CDM SUP-2102-2105

BONE GRAFT SUB VITOSS 2X BOVINE FOAM BA2X 5CC at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS

INDIANAPOLIS, IN

Pricing by billing methodology

Price type

All methodologies

$3.8k

122–140 samples

Case rate

Not reported

Fee schedule

Not reported

Per diem

Not reported

Percent of billed charges

$3.8k

122–140 samples

Other

Not reported

Last updated: Jan 1, 2026

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