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Code of Federal Regulations Title 42. Public Health § 42.417.546 Physicians' services and other Part B supplier services furnished under arrangements

Current as of October 02, 2022 | Updated by FindLaw Staff

General principle. The amount paid by an HMO or CMP for physicians' services and other Part B supplier services furnished under arrangements is an allowable cost to the extent it is reasonable. Costs are considered reasonable if they—

(a) Do not exceed those that a prudent and cost-conscious buyer would incur to purchase those services;  and

(b) Are comparable to costs incurred for similar services furnished by similar physicians or other suppliers in the same or a similar geographic area.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.417.546 Physicians' services and other Part B supplier services furnished under arrangements - last updated October 02, 2022 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-417-546/

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