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Specifically, as discussed in the CY 2026 OPPS/ASC proposed rule, we have noted through our own reviews that many hospital MRFs lack dollar values when the standard charge for an item or service is based on an algorithm or percentage and have heard from interested parties the limitations of drawing meaningful comparisons without necessary context to help understand the standard charge in dollars for such items or services

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The nurse will check with the patient that they do not have a pacemaker, are not epileptic, are not currently taking vitamin B12 supplements on a daily basis and have not had a vitamin B12 injection within the previous 6 months