ANEST_BU
0
BETOS
D1F
Long Description
External breast prosthesis garment, with mastectomy form, post mastectomy
Category
COV
D
HCPCS
L8015
MCM1
2130.00
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Ext breastprosthesis garment
TOS1
P