TAX ID|NPI|SERVICE|SERVICE DESCRIPTION|CODES|PER DIEM
84-3132600|1245881846|Home Sleep Study + Auto PAP (incluedes travel case| hose| mask| humidifier| filters)|Home Sleep Study & Auto PAP|G0399| E0601| 95806|1800.00
84-3132600|1245881846|Home Sleep Study ONLY|Home Sleep Study|G0399| 95806|300.00
84-3132600|1245881846|Resupply Bundles|Full Face Mask Bundle|A7030| A7031| A7035| A7037| A7038| A7039| A7046|395.00
84-3132600|1245881846|Resupply Bundles|Nasal Pillow Bundle|A7032|A7034|A7035|A7036|A7037|A7038|A7039|A7046|395.00