Revita, per square centimeter
Short Description: Revita, per sq cm
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2018
Effective Date: January 1, 2018
Termination Date:
Short Description: Revita, per sq cm
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2018
Effective Date: January 1, 2018
Termination Date: