L4100 Repl leath cuff kafo prox th
ANEST_BU
0
BETOS
D1F
Long Description
Replace leather cuff kafo, proximal thigh
Category
COV
C
HCPCS
L4100
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Repl leath cuff kafo prox th
TOS1
P