| Prompt | Response | Req | Len |
|---|---|---|---|
| Sort by | Select the sorting option you want. | 1 | |
| Begin with Sort | Type the code, brief description or procedure description you want to begin with or leave the field blank to start with the first item in the table. | 25 | |
| End with Sort | Type the code, brief description or procedure description you want to end with or leave the field blank to end with the last item in the table. | 25 | |
| Price Effective Date | Type or select the existing effective date for the Procedure Prices you want to print. | ![]() |
10 |
| Include Zero Amounts | If you want to include procedures that do not contain a price or contain zero as the price, select this check box. | ![]() |
1 |
| Prices to Print | Select the prices you want to print. | ![]() |
1 |