If the Medicare nonPAR approved payment amount is $128.00 for a proctoscopy, what is the total Medicare approved payment amount for a doctor who does not accept assignment, applying the limiting charge for this procedure?

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The limiting charge for nonPAR providers is 115% of the nonPAR approved payment amount. Therefore, for this proctoscopy, the limiting charge would be $147.20 (128.00 x 1.15). So the total Medicare approved payment amount for a doctor who does not accept assignment and applies the limiting charge would be $147.20.

If the Medicare NonPAR Approved Payment Amount Is $128