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pricing of radiopharmaceuticals aka cardiolite

H

hrider

Contributor
Messages
15
Location
Windsor, PA
When billing Cardiolite A9500 with a nuclear stress test, we note the acquisition cost for the charge. Does the amount billed have to match the acquisition cost or can a provider charge a higher amount then the acquisition cost? Do the same rules apply to all insurances?

Cardiolite does fall under radiopharmaceuticals.
Thank you for your assistance...
Heather, CPC
 
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