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C1713

Durable Medical Equipment

ANCHOR/SCREW BN/BN,TIS/BN

ANCHOR/SCREW BN/BN,TIS/BN

C1715

Durable Medical Equipment

BRACHYTHERAPY NEEDLE

BRACHYTHERAPY NEEDLE

C1726

Durable Medical Equipment

Prosthetic Devices

CATH, BAL DIL, NON-VASCULAR

CATH, BAL DIL, NON-VASCULAR

C1727

Emergency Medical Outpatient Services

Inpatient Medical and Surgical Care in a General Hospital

Medical Care Outpatient Visits

Surgery as an Outpatient

CATH, BAL TIS DIS, NON-VAS

CATH, BAL TIS DIS, NON-VAS

C1730

Durable Medical Equipment

CATH, EP, 19 OR FEW ELECT

CATH, EP, 19 OR FEW ELECT

C1732

Durable Medical Equipment

CATH, EP, DIAG/ABL, 3D/VECT

CATH, EP, DIAG/ABL, 3D/VECT

C1751

Emergency Medical Outpatient Services

Home Health Care

Labs, X-Rays and Other Tests

Maternity Services

Medical Care Outpatient Visits

Radiation Therapy and Chemotherapy

CATH, INF, PER/CENT/MIDLINE

CATH, INF, PER/CENT/MIDLINE

A9560

Inpatient Medical and Surgical Care in a General Hospital

Labs, X-Rays and Other Tests

TC99M LABELED RBC

TC99M LABELED RBC

A9567

Inpatient Medical and Surgical Care in a General Hospital

Labs, X-Rays and Other Tests

TECHNETIUM TC-99M AEROSOL

TECHNETIUM TC-99M AEROSOL

A9570

Labs, X-Rays and Other Tests

INDIUM IN-111 AUTO WBC

INDIUM IN-111 AUTO WBC