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Pharmacy vaccine billing has expanded significantly (particularly for influenza, COVID-19, and shingles), though workflow differences exist in NDC reporting, place of service codes, and payer-specific enrollment requirements compared to physician office billing.

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A study from the Netherlands set reference intervals at 100400 nmol/l for adults age 1864 and 120460 nmol/l for adults 65 (Abildgaard, 2021)

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By using payer specific negotiated charges, we can reduce our reliance on the hospital chargemaster and utilize this data in Medicare payment methodologies so that payments more closely reflect the market cost and therefore the relative market value and resource utilization for inpatient items and services