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" In determining the reasonable charge for services for purposes of this paragraph, there shall be taken into consideration the customary charges for similar services generally made by the physician or other person furnishing such services, as well as the... "
The Code of Federal Regulations of the United States of America - Page 60
1994
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Social Security Bulletin

1967 - 844 pages
...Social Security Administration. Reasonable charges are determined by intermediaries on the basis of customary charges for similar services generally made by the physician or other supplier of covered services and on prevailing charges in the locality for similar services. They cannot...
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The Code of Federal Regulations of the United States of America

1983 - 1040 pages
...request for payment is made. [47 FR 63274, Dec. 31, 1981] § 405.502 Criteria for determining reasonable charges. (a) Criteria. The law allows for flexibility...case of physicians' services, the prevailing charges for such services for fiscal year 1973 adjusted to reflect the cumulative economic index since calendar...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1983 - 1452 pages
...request for payment is made. [47 PR 63274, Dec. 31, 1981] § 405.502 Criteria for determining reasonable charges. (a) Criteria. The law allows for flexibility...case of physicians' services, the prevailing charges for such services for fiscal year 1973 adjusted to reflect the cumulative economic index since calendar...
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The Code of Federal Regulations of the United States of America

1984 - 1084 pages
...§405.502 (47 PR 63274, Dec. 31, 198П § 405.502 Criteria for determining reasonable charges. (а) Criteria. The law allows for flexibility in the determination...case of physicians' services, the prevailing charges for such services for fiscal year 1973 adjusted to reflect the cumulative economic index since calendar...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1977 - 920 pages
...reasonable charges to accommodate reimbursement to the various ways in which health services are rendered and charged for. The criteria for determining what...case of physicians' services, the prevailing charges for such services for fiscal year 1973 adjusted to reflect the cumulative economic index since calendar...
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The Code of Federal Regulations of the United States of America

1985 - 780 pages
...criteria for determining what charges are reasonable include: Health Care Financing Administration, HHS (1) The customary charges for similar services generally...case of physicians' services, the prevailing charges for such services for fiscal year 1973 adjusted to reflect the cumulative economic index since calendar...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1977 - 1076 pages
...reasonable charges to accommodate reimbursement to the various ways in which health services are rendered and charged for. The criteria for determining what...charges for similar services generally made by the phvsician or other person furnishing such services. (2) The prevailing charges in the locality for...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1975 - 1116 pages
...The two criteria set out in the law which are considered in determining reasonable charges are : ( 1 ) The customary charges for similar services generally...physician or other person furnishing such services; and (2) The prevailing charges hi the locality for similar services. (b) Comparable services limitation....
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Code of Federal Regulations: Containing a Codification of Documents of ...

1971 - 694 pages
...locality. The two criteria set out in the law which are considered in determining reasonable charges are: (1) The customary charges for similar services generally...physician or other person furnishing such services; and (2) The prevailing charges in the locality for similar services. (b) Comparable services limitation....
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Code of Federal Regulations: Containing a Codification of Documents of ...

1999 - 946 pages
...are furnished and charged for. The criteria for determining what charges are reasonable include: il) The customary charges for similar services generally...made by the physician or other person furnishing such servicee. (2) The prevailing charges in the locality for similar servicee. (3) In the case of physicians'...
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