1473 Pricing Methodology Code

Code specifying pricing methodology at which the claim or line item has been priced or repriced

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Type
Identifier (ID)
Length
Min 2 / Max 2
Codes
CodeDescription
00Zero Pricing (Not Covered Under Contract)
01Priced as Billed at 100%
02Priced at the Standard Fee Schedule
03Priced at a Contractual Percentage
04Bundled Pricing
05Peer Review Pricing
06Per Diem Pricing
07Flat Rate Pricing
08Combination Pricing
09Maternity Pricing
10Other Pricing
11Lower of Cost
12Ratio of Cost
13Cost Reimbursed
14Adjustment Pricing
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