Injection, gadoteridol, (prohance multipack), per ml
Short Description: Inj prohance multipack
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2008
Effective Date: January 1, 2008
Termination Date:
Short Description: Inj prohance multipack
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2008
Effective Date: January 1, 2008
Termination Date: