L4030 Replace socket brim cust fit
ANEST_BU
0
BETOS
D1F
Long Description
Replace quadrilateral socket brim, custom fitted
Category
COV
C
HCPCS
L4030
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Replace socket brim cust fit
TOS1
P