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A4437
Durable Medical Equipment
IRR SUPPLY SLEEV DISP PER MO
IRR SUPPLY SLEEV DISP PER MO
A4450
Durable Medical Equipment
NON-WATERPROOF TAPE
NON-WATERPROOF TAPE
A6243
Durable Medical Equipment
HYDROGEL DRG >16<=48 W/O BDR
HYDROGEL DRG >16<=48 W/O BDR
A6245
Durable Medical Equipment
HYDROGEL DRG <= 16 IN W/BDR
HYDROGEL DRG <= 16 IN W/BDR
A6248
Durable Medical Equipment
HYDROGEL DRSG GEL FILLER
HYDROGEL DRSG GEL FILLER
A6250
Durable Medical Equipment
SKIN SEAL PROTECT MOISTURIZR
SKIN SEAL PROTECT MOISTURIZR
A6252
Durable Medical Equipment
ABSORPT DRG >16 <=48 W/O BDR
ABSORPT DRG >16 <=48 W/O BDR
A6253
Durable Medical Equipment
ABSORPT DRG > 48 SQ IN W/O B
ABSORPT DRG > 48 SQ IN W/O B
A6254
Durable Medical Equipment
ABSORPT DRG <=16 SQ IN W/BDR
ABSORPT DRG <=16 SQ IN W/BDR
A6255
Durable Medical Equipment
ABSORPT DRG >16<=48 IN W/BDR
ABSORPT DRG >16<=48 IN W/BDR
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