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While early stages of atherosclerosis dont have many symptoms, as plaque builds up and starts to block the artery it can cause: Chest pain Fatigue Shortness of breath Muscle weakness in your leg (from lack of circulation) Pain in your leg, arm, or anywhere that has a blocked artery Heart attacks can happen at a younger age in lupus patients than in the general population

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Because the payer-specific negotiated charge is based on an algorithm, the hospital would identify and substitute the dollar amount in the MRF required under 45 CFR 180.50(b)(2)(ii)(C) for the algorithm