Laserfiche WebLink
574 <br /> <br />575 <br /> <br />576 <br /> <br />577 <br /> <br />578 <br /> <br />579 <br /> <br />58O <br /> <br />581 <br /> <br />582 <br /> <br />583 <br /> <br />584 <br /> <br /> EXHIBIT D <br /> <br /> TO <br /> <br />AGREEMENT FOR INMATE MEDICAL SERVICES <br />COST SCHEDULE FOR CHARGEBACK SERVICES <br /> <br />K. COST SCHEDULE FOR CHARGEBACK SERVICES <br /> <br />1. Denture, partial plate and bridge repair $200 Ea <br />2. X Ray services $48/58 Ea <br />3. Opthamology Services $130 Ea <br />4. OB/GYN Services $130 Ea <br /> <br />20 <br /> <br /> <br />