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Wiki Usual and Customary Question

njs419

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Is there such a thing as Usual and Customary CHARGES associated with CPT codes? I can find usual and customary REIMBURSEMENT figures but my job is find a source for Usual and Customary Charges. Am I looking for something that doesn't exist? Please advise. Thank you.

Linda
 
Is there such a thing as Usual and Customary CHARGES associated with CPT codes? I can find usual and customary REIMBURSEMENT figures but my job is find a source for Usual and Customary Charges. Am I looking for something that doesn't exist? Please advise. Thank you.

Linda

There is no such thing. Medical providers can set their charges as high or low as they like, although realistically, the charges should be defensible based on cost of doing business.
 
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