J2778 (398323)    SELECTION (357.3)

Name Value
SELECTION ID J2778
SELECTION LIST CPT CODES
SELECTION GROUP MEDICATIONS
PRINT ORDER WITHIN GROUP 9
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   2
    Ranibizumab per .01mg (use w/ 67028)
  • SUBCOLUMN NUMBER:   3
    J2778