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As this is below the threshold of 100 claims for a service within a year, we proposed to again apply our universal low volume APC policy and use the highest of the geometric mean cost, arithmetic mean cost, or median cost based on up to 4 years of claims data to assign the service to the appropriate New Technology APC

This is why many people experience peak side effects in weeks one and two at a new dose, with gradual improvement in weeks three and four

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