L3040 Ft arch suprt premold longit
ANEST_BU
0
BETOS
D1F
Long Description
Foot, arch support, removable, premolded, longitudinal, each
Category
COV
D
HCPCS
L3040
MCM1
2323.00
MULT_PI
9
PRICE1
0.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Ft arch suprt premold longit
TOS1
P