The squeeze on your pay goes far beyond RBRVS.
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Proudfoot
D003362:Cost-Benefit Analysis; D004470:Economics, Medical; D005194:Family Practice / Q000191:economics*; D005245:Fee Schedules; D016344:Medicare Part A / Q000191:economics*; D015895:Relative Value Scales; D013038:Specialization; D014481:United States