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Regarding the differing payment amounts for CPT code 99454 under the PFS and OPPS, we note that given that the APC payment rates are calculated using a system of averages, the geometric mean cost for HCPCS codes will often differ from the geometric mean cost for all services assigned to the APC

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Reported roughly 28% to 30% average weight loss at higher doses, the highest reported in a large Phase 3 obesity trial

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