Item No. 1 Three-Dimensional Computed Axial Tomography (Ct) Two Regions Without Contrast (Code Article 77859) Quantity: 2.00 Unit, Item No. 2 Anesthesia For Diagnostic Procedure (Code Article 66127) Quantity: 2.00 Unit, Item No. 3 Administration Of Contrast Medium For Imaging (Code Article 77405)Quantity:2.00 Unit
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