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Usual, Customary or Reasonable (UCR)

An industry term for the typical rates charged for services in a specific region. For example, if a surgeon in Virginia were to charge twice as much for a surgery as the average cost of that procedure in the area, those charges would not be considered usual, customary or reasonable.

Gold Plan

The second highest actuarial level health plans available through the insurance exchanges, equal to an 80 percent actuarial value. Bronze, Silver, and Platinum plans offer…