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Health · Chapter 15 · Basic Plans

Basic Surgical Expense Insurance

Definition
Pays surgeons' fees (in OR out of hospital) plus anesthesiologist costs. Benefit approaches: surgical schedule (flat dollar amount per procedure) · relative value scale (units × conversion factor) · UCR (non-scheduled).
Easy to confuse with

These are what this term gets tested against — if you can't tell them apart cold, drill the contrast.

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Verified against primary sources · 2026-08-05