J2778 (347404) SELECTION (357.3)
Name
Value
SELECTION ID
J2778
SELECTION LIST
CPT CODES
SELECTION GROUP
PROC - INJECTIONS
PRINT ORDER WITHIN GROUP
5
QUANTITY
1
SUBCOLUMN VALUE
SUBCOLUMN NUMBER: 2
Ranibizumab per 0.1mg (use w/ 67028)
SUBCOLUMN NUMBER: 3
J2778