Physicians who are NOT participating and NOT accepting assignment from Medicare can charge:

the usual, customary, and reasonable fee for services.

no more than 115% of the nonparticipating provider Medicare Fee Schedule (MFS).

the rate as shown on the nonparticipating provider Medicare Fee Schedule (MFS).

no more than 110% of the nonparticipating provider Medicare Fee Schedule (MFS).


Answer: no more than 115% of the nonparticipating provider Medicare Fee Schedule (MFS).

Health Professions

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