Definitions for "Usual, Customary, and Reasonable"
Health insurance programs that pay the physician's full charge provided that charge (1) does not exceed his or her usual fee, (2) does not exceed the amount customarily charged in that area for the same service and (3) is otherwise reasonable.
The commonly charged fees for services within a geographic area.
The average fee charged by a type of health care practitioner for a specific service in a geographic area; the amount is often used by payers as the basis for reimbursing providers.
Keywords:  customary, reasonable, see
See Reasonable and Customary.