J3396 (457943)    SELECTION (357.3)

Name Value
SELECTION ID J3396
SELECTION LIST CPT CODES
SELECTION GROUP MEDICATIONS
PRINT ORDER WITHIN GROUP 17
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   2
    Verteporfin/Visudyne per 0.1mg
  • SUBCOLUMN NUMBER:   3
    J3396