IR-RX (134) RATE SCHEDULE (363)
Name
Value
NAME
IR-RX
RATE TYPE
INELIGIBLE REIMB. INS.
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2013-08-13 00:00:00
INACTIVE DATE
2013-12-31 00:00:00
CHARGE SET
RX COST
AUTO ADD: YES
