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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
TRACTOCILE Intra-Venus Injection 7.5 mg / ml ( 0.9 ml ) 1
702108
547014050
446.75
0
TRAJENTA FILM COATED ORAL TABLET 5 MG
702109
547061616
4.68
0
TRAMADOL AWD(R) IM/IV/SC AMPOULE 100 mg Ampule
702110
3.4
0
TRAMADOL AWD(R) Intra-Venus AMPOULE 100 mg/2ml
702111
4.19
0
TRAMADONE(R) Intra-Venus AMPOULE
702112
3.78
0
TRAMAL RETARD(R) ORAL TABLET 100 mg
702113
2.27
0
TRAMAL(R) Oral Capsule 50 mg 30 Capsule
702114
545021091
1.17
0
TRANDATE(R) Intra-Venus AMPOULE 100 mg/amp
702115
544101790
11.98
0
TRANDATE(R) ORAL TABLET 100 mg Box
702116
544101795
0.65
0
TRANXENE(R) ORAL CAPSUL 10 mg
702117
0.27
0
TRANXENE(R) ORAL CAPSUL 5 mg
702118
0.18
0
TRAVATAN EYE DROPS 40 MCG / ML Bottle
702119
550013323
66.55
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