ANEST_BU
0
BETOS
D1F
Long Description
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
Category
COV
C
HCPCS
L5679
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Socket insert w/o lock mech
TOS1
P