Catheter
R13.94
Catheter
R13.94
Catheter
R12.06
Catheter
R12.07
Catheter
R12.06
Catheter
R12.07
Catheter
R12.08
Catheter
R12.08
Dressing
R10.33
Wound
R11.81
R1,003.10
R1,003.10
Catheter
R13.04
Catheter
R13.04
Other
R64.19
Other
R63.79
R818.00
Other
R62.00