| HEMODIALYSIS | ||
| SERVICE CHARGE CODE | SERVICE DESCRIPTION | SERVICE CHARGE PRICE |
| 9000001 | CAPD SERVICES | 0.00 |
| 9000002 | CCPD SERVICES | 792.41 |
| 9000003 | POST OPERATIVE CATH CARE | 198.10 |
| 9000005 | EXIT SITE CHARGE | 132.07 |
| 9094600 | HEMO STABIL 5 1/2 HR | 361.81 |
| 9094601 | PERI DIALYSIS NURSE T | 146.76 |
| 9094602 | PERITONEAL DIALYSIS PHYS T | 0.00 |
| 9094700 | HEMO LTUD CARE 5 1/2 | 316.64 |
| 9096000 | HEMO ACUTE CARE 1HR | 135.74 |
| 9096100 | HEMO ACUTE CARE UP | 108.55 |
| 9096300 | HEMO EMERGENGY CARE | 36.17 |