42 CFR Part 405 - Subpart E - Criteria for Determining Reasonable Charges
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- § 405.500 Basis.
- § 405.501 Determination of reasonable charges.
- § 405.502 Criteria for determining reasonable charges.
- § 405.503 Determining customary charges.
- § 405.504 Determining prevailing charges.
- § 405.505 Determination of locality.
- § 405.506 Charges higher than customary or prevailing charges or lowest charge levels.
- § 405.507 Illustrations of the application of the criteria for determining reasonable charges.
- § 405.508 Determination of comparable circumstances; limitation.
- § 405.509 Determining the inflation-indexed charge.
- § 405.511 Reasonable charges for medical services, supplies, and equipment.
- § 405.512 Carriers' procedural terminology and coding systems.
- § 405.515 Reimbursement for clinical laboratory services billed by physicians.
- § 405.517 Payment for drugs and biologicals that are not paid on a cost or prospective payment basis.
- § 405.520 Payment for a physician assistant's, nurse practitioner's, and clinical nurse specialists' services and services furnished incident to their professional services.
- § 405.534 Limitation on payment for screening mammography services.
- § 405.535 Special rule for nonparticipating physicians and suppliers furnishing screening mammography services before January 1, 2002.
Source:
32 FR 12599, Aug. 31, 1967, unless otherwise noted. Redesignated at 42 FR 52826, Sept. 30, 1977.