L8000 Mastectomy bra
ANEST_BU
0
BETOS
D1F
Long Description
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
Category
COV
D
HCPCS
L8000
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Mastectomy bra
TOS1
P