Customary and reasonable rates for medical services

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Blue Cross, a medical insurer, publishes lists of "usual, customary, and reasonable" rates for medical services. Blue Cross customers can then shop for medical services to be certain they are fully covered. A physician who charges rates higher than Blue Cross alleges there is a combination in restraint of trade to force him out of business and a price-fixing conspiracy. Is he right?

Reference no: EM132195440

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