CC-DOD-RX (279) RATE SCHEDULE (363)
Name
Value
NAME
CC-DOD-RX
RATE TYPE
CC MTF REIMB INS
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
RX COST
AUTO ADD: YES
