$33.57PK
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Laser Printer Compatible. Form Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.
Quick Find: 175557
Casepack: 250
UOM: PK
Model #: 50135RV
1 in stock
$33.57/each
No Discount
$32.83/each
$33.57
$32.33/each
$33.57
| 1 | 5 | $33.57 | $0.00 | $33.57 |
| 6 | 10 | $32.83 | $0.74 | $33.57 |
| 11 | 50 | $32.33 | $1.24 | $33.57 |
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Laser Printer Compatible. Form Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Form Size: 8.5 x 11.
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