Other inpatient and outpatient facility services: Upper limits of payment.

1. Law
2. CFR 42
3. Public Health
4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
5. Medical Assistance Programs
6. Payments for Services
7. Payment Methods for Other Institutional and Noninstitutional Services
8. Other Inpatient and Outpatient Facilities
9. Other inpatient and outpatient facility services: Upper limits of payment.

§ 447.325 Other inpatient and outpatient facility services: Upper limits of payment.

The agency may pay the customary charges of the provider but must not pay more than the prevailing charges in the locality for comparable services under comparable circumstances.

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