SUBPART E—Criteria for Determining Reasonable Charges (§405.500 to §405.535)
- 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.