1319 Basis of Cost Determination Code

Code indicating the method by which the ingredient cost was calculated

Identifier (ID)
Min 1 / Max 2
0Not specified
1Average Wholesale Price (AWP)
2Local Wholesaler
4Estimated Acquisition Cost
5Acquisition Cost
6Maximum Allowable Cost (MAC)
7Usual, Customary, and Reasonable (UCR)
Price that is generally charged for this product or service
8Unit Dose
Quantity of medicine to be taken each time
9Brand Medically Necessary

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