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Updated Plan of Progresst for Outpatient Rehab

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$65.70
QuantityPrice
1 – 4$65.70
5 – 9$60.75
10 – 14$55.85
15 +$50.75
SKU: 2701/3P
$65.70
For all your rehab claims that require theCMS 701, Briggs Form2701/3Pis available.

8 1/2" x 11", 3-part carbonless snapsets, white original, color-coded copies, printed in black ink, 5-hole punched top and side, wrapped in 100s.

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