CARROLL COUNTY MEMORIAL HOSPITAL CHARGEMASTER ...
Optifoam Antimicrobial Gentle Border Adhesive 6x6. 3514373. 41.00. $. Optifoam Antimicrobial Gentle Border Adhesive 4x4. 3514374. 21.00. $. Optifoam Gentle ...
Bill Item ID Charge Code Charge Code Description Activity Type ...ALLEVYN GENTLE BORDER 5 X 5. Supplies. A6213. 58.50. 9389800. 4470045. ALLEVYN 7 X 7. Supplies. A6266. 234.00. 9389811. 4770061. PURAPLY AM XT 4.91X4.91. USVI Medicaid FormularyALLEVYN GENTLE BORDER EXTERNAL PAD. ALLEVYN GENTLE BORDER HEEL EXTERNAL PAD. ALLEVYN GENTLE BORDER LITE EXTERNAL PAD. ALLEVYN GENTLE BORDER SACRUM EXTERNAL PAD. This charge information provides a general idea of the prices for ...DRSG ALLEVYN 4X4. Supplies. 21.00. $. DRSG ALLEVYN 4X4 THIN. Supplies. 21.00. $. DRSG ALLEVYN 6X6. Supplies. 21.00. $. DRSG ALLEVYN GENTLE 5X5.
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