ANEST_BU
0
BETOS
D1F
Long Description
Upper extremity addition, silicone gel insert or equal, each
Category
COV
C
HCPCS
L6692
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Silicone gel insert or equal
TOS1
P