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According to the nominator, fine needle aspiration is a very complex and high-risk procedure that may require significant physician work and a higher level of clinical expertise to furnish the service, which is very different from CPT code 36440

The applicant suggested that if use of these small doses were to become more common, the percentage of discarded units could increase the discarded drug refund amount that could be owed by the applicant, even though the applicant lacks control or knowledge of the potential variability of the discarded amounts that may occur if Leukine were used for such purposes

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Washington: Federal Trade Commission, 2016 [accessed 2016 Dec 8]