Contact lens, gas permeable, bifocal, per lens
Short Description: Cntct lens gas permbl bifocl
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1985
Effective Date: October 1, 2003
Termination Date:
Short Description: Cntct lens gas permbl bifocl
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1985
Effective Date: October 1, 2003
Termination Date: