Federal (United States) · Regulations
Subpart E — Criteria for Determining Reasonable Charges
17 sections
17 sections
- 42 C.F.R. § 405.500Basis.
- 42 C.F.R. § 405.501Determination of reasonable charges.
- 42 C.F.R. § 405.502Criteria for determining reasonable charges.
- 42 C.F.R. § 405.503Determining customary charges.
- 42 C.F.R. § 405.504Determining prevailing charges.
- 42 C.F.R. § 405.505Determination of locality.
- 42 C.F.R. § 405.506Charges higher than customary or prevailing charges or lowest charge levels.
- 42 C.F.R. § 405.507Illustrations of the application of the criteria for determining reasonable charges.
- 42 C.F.R. § 405.508Determination of comparable circumstances; limitation.
- 42 C.F.R. § 405.509Determining the inflation-indexed charge.
- 42 C.F.R. § 405.511Reasonable charges for medical services, supplies, and equipment.
- 42 C.F.R. § 405.512Carriers' procedural terminology and coding systems.
- 42 C.F.R. § 405.515Reimbursement for clinical laboratory services billed by physicians.
- 42 C.F.R. § 405.517Payment for drugs and biologicals that are not paid on a cost or prospective payment basis.
- 42 C.F.R. § 405.520Payment for a physician assistant's, nurse practitioner's, and clinical nurse specialists' services and services furnished incident to their professional services.
- 42 C.F.R. § 405.534Limitation on payment for screening mammography services.
- 42 C.F.R. § 405.535Special rule for nonparticipating physicians and suppliers furnishing screening mammography services before January 1, 2002.