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Jane has been having problems with redness and a rash on her face. She discussed her condition with a friend who recommended her dermatologist. Jane called and made an appointment with the dermatologist and was seen the following week with great success. Upon receiving her explanation of benefits from in insurance provider, Jane was surprised to see that see owed more money than her normal copay for the dermatology visit. Identify the reason why Jane owes more for this visit.