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If the expected service is sufficient to justify listing for reimbursement, the guidance of CNEDi - MTS will also be based on the ASA in relation to a comparable product, considered to be the current gold standard, whether or not this gold standard is reimbursed. "yet another knee implant", or do you want them thinking "reproducible surgical technique" or "happy patients, returning to their normal, active lifestyle. Don't get hung up on the "edifice complex"--many outstanding agencies have very modest offices.  Here is my website -  https://slater.Co.nz/blogs/slater-chartered-accountants/35922497-free-xero-training-hamilton-nz