DIETARY
SERVICE CHARGE CODE SERVICE DESCRIPTION SERVICE CHARGE PRICE
6000001 EF-PULMOCARE 8 OZ 1.87
6000002 EF-PEDIASURE 8 OZ 1.48
6000003 EF-SUPP-VITAL POWDER 2.79 OZ 3.87
6000004 WATER STERILE 1 QUART 6.02
6000005 EF-JEVITY RTH 1000 CC 9.60
6000007 DIET CONSULTATION 25.80
6000010 EF-SUPP-PROMOD 6.6 GM SCOOP 13.54
6000023 DIETARY BREAKFAST 5.91
6000027 EF-NEPRO 8 OZ 2.29
6000031 DIETARY LUNCH 7.31
6000040 EF-ENSURE 8 OZ 1.44
6000048 DIETARY DINNER 6.89
6000074 SUSTAGEN BY DOSAGE 1.34
6000086 EF-SUPP-POLYCOSE PER HALF CUP 0.69
6000110 SUSTACAL PUDDINGS 1.32
6000129 SUSTACAL 8 OZ 1.19
6000137 SUSTACAL 12 OZ 1.55
6000141 CLEAR LIQUID DIET 1.71
6000157 FULL LIQUID DIET 3.61
6000158 EF-GLUCERNA 8 OZ 2.64
6000222 CLEAR LIQUID W/ ROSS SLD 3.15