CCN-NF-RX (275)    RATE SCHEDULE (363)

Name Value
NAME CCN-NF-RX
RATE TYPE CCN NO-FAULT AUTO
BILL TYPE OUTPATIENT
EFFECTIVE DATE 2019-01-01 00:00:00
INACTIVE DATE 2019-12-31 00:00:00
ADJUSTMENT S X=X+17.66
CHARGE SET