Chiropractic

Fee Schedule

CPU CODE** PROCEDURE TYPICAL COST SUBSCRIBER CPU SAVINGS
90003 Exam
(Chiropractic/Postural)		 Included Included
90001 Exam
(Orthopedic/Neurological)		 Included Included
90002 Consultation Included Included
80010 X-Rays
(2 views when necessary)		 Included Included
All four procedures above for: $195.00 $35.00 $160
80011 X-Rays
(per additional view)		 $35 $15 $20
80012 X-Rays Reading
(Film taken in Office)		 Included in
X-Ray cost
80013 X-Rays Reading
(Outside films per View)		 $5
90004 Re-Examination
(Chiropractic & Postural)		 Included
90005 Re-Examination
(Orthopedic - Neurological)		 $15
70020 Adjustment
(Children up to 18)		 $35 $10 $25
70021 Adjustment
(Adult)		 $35 $20 $15
60030 One Adjunctive Therapy* $30 $12> $18
60031 Each Additional Adjunctive Therapy* $15 $6 $9
VALUES ON ALL OTHER PROCEDURES:
(Note: Typical cost may vary from one doctor to another.)
50010 All Measurement Testing at 50% Reduction Off Normal Fee
40051 Supports 30% Reduction Off Normal Fee
40052 Orthotic 20% Reduction Off Normal Fee
30060 Supplements 20% Reduction Off Normal Fee
20070 Massage 20% Reduction Off Normal Fee
20071 Supplies 20% Reduction Off Normal Fee

NOTE: Services not listed will be provided at a 25% reduction off Usual and Customary fees.
*Adjunctive Therapy includes: Ice, Heat, Electric Stimulation, Ultra-Sound, Traction and any other form that your Doctor may use.
**The Codes are for CPU internal purposes only.


These plans are not available in CT, MT, and SD, at this time. RX is not available in TN at this time.

THIS IS NOT HEALTH INSURANCE AND IS NOT INTENDED AS A SUBSTITUTE FOR INSURANCE