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Fees are based on time and service For first visit · If ½ hour range from $140 to $155 Subsequent visits are also based on time & service and generally don’t run over ½ hr unless from out of town or new injury etc · ½ hr = $125 to $140 manipulation, exam or therapy · Manipulation only $65 to $80 All fees are due at time of service. The Office is not a participating provider with any insurance company Medicaid or Medicare. However the office will file your claim with your insurance company or Medicare.