Durable Medical Equipment,

Prosthetics, Orthotics, and Supplies

PEIA January 2019 Fee Schedule

The absence or presence of a CPT Code does not determine coverage

HCPCS MOD MOD2 PEIA Fee Description

A4216 $0.42 Sterile water/saline, 10 ml

A4217 $3.07 Sterile water/saline, 500 ml

A4217 AU $3.07 Sterile water/saline, 500 ml

A4221 $17.23 Supp non-insulin inf cath/wk

A4222 $32.68 Infusion supplies with pump

A4224 $17.23 Supply insulin inf cath/wk

A4225 $2.31 Sup/ext insulin inf pump syr

A4233 NU $0.43 Alkalin batt for glucose mon

A4234 NU $2.01 J-cell batt for glucose mon

A4235 NU $0.85 Lithium batt for glucose mon

A4236 NU $0.99 Silvr oxide batt glucose mon

A4253 NU $7.07 Blood glucose/reagent strips

A4255 $3.83 Glucose monitor platforms

A4256 $2.87 Calibrator solution/chips

A4257 $12.49 Replace lensshield cartridge

A4258 $1.80 Lancet device each

A4259 $1.21 Lancets per box

A4265 $3.33 Paraffin

A4280 $5.07 Brst prsths adhsv attchmnt

A4310 $7.56 Insert tray w/o bag/cath

A4311 $14.50 Catheter w/o bag 2-way latex

A4312 $17.65 Cath w/o bag 2-way silicone

A4313 $18.13 Catheter w/bag 3-way

A4314 $24.74 Cath w/drainage 2-way latex

A4315 $25.81 Cath w/drainage 2-way silcne

A4316 $27.80 Cath w/drainage 3-way

A4320 $4.66 Irrigation tray

A4321 $0.00 Cath therapeutic irrig agent

A4322 $2.85 Irrigation syringe

A4326 $10.15 Male external catheter

A4327 $41.36 Fem urinary collect dev cup

A4328 $9.91 Fem urinary collect pouch

A4330 $5.96 Stool collection pouch

A4331 $3.11 Extension drainage tubing

A4332 $0.11 Lube sterile packet

A4333 $2.17 Urinary cath anchor device

A4334 $4.82 Urinary cath leg strap

A4336 $1.41 Urethral insert

A4338 $12.00 Indwelling catheter latex

A4340 $26.42 Indwelling catheter special

A4344 $15.67 Cath indw foley 2 way silicn

A4346 $19.17 Cath indw foley 3 way

A4349 $1.97 Disposable male external cat

A4351 $1.67 Straight tip urine catheter

A4352 $5.35 Coude tip urinary catheter

A4353 $6.84 Intermittent urinary cath

A4354 $11.55 Cath insertion tray w/bag

A4355 $8.60 Bladder irrigation tubing

A4356 $44.65 Ext ureth clmp or compr dvc

A4357 $9.50 Bedside drainage bag

A4358 $6.49 Urinary leg or abdomen bag

A4360 $0.48 Disposable ext urethral dev

A4361 $17.98 Ostomy face plate

A4362 $3.32 Solid skin barrier

A4363 $2.32 Ostomy clamp, replacement

A4364 $2.45 Adhesive, liquid or equal

A4366 $1.27 Ostomy vent

A4367 $7.20 Ostomy belt

A4368 $0.25 Ostomy filter

A4369 $2.37 Skin barrier liquid per oz

A4371 $3.56 Skin barrier powder per oz

A4372 $4.11 Skin barrier solid 4x4 equiv

A4373 $6.14 Skin barrier with flange

A4375 $16.80 Drainable plastic pch w fcpl

A4376 $46.57 Drainable rubber pch w fcplt

A4377 $4.20 Drainable plstic pch w/o fp

A4378 $30.09 Drainable rubber pch w/o fp

A4379 $14.70 Urinary plastic pouch w fcpl

A4380 $36.53 Urinary rubber pouch w fcplt

A4381 $4.53 Urinary plastic pouch w/o fp

A4382 $24.09 Urinary hvy plstc pch w/o fp

A4383 $27.59 Urinary rubber pouch w/o fp

A4384 $9.41 Ostomy faceplt/silicone ring

A4385 $4.99 Ost skn barrier sld ext wear

A4387 $2.20 Ost clsd pouch w att st barr

A4388 $4.27 Drainable pch w ex wear barr

A4389 $6.09 Drainable pch w st wear barr

A4390 $9.40 Drainable pch ex wear convex

A4391 $6.92 Urinary pouch w ex wear barr

A4392 $8.00 Urinary pouch w st wear barr

A4393 $8.85 Urine pch w ex wear bar conv

A4394 $2.53 Ostomy pouch liq deodorant

A4395 $0.04 Ostomy pouch solid deodorant

A4396 $39.62 Peristomal hernia supprt blt

A4397 $4.68 Irrigation supply sleeve

A4398 $13.53 Ostomy irrigation bag

A4399 $10.20 Ostomy irrig cone/cath w brs

A4400 $47.83 Ostomy irrigation set

A4402 $1.56 Lubricant per ounce

A4404 $1.51 Ostomy ring each

A4405 $3.34 Nonpectin based ostomy paste

A4406 $5.60 Pectin based ostomy paste

A4407 $8.58 Ext wear ost skn barr <=4sq"

A4408 $9.66 Ext wear ost skn barr >4sq"

A4409 $6.09 Ost skn barr convex <=4 sq i

A4410 $8.85 Ost skn barr extnd >4 sq

A4411 $4.99 Ost skn barr extnd =4sq

A4412 $2.64 Ost pouch drain high output

A4413 $5.39 2 pc drainable ost pouch

A4414 $4.82 Ost sknbar w/o conv<=4 sq in

A4415 $5.87 Ost skn barr w/o conv >4 sqi

A4416 $2.69 Ost pch clsd w barrier/filtr

A4417 $3.65 Ost pch w bar/bltinconv/fltr

A4418 $1.78 Ost pch clsd w/o bar w filtr

A4419 $1.69 Ost pch for bar w flange/flt

A4420 $0.00 Ost pch clsd for bar w lk fl

A4422 $0.11 Ost pouch absorbent material

A4423 $1.82 Ost pch for bar w lk fl/fltr

A4424 $4.66 Ost pch drain w bar & filter

A4425 $3.50 Ost pch drain for barrier fl

A4426 $2.67 Ost pch drain 2 piece system

A4427 $2.72 Ost pch drain/barr lk flng/f

A4428 $6.38 Urine ost pouch w faucet/tap

A4429 $8.07 Urine ost pouch w bltinconv

A4430 $8.33 Ost urine pch w b/bltin conv

A4431 $6.09 Ost pch urine w barrier/tapv

A4432 $3.51 Os pch urine w bar/fange/tap

A4433 $3.28 Urine ost pch bar w lock fln

A4434 $3.68 Ost pch urine w lock flng/ft

A4435 $5.64 1pc ost pch drain hgh output

A4450 AU $0.08 Non-waterproof tape

A4450 AV $0.08 Non-waterproof tape

A4450 AW $0.10 Non-waterproof tape

A4452 AU $0.35 Waterproof tape

A4452 AV $0.35 Waterproof tape

A4452 AW $0.38 Waterproof tape

A4455 $1.40 Adhesive remover per ounce

A4456 $0.24 Adhesive remover, wipes

A4461 $3.23 Surgicl dress hold non-reuse

A4463 $13.02 Surgical dress holder reuse

A4481 $0.36 Tracheostoma filter

A4483 $0.00 Moisture exchanger

A4556 $10.10 Electrodes, pair

A4557 $8.95 Lead wires, pair

A4558 $5.34 Conductive gel or paste

A4559 $0.09 Coupling gel or paste

A4561 $19.52 Pessary rubber, any type

A4562 $48.62 Pessary, non rubber,any type

A4563 $106.19 Vag inser rectal control sys

A4565 $7.53 Slings

A4595 $8.79 Tens suppl 2 lead per month

A4602 NU $3.65 Replace lithium battery 1.5v

A4604 NU $32.77 Tubing with heating element

A4605 NU $16.05 Trach suction cath close sys

A4608 $49.05 Transtracheal oxygen cath

A4614 $23.27 Hand-held pefr meter

A4615 $0.71 Cannula nasal

A4616 $0.06 Tubing (oxygen) per foot

A4617 $3.03 Mouth piece

A4618 NU $7.40 Breathing circuits

A4618 RR $0.86 Breathing circuits

A4618 UE $5.54 Breathing circuits

A4619 NU $1.70 Face tent

A4620 $0.62 Variable concentration mask

A4623 $5.45 Tracheostomy inner cannula

A4624 NU $2.58 Tracheal suction tube

A4625 $6.77 Trach care kit for new trach

A4626 $3.12 Tracheostomy cleaning brush

A4628 NU $3.66 Oropharyngeal suction cath

A4629 $4.55 Tracheostomy care kit

A4630 NU $5.19 Repl bat t.e.n.s. own by pt

A4633 NU $40.15 Uvl replacement bulb

A4635 NU $5.01 Underarm crutch pad

A4635 RR $0.61 Underarm crutch pad

A4635 UE $3.33 Underarm crutch pad

A4636 NU $2.64 Handgrip for cane etc

A4636 NU KE $0.00 Handgrip for cane etc

A4636 RR $0.26 Handgrip for cane etc

A4636 RR KE $0.00 Handgrip for cane etc

A4636 UE $1.97 Handgrip for cane etc

A4636 UE KE $0.00 Handgrip for cane etc

A4637 NU $1.46 Repl tip cane/crutch/walker

A4637 NU KE $0.00 Repl tip cane/crutch/walker

A4637 RR $0.14 Repl tip cane/crutch/walker

A4637 RR KE $0.00 Repl tip cane/crutch/walker

A4637 UE $1.10 Repl tip cane/crutch/walker

A4637 UE KE $0.00 Repl tip cane/crutch/walker

A4638 NU $0.00 Repl batt pulse gen sys

A4638 RR $0.00 Repl batt pulse gen sys

A4638 UE $0.00 Repl batt pulse gen sys

A4639 RR $28.11 Infrared ht sys replcmnt pad

A4640 NU $42.03 Alternating pressure pad

A4640 RR $4.20 Alternating pressure pad

A4640 UE $31.53 Alternating pressure pad

A5051 $2.02 Pouch clsd w barr attached

A5052 $1.45 Clsd ostomy pouch w/o barr

A5053 $1.69 Clsd ostomy pouch faceplate

A5054 $1.76 Clsd ostomy pouch w/flange

A5055 $1.29 Stoma cap

A5056 $4.57 1 pc ost pouch w filter

A5057 $9.40 1 pc ost pou w built-in conv

A5061 $3.45 Pouch drainable w barrier at

A5062 $2.04 Drnble ostomy pouch w/o barr

A5063 $2.64 Drain ostomy pouch w/flange

A5071 $5.88 Urinary pouch w/barrier

A5072 $3.45 Urinary pouch w/o barrier

A5073 $3.06 Urinary pouch on barr w/flng

A5081 $3.25 Stoma plug or seal, any type

A5082 $11.65 Continent stoma catheter

A5083 $0.63 Stoma absorptive cover

A5093 $1.62 Ostomy accessory convex inse

A5102 $21.93 Bedside drain btl w/wo tube

A5105 $39.91 Urinary suspensory

A5112 $30.84 Urinary leg bag

A5113 $3.93 Latex leg strap

A5114 $7.45 Foam/fabric leg strap

A5120 AU $0.21 Skin barrier, wipe or swab

A5120 AV $0.22 Skin barrier, wipe or swab

A5121 $6.99 Solid skin barrier 6x6

A5122 $12.57 Solid skin barrier 8x8

A5126 $1.09 Disk/foam pad +or- adhesive

A5131 $13.18 Appliance cleaner

A5200 $11.05 Percutaneous catheter anchor

A5500 $62.23 Diab shoe for density insert

A5501 $186.65 Diabetic custom molded shoe

A5503 $30.80 Diabetic shoe w/roller/rockr

A5504 $30.80 Diabetic shoe with wedge

A5505 $30.80 Diab shoe w/metatarsal bar

A5506 $30.80 Diabetic shoe w/off set heel

A5507 $30.80 Modification diabetic shoe

A5512 $25.38 Multi den insert direct form

A5513 $37.88 Multi den insert custom mold

A5514 $37.88 Mult den insert dir carv/cam

A6010 $30.31 Collagen based wound filler

A6011 $2.24 Collagen gel/paste wound fil

A6021 $20.57 Collagen dressing <=16 sq in

A6022 $20.57 Collagen drsg>16<=48 sq in

A6023 $186.25 Collagen dressing >48 sq in

A6024 $6.06 Collagen dsg wound filler

A6154 $13.64 Wound pouch each

A6196 $7.20 Alginate dressing <=16 sq in

A6197 $16.09 Alginate drsg >16 <=48 sq in

A6199 $5.18 Alginate drsg wound filler

A6203 $3.30 Composite drsg <= 16 sq in

A6204 $6.09 Composite drsg >16<=48 sq in

A6207 $7.18 Contact layer >16<= 48 sq in

A6209 $7.31 Foam drsg <=16 sq in w/o bdr

A6210 $19.50 Foam drg >16<=48 sq in w/o b

A6211 $28.75 Foam drg > 48 sq in w/o brdr

A6212 $9.50 Foam drg <=16 sq in w/border

A6214 $10.07 Foam drg > 48 sq in w/border

A6216 $0.04 Non-sterile gauze<=16 sq in

A6217 $0.00 Non-sterile gauze>16<=48 sq

A6219 $0.94 Gauze <= 16 sq in w/border

A6220 $2.53 Gauze >16 <=48 sq in w/bordr

A6222 $2.09 Gauze <=16 in no w/sal w/o b

A6223 $2.37 Gauze >16<=48 no w/sal w/o b

A6224 $3.53 Gauze > 48 in no w/sal w/o b

A6229 $3.53 Gauze >16<=48 sq in watr/sal

A6231 $4.57 Hydrogel dsg<=16 sq in

A6232 $6.72 Hydrogel dsg>16<=48 sq in

A6233 $18.77 Hydrogel dressing >48 sq in

A6234 $6.40 Hydrocolld drg <=16 w/o bdr

A6235 $16.46 Hydrocolld drg >16<=48 w/o b

A6236 $26.67 Hydrocolld drg > 48 in w/o b

A6237 $7.74 Hydrocolld drg <=16 in w/bdr

A6238 $22.31 Hydrocolld drg >16<=48 w/bdr

A6240 $11.99 Hydrocolld drg filler paste

A6241 $2.52 Hydrocolloid drg filler dry

A6242 $5.93 Hydrogel drg <=16 in w/o bdr

A6243 $12.06 Hydrogel drg >16<=48 w/o bdr

A6244 $38.45 Hydrogel drg >48 in w/o bdr

A6245 $7.11 Hydrogel drg <= 16 in w/bdr

A6246 $9.72 Hydrogel drg >16<=48 in w/b

A6247 $23.27 Hydrogel drg > 48 sq in w/b

A6248 $15.90 Hydrogel drsg gel filler

A6251 $1.95 Absorpt drg <=16 sq in w/o b

A6252 $3.19 Absorpt drg >16 <=48 w/o bdr

A6253 $6.20 Absorpt drg > 48 sq in w/o b

A6254 $1.17 Absorpt drg <=16 sq in w/bdr

A6255 $2.98 Absorpt drg >16<=48 in w/bdr

A6257 $1.50 Transparent film <= 16 sq in

A6258 $4.22 Transparent film >16<=48 in

A6259 $10.70 Transparent film > 48 sq in

A6266 $1.88 Impreg gauze no h20/sal/yard

A6402 $0.11 Sterile gauze <= 16 sq in

A6403 $0.42 Sterile gauze>16 <= 48 sq in

A6407 $1.84 Packing strips, non-impreg

A6410 $0.37 Sterile eye pad

A6411 $0.00 Non-sterile eye pad

A6441 $0.67 Pad band w>=3" <5"/yd

A6442 $0.15 Conform band n/s w<3"/yd

A6443 $0.27 Conform band n/s w>=3"<5"/yd

A6444 $0.54 Conform band n/s w>=5"/yd

A6445 $0.31 Conform band s w <3"/yd

A6446 $0.39 Conform band s w>=3" <5"/yd

A6447 $0.67 Conform band s w >=5"/yd

A6448 $1.13 Lt compres band <3"/yd

A6449 $1.72 Lt compres band >=3" <5"/yd

A6450 $1.72 Lt compres band >=5"/yd

A6451 $1.72 Mod compres band w>=3"<5"/yd

A6452 $5.78 High compres band w>=3"<5"yd

A6453 $0.61 Self-adher band w <3"/yd

A6454 $0.77 Self-adher band w>=3" <5"/yd

A6455 $1.37 Self-adher band >=5"/yd

A6456 $1.24 Zinc paste band w >=3"<5"/yd

A6457 $1.11 Tubular dressing

A6501 $0.00 Compres burngarment bodysuit

A6502 $0.00 Compres burngarment chinstrp

A6503 $0.00 Compres burngarment facehood

A6504 $0.00 Cmprsburngarment glove-wrist

A6505 $0.00 Cmprsburngarment glove-elbow

A6506 $0.00 Cmprsburngrmnt glove-axilla

A6507 $0.00 Cmprs burngarment foot-knee

A6508 $0.00 Cmprs burngarment foot-thigh

A6509 $0.00 Compres burn garment jacket

A6510 $0.00 Compres burn garment leotard

A6511 $0.00 Compres burn garment panty

A6513 $0.00 Compress burn mask face/neck

A6531 AW $42.34 Compression stocking bk30-40

A6532 AW $59.66 Compression stocking bk40-50

A6545 $0.00 Grad comp non-elastic bk

A6545 AW $83.37 Grad comp non-elastic bk

A6550 $20.81 Neg pres wound ther drsg set

A7000 NU $6.97 Disposable canister for pump

A7000 NU KE $0.00 Disposable canister for pump

A7001 NU $32.38 Nondisposable pump canister

A7002 NU $3.75 Tubing used w suction pump

A7003 NU $1.25 Nebulizer administration set

A7004 NU $1.05 Disposable nebulizer sml vol

A7005 NU $9.97 Nondisposable nebulizer set

A7006 NU $6.35 Filtered nebulizer admin set

A7007 NU $2.77 Lg vol nebulizer disposable

A7008 NU $10.76 Disposable nebulizer prefill

A7009 NU $41.15 Nebulizer reservoir bottle

A7010 NU $13.40 Disposable corrugated tubing

A7012 NU $2.46 Nebulizer water collec devic

A7013 NU $0.48 Disposable compressor filter

A7014 NU $2.72 Compressor nondispos filter

A7015 NU $1.09 Aerosol mask used w nebulize

A7016 NU $7.10 Nebulizer dome & mouthpiece

A7017 NU $103.76 Nebulizer not used w oxygen

A7017 RR $10.38 Nebulizer not used w oxygen

A7017 UE $77.82 Nebulizer not used w oxygen

A7018 $0.27 Water distilled w/nebulizer

A7020 NU $14.17 Interface, cough stim device

A7025 RR $42.58 Replace chest compress vest

A7026 NU $28.13 Replace chst cmprss sys hose

A7027 NU $102.01 Combination oral/nasal mask

A7028 NU $28.53 Repl oral cushion combo mask

A7029 NU $12.75 Repl nasal pillow comb mask

A7030 NU $73.38 Cpap full face mask

A7031 NU $28.46 Replacement facemask interfa

A7032 NU $15.96 Replacement nasal cushion

A7033 NU $12.85 Replacement nasal pillows

A7034 NU $46.30 Nasal application device

A7035 NU $15.20 Pos airway press headgear

A7036 NU $8.84 Pos airway press chinstrap

A7037 NU $9.81 Pos airway pressure tubing

A7038 NU $1.71 Pos airway pressure filter

A7039 NU $5.02 Filter, non disposable w pap

A7040 $38.63 One way chest drain valve

A7041 $72.61 Water seal drain container

A7044 NU $70.51 Pap oral interface

A7045 NU $9.71 Repl exhalation port for pap

A7045 RR $0.97 Repl exhalation port for pap

A7045 UE $7.28 Repl exhalation port for pap

A7046 NU $11.30 Repl water chamber, pap dev

A7047 NU $118.33 Resp suction oral interface

A7048 $40.42 Vacuum drain bottle/tube kit

A7501 $102.78 Tracheostoma valve w diaphra

A7502 $48.86 Replacement diaphragm/fplate

A7503 $11.10 Hmes filter holder or cap

A7504 $0.67 Tracheostoma hmes filter

A7505 $4.59 Hmes or trach valve housing

A7506 $0.32 Hmes/trachvalve adhesivedisk

A7507 $2.43 Integrated filter & holder

A7508 $2.81 Housing & integrated adhesiv

A7509 $1.39 Heat & moisture exchange sys

A7520 $46.47 Trach/laryn tube non-cuffed

A7521 $46.04 Trach/laryn tube cuffed

A7522 $44.20 Trach/laryn tube stainless

A7524 $75.76 Tracheostoma stent/stud/bttn

A7525 $2.02 Tracheostomy mask

A7526 $3.32 Tracheostomy tube collar

A7527 $3.50 Trach/laryn tube plug/stop

A8000 NU $150.09 Soft protect helmet prefab

A8000 RR $15.01 Soft protect helmet prefab

A8000 UE $112.59 Soft protect helmet prefab

A8001 NU $150.09 Hard protect helmet prefab

A8001 RR $15.01 Hard protect helmet prefab

A8001 UE $112.59 Hard protect helmet prefab

A8002 NU $0.00 Soft protect helmet custom

A8002 RR $0.00 Soft protect helmet custom

A8002 UE $0.00 Soft protect helmet custom

A8003 NU $0.00 Hard protect helmet custom

A8003 RR $0.00 Hard protect helmet custom

A8003 UE $0.00 Hard protect helmet custom

A8004 NU $0.00 Repl soft interface, helmet

A8004 RR $0.00 Repl soft interface, helmet

A8004 UE $0.00 Repl soft interface, helmet

E0100 NU $19.12 Cane adjust/fixed with tip

E0100 RR $5.81 Cane adjust/fixed with tip

E0100 UE $15.43 Cane adjust/fixed with tip

E0105 NU $44.45 Cane adjust/fixed quad/3 pro

E0105 RR $8.68 Cane adjust/fixed quad/3 pro

E0105 UE $34.77 Cane adjust/fixed quad/3 pro

E0110 NU $64.55 Crutch forearm pair

E0110 RR $15.64 Crutch forearm pair

E0110 UE $48.39 Crutch forearm pair

E0111 NU $47.38 Crutch forearm each

E0111 RR $8.25 Crutch forearm each

E0111 UE $40.22 Crutch forearm each

E0112 NU $32.84 Crutch underarm pair wood

E0112 RR $9.73 Crutch underarm pair wood

E0112 UE $24.61 Crutch underarm pair wood

E0113 NU $17.59 Crutch underarm each wood

E0113 RR $5.03 Crutch underarm each wood

E0113 UE $13.18 Crutch underarm each wood

E0114 NU $39.26 Crutch underarm pair no wood

E0114 RR $8.38 Crutch underarm pair no wood

E0114 UE $34.92 Crutch underarm pair no wood

E0116 NU $23.09 Crutch underarm each no wood

E0116 RR $5.30 Crutch underarm each no wood

E0116 UE $17.37 Crutch underarm each no wood

E0117 RR $18.85 Underarm springassist crutch

E0130 NU $38.08 Walker rigid adjust/fixed ht

E0130 RR $3.81 Walker rigid adjust/fixed ht

E0130 UE $28.56 Walker rigid adjust/fixed ht

E0135 NU $38.25 Walker folding adjust/fixed

E0135 RR $3.83 Walker folding adjust/fixed

E0135 UE $28.69 Walker folding adjust/fixed

E0140 RR $23.91 Walker w trunk support

E0141 NU $40.42 Rigid wheeled walker adj/fix

E0141 RR $4.05 Rigid wheeled walker adj/fix

E0141 UE $30.31 Rigid wheeled walker adj/fix

E0143 NU $40.42 Walker folding wheeled w/o s

E0143 RR $4.05 Walker folding wheeled w/o s

E0143 UE $30.31 Walker folding wheeled w/o s

E0144 RR $22.81 Enclosed walker w rear seat

E0147 NU $336.69 Walker variable wheel resist

E0147 RR $33.67 Walker variable wheel resist

E0147 UE $252.52 Walker variable wheel resist

E0148 NU $69.90 Heavyduty walker no wheels

E0148 RR $6.99 Heavyduty walker no wheels

E0148 UE $52.42 Heavyduty walker no wheels

E0149 RR $10.41 Heavy duty wheeled walker

E0153 NU $57.73 Forearm crutch platform atta

E0153 RR $6.53 Forearm crutch platform atta

E0153 UE $43.28 Forearm crutch platform atta

E0154 NU $39.51 Walker platform attachment

E0154 RR $3.95 Walker platform attachment

E0154 UE $29.63 Walker platform attachment

E0155 NU $16.86 Walker wheel attachment,pair

E0155 RR $1.68 Walker wheel attachment,pair

E0155 UE $12.64 Walker wheel attachment,pair

E0156 NU $13.33 Walker seat attachment

E0156 RR $1.33 Walker seat attachment

E0156 UE $10.00 Walker seat attachment

E0157 NU $47.67 Walker crutch attachment

E0157 RR $4.77 Walker crutch attachment

E0157 UE $35.75 Walker crutch attachment

E0158 NU $17.88 Walker leg extenders set of4

E0158 RR $1.79 Walker leg extenders set of4

E0158 UE $13.41 Walker leg extenders set of4

E0159 NU $12.42 Brake for wheeled walker

E0159 RR $1.24 Brake for wheeled walker

E0159 UE $9.32 Brake for wheeled walker

E0160 NU $22.17 Sitz type bath or equipment

E0160 RR $2.22 Sitz type bath or equipment

E0160 UE $16.63 Sitz type bath or equipment

E0161 NU $20.77 Sitz bath/equipment w/faucet

E0161 RR $2.07 Sitz bath/equipment w/faucet

E0161 UE $15.57 Sitz bath/equipment w/faucet

E0162 NU $136.91 Sitz bath chair

E0162 RR $14.96 Sitz bath chair

E0162 UE $100.02 Sitz bath chair

E0163 NU $45.30 Commode chair with fixed arm

E0163 RR $4.53 Commode chair with fixed arm

E0163 UE $33.97 Commode chair with fixed arm

E0165 RR $10.43 Commode chair with detacharm

E0167 NU $8.38 Commode chair pail or pan

E0167 RR $0.84 Commode chair pail or pan

E0167 UE $6.29 Commode chair pail or pan

E0168 NU $99.90 Heavyduty/wide commode chair

E0168 RR $9.99 Heavyduty/wide commode chair

E0168 UE $74.93 Heavyduty/wide commode chair

E0170 RR $134.08 Commode chair electric

E0171 RR $24.64 Commode chair non-electric

E0175 NU $59.49 Commode chair foot rest

E0175 RR $5.94 Commode chair foot rest

E0175 UE $44.62 Commode chair foot rest

E0181 RR $13.12 Press pad alternating w/ pum

E0182 RR $16.28 Replace pump, alt press pad

E0184 NU $134.18 Dry pressure mattress

E0184 RR $13.42 Dry pressure mattress

E0184 UE $100.64 Dry pressure mattress

E0185 NU $143.28 Gel pressure mattress pad

E0185 RR $14.33 Gel pressure mattress pad

E0185 UE $107.46 Gel pressure mattress pad

E0186 RR $14.95 Air pressure mattress

E0187 RR $16.30 Water pressure mattress

E0188 NU $19.95 Synthetic sheepskin pad

E0188 RR $2.00 Synthetic sheepskin pad

E0188 UE $14.96 Synthetic sheepskin pad

E0189 NU $41.43 Lambswool sheepskin pad

E0189 RR $4.14 Lambswool sheepskin pad

E0189 UE $31.07 Lambswool sheepskin pad

E0191 NU $9.73 Protector heel or elbow

E0191 RR $1.01 Protector heel or elbow

E0191 UE $7.28 Protector heel or elbow

E0193 RR $574.05 Powered air flotation bed

E0194 RR $2,780.45 Air fluidized bed

E0196 RR $25.03 Gel pressure mattress

E0197 RR $14.02 Air pressure pad for mattres

E0198 RR $21.68 Water pressure pad for mattr

E0199 NU $24.52 Dry pressure pad for mattres

E0199 RR $2.46 Dry pressure pad for mattres

E0199 UE $18.39 Dry pressure pad for mattres

E0200 NU $77.59 Heat lamp without stand

E0200 RR $10.53 Heat lamp without stand

E0200 UE $58.23 Heat lamp without stand

E0202 RR $61.28 Phototherapy light w/ photom

E0205 NU $189.92 Heat lamp with stand

E0205 RR $20.89 Heat lamp with stand

E0205 UE $142.44 Heat lamp with stand

E0210 NU $31.95 Electric heat pad standard

E0210 RR $3.01 Electric heat pad standard

E0210 UE $23.95 Electric heat pad standard

E0215 NU $69.33 Electric heat pad moist

E0215 RR $7.25 Electric heat pad moist

E0215 UE $52.01 Electric heat pad moist

E0217 NU $413.01 Water circ heat pad w pump

E0217 RR $45.98 Water circ heat pad w pump

E0217 UE $309.73 Water circ heat pad w pump

E0225 NU $323.31 Hydrocollator unit

E0225 RR $31.87 Hydrocollator unit

E0225 UE $242.48 Hydrocollator unit

E0235 RR $14.35 Paraffin bath unit portable

E0236 RR $36.81 Pump for water circulating p

E0239 NU $374.20 Hydrocollator unit portable

E0239 RR $37.43 Hydrocollator unit portable

E0239 UE $280.65 Hydrocollator unit portable

E0249 NU $82.87 Pad water circulating heat u

E0249 RR $9.10 Pad water circulating heat u

E0249 UE $62.14 Pad water circulating heat u

E0250 RR $51.08 Hosp bed fixed ht w/ mattres

E0251 RR $47.21 Hosp bed fixd ht w/o mattres

E0255 RR $51.73 Hospital bed var ht w/ mattr

E0256 RR $49.23 Hospital bed var ht w/o matt

E0260 RR $51.88 Hosp bed semi-electr w/ matt

E0261 RR $51.68 Hosp bed semi-electr w/o mat

E0265 RR $122.14 Hosp bed total electr w/ mat

E0266 RR $106.28 Hosp bed total elec w/o matt

E0271 NU $105.31 Mattress innerspring

E0271 RR $10.53 Mattress innerspring

E0271 UE $78.98 Mattress innerspring

E0272 NU $118.26 Mattress foam rubber

E0272 RR $11.82 Mattress foam rubber

E0272 UE $88.70 Mattress foam rubber

E0275 NU $11.31 Bed pan standard

E0275 RR $1.13 Bed pan standard

E0275 UE $8.49 Bed pan standard

E0276 NU $9.44 Bed pan fracture

E0276 RR $0.94 Bed pan fracture

E0276 UE $7.07 Bed pan fracture

E0277 RR $166.97 Powered pres-redu air mattrs

E0280 NU $25.34 Bed cradle

E0280 RR $2.53 Bed cradle

E0280 UE $19.01 Bed cradle

E0290 RR $46.86 Hosp bed fx ht w/o rails w/m

E0291 RR $35.67 Hosp bed fx ht w/o rail w/o

E0292 RR $49.65 Hosp bed var ht no sr w/matt

E0293 RR $45.26 Hosp bed var ht no sr no mat

E0294 RR $51.79 Hosp bed semi-elect w/ mattr

E0295 RR $51.68 Hosp bed semi-elect w/o matt

E0296 RR $95.29 Hosp bed total elect w/ matt

E0297 RR $84.10 Hosp bed total elect w/o mat

E0300 RR $212.35 Enclosed ped crib hosp grade

E0301 RR $139.34 Hd hosp bed, 350-600 lbs

E0302 RR $400.72 Ex hd hosp bed > 600 lbs

E0303 RR $141.99 Hosp bed hvy dty xtra wide

E0304 RR $416.25 Hosp bed xtra hvy dty x wide

E0305 RR $9.12 Rails bed side half length

E0310 NU $96.42 Rails bed side full length

E0310 RR $9.64 Rails bed side full length

E0310 UE $72.32 Rails bed side full length

E0316 RR $164.99 Bed safety enclosure

E0325 NU $7.31 Urinal male jug-type

E0325 RR $0.73 Urinal male jug-type

E0325 UE $5.48 Urinal male jug-type

E0326 NU $7.83 Urinal female jug-type

E0326 RR $0.78 Urinal female jug-type

E0326 UE $5.87 Urinal female jug-type

E0371 RR $166.97 Nonpower mattress overlay

E0372 RR $166.97 Powered air mattress overlay

E0373 RR $166.97 Nonpowered pressure mattress

E0424 RR $62.24 Stationary compressed gas 02

E0424 RR QB $62.24 Stationary compressed gas 02

E0424 RR QF $62.24 Stationary compressed gas 02

E0431 RR $13.75 Portable gaseous 02

E0431 RR QB $31.12 Portable gaseous 02

E0431 RR QF $31.12 Portable gaseous 02

E0433 RR $29.78 Portable liquid oxygen sys

E0433 RR QB $31.12 Portable liquid oxygen sys

E0433 RR QF $31.12 Portable liquid oxygen sys

E0434 RR $29.78 Portable liquid 02

E0434 RR QB $31.12 Portable liquid 02

E0434 RR QF $31.12 Portable liquid 02

E0439 RR $62.24 Stationary liquid 02

E0439 RR QB $62.24 Stationary liquid 02

E0439 RR QF $62.24 Stationary liquid 02

E0441 $42.41 Stationary o2 contents, gas

E0442 $42.41 Stationary o2 contents, liq

E0443 $38.42 Portable 02 contents, gas

E0444 $38.42 Portable 02 contents, liquid

E0447 $57.63 Port o2 cont, liq over 4 lpm

E0462 RR $269.08 Rocking bed w/ or w/o side r

E0465 RR $934.17 Home vent invasive interface

E0466 RR $934.17 Home vent non-invasive inter

E0467 RR $1,091.93 Home vent multi-function

E0470 RR $88.91 Rad w/o backup non-inv intfc

E0471 RR $218.96 Rad w/backup non inv intrfc

E0472 RR $331.01 Rad w backup invasive intrfc

E0480 RR $39.44 Percussor elect/pneum home m

E0482 RR $406.63 Cough stimulating device

E0483 RR $1,040.46 Hi freq chest wall oscil sys

E0484 NU $36.15 Non-elec oscillatory pep dvc

E0484 RR $3.61 Non-elec oscillatory pep dvc

E0484 UE $27.12 Non-elec oscillatory pep dvc

E0485 NU $0.00 Oral device/appliance prefab

E0485 RR $0.00 Oral device/appliance prefab

E0485 UE $0.00 Oral device/appliance prefab

E0486 NU $0.00 Oral device/appliance cusfab

E0486 RR $0.00 Oral device/appliance cusfab

E0486 UE $0.00 Oral device/appliance cusfab

E0500 RR $107.41 Ippb all types

E0550 RR $41.70 Humidif extens supple w ippb

E0560 NU $144.67 Humidifier supplemental w/ i

E0560 RR $16.95 Humidifier supplemental w/ i

E0560 UE $108.51 Humidifier supplemental w/ i

E0561 NU $61.22 Humidifier nonheated w pap

E0561 RR $6.12 Humidifier nonheated w pap

E0561 UE $45.92 Humidifier nonheated w pap

E0562 NU $115.38 Humidifier heated used w pap

E0562 RR $11.53 Humidifier heated used w pap

E0562 UE $86.54 Humidifier heated used w pap

E0565 RR $34.50 Compressor air power source

E0570 RR $4.89 Nebulizer with compression

E0572 RR $26.18 Aerosol compressor adjust pr

E0574 RR $38.28 Ultrasonic generator w svneb

E0575 RR $100.59 Nebulizer ultrasonic

E0580 NU $110.83 Nebulizer for use w/ regulat

E0580 RR $11.08 Nebulizer for use w/ regulat

E0580 UE $83.13 Nebulizer for use w/ regulat

E0585 RR $24.69 Nebulizer w/ compressor & he

E0600 RR $44.81 Suction pump portab hom modl

E0601 RR $34.48 Cont airway pressure device

E0602 NU $28.88 Manual breast pump

E0602 RR $2.91 Manual breast pump

E0602 UE $21.67 Manual breast pump

E0605 NU $24.50 Vaporizer room type

E0605 RR $3.01 Vaporizer room type

E0605 UE $18.37 Vaporizer room type

E0606 RR $22.47 Drainage board postural

E0607 NU $65.39 Blood glucose monitor home

E0607 RR $6.53 Blood glucose monitor home

E0607 UE $49.04 Blood glucose monitor home

E0610 NU $232.78 Pacemaker monitr audible/vis

E0610 RR $24.55 Pacemaker monitr audible/vis

E0610 UE $174.61 Pacemaker monitr audible/vis

E0615 NU $434.55 Pacemaker monitr digital/vis

E0615 RR $57.25 Pacemaker monitr digital/vis

E0615 UE $325.89 Pacemaker monitr digital/vis

E0617 RR $297.55 Automatic ext defibrillator

E0617 RR KF $330.38 Automatic ext defibrillator

E0618 RR $267.20 Apnea monitor

E0619 RR $0.00 Apnea monitor w recorder

E0620 RR $85.56 Cap bld skin piercing laser

E0621 NU $66.22 Patient lift sling or seat

E0621 RR $6.62 Patient lift sling or seat

E0621 UE $49.67 Patient lift sling or seat

E0627 NU $215.16 Seat lift mech, electric any

E0627 RR $21.51 Seat lift mech, electric any

E0627 UE $161.37 Seat lift mech, electric any

E0629 NU $214.19 Seat lift mech, non-electric

E0629 RR $21.42 Seat lift mech, non-electric

E0629 UE $160.64 Seat lift mech, non-electric

E0630 RR $49.16 Patient lift hydraulic

E0635 RR $96.19 Patient lift electric

E0636 RR $812.80 Pt support & positioning sys

E0639 RR $92.79 Moveable patient lift system

E0640 RR $92.79 Fixed patient lift system

E0650 NU $645.63 Pneuma compresor non-segment

E0650 RR $86.98 Pneuma compresor non-segment

E0650 UE $484.20 Pneuma compresor non-segment

E0651 NU $764.00 Pneum compressor segmental

E0651 RR $78.06 Pneum compressor segmental

E0651 UE $573.02 Pneum compressor segmental

E0652 NU $5,127.87 Pneum compres w/cal pressure

E0652 RR $512.75 Pneum compres w/cal pressure

E0652 UE $3,845.91 Pneum compres w/cal pressure

E0655 NU $105.63 Pneumatic appliance half arm

E0655 RR $12.42 Pneumatic appliance half arm

E0655 UE $79.32 Pneumatic appliance half arm

E0656 RR $56.56 Segmental pneumatic trunk

E0657 RR $53.13 Segmental pneumatic chest

E0660 NU $156.35 Pneumatic appliance full leg

E0660 RR $16.27 Pneumatic appliance full leg

E0660 UE $117.26 Pneumatic appliance full leg

E0665 NU $113.97 Pneumatic appliance full arm

E0665 RR $11.70 Pneumatic appliance full arm

E0665 UE $85.57 Pneumatic appliance full arm

E0666 NU $135.15 Pneumatic appliance half leg

E0666 RR $13.92 Pneumatic appliance half leg

E0666 UE $101.38 Pneumatic appliance half leg

E0667 NU $316.85 Seg pneumatic appl full leg

E0667 RR $31.71 Seg pneumatic appl full leg

E0667 UE $237.64 Seg pneumatic appl full leg

E0668 NU $367.58 Seg pneumatic appl full arm

E0668 RR $36.28 Seg pneumatic appl full arm

E0668 UE $275.70 Seg pneumatic appl full arm

E0669 NU $170.34 Seg pneumatic appli half leg

E0669 RR $17.03 Seg pneumatic appli half leg

E0669 UE $127.76 Seg pneumatic appli half leg

E0670 NU $1,199.08 Seg pneum int legs/trunk

E0670 RR $119.84 Seg pneum int legs/trunk

E0670 UE $899.39 Seg pneum int legs/trunk

E0671 NU $406.50 Pressure pneum appl full leg

E0671 RR $40.67 Pressure pneum appl full leg

E0671 UE $304.85 Pressure pneum appl full leg

E0672 NU $315.83 Pressure pneum appl full arm

E0672 RR $31.60 Pressure pneum appl full arm

E0672 UE $236.90 Pressure pneum appl full arm

E0673 NU $262.45 Pressure pneum appl half leg

E0673 RR $26.25 Pressure pneum appl half leg

E0673 UE $196.87 Pressure pneum appl half leg

E0675 RR $376.35 Pneumatic compression device

E0691 NU $879.42 Uvl pnl 2 sq ft or less

E0691 RR $87.94 Uvl pnl 2 sq ft or less

E0691 UE $659.57 Uvl pnl 2 sq ft or less

E0692 NU $1,104.32 Uvl sys panel 4 ft

E0692 RR $106.62 Uvl sys panel 4 ft

E0692 UE $828.23 Uvl sys panel 4 ft

E0693 NU $1,361.31 Uvl sys panel 6 ft

E0693 RR $136.14 Uvl sys panel 6 ft

E0693 UE $1,020.99 Uvl sys panel 6 ft

E0694 NU $4,332.92 Uvl md cabinet sys 6 ft

E0694 RR $433.29 Uvl md cabinet sys 6 ft

E0694 UE $3,249.71 Uvl md cabinet sys 6 ft

E0705 NU $40.80 Transfer device

E0705 NU KU $45.87 Transfer device

E0705 RR $4.08 Transfer device

E0705 RR KU $4.67 Transfer device

E0705 UE $30.60 Transfer device

E0705 UE KU $33.58 Transfer device

E0720 NU $60.66 Tens two lead

E0730 NU $61.29 Tens four lead

E0731 NU $75.98 Conductive garment for tens/

E0740 RR $51.18 Non-implant pelv flr e-stim

E0744 RR $76.18 Neuromuscular stim for scoli

E0745 RR $87.61 Neuromuscular stim for shock

E0747 NU KF $3,832.55 Elec osteogen stim not spine

E0747 RR KF $380.84 Elec osteogen stim not spine

E0747 UE KF $2,847.52 Elec osteogen stim not spine

E0748 NU KF $3,807.73 Elec osteogen stim spinal

E0748 RR KF $380.75 Elec osteogen stim spinal

E0748 UE KF $2,855.80 Elec osteogen stim spinal

E0749 RR KF $236.56 Elec osteogen stim implanted

E0760 NU KF $3,164.15 Osteogen ultrasound stimltor

E0760 RR KF $316.42 Osteogen ultrasound stimltor

E0760 UE KF $2,373.09 Osteogen ultrasound stimltor

E0762 RR $91.47 Trans elec jt stim dev sys

E0764 RR KF $1,083.06 Functional neuromuscularstim

E0765 NU $82.34 Nerve stimulator for tx n&v

E0765 RR $8.25 Nerve stimulator for tx n&v

E0765 UE $61.77 Nerve stimulator for tx n&v

E0776 NU $122.37 Iv pole

E0776 RR $12.24 Iv pole

E0776 UE $91.78 Iv pole

E0779 RR $15.88 Amb infusion pump mechanical

E0780 NU $10.10 Mech amb infusion pump <8hrs

E0781 RR $206.03 External ambulatory infus pu

E0782 NU KF $3,964.74 Non-programble infusion pump

E0782 RR KF $396.47 Non-programble infusion pump

E0782 UE KF $2,973.57 Non-programble infusion pump

E0783 NU KF $8,012.29 Programmable infusion pump

E0783 RR KF $801.25 Programmable infusion pump

E0783 UE KF $6,009.24 Programmable infusion pump

E0784 RR $371.49 Ext amb infusn pump insulin

E0785 KF $462.43 Replacement impl pump cathet

E0786 NU KF $7,815.50 Implantable pump replacement

E0786 RR KF $781.53 Implantable pump replacement

E0786 UE KF $5,861.63 Implantable pump replacement

E0791 RR $244.77 Parenteral infusion pump sta

E0840 NU $71.71 Tract frame attach headboard

E0840 RR $15.98 Tract frame attach headboard

E0840 UE $53.75 Tract frame attach headboard

E0849 RR $50.44 Cervical pneum trac equip

E0850 NU $102.81 Traction stand free standing

E0850 RR $14.12 Traction stand free standing

E0850 UE $77.11 Traction stand free standing

E0855 RR $48.38 Cervical traction equipment

E0856 RR $15.06 Cervic collar w air bladders

E0860 NU $36.41 Tract equip cervical tract

E0860 RR $6.38 Tract equip cervical tract

E0860 UE $27.29 Tract equip cervical tract

E0870 NU $113.83 Tract frame attach footboard

E0870 RR $12.66 Tract frame attach footboard

E0870 UE $85.76 Tract frame attach footboard

E0880 NU $122.87 Trac stand free stand extrem

E0880 RR $19.29 Trac stand free stand extrem

E0880 UE $93.00 Trac stand free stand extrem

E0890 NU $110.26 Traction frame attach pelvic

E0890 RR $32.13 Traction frame attach pelvic

E0890 UE $94.92 Traction frame attach pelvic

E0900 NU $106.59 Trac stand free stand pelvic

E0900 RR $27.04 Trac stand free stand pelvic

E0900 UE $79.97 Trac stand free stand pelvic

E0910 RR $9.27 Trapeze bar attached to bed

E0911 RR $35.19 Hd trapeze bar attach to bed

E0912 RR $70.64 Hd trapeze bar free standing

E0920 RR $38.39 Fracture frame attached to b

E0930 RR $42.86 Fracture frame free standing

E0935 RR $22.26 Cont pas motion exercise dev

E0940 RR $17.48 Trapeze bar free standing

E0941 RR $36.10 Gravity assisted traction de

E0942 NU $17.29 Cervical head harness/halter

E0942 RR $1.96 Cervical head harness/halter

E0942 UE $12.96 Cervical head harness/halter

E0944 NU $44.89 Pelvic belt/harness/boot

E0944 RR $4.52 Pelvic belt/harness/boot

E0944 UE $33.67 Pelvic belt/harness/boot

E0945 NU $43.38 Belt/harness extremity

E0945 RR $4.34 Belt/harness extremity

E0945 UE $33.58 Belt/harness extremity

E0946 RR $49.22 Fracture frame dual w cross

E0947 NU $504.50 Fracture frame attachmnts pe

E0947 RR $52.31 Fracture frame attachmnts pe

E0947 UE $378.36 Fracture frame attachmnts pe

E0948 NU $487.96 Fracture frame attachmnts ce

E0948 RR $48.77 Fracture frame attachmnts ce

E0948 UE $344.17 Fracture frame attachmnts ce

E0950 NU $62.73 Tray

E0950 NU KE $0.00 Tray

E0950 NU KU $74.54 Tray

E0950 RR $6.27 Tray

E0950 RR KE $0.00 Tray

E0950 RR KU $7.47 Tray

E0950 UE $47.05 Tray

E0950 UE KE $0.00 Tray

E0950 UE KU $55.90 Tray

E0951 NU $10.85 Loop heel

E0951 NU KE $0.00 Loop heel

E0951 NU KU $13.61 Loop heel

E0951 RR $1.09 Loop heel

E0951 RR KE $0.00 Loop heel

E0951 RR KU $1.39 Loop heel

E0951 UE $8.14 Loop heel

E0951 UE KE $0.00 Loop heel

E0951 UE KU $10.20 Loop heel

E0952 NU $13.51 Toe loop/holder, each

E0952 NU KE $0.00 Toe loop/holder, each

E0952 NU KU $13.52 Toe loop/holder, each

E0952 RR $1.38 Toe loop/holder, each

E0952 RR KE $0.00 Toe loop/holder, each

E0952 RR KU $1.39 Toe loop/holder, each

E0952 UE $10.13 Toe loop/holder, each

E0952 UE KE $0.00 Toe loop/holder, each

E0952 UE KU $10.14 Toe loop/holder, each

E0953 NU $61.97 W/c lateral thigh/knee sup

E0953 NU KU $83.15 W/C LATERAL THIGH/KNEE SUP

E0953 RR $6.20 W/c lateral thigh/knee sup

E0953 RR KU $8.31 W/C LATERAL THIGH/KNEE SUP

E0953 UE $46.48 W/c lateral thigh/knee sup

E0953 UE KU $62.36 W/C LATERAL THIGH/KNEE SUP

E0954 NU $43.94 Foot box, any type each foot

E0954 NU KU $47.60 FOOT BOX, ANY TYPE EACH FOOT

E0954 RR $4.42 Foot box, any type each foot

E0954 RR KU $4.76 FOOT BOX, ANY TYPE EACH FOOT

E0954 UE $32.95 Foot box, any type each foot

E0954 UE KU $35.70 FOOT BOX, ANY TYPE EACH FOOT

E0955 RR $11.76 Cushioned headrest

E0955 RR KE $0.00 Cushioned headrest

E0955 RR KU $17.06 Cushioned headrest

E0956 NU $61.97 W/c lateral trunk/hip suppor

E0956 NU KE $0.00 W/c lateral trunk/hip suppor

E0956 NU KU $83.15 W/c lateral trunk/hip suppor

E0956 RR $6.20 W/c lateral trunk/hip suppor

E0956 RR KE $0.00 W/c lateral trunk/hip suppor

E0956 RR KU $8.31 W/c lateral trunk/hip suppor

E0956 UE $46.48 W/c lateral trunk/hip suppor

E0956 UE KE $0.00 W/c lateral trunk/hip suppor

E0956 UE KU $62.36 W/c lateral trunk/hip suppor

E0957 NU $98.31 W/c medial thigh support

E0957 NU KE $0.00 W/c medial thigh support

E0957 NU KU $116.36 W/c medial thigh support

E0957 RR $9.83 W/c medial thigh support

E0957 RR KE $0.00 W/c medial thigh support

E0957 RR KU $11.65 W/c medial thigh support

E0957 UE $73.74 W/c medial thigh support

E0957 UE KE $0.00 W/c medial thigh support

E0957 UE KU $87.26 W/c medial thigh support

E0958 RR $33.54 Whlchr att- conv 1 arm drive

E0959 NU $35.12 Amputee adapter

E0959 RR $3.51 Amputee adapter

E0959 UE $26.34 Amputee adapter

E0960 NU $59.56 W/c shoulder harness/straps

E0960 NU KE $0.00 W/c shoulder harness/straps

E0960 NU KU $76.75 W/c shoulder harness/straps

E0960 RR $5.96 W/c shoulder harness/straps

E0960 RR KE $0.00 W/c shoulder harness/straps

E0960 RR KU $7.69 W/c shoulder harness/straps

E0960 UE $44.68 W/c shoulder harness/straps

E0960 UE KE $0.00 W/c shoulder harness/straps

E0960 UE KU $57.57 W/c shoulder harness/straps

E0961 NU $16.35 Wheelchair brake extension

E0961 RR $1.63 Wheelchair brake extension

E0961 UE $12.26 Wheelchair brake extension

E0966 NU $56.38 Wheelchair head rest extensi

E0966 RR $5.64 Wheelchair head rest extensi

E0966 UE $42.29 Wheelchair head rest extensi

E0967 NU $58.82 Man wc rim/projection rep ea

E0967 RR $5.88 Man wc rim/projection rep ea

E0967 UE $44.12 Man wc rim/projection rep ea

E0968 RR $17.54 Wheelchair commode seat

E0969 NU $145.49 Wheelchair narrowing device

E0969 RR $14.52 Wheelchair narrowing device

E0969 UE $109.11 Wheelchair narrowing device

E0971 NU $25.45 Wheelchair anti-tipping devi

E0971 RR $2.55 Wheelchair anti-tipping devi

E0971 UE $19.09 Wheelchair anti-tipping devi

E0973 NU $46.85 W/ch access det adj armrest

E0973 NU KE $0.00 W/ch access det adj armrest

E0973 NU KU $82.44 W/ch access det adj armrest

E0973 RR $4.68 W/ch access det adj armrest

E0973 RR KE $0.00 W/ch access det adj armrest

E0973 RR KU $7.85 W/ch access det adj armrest

E0973 UE $35.14 W/ch access det adj armrest

E0973 UE KE $0.00 W/ch access det adj armrest

E0973 UE KU $61.82 W/ch access det adj armrest

E0974 NU $59.47 W/ch access anti-rollback

E0974 RR $5.95 W/ch access anti-rollback

E0974 UE $44.61 W/ch access anti-rollback

E0978 NU $20.54 W/c acc,saf belt pelv strap

E0978 NU KE $0.00 W/c acc,saf belt pelv strap

E0978 NU KU $35.40 W/c acc,saf belt pelv strap

E0978 RR $2.06 W/c acc,saf belt pelv strap

E0978 RR KE $0.00 W/c acc,saf belt pelv strap

E0978 RR KU $3.53 W/c acc,saf belt pelv strap

E0978 UE $15.41 W/c acc,saf belt pelv strap

E0978 UE KE $0.00 W/c acc,saf belt pelv strap

E0978 UE KU $26.55 W/c acc,saf belt pelv strap

E0980 NU $31.28 Wheelchair safety vest

E0980 RR $3.11 Wheelchair safety vest

E0980 UE $23.46 Wheelchair safety vest

E0981 NU $33.80 Seat upholstery, replacement

E0981 NU KE $0.00 Seat upholstery, replacement

E0981 NU KU $33.80 Seat upholstery, replacement

E0981 RR $3.44 Seat upholstery, replacement

E0981 RR KE $0.00 Seat upholstery, replacement

E0981 RR KU $3.44 Seat upholstery, replacement

E0981 UE $25.59 Seat upholstery, replacement

E0981 UE KE $0.00 Seat upholstery, replacement

E0981 UE KU $25.59 Seat upholstery, replacement

E0982 NU $36.94 Back upholstery, replacement

E0982 NU KE $0.00 Back upholstery, replacement

E0982 NU KU $36.93 Back upholstery, replacement

E0982 RR $3.70 Back upholstery, replacement

E0982 RR KE $0.00 Back upholstery, replacement

E0982 RR KU $3.69 Back upholstery, replacement

E0982 UE $27.71 Back upholstery, replacement

E0982 UE KE $0.00 Back upholstery, replacement

E0982 UE KU $27.72 Back upholstery, replacement

E0983 RR $236.83 Add pwr joystick

E0984 RR $165.53 Add pwr tiller

E0985 RR $17.23 W/c seat lift mechanism

E0985 RR KU $19.87 W/c seat lift mechanism

E0986 RR $476.06 Man w/c push-rim powr system

E0988 RR $292.97 Lever-activated wheel drive

E0990 NU $61.81 Wheelchair elevating leg res

E0990 NU KE $0.00 Wheelchair elevating leg res

E0990 NU KU $84.19 Wheelchair elevating leg res

E0990 RR $6.18 Wheelchair elevating leg res

E0990 RR KE $0.00 Wheelchair elevating leg res

E0990 RR KU $9.49 Wheelchair elevating leg res

E0990 UE $46.36 Wheelchair elevating leg res

E0990 UE KE $0.00 Wheelchair elevating leg res

E0990 UE KU $65.79 Wheelchair elevating leg res

E0992 NU $66.78 Wheelchair solid seat insert

E0992 RR $6.68 Wheelchair solid seat insert

E0992 UE $50.09 Wheelchair solid seat insert

E0994 NU $17.17 Wheelchair arm rest

E0994 RR $1.72 Wheelchair arm rest

E0994 UE $12.88 Wheelchair arm rest

E0995 NU $21.79 Wc calf rest, pad replacemnt

E0995 NU KE $0.00 Wheelchair calf rest

E0995 NU KU $21.79 Wc calf rest, pad replacemnt

E0995 RR $2.18 Wc calf rest, pad replacemnt

E0995 RR KE $0.00 Wheelchair calf rest

E0995 RR KU $2.19 Wc calf rest, pad replacemnt

E0995 UE $16.33 Wc calf rest, pad replacemnt

E0995 UE KE $0.00 Wheelchair calf rest

E0995 UE KU $16.33 Wc calf rest, pad replacemnt

E1002 RR $307.62 Pwr seat tilt

E1002 RR KE $0.00 Pwr seat tilt

E1002 RR KU $341.88 Pwr seat tilt

E1003 RR $360.06 Pwr seat recline

E1003 RR KE $0.00 Pwr seat recline

E1003 RR KU $370.42 Pwr seat recline

E1004 RR $395.75 Pwr seat recline mech

E1004 RR KE $0.00 Pwr seat recline mech

E1004 RR KU $410.70 Pwr seat recline mech

E1005 RR $432.92 Pwr seat recline pwr

E1005 RR KE $0.00 Pwr seat recline pwr

E1005 RR KU $444.56 Pwr seat recline pwr

E1006 RR $533.78 Pwr seat combo w/o shear

E1006 RR KE $0.00 Pwr seat combo w/o shear

E1006 RR KU $544.54 Pwr seat combo w/o shear

E1007 RR $662.58 Pwr seat combo w/shear

E1007 RR KE $0.00 Pwr seat combo w/shear

E1007 RR KU $737.35 Pwr seat combo w/shear

E1008 RR $679.63 Pwr seat combo pwr shear

E1008 RR KE $0.00 Pwr seat combo pwr shear

E1008 RR KU $737.40 Pwr seat combo pwr shear

E1009 NU $0.00 Add mech leg elevation

E1009 RR $0.00 Add mech leg elevation

E1009 UE $0.00 Add mech leg elevation

E1010 RR $92.36 Add pwr leg elevation

E1010 RR KE $0.00 Add pwr leg elevation

E1010 RR KU $96.48 Add pwr leg elevation

E1011 NU $0.00 Ped wc modify width adjustm

E1011 RR $0.00 Ped wc modify width adjustm

E1011 UE $0.00 Ped wc modify width adjustm

E1012 RR $92.36 Ctr mount pwr elev leg rest

E1012 RR KU $96.48 Ctr mount pwr elev leg rest

E1014 RR $35.75 Reclining back add ped w/c

E1015 NU $97.15 Shock absorber for man w/c

E1015 RR $9.72 Shock absorber for man w/c

E1015 UE $72.86 Shock absorber for man w/c

E1016 NU $88.63 Shock absorber for power w/c

E1016 NU KE $0.00 Shock absorber for power w/c

E1016 NU KU $110.78 Shock absorber for power w/c

E1016 RR $8.87 Shock absorber for power w/c

E1016 RR KE $0.00 Shock absorber for power w/c

E1016 RR KU $11.09 Shock absorber for power w/c

E1016 UE $66.47 Shock absorber for power w/c

E1016 UE KE $0.00 Shock absorber for power w/c

E1016 UE KU $83.07 Shock absorber for power w/c

E1017 NU $0.00 Hd shck absrbr for hd man wc

E1017 RR $0.00 Hd shck absrbr for hd man wc

E1017 UE $0.00 Hd shck absrbr for hd man wc

E1018 NU $0.00 Hd shck absrber for hd powwc

E1018 RR $0.00 Hd shck absrber for hd powwc

E1018 UE $0.00 Hd shck absrber for hd powwc

E1020 RR $14.88 Residual limb support system

E1020 RR KE $0.00 Residual limb support system

E1020 RR KU $20.52 Residual limb support system

E1028 RR $11.41 W/c manual swingaway

E1028 RR KE $0.00 W/c manual swingaway

E1028 RR KU $17.42 W/c manual swingaway

E1029 RR $31.12 W/c vent tray fixed

E1029 RR KE $0.00 W/c vent tray fixed

E1029 RR KU $31.16 W/c vent tray fixed

E1030 RR $97.19 W/c vent tray gimbaled

E1030 RR KE $0.00 W/c vent tray gimbaled

E1030 RR KU $98.29 W/c vent tray gimbaled

E1031 RR $34.94 Rollabout chair with casters

E1035 RR $486.82 Patient transfer system <300

E1036 RR $693.01 Patient transfer system >300

E1037 RR $86.07 Transport chair, ped size

E1038 RR $12.64 Transport chair pt wt<=300lb

E1039 RR $26.86 Transport chair pt wt >300lb

E1050 RR $84.72 Whelchr fxd full length arms

E1060 RR $113.02 Wheelchair detachable arms

E1070 RR $107.20 Wheelchair detachable foot r

E1083 RR $66.56 Hemi-wheelchair fixed arms

E1084 RR $96.01 Hemi-wheelchair detachable a

E1087 RR $114.94 Wheelchair lightwt fixed arm

E1088 RR $139.02 Wheelchair lightweight det a

E1092 RR $106.90 Wheelchair wide w/ leg rests

E1093 RR $108.16 Wheelchair wide w/ foot rest

E1100 RR $86.34 Whchr s-recl fxd arm leg res

E1110 RR $95.46 Wheelchair semi-recl detach

E1150 RR $79.83 Wheelchair standard w/ leg r

E1160 RR $61.17 Wheelchair fixed arms

E1161 RR $231.56 Manual adult wc w tiltinspac

E1170 RR $74.30 Whlchr ampu fxd arm leg rest

E1171 RR $66.67 Wheelchair amputee w/o leg r

E1172 RR $81.50 Wheelchair amputee detach ar

E1180 RR $84.29 Wheelchair amputee w/ foot r

E1190 RR $97.39 Wheelchair amputee w/ leg re

E1195 RR $104.50 Wheelchair amputee heavy dut

E1200 RR $72.38 Wheelchair amputee fixed arm

E1221 RR $46.27 Wheelchair spec size w foot

E1222 RR $63.30 Wheelchair spec size w/ leg

E1223 RR $72.44 Wheelchair spec size w foot

E1224 RR $69.07 Wheelchair spec size w/ leg

E1225 RR $31.08 Manual semi-reclining back

E1226 NU $327.91 Manual fully reclining back

E1226 RR $32.79 Manual fully reclining back

E1226 UE $245.93 Manual fully reclining back

E1227 NU $271.58 Wheelchair spec sz spec ht a

E1227 RR $27.17 Wheelchair spec sz spec ht a

E1227 UE $203.71 Wheelchair spec sz spec ht a

E1228 RR $27.43 Wheelchair spec sz spec ht b

E1230 NU $2,194.16 Power operated vehicle

E1230 RR $217.70 Power operated vehicle

E1230 UE $1,645.59 Power operated vehicle

E1231 NU $0.00 Rigid ped w/c tilt-in-space

E1231 RR $0.00 Rigid ped w/c tilt-in-space

E1231 UE $0.00 Rigid ped w/c tilt-in-space

E1232 RR $209.30 Folding ped wc tilt-in-space

E1233 RR $216.84 Rig ped wc tltnspc w/o seat

E1234 RR $188.79 Fld ped wc tltnspc w/o seat

E1235 RR $181.80 Rigid ped wc adjustable

E1236 RR $160.38 Folding ped wc adjustable

E1237 RR $161.78 Rgd ped wc adjstabl w/o seat

E1238 RR $160.38 Fld ped wc adjstabl w/o seat

E1240 RR $100.83 Whchr litwt det arm leg rest

E1270 RR $65.67 Wheelchair lightweight leg r

E1280 RR $109.19 Whchr h-duty det arm leg res

E1295 RR $101.04 Wheelchair heavy duty fixed

E1296 NU $408.99 Wheelchair special seat heig

E1296 RR $41.55 Wheelchair special seat heig

E1296 UE $306.75 Wheelchair special seat heig

E1297 NU $87.02 Wheelchair special seat dept

E1297 RR $9.66 Wheelchair special seat dept

E1297 UE $65.25 Wheelchair special seat dept

E1298 NU $414.63 Wheelchair spec seat depth/w

E1298 RR $42.42 Wheelchair spec seat depth/w

E1298 UE $310.96 Wheelchair spec seat depth/w

E1310 NU $1,786.37 Whirlpool non-portable

E1310 RR $161.67 Whirlpool non-portable

E1310 UE $1,339.78 Whirlpool non-portable

E1353 $30.89 Oxygen supplies regulator

E1355 $23.26 Oxygen supplies stand/rack

E1372 NU $108.22 Oxy suppl heater for nebuliz

E1372 RR $10.82 Oxy suppl heater for nebuliz

E1372 UE $81.17 Oxy suppl heater for nebuliz

E1390 RR $62.24 Oxygen concentrator

E1390 RR QB $62.24 Oxygen concentrator

E1390 RR QF $62.24 Oxygen concentrator

E1391 RR $62.24 Oxygen concentrator, dual

E1391 RR QB $62.24 Oxygen concentrator, dual

E1391 RR QF $62.24 Oxygen concentrator, dual

E1392 RR $29.78 Portable oxygen concentrator

E1392 RR QB $31.12 Portable oxygen concentrator

E1392 RR QF $31.12 Portable oxygen concentrator

E1405 RR $86.93 O2/water vapor enrich w/heat

E1406 RR $67.12 O2/water vapor enrich w/o he

E1700 RR $28.69 Jaw motion rehab system

E1701 $10.37 Repl cushions for jaw motion

E1702 $22.08 Repl measr scales jaw motion

E1800 RR $119.89 Adjust elbow ext/flex device

E1801 RR $122.01 Sps elbow device

E1802 RR $319.84 Adjst forearm pro/sup device

E1805 RR $123.66 Adjust wrist ext/flex device

E1806 RR $100.16 Sps wrist device

E1810 RR $121.93 Adjust knee ext/flex device

E1811 RR $126.83 Sps knee device

E1812 RR $84.16 Knee ext/flex w act res ctrl

E1815 RR $123.66 Adjust ankle ext/flex device

E1816 RR $128.83 Sps ankle device

E1818 RR $131.50 Sps forearm device

E1820 NU $75.46 Soft interface material

E1820 RR $7.56 Soft interface material

E1820 UE $56.61 Soft interface material

E1821 NU $102.99 Replacement interface spsd

E1821 RR $10.28 Replacement interface spsd

E1821 UE $77.27 Replacement interface spsd

E1825 RR $123.66 Adjust finger ext/flex devc

E1830 RR $123.66 Adjust toe ext/flex device

E1831 RR $64.67 Static str toe dev ext/flex

E1840 RR $373.24 Adj shoulder ext/flex device

E1841 RR $443.33 Static str shldr dev rom adj

E2000 RR $48.99 Gastric suction pump hme mdl

E2100 NU $629.47 Bld glucose monitor w voice

E2100 RR $62.96 Bld glucose monitor w voice

E2100 UE $472.11 Bld glucose monitor w voice

E2101 NU $184.54 Bld glucose monitor w lance

E2101 RR $18.45 Bld glucose monitor w lance

E2101 UE $138.40 Bld glucose monitor w lance

E2120 RR $277.47 Pulse gen sys tx endolymp fl

E2201 NU $260.92 Man w/ch acc seat w>=20"<24"

E2201 RR $26.10 Man w/ch acc seat w>=20"<24"

E2201 UE $195.70 Man w/ch acc seat w>=20"<24"

E2202 NU $366.72 Seat width 24-27 in

E2202 RR $36.68 Seat width 24-27 in

E2202 UE $275.04 Seat width 24-27 in

E2203 NU $354.24 Frame depth less than 22 in

E2203 RR $35.43 Frame depth less than 22 in

E2203 UE $265.68 Frame depth less than 22 in

E2204 NU $611.56 Frame depth 22 to 25 in

E2204 RR $61.16 Frame depth 22 to 25 in

E2204 UE $458.67 Frame depth 22 to 25 in

E2205 NU $28.40 Manual wc accessory, handrim

E2205 RR $2.84 Manual wc accessory, handrim

E2205 UE $21.30 Manual wc accessory, handrim

E2206 NU $31.14 Man wc whl lock comp repl ea

E2206 RR $3.11 Man wc whl lock comp repl ea

E2206 UE $23.35 Man wc whl lock comp repl ea

E2207 NU $35.98 Crutch and cane holder

E2207 NU KU $42.42 Crutch and cane holder

E2207 RR $3.60 Crutch and cane holder

E2207 RR KU $4.25 Crutch and cane holder

E2207 UE $26.99 Crutch and cane holder

E2207 UE KU $31.82 Crutch and cane holder

E2208 NU $65.66 Cylinder tank carrier

E2208 NU KE $0.00 Cylinder tank carrier

E2208 NU KU $100.20 Cylinder tank carrier

E2208 RR $6.57 Cylinder tank carrier

E2208 RR KE $0.00 Cylinder tank carrier

E2208 RR KU $10.01 Cylinder tank carrier

E2208 UE $49.25 Cylinder tank carrier

E2208 UE KE $0.00 Cylinder tank carrier

E2208 UE KU $75.15 Cylinder tank carrier

E2209 NU $66.88 Arm trough each

E2209 NU KE $0.00 Arm trough each

E2209 NU KU $90.39 Arm trough each

E2209 RR $6.69 Arm trough each

E2209 RR KE $0.00 Arm trough each

E2209 RR KU $9.05 Arm trough each

E2209 UE $50.16 Arm trough each

E2209 UE KE $0.00 Arm trough each

E2209 UE KU $67.80 Arm trough each

E2210 NU $4.29 Wheelchair bearings

E2210 NU KE $0.00 Wheelchair bearings

E2210 NU KU $5.52 Wheelchair bearings

E2210 RR $0.43 Wheelchair bearings

E2210 RR KE $0.00 Wheelchair bearings

E2210 RR KU $0.55 Wheelchair bearings

E2210 UE $3.22 Wheelchair bearings

E2210 UE KE $0.00 Wheelchair bearings

E2210 UE KU $4.16 Wheelchair bearings

E2211 NU $27.93 Pneumatic propulsion tire

E2211 RR $2.80 Pneumatic propulsion tire

E2211 UE $20.95 Pneumatic propulsion tire

E2212 NU $4.98 Pneumatic prop tire tube

E2212 RR $0.50 Pneumatic prop tire tube

E2212 UE $3.74 Pneumatic prop tire tube

E2213 NU $23.74 Pneumatic prop tire insert

E2213 RR $2.37 Pneumatic prop tire insert

E2213 UE $17.81 Pneumatic prop tire insert

E2214 NU $25.28 Pneumatic caster tire each

E2214 RR $2.53 Pneumatic caster tire each

E2214 UE $18.96 Pneumatic caster tire each

E2215 NU $8.19 Pneumatic caster tire tube

E2215 RR $0.82 Pneumatic caster tire tube

E2215 UE $6.15 Pneumatic caster tire tube

E2216 NU $0.00 Foam filled propulsion tire

E2216 RR $0.00 Foam filled propulsion tire

E2216 UE $0.00 Foam filled propulsion tire

E2217 NU $0.00 Foam filled caster tire each

E2217 RR $0.00 Foam filled caster tire each

E2217 UE $0.00 Foam filled caster tire each

E2218 NU $0.00 Foam propulsion tire each

E2218 RR $0.00 Foam propulsion tire each

E2218 UE $0.00 Foam propulsion tire each

E2219 NU $32.35 Foam caster tire any size ea

E2219 RR $3.24 Foam caster tire any size ea

E2219 UE $24.26 Foam caster tire any size ea

E2220 NU $24.04 Solid propuls tire, repl, ea

E2220 RR $2.41 Solid propuls tire, repl, ea

E2220 UE $18.03 Solid propuls tire, repl, ea

E2221 NU $21.35 Solid caster tire repl, each

E2221 RR $2.13 Solid caster tire repl, each

E2221 UE $16.01 Solid caster tire repl, each

E2222 NU $18.06 Solid caster integ whl, repl

E2222 RR $1.81 Solid caster integ whl, repl

E2222 UE $13.55 Solid caster integ whl, repl

E2224 NU $76.59 Propulsion whl excl tire rep

E2224 RR $7.66 Propulsion whl excl tire rep

E2224 UE $57.45 Propulsion whl excl tire rep

E2225 NU $14.82 Caster wheel excludes tire

E2225 RR $1.48 Caster wheel excludes tire

E2225 UE $11.12 Caster wheel excludes tire

E2226 NU $31.55 Caster fork replacement only

E2226 RR $3.15 Caster fork replacement only

E2226 UE $23.66 Caster fork replacement only

E2227 RR $183.09 Gear reduction drive wheel

E2228 RR $76.44 Mwc acc, wheelchair brake

E2231 NU $115.75 Solid seat support base

E2231 RR $11.58 Solid seat support base

E2231 UE $86.82 Solid seat support base

E2310 RR $90.07 Electro connect btw control

E2310 RR KE $0.00 Electro connect btw control

E2310 RR KU $98.69 Electro connect btw control

E2311 RR $181.76 Electro connect btw 2 sys

E2311 RR KE $0.00 Electro connect btw 2 sys

E2311 RR KU $199.85 Electro connect btw 2 sys

E2312 RR $197.36 Mini-prop remote joystick

E2312 RR KC $251.71 Mini-prop remote joystick

E2313 RR $31.37 Pwc harness, expand control

E2321 RR $122.39 Hand interface joystick

E2321 RR KC $199.35 Hand interface joystick

E2321 RR KE $0.00 Hand interface joystick

E2321 RR KU $218.37 Hand interface joystick

E2322 RR $115.63 Mult mech switches

E2322 RR KC $224.76 Mult mech switches

E2322 RR KE $0.00 Mult mech switches

E2322 RR KU $231.23 Mult mech switches

E2323 NU $56.36 Special joystick handle

E2323 NU KE $0.00 Special joystick handle

E2323 NU KU $58.34 Special joystick handle

E2323 RR $5.64 Special joystick handle

E2323 RR KE $0.00 Special joystick handle

E2323 RR KU $5.82 Special joystick handle

E2323 UE $42.27 Special joystick handle

E2323 UE KE $0.00 Special joystick handle

E2323 UE KU $43.75 Special joystick handle

E2324 NU $36.96 Chin cup interface

E2324 NU KE $0.00 Chin cup interface

E2324 NU KU $36.96 Chin cup interface

E2324 RR $3.68 Chin cup interface

E2324 RR KE $0.00 Chin cup interface

E2324 RR KU $3.68 Chin cup interface

E2324 UE $27.72 Chin cup interface

E2324 UE KE $0.00 Chin cup interface

E2324 UE KU $27.72 Chin cup interface

E2325 RR $110.52 Sip and puff interface

E2325 RR KE $0.00 Sip and puff interface

E2325 RR KU $113.62 Sip and puff interface

E2326 RR $28.99 Breath tube kit

E2326 RR KE $0.00 Breath tube kit

E2326 RR KU $29.29 Breath tube kit

E2327 RR $216.17 Head control interface mech

E2327 RR KC $328.43 Head control interface mech

E2327 RR KE $0.00 Head control interface mech

E2327 RR KU $334.78 Head control interface mech

E2328 RR $408.02 Head/extremity control inter

E2328 RR KE $0.00 Head/extremity control inter

E2328 RR KU $417.99 Head/extremity control inter

E2329 RR $147.35 Head control nonproportional

E2329 RR KE $0.00 Head control nonproportional

E2329 RR KU $148.97 Head control nonproportional

E2330 RR $282.90 Head control proximity switc

E2330 RR KE $0.00 Head control proximity switc

E2330 RR KU $334.90 Head control proximity switc

E2340 NU $350.72 W/c wdth 20-23 in seat frame

E2340 RR $35.09 W/c wdth 20-23 in seat frame

E2340 UE $263.07 W/c wdth 20-23 in seat frame

E2341 NU $526.12 W/c wdth 24-27 in seat frame

E2341 RR $52.61 W/c wdth 24-27 in seat frame

E2341 UE $394.60 W/c wdth 24-27 in seat frame

E2342 NU $438.44 W/c dpth 20-21 in seat frame

E2342 RR $43.84 W/c dpth 20-21 in seat frame

E2342 UE $328.83 W/c dpth 20-21 in seat frame

E2343 NU $701.51 W/c dpth 22-25 in seat frame

E2343 RR $70.14 W/c dpth 22-25 in seat frame

E2343 UE $526.12 W/c dpth 22-25 in seat frame

E2351 NU $586.03 Electronic sgd interface

E2351 NU KE $0.00 Electronic sgd interface

E2351 NU KU $589.31 Electronic sgd interface

E2351 RR $58.60 Electronic sgd interface

E2351 RR KE $0.00 Electronic sgd interface

E2351 RR KU $58.96 Electronic sgd interface

E2351 UE $439.54 Electronic sgd interface

E2351 UE KE $0.00 Electronic sgd interface

E2351 UE KU $441.97 Electronic sgd interface

E2359 NU $135.85 Gr34 sealed leadacid battery

E2359 NU KU $170.43 Gr34 sealed leadacid battery

E2359 RR $13.58 Gr34 sealed leadacid battery

E2359 RR KU $17.04 Gr34 sealed leadacid battery

E2359 UE $101.89 Gr34 sealed leadacid battery

E2359 UE KU $127.81 Gr34 sealed leadacid battery

E2360 NU $92.63 22nf nonsealed leadacid

E2360 NU KU $109.96 22nf nonsealed leadacid

E2360 RR $9.27 22nf nonsealed leadacid

E2360 RR KU $11.05 22nf nonsealed leadacid

E2360 UE $69.48 22nf nonsealed leadacid

E2360 UE KU $82.45 22nf nonsealed leadacid

E2361 NU $92.55 22nf sealed leadacid battery

E2361 NU KE $0.00 22nf sealed leadacid battery

E2361 NU KU $117.64 22nf sealed leadacid battery

E2361 RR $9.26 22nf sealed leadacid battery

E2361 RR KE $0.00 22nf sealed leadacid battery

E2361 RR KU $11.76 22nf sealed leadacid battery

E2361 UE $69.41 22nf sealed leadacid battery

E2361 UE KE $0.00 22nf sealed leadacid battery

E2361 UE KU $88.25 22nf sealed leadacid battery

E2362 NU $84.78 Gr24 nonsealed leadacid

E2362 NU KU $90.02 Gr24 nonsealed leadacid

E2362 RR $8.47 Gr24 nonsealed leadacid

E2362 RR KU $9.00 Gr24 nonsealed leadacid

E2362 UE $63.59 Gr24 nonsealed leadacid

E2362 UE KU $67.51 Gr24 nonsealed leadacid

E2363 NU $119.66 Gr24 sealed leadacid battery

E2363 NU KE $0.00 Gr24 sealed leadacid battery

E2363 NU KU $156.90 Gr24 sealed leadacid battery

E2363 RR $11.97 Gr24 sealed leadacid battery

E2363 RR KE $0.00 Gr24 sealed leadacid battery

E2363 RR KU $15.68 Gr24 sealed leadacid battery

E2363 UE $89.75 Gr24 sealed leadacid battery

E2363 UE KE $0.00 Gr24 sealed leadacid battery

E2363 UE KU $117.67 Gr24 sealed leadacid battery

E2364 NU $89.41 U1nonsealed leadacid battery

E2364 NU KU $109.96 U1nonsealed leadacid battery

E2364 RR $8.94 U1nonsealed leadacid battery

E2364 RR KU $11.05 U1nonsealed leadacid battery

E2364 UE $67.07 U1nonsealed leadacid battery

E2364 UE KU $82.45 U1nonsealed leadacid battery

E2365 NU $63.35 U1 sealed leadacid battery

E2365 NU KE $0.00 U1 sealed leadacid battery

E2365 NU KU $94.61 U1 sealed leadacid battery

E2365 RR $6.33 U1 sealed leadacid battery

E2365 RR KE $0.00 U1 sealed leadacid battery

E2365 RR KU $9.45 U1 sealed leadacid battery

E2365 UE $47.52 U1 sealed leadacid battery

E2365 UE KE $0.00 U1 sealed leadacid battery

E2365 UE KU $70.99 U1 sealed leadacid battery

E2366 NU $135.25 Battery charger, single mode

E2366 NU KE $0.00 Battery charger, single mode

E2366 NU KU $222.37 Battery charger, single mode

E2366 RR $13.52 Battery charger, single mode

E2366 RR KE $0.00 Battery charger, single mode

E2366 RR KU $22.30 Battery charger, single mode

E2366 UE $101.44 Battery charger, single mode

E2366 UE KE $0.00 Battery charger, single mode

E2366 UE KU $166.79 Battery charger, single mode

E2367 NU $286.37 Battery charger, dual mode

E2367 NU KE $0.00 Battery charger, dual mode

E2367 NU KU $353.50 Battery charger, dual mode

E2367 RR $28.64 Battery charger, dual mode

E2367 RR KE $0.00 Battery charger, dual mode

E2367 RR KU $35.34 Battery charger, dual mode

E2367 UE $214.78 Battery charger, dual mode

E2367 UE KE $0.00 Battery charger, dual mode

E2367 UE KU $265.13 Battery charger, dual mode

E2368 RR $33.19 Pwr wc drivewheel motor repl

E2368 RR KE $0.00 Pwr wc drivewheel motor repl

E2368 RR KU $43.57 Pwr wc drivewheel motor repl

E2369 RR $31.01 Pwr wc drivewheel gear repl

E2369 RR KE $0.00 Pwr wc drivewheel gear repl

E2369 RR KU $44.04 Pwr wc drivewheel gear repl

E2370 RR $44.00 Pwr wc dr wh motor/gear comb

E2370 RR KE $0.00 Pwr wc dr wh motor/gear comb

E2370 RR KU $67.73 Pwr wc dr wh motor/gear comb

E2371 NU $112.38 Gr27 sealed leadacid battery

E2371 NU KE $0.00 Gr27 sealed leadacid battery

E2371 NU KU $127.15 Gr27 sealed leadacid battery

E2371 RR $11.24 Gr27 sealed leadacid battery

E2371 RR KE $0.00 Gr27 sealed leadacid battery

E2371 RR KU $12.72 Gr27 sealed leadacid battery

E2371 UE $84.29 Gr27 sealed leadacid battery

E2371 UE KE $0.00 Gr27 sealed leadacid battery

E2371 UE KU $95.37 Gr27 sealed leadacid battery

E2372 NU $0.00 Gr27 non-sealed leadacid

E2372 RR $0.00 Gr27 non-sealed leadacid

E2372 UE $0.00 Gr27 non-sealed leadacid

E2373 RR $65.62 Hand/chin ctrl spec joystick

E2373 RR KC $101.26 Hand/chin ctrl spec joystick

E2373 RR KE $0.00 Hand/chin ctrl spec joystick

E2373 RR KU $106.15 Hand/chin ctrl spec joystick

E2374 RR $41.51 Hand/chin ctrl std joystick

E2374 RR KE $0.00 Hand/chin ctrl std joystick

E2374 RR KU $45.06 Hand/chin ctrl std joystick

E2375 RR $55.79 Non-expandable controller

E2375 RR KE $0.00 Non-expandable controller

E2375 RR KU $72.23 Non-expandable controller

E2376 RR $103.11 Expandable controller, repl

E2376 RR KE $0.00 Expandable controller, repl

E2376 RR KU $113.24 Expandable controller, repl

E2377 RR $38.20 Expandable controller, initl

E2377 RR KE $0.00 Expandable controller, initl

E2377 RR KU $40.95 Expandable controller, initl

E2378 RR $46.56 Pw actuator replacement

E2378 RR KU $50.08 Pw actuator replacement

E2381 NU $48.82 Pneum drive wheel tire

E2381 NU KE $0.00 Pneum drive wheel tire

E2381 NU KU $64.25 Pneum drive wheel tire

E2381 RR $4.88 Pneum drive wheel tire

E2381 RR KE $0.00 Pneum drive wheel tire

E2381 RR KU $6.44 Pneum drive wheel tire

E2381 UE $36.62 Pneum drive wheel tire

E2381 UE KE $0.00 Pneum drive wheel tire

E2381 UE KU $48.19 Pneum drive wheel tire

E2382 NU $15.13 Tube, pneum wheel drive tire

E2382 NU KE $0.00 Tube, pneum wheel drive tire

E2382 NU KU $17.51 Tube, pneum wheel drive tire

E2382 RR $1.51 Tube, pneum wheel drive tire

E2382 RR KE $0.00 Tube, pneum wheel drive tire

E2382 RR KU $1.74 Tube, pneum wheel drive tire

E2382 UE $11.35 Tube, pneum wheel drive tire

E2382 UE KE $0.00 Tube, pneum wheel drive tire

E2382 UE KU $13.14 Tube, pneum wheel drive tire

E2383 NU $99.61 Insert, pneum wheel drive

E2383 NU KE $0.00 Insert, pneum wheel drive

E2383 NU KU $128.11 Insert, pneum wheel drive

E2383 RR $9.96 Insert, pneum wheel drive

E2383 RR KE $0.00 Insert, pneum wheel drive

E2383 RR KU $12.81 Insert, pneum wheel drive

E2383 UE $74.71 Insert, pneum wheel drive

E2383 UE KE $0.00 Insert, pneum wheel drive

E2383 UE KU $96.08 Insert, pneum wheel drive

E2384 NU $50.41 Pneumatic caster tire

E2384 NU KE $0.00 Pneumatic caster tire

E2384 NU KU $68.26 Pneumatic caster tire

E2384 RR $5.04 Pneumatic caster tire

E2384 RR KE $0.00 Pneumatic caster tire

E2384 RR KU $6.84 Pneumatic caster tire

E2384 UE $37.81 Pneumatic caster tire

E2384 UE KE $0.00 Pneumatic caster tire

E2384 UE KU $51.20 Pneumatic caster tire

E2385 NU $36.30 Tube, pneumatic caster tire

E2385 NU KE $0.00 Tube, pneumatic caster tire

E2385 NU KU $41.75 Tube, pneumatic caster tire

E2385 RR $3.63 Tube, pneumatic caster tire

E2385 RR KE $0.00 Tube, pneumatic caster tire

E2385 RR KU $4.19 Tube, pneumatic caster tire

E2385 UE $27.23 Tube, pneumatic caster tire

E2385 UE KE $0.00 Tube, pneumatic caster tire

E2385 UE KU $31.31 Tube, pneumatic caster tire

E2386 NU $87.70 Foam filled drive wheel tire

E2386 NU KE $0.00 Foam filled drive wheel tire

E2386 NU KU $126.95 Foam filled drive wheel tire

E2386 RR $8.77 Foam filled drive wheel tire

E2386 RR KE $0.00 Foam filled drive wheel tire

E2386 RR KU $12.70 Foam filled drive wheel tire

E2386 UE $65.78 Foam filled drive wheel tire

E2386 UE KE $0.00 Foam filled drive wheel tire

E2386 UE KU $95.22 Foam filled drive wheel tire

E2387 NU $40.94 Foam filled caster tire

E2387 NU KE $0.00 Foam filled caster tire

E2387 NU KU $54.77 Foam filled caster tire

E2387 RR $4.10 Foam filled caster tire

E2387 RR KE $0.00 Foam filled caster tire

E2387 RR KU $5.49 Foam filled caster tire

E2387 UE $30.70 Foam filled caster tire

E2387 UE KE $0.00 Foam filled caster tire

E2387 UE KU $41.08 Foam filled caster tire

E2388 NU $39.51 Foam drive wheel tire

E2388 NU KE $0.00 Foam drive wheel tire

E2388 NU KU $42.49 Foam drive wheel tire

E2388 RR $3.95 Foam drive wheel tire

E2388 RR KE $0.00 Foam drive wheel tire

E2388 RR KU $4.25 Foam drive wheel tire

E2388 UE $29.63 Foam drive wheel tire

E2388 UE KE $0.00 Foam drive wheel tire

E2388 UE KU $31.88 Foam drive wheel tire

E2389 NU $22.08 Foam caster tire

E2389 NU KE $0.00 Foam caster tire

E2389 NU KU $23.09 Foam caster tire

E2389 RR $2.21 Foam caster tire

E2389 RR KE $0.00 Foam caster tire

E2389 RR KU $2.32 Foam caster tire

E2389 UE $16.57 Foam caster tire

E2389 UE KE $0.00 Foam caster tire

E2389 UE KU $17.30 Foam caster tire

E2390 NU $34.19 Solid drive wheel tire

E2390 NU KE $0.00 Solid drive wheel tire

E2390 NU KU $36.09 Solid drive wheel tire

E2390 RR $3.42 Solid drive wheel tire

E2390 RR KE $0.00 Solid drive wheel tire

E2390 RR KU $3.61 Solid drive wheel tire

E2390 UE $25.64 Solid drive wheel tire

E2390 UE KE $0.00 Solid drive wheel tire

E2390 UE KU $27.06 Solid drive wheel tire

E2391 NU $14.08 Solid caster tire

E2391 NU KE $0.00 Solid caster tire

E2391 NU KU $17.29 Solid caster tire

E2391 RR $1.41 Solid caster tire

E2391 RR KE $0.00 Solid caster tire

E2391 RR KU $1.73 Solid caster tire

E2391 UE $10.57 Solid caster tire

E2391 UE KE $0.00 Solid caster tire

E2391 UE KU $12.96 Solid caster tire

E2392 NU $34.00 Solid caster tire, integrate

E2392 NU KE $0.00 Solid caster tire, integrate

E2392 NU KU $45.44 Solid caster tire, integrate

E2392 RR $3.40 Solid caster tire, integrate

E2392 RR KE $0.00 Solid caster tire, integrate

E2392 RR KU $4.57 Solid caster tire, integrate

E2392 UE $25.50 Solid caster tire, integrate

E2392 UE KE $0.00 Solid caster tire, integrate

E2392 UE KU $34.09 Solid caster tire, integrate

E2394 NU $47.16 Drive wheel excludes tire

E2394 NU KE $0.00 Drive wheel excludes tire

E2394 NU KU $64.75 Drive wheel excludes tire

E2394 RR $4.72 Drive wheel excludes tire

E2394 RR KE $0.00 Drive wheel excludes tire

E2394 RR KU $6.49 Drive wheel excludes tire

E2394 UE $35.37 Drive wheel excludes tire

E2394 UE KE $0.00 Drive wheel excludes tire

E2394 UE KU $48.56 Drive wheel excludes tire

E2395 NU $35.48 Caster wheel excludes tire

E2395 NU KE $0.00 Caster wheel excludes tire

E2395 NU KU $46.01 Caster wheel excludes tire

E2395 RR $3.55 Caster wheel excludes tire

E2395 RR KE $0.00 Caster wheel excludes tire

E2395 RR KU $4.62 Caster wheel excludes tire

E2395 UE $26.61 Caster wheel excludes tire

E2395 UE KE $0.00 Caster wheel excludes tire

E2395 UE KU $34.51 Caster wheel excludes tire

E2396 NU $42.67 Caster fork

E2396 NU KE $0.00 Caster fork

E2396 NU KU $52.08 Caster fork

E2396 RR $4.27 Caster fork

E2396 RR KE $0.00 Caster fork

E2396 RR KU $5.23 Caster fork

E2396 UE $32.01 Caster fork

E2396 UE KE $0.00 Caster fork

E2396 UE KU $39.08 Caster fork

E2397 NU $350.90 Pwc acc, lith-based battery

E2397 NU KU $405.30 Pwc acc, lith-based battery

E2397 RR $35.09 Pwc acc, lith-based battery

E2397 RR KU $40.54 Pwc acc, lith-based battery

E2397 UE $263.18 Pwc acc, lith-based battery

E2397 UE KU $303.94 Pwc acc, lith-based battery

E2402 RR $585.41 Neg press wound therapy pump

E2500 NU $382.70 Sgd digitized pre-rec <=8min

E2500 RR $38.28 Sgd digitized pre-rec <=8min

E2500 UE $287.03 Sgd digitized pre-rec <=8min

E2502 NU $1,170.28 Sgd prerec msg >8min <=20min

E2502 RR $117.04 Sgd prerec msg >8min <=20min

E2502 UE $877.74 Sgd prerec msg >8min <=20min

E2504 NU $1,543.77 Sgd prerec msg>20min <=40min

E2504 RR $154.39 Sgd prerec msg>20min <=40min

E2504 UE $1,157.84 Sgd prerec msg>20min <=40min

E2506 NU $2,263.63 Sgd prerec msg > 40 min

E2506 RR $226.35 Sgd prerec msg > 40 min

E2506 UE $1,697.68 Sgd prerec msg > 40 min

E2508 NU $3,500.33 Sgd spelling phys contact

E2508 RR $350.03 Sgd spelling phys contact

E2508 UE $2,625.25 Sgd spelling phys contact

E2510 NU $6,623.90 Sgd w multi methods msg/accs

E2510 RR $662.40 Sgd w multi methods msg/accs

E2510 UE $4,967.91 Sgd w multi methods msg/accs

E2511 NU $0.00 Sgd sftwre prgrm for pc/pda

E2511 RR $0.00 Sgd sftwre prgrm for pc/pda

E2511 UE $0.00 Sgd sftwre prgrm for pc/pda

E2512 NU $0.00 Sgd accessory, mounting sys

E2512 RR $0.00 Sgd accessory, mounting sys

E2512 UE $0.00 Sgd accessory, mounting sys

E2601 NU $32.68 Gen w/c cushion wdth < 22 in

E2601 NU KE $0.00 Gen w/c cushion wdth < 22 in

E2601 NU KU $51.59 Gen w/c cushion wdth < 22 in

E2601 RR $3.27 Gen w/c cushion wdth < 22 in

E2601 RR KE $0.00 Gen w/c cushion wdth < 22 in

E2601 RR KU $5.18 Gen w/c cushion wdth < 22 in

E2601 UE $24.51 Gen w/c cushion wdth < 22 in

E2601 UE KE $0.00 Gen w/c cushion wdth < 22 in

E2601 UE KU $38.69 Gen w/c cushion wdth < 22 in

E2602 NU $70.21 Gen w/c cushion wdth >=22 in

E2602 NU KE $0.00 Gen w/c cushion wdth >=22 in

E2602 NU KU $100.71 Gen w/c cushion wdth >=22 in

E2602 RR $7.02 Gen w/c cushion wdth >=22 in

E2602 RR KE $0.00 Gen w/c cushion wdth >=22 in

E2602 RR KU $10.08 Gen w/c cushion wdth >=22 in

E2602 UE $52.66 Gen w/c cushion wdth >=22 in

E2602 UE KE $0.00 Gen w/c cushion wdth >=22 in

E2602 UE KU $75.55 Gen w/c cushion wdth >=22 in

E2603 NU $87.46 Skin protect wc cus wd <22in

E2603 NU KE $0.00 Skin protect wc cus wd <22in

E2603 NU KU $127.86 Skin protect wc cus wd <22in

E2603 RR $8.75 Skin protect wc cus wd <22in

E2603 RR KE $0.00 Skin protect wc cus wd <22in

E2603 RR KU $12.79 Skin protect wc cus wd <22in

E2603 UE $65.59 Skin protect wc cus wd <22in

E2603 UE KE $0.00 Skin protect wc cus wd <22in

E2603 UE KU $95.91 Skin protect wc cus wd <22in

E2604 NU $119.71 Skin protect wc cus wd>=22in

E2604 NU KE $0.00 Skin protect wc cus wd>=22in

E2604 NU KU $158.93 Skin protect wc cus wd>=22in

E2604 RR $11.97 Skin protect wc cus wd>=22in

E2604 RR KE $0.00 Skin protect wc cus wd>=22in

E2604 RR KU $15.90 Skin protect wc cus wd>=22in

E2604 UE $89.79 Skin protect wc cus wd>=22in

E2604 UE KE $0.00 Skin protect wc cus wd>=22in

E2604 UE KU $119.21 Skin protect wc cus wd>=22in

E2605 NU $170.48 Position wc cush wdth <22 in

E2605 NU KE $0.00 Position wc cush wdth <22 in

E2605 NU KU $227.06 Position wc cush wdth <22 in

E2605 RR $17.05 Position wc cush wdth <22 in

E2605 RR KE $0.00 Position wc cush wdth <22 in

E2605 RR KU $22.71 Position wc cush wdth <22 in

E2605 UE $127.87 Position wc cush wdth <22 in

E2605 UE KE $0.00 Position wc cush wdth <22 in

E2605 UE KU $170.32 Position wc cush wdth <22 in

E2606 NU $274.01 Position wc cush wdth>=22 in

E2606 NU KE $0.00 Position wc cush wdth>=22 in

E2606 NU KU $354.22 Position wc cush wdth>=22 in

E2606 RR $27.40 Position wc cush wdth>=22 in

E2606 RR KE $0.00 Position wc cush wdth>=22 in

E2606 RR KU $35.43 Position wc cush wdth>=22 in

E2606 UE $205.50 Position wc cush wdth>=22 in

E2606 UE KE $0.00 Position wc cush wdth>=22 in

E2606 UE KU $265.64 Position wc cush wdth>=22 in

E2607 NU $171.61 Skin pro/pos wc cus wd <22in

E2607 NU KE $0.00 Skin pro/pos wc cus wd <22in

E2607 NU KU $244.49 Skin pro/pos wc cus wd <22in

E2607 RR $17.16 Skin pro/pos wc cus wd <22in

E2607 RR KE $0.00 Skin pro/pos wc cus wd <22in

E2607 RR KU $24.45 Skin pro/pos wc cus wd <22in

E2607 UE $128.71 Skin pro/pos wc cus wd <22in

E2607 UE KE $0.00 Skin pro/pos wc cus wd <22in

E2607 UE KU $183.37 Skin pro/pos wc cus wd <22in

E2608 NU $212.37 Skin pro/pos wc cus wd>=22in

E2608 NU KE $0.00 Skin pro/pos wc cus wd>=22in

E2608 NU KU $293.62 Skin pro/pos wc cus wd>=22in

E2608 RR $21.23 Skin pro/pos wc cus wd>=22in

E2608 RR KE $0.00 Skin pro/pos wc cus wd>=22in

E2608 RR KU $29.36 Skin pro/pos wc cus wd>=22in

E2608 UE $159.28 Skin pro/pos wc cus wd>=22in

E2608 UE KE $0.00 Skin pro/pos wc cus wd>=22in

E2608 UE KU $220.21 Skin pro/pos wc cus wd>=22in

E2611 NU $135.16 Gen use back cush wdth <22in

E2611 NU KE $0.00 Gen use back cush wdth <22in

E2611 NU KU $263.47 Gen use back cush wdth <22in

E2611 RR $13.52 Gen use back cush wdth <22in

E2611 RR KE $0.00 Gen use back cush wdth <22in

E2611 RR KU $26.34 Gen use back cush wdth <22in

E2611 UE $101.37 Gen use back cush wdth <22in

E2611 UE KE $0.00 Gen use back cush wdth <22in

E2611 UE KU $197.63 Gen use back cush wdth <22in

E2612 NU $257.89 Gen use back cush wdth>=22in

E2612 NU KE $0.00 Gen use back cush wdth>=22in

E2612 NU KU $356.42 Gen use back cush wdth>=22in

E2612 RR $25.79 Gen use back cush wdth>=22in

E2612 RR KE $0.00 Gen use back cush wdth>=22in

E2612 RR KU $35.64 Gen use back cush wdth>=22in

E2612 UE $193.42 Gen use back cush wdth>=22in

E2612 UE KE $0.00 Gen use back cush wdth>=22in

E2612 UE KU $267.31 Gen use back cush wdth>=22in

E2613 NU $254.07 Position back cush wd <22in

E2613 NU KE $0.00 Position back cush wd <22in

E2613 NU KU $331.54 Position back cush wd <22in

E2613 RR $25.41 Position back cush wd <22in

E2613 RR KE $0.00 Position back cush wd <22in

E2613 RR KU $33.16 Position back cush wd <22in

E2613 UE $190.55 Position back cush wd <22in

E2613 UE KE $0.00 Position back cush wd <22in

E2613 UE KU $248.66 Position back cush wd <22in

E2614 NU $365.25 Position back cush wd>=22in

E2614 NU KE $0.00 Position back cush wd>=22in

E2614 NU KU $458.83 Position back cush wd>=22in

E2614 RR $36.52 Position back cush wd>=22in

E2614 RR KE $0.00 Position back cush wd>=22in

E2614 RR KU $45.87 Position back cush wd>=22in

E2614 UE $273.95 Position back cush wd>=22in

E2614 UE KE $0.00 Position back cush wd>=22in

E2614 UE KU $344.13 Position back cush wd>=22in

E2615 NU $287.33 Pos back post/lat wdth <22in

E2615 NU KE $0.00 Pos back post/lat wdth <22in

E2615 NU KU $381.53 Pos back post/lat wdth <22in

E2615 RR $28.74 Pos back post/lat wdth <22in

E2615 RR KE $0.00 Pos back post/lat wdth <22in

E2615 RR KU $38.17 Pos back post/lat wdth <22in

E2615 UE $215.50 Pos back post/lat wdth <22in

E2615 UE KE $0.00 Pos back post/lat wdth <22in

E2615 UE KU $286.14 Pos back post/lat wdth <22in

E2616 NU $386.14 Pos back post/lat wdth>=22in

E2616 NU KE $0.00 Pos back post/lat wdth>=22in

E2616 NU KU $513.35 Pos back post/lat wdth>=22in

E2616 RR $38.62 Pos back post/lat wdth>=22in

E2616 RR KE $0.00 Pos back post/lat wdth>=22in

E2616 RR KU $51.34 Pos back post/lat wdth>=22in

E2616 UE $289.60 Pos back post/lat wdth>=22in

E2616 UE KE $0.00 Pos back post/lat wdth>=22in

E2616 UE KU $385.02 Pos back post/lat wdth>=22in

E2619 NU $40.68 Replace cover w/c seat cush

E2619 NU KE $0.00 Replace cover w/c seat cush

E2619 NU KU $43.27 Replace cover w/c seat cush

E2619 RR $4.07 Replace cover w/c seat cush

E2619 RR KE $0.00 Replace cover w/c seat cush

E2619 RR KU $4.32 Replace cover w/c seat cush

E2619 UE $30.51 Replace cover w/c seat cush

E2619 UE KE $0.00 Replace cover w/c seat cush

E2619 UE KU $32.50 Replace cover w/c seat cush

E2620 NU $317.29 Wc planar back cush wd <22in

E2620 NU KE $0.00 Wc planar back cush wd <22in

E2620 NU KU $461.98 Wc planar back cush wd <22in

E2620 RR $31.73 Wc planar back cush wd <22in

E2620 RR KE $0.00 Wc planar back cush wd <22in

E2620 RR KU $46.21 Wc planar back cush wd <22in

E2620 UE $237.97 Wc planar back cush wd <22in

E2620 UE KE $0.00 Wc planar back cush wd <22in

E2620 UE KU $346.51 Wc planar back cush wd <22in

E2621 NU $370.63 Wc planar back cush wd>=22in

E2621 NU KE $0.00 Wc planar back cush wd>=22in

E2621 NU KU $484.82 Wc planar back cush wd>=22in

E2621 RR $37.07 Wc planar back cush wd>=22in

E2621 RR KE $0.00 Wc planar back cush wd>=22in

E2621 RR KU $48.48 Wc planar back cush wd>=22in

E2621 UE $277.98 Wc planar back cush wd>=22in

E2621 UE KE $0.00 Wc planar back cush wd>=22in

E2621 UE KU $363.62 Wc planar back cush wd>=22in

E2622 NU $258.04 Adj skin pro w/c cus wd<22in

E2622 NU KE $0.00 Adj skin pro w/c cus wd<22in

E2622 NU KU $279.60 Adj skin pro w/c cus wd<22in

E2622 RR $25.81 Adj skin pro w/c cus wd<22in

E2622 RR KE $0.00 Adj skin pro w/c cus wd<22in

E2622 RR KU $27.97 Adj skin pro w/c cus wd<22in

E2622 UE $193.53 Adj skin pro w/c cus wd<22in

E2622 UE KE $0.00 Adj skin pro w/c cus wd<22in

E2622 UE KU $209.70 Adj skin pro w/c cus wd<22in

E2623 NU $326.31 Adj skin pro wc cus wd>=22in

E2623 NU KE $0.00 Adj skin pro wc cus wd>=22in

E2623 NU KU $355.78 Adj skin pro wc cus wd>=22in

E2623 RR $32.63 Adj skin pro wc cus wd>=22in

E2623 RR KE $0.00 Adj skin pro wc cus wd>=22in

E2623 RR KU $35.59 Adj skin pro wc cus wd>=22in

E2623 UE $244.73 Adj skin pro wc cus wd>=22in

E2623 UE KE $0.00 Adj skin pro wc cus wd>=22in

E2623 UE KU $266.82 Adj skin pro wc cus wd>=22in

E2624 NU $262.21 Adj skin pro/pos cus<22in

E2624 NU KE $0.00 Adj skin pro/pos cus<22in

E2624 NU KU $281.90 Adj skin pro/pos cus<22in

E2624 RR $26.22 Adj skin pro/pos cus<22in

E2624 RR KE $0.00 Adj skin pro/pos cus<22in

E2624 RR KU $28.19 Adj skin pro/pos cus<22in

E2624 UE $196.66 Adj skin pro/pos cus<22in

E2624 UE KE $0.00 Adj skin pro/pos cus<22in

E2624 UE KU $211.44 Adj skin pro/pos cus<22in

E2625 NU $324.51 Adj skin pro/pos wc cus>=22

E2625 NU KE $0.00 Adj skin pro/pos wc cus>=22

E2625 NU KU $356.86 Adj skin pro/pos wc cus>=22

E2625 RR $32.45 Adj skin pro/pos wc cus>=22

E2625 RR KE $0.00 Adj skin pro/pos wc cus>=22

E2625 RR KU $35.67 Adj skin pro/pos wc cus>=22

E2625 UE $243.39 Adj skin pro/pos wc cus>=22

E2625 UE KE $0.00 Adj skin pro/pos wc cus>=22

E2625 UE KU $267.65 Adj skin pro/pos wc cus>=22

E2626 NU $510.22 Seo mobile arm sup att to wc

E2626 NU KU $599.45 Seo mobile arm sup att to wc

E2626 RR $51.03 Seo mobile arm sup att to wc

E2626 RR KU $59.95 Seo mobile arm sup att to wc

E2626 UE $382.66 Seo mobile arm sup att to wc

E2626 UE KU $449.56 Seo mobile arm sup att to wc

E2627 NU $789.45 Arm supp att to wc rancho ty

E2627 NU KU $824.49 Arm supp att to wc rancho ty

E2627 RR $78.95 Arm supp att to wc rancho ty

E2627 RR KU $82.48 Arm supp att to wc rancho ty

E2627 UE $592.09 Arm supp att to wc rancho ty

E2627 UE KU $618.35 Arm supp att to wc rancho ty

E2628 NU $616.83 Mobile arm supports reclinin

E2628 NU KU $621.12 Mobile arm supports reclinin

E2628 RR $61.68 Mobile arm supports reclinin

E2628 RR KU $62.11 Mobile arm supports reclinin

E2628 UE $462.62 Mobile arm supports reclinin

E2628 UE KU $465.83 Mobile arm supports reclinin

E2629 NU $778.61 Friction dampening arm supp

E2629 NU KU $924.72 Friction dampening arm supp

E2629 RR $77.86 Friction dampening arm supp

E2629 RR KU $92.46 Friction dampening arm supp

E2629 UE $583.96 Friction dampening arm supp

E2629 UE KU $693.52 Friction dampening arm supp

E2630 NU $524.90 Monosuspension arm/hand supp

E2630 NU KU $549.65 Monosuspension arm/hand supp

E2630 RR $52.49 Monosuspension arm/hand supp

E2630 RR KU $54.97 Monosuspension arm/hand supp

E2630 UE $393.68 Monosuspension arm/hand supp

E2630 UE KU $412.23 Monosuspension arm/hand supp

E2631 NU $219.87 Elevat proximal arm support

E2631 NU KU $219.88 Elevat proximal arm support

E2631 RR $21.99 Elevat proximal arm support

E2631 RR KU $21.98 Elevat proximal arm support

E2631 UE $164.90 Elevat proximal arm support

E2631 UE KU $164.90 Elevat proximal arm support

E2632 NU $137.68 Offset/lat rocker arm w/ela

E2632 NU KU $139.81 Offset/lat rocker arm w/ela

E2632 RR $13.77 Offset/lat rocker arm w/ela

E2632 RR KU $13.99 Offset/lat rocker arm w/ela

E2632 UE $103.27 Offset/lat rocker arm w/ela

E2632 UE KU $104.85 Offset/lat rocker arm w/ela

E2633 NU $111.55 Mobile arm support supinator

E2633 NU KU $118.58 Mobile arm support supinator

E2633 RR $11.15 Mobile arm support supinator

E2633 RR KU $11.87 Mobile arm support supinator

E2633 UE $83.67 Mobile arm support supinator

E2633 UE KU $88.94 Mobile arm support supinator

G0068 $117.94

G0069 $184.10

G0070 $200.65

K0001 RR $20.62 Standard wheelchair

K0002 RR $35.93 Stnd hemi (low seat) whlchr

K0003 RR $31.20 Lightweight wheelchair

K0004 RR $38.46 High strength ltwt whlchr

K0005 NU $1,809.34 Ultralightweight wheelchair

K0005 RR $180.91 Ultralightweight wheelchair

K0005 UE $1,356.97 Ultralightweight wheelchair

K0006 RR $56.87 Heavy duty wheelchair

K0007 RR $80.17 Extra heavy duty wheelchair

K0009 RR $72.77 Other manual wheelchair/base

K0010 RR $373.49 Stnd wt frame power whlchr

K0011 RR $500.83 Stnd wt pwr whlchr w control

K0011 RR KF $556.04 Stnd wt pwr whlchr w control

K0012 RR $307.25 Ltwt portbl power whlchr

K0015 RR $11.65 Detach non-adj ht armrst rep

K0015 RR KE $0.00 Detach non-adjus hght armrst

K0015 RR KU $15.26 Detach non-adj ht armrst rep

K0017 NU $39.16 Detach adjust armrest base

K0017 NU KE $0.00 Detach adjust armrest base

K0017 NU KU $43.10 Detach adjust armrest base

K0017 RR $3.92 Detach adjust armrest base

K0017 RR KE $0.00 Detach adjust armrest base

K0017 RR KU $4.30 Detach adjust armrest base

K0017 UE $29.37 Detach adjust armrest base

K0017 UE KE $0.00 Detach adjust armrest base

K0017 UE KU $32.33 Detach adjust armrest base

K0018 NU $22.13 Detach adjust armrst upper

K0018 NU KE $0.00 Detach adjust armrst upper

K0018 NU KU $24.07 Detach adjust armrst upper

K0018 RR $2.22 Detach adjust armrst upper

K0018 RR KE $0.00 Detach adjust armrst upper

K0018 RR KU $2.40 Detach adjust armrst upper

K0018 UE $16.61 Detach adjust armrst upper

K0018 UE KE $0.00 Detach adjust armrst upper

K0018 UE KU $18.07 Detach adjust armrst upper

K0019 NU $10.46 Arm pad repl, each

K0019 NU KE $0.00 Arm pad each

K0019 NU KU $13.79 Arm pad repl, each

K0019 RR $1.05 Arm pad repl, each

K0019 RR KE $0.00 Arm pad each

K0019 RR KU $1.39 Arm pad repl, each

K0019 UE $7.85 Arm pad repl, each

K0019 UE KE $0.00 Arm pad each

K0019 UE KU $10.33 Arm pad repl, each

K0020 NU $38.37 Fixed adjust armrest pair

K0020 NU KE $0.00 Fixed adjust armrest pair

K0020 NU KU $39.19 Fixed adjust armrest pair

K0020 RR $3.83 Fixed adjust armrest pair

K0020 RR KE $0.00 Fixed adjust armrest pair

K0020 RR KU $3.92 Fixed adjust armrest pair

K0020 UE $28.78 Fixed adjust armrest pair

K0020 UE KE $0.00 Fixed adjust armrest pair

K0020 UE KU $29.39 Fixed adjust armrest pair

K0037 NU $34.53 Hi mount flip-up footrest ea

K0037 NU KE $0.00 High mount flip-up footrest

K0037 NU KU $34.53 Hi mount flip-up footrest ea

K0037 RR $3.16 Hi mount flip-up footrest ea

K0037 RR KE $0.00 High mount flip-up footrest

K0037 RR KU $3.17 Hi mount flip-up footrest ea

K0037 UE $25.91 Hi mount flip-up footrest ea

K0037 UE KE $0.00 High mount flip-up footrest

K0037 UE KU $25.91 Hi mount flip-up footrest ea

K0038 NU $19.58 Leg strap each

K0038 NU KE $0.00 Leg strap each

K0038 NU KU $20.48 Leg strap each

K0038 RR $1.96 Leg strap each

K0038 RR KE $0.00 Leg strap each

K0038 RR KU $2.05 Leg strap each

K0038 UE $14.68 Leg strap each

K0038 UE KE $0.00 Leg strap each

K0038 UE KU $15.34 Leg strap each

K0039 NU $42.02 Leg strap h style each

K0039 NU KE $0.00 Leg strap h style each

K0039 NU KU $45.44 Leg strap h style each

K0039 RR $4.20 Leg strap h style each

K0039 RR KE $0.00 Leg strap h style each

K0039 RR KU $4.57 Leg strap h style each

K0039 UE $31.53 Leg strap h style each

K0039 UE KE $0.00 Leg strap h style each

K0039 UE KU $34.09 Leg strap h style each

K0040 NU $43.45 Adjustable angle footplate

K0040 NU KE $0.00 Adjustable angle footplate

K0040 NU KU $62.99 Adjustable angle footplate

K0040 RR $4.34 Adjustable angle footplate

K0040 RR KE $0.00 Adjustable angle footplate

K0040 RR KU $6.29 Adjustable angle footplate

K0040 UE $32.59 Adjustable angle footplate

K0040 UE KE $0.00 Adjustable angle footplate

K0040 UE KU $47.22 Adjustable angle footplate

K0041 NU $40.16 Large size footplate each

K0041 NU KE $0.00 Large size footplate each

K0041 NU KU $44.63 Large size footplate each

K0041 RR $4.02 Large size footplate each

K0041 RR KE $0.00 Large size footplate each

K0041 RR KU $4.51 Large size footplate each

K0041 UE $30.12 Large size footplate each

K0041 UE KE $0.00 Large size footplate each

K0041 UE KU $33.47 Large size footplate each

K0042 NU $25.79 Standard size ftplate rep ea

K0042 NU KE $0.00 Standard size footplate each

K0042 NU KU $30.73 Standard size ftplate rep ea

K0042 RR $2.58 Standard size ftplate rep ea

K0042 RR KE $0.00 Standard size footplate each

K0042 RR KU $3.07 Standard size ftplate rep ea

K0042 UE $19.35 Standard size ftplate rep ea

K0042 UE KE $0.00 Standard size footplate each

K0042 UE KU $23.04 Standard size ftplate rep ea

K0043 NU $15.92 Ftrst lowr exten tube rep ea

K0043 NU KE $0.00 Ftrst lower extension tube

K0043 NU KU $16.47 Ftrst lowr exten tube rep ea

K0043 RR $1.59 Ftrst lowr exten tube rep ea

K0043 RR KE $0.00 Ftrst lower extension tube

K0043 RR KU $1.63 Ftrst lowr exten tube rep ea

K0043 UE $11.94 Ftrst lowr exten tube rep ea

K0043 UE KE $0.00 Ftrst lower extension tube

K0043 UE KU $12.36 Ftrst lowr exten tube rep ea

K0044 NU $13.86 Ftrst upr hanger brac rep ea

K0044 NU KE $0.00 Ftrst upper hanger bracket

K0044 NU KU $14.04 Ftrst upr hanger brac rep ea

K0044 RR $1.39 Ftrst upr hanger brac rep ea

K0044 RR KE $0.00 Ftrst upper hanger bracket

K0044 RR KU $1.41 Ftrst upr hanger brac rep ea

K0044 UE $10.39 Ftrst upr hanger brac rep ea

K0044 UE KE $0.00 Ftrst upper hanger bracket

K0044 UE KU $10.52 Ftrst upr hanger brac rep ea

K0045 NU $45.57 Ftrst compl assembly repl ea

K0045 NU KE $0.00 Footrest complete assembly

K0045 NU KU $47.76 Ftrst compl assembly repl ea

K0045 RR $4.56 Ftrst compl assembly repl ea

K0045 RR KE $0.00 Footrest complete assembly

K0045 RR KU $4.78 Ftrst compl assembly repl ea

K0045 UE $34.18 Ftrst compl assembly repl ea

K0045 UE KE $0.00 Footrest complete assembly

K0045 UE KU $35.83 Ftrst compl assembly repl ea

K0046 NU $16.03 Elev lgrst lwr exten repl ea

K0046 NU KE $0.00 Elevat legrst low extension

K0046 NU KU $16.47 Elev lgrst lwr exten repl ea

K0046 RR $1.61 Elev lgrst lwr exten repl ea

K0046 RR KE $0.00 Elevat legrst low extension

K0046 RR KU $1.63 Elev lgrst lwr exten repl ea

K0046 UE $12.03 Elev lgrst lwr exten repl ea

K0046 UE KE $0.00 Elevat legrst low extension

K0046 UE KU $12.38 Elev lgrst lwr exten repl ea

K0047 NU $56.64 Elev legrst upr hangr rep ea

K0047 NU KE $0.00 Elevat legrst up hangr brack

K0047 NU KU $64.52 Elev legrst upr hangr rep ea

K0047 RR $5.66 Elev legrst upr hangr rep ea

K0047 RR KE $0.00 Elevat legrst up hangr brack

K0047 RR KU $6.47 Elev legrst upr hangr rep ea

K0047 UE $42.48 Elev legrst upr hangr rep ea

K0047 UE KE $0.00 Elevat legrst up hangr brack

K0047 UE KU $48.37 Elev legrst upr hangr rep ea

K0050 NU $26.28 Ratchet assembly replacement

K0050 NU KE $0.00 Ratchet assembly

K0050 RR $2.63 Ratchet assembly replacement

K0050 RR KE $0.00 Ratchet assembly

K0050 UE $19.71 Ratchet assembly replacement

K0050 UE KE $0.00 Ratchet assembly

K0051 NU $41.57 Cam rel asm ft/legrst rep ea

K0051 NU KE $0.00 Cam relese assem ftrst/lgrst

K0051 NU KU $44.37 Cam rel asm ft/legrst rep ea

K0051 RR $4.16 Cam rel asm ft/legrst rep ea

K0051 RR KE $0.00 Cam relese assem ftrst/lgrst

K0051 RR KU $4.47 Cam rel asm ft/legrst rep ea

K0051 UE $31.18 Cam rel asm ft/legrst rep ea

K0051 UE KE $0.00 Cam relese assem ftrst/lgrst

K0051 UE KU $33.27 Cam rel asm ft/legrst rep ea

K0052 NU $58.53 Swingaway detach ftrest repl

K0052 NU KE $0.00 Swingaway detach footrest

K0052 NU KU $77.99 Swingaway detach ftrest repl

K0052 RR $5.86 Swingaway detach ftrest repl

K0052 RR KE $0.00 Swingaway detach footrest

K0052 RR KU $7.79 Swingaway detach ftrest repl

K0052 UE $43.90 Swingaway detach ftrest repl

K0052 UE KE $0.00 Swingaway detach footrest

K0052 UE KU $58.46 Swingaway detach ftrest repl

K0053 NU $67.94 Elevate footrest articulate

K0053 NU KE $0.00 Elevate footrest articulate

K0053 NU KU $86.05 Elevate footrest articulate

K0053 RR $6.79 Elevate footrest articulate

K0053 RR KE $0.00 Elevate footrest articulate

K0053 RR KU $8.60 Elevate footrest articulate

K0053 UE $50.96 Elevate footrest articulate

K0053 UE KE $0.00 Elevate footrest articulate

K0053 UE KU $64.54 Elevate footrest articulate

K0056 NU $77.68 Seat ht <17 or >=21 ltwt wc

K0056 NU KU $93.08 Seat ht <17 or >=21 ltwt wc

K0056 RR $7.77 Seat ht <17 or >=21 ltwt wc

K0056 RR KU $9.32 Seat ht <17 or >=21 ltwt wc

K0056 UE $58.26 Seat ht <17 or >=21 ltwt wc

K0056 UE KU $69.82 Seat ht <17 or >=21 ltwt wc

K0065 NU $36.98 Spoke protectors

K0065 NU KU $43.49 Spoke protectors

K0065 RR $3.70 Spoke protectors

K0065 RR KU $4.35 Spoke protectors

K0065 UE $27.74 Spoke protectors

K0065 UE KU $32.63 Spoke protectors

K0069 NU $76.81 Rr whl compl sol tire rep ea

K0069 NU KU $97.80 Rr whl compl sol tire rep ea

K0069 RR $7.68 Rr whl compl sol tire rep ea

K0069 RR KU $10.18 Rr whl compl sol tire rep ea

K0069 UE $57.61 Rr whl compl sol tire rep ea

K0069 UE KU $73.35 Rr whl compl sol tire rep ea

K0070 RR $13.52 Rr whl compl pne tire rep ea

K0070 RR KU $17.94 Rr whl compl pne tire rep ea

K0071 NU $87.31 Fr cstr comp pne tire rep ea

K0071 NU KU $106.92 Fr cstr comp pne tire rep ea

K0071 RR $8.73 Fr cstr comp pne tire rep ea

K0071 RR KU $10.69 Fr cstr comp pne tire rep ea

K0071 UE $65.49 Fr cstr comp pne tire rep ea

K0071 UE KU $80.16 Fr cstr comp pne tire rep ea

K0072 NU $54.73 Fr cstr semi-pne tire rep ea

K0072 NU KU $64.37 Fr cstr semi-pne tire rep ea

K0072 RR $5.47 Fr cstr semi-pne tire rep ea

K0072 RR KU $6.43 Fr cstr semi-pne tire rep ea

K0072 UE $41.06 Fr cstr semi-pne tire rep ea

K0072 UE KU $48.26 Fr cstr semi-pne tire rep ea

K0073 NU $28.50 Caster pin lock each

K0073 NU KU $32.75 Caster pin lock each

K0073 RR $2.85 Caster pin lock each

K0073 RR KU $3.32 Caster pin lock each

K0073 UE $21.38 Caster pin lock each

K0073 UE KU $24.55 Caster pin lock each

K0077 NU $44.52 Fr cstr asmb sol tire rep ea

K0077 NU KU $57.60 Fr cstr asmb sol tire rep ea

K0077 RR $4.45 Fr cstr asmb sol tire rep ea

K0077 RR KU $5.75 Fr cstr asmb sol tire rep ea

K0077 UE $33.40 Fr cstr asmb sol tire rep ea

K0077 UE KU $43.18 Fr cstr asmb sol tire rep ea

K0098 NU $19.25 Drive belt for pwc, repl

K0098 NU KE $0.00 Drive belt power wheelchair

K0098 NU KU $22.29 Drive belt for pwc, repl

K0098 RR $1.93 Drive belt for pwc, repl

K0098 RR KE $0.00 Drive belt power wheelchair

K0098 RR KU $2.24 Drive belt for pwc, repl

K0098 UE $14.44 Drive belt for pwc, repl

K0098 UE KE $0.00 Drive belt power wheelchair

K0098 UE KU $16.70 Drive belt for pwc, repl

K0105 NU $80.38 Iv hanger

K0105 NU KU $97.31 Iv hanger

K0105 RR $8.04 Iv hanger

K0105 RR KU $9.73 Iv hanger

K0105 UE $60.29 Iv hanger

K0105 UE KU $72.98 Iv hanger

K0195 RR $9.03 Elevating whlchair leg rests

K0195 RR KE $0.00 Elevating whlchair leg rests

K0455 RR $243.75 Pump uninterrupted infusion

K0552 $2.31 Sup/ext non-ins inf pump syr

K0553 $218.36 Ther cgm supply allowance

K0554 NU $229.70 Ther cgm receiver/monitor

K0554 RR $22.98 Ther cgm receiver/monitor

K0554 UE $172.29 Ther cgm receiver/monitor

K0601 NU $1.05 Repl batt silver oxide 1.5 v

K0602 NU $5.91 Repl batt silver oxide 3 v

K0603 NU $0.53 Repl batt alkaline 1.5 v

K0604 NU $5.70 Repl batt lithium 3.6 v

K0605 NU $13.63 Repl batt lithium 4.5 v

K0606 RR KF $2,464.58 Aed garment w elec analysis

K0607 RR $19.01 Repl batt for aed

K0607 RR KF $21.11 Repl batt for aed

K0608 NU $118.62 Repl garment for aed

K0608 NU KF $131.72 Repl garment for aed

K0608 RR $11.88 Repl garment for aed

K0608 RR KF $13.19 Repl garment for aed

K0608 UE $88.96 Repl garment for aed

K0608 UE KF $98.78 Repl garment for aed

K0609 $788.89 Repl electrode for aed

K0609 KF $875.88 Repl electrode for aed

K0672 $69.83 Removable soft interface le

K0730 RR $168.72 Ctrl dose inh drug deliv sys

K0733 NU $22.75 12-24hr sealed lead acid

K0733 NU KE $0.00 12-24hr sealed lead acid

K0733 NU KU $25.47 12-24hr sealed lead acid

K0733 RR $2.28 12-24hr sealed lead acid

K0733 RR KE $0.00 12-24hr sealed lead acid

K0733 RR KU $2.57 12-24hr sealed lead acid

K0733 UE $17.07 12-24hr sealed lead acid

K0733 UE KE $0.00 12-24hr sealed lead acid

K0733 UE KU $19.13 12-24hr sealed lead acid

K0738 RR $29.78 Portable gas oxygen system

K0738 RR QB $31.12 Portable gas oxygen system

K0738 RR QF $31.12 Portable gas oxygen system

K0800 NU $702.43 Pov group 1 std up to 300lbs

K0800 RR $70.24 Pov group 1 std up to 300lbs

K0800 UE $526.83 Pov group 1 std up to 300lbs

K0801 NU $1,262.49 Pov group 1 hd 301-450 lbs

K0801 RR $126.25 Pov group 1 hd 301-450 lbs

K0801 UE $946.87 Pov group 1 hd 301-450 lbs

K0802 NU $1,670.34 Pov group 1 vhd 451-600 lbs

K0802 RR $167.03 Pov group 1 vhd 451-600 lbs

K0802 UE $1,252.76 Pov group 1 vhd 451-600 lbs

K0806 NU $1,160.83 Pov group 2 std up to 300lbs

K0806 RR $116.08 Pov group 2 std up to 300lbs

K0806 UE $870.62 Pov group 2 std up to 300lbs

K0807 NU $1,798.99 Pov group 2 hd 301-450 lbs

K0807 RR $179.89 Pov group 2 hd 301-450 lbs

K0807 UE $1,349.24 Pov group 2 hd 301-450 lbs

K0808 NU $2,780.94 Pov group 2 vhd 451-600 lbs

K0808 RR $278.09 Pov group 2 vhd 451-600 lbs

K0808 UE $2,085.70 Pov group 2 vhd 451-600 lbs

K0813 RR $213.51 Pwc gp 1 std port seat/back

K0814 RR $223.76 Pwc gp 1 std port cap chair

K0815 RR $248.63 Pwc gp 1 std seat/back

K0816 RR $232.19 Pwc gp 1 std cap chair

K0820 RR $218.37 Pwc gp 2 std port seat/back

K0821 RR $232.42 Pwc gp 2 std port cap chair

K0822 RR $248.88 Pwc gp 2 std seat/back

K0823 RR $232.53 Pwc gp 2 std cap chair

K0824 RR $362.58 Pwc gp 2 hd seat/back

K0825 RR $328.31 Pwc gp 2 hd cap chair

K0826 RR $605.97 Pwc gp 2 vhd seat/back

K0827 RR $533.47 Pwc gp vhd cap chair

K0828 RR $706.40 Pwc gp 2 xtra hd seat/back

K0829 RR $708.55 Pwc gp 2 xtra hd cap chair

K0835 RR $298.27 Pwc gp2 std sing pow opt s/b

K0836 RR $309.36 Pwc gp2 std sing pow opt cap

K0837 RR $382.56 Pwc gp 2 hd sing pow opt s/b

K0838 RR $339.07 Pwc gp 2 hd sing pow opt cap

K0839 RR $508.16 Pwc gp2 vhd sing pow opt s/b

K0840 RR $780.20 Pwc gp2 xhd sing pow opt s/b

K0841 RR $336.12 Pwc gp2 std mult pow opt s/b

K0842 RR $335.63 Pwc gp2 std mult pow opt cap

K0843 RR $398.44 Pwc gp2 hd mult pow opt s/b

K0848 RR $668.64 Pwc gp 3 std seat/back

K0849 RR $642.84 Pwc gp 3 std cap chair

K0850 RR $775.57 Pwc gp 3 hd seat/back

K0851 RR $745.72 Pwc gp 3 hd cap chair

K0852 RR $896.13 Pwc gp 3 vhd seat/back

K0853 RR $920.56 Pwc gp 3 vhd cap chair

K0854 RR $1,219.54 Pwc gp 3 xhd seat/back

K0855 RR $1,152.03 Pwc gp 3 xhd cap chair

K0856 RR $717.69 Pwc gp3 std sing pow opt s/b

K0857 RR $732.08 Pwc gp3 std sing pow opt cap

K0858 RR $890.45 Pwc gp3 hd sing pow opt s/b

K0859 RR $849.22 Pwc gp3 hd sing pow opt cap

K0860 RR $1,272.13 Pwc gp3 vhd sing pow opt s/b

K0861 RR $718.84 Pwc gp3 std mult pow opt s/b

K0862 RR $890.45 Pwc gp3 hd mult pow opt s/b

K0863 RR $1,272.13 Pwc gp3 vhd mult pow opt s/b

K0864 RR $1,513.83 Pwc gp3 xhd mult pow opt s/b

L0112 $1,152.90 Cranial cervical orthosis

L0113 $234.90 Cranial cervical torticollis

L0120 $22.07 Cerv flex n/adj foam pre ots

L0130 $155.98 Flex thermoplastic collar mo

L0140 $51.58 Cervical semi-rigid adjustab

L0150 $94.62 Cerv semi-rig adj molded chn

L0160 $123.59 Cerv sr wire occ/man pre ots

L0170 $508.92 Cervical collar molded to pt

L0172 $110.35 Cerv col sr foam 2pc pre ots

L0174 $216.78 Cerv sr 2pc thor ext pre ots

L0180 $300.60 Cer post col occ/man sup adj

L0190 $390.90 Cerv collar supp adj cerv ba

L0200 $407.51 Cerv col supp adj bar & thor

L0220 $111.29 Thor rib belt custom fabrica

L0450 $139.73 Tlso flex trunk/thor pre ots

L0452 $0.00 Tlso flex custom fab thoraci

L0454 $285.69 Tlso trnk sj-t9 pre cst

L0455 $285.69 Tlso flex trnk sj-t9 pre ots

L0456 $819.26 Tlso flex trnk sj-ss pre cst

L0457 $819.26 Tlso flex trnk sj-ss pre ots

L0458 $734.62 Tlso 2mod symphis-xipho pre

L0460 $826.86 Tlso 2 shl symphys-stern cst

L0462 $1,028.49 Tlso 3mod sacro-scap pre

L0464 $1,224.41 Tlso 4mod sacro-scap pre

L0466 $297.59 Tlso r fram soft ant pre cst

L0467 $297.59 Tlso r fram soft pre ots

L0468 $394.26 Tlso rig fram pelvic pre cst

L0469 $394.26 Tlso rig fram pelvic pre ots

L0470 $503.11 Tlso rigid frame pre subclav

L0472 $319.08 Tlso rigid frame hyperex pre

L0480 $1,123.67 Tlso rigid plastic custom fa

L0482 $1,305.18 Tlso rigid lined custom fab

L0484 $1,402.38 Tlso rigid plastic cust fab

L0486 $1,487.86 Tlso rigidlined cust fab two

L0488 $826.86 Tlso rigid lined pre one pie

L0490 $233.03 Tlso rigid plastic pre one

L0491 $632.62 Tlso 2 piece rigid shell

L0492 $416.05 Tlso 3 piece rigid shell

L0621 $72.77 Sio flex pelvic/sacr pre ots

L0622 $238.33 Sio flex pelvisacral custom

L0623 $0.00 Sio rig pnl pelv/sac pre ots

L0624 $0.00 Sio panel custom

L0625 $45.36 Lo flex l1-below l5 pre ots

L0626 $64.20 Lo sag rig pnl stays pre cst

L0627 $338.61 Lo sag ri an/pos pnl pre cst

L0628 $69.11 Lso flex no ri stays pre ots

L0629 $0.00 Lso flex w/rigid stays cust

L0630 $133.41 Lso r post pnl sj-t9 pre cst

L0631 $845.61 Lso sag r an/pos pnl pre cst

L0632 $0.00 Lso sag rigid frame cust

L0633 $236.22 Lso sc r pos/lat pnl pre cst

L0634 $0.00 Lso flexion control custom

L0635 $755.34 Lso sagit rigid panel prefab

L0636 $1,118.19 Lso sagittal rigid panel cus

L0637 $884.91 Lso sc r ant/pos pnl pre cst

L0638 $1,086.41 Lso sag-coronal panel custom

L0639 $884.91 Lso s/c shell/panel prefab

L0640 $861.96 Lso s/c shell/panel custom

L0641 $64.20 Lo rig pos pnl l1-l5 pre ots

L0642 $338.61 Lo sag ri an/pos pnl pre ots

L0643 $133.41 Lso sag ctr rigi pos pre ots

L0648 $845.61 Lso sag r an/pos pnl pre ots

L0649 $236.22 Lso sc r pos/lat pnl pre ots

L0650 $884.91 Lso sc r ant/pos pnl pre ots

L0651 $884.91 Lso sag-co shell pnl pre ots

L0700 $1,613.21 Ctlso a-p-l control molded

L0710 $1,648.09 Ctlso a-p-l control w/ inter

L0810 $2,061.15 Halo cervical into jckt vest

L0820 $1,850.02 Halo cervical into body jack

L0830 $2,607.21 Halo cerv into milwaukee typ

L0859 $1,086.54 Mri compatible system

L0861 $177.54 Halo repl liner/interface

L0970 $106.11 Tlso corset front

L0972 $95.30 Lso corset front

L0974 $141.53 Tlso full corset

L0976 $126.18 Lso full corset

L0978 $166.56 Axillary crutch extension

L0980 $18.18 Peroneal straps pair pre ots

L0982 $12.85 Stocking sup grips 4 pre ots

L0984 $53.35 Protect body sock ea pre ots

L1000 $1,618.53 Ctlso milwauke initial model

L1001 $0.00 Ctlso infant immobilizer

L1005 $2,636.45 Tension based scoliosis orth

L1010 $52.96 Ctlso axilla sling

L1020 $68.21 Kyphosis pad

L1025 $130.19 Kyphosis pad floating

L1030 $50.19 Lumbar bolster pad

L1040 $65.69 Lumbar or lumbar rib pad

L1050 $79.19 Sternal pad

L1060 $94.98 Thoracic pad

L1070 $92.74 Trapezius sling

L1080 $52.17 Outrigger

L1085 $141.14 Outrigger bil w/ vert extens

L1090 $93.37 Lumbar sling

L1100 $149.11 Ring flange plastic/leather

L1110 $201.54 Ring flange plas/leather mol

L1120 $34.09 Covers for upright each

L1200 $1,236.42 Furnsh initial orthosis only

L1210 $206.48 Lateral thoracic extension

L1220 $197.25 Anterior thoracic extension

L1230 $505.61 Milwaukee type superstructur

L1240 $68.36 Lumbar derotation pad

L1250 $68.36 Anterior asis pad

L1260 $69.79 Anterior thoracic derotation

L1270 $70.90 Abdominal pad

L1280 $81.55 Rib gusset (elastic) each

L1290 $64.56 Lateral trochanteric pad

L1300 $1,453.53 Body jacket mold to patient

L1310 $1,493.50 Post-operative body jacket

L1600 $101.69 Ho flex frejka w/cov pre cst

L1610 $44.87 Ho frejka cov only pre cst

L1620 $127.09 Ho flex pavlik harns pre cst

L1630 $133.71 Abduct control hip semi-flex

L1640 $407.04 Pelv band/spread bar thigh c

L1650 $205.98 Ho abduction hip adjustable

L1652 $293.62 Ho bi thighcuffs w sprdr bar

L1660 $135.05 Ho abduction static plastic

L1680 $961.49 Pelvic & hip control thigh c

L1685 $981.25 Post-op hip abduct custom fa

L1686 $906.06 Ho post-op hip abduction

L1690 $1,592.87 Combination bilateral ho

L1700 $1,205.08 Leg perthes orth toronto typ

L1710 $1,410.68 Legg perthes orth newington

L1720 $1,039.84 Legg perthes orthosis trilat

L1730 $893.12 Legg perthes orth scottish r

L1755 $1,417.33 Legg perthes patten bottom t

L1810 $77.72 Ko elastic with joints

L1812 $77.72 Ko elastic w/joints pre ots

L1820 $120.40 Ko elas w/ condyle pads & jo

L1830 $73.22 Ko immob canvas long pre ots

L1831 $242.43 Knee orth pos locking joint

L1832 $558.09 Ko adj jnt pos r sup pre cst

L1833 $558.09 Ko adj jnt pos r sup pre ots

L1834 $612.57 Ko w/0 joint rigid molded to

L1836 $109.92 Ko rigid w/o joints pre ots

L1840 $815.96 Ko derot ant cruciate custom

L1843 $739.10 Ko single upright pre cst

L1844 $1,281.09 Ko w/adj jt rot cntrl molded

L1845 $766.98 Ko double upright pre cst

L1846 $940.38 Ko w adj flex/ext rotat mold

L1847 $473.78 Ko dbl upright w/air pre cst

L1848 $473.78 Ko dbl upright w/air pre ots

L1850 $239.87 Ko swedish type pre ots

L1851 $739.10 Ko single upright prefab ots

L1852 $766.98 Ko double upright prefab ots

L1860 $846.78 Ko supracondylar socket mold

L1900 $212.88 Afo sprng wir drsflx calf bd

L1902 $73.57 Afo ankle gauntlet pre ots

L1904 $442.38 Afo molded ankle gauntlet

L1906 $94.90 Afo multilig ank sup pre ots

L1907 $463.50 Afo supramalleolar custom

L1910 $215.53 Afo sing bar clasp attach sh

L1920 $275.88 Afo sing upright w/ adjust s

L1930 $186.68 Afo plastic

L1932 $735.05 Afo rig ant tib prefab tcf/=

L1940 $390.26 Afo molded to patient plasti

L1945 $933.04 Afo molded plas rig ant tib

L1950 $618.65 Afo spiral molded to pt plas

L1951 $691.79 Afo spiral prefabricated

L1960 $466.60 Afo pos solid ank plastic mo

L1970 $561.52 Afo plastic molded w/ankle j

L1971 $386.10 Afo w/ankle joint, prefab

L1980 $289.61 Afo sing solid stirrup calf

L1990 $351.76 Afo doub solid stirrup calf

L2000 $833.37 Kafo sing fre stirr thi/calf

L2005 $3,375.38 Kafo sng/dbl mechanical act

L2010 $777.40 Kafo sng solid stirrup w/o j

L2020 $978.86 Kafo dbl solid stirrup band/

L2030 $888.58 Kafo dbl solid stirrup w/o j

L2034 $1,678.34 Kafo pla sin up w/wo k/a cus

L2035 $144.13 Kafo plastic pediatric size

L2036 $1,517.22 Kafo plas doub free knee mol

L2037 $1,415.48 Kafo plas sing free knee mol

L2038 $1,437.91 Kafo w/o joint multi-axis an

L2040 $174.39 Hkafo torsion bil rot straps

L2050 $375.91 Hkafo torsion cable hip pelv

L2060 $458.16 Hkafo torsion ball bearing j

L2070 $117.64 Hkafo torsion unilat rot str

L2080 $283.83 Hkafo unilat torsion cable

L2090 $346.03 Hkafo unilat torsion ball br

L2106 $536.55 Afo tib fx cast plaster mold

L2108 $934.22 Afo tib fx cast molded to pt

L2112 $429.69 Afo tibial fracture soft

L2114 $538.95 Afo tib fx semi-rigid

L2116 $620.11 Afo tibial fracture rigid

L2126 $1,037.34 Kafo fem fx cast thermoplas

L2128 $1,468.94 Kafo fem fx cast molded to p

L2132 $796.41 Kafo femoral fx cast soft

L2134 $849.82 Kafo fem fx cast semi-rigid

L2136 $1,014.32 Kafo femoral fx cast rigid

L2180 $94.66 Plas shoe insert w ank joint

L2182 $78.43 Drop lock knee

L2184 $107.22 Limited motion knee joint

L2186 $148.72 Adj motion knee jnt lerman t

L2188 $284.79 Quadrilateral brim

L2190 $73.59 Waist belt

L2192 $323.14 Pelvic band & belt thigh fla

L2200 $37.52 Limited ankle motion ea jnt

L2210 $54.31 Dorsiflexion assist each joi

L2220 $64.63 Dorsi & plantar flex ass/res

L2230 $60.55 Split flat caliper stirr & p

L2232 $81.98 Rocker bottom, contact afo

L2240 $74.94 Round caliper and plate atta

L2250 $303.84 Foot plate molded stirrup at

L2260 $158.19 Reinforced solid stirrup

L2265 $92.93 Long tongue stirrup

L2270 $43.57 Varus/valgus strap padded/li

L2275 $102.73 Plastic mod low ext pad/line

L2280 $359.23 Molded inner boot

L2300 $225.25 Abduction bar jointed adjust

L2310 $112.80 Abduction bar-straight

L2320 $162.37 Non-molded lacer

L2330 $339.87 Lacer molded to patient mode

L2335 $209.84 Anterior swing band

L2340 $454.27 Pre-tibial shell molded to p

L2350 $784.57 Prosthetic type socket molde

L2360 $40.83 Extended steel shank

L2370 $264.57 Patten bottom

L2375 $111.75 Torsion ank & half solid sti

L2380 $97.15 Torsion straight knee joint

L2385 $105.70 Straight knee joint heavy du

L2387 $152.29 Add le poly knee custom kafo

L2390 $88.50 Offset knee joint each

L2395 $123.47 Offset knee joint heavy duty

L2397 $96.19 Suspension sleeve lower ext

L2405 $71.81 Knee joint drop lock ea jnt

L2415 $100.05 Knee joint cam lock each joi

L2425 $118.07 Knee disc/dial lock/adj flex

L2430 $118.07 Knee jnt ratchet lock ea jnt

L2492 $107.20 Knee lift loop drop lock rin

L2500 $256.46 Thi/glut/ischia wgt bearing

L2510 $575.42 Th/wght bear quad-lat brim m

L2520 $379.58 Th/wght bear quad-lat brim c

L2525 $1,024.10 Th/wght bear nar m-l brim mo

L2526 $584.41 Th/wght bear nar m-l brim cu

L2530 $185.41 Thigh/wght bear lacer non-mo

L2540 $333.63 Thigh/wght bear lacer molded

L2550 $226.64 Thigh/wght bear high roll cu

L2570 $375.87 Hip clevis type 2 posit jnt

L2580 $366.24 Pelvic control pelvic sling

L2600 $200.55 Hip clevis/thrust bearing fr

L2610 $212.42 Hip clevis/thrust bearing lo

L2620 $238.85 Pelvic control hip heavy dut

L2622 $270.78 Hip joint adjustable flexion

L2624 $261.32 Hip adj flex ext abduct cont

L2627 $1,425.91 Plastic mold recipro hip & c

L2628 $1,402.60 Metal frame recipro hip & ca

L2630 $195.41 Pelvic control band & belt u

L2640 $265.19 Pelvic control band & belt b

L2650 $112.91 Pelv & thor control gluteal

L2660 $147.08 Thoracic control thoracic ba

L2670 $142.63 Thorac cont paraspinal uprig

L2680 $132.12 Thorac cont lat support upri

L2750 $65.96 Plating chrome/nickel pr bar

L2755 $107.61 Carbon graphite lamination

L2760 $47.95 Extension per extension per

L2768 $107.31 Ortho sidebar disconnect

L2780 $53.41 Non-corrosive finish

L2785 $25.11 Drop lock retainer each

L2795 $68.11 Knee control full kneecap

L2800 $104.69 Knee cap medial or lateral p

L2810 $82.18 Knee control condylar pad

L2820 $68.53 Soft interface below knee se

L2830 $74.14 Soft interface above knee se

L2840 $43.83 Tibial length sock fx or equ

L2850 $48.86 Femoral lgth sock fx or equa

L3000 $258.76 Ft insert ucb berkeley shell

L3001 $108.95 Foot insert remov molded spe

L3002 $133.03 Foot insert plastazote or eq

L3003 $143.56 Foot insert silicone gel eac

L3010 $143.56 Foot longitudinal arch suppo

L3020 $163.42 Foot longitud/metatarsal sup

L3030 $62.87 Foot arch support remov prem

L3031 $100.90 Foot lamin/prepreg composite

L3040 $38.76 Ft arch suprt premold longit

L3050 $38.76 Foot arch supp premold metat

L3060 $60.75 Foot arch supp longitud/meta

L3070 $26.16 Arch suprt att to sho longit

L3080 $26.16 Arch supp att to shoe metata

L3090 $33.53 Arch supp att to shoe long/m

L3100 $35.62 Hallus-valgus nt dyn pre ots

L3140 $73.35 Abduction rotation bar shoe

L3150 $67.05 Abduct rotation bar w/o shoe

L3170 $41.92 Foot plas heel stabi pre ots

L3224 $52.50 Woman's shoe oxford brace

L3225 $53.91 Man's shoe oxford brace

L3300 $42.95 Sho lift taper to metatarsal

L3310 $67.05 Shoe lift elev heel/sole neo

L3330 $466.18 Lifts elevation metal extens

L3332 $60.75 Shoe lifts tapered to one-ha

L3334 $31.44 Shoe lifts elevation heel /i

L3340 $70.22 Shoe wedge sach

L3350 $18.88 Shoe heel wedge

L3360 $29.33 Shoe sole wedge outside sole

L3370 $40.83 Shoe sole wedge between sole

L3380 $40.83 Shoe clubfoot wedge

L3390 $40.83 Shoe outflare wedge

L3400 $33.53 Shoe metatarsal bar wedge ro

L3410 $76.47 Shoe metatarsal bar between

L3420 $45.06 Full sole/heel wedge btween

L3430 $132.00 Sho heel count plast reinfor

L3440 $62.87 Heel leather reinforced

L3450 $86.96 Shoe heel sach cushion type

L3455 $33.53 Shoe heel new leather standa

L3460 $28.26 Shoe heel new rubber standar

L3465 $48.19 Shoe heel thomas with wedge

L3470 $51.33 Shoe heel thomas extend to b

L3480 $51.33 Shoe heel pad & depress for

L3500 $24.09 Ortho shoe add leather insol

L3510 $24.09 Orthopedic shoe add rub insl

L3520 $26.16 O shoe add felt w leath insl

L3530 $26.16 Ortho shoe add half sole

L3540 $41.92 Ortho shoe add full sole

L3550 $7.31 O shoe add standard toe tap

L3560 $18.88 O shoe add horseshoe toe tap

L3570 $70.22 O shoe add instep extension

L3580 $53.42 O shoe add instep velcro clo

L3590 $44.00 O shoe convert to sof counte

L3595 $34.55 Ortho shoe add march bar

L3600 $62.87 Trans shoe calip plate exist

L3610 $82.76 Trans shoe caliper plate new

L3620 $62.87 Trans shoe solid stirrup exi

L3630 $82.76 Trans shoe solid stirrup new

L3640 $35.62 Shoe dennis browne splint bo

L3650 $52.47 So 8 abd restraint pre ots

L3660 $79.36 So 8 ab rstr can/web pre ots

L3670 $104.88 So acro/clav can web pre ots

L3671 $675.51 So cap design w/o jnts cf

L3674 $886.13 So airplane w/wo joint cf

L3675 $131.56 So vest canvas/web pre ots

L3702 $216.47 Eo w/o joints cf

L3710 $120.67 Eo elas w/metal jnts pre ots

L3720 $538.43 Forearm/arm cuffs free motio

L3730 $696.10 Forearm/arm cuffs ext/flex a

L3740 $825.28 Cuffs adj lock w/ active con

L3760 $374.89 Eo adj jt prefab custom fit

L3761 $749.79 Eo, adj lock joint prefab ot

L3762 $80.61 Eo rigid w/o joints pre ots

L3763 $526.22 Ewho rigid w/o jnts cf

L3764 $686.84 Ewho w/joint(s) cf

L3765 $961.25 Ewhfo rigid w/o jnts cf

L3766 $1,017.88 Ewhfo w/joint(s) cf

L3806 $340.54 Whfo w/joint(s) custom fab

L3807 $187.46 Whfo w/o joints pre cst

L3808 $280.33 Whfo, rigid w/o joints

L3809 $187.46 Whfo w/o joints pre ots

L3900 $1,093.08 Hinge extension/flex wrist/f

L3901 $1,241.33 Hinge ext/flex wrist finger

L3904 $2,261.34 Whfo electric custom fitted

L3905 $743.44 Who w/nontorsion jnt(s) cf

L3906 $330.09 Who w/o joints cf

L3908 $51.94 Who cock-up nonmolde pre ots

L3912 $89.99 Hfo flexion glove pre ots

L3913 $203.04 Hfo w/o joints cf

L3915 $398.49 Who nontorsion jnts pre cst

L3916 $398.49 Who nontorsion jnts pre ots

L3917 $79.22 Metacarp fx orthosis pre cst

L3918 $79.22 Metacarp fx orthosis pre ots

L3919 $203.04 Ho w/o joints cf

L3921 $240.80 Hfo w/joint(s) cf

L3923 $72.35 Hfo without joints pre cst

L3924 $72.35 Hfo without joints pre ots

L3925 $38.81 Fo pip dip jnt/sprng pre ots

L3927 $26.21 Fo pip dip no jt spr pre ots

L3929 $68.76 Hfo nontorsion jnts pre cst

L3930 $68.76 Hfo nontorsion jnts pre ots

L3931 $140.80 Whfo nontorsion joint prefab

L3933 $159.94 Fo w/o joints cf

L3935 $165.61 Fo nontorsion joint cf

L3956 $0.00 Add joint upper ext orthosis

L3960 $568.02 Sewho airplan desig abdu pos

L3961 $1,259.51 Sewho cap design w/o jnts cf

L3962 $554.05 Sewho erbs palsey design abd

L3967 $1,487.06 Sewho airplane w/o jnts cf

L3971 $1,411.58 Sewho cap design w/jnt(s) cf

L3973 $1,487.06 Sewho airplane w/jnt(s) cf

L3975 $1,259.51 Sewhfo cap design w/o jnt cf

L3976 $1,259.51 Sewhfo airplane w/o jnts cf

L3977 $1,411.58 Sewhfo cap desgn w/jnt(s) cf

L3978 $1,487.06 Sewhfo airplane w/jnt(s) cf

L3980 $247.27 Up ext fx orthos humeral nos

L3981 $754.59 Ue fx orth shoul cap forearm

L3982 $288.28 Upper ext fx orthosis rad/ul

L3984 $265.79 Upper ext fx orthosis wrist

L3995 $27.54 Sock fracture or equal each

L4000 $1,086.31 Repl girdle milwaukee orth

L4002 $0.00 Replace strap, any orthosis

L4010 $529.59 Replace trilateral socket br

L4020 $740.66 Replace quadlat socket brim

L4030 $398.41 Replace socket brim cust fit

L4040 $325.12 Replace molded thigh lacer

L4045 $258.86 Replace non-molded thigh lac

L4050 $325.79 Replace molded calf lacer

L4055 $210.96 Replace non-molded calf lace

L4060 $250.78 Replace high roll cuff

L4070 $222.08 Replace prox & dist upright

L4080 $91.09 Repl met band kafo-afo prox

L4090 $71.88 Repl met band kafo-afo calf/

L4100 $94.38 Repl leath cuff kafo prox th

L4110 $71.10 Repl leath cuff kafo-afo cal

L4130 $398.71 Replace pretibial shell

L4350 $78.98 Ankle control ortho pre ots

L4360 $242.82 Pneumat walking boot pre cst

L4361 $242.82 Pneuma/vac walk boot pre ots

L4370 $160.58 Pneum full leg splnt pre ots

L4386 $130.59 Non-pneum walk boot pre cst

L4387 $130.59 Non-pneum walk boot pre ots

L4392 $19.37 Replace afo soft interface

L4394 $14.14 Replace foot drop spint

L4396 $138.22 Static or dynami afo pre cst

L4397 $138.22 Static or dynami afo pre ots

L4398 $63.64 Foot drop splint pre ots

L4631 $1,313.45 Afo, walk boot type, cus fab

L5000 $468.58 Sho insert w arch toe filler

L5010 $1,023.53 Mold socket ank hgt w/ toe f

L5020 $1,666.09 Tibial tubercle hgt w/ toe f

L5050 $1,929.41 Ank symes mold sckt sach ft

L5060 $2,322.06 Symes met fr leath socket ar

L5100 $2,009.93 Molded socket shin sach foot

L5105 $3,190.19 Plast socket jts/thgh lacer

L5150 $2,952.33 Mold sckt ext knee shin sach

L5160 $3,211.19 Mold socket bent knee shin s

L5200 $2,797.22 Kne sing axis fric shin sach

L5210 $2,040.07 No knee/ankle joints w/ ft b

L5220 $2,318.91 No knee joint with artic ali

L5230 $3,198.23 Fem focal defic constant fri

L5250 $4,362.10 Hip canad sing axi cons fric

L5270 $4,323.88 Tilt table locking hip sing

L5280 $4,280.64 Hemipelvect canad sing axis

L5301 $1,930.31 Bk mold socket sach ft endo

L5312 $2,773.10 Knee disart, sach ft, endo

L5321 $2,763.19 Ak open end sach

L5331 $3,910.01 Hip disart canadian sach ft

L5341 $4,248.95 Hemipelvectomy canadian sach

L5400 $1,011.83 Postop dress & 1 cast chg bk

L5410 $443.32 Postop dsg bk ea add cast ch

L5420 $1,277.90 Postop dsg & 1 cast chg ak/d

L5430 $564.08 Postop dsg ak ea add cast ch

L5450 $360.85 Postop app non-wgt bear dsg

L5460 $531.87 Postop app non-wgt bear dsg

L5500 $1,079.76 Init bk ptb plaster direct

L5505 $1,462.27 Init ak ischal plstr direct

L5510 $1,223.97 Prep bk ptb plaster molded

L5520 $1,209.00 Perp bk ptb thermopls direct

L5530 $1,530.34 Prep bk ptb thermopls molded

L5535 $1,508.14 Prep bk ptb open end socket

L5540 $1,592.53 Prep bk ptb laminated socket

L5560 $1,634.00 Prep ak ischial plast molded

L5570 $1,698.78 Prep ak ischial direct form

L5580 $1,983.21 Prep ak ischial thermo mold

L5585 $2,151.03 Prep ak ischial open end

L5590 $2,021.03 Prep ak ischial laminated

L5595 $3,552.42 Hip disartic sach thermopls

L5600 $3,874.71 Hip disart sach laminat mold

L5610 $1,740.60 Above knee hydracadence

L5611 $1,354.53 Ak 4 bar link w/fric swing

L5613 $2,060.34 Ak 4 bar ling w/hydraul swig

L5614 $1,392.71 4-bar link above knee w/swng

L5616 $1,141.83 Ak univ multiplex sys frict

L5617 $461.77 Ak/bk self-aligning unit ea

L5618 $266.02 Test socket symes

L5620 $233.73 Test socket below knee

L5622 $356.96 Test socket knee disarticula

L5624 $340.57 Test socket above knee

L5626 $478.72 Test socket hip disarticulat

L5628 $453.42 Test socket hemipelvectomy

L5629 $346.25 Below knee acrylic socket

L5630 $377.31 Syme typ expandabl wall sckt

L5631 $451.20 Ak/knee disartic acrylic soc

L5632 $186.68 Symes type ptb brim design s

L5634 $255.73 Symes type poster opening so

L5636 $214.22 Symes type medial opening so

L5637 $286.14 Below knee total contact

L5638 $409.15 Below knee leather socket

L5639 $959.83 Below knee wood socket

L5640 $584.38 Knee disarticulat leather so

L5642 $523.18 Above knee leather socket

L5643 $1,308.52 Hip flex inner socket ext fr

L5644 $496.56 Above knee wood socket

L5645 $670.80 Bk flex inner socket ext fra

L5646 $460.63 Below knee cushion socket

L5647 $668.75 Below knee suction socket

L5648 $553.50 Above knee cushion socket

L5649 $1,680.37 Isch containmt/narrow m-l so

L5650 $410.42 Tot contact ak/knee disart s

L5651 $1,009.63 Ak flex inner socket ext fra

L5652 $366.54 Suction susp ak/knee disart

L5653 $489.29 Knee disart expand wall sock

L5654 $278.82 Socket insert symes

L5655 $236.07 Socket insert below knee

L5656 $332.55 Socket insert knee articulat

L5658 $323.85 Socket insert above knee

L5661 $562.79 Multi-durometer symes

L5665 $430.47 Multi-durometer below knee

L5666 $63.96 Below knee cuff suspension

L5668 $85.41 Bk molded distal cushion

L5670 $260.00 Bk molded supracondylar susp

L5671 $418.18 Bk/ak locking mechanism

L5672 $317.69 Bk removable medial brim sus

L5673 $590.66 Socket insert w lock mech

L5676 $304.65 Bk knee joints single axis p

L5677 $414.52 Bk knee joints polycentric p

L5678 $33.38 Bk joint covers pair

L5679 $492.20 Socket insert w/o lock mech

L5680 $291.18 Bk thigh lacer non-molded

L5681 $1,085.63 Intl custm cong/latyp insert

L5682 $525.78 Bk thigh lacer glut/ischia m

L5683 $1,085.63 Initial custom socket insert

L5684 $40.46 Bk fork strap

L5685 $105.71 Below knee sus/seal sleeve

L5686 $54.57 Bk back check

L5688 $51.36 Bk waist belt webbing

L5690 $99.44 Bk waist belt padded and lin

L5692 $115.42 Ak pelvic control belt light

L5694 $152.52 Ak pelvic control belt pad/l

L5695 $160.00 Ak sleeve susp neoprene/equa

L5696 $174.85 Ak/knee disartic pelvic join

L5697 $71.03 Ak/knee disartic pelvic band

L5698 $88.33 Ak/knee disartic silesian ba

L5699 $156.76 Shoulder harness

L5700 $2,422.03 Replace socket below knee

L5701 $3,004.76 Replace socket above knee

L5702 $3,787.05 Replace socket hip

L5703 $1,758.67 Symes ankle w/o (sach) foot

L5704 $493.84 Custom shape cover bk

L5705 $905.41 Custom shape cover ak

L5706 $883.11 Custom shape cvr knee disart

L5707 $1,186.45 Custom shape cvr hip disart

L5710 $302.37 Kne-shin exo sng axi mnl loc

L5711 $458.69 Knee-shin exo mnl lock ultra

L5712 $362.26 Knee-shin exo frict swg & st

L5714 $373.58 Knee-shin exo variable frict

L5716 $612.74 Knee-shin exo mech stance ph

L5718 $765.87 Knee-shin exo frct swg & sta

L5722 $799.21 Knee-shin pneum swg frct exo

L5724 $1,268.99 Knee-shin exo fluid swing ph

L5726 $1,666.31 Knee-shin ext jnts fld swg e

L5728 $2,076.01 Knee-shin fluid swg & stance

L5780 $1,000.95 Knee-shin pneum/hydra pneum

L5781 $3,302.28 Lower limb pros vacuum pump

L5782 $3,481.35 Hd low limb pros vacuum pump

L5785 $436.80 Exoskeletal bk ultralt mater

L5790 $604.49 Exoskeletal ak ultra-light m

L5795 $902.67 Exoskel hip ultra-light mate

L5810 $419.93 Endoskel knee-shin mnl lock

L5811 $613.15 Endo knee-shin mnl lck ultra

L5812 $475.25 Endo knee-shin frct swg & st

L5814 $3,065.14 Endo knee-shin hydral swg ph

L5816 $714.99 Endo knee-shin polyc mch sta

L5818 $807.36 Endo knee-shin frct swg & st

L5822 $1,566.35 Endo knee-shin pneum swg frc

L5824 $1,289.29 Endo knee-shin fluid swing p

L5826 $2,603.20 Miniature knee joint

L5828 $2,457.66 Endo knee-shin fluid swg/sta

L5830 $1,746.27 Endo knee-shin pneum/swg pha

L5840 $3,079.35 Multi-axial knee/shin system

L5845 $1,479.30 Knee-shin sys stance flexion

L5848 $887.49 Knee-shin sys hydraul stance

L5850 $111.66 Endo ak/hip knee extens assi

L5855 $259.64 Mech hip extension assist

L5856 $19,812.74 Elec knee-shin swing/stance

L5857 $7,030.33 Elec knee-shin swing only

L5858 $15,338.91 Stance phase only

L5859 $11,974.97 Knee-shin pro flex/ext cont

L5910 $306.65 Endo below knee alignable sy

L5920 $446.08 Endo ak/hip alignable system

L5925 $282.49 Above knee manual lock

L5930 $2,778.00 High activity knee frame

L5940 $421.71 Endo bk ultra-light material

L5950 $712.42 Endo ak ultra-light material

L5960 $853.36 Endo hip ultra-light materia

L5961 $3,824.80 Endo poly hip, pneu/hyd/rot

L5962 $494.16 Below knee flex cover system

L5964 $885.16 Above knee flex cover system

L5966 $1,140.22 Hip flexible cover system

L5968 $2,999.18 Multiaxial ankle w dorsiflex

L5970 $184.56 Foot external keel sach foot

L5971 $184.56 Sach foot, replacement

L5972 $296.29 Flexible keel foot

L5973 $14,449.29 Ank-foot sys dors-plant flex

L5974 $249.99 Foot single axis ankle/foot

L5975 $382.61 Combo ankle/foot prosthesis

L5976 $470.82 Energy storing foot

L5978 $245.34 Ft prosth multiaxial ankl/ft

L5979 $1,968.73 Multi-axial ankle/ft prosth

L5980 $3,117.13 Flex foot system

L5981 $2,694.35 Flex-walk sys low ext prosth

L5982 $486.03 Exoskeletal axial rotation u

L5984 $481.71 Endoskeletal axial rotation

L5985 $233.07 Lwr ext dynamic prosth pylon

L5986 $535.58 Multi-axial rotation unit

L5987 $5,937.19 Shank ft w vert load pylon

L5988 $1,648.77 Vertical shock reducing pylo

L5990 $1,497.34 User adjustable heel height

L6000 $1,117.05 Part hand thumb rem

L6010 $1,243.09 Part hand little/ring

L6020 $1,158.99 Part hand no fingers

L6026 $3,555.30 Part hand myo exclu term dev

L6050 $1,597.04 Wrst mld sck flx hng tri pad

L6055 $2,538.56 Wrst mold sock w/exp interfa

L6100 $1,618.05 Elb mold sock flex hinge pad

L6110 $1,716.21 Elbow mold sock suspension t

L6120 $2,000.00 Elbow mold doub splt soc ste

L6130 $2,176.37 Elbow stump activated lock h

L6200 $2,293.55 Elbow mold outsid lock hinge

L6205 $3,821.94 Elbow molded w/ expand inter

L6250 $2,257.61 Elbow inter loc elbow forarm

L6300 $3,132.19 Shlder disart int lock elbow

L6310 $2,575.82 Shoulder passive restor comp

L6320 $1,436.73 Shoulder passive restor cap

L6350 $3,293.02 Thoracic intern lock elbow

L6360 $2,703.39 Thoracic passive restor comp

L6370 $2,035.22 Thoracic passive restor cap

L6380 $1,099.19 Postop dsg cast chg wrst/elb

L6382 $1,315.35 Postop dsg cast chg elb dis/

L6384 $1,605.09 Postop dsg cast chg shlder/t

L6386 $384.91 Postop ea cast chg & realign

L6388 $369.60 Postop applicat rigid dsg on

L6400 $1,954.91 Below elbow prosth tiss shap

L6450 $2,592.00 Elb disart prosth tiss shap

L6500 $2,594.12 Above elbow prosth tiss shap

L6550 $3,205.86 Shldr disar prosth tiss shap

L6570 $3,889.80 Scap thorac prosth tiss shap

L6580 $1,357.79 Wrist/elbow bowden cable mol

L6582 $1,157.09 Wrist/elbow bowden cbl dir f

L6584 $1,874.28 Elbow fair lead cable molded

L6586 $1,639.60 Elbow fair lead cable dir fo

L6588 $2,706.60 Shdr fair lead cable molded

L6590 $2,475.79 Shdr fair lead cable direct

L6600 $167.05 Polycentric hinge pair

L6605 $155.93 Single pivot hinge pair

L6610 $139.97 Flexible metal hinge pair

L6611 $339.82 Additional switch, ext power

L6615 $172.59 Disconnect locking wrist uni

L6616 $72.71 Disconnect insert locking wr

L6620 $270.88 Flexion/extension wrist unit

L6621 $1,887.78 Flex/ext wrist w/wo friction

L6623 $620.03 Spring-ass rot wrst w/ latch

L6624 $3,108.29 Flex/ext/rotation wrist unit

L6625 $451.18 Rotation wrst w/ cable lock

L6628 $461.07 Quick disconn hook adapter o

L6629 $123.00 Lamination collar w/ couplin

L6630 $181.19 Stainless steel any wrist

L6632 $60.44 Latex suspension sleeve each

L6635 $167.82 Lift assist for elbow

L6637 $348.36 Nudge control elbow lock

L6638 $2,063.94 Elec lock on manual pw elbow

L6640 $237.74 Shoulder abduction joint pai

L6641 $158.01 Excursion amplifier pulley t

L6642 $224.96 Excursion amplifier lever ty

L6645 $273.20 Shoulder flexion-abduction j

L6646 $2,603.08 Multipo locking shoulder jnt

L6647 $428.53 Shoulder lock actuator

L6648 $2,684.71 Ext pwrd shlder lock/unlock

L6650 $284.57 Shoulder universal joint

L6655 $63.16 Standard control cable extra

L6660 $77.17 Heavy duty control cable

L6665 $44.12 Teflon or equal cable lining

L6670 $41.83 Hook to hand cable adapter

L6672 $141.75 Harness chest/shlder saddle

L6675 $100.96 Harness figure of 8 sing con

L6676 $101.96 Harness figure of 8 dual con

L6677 $244.83 Ue triple control harness

L6680 $195.05 Test sock wrist disart/bel e

L6682 $218.61 Test sock elbw disart/above

L6684 $293.05 Test socket shldr disart/tho

L6686 $544.96 Suction socket

L6687 $484.93 Frame typ socket bel elbow/w

L6688 $469.09 Frame typ sock above elb/dis

L6689 $566.47 Frame typ socket shoulder di

L6690 $613.46 Frame typ sock interscap-tho

L6691 $366.88 Removable insert each

L6692 $470.15 Silicone gel insert or equal

L6693 $2,343.12 Lockingelbow forearm cntrbal

L6694 $590.66 Elbow socket ins use w/lock

L6695 $492.20 Elbow socket ins use w/o lck

L6696 $1,085.63 Cus elbo skt in for con/atyp

L6697 $1,085.63 Cus elbo skt in not con/atyp

L6698 $418.18 Below/above elbow lock mech

L6703 $297.32 Term dev, passive hand mitt

L6704 $492.35 Term dev, sport/rec/work att

L6706 $293.34 Term dev mech hook vol open

L6707 $1,236.32 Term dev mech hook vol close

L6708 $703.23 Term dev mech hand vol open

L6709 $1,138.14 Term dev mech hand vol close

L6711 $554.86 Ped term dev, hook, vol open

L6712 $1,021.63 Ped term dev, hook, vol clos

L6713 $1,289.43 Ped term dev, hand, vol open

L6714 $1,092.13 Ped term dev, hand, vol clos

L6715 $2,605.67 Term device, multi art digit

L6721 $1,941.14 Hook/hand, hvy dty, vol open

L6722 $1,673.41 Hook/hand, hvy dty, vol clos

L6805 $302.63 Term dev modifier wrist unit

L6810 $164.95 Term dev precision pinch dev

L6880 $19,719.19 Elec hand ind art digits

L6881 $3,374.15 Term dev auto grasp feature

L6882 $2,559.45 Microprocessor control uplmb

L6883 $1,334.12 Replc sockt below e/w disa

L6884 $1,876.91 Replc sockt above elbow disa

L6885 $2,703.39 Replc sockt shldr dis/interc

L6890 $143.00 Prefab glove for term device

L6895 $520.46 Custom glove for term device

L6900 $1,350.73 Hand restorat thumb/1 finger

L6905 $1,326.03 Hand restoration multiple fi

L6910 $1,361.27 Hand restoration no fingers

L6915 $526.31 Hand restoration replacmnt g

L6920 $6,480.43 Wrist disarticul switch ctrl

L6925 $7,104.44 Wrist disart myoelectronic c

L6930 $6,130.65 Below elbow switch control

L6935 $7,254.56 Below elbow myoelectronic ct

L6940 $7,992.41 Elbow disarticulation switch

L6945 $8,939.37 Elbow disart myoelectronic c

L6950 $8,470.25 Above elbow switch control

L6955 $10,301.47 Above elbow myoelectronic ct

L6960 $10,936.58 Shldr disartic switch contro

L6965 $12,527.82 Shldr disartic myoelectronic

L6970 $13,464.89 Interscapular-thor switch ct

L6975 $14,865.42 Interscap-thor myoelectronic

L7007 $3,049.30 Adult electric hand

L7008 $5,151.39 Pediatric electric hand

L7009 $3,118.27 Adult electric hook

L7040 $2,445.68 Prehensile actuator

L7045 $1,358.87 Pediatric electric hook

L7170 $4,929.55 Electronic elbow hosmer swit

L7180 $29,354.13 Electronic elbow sequential

L7181 $33,069.39 Electronic elbo simultaneous

L7185 $5,047.04 Electron elbow adolescent sw

L7186 $7,707.24 Electron elbow child switch

L7190 $6,571.04 Elbow adolescent myoelectron

L7191 $8,301.33 Elbow child myoelectronic ct

L7259 $3,505.54 Electronic wrist rotator any

L7360 $251.20 Six volt bat otto bock/eq ea

L7362 $226.30 Battery chrgr six volt otto

L7364 $418.31 Twelve volt battery utah/equ

L7366 $563.57 Battery chrgr 12 volt utah/e

L7367 $321.33 Replacemnt lithium ionbatter

L7368 $416.53 Lithium ion battery charger

L7400 $252.96 Add ue prost be/wd, ultlite

L7401 $283.19 Add ue prost a/e ultlite mat

L7402 $305.82 Add ue prost s/d ultlite mat

L7403 $303.93 Add ue prost b/e acrylic

L7404 $458.74 Add ue prost a/e acrylic

L7405 $599.96 Add ue prost s/d acrylic

L7700 $121.15 Pros soc insert gasket/seal

L8000 $30.69 Mastectomy bra

L8001 $103.53 Breast prosthesis bra & form

L8002 $136.15 Brst prsth bra & bilat form

L8015 $49.48 Ext breastprosthesis garment

L8020 $210.33 Mastectomy form

L8030 $272.23 Breast prosthes w/o adhesive

L8031 $272.23 Breast prosthesis w adhesive

L8032 $32.33 Reusable nipple prosthesis

L8035 $3,023.71 Custom breast prosthesis

L8040 $2,103.61 Nasal prosthesis

L8040 KM $1,998.44 Nasal prosthesis

L8040 KN $841.43 Nasal prosthesis

L8041 $2,535.55 Midfacial prosthesis

L8041 KM $2,408.76 Midfacial prosthesis

L8041 KN $1,014.24 Midfacial prosthesis

L8042 $2,848.93 Orbital prosthesis

L8042 KM $2,706.46 Orbital prosthesis

L8042 KN $1,139.57 Orbital prosthesis

L8043 $3,190.83 Upper facial prosthesis

L8043 KM $3,031.29 Upper facial prosthesis

L8043 KN $1,276.33 Upper facial prosthesis

L8044 $3,532.66 Hemi-facial prosthesis

L8044 KM $3,356.05 Hemi-facial prosthesis

L8044 KN $1,413.06 Hemi-facial prosthesis

L8045 $2,466.09 Auricular prosthesis

L8045 KM $2,342.79 Auricular prosthesis

L8045 KN $986.43 Auricular prosthesis

L8046 $2,279.13 Partial facial prosthesis

L8046 KM $2,165.19 Partial facial prosthesis

L8046 KN $911.65 Partial facial prosthesis

L8047 $1,168.08 Nasal septal prosthesis

L8047 KM $1,109.67 Nasal septal prosthesis

L8047 KN $467.22 Nasal septal prosthesis

L8300 $70.92 Truss single w/ standard pad

L8310 $111.97 Truss double w/ standard pad

L8320 $50.20 Truss addition to std pad wa

L8330 $41.51 Truss add to std pad scrotal

L8400 $14.60 Sheath below knee

L8410 $19.50 Sheath above knee

L8415 $19.18 Sheath upper limb

L8417 $62.02 Pros sheath/sock w gel cushn

L8420 $17.23 Prosthetic sock multi ply bk

L8430 $18.61 Prosthetic sock multi ply ak

L8435 $17.68 Pros sock multi ply upper lm

L8440 $35.16 Shrinker below knee

L8460 $56.03 Shrinker above knee

L8465 $49.60 Shrinker upper limb

L8470 $5.61 Pros sock single ply bk

L8480 $7.74 Pros sock single ply ak

L8485 $9.72 Pros sock single ply upper l

L8500 $739.78 Artificial larynx

L8501 $101.56 Tracheostomy speaking valve

L8507 $34.56 Trach-esoph voice pros pt in

L8509 $90.13 Trach-esoph voice pros md in

L8510 $208.55 Voice amplifier

L8511 $60.03 Indwelling trach insert

L8512 $1.79 Gel cap for trach voice pros

L8513 $4.28 Trach pros cleaning device

L8514 $77.83 Repl trach puncture dilator

L8515 $52.09 Gel cap app device for trach

L8600 $526.21 Implant breast silicone/eq

L8603 $368.14 Collagen imp urinary 2.5 ml

L8605 $591.13 Inj bulking agent anal canal

L8606 $183.26 Synthetic implnt urinary 1ml

L8607 $35.39 Inj vocal cord bulking agent

L8609 $5,377.39 Artificial cornea

L8610 $494.62 Ocular implant

L8612 $519.45 Aqueous shunt prosthesis

L8613 $257.38 Ossicular implant

L8614 $16,393.90 Cochlear device

L8615 $372.24 Coch implant headset replace

L8616 $86.70 Coch implant microphone repl

L8617 $75.73 Coch implant trans coil repl

L8618 $21.64 Coch implant tran cable repl

L8619 $7,037.78 Coch imp ext proc/contr rplc

L8621 $0.51 Repl zinc air battery

L8622 $0.26 Repl alkaline battery

L8623 $53.38 Lith ion batt cid,non-earlvl

L8624 $133.10 Lith ion batt cid, ear level

L8625 $155.86 Charger coch impl/aoi battry

L8627 $6,012.53 Cid ext speech process repl

L8628 $1,025.24 Cid ext controller repl

L8629 $147.78 Cid transmit coil and cable

L8630 $283.24 Metacarpophalangeal implant

L8631 $1,791.72 Mcp joint repl 2 pc or more

L8641 $294.29 Metatarsal joint implant

L8642 $274.79 Hallux implant

L8658 $276.84 Interphalangeal joint spacer

L8659 $1,592.63 Interphalangeal joint repl

L8670 $467.99 Vascular graft, synthetic

L8679 $6,915.22 Imp neurosti pls gn any type

L8681 $906.96 Pt prgrm for implt neurostim

L8682 $4,940.80 Implt neurostim radiofq rec

L8683 $4,349.03 Radiofq trsmtr for implt neu

L8684 $667.61 Radiof trsmtr implt scrl neu

L8689 $1,423.65 External recharg sys intern

L8690 $3,926.25 Aud osseo dev, int/ext comp

L8691 $1,421.33 Aoi snd proc repl excl actua

L8693 $1,251.47 Aud osseo dev, abutment

L8694 $779.42 Aoi transducer/actuator repl

L8695 $13.74 External recharg sys extern

L8696 $178.89 Ext antenna phren nerve stim

Q0477 $640.30 Pwr module pt cable lvad rpl

Q0478 $151.67 Power adapter, combo vad

Q0479 $9,910.58 Power module combo vad, rep

Q0480 $74,332.97 Driver pneumatic vad, rep

Q0481 $11,992.74 Microprcsr cu elec vad, rep

Q0482 $3,756.36 Microprcsr cu combo vad, rep

Q0483 $15,474.51 Monitor elec vad, rep

Q0484 $3,005.12 Monitor elec or comb vad rep

Q0485 $290.12 Monitor cable elec vad, rep

Q0486 $241.49 Mon cable elec/pneum vad rep

Q0487 $281.73 Leads any type vad, rep only

Q0489 $13,415.56 Pwr pck base combo vad, rep

Q0490 $580.30 Emr pwr source elec vad, rep

Q0491 $912.29 Emr pwr source combo vad rep

Q0492 $73.48 Emr pwr cbl elec vad, rep

Q0493 $209.29 Emr pwr cbl combo vad, rep

Q0494 $177.10 Emr hd pmp elec/combo, rep

Q0495 $3,447.46 Charger elec/combo vad, rep

Q0496 $1,237.35 Battery elec/combo vad, rep

Q0497 $386.38 Bat clps elec/comb vad, rep

Q0498 $423.94 Holster elec/combo vad, rep

Q0499 $137.73 Belt/vest elec/combo vad rep

Q0500 $25.21 Filters elec/combo vad, rep

Q0501 $421.48 Shwr cov elec/combo vad, rep

Q0502 $536.61 Mobility cart pneum vad, rep

Q0503 $1,073.24 Battery pneum vad replacemnt

Q0504 $566.33 Pwr adpt pneum vad, rep veh

Q0506 $704.95 Lith-ion batt elec/pneum vad

Q4001 $42.83 Cast sup body cast plaster

Q4002 $161.82 Cast sup body cast fiberglas

Q4003 $30.74 Cast sup shoulder cast plstr

Q4004 $106.46 Cast sup shoulder cast fbrgl

Q4005 $11.34 Cast sup long arm adult plst

Q4006 $25.55 Cast sup long arm adult fbrg

Q4007 $5.67 Cast sup long arm ped plster

Q4008 $12.77 Cast sup long arm ped fbrgls

Q4009 $7.57 Cast sup sht arm adult plstr

Q4010 $17.03 Cast sup sht arm adult fbrgl

Q4011 $3.77 Cast sup sht arm ped plaster

Q4012 $8.53 Cast sup sht arm ped fbrglas

Q4013 $13.78 Cast sup gauntlet plaster

Q4014 $23.23 Cast sup gauntlet fiberglass

Q4015 $6.90 Cast sup gauntlet ped plster

Q4016 $11.62 Cast sup gauntlet ped fbrgls

Q4017 $7.96 Cast sup lng arm splint plst

Q4018 $12.70 Cast sup lng arm splint fbrg

Q4019 $4.00 Cast sup lng arm splnt ped p

Q4020 $6.37 Cast sup lng arm splnt ped f

Q4021 $5.90 Cast sup sht arm splint plst

Q4022 $10.63 Cast sup sht arm splint fbrg

Q4023 $2.97 Cast sup sht arm splnt ped p

Q4024 $5.33 Cast sup sht arm splnt ped f

Q4025 $33.05 Cast sup hip spica plaster

Q4026 $103.22 Cast sup hip spica fiberglas

Q4027 $16.54 Cast sup hip spica ped plstr

Q4028 $51.65 Cast sup hip spica ped fbrgl

Q4029 $25.29 Cast sup long leg plaster

Q4030 $66.56 Cast sup long leg fiberglass

Q4031 $12.63 Cast sup lng leg ped plaster

Q4032 $33.28 Cast sup lng leg ped fbrgls

Q4033 $23.59 Cast sup lng leg cylinder pl

Q4034 $58.64 Cast sup lng leg cylinder fb

Q4035 $11.79 Cast sup lngleg cylndr ped p

Q4036 $29.34 Cast sup lngleg cylndr ped f

Q4037 $14.37 Cast sup shrt leg plaster

Q4038 $36.03 Cast sup shrt leg fiberglass

Q4039 $7.21 Cast sup shrt leg ped plster

Q4040 $18.02 Cast sup shrt leg ped fbrgls

Q4041 $17.49 Cast sup lng leg splnt plstr

Q4042 $29.86 Cast sup lng leg splnt fbrgl

Q4043 $8.76 Cast sup lng leg splnt ped p

Q4044 $14.94 Cast sup lng leg splnt ped f

Q4045 $10.16 Cast sup sht leg splnt plstr

Q4046 $16.33 Cast sup sht leg splnt fbrgl

Q4047 $5.06 Cast sup sht leg splnt ped p

Q4048 $8.17 Cast sup sht leg splnt ped f

Q4049 $1.84 Finger splint, static

V2020 $52.72 Vision svcs frames purchases

V2100 $40.46 Lens spher single plano 4.00

V2101 $42.40 Single visn sphere 4.12-7.00

V2102 $62.46 Singl visn sphere 7.12-20.00

V2103 $38.12 Spherocylindr 4.00d/12-2.00d

V2104 $41.31 Spherocylindr 4.00d/2.12-4d

V2105 $45.97 Spherocylinder 4.00d/4.25-6d

V2106 $51.02 Spherocylinder 4.00d/>6.00d

V2107 $47.29 Spherocylinder 4.25d/12-2d

V2108 $50.24 Spherocylinder 4.25d/2.12-4d

V2109 $55.57 Spherocylinder 4.25d/4.25-6d

V2110 $54.84 Spherocylinder 4.25d/over 6d

V2111 $56.22 Spherocylindr 7.25d/.25-2.25

V2112 $62.39 Spherocylindr 7.25d/2.25-4d

V2113 $65.01 Spherocylindr 7.25d/4.25-6d

V2114 $76.19 Spherocylinder over 12.00d

V2115 $67.43 Lens lenticular bifocal

V2118 $82.20 Lens aniseikonic single

V2121 $66.52 Lenticular lens, single

V2200 $55.73 Lens spher bifoc plano 4.00d

V2201 $61.00 Lens sphere bifocal 4.12-7.0

V2202 $73.70 Lens sphere bifocal 7.12-20.

V2203 $57.49 Lens sphcyl bifocal 4.00d/.1

V2204 $60.61 Lens sphcy bifocal 4.00d/2.1

V2205 $65.54 Lens sphcy bifocal 4.00d/4.2

V2206 $70.41 Lens sphcy bifocal 4.00d/ove

V2207 $62.23 Lens sphcy bifocal 4.25-7d/.

V2208 $66.76 Lens sphcy bifocal 4.25-7/2.

V2209 $71.40 Lens sphcy bifocal 4.25-7/4.

V2210 $79.83 Lens sphcy bifocal 4.25-7/ov

V2211 $73.85 Lens sphcy bifo 7.25-12/.25-

V2212 $76.96 Lens sphcyl bifo 7.25-12/2.2

V2213 $72.74 Lens sphcyl bifo 7.25-12/4.2

V2214 $93.87 Lens sphcyl bifocal over 12.

V2215 $79.89 Lens lenticular bifocal

V2218 $113.38 Lens aniseikonic bifocal

V2219 $49.91 Lens bifocal seg width over

V2220 $40.48 Lens bifocal add over 3.25d

V2221 $79.67 Lenticular lens, bifocal

V2300 $66.60 Lens sphere trifocal 4.00d

V2301 $78.06 Lens sphere trifocal 4.12-7.

V2302 $91.93 Lens sphere trifocal 7.12-20

V2303 $61.00 Lens sphcy trifocal 4.0/.12-

V2304 $71.32 Lens sphcy trifocal 4.0/2.25

V2305 $82.59 Lens sphcy trifocal 4.0/4.25

V2306 $87.69 Lens sphcyl trifocal 4.00/>6

V2307 $80.92 Lens sphcy trifocal 4.25-7/.

V2308 $84.11 Lens sphc trifocal 4.25-7/2.

V2309 $87.92 Lens sphc trifocal 4.25-7/4.

V2310 $93.29 Lens sphc trifocal 4.25-7/>6

V2311 $84.24 Lens sphc trifo 7.25-12/.25-

V2312 $84.75 Lens sphc trifo 7.25-12/2.25

V2313 $87.91 Lens sphc trifo 7.25-12/4.25

V2314 $112.92 Lens sphcyl trifocal over 12

V2315 $100.32 Lens lenticular trifocal

V2318 $156.94 Lens aniseikonic trifocal

V2319 $55.67 Lens trifocal seg width > 28

V2320 $58.73 Lens trifocal add over 3.25d

V2321 $98.88 Lenticular lens, trifocal

V2410 $87.53 Lens variab asphericity sing

V2430 $97.79 Lens variable asphericity bi

V2500 $91.11 Contact lens pmma spherical

V2501 $123.86 Cntct lens pmma-toric/prism

V2502 $162.99 Contact lens pmma bifocal

V2503 $157.15 Cntct lens pmma color vision

V2510 $123.17 Cntct gas permeable sphericl

V2511 $159.72 Cntct toric prism ballast

V2512 $196.52 Cntct lens gas permbl bifocl

V2513 $160.15 Contact lens extended wear

V2520 $114.12 Contact lens hydrophilic

V2521 $180.06 Cntct lens hydrophilic toric

V2522 $160.68 Cntct lens hydrophil bifocl

V2523 $158.80 Cntct lens hydrophil extend

V2530 $214.51 Contact lens gas impermeable

V2531 $446.89 Contact lens gas permeable

V2623 $754.66 Plastic eye prosth custom

V2624 $68.25 Polishing artifical eye

V2625 $311.17 Enlargemnt of eye prosthesis

V2626 $167.73 Reduction of eye prosthesis

V2627 $1,083.29 Scleral cover shell

V2628 $255.78 Fabrication & fitting

V2630 $100.07 Anter chamber intraocul lens

V2631 $100.07 Iris support intraoclr lens

V2632 $100.07 Post chmbr intraocular lens

V2700 $45.26 Balance lens

V2710 $63.22 Glass/plastic slab off prism

V2715 $10.34 Prism lens/es

V2718 $24.90 Fresnell prism press-on lens

V2730 $17.73 Special base curve

V2744 $13.80 Tint photochromatic lens/es

V2745 $9.80 Tint, any color/solid/grad

V2750 $18.28 Anti-reflective coating

V2755 $13.97 Uv lens/es

V2760 $17.28 Scratch resistant coating

V2762 $49.19 Polarization, any lens

V2770 $16.41 Occluder lens/es

V2780 $10.54 Oversize lens/es

V2782 $53.13 Lens, 1.54-1.65 p/1.60-1.79g

V2783 $59.90 Lens, >= 1.66 p/>=1.80 g

V2784 $38.96 Lens polycarb or equal

V2786 $0.00 Occupational multifocal lens