J9217 (489718)    SELECTION (357.3)

Name Value
SELECTION ID J9217
SELECTION LIST CPT CODES
SELECTION GROUP INJECTION
PRINT ORDER WITHIN GROUP 17
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   2
    J9217
  • SUBCOLUMN NUMBER:   3
    Lupron Depot,per 7.5mg