Hover to zoom Hover over image to zoom. Click to view a larger version.
Price: $31.74
$31.74
In Stock
    Quantity:
    Availability: In Stock
    Usually ships In 1-2 Business Days

    Details

    CMS 1450/UB-04 Hospital Claim Form 3-Part Continuous. Paper type: All White. Sold in quantities of 500/Ctn. Paper size: 9-1/2" x 11".