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adjust Medicare fees administrative costs Administrator of hcfa Appropriate Reimbursement Rates billed to Medicare billing codes blood glucose monitors clearance process commercial pricing databases competitive bidding demonstration consumer price index custom-fabricated Department of Defense durable medical equipment equipment and supplies Equipment Regional Carrier fee schedule allowances floor and ceiling foley type GAO report hcfa contractors hcfa's statistical analysis hcpcs codes Health Care Financing hydrophilic identifiers on Medicare identify products billed implementing indwelling catheter inherent reasonableness authority know specifically large institutional suppliers large suppliers latex Foley catheters marketplace prices Medicaid medical necessity Medicare beneficiaries Medicare claims Medicare fee schedule Medicare payment Medicare pays national floor nursing homes obtained off-the-shelf orthotic devices orthosis patients payers payment system prefabricated product acquisition costs products grouped prosthetic purchasing require upns retail price Scanlon self-adjusting hand/wrist brace Set DME Fee silicone elastomer skilled nursing facilities specific product supplier billed Medicare teflon tracheostomy universal product numbers