Does anyone have a formula/rule they would be willing to share?  
 
My dilemma is that in addition to the Group 1-9 CMS ASC based codes and  
rates, there are Insurance-defined CPT codes which have assigned  rates for the 
insurance specific codes ... ( I have also  defined these on page two of the 
rule) - 
 
How have you correctly picked up the CMS grouped rates as well as the  
insurance (non-grouped) rates? Any help would be appreciated! 
 
Thanks in Advance.
 
Anne
[EMAIL PROTECTED] (mailto:[EMAIL PROTECTED])  

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