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Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B: MEDICARE PROGRAM
PART 405: FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
Subpart B: Medical Services Coverage Decisions That Relate to Health Care Technology
405.209 - Payment for a non-experimental/investigational (Category B) device.
Payment under Medicare for a non-experimental/investigational (Category B) device is based on, and may not exceed, the amount that would have been paid for a currently used device serving the same medical purpose that has been approved or cleared for marketing by the FDA.
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