Charge Master - 021020.xlsx - Chinese Hospital
28540047 ALLEVYN 4X4 DRSG. 14.92. $. 28540054 MEPIFORM 4 X 7. 58.56. $. 28540056 DRSG HYPAFIX RETENTION SHEET. 40.56. $. 28540057 MEPILEX DRSG 4X4. 16.52. $.
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.
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