Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Short Description: In111 pentetate
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2006
Effective Date: January 1, 2006
Termination Date:
Short Description: In111 pentetate
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2006
Effective Date: January 1, 2006
Termination Date: