This notice is being posted in accordance with AS 18.23.400. Disclosure and reporting of health care services, prices, and fee information. Effective January 1, 2019 and until further notice, the Arctic Chiropractic Bethel charges the following undiscounted fees for the listed health care services:

You will be provided an estimate of the anticipated charges for your non-emergency care upon request. Please do not hesitate to ask for information.

The undiscounted prices listed below may be higher or lower than the amount an individual actually pays for the health care services described.

Arctic Chiropractic Bethel is contracted to provide health care services as an in-network preferred provider with Premera Blue Cross Blue Shield of Alaska.

Billing Code	Description	Fee
Evaluation/Management
97161	PT Evaluation: Low Complexity - 20 Minutes	$190
97162	$225	PT Evaluation:
Medicine
Billing Code	Description	Fee
97140	Manual Therapies (Myofascial Release by LMT/PT)	$360/hr, $90/pe
97110	Therapeutic Exercises	$100/per 15 min
97112	Neuromuscular Re-education	$100/per 15 min
97530	Therapeutic Activity	$100/per 15 min
97113	Aquatic Therapy	$100/per 15 min
97116	Gait Training	$100/per 15 min
97014	Muscle Stimulation (E-Stim, IFC)	$60/per 15 minu
97035	Ultrasound x combo	$75/per 15 minu

You may also find a copy of this fee schedule on our website at https://arcticchiropractic.com/.

The State of Alaska Department of Health and Social Services website address is http://dhss.alaska.gov/Pages/default.aspx

Bethel

Arctic Chiropractic founded its original location here in Bethel, Alaska in October 2005. Dr. Walter Campbell started and operated Arctic Chiropractic himself here in Bethel until April of 2006 when he chose Dr. Chris Twiford to run the office on a permanent basis.

Dr. Hussion

Bethel