L3904 Whfo electric custom fitted
ANEST_BU
0
BETOS
D1F
Long Description
Wrist hand finger orthosis, external powered, electric, custom fabricated
Category
COV
C
HCPCS
L3904
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Whfo electric custom fitted
TOS1
P