Optional
_factorOptional
_noteApplicable note numbers
Optional
adjudicationAdded items adjudication
Optional
extensionAdditional content defined by implementations
Optional
factorPrice scaling factor
Optional
idUnique id for inter-element referencing
Optional
modifierService/Product billing modifiers
Optional
modifierExtensions that cannot be ignored even if unrecognized
Optional
netTotal item cost
Optional
noteApplicable note numbers
Billing, service, product, or drug code
Optional
quantityCount of products or services
Optional
unitFee, charge or cost per item
Price scaling factor