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| HCPC | J3471 | | LongDesc | INJECTION, HYALURONIDASE, OVINE, PRESERVATIVE FREE, PER 1 USP UNIT (UP TO 999 | | LongDesc | USP UNITS) | | SeqNum | 001 | | RIC | 003 | | ShortDesc | Ovine, up to 999 USP units | | PI1 | 51 | | PI2 | | | PI3 | | | PI4 | | | MPI | A | | CIM1 | | | CIM2 | | | CIM3 | | | MCM1 | | | MCM2 | | | MCM3 | | | Statute | | | LabCert1 | | | LabCert2 | | | LabCert3 | | | LabCert4 | | | LabCert5 | | | LabCert6 | | | LabCert7 | | | LabCert8 | | | XRef1 | | | XRef2 | | | XRef3 | | | XRef4 | | | XRef5 | | | Cov | D | | ASCPayGrp | | | ASCPayGrpEffDate | | | MOGPayGrp | | | MOGPayInd | | | MOGEffDate | | | ProcNote | 0123 | | BETOS | O1E | | Filler | | | TOS1 | 1 | | TOS2 | P | | TOS3 | | | TOS4 | | | TOS5 | | | AnestBaseUnits | 0 | | CodeAddDate | 20060101 | | ActionEffDate | 20060101 | | TermDate | | | ActionCode | N |
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