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.







PREFERRED DRUG LIST - Buckeye Health Plan
Buckeye Health Plan, Inc. (Buckeye) is committed to providing appropriate, high quality, and cost effective drug therapy to all Buckeye members.
HOSPITAL PRICE LIST
DRESSING PO LY ALLEVYN 4X4. 272. 16.00. 5380125. ENDO BABCOCK 10MM. 272. 452.00 ... OPTIFOAM GENTLE BORDERED 6X6. 272. 35.00. Page 24. Page: 24. Charge Code.
Prices by Item 1 - UVA Health
... ALLEVYN 3X3. A6424. 5.14. $. 90100464 ALLEVYN 5X5. A6243. 18.92. $. 90100643 ALLEVYN GENTLE BORDER ... 4X4. A6424. 13.56. $. 90100472 AQUACEL FOAM. A6424. 7.41. $.
86.pdf - Tiger Commercial & Industrial
Allevyn Ag Gentle Border. 1,014 EA. 10EA/BX;4BX/CS. $17.14. $17,375.65 ... Dressing Optifoam Gentle Border 4x4. 3 EA. 10 EA/BX, 10 BX/CS. $4.72. $14.16.
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