Common use of Modifier Clause in Contracts

Modifier. Unless specifically indicated otherwise, fee amounts listed in the fee schedule represent global fees and may be subject to reductions based on appropriate Modifier (for example, professional and technical modifiers). As used in the previous sentence, “global fees” refers to services billed without a Modifier, for which the fee amount includes both the professional component and the technical component. Any Cost-Sharing Amounts that the Covered Person is responsible to pay under the Coverage Agreement will be subtracted from the Allowed Amount in determining the amount to be paid.

Modifier. Unless specifically indicated otherwise, fee amounts listed in the fee schedule represent global fees and may be subject to reductions based on appropriate Modifier modifier (for example, professional and technical modifiers). As used in the previous sentence, “global fees” refers to services billed without a Modifiermodifier, for which the fee amount includes both the professional component and the technical component. Any Cost-Sharing Amounts that the Covered Person Member is responsible to pay under the Coverage Agreement Contract will be subtracted from the Allowed Amount in determining the amount to be paid.