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Nationally recognized standard? Yes ,made up by of DOCTORS of course,not the government.The government only gets involved with charges when it is medicare or medicaid. and insurance companies negotiate prices. They do not tell you how many office visits to charge for.All you cronies get together and decide to screw patients by charging them two copays for two visits. So do not shift the blame on someone else.You can blame the CEO s and yes I do believe that was the start of medical care rising but since so many of you are validating billing for two visits your as guilty and crooked as they are. You should be ashamed of yourselves. You are suppose to heal not hurt people by padding your bills.People are sick when they come to you and when they get your dramatically inflated bills they sure dont feel any better. You give me pills for high blood pressure and then you make it go higher with your bill.When I am in your office I would like to be able to trust you not have to concern myself with being billed ala cart. What ever happened to do no harm? Shame on you all.