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Epifix commissions are a shot in the arm?  You must be in a state that Medicare actually pays for Epifix.  Many states have NO reimbursement...not even in OR and reps can't sell a single epifix.   


Next year will be feast or famine for reps.  Getting a medicare code is just the fist step..not the finish line.  The regional LCDs determine if they will pay or not.  If a rep gets reimbursement from their LCD, life will be good.  If there is no reimbursement, life will be a living hell filled with unattainable expectations and micromanagement.