APPENDIX 506A: COVERED DME SUPPLIES
type, two-way, all silicone a4313 insertion tray without drainage bag with indwelling catheter, foley type,three-way, for continuous irrigation latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 1 per day x 14 days non-reimbursable with a4310, a4332, a4346 √ a4314 insertion tray with drainage bag with
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