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Q4133

Durable Medical Equipment

GRAFIX STRAVIX PRIME PL SQCM

GRAFIX STRAVIX PRIME PL SQCM

Q4159

Durable Medical Equipment

AFFINITY1 SQUARE CM

AFFINITY1 SQUARE CM

Q4186

Durable Medical Equipment

EPIFIX 1 SQ CM

EPIFIX 1 SQ CM

Q5104

Home Health Care

Medical Care Outpatient Visits

Radiation Therapy and Chemotherapy

INJECTION, RENFLEXIS

INJECTION, RENFLEXIS

Q5108

Home Health Care

Medical Care Outpatient Visits

Radiation Therapy and Chemotherapy

INJECTION, FULPHILA

INJECTION, FULPHILA

Q5115

Home Health Care

Medical Care Outpatient Visits

Radiation Therapy and Chemotherapy

INJ TRUXIMA 10 MG

INJ TRUXIMA 10 MG

Q9991

Home Health Care

Medical Care Outpatient Visits

Radiation Therapy and Chemotherapy

BUPRENORPH XR 100 MG OR LESS

BUPRENORPH XR 100 MG OR LESS

Q9992

Home Health Care

Medical Care Outpatient Visits

Radiation Therapy and Chemotherapy

BUPRENORPHINE XR OVER 100 MG

BUPRENORPHINE XR OVER 100 MG

S0189

Home Health Care

Medical Care Outpatient Visits

Radiation Therapy and Chemotherapy

TESTOSTERONE PELLET 75 MG

TESTOSTERONE PELLET 75 MG

S0190

Maternity Services

MIFEPRISTONE, ORAL, 200 MG

MIFEPRISTONE, ORAL, 200 MG