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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
250 ml | |||||||
0 | DEXT/SOD.CHOLRIDE(R) Intra-Venus GLASS BOTTLE | 700567 | 548034596 | 7.95 | |||
250 ml Infusion | |||||||
0 | DEXT/SOD.CHOLRIDE(R) Intra-Venus PLASTIC BAG 500 | 700568 | 548034580 | 5.15 | |||
ml Infusion | |||||||
0 | DEXTRAN 40 Intra-Venus INJECTION ( in 0.9 NS ) 500 ml | 700569 | 543084601 | 17.78 | |||
0 | DEXTRAN/DEXTROSE(R) Intra-Venus INJECTION 5 % | 700570 | 17.78 | ||||
0 | DEXTROKUF (R) ORAL SYRUP 15 mg/5ml Syrups | 700571 | 549072620 | 4.3 | |||
0 | DEXTROSE(R) Intra-Venus GLASS BOTTLE 250 ml | 700572 | 548034620 | 4.55 | |||
Infusion | |||||||
0 | DEXTROSE(R) Intra-Venus GLASS BOTTLE 500 ml | 700573 | 548034610 | 4.55 | |||
Infusion |
250 ml
DEXT/SOD.CHOLRIDE(R) Intra-Venus GLASS BOTTLE
7.95
250 ml Infusion
DEXT/SOD.CHOLRIDE(R) Intra-Venus PLASTIC BAG 500
5.15
ml Infusion
DEXTRAN 40 Intra-Venus INJECTION ( in 0.9 NS ) 500 ml
17.78
DEXTRAN/DEXTROSE(R) Intra-Venus INJECTION 5 %
17.78
DEXTROKUF (R) ORAL SYRUP 15 mg/5ml Syrups
4.3
DEXTROSE(R) Intra-Venus GLASS BOTTLE 250 ml
4.55
Infusion
DEXTROSE(R) Intra-Venus GLASS BOTTLE 500 ml
4.55
Infusion
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