For example Aetna allows about 300.00 for extraction, graft, & general anesthesia but the meds for anesthesia cost 100.00+ and graft material is 2-300.00 depending on size. We would like to bill 300.00 in materials so as not to lose$
Family Law Attorney
The surgeon must use the appropriate CPT codes to bill his procedures and materials. The insurance industry has a set of codes, and will only pay based on the proper use of those codes. As such, your surgeon must follow industry and insurance requirements in his billing practices. He/she cannot simply "shift" costs to obtain better coverage for the patient.
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