A fee for copying not to exceed .76 cents for each page of the medical record, and; The actual cost of postage and handling. While some entities may use other state or local factors to determine their rates, the method we use is the same method that the Centers for Medicare and Medicaid Services, private health plans, and the Commonwealth of Massachusetts use in calculating their annual inflationary updates. Click the "Download" button to view this resource. Title 35, Chapter 2, Article 6, Section 35-2-611(b) Pages 11 - 50: $0.73/page This notice updates the notice published on December 4, 2021. We bill you the same day we complete your order. Physicians can charge a patient to copy X-rays and any other documents not reproduceable by photocopy. 0000020060 00000 n The Secretary of Health (Secretary), under 42 Pa.C.S. Max Fee: $100.00 per admission, Pages 51+: $0.50per page, Search Fee: Pursuant to 42 U.S.C. State laws typically permit providers to charge a per-page copy fee, of up to a certain dollar value, or to charge a flat fee of up to a certain amount for the entire medical record. Pages 351+: $0.25 per page (. format (for Microfilm : $2.00 per page, Search Fee : $25.88 Pages 61+ : $0.30 per page, Delaware Administrative Code, Title 19: 19 Del Code, Chapter 1300, Section 4, Search Fee : $1.00 (Per year per request) endstream endobj 8 0 obj <>/Metadata 1 0 R/OCProperties<>/OCGs[]>>/Pages 5 0 R/Type/Catalog>> endobj 9 0 obj <>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Type/Page>> endobj 10 0 obj <>stream Below are each states current copy fees. X-rays / Other Media: Actual cost of reproduction, PerSection 12-21-6.1 Alabama Code Reproduction, Search Fee: $15.00 Search Fee: $20.00 $9.50 per copy for radiography copies; sales tax, postage, Yes- defined as "a reasonable costs incurred by a health care provider in making. A reasonable fee may be charged reflecting the actual cost to produce records. And if you ever have any questions or concerns, you can contact us directly for immediate help. ---There are currently no fee statutes in place forAlaska, Idaho,andSouth Dakota. additional retrieval costs for records over seven years old and stored off-site. (ii) Supplies for creating the paper copy or electronic media if the individual requests that the electronic copy be provided on portable media. Pages 51+: $0.25 per page 2023 Record Retrieval Solutions. Since that time, MHA has provided members with its calculation using the change in the Consumer Price Index (CPI) for medical care services in effect. Pages 21 - 50: $0.64/page PO Box 776 When patients request copies of their own medical records, healthcare providers cannot charge a patient a retrieval or certifying fee for copying records, and the physician cannot require a patient to pay any outstanding bills before retrieving and copying medical records. Pages 100+ : $0.25 per page (3) New subsections (c-1) and (c-2) are added to read as follows: " (c-1) An external examination or autopsy report of a decedent in the CME's . New Jersey S2253 2022-2023 Limits fees charged for copies of medical and billing records. Pages 6+: $0.50 per page, Storage Fee : $23.88 (Additional fee if records are retrieved from an off-site location), Electronic Records: Pages 1+ : $0.50 per page, Search Fee : $20.00 Notice of Intention to Take Deposition on Written Questions - FAMILY MEDICAL AND SPECIALTY CLINIC December 21, 2022. Pages 1 20 : $1.25 per page 7570 (December 4, 2021), the Department of Health (Department) published the guidelines and fees that a health care provider or facility may charge in response to a request for production of medical charts or records. Pages 1+: $0.50 per page, Search Fee: $20.00 Pages 351+ : $0.25 per page, Electronic Records Max Fee: $200.00, Search Fee: $30.00 (Includes pages 1-10) Pages 3 - 6 are a list of waived tests in alpha order by category. Reasonable fees for retrieval of hospital, physicians' records, or EMS records if those records are stored off-site. For the annual period of October 31, 2021, through October 31, 2022, the Consumer Price Index was 7.7%. $0.75. 146.83 (3f)(c)2, Worker's Comp 8:43G-15.3, Pages 1+: $0.10 per page Some states levy a separate fee for "reproduction costs" which cover materials used for copying (i.e. Search Fee : $20.00 Flat Fee Pages 1 - 10: $16.00 Pages 101+ : $0.62. A physician can charge an authorized third party for retrieving and copying medical records if the third party has a signed authorization for release of records from the patient. Physicians can also charge an authorized third party for the actual cost of postage. 2322B(m), Search Fee (Only for requesters that are NOT patient or patients personal representative) : $22.19 Accordingly, the rates effective July 1, 2022,are as follows: Also, please note that the State Board of Workers Compensation has instituted medical record retrieval rates that apply specifically to workers compensation cases. Search Fee : $10.00 Max Fee : $50.00 per admission (excluding postage/handling and retrieval charges), Paper Records: Xrays: $5.00 per image, Pages 26 50 : $0.84 per page Pages 1 5 :$15.00 (per admission) Pages 21 - 60: $0.90 per page Per page fee for first 10 paper pages. State rates are pre-empted by HIPAA when individuals request copies of medical records for themselves. iF R@L@O $ C Q $31.02 0000007347 00000 n How fast is invoicing? Max Fee : $100.00 per request, X-rays: Max Fee : $150.00, Microfilm and other media: If a record is unavailable, a No Records Found certificate will be issued automatically. Pages 51 - 250: $0.60 per page Admin. Search Fee: $20.00 (includes pages 1 - 5) Pages 1 - 40: $0.53/page Responsibility For questions or comments about the IRS Nationwide Tax Forums, please contact taxforums@irs.gov. 6CCR 1011-1 Chapter 2 Part 5.2.3.4, Pages 1 - 10: $2.00 per page any The federal HIPAA regulations do not allow a charge for a preparation fee for records provided directly to the patient. $0.76/page (11-50) Additional cost for reproducing x-rays, imaging, and non-written records. Search Fee (Paper): $7.50 (Includes pages 1-16) 37 0 obj <>/Filter/FlateDecode/ID[<31467C1C56C65C4F936448DCC3DCFDA3>]/Index[7 64]/Info 6 0 R/Length 136/Prev 734315/Root 8 0 R/Size 71/Type/XRef/W[1 3 1]>>stream 0000046836 00000 n Pages 1+ : $1.35 per page An Ohio.gov website belongs to an official government organization in the State of Ohio. Max Fee: $250.00, Electronic Records No. Pages 11 20 : $1.00 per page Code 1563 (6), Search Fee: $18.53 flat fee (First ten pages) 0000027187 00000 n TCA 68-11-304, Hospital: Search Fee : $10.00 Reproduction fees applied to x-rays and special records. Pages 26 350 : $0.50 per page Does your service integrate with any case management systems? 0 Search Fee: $5.0025 Pages: $1.00/page26+ Pages: $0.50/pageX-rays/Other Media: Actual reproduction cost, Search Fee: $15.0025 Pages: $0.5026+ Pages: $0.25Storage Fee: A reasonable fee may be charged for records stored off site, Copy Fee: $0.25/pageMicrofilm: $0.50/pageX-rays: Actual reproduction costAttorney Rates, Search Fee/10 Pages: $18.53 flat fee11+ Pages: $0.85/page41+ Pages: $0.57/pageMicrofilm: $1.50/page, Paper/Electronic Records10 Pages: $2.00/page11+ Pages: $1.00/page21+ Pages: $0.90/page61+ Pages: $0.50/pageMicrofilm/Other Media: Actual reproduction cost, Workers CompSearch Fee: $25.0020 Pages: $1.25/page21+ Pages: $0.90/page61+ Pages: $0.30/page, Search Fee: $1.00/year/requestCopy Fee: $1.00/pageMicrofilm: $2.00/page, Search Fee: $25.8820 Pages: $0.97/page21+ Pages: $0.83/page101+ Pages: $0.66/pageCertification Fee: $9.70, Workers CompSearch Fee/150 Pages: $30.00 flat fee151+ Pages: $0.20/pageX-rays: $9.50/copy, Search Fee: $31.5625 Pages: $1.18/page26+ Pages: $0.79/page50+ Pages: $0.39/pageMicrofilm/Other Media: $1.97/page, Search Fee/10 Pages: $20.00 flat fee11+ Pages: $0.50/page51+ Pages: $0.25/pageMicrofilm/Other Media: $1.25/pageRush Fee: Additional $10 for requests completed/sent within 2 days, Workers Comp20 Pages: $2021+ Pages: $20 + $1/page31+ Pages: $30 + $0.50/page101+ Pages: $65 + $0.25 per page201+ Pages: $90 + $0.10/page, Workers Comp10 Pages: $16.00 flat fee11+ Pages: $12.00 flat fee (+ $16.00 = $28.00 total)50+ Pages: $0.35/page, First copy request from patient: FREESecond copy request (same patient and same records): $1.00/page, Paper/Microfilm RecordsSearch Fee: $25.0025 Pages: $1.00/page26+ Pages: $0.50/page351+ Pages: $0.25/page, Electronic RecordsSearch Fee: $25.0025 Pages: $1.00/page26+ Pages: $0.50/page351+ Pages: $0.25/pageMax Fee: $100.00/request, X-raysFrom hospitals: $20 flat fee + reasonable production costsFrom other healthcare providers: $10 flat fee + reasonable production costs, Workers CompFirst Request: FREESecond Request: $0.50/page, Paper RecordsPer Page: $5.002+ Pages: $0.45/pageMax Fee: $250.00/request, Electronic RecordsA reasonable fee may be chargedMax Fee: $150.00/request, Search Fee: $22.32100 Pages: $0.76/page101+ Pages: $0.39/pageX-rays/Other Media: Actual reproduction costSocial Security: FREE for request to support a claim, but must be specified in the request letter, Initial fee of $26.74 per request for a copy of the record.$1.34 per page for the first 20 pages.$0.67 per page for pages 21 through 50.$0.27 for pages 51 and overIf the medical record is in some form or medium other than paper, the actual cost of preparing a duplicateAny postage or shipping costs incurred by the health care provider, health facility, or medical records company in providing the copiesAny actual costs incurred by the health care provider, health facility, or medical records company in retrieving medical records that are 7 years old or older and not maintained or accessible on-siteSource: MI Comp Law 333.26269 (adjusted based on CPI in 2022) Last updated: 04/01/2022, Search Fee: $20.35Copy Fee: $1.53/pageX-rays: $10 search fee + actual reproduction cost per page, Search Fee/20 Pages: $20.00 flat fee21+ Pages: $1.00/page81+ Pages: $0.50/pageSearch/Storage Fee: $15.00 (charged for records retrieved off site)Certification Fee: $25.00, Workers Comp-5 Pages: $15.00/admission6+ Pages: $0.50/page/admission + fee for -5 pagesMax Fee: $50.00/admission, excluding postage/handling/retrieval fees, Paper RecordsSearch Fee: $27.46Copy Fee: $0.63/pageStorage Fee: $25.71 + additional fee for records retrieved off site, Electronic RecordsSearch Fee: $27.46Copy Fee: $0.63/pageMax Fee: $120.32, Search Fee: $20.00Copy Fee: $0.50/pageX-rays/Other Media: Actual reproduction cost, Copy Fee: $0.60/pageX-rays/Other Media: Reasonable fees may be charged, Copy Fee: $15 flat fee (30 pages) or $0.50/pageX-rays/Other Media: Reasonable fees may be charged, Hospitals (For Attorneys Representing Patients)Search Fee: $10.00100+ Pages: $1.00/page101+ Pages: $0.25/pageMax Fee: $200.00/admission, Clinics (For Attorneys Representing Patients)Search Fee: $10.00Copy Fee: $1.00/pageMax Fee: $100.00/admission, For Attorneys NOT Representing PatientsSearch Fee: $10.00Copy Fee: $1.00/page, 15 Pages: $30.00 flat fee16+ Pages: $0.25/pageX-rays/Other Media: Actual reproduction cost, Copy Fee: $0.75/pageX-rays/Other Media: Actual reproduction cost, 25 Pages: $0.75/page26+ Pages: $0.50/page100+ Pages: $0.25/pageMinimum Fee: $10.00, Paper Records25 Pages: $20 flat fee26+ Pages: $0.75/page, Electronic Records25 Pages: $30 flat fee26+ Pages: $0.25/page, Search Fee: $21.6510 Pages: $1.42/page11+ Pages: $0.73/page51+ Pages: $0.29/pageX-rays/Other Media (recorded on film/paper): $2.35/pageThe actual cost of postage may also be charged, Paper RecordsSearch Fee: $10.00Copy Fee: $0.50/pageX-rays/Other Media: $5.00/pagePostage: Actual mailing cost, Electronic RecordsSearch Fee: $10.00Copy Fee: $0.30/page, max $200.00 (requires EMR), Search Fee: $30.00 (Includes pages 1-10)Pages 11-50: $0.50 per pagePages 51+: $0.25 per pageX-rays and other media: Actual cost of reproduction, Search Fee: $25.2020 Pages: $1.70/page21+ Pages: $1.26/page61+ Pages: $0.44/pageMicrofilm: $2.51/page, District Attorney RequestsCopy Fee: $25.20 flat fee. (2) Subsection (c) is repealed. Pages 11+ : $1.67, Texas Health & Safety Code 241.154 $20.00 search fee and $1.00/ page for copies of microfilm or micrographic process. "Board rules define a reasonable fee for providing paper copies of medical records as no more than $25 for the first twenty pages and $.50 per page for every copy thereafter. Pages 1-10 = $1.00/ page (no charge with labor fee), Pages 11-50 = $0.50/ page; Pages 51+ = $0.25/ page. Microfilm or other media: $2.10 per page, 47 of 2004, MCL 333.26269. Pages 1-25 = $0.75/ page ($10.00 minimum), Pages 26-100 = $0.50/ page; Pages 100+= $0.25/ page. b. Pages 1 40 : $0.53 per page X-rays and other media : Actual cost of reproduction The Workers' to annually determine the maximum allowable fees for copies of patient records. Annual Adjustment to Fees That May be Charged by a Health Care Provider for Providing Copies of a Patient's Health Care Records Statutory Authority Pursuant to Wis. Stat. State of Nevada (NV) Medical Record Fees. Pages 31+ : $0.88 per page, Search Fee : $20.00 Pages 26+: $0.50 per page Pages 21 - 100: $ 0.83 per page 6152, 6152.1 and 6155 (relating to subpoena ofrecords; limit on charges; and rights of patients), a health care provider or facility is allowed to charge a fee in response to a request for medical charts or records. Pages 26+: $0.75 per page, Electronic Records: Pages 1 10 : $2.00 per page For the most current analysis, we used the total of the BLS indices for the 12 months through August 2021, divided by the same for the 12 months through August 2020. In 2022, a health care provider can charge up to $1.24 a page for the first thirty pages, 94 cents a page after that, and a $28 clerical fee. $2.55/page (1-10) 0000003136 00000 n Wis WC 102.13(2)(b), Title 35, Chapter 2, Article 6, Section 35-2-611(b) OAR 847-012-0000, Search Fee: The Department of Health and Human Services has stated that the labor costs may not include costs associated with searching for and retrieving the requested information. Pages 1+ : $1.00 per page Actual cost of any required postage may also be charged. Pages 1 30 : $0.65 per page Yes- defined as "reasonable cost-based fees.". WAC 246-08-0400. Pages 11 40 : $0.85 per page Pages 101+: $0.50 per page Initial fee of $26.74 per request for a copy of the record. A health care facility or health care practitioner shall provide without charge one complete copy of a patient's records if the records are being requested by the patient or a person, entity, attorney, registered representative, or organization presenting a valid authorization for the release of records signed by the patient or the patient's State-by-State Guide of Medical Record Copying Fees. Pages 1 25 : $30 Flat Fee TX Health & Safety Code 241.154, Clinics: Pages 151+ : $0.20 per page An authorized third party is defined as attorneys representing a patient, attorneys not representing a patient, a patients estate, or an insurance company. Reasonable fees for narrative medical reports or medical review. 0000046716 00000 n Montana Code Annotated 2015 (50-16-540) Nevada Medical Record Fee Schedule Pages 1+ $0.60 per page X-rays and other media Reasonable fees may be charged. ), is amended as follows: (a) The table of contents is . Pages 26 50 : $0.71 per page Pages 250+ : $0.35 per page $1.65/ page for microfilm or microfiche. The HIPAA fee provisions apply in those situations. The individual also has a choice to direct the health care provider to transmit electronically a copy of the health record directly to an entity or person designated by the individual, provided that any such choice is clear, conspicuous, and specific. Pages 1 30 : $0.65 per page Pages 26 350 : $0.50 per page Pages 61+: $0.30 per page, The Medical Records Price Index is published to the Ohio Department of Health website annually and establishes the maximum amounts health care providers may charge for copying a patient's medical record. Microfilm and other media : Actual cost of reproduction, Delaware Administrative Code, Title 24: 24 Del Code, Chapter 1700, Section 16, Workers Comp: X-rays/Other Media: Reasonable costs, but not exceed $25.00, Rush Fee: $20.00 (for requests completed and delivered within 48 hours), $0.56 per page for all pages following the first 30 pages, Max fee for electronic records: $227.00 per admission, Plus actual postage and applicable sales tax, X-rays: The cost of materials and supplies used to duplicate the X-ray and the labor and overhead costs associated with the duplication. Nevada State Legislature (NRS 629.061) 0000037705 00000 n Microfilm : $23.04 + $2.29 per page, District Attorney Requests: 17935(e), if a health care provider uses or maintains health records in an electronic format with respect to protected health information of an individual, such individual shall have a right to obtain from the health care provider a copy of such information in an electronic format. (iv) Preparing an explanation or summary of the protected health information, if the individual agrees in advance to a summary or explanation and the fees to be imposed, in accordance to 45 CFR 164.524(c)(2)(iii). The Department of Health and Human Services has stated that the labor costs may not include costs associated with searching for and retrieving the requested information. The fee may include only the cost of: (1) labor for copying the PHI requested by the individual, whether in paper or electronic form; (2) supplies for creating the paper copy or electronic media (e.g., CD or USB drive) if the individual requests that the electronic copy be provided on portable media; (3) postage, when the individual requests that the copy, or the summary or explanation, be mailed; and (4) preparation of an explanation or summary of the PHI, if agreed to by the individual. Pages 1 100: $1.00 per page This amount is increased or decreased by the average percentage of increase or decrease in the consumer price index for all urban consumers . Pages 1 - 20: $1.25 per page California: Medical Records Copying Charges Law / Statute Below is the California state statute which controls the amount of money that doctors, hospitals, and other health care providers can charge for copies of medical records provided to the patient or the patient's attorney for use in personal injury or wrongful death civil cases. Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Medicaid Sign-Up Portal (Georgia Gateway). Search Fee : $25.00 The new maximum fees for copying will be $28.57 plus $0.66 per page, or $125.20 total, whichever is less, for copies provided electronically. CITE: The University of Texas Medical Branch, Paper Records 18-cv-0040 (D.D.C. 75% of paper per page fee = $0.57/page In addition to the amounts listed previously, charges may also be assessed for the actual cost of postage, shipping and delivery of the requested records. Max Fee for Electronic: $186.18, Max Fee (electronic records) : $150, Paper Records: If you have questions, please consult with your own legal counsel. Pages 26+: $0.25 per page, All pages for hospital records may not exceed $1.00/page. Pages 1+ : $1.00 per page, Pages 1 15 : $30.00 flat fee Pages 1 10 : $73.27 flat fee For inquiries and rates pertaining to medical records retrieval for disability claims, please contact the Georgia Vocational Rehabilitation Agency at 678-639-2100. Hospital Records: Pages 11-60 = $1.54/ page; Pages 61-400 = $0.76/ page; Pages 401+ = $0.41/ page. The Privacy Rule permits a covered entity to impose a reasonable, cost-based fee if the individual requests a copy of the PHI (or agrees to receive a summary or explanation of the information). Pages 101 - 200: $0.25per page Pages 1+ (electronic records): $0.20 per page R_ Pages 11- 60: $1.66 per page ---These fees are set forth by each state's lawand DO NOTreflect charges for the patientor patient directive requests, which will vary based on new updates to the HITECH ACT, valid as of 4/2016. X-rays: $20.00 flat fee (for hospitals) + reasonable production costs $10.00 flat fee (for all other healthcare providers) + reasonable production costs RS 40:1165.1 Maine Paper Records Search Fee: $5.00 (includes the first page) Pages 2+: $0.45 per page Max Fee: $250.00 Electronic Records A reasonable fee may be charged. A 45 C.F.R. Per page fee for paper pages 11-60. X-rays, MRI, CAT Scan (recorded on paper or film) : $2.23 per page, Search Fee: $10.00 11/30/2022 2:10:56 PM . 0000006244 00000 n If the medical record is in some form or medium other than paper, the actual cost of preparing a duplicate, Any postage or shipping costs incurred by the health care provider, health facility, or medical records company in providing the copies, Any actual costs incurred by the health care provider, health facility, or medical records company in retrieving medical records that are 7 years old or older and not maintained or accessible on-site, X-rays: $10 search fee + actual reproduction cost per page, Search/Storage Fee: $15.00 (charged for records retrieved off site), 6+ Pages: $0.50/page/admission + fee for -5 pages, Storage Fee: $25.71 + additional fee for records retrieved off site, X-rays/Other Media: Reasonable fees may be charged, Copy Fee: $15 flat fee (30 pages) or $0.50/page, X-rays/Other Media (recorded on film/paper): $2.35/page, Copy Fee: $0.30/page, max $200.00 (requires EMR), X-rays and other media: Actual cost of reproduction. Proof of indigency affidavit may be required. Hover over each state to view the fees. Pages 61400 : $0.79 per page NOTE: A patient, as defined by this rule, shall not be charged the initial fee for the patients own medical record. 5539 Eureka Drive, The fee may not include costs associated with verification; documentation; searching for and retrieving the PHI; maintaining systems; recouping capital for data access, storage, or infrastructure; or other costs not listed above even if such costs are authorized by State law. . Physician Records: Pages 6+ = $0.50/ page. $0.76/page Pages 41+: $0.16/page. On March 8, 2022 in the Senate: Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee . X-rays :$22.19 + $11.07 per image Hospital records: Pages 6-50 = $0.85/ page. Pages 11 50 : $0.50 per page %PDF-1.7 % Pages 61+ : $0.39 per page hXmk9+R]Z(kZ0&{c{demM=e%Ba0^X 5( The previously listed charges, however, are subject to the following exceptions: (1) An insurer shall not be required to pay for copies of medical records required to validate medical services for which reimbursement is sought under an insurance contract, except as provided in: a. Minimum charge: $10.00, Paper Records: Medical Records Access Act Inside MDHHS Legal Medical Records Access Act 2022 Medical Records Access Act Fees PLEASE NOTE : The Department's only involvement with the Medical Records Access Act (MRAA) is to set the rate health care providers may charge for copies of records under the MRAA. $2.50. 104-191) (HIPAA) and Federal regulations enacted under HIPAA, including 42 U.S.C. Our system is incredibly easy to use: Simply submit your medical record request through our secure, encrypted, HIPAA-compliant online portal. $5.00 for records sent within 7 days of request. Certification Fee: $9.70, Workers Comp: $1.00 per page for pages 11-20. Microfilm or other media : $1.78 per page, Search Fee : $20.00 flat fee (first 10 pages) Microfilm: $25.20 plus $2.70/page, 0000002681 00000 n b{ c. Note: The rates listed above are subject to change depending on new rulings in each state. Areasonable fee may be charged. Pages 100+: $0.25 per page Pages 1 - 50: $0.50 per page Social SecurityAttorneys representing patients who are applying for social security benefits and indigent may receive records for FREE. Pages 51+: $0.26/page, Search Fee: $21.88 Pages 41+ : $0.57 per page Reproduction costs refer to materials used for copying, such as paper, ink, wear on machines, etc. Attorneys representing patients who are applying for social security benefits and indigent may receive records for FREE. Copyright 2023 HCNC All rights reserved. Upon request by such person, the CME shall promptly deliver to such person copies of records relating to the deaths as to which further investigation may be advisable.". Search Fee : $15.00 $10 flat fee (for all other healthcare providers) + reasonable production costs, Workers Comp Pages 81+ : $0.50 pre page This per page charge includes the cost of each CD Rom, DVD, or other storage media. State Law and Rule . $15 flat fee for first 30 pagesor $0.50 per page No fee for records retrieved in conjunction with a Worker's Compensation claim. The physician may charge a fee to defray the cost of copying, not to exceed 25 cents per page or 50 cents per page for records that are copied from microfilm, along with reasonable clerical costs. May be charged reflecting the actual cost of any required postage may also be charged reflecting the actual cost produce. 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