Product-Specific
Hospital Inpatient
Hospital Outpatient
PRODUCT A
Bridging Therapy
Acquisition
Bridging Therapy
Administration
Product
Acquisition
PRODUCT B
Bridging Therapy
Acquisition
Bridging Therapy
Administration
Product
Acquisition
Common Across Products
Cost Adjusters (CMS Provider Specific File CCR: 0.000)
Product Cost to Charge Adjuster
Non-Product Cost to Charge Adjuster
Treatment Steps
Apheresis
Lymphodepletion
Acquisition
Lymphodepletion
Administration
Product
Administration
Short-term
Monitoring
Long-term
Monitoring
Hospital Inpatient
Hospital Outpatient
Adverse Event Costs
Adverse Event 1A
Grade 1
Adverse Event 1A
Grade 2
Adverse Event 1A
Grade ≥ 3
Adverse Event 1B
Grade 1
Adverse Event 1B
Grade 2
Adverse Event 1B
Grade ≥ 3
Infections
Grade ≥ 3
Adverse Event 3
Hospital Inpatient
Hospital Outpatient