United Agriculture Benefit Trust Group Health Plan CHIROPRACTIC CPT 98940 2020 CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS ein 200884343 11 Professional 27.95 102.00 1700076528 CHIROPRACTIC CPT 98941 2020 CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS ein 390829072 11 Professional 33.28 75.00 1932413937 DIALYSIS CPT 90945 2020 DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL ein 462642183 65 Institutional 465.75 2217.97 1467847202 DIALYSIS CPT 90999 2020 UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT ein 831840496 65 Institutional 475.14 G4 8212.08 1356826713 HOME HEALTH CPT S9328 2020 HIT PAIN IMP PUMP DIEM ein 510269822 12 Professional 47.69 275.00 1770528994 HOSPITAL OUTPATIENT CPT H0019 2020 ALCOHOL AND/OR DRUG SERVICES ein 814939539 21 Institutional 1230.00 4300.00 1497183503 HOSPITAL ROOM & BOARD CPT H0019 2020 ALCOHOL AND/OR DRUG SERVICES ein 814939539 21 Institutional 1230.00 4300.00 1497183503 TELEMEDICINE CPT 90834 2020 PSYCHOTHERAPY W/PATIENT 45 MINUTES ein 852805247 2 Professional 164.87 180.00 1447599444 200.00 1447599444 2026-03-01