caption: 8 Department of Medical Assistance Services One Time Billing - Example 2 In this case there are 3 E1399 lines that will be included in the roll-up line: One E1399 line is for the IV pole $ (provider cost $96) One E1399 line is for the Foam padding twin size $ (provider cost $1136) One E1399 line is for the Sleep safe bed $ (provider cost $ ) The roll up line was for 3 units at $
exif: {}