Your cart is empty.
To fax in your order,
please print this form, fill
out and fax back to
(813) 436-5406.
Call us at 1-800-275-6252

Part B Fee Screens

Your Price: $99.00
Item Number: Fee Screen
Manufacturer: Polaris Group


* denotes required field

Fee Screens *
tax free

Do you know your 2017 Part B fee screens that take effect 1/1/2017?  
Be prepared for 2017!  Get your 2017 Part B Therapy fee screens.  

You can also still order your 2016 Part B Fee Screens.

You can have your Part B Fee Screens emailed or faxed for your convenience.  Please allow 5 business days to receive your Fee Screens via email.

*Updated annually in January.  Get your Fee Screens for only $99.00.