Reasonable and Customary Charge means the actual fee charged by a dentist or a denture therapist for a service rendered or supply furnished but only to the extent that the fee is reasonable taking into consideration the following:
Reasonable and Customary Charge means the lesser of:
Reasonable and Customary Charge means a charge that does not exceed the usual level of charges for similar necessary medical treatment, services or supplies in the locality where it is received. SICKNESS means an illness or disease of the body which:
More Definitions of Reasonable and Customary Charge
Reasonable and Customary Charge means a charge in an amount consistently made by other vendors/providers for a given service in the same geographic area and which reflects the complexity of the service taking into account availability of experienced repair personnel, availability of parts, and the effort of the vendor/provider to repair the damaged vehicle (as measured by the ratio of total repair time to total time the vehicle is in the vendor/providers possession).
Reasonable and Customary Charge means the normal charge of the provider, in the absence of insurance, 1) for a medical service or supply, but not more than the prevailing charge in the area for a like service by a provider with similar training or experience, or 2) for a supply which is identical or substantially equivalent. Ingenix is used to determine Reasonable and Customary. The final determination of a Reasonable and Customary charge rests solely with the Company.
Reasonable and Customary Charge means the following:
Reasonable and Customary Charge means a charge which is usually made in the absence of this or any similar coverage, for a specific type of care, service or supply, based on representative fees and prices in the geographic area in which the charge for the care, service or supply was incurred.
Reasonable and Customary Charge means, with respect to fees charged by a medical practitioner or by a supplier of professional services, medicines, or supplies, the most common charge for similar professional services, medicines, or supplies within the area in which the charge is incurred, so long as those charges are reasonable. Reasonable and customary charges will be determined by us. The amount that would be at least as much as the amounts charged by two-thirds of the providers within the area in which the charge is incurred will be considered the most common charge. "Area" means:
Reasonable and Customary Charge means the usual charge of the provider for the service or supply, in the absence of coverage, but not more than the prevailing charge in the area for a like service or supply. A like service or supply is one of the same nature and duration, requires the same skill, and is performed by a provider of similar training and experience.
Reasonable and Customary Charge means the usual charge made for the covered dental expense, in the absence of coverage, but not more than the prevailing charge in the area where the expense is incurred.