12/15/2021
(ASC X12) 1473 Pricing Methodology
TYPE=ID MIN=2 MAX=2
Code specifying pricing methodology at which the claim or line item has been priced or repriced
Codes
| 0 | Zero Pricing (Not Covered Under Contract) |
| 1 | Priced as Billed at 100% |
| 2 | Priced at the Standard Fee Schedule |
| 3 | Priced at a Contractual Percentage |
| 4 | Bundled Pricing |
| 5 | Peer Review Pricing |
| 6 | Per Diem Pricing |
| 7 | Flat Rate Pricing |
| 8 | Combination Pricing |
| 9 | Maternity Pricing |
| 10 | Other Pricing |
| 11 | Lower of Cost |
| 12 | Ratio of Cost |
| 13 | Cost Reimbursed |
| 14 | Adjustment Pricing |
Appears in
| HCP | Health Care Pricing |
Categories: