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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

A6257

Durable Medical Equipment

Prosthetic Devices

TRANSPARENT FILM <= 16 SQ IN

TRANSPARENT FILM <= 16 SQ IN

A6258

Durable Medical Equipment

Prosthetic Devices

TRANSPARENT FILM >16<=48 IN

TRANSPARENT FILM >16<=48 IN