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MCO’s Enrollment/Application
$
850.00
MCO’s Enrollment/Application quantity
$
850.00
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In-Service
$
1,500.00
In-Service quantity
$
1,500.00
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ADRs / ADRs Hospice
$
275.00
ADRs / ADRs Hospice quantity
$
275.00
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$
2,625.00
Total
$
2,625.00
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