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FEES


New Patient Evaluation (110 minutes) - $600
Return Visit (25 minutes) - $225
Return Extended Visit (50 minutes) - $350
Family Therapy without patient present (50 minutes) - $350
Extended phone calls > 10 minutes - $40/ 10 minutes


I am not in-network with any insurance plans. Although I do not participate with any insurance plans, you may be eligible for out of network benefits. At your request, you will be provided with a statement that can be submitted to your insurance company for reimbursement for the portion your plan covers.

Good Faith Estimate

  • You have a right to receive a Good Faith Estimate, which is an estimate of your medical costs. 

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  • The Good Faith Estimate is not a contract and does not require you to obtain the items or services identified in the Good Faith Estimate. 

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  • The Good Faith estimate does not include services I may recommend, but are not provided by me. This includes but is not limited to prescriptions, therapy, lab work, radiology, neuropsychological testing, genetic testing, and referrals to other specialists. 

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  • The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, and your bill is $400 or more than your Good Faith Estimate, federal law allows you to dispute the bill. 

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  • You may start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days of the date on the original bill. 

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Contact Me

Fill out the form for inquires and I will be in touch. 

Lotus Flower

Dr. Mauran Sivananthan, DO

2723 South State Street

Suite 150, Room 118
Ann Arbor, MI   48104

 

Phone: 734-210-1525

Fax: 734-526-6745

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