ANEST_BU
0
BETOS
D1F
Long Description
Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)
Category
COV
C
HCPCS
L5658
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Socket insert above knee
TOS1
P