Breast Reduction; Normal For Such a Huge Mark Up?
my surgeon tells me he will submit a pre-auth & if its approved I'm all set. (knowing this was very unlikely, not surprised if wasnt approved) so my out of pocket quote for his surgical fee was $6500. I have some knowledge of the system Payers use with rate structures for In/Out of Network providers for different CPT's but a quick dig around this CPT seems to be 800-$1800 on average. Is it normal for such a huge mark up? I understand most of his clients are rich women, but 2-3x markup is crazy?