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Peer Review Per Hour $195.00 - $400.00 <br />(Depending on Specialty) <br />Physician Intervention Review (Pharmacy <br />Per Hour $295.00 <br />Review with Peer to Peer Contact) <br />Rush Fee Per Rush $100.00 <br />Ancillary and Other Managed Care Services <br />Detail Unit Fee <br />Varies by State & <br />Diagnostic Network Services N/A <br />Procedure <br />Durable Medical Equipment Network N/A Varies by State & <br />Services Equipment <br />Home Health Network Services N/A Varies by State & Services <br />Translation & Transportation Network <br />N/A Varies by State & Services <br />Services <br />Physical Therapy Network Services N/A Varies by State & <br />Procedure <br />IME Network Services N/A Varies by State & Specialty <br />PPO Network Panels (Not required in OH) Per Panel $9.00 <br />MMSEA Per Claim $9.50 <br />5. SIU Service Fees <br />The charges set forth below are the current fees for the services listed, and these fees may change <br />from time to time upon sixty days prior written notice to Client: <br />C/20912 16 <br />Rtsogirch serv}ces, <br />Comprehensive background <br />$450 <br />Social media investigation <br />$250 <br />SmartFlus <br />$395 <br />Canvassing services <br />$250 <br />Skip tracing/individual locate <br />$175 <br />Asset check <br />$225 <br />Criminal and civil check <br />$135 plus cost of records <br />Additional counties: $35 (per county) <br />Records request <br />$100 plus cost of records <br />Social media monitoring <br />$25/week of monitoring <br />Other research services <br />Quote upon request <br />uu <br />11a i¢e s WY , C <br />C/20912 16 <br />