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Product
Price
Quantity
Total
×
Sliding Therapy Session Fee $60
$
60.00
Quantity
$
60.00
×
Therapy Copay $25
$
25.00
Quantity
$
25.00
×
Standard Therapy Session Fee
$
120.00
Quantity
$
120.00
×
Therapy Copay for 50$
$
50.00
Quantity
$
50.00
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Order Summary
Subtotal
$
255.00
Total
$
255.00
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