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For a drug covered as an additional preventive service, as defined at 410.64, payment must be made as follows: (1) Payment for a drug covered as an additional preventive service, per section 1861(a)(1)(W)(ii) of the Act and paragraphs (l)(11) of this section and 410.160(b)(13), is 100 percent of the lesser of (i) The actual charge on the claim for program benefits
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California Proposition 65 warning: smoke from combustion of plant material contains chemicals known to the State of California to cause cancer, birth defects, or other reproductive harm
CMS will use final action claims from the Medicare fee-for-service claims repository where separate payment was allowed for the applicable billing and payment code for dates of service within a year to calculate Part B average total allowed charges for that year
