Eating Disorder Services
Item 90276
| Patients | Schedule Fee | Benefit 100% |
| One | $100.40 | $100.40 |
| Two | $89.40 | $89.40 |
| Three | $85.75 | $85.75 |
| Four | $83.95 | $83.95 |
| Five | $82.85 | $82.85 |
| Six | $82.10 | $82.10 |
| Seven+ | $80.20 | $80.20 |
| Patients | Schedule Fee | Benefit 100% |
| One | $100.40 | $100.40 |
| Two | $89.40 | $89.40 |
| Three | $85.75 | $85.75 |
| Four | $83.95 | $83.95 |
| Five | $82.85 | $82.85 |
| Six | $82.10 | $82.10 |
| Seven+ | $80.20 | $80.20 |