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02130 Poly-Vi-Sol RX
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71.00
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02136 Epidural Stickers
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94.00
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225.00
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03408S Anesthesia Administration Record
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206.00
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1,008.00
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03420-2 Consent, Anesthesia
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Consent to Anesthesia Pkg for Periop, 2 pgs; Qty 1,000 sets
$
104.00
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03423 Outpatient Daily Log
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48.00
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232.00
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03476 Code Blue Record
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136.00
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839.00
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01488S Present on Admission (POA) Note
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17.00
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72.00
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03480 Consent, Surgical Operation or Other Procedure
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17.00
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77.00
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Radiology 03480 Consent, Surgical Operation or Other Procedure
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17.00
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77.00
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