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C.054.93008_0370 (2)
on 26 PAGE185 4347 Im HOME HEALTH PROGRAM FEES BASED ON PERCENTAGES 0% 20% 407 607 801/ 100% NSG $0.00 $ 7.40 $14.80 $22.20 $29.60 $37.00 HHA $0.00 $ 5.60 $11.20 $16.80 $22.40 $28.00 PT $0.00 $ 9.00 $18.00 $27.00 $36.00 $45.00 ST $0.00 $ 9.00 $18.00 $27.00 $36.00 $45.00 MSW $0.00 $ 9.00 $18.00 $27.00 $36.00 $45.00 Im