L3212 Benesch boot pair infant
ANEST_BU
0
BETOS
D1F
Long Description
Benesch boot, pair, infant
Category
COV
D
HCPCS
L3212
MCM1
2079.00
MULT_PI
9
PRICE1
0.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Benesch boot pair infant
TOS1
P