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["Appt not kept",null,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,false,false,"04107",null,"180"]
["Consumables",null,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,true,false,"04100",null,null]
["Consultation",null,0.00,116.60,240.10,296.20,0.00,0.00,0.00,0.00,0.00,false,false,"04301",25.000,"180"]
["Single Diagnostic Procedure",null,0.00,116.60,155.60,246.70,0.00,0.00,0.00,0.00,0.00,false,false,"04311",25.000,"180"]
["Two Diagnostic Procedures",null,0.00,174.90,236.50,370.30,0.00,0.00,0.00,0.00,0.00,false,false,"04312",37.500,"180"]
["Three Diagnostic Procedures",null,0.00,233.30,311.30,493.30,0.00,0.00,0.00,0.00,0.00,false,false,"04313",50.000,"180"]
["Single Immobilization Ther Exe",null,0.00,46.60,0.00,98.60,0.00,0.00,0.00,0.00,0.00,false,false,"04321",10.000,"180"]
["Two Immobilization Ther Exer",null,0.00,69.90,0.00,147.90,0.00,0.00,0.00,0.00,0.00,false,false,"04322",15.000,"180"]
["Single Treatment Procedure",null,0.00,46.60,330.60,98.60,0.00,0.00,0.00,0.00,0.00,false,false,"04331",10.000,"180"]
["Two Treatment Procedures",null,0.00,69.90,400.60,147.90,0.00,0.00,0.00,0.00,0.00,false,false,"04332",15.000,"180"]
["Three Treatment Procedures",null,0.00,93.30,470.60,197.40,0.00,0.00,0.00,0.00,0.00,false,false,"04333",20.000,"180"]
["Four Treatment Procedures",null,0.00,116.60,540.60,246.70,0.00,0.00,0.00,0.00,0.00,false,false,"04334",25.000,"180"]
["Five Treatment Procedures",null,0.00,139.90,610.60,296.20,0.00,0.00,0.00,0.00,0.00,false,false,"04335",30.000,"180"]
["Six Treatment Procedures",null,0.00,163.30,679.40,345.30,0.00,0.00,0.00,0.00,0.00,false,false,"04336",35.000,"180"]
["X-Ray Films",null,0.00,0.00,0.00,183.80,0.00,0.00,0.00,0.00,0.00,false,false,"04110",null,"180"]
["Follow up with treatment",null,0.00,0.00,110.70,0.00,0.00,0.00,0.00,0.00,0.00,false,false,"04002",null,null]
["Final consult - no treatment",null,0.00,0.00,110.70,0.00,0.00,0.00,0.00,0.00,0.00,false,false,"04090",null,null]
["Theraputic exercise",null,0.00,0.00,134.30,0.00,0.00,0.00,0.00,0.00,0.00,false,false,"04032",null,null]
["Neuromuscular facilitation",null,0.00,0.00,134.30,0.00,0.00,0.00,0.00,0.00,0.00,false,false,"04033",null,null]