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SV general use items
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01488S Present on Admission (POA) Note
$
17.00
–
$
72.00
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03480 Consent, Surgical Operation or Other Procedure
$
17.00
–
$
77.00
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03486 Treatment Authorization, Related Agreements
$
19.00
–
$
77.00
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03486H Treatment Authorization, Related Agreements, Spanish
$
19.00
–
$
77.00
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03720 Health Care Decision Making Packet
$
80.00
–
$
387.00
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03720H Health Care Decision Making Packet, Spanish
$
80.00
–
$
387.00
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12 x 9 Catalog Envelopes for Stormont Vail Health
$
203.00
–
$
864.00
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13 x 10 Catalog Envelopes for Stormont Vail Health
$
214.00
–
$
937.00
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15002 Return Appointment Phone Message
$
56.00
–
$
159.00
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Urology Follow-Up Order Pad
$
96.00
–
$
199.00
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