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HUNTSVILLE HOSPITAL · VANCOMYCIN 10MG/1ML INTRVITRL
$5.69
Source file dated 2026-03-27 · both
Source note: HUNTSVILLE HOSP|MADISON HOSP (ACU) 65% of $5.69 in Billed Charges for Rev 250 Proc G0463 = $3.70. Percent of Charge CDM service is reimbursed at a line level and those calculations will not change from person to person.
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