$52.56PK
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: 175555
Casepack: 500
UOM: PK
Model #: 50126RV
1 in stock
$52.56/each
No Discount
$51.39/each
$52.56
$50.61/each
$52.56
| 1 | 5 | $52.56 | $0.00 | $52.56 |
| 6 | 10 | $51.39 | $1.17 | $52.56 |
| 11 | 50 | $50.61 | $1.95 | $52.56 |
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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