Actual Charge. The charge made for a covered service by the provider who furnishes it. Aggregate Maximum: The maximum benefit that will be paid under the Policy for all Covered Medical Expenses incurred by a covered person that accumulate during the policy year to the next. Ambulance A vehicle that is staffed with medical personnel and equipped to transport a sick or injured person.
Actual Charge. The term "Actual Charge" shall mean the price described on Schedule 1.1 to be paid to LabAlliance by the Alliance Entities for Laboratory Services (including certain of the Phlebotomy Support Services), adjusted annually in an amount equal to the change in the Consumer Price Index of the Bureau of Labor Statistics of the U.S. Department of Labor for Urban Wage Earners and Clerical Workers (Base Year 1982-84=100) for U.S. City Average All Items; provided, however, that (i) as CPT codes are added, modified, or deleted or new diagnostic tests become commercially available, LabAlliance, with the approval of the Alliance (which approval shall not be unreasonably withheld, conditioned or delayed), may add or modify applicable procedure codes and may add applicable pricing at, or adjust applicable pricing to, be sixty-five percent (65%) of the then-current reimbursement provided under the Medicare Part B program, and (ii) the price for each test performed by a referral lab (which lab must be approved by the Alliance) and not by LabAlliance or LabOne shall be the charge billed to LabAlliance for such test plus $8.00; provided however, that such amount shall not exceed the price set forth on Schedule 1.1 for any test performed currently for which there is a CPT Code specific to such test, adjusted annually in an amount equal to the change in the Consumer Price Index as previously defined.
Actual Charge. The term "Actual Charge" shall mean the price described on Schedule 1.1 to be paid to the Alliance Entities by LabAlliance for Laboratory Services, adjusted annually in an amount equal to the change in the Consumer Price Index of the Bureau of Labor Statistics of the U.S. Department of Labor for Urban Wage Earners and Clerical Workers (Base Year 1982-84=100) for U.S. City Average All Items; provided, however, that as CPT codes are added, modified, or deleted, Alliance, with the approval of LabAlliance (which approval shall not be unreasonably withheld, conditioned or delayed), may add or modify applicable procedure codes and may add applicable pricing at, or adjust applicable pricing to be, sixty-five percent (65%) of the then-current reimbursement provided under the Medicare Part B program.
Actual Charge. The sum of the Salary Charge, Burden Charge, Auto Allowance Charge and Space Charge of each SSI Employee with respect to each of SIC and IECO will equal the SSI Employee’s actual charge to such party (the “Actual Charge”).
