Application Fees

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  Application Fees

  Application Fee – MD, DO, DPM, DDS, OD, DC, DPT

  $850.00 Add to cart
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  Application Fees

  Application Fee Including all Allied Health Professionals

  $550.00 Add to cart
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  Application Fees

  Expedited Membership Credentialing Fee

  $150.00 Add to cart
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  Application Fees

  Update Medicare

  $75.00 Add to cart
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  Application Fees

  Plan Participation Changes

  $350.00 Add to cart
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  Application Fees

  Reactivate Application Fee

  $200.00 Add to cart