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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | HAVRIX(R) Intra-muscular VACCINE 0.5ml Injection | 700968 | 542014276 | 153.3 | |||
0 | HB-VAX DNA(R) Intra-Venus INJECTION 5 mcg/0.5ml | 700969 | 46.7 | ||||
0 | HB-VAX DNA(R) Intra-Venus VACCINE | 700970 | 40.45 | ||||
0 | HEMODIALYSIS GRADE(R) TOPICAL POWDER 650 g | 700971 | 10.15 | ||||
0 | HEMODIALYSIS GRADE(R) TOPICAL POWDER 840 g | 700972 | 13.1 | ||||
0 | HEPARINE SOD.(R) Intra-Venus INJECTION 5000 internat. | 700973 | 543024205 | 12 | |||
unit/ 0.2 ml | |||||||
0 | HEPARINE SOD.(R) Intra-Venus VIAL 1000 I.U./m | 700974 | 1.55 | ||||
0 | HEPARINE SOD.(R) Intra-Venus VIAL 5000 I.U./m | 700975 | 12 | ||||
0 | HEPATAMINE(R) INJECTION 8 % | 700976 | 125.25 | ||||
0 | HEPATITIS A (R) Intra-muscular VACCINE 0.5 ml/dose | 700977 | 542014277 | 66.25 | |||
0 | HEPATITIS B IMMUNOGLOBULIN Intra-muscular AMPOULE 1 ml Ampule | 700978 | 382.1 |
HAVRIX(R) Intra-muscular VACCINE 0.5ml Injection
153.3
HB-VAX DNA(R) Intra-Venus INJECTION 5 mcg/0.5ml
46.7
HB-VAX DNA(R) Intra-Venus VACCINE
40.45
HEMODIALYSIS GRADE(R) TOPICAL POWDER 650 g
10.15
HEMODIALYSIS GRADE(R) TOPICAL POWDER 840 g
13.1
HEPARINE SOD.(R) Intra-Venus INJECTION 5000 internat.
12
unit/ 0.2 ml
HEPARINE SOD.(R) Intra-Venus VIAL 1000 I.U./m
1.55
HEPARINE SOD.(R) Intra-Venus VIAL 5000 I.U./m
12
HEPATAMINE(R) INJECTION 8 %
125.25
HEPATITIS A (R) Intra-muscular VACCINE 0.5 ml/dose
66.25
HEPATITIS B IMMUNOGLOBULIN Intra-muscular AMPOULE 1 ml Ampule
382.1
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