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A4670

Durable Medical Equipment

Home Health Care

AUTOMATIC BP MONITOR, DIAL

AUTOMATIC BP MONITOR, DIAL

A4673

Radiation Therapy and Chemotherapy

Dialysis Services

EXT LINE W EASY LOCK CONNECT

EXT LINE W EASY LOCK CONNECT

A4770

Durable Medical Equipment

BLOOD COLLECTION TUBE/VACUUM

BLOOD COLLECTION TUBE/VACUUM

A0433

Ambulance Services

ALS 2

ALS 2

A0434

Ambulance Services

SPECIALTY CARE TRANSPORT

SPECIALTY CARE TRANSPORT

A0435

Ambulance Services

FIXED WING AIR MILEAGE

FIXED WING AIR MILEAGE

A0888

NONCOVERED AMBULANCE MILEAGE

NONCOVERED AMBULANCE MILEAGE

A0998

AMBULANCE RESPONSE/TREATMENT

AMBULANCE RESPONSE/TREATMENT

A2001

Durable Medical Equipment

INNOVAMATRIX AC, PER SQ CM

INNOVAMATRIX AC, PER SQ CM

A4206

Durable Medical Equipment

1 CC STERILE SYRINGE&NEEDLE

1 CC STERILE SYRINGE&NEEDLE