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