURORHB-PT-THER ACTIV15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy OT-THERAPEU. ACTIV 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy NEURORHB-OT-THER ACTIV15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PT-DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PTA DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy NEURORHB-PT-THER ACTIV15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy OT-THERAPEU. ACTIV 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy NEURORHB-OT-THER ACTIV15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PT-DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PTA DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy NEURORHB-PT-THER ACTIV15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy OT-THERAPEU. ACTIV 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy NEURORHB-OT-THER ACTIV15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PT-DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy PTA DYNAMIC ACTIVITIES 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Physical Therapy Physical Therapy NEURORHB-PT-THER ACTIV15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy OT-THERAPEU. ACTIV 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97530 Occupational Therapy Occupational Therapy NEURORHB-OT-THER ACTIV15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97532 Occupational Therapy Occupational Therapy OT-COG SKILL DVLMP 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97532 Occupational Therapy Occupational Therapy OT-COG SKILL DVLMP 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97532 Occupational Therapy Occupational Therapy OT-COG SKILL DVLMP 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97532 Occupational Therapy Occupational Therapy OT-COG SKILL DVLMP 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Physical Therapy Physical Therapy "PT-SENSORY INTER.TECH,PER 15MN" $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy SENSORY INTEGRATIVE TECH 15 MN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy NR-OT SENSORY INTG TECH 15MINS $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Physical Therapy Physical Therapy "PT-SENSORY INTER.TECH,PER 15MN" $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy SENSORY INTEGRATIVE TECH 15 MN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy NR-OT SENSORY INTG TECH 15MINS $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Physical Therapy Physical Therapy "PT-SENSORY INTER.TECH,PER 15MN" $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy SENSORY INTEGRATIVE TECH 15 MN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy NR-OT SENSORY INTG TECH 15MINS $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Physical Therapy Physical Therapy "PT-SENSORY INTER.TECH,PER 15MN" $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy SENSORY INTEGRATIVE TECH 15 MN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97533 Occupational Therapy Occupational Therapy NR-OT SENSORY INTG TECH 15MINS $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy PT SELF CARE/HOME MGT TRAINING $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy REHT-HOME TRAIN / 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT HOME VISIT - 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT-SLF CARE MGT TRN 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB-OT-SLF CR MGT15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB ADL PER 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy PT SELF CARE/HOME MGT TRAINING $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy REHT-HOME TRAIN / 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT HOME VISIT - 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT-SLF CARE MGT TRN 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB-OT-SLF CR MGT15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB ADL PER 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy PT SELF CARE/HOME MGT TRAINING $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy REHT-HOME TRAIN / 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT HOME VISIT - 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT-SLF CARE MGT TRN 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB-OT-SLF CR MGT15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB ADL PER 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy PT SELF CARE/HOME MGT TRAINING $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Physical Therapy Physical Therapy REHT-HOME TRAIN / 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT HOME VISIT - 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy OT-SLF CARE MGT TRN 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB-OT-SLF CR MGT15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97535 Occupational Therapy Occupational Therapy NEURORHB ADL PER 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMMUNITY REINTEGRATION 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy PT-COMMUNITY RE-INTEGRATION $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMM WORK REINTREGRATION PRGRM $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy OT-COM/WRK RE-INTEG 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy NEURO-OT-COM/WRK RE-INT 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMMUNITY REINTEGRATION 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy PT-COMMUNITY RE-INTEGRATION $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMM WORK REINTREGRATION PRGRM $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy OT-COM/WRK RE-INTEG 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy NEURO-OT-COM/WRK RE-INT 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMMUNITY REINTEGRATION 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy PT-COMMUNITY RE-INTEGRATION $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMM WORK REINTREGRATION PRGRM $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy OT-COM/WRK RE-INTEG 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy NEURO-OT-COM/WRK RE-INT 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMMUNITY REINTEGRATION 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy PT-COMMUNITY RE-INTEGRATION $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Physical Therapy Physical Therapy COMM WORK REINTREGRATION PRGRM $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy OT-COM/WRK RE-INTEG 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97537 Occupational Therapy Occupational Therapy NEURO-OT-COM/WRK RE-INT 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy PT-W/C MANAG.TRAIN 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy REHT-W/C TRAIN / 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Occupational Therapy Occupational Therapy OT-WHLCHR.MGMT TRN.15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy PT-W/C MANAG.TRAIN 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy REHT-W/C TRAIN / 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Occupational Therapy Occupational Therapy OT-WHLCHR.MGMT TRN.15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy PT-W/C MANAG.TRAIN 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy REHT-W/C TRAIN / 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Occupational Therapy Occupational Therapy OT-WHLCHR.MGMT TRN.15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy PT-W/C MANAG.TRAIN 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Physical Therapy Physical Therapy REHT-W/C TRAIN / 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97542 Occupational Therapy Occupational Therapy OT-WHLCHR.MGMT TRN.15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97602 Occupational Therapy Occupational Therapy DEBRIDEMENT AND WOUND CARE $156.00 $156.00 Aetna $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97602 Physical Therapy Physical Therapy PT-WOUND CARE $156.00 $156.00 Aetna $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97602 Occupational Therapy Occupational Therapy DEBRIDEMENT AND WOUND CARE $156.00 $156.00 Cigna $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97602 Physical Therapy Physical Therapy PT-WOUND CARE $156.00 $156.00 Cigna $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97602 Occupational Therapy Occupational Therapy DEBRIDEMENT AND WOUND CARE $156.00 $156.00 Horizon $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97602 Physical Therapy Physical Therapy PT-WOUND CARE $156.00 $156.00 Horizon $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97602 Occupational Therapy Occupational Therapy DEBRIDEMENT AND WOUND CARE $156.00 $156.00 United Healthcare $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97602 Physical Therapy Physical Therapy PT-WOUND CARE $156.00 $156.00 United Healthcare $156.00 $156.00 $156.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NS-BURN CARE PER 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT TEAM EVALUATION PER 15 MIN. $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT PHYSICAL PERF TESTS&MEASURE $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-PHYS PERF T15 $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-VIDEOTAPING15 $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy REHT-PP TEST/MEAS/15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Occupational Therapy Occupational Therapy OT PHYS PERF TST/MEAS P 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NS-BURN CARE PER 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT TEAM EVALUATION PER 15 MIN. $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT PHYSICAL PERF TESTS&MEASURE $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-PHYS PERF T15 $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-VIDEOTAPING15 $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy REHT-PP TEST/MEAS/15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Occupational Therapy Occupational Therapy OT PHYS PERF TST/MEAS P 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NS-BURN CARE PER 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT TEAM EVALUATION PER 15 MIN. $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT PHYSICAL PERF TESTS&MEASURE $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-PHYS PERF T15 $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-VIDEOTAPING15 $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy REHT-PP TEST/MEAS/15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Occupational Therapy Occupational Therapy OT PHYS PERF TST/MEAS P 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NS-BURN CARE PER 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT TEAM EVALUATION PER 15 MIN. $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy PT PHYSICAL PERF TESTS&MEASURE $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-PHYS PERF T15 $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy NEURORHB-PT-VIDEOTAPING15 $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Physical Therapy Physical Therapy REHT-PP TEST/MEAS/15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97750 Occupational Therapy Occupational Therapy OT PHYS PERF TST/MEAS P 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Occupational Therapy Occupational Therapy ASSISTIVE TECH ASSESS P 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Physical Therapy Physical Therapy REHT-ASST TECH ASSESS/15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Occupational Therapy Occupational Therapy ASSISTIVE TECH ASSESS P 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Physical Therapy Physical Therapy REHT-ASST TECH ASSESS/15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Occupational Therapy Occupational Therapy ASSISTIVE TECH ASSESS P 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Physical Therapy Physical Therapy REHT-ASST TECH ASSESS/15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Occupational Therapy Occupational Therapy ASSISTIVE TECH ASSESS P 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97755 Physical Therapy Physical Therapy REHT-ASST TECH ASSESS/15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy PT-ORTHOTIC TRAIN 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy NEURORHB-PT-ORTHO TRN 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy OT-ORTHOTIC(S)MGT & TRAIN/15MN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy REHT-ORTH FIT/TRAIN/15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy NEURORHB-OT-ORTHO TRN 15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy PT-ORTHOTIC TRAIN 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy NEURORHB-PT-ORTHO TRN 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy OT-ORTHOTIC(S)MGT & TRAIN/15MN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy REHT-ORTH FIT/TRAIN/15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy NEURORHB-OT-ORTHO TRN 15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy PT-ORTHOTIC TRAIN 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy NEURORHB-PT-ORTHO TRN 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy OT-ORTHOTIC(S)MGT & TRAIN/15MN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy REHT-ORTH FIT/TRAIN/15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy NEURORHB-OT-ORTHO TRN 15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy PT-ORTHOTIC TRAIN 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy NEURORHB-PT-ORTHO TRN 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy OT-ORTHOTIC(S)MGT & TRAIN/15MN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Physical Therapy Physical Therapy REHT-ORTH FIT/TRAIN/15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97760 Occupational Therapy Occupational Therapy NEURORHB-OT-ORTHO TRN 15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Physical Therapy Physical Therapy PT-PROSTH TRAINING 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Occupational Therapy Occupational Therapy OT-PROSTHETIC TRAIN 15MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Physical Therapy Physical Therapy PT-PROSTH TRAINING 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Occupational Therapy Occupational Therapy OT-PROSTHETIC TRAIN 15MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Physical Therapy Physical Therapy PT-PROSTH TRAINING 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Occupational Therapy Occupational Therapy OT-PROSTHETIC TRAIN 15MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Physical Therapy Physical Therapy PT-PROSTH TRAINING 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97761 Occupational Therapy Occupational Therapy OT-PROSTHETIC TRAIN 15MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy PT-EQUIP FABR.EA. 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy NEURORHB-PT-EQUIP FAB-15M $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT CHECK OUT ORTHOTIC PROSTHET $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT-PROS. CHECKOUT 15 MIN $91.00 $91.00 Aetna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy PT-EQUIP FABR.EA. 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy NEURORHB-PT-EQUIP FAB-15M $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT CHECK OUT ORTHOTIC PROSTHET $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT-PROS. CHECKOUT 15 MIN $91.00 $91.00 Cigna $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy PT-EQUIP FABR.EA. 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy NEURORHB-PT-EQUIP FAB-15M $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT CHECK OUT ORTHOTIC PROSTHET $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT-PROS. CHECKOUT 15 MIN $91.00 $91.00 Horizon $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy PT-EQUIP FABR.EA. 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Physical Therapy Physical Therapy NEURORHB-PT-EQUIP FAB-15M $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT CHECK OUT ORTHOTIC PROSTHET $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 97763 Occupational Therapy Occupational Therapy OT-PROS. CHECKOUT 15 MIN $91.00 $91.00 United Healthcare $91.00 $91.00 $91.00 Children's Specialized Hospital CSH Outpatient 98960 Physical Therapy Physical Therapy NR-PT SELF MGT EDUCATION $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Occupational Therapy Occupational Therapy NR-OT SELF MGT EDUCATION $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Speech/Audiology Speech/Audiology NR-ST SELF MGT EDUCATION $181.00 $181.00 Aetna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Physical Therapy Physical Therapy NR-PT SELF MGT EDUCATION $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Occupational Therapy Occupational Therapy NR-OT SELF MGT EDUCATION $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Speech/Audiology Speech/Audiology NR-ST SELF MGT EDUCATION $181.00 $181.00 Cigna $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Physical Therapy Physical Therapy NR-PT SELF MGT EDUCATION $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Occupational Therapy Occupational Therapy NR-OT SELF MGT EDUCATION $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Speech/Audiology Speech/Audiology NR-ST SELF MGT EDUCATION $181.00 $181.00 Horizon $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Physical Therapy Physical Therapy NR-PT SELF MGT EDUCATION $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Occupational Therapy Occupational Therapy NR-OT SELF MGT EDUCATION $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 98960 Speech/Audiology Speech/Audiology NR-ST SELF MGT EDUCATION $181.00 $181.00 United Healthcare $181.00 $181.00 $181.00 Children's Specialized Hospital CSH Outpatient 99211 Physical Therapy Physical Therapy "PT- OUTPATIENT VISIT, LEVEL 1" $187.00 $187.00 Aetna $187.00 $187.00 $187.00 Children's Specialized Hospital CSH Outpatient 99211 Physical Therapy Physical Therapy "PT- OUTPATIENT VISIT, LEVEL 1" $187.00 $187.00 Cigna $187.00 $187.00 $187.00 Children's Specialized Hospital CSH Outpatient 99211 Physical Therapy Physical Therapy "PT- OUTPATIENT VISIT, LEVEL 1" $187.00 $187.00 Horizon $187.00 $187.00 $187.00 Children's Specialized Hospital CSH Outpatient 99211 Physical Therapy Physical Therapy "PT- OUTPATIENT VISIT, LEVEL 1" $187.00 $187.00 United Healthcare $187.00 $187.00 $187.00 "* The Discounted Cash Price represents the average estimated Gross Charge and not necessarily the discounted amount. The discounted amount is determined based on patient-specific circumstances. RWJBH has a variery of options to accommodate our cash-pay patient's financial needs, including but not limited to: - Assistance in securing eligability in local and state government programs. - Financial assistance (partial and in full). - Payment plan options with flexible terms. - Please see our Financial Resource webpage for assistance policies and contact information."