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Response: After reviewing the information provided by the commenter and following consultation with our medical officers, we have determined that this equipment is only used in conjunction with another procedure and would be packaged for payment consistent with our policy of packaging items and services that are typically integral, ancillary, supportive, dependent, or adjunctive to a primary service

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They're talking about a 5% to 13% sales hit this year, thanks to pricing pressures amid fierce competition for the GLP-1 business