Pricing Modifier. Informational Modifier

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1 1 National Provider of a hearing aid RT, LT, 50 per repair of a hearing aid , 32, 99 RT, LT, 50 per repair of a hearing aid , 32 RT, LT, 50 per repair of a hearing aid , 32 RT, LT, 50 per repair of a hearing aid , 32 RT, LT, 50 per repair binaural each binaural , 32, 99 each binaural , 32 each

2 2 National Provider binaural , 32 each binaural , 32 each ear canal) RT, LT, 50 each ear canal) , 32, 99 RT, LT, 50 each ear canal) , 32 RT, LT, 50 each ear canal) , 32 RT, LT, 50 each ear canal) , 32 RT, LT, 50 each

3 3 National Provider canal) RT, LT, 50 each canal) , 32,99 RT, LT, 50 each canal) , 32 RT, LT, 50 each canal) , 32 RT, LT, 50 each canal) , 32 RT, LT, 50 each binaural, CIC per pair binaural, CIC , 32,99 per pair binaural, CIC , 32 per pair binaural, CIC , 32 per pair

4 4 National Provider binaural, CIC , 32 per pair binaural, ITC per pair binaural, ITC , 32,99 per pair binaural, ITC , 32 per pair binaural, ITC , 32 per pair binaural, ITC , 32 per pair RT, LT, 50 each , 32,99 RT, LT, 50 each , 32 RT, LT, 50 each , 32 RT, LT, 50 each , 32 RT, LT, 50 each

5 5 National Provider monaural, ITC RT, LT, 50 each monaural, ITC , 32,99 RT, LT, 50 each monaural, ITC , 32 RT, LT, 50 each monaural, ITC , 32 RT, LT, 50 monaural, ITC , 32 RT, LT, 50 each monaural, ITE RT, LT, 50 each monaural, ITE , 32,99 RT, LT, 50 each monaural, ITE , 32 RT, LT, 50 each monaural, ITE , 32 RT, LT, 50 each monaural, ITE , 32 RT, LT, 50 each monaural, BTE RT, LT, 50 each each

6 6 National Provider monaural, BTE , 32,99 RT, LT, 50 each monaural, BTE , 32 RT, LT, 50 each monaural, BTE , 32 RT, LT, 50 each monaural, BTE , 32 RT, LT, 50 each binaural, CIC per pair binaural, CIC , 32,99 per pair binaural, CIC , 32 per pair binaural, CIC , 32 per pair binaural, CIC , 32 per pair binaural, ITC per pair binaural, ITC , 32,99 per pair

7 7 National Provider binaural, ITC , 32 per pair binaural, ITC , 32 per pair binaural, ITC , 32 per pair binaural, ITE per pair binaural, ITE , 32,99 per pair binaural, ITE , 32 per pair binaural, ITE , 32 per pair binaural, ITE , 32 per pair binaural, BTE per pair binaural, BTE , 32,99 per pair binaural, BTE , 32 per pair

8 8 National Provider binaural, BTE , 32 per pair binaural, BTE , 32 per pair disposable, any type RT, LT, 50 per mold disposable, any type , 32, 99 RT, LT, 50 per mold disposable, any type , 32 RT, LT, 50 per mold disposable, any type , 32 RT, LT, 50 per mold disposable, any type , 32 RT, LT, 50 per mold disposable, any type RT, LT, 50 per mold disposable, any type , 32, 99 RT, LT, 50 per mold disposable, any type , 32 RT, LT, 50 per mold disposable, any type , 32 RT, LT, 50 per mold

9 9 National Provider disposable, any type , 32 RT, LT, 50 per mold hearing device per battery hearing device , 32,99 per battery hearing device , 32 per battery hearing device hearing device , 32 per battery 31, 32 per battery

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