ANEST_BU
0
BETOS
D1F
Long Description
Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)
Category
COV
C
HCPCS
L7401
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Add ue prost a/e ultlite mat
TOS1
P