L8035 Custom breast prosthesis
ANEST_BU
0
BETOS
D1F
Long Description
Custom breast prosthesis, post mastectomy, molded to patient model
Category
COV
D
HCPCS
L8035
MCM1
2130.00
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Custom breast prosthesis
TOS1
P