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customary and reasonable charge

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customary and reasonable charge,
(in the United States) a fee usually established by health insurance or government agencies that is considered to be the "usual" cost of a specific medical service. The fee is commonly based on the amount the company or agency will pay for that service and may vary with geographic area.


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The plan provides fixed copayments for in-network services with no paperwork, and out-of-network care through claim forms, deductibles and co-insurance subject to usual, customary and reasonable charges.
 
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