TAX ID|HCPCS|Mod|Mod2|Description|Reimbursement
56-2029700|A4216|||Sterile water/saline -  10 ml|0.64
56-2029700|A4217|||Sterile water/saline -  500 ml|4.51
56-2029700|A4217|AU||Sterile water/saline -  500 ml|4.51
56-2029700|A4221|||Supp non-insulin inf cath/wk|25.34
56-2029700|A4222|||Infusion supplies with pump|48.06
56-2029700|A4224|||Supply insulin inf cath/wk|25.34
56-2029700|A4225|||Sup/ext insulin inf pump syr|3.4
56-2029700|A4233|NU||Alkalin batt for glucose mon|0.64
56-2029700|A4234|NU||J-cell batt for glucose mon|2.95
56-2029700|A4235|NU||Lithium batt for glucose mon|1.25
56-2029700|A4236|NU||Silvr oxide batt glucose mon|1.45
56-2029700|A4253|NU||Blood glucose/reagent strips|10.4
56-2029700|A4255|||Glucose monitor platforms|5.81
56-2029700|A4256|||Calibrator solution/chips|4.23
56-2029700|A4257|||Replace lensshield cartridge|18.36
56-2029700|A4258|||Lancet device each|2.65
56-2029700|A4259|||Lancets per box|1.78
56-2029700|A4265|||Paraffin|4.9
56-2029700|A4280|||Brst prsths adhsv attchmnt|7.69
56-2029700|A4310|||Insert tray w/o bag/cath|9.98
56-2029700|A4311|||Catheter w/o bag 2-way latex|21.33
56-2029700|A4312|||Cath w/o bag 2-way silicone|22.06
56-2029700|A4313|||Catheter w/bag 3-way|22.66
56-2029700|A4314|||Cath w/drainage 2-way latex|33.59
56-2029700|A4315|||Cath w/drainage 2-way silcne|32.26
56-2029700|A4316|||Cath w/drainage 3-way|40.88
56-2029700|A4320|||Irrigation tray|6.8
56-2029700|A4321|||Cath therapeutic irrig agent|0
56-2029700|A4322|||Irrigation syringe|4.28
56-2029700|A4326|||Male external catheter|15.53
56-2029700|A4327|||Fem urinary collect dev cup|64.2
56-2029700|A4328|||Fem urinary collect pouch|14.73
56-2029700|A4330|||Stool collection pouch|10.31
56-2029700|A4331|||Extension drainage tubing|4.58
56-2029700|A4332|||Lube sterile packet|0.16
56-2029700|A4333|||Urinary cath anchor device|3.19
56-2029700|A4334|||Urinary cath leg strap|7.09
56-2029700|A4336|||Urethral insert|2.08
56-2029700|A4338|||Indwelling catheter latex|15
56-2029700|A4340|||Indwelling catheter special|39.01
56-2029700|A4344|||Cath indw foley 2 way silicn|19.59
56-2029700|A4346|||Cath indw foley 3 way|23.96
56-2029700|A4349|||Disposable male external cat|2.9
56-2029700|A4351|||Straight tip urine catheter|2.6
56-2029700|A4352|||Coude tip urinary catheter|9.08
56-2029700|A4353|||Intermittent urinary cath|10.08
56-2029700|A4354|||Cath insertion tray w/bag|14.44
56-2029700|A4355|||Bladder irrigation tubing|11.69
56-2029700|A4356|||Ext ureth clmp or compr dvc|65.66
56-2029700|A4357|||Bedside drainage bag|11.88
56-2029700|A4358|||Urinary leg or abdomen bag|9.34
56-2029700|A4360|||Disposable ext urethral dev|0.7
56-2029700|A4361|||Ostomy face plate|23.21
56-2029700|A4362|||Solid skin barrier|4.24
56-2029700|A4363|||Ostomy clamp -  replacement|2.9
56-2029700|A4364|||Adhesive -  liquid or equal|3.6
56-2029700|A4366|||Ostomy vent|1.86
56-2029700|A4367|||Ostomy belt|9.69
56-2029700|A4368|||Ostomy filter|0.36
56-2029700|A4369|||Skin barrier liquid per oz|3.49
56-2029700|A4371|||Skin barrier powder per oz|5.24
56-2029700|A4372|||Skin barrier solid 4x4 equiv|6.04
56-2029700|A4373|||Skin barrier with flange|9.03
56-2029700|A4375|||Drainable plastic pch w fcpl|24.71
56-2029700|A4376|||Drainable rubber pch w fcplt|68.49
56-2029700|A4377|||Drainable plstic pch w/o fp|6.18
56-2029700|A4378|||Drainable rubber pch w/o fp|44.25
56-2029700|A4379|||Urinary plastic pouch w fcpl|21.61
56-2029700|A4380|||Urinary rubber pouch w fcplt|53.73
56-2029700|A4381|||Urinary plastic pouch w/o fp|6.66
56-2029700|A4382|||Urinary hvy plstc pch w/o fp|35.43
56-2029700|A4383|||Urinary rubber pouch w/o fp|40.58
56-2029700|A4384|||Ostomy faceplt/silicone ring|13.84
56-2029700|A4385|||Ost skn barrier sld ext wear|7.34
56-2029700|A4387|||Ost clsd pouch w att st barr|3.24
56-2029700|A4388|||Drainable pch w ex wear barr|6.28
56-2029700|A4389|||Drainable pch w st wear barr|8.95
56-2029700|A4390|||Drainable pch ex wear convex|13.83
56-2029700|A4391|||Urinary pouch w ex wear barr|10.18
56-2029700|A4392|||Urinary pouch w st wear barr|11.76
56-2029700|A4393|||Urine pch w ex wear bar conv|13.01
56-2029700|A4394|||Ostomy pouch liq deodorant|3.73
56-2029700|A4395|||Ostomy pouch solid deodorant|0.06
56-2029700|A4396|||Peristomal hernia supprt blt|58.26
56-2029700|A4397|||Irrigation supply sleeve|6.34
56-2029700|A4398|||Ostomy irrigation bag|18.24
56-2029700|A4399|||Ostomy irrig cone/cath w brs|15.33
56-2029700|A4400|||Ostomy irrigation set|59.79
56-2029700|A4402|||Lubricant per ounce|1.95
56-2029700|A4404|||Ostomy ring each|2.41
56-2029700|A4405|||Nonpectin based ostomy paste|4.91
56-2029700|A4406|||Pectin based ostomy paste|8.24
56-2029700|A4407|||"Ext wear ost skn barr <=4sq"""|12.61
56-2029700|A4408|||"Ext wear ost skn barr >4sq"""|14.21
56-2029700|A4409|||Ost skn barr convex <=4 sq i|8.95
56-2029700|A4410|||Ost skn barr extnd >4 sq|13.01
56-2029700|A4411|||Ost skn barr extnd =4sq|7.34
56-2029700|A4412|||Ost pouch drain high output|3.89
56-2029700|A4413|||2 pc drainable ost pouch|7.93
56-2029700|A4414|||Ost sknbar w/o conv<=4 sq in|7.09
56-2029700|A4415|||Ost skn barr w/o conv >4 sqi|8.63
56-2029700|A4416|||Ost pch clsd w barrier/filtr|3.96
56-2029700|A4417|||Ost pch w bar/bltinconv/fltr|5.36
56-2029700|A4418|||Ost pch clsd w/o bar w filtr|2.61
56-2029700|A4419|||Ost pch for bar w flange/flt|2.49
56-2029700|A4420|||Ost pch clsd for bar w lk fl|0
56-2029700|A4422|||Ost pouch absorbent material|0.16
56-2029700|A4423|||Ost pch for bar w lk fl/fltr|2.68
56-2029700|A4424|||Ost pch drain w bar & filter|6.85
56-2029700|A4425|||Ost pch drain for barrier fl|5.15
56-2029700|A4426|||Ost pch drain 2 piece system|3.93
56-2029700|A4427|||Ost pch drain/barr lk flng/f|4
56-2029700|A4428|||Urine ost pouch w faucet/tap|9.38
56-2029700|A4429|||Urine ost pouch w bltinconv|11.86
56-2029700|A4430|||Ost urine pch w b/bltin conv|12.25
56-2029700|A4431|||Ost pch urine w barrier/tapv|8.95
56-2029700|A4432|||Os pch urine w bar/fange/tap|5.16
56-2029700|A4433|||Urine ost pch bar w lock fln|4.83
56-2029700|A4434|||Ost pch urine w lock flng/ft|5.41
56-2029700|A4435|||1pc ost pch drain hgh output|8.3
56-2029700|A4450|AU||Non-waterproof tape|0.11
56-2029700|A4450|AV||Non-waterproof tape|0.11
56-2029700|A4450|AW||Non-waterproof tape|0.15
56-2029700|A4452|AU||Waterproof tape|0.51
56-2029700|A4452|AV||Waterproof tape|0.51
56-2029700|A4452|AW||Waterproof tape|0.56
56-2029700|A4455|||Adhesive remover per ounce|2.06
56-2029700|A4456|||Adhesive remover -  wipes|0.35
56-2029700|A4461|||Surgicl dress hold non-reuse|4.75
56-2029700|A4463|||Surgical dress holder reuse|19.15
56-2029700|A4481|||Tracheostoma filter|0.54
56-2029700|A4483|||Moisture exchanger|0
56-2029700|A4556|||Electrodes -  pair|17.48
56-2029700|A4557|||Lead wires -  pair|13.16
56-2029700|A4558|||Conductive gel or paste|7.85
56-2029700|A4559|||Coupling gel or paste|0.14
56-2029700|A4561|||Pessary rubber -  any type|29.64
56-2029700|A4562|||Pessary -  non rubber - any type|73.68
56-2029700|A4563|||Vag inser rectal control sys|160.43
56-2029700|A4565|||Slings|11.08
56-2029700|A4595|||Tens suppl 2 lead per month|12.93
56-2029700|A4602|NU||Replace lithium battery 1.5v|5.36
56-2029700|A4604|NU||Tubing with heating element|48.19
56-2029700|A4605|NU||Trach suction cath close sys|23.6
56-2029700|A4608|||Transtracheal oxygen cath|72.14
56-2029700|A4614|||Hand-held pefr meter|34.23
56-2029700|A4615|||Cannula nasal|1.05
56-2029700|A4616|||Tubing (oxygen) per foot|0.09
56-2029700|A4617|||Mouth piece|4.46
56-2029700|A4618|NU||Breathing circuits|11.76
56-2029700|A4618|RR||Breathing circuits|1.26
56-2029700|A4618|UE||Breathing circuits|8.89
56-2029700|A4619|NU||Face tent|2.5
56-2029700|A4620|||Variable concentration mask|0.91
56-2029700|A4623|||Tracheostomy inner cannula|9.01
56-2029700|A4624|NU||Tracheal suction tube|3.79
56-2029700|A4625|||Trach care kit for new trach|9.96
56-2029700|A4626|||Tracheostomy cleaning brush|4.59
56-2029700|A4628|NU||Oropharyngeal suction cath|5.39
56-2029700|A4629|||Tracheostomy care kit|6.69
56-2029700|A4630|NU||Repl bat t.e.n.s. own by pt|7.64
56-2029700|A4633|NU||Uvl replacement bulb|59.05
56-2029700|A4635|NU||Underarm crutch pad|6.26
56-2029700|A4635|RR||Underarm crutch pad|0.86
56-2029700|A4635|UE||Underarm crutch pad|4.16
56-2029700|A4636|NU||Handgrip for cane etc|3.88
56-2029700|A4636|NU|KE|Handgrip for cane etc|0
56-2029700|A4636|RR||Handgrip for cane etc|0.39
56-2029700|A4636|RR|KE|Handgrip for cane etc|0
56-2029700|A4636|UE||Handgrip for cane etc|2.9
56-2029700|A4636|UE|KE|Handgrip for cane etc|0
56-2029700|A4637|NU||Repl tip cane/crutch/walker|2.15
56-2029700|A4637|NU|KE|Repl tip cane/crutch/walker|0
56-2029700|A4637|RR||Repl tip cane/crutch/walker|0.21
56-2029700|A4637|RR|KE|Repl tip cane/crutch/walker|0
56-2029700|A4637|UE||Repl tip cane/crutch/walker|1.61
56-2029700|A4637|UE|KE|Repl tip cane/crutch/walker|0
56-2029700|A4638|NU||Repl batt pulse gen sys|0
56-2029700|A4638|RR||Repl batt pulse gen sys|0
56-2029700|A4638|UE||Repl batt pulse gen sys|0
56-2029700|A4639|RR||Infrared ht sys replcmnt pad|41.34
56-2029700|A4640|NU||Alternating pressure pad|61.81
56-2029700|A4640|RR||Alternating pressure pad|6.18
56-2029700|A4640|UE||Alternating pressure pad|46.36
56-2029700|A5051|||Pouch clsd w barr attached|2.98
56-2029700|A5052|||Clsd ostomy pouch w/o barr|2.14
56-2029700|A5053|||Clsd ostomy pouch faceplate|2.14
56-2029700|A5054|||Clsd ostomy pouch w/flange|2.59
56-2029700|A5055|||Stoma cap|2.08
56-2029700|A5056|||1 pc ost pouch w filter|6.73
56-2029700|A5057|||1 pc ost pou w built-in conv|13.83
56-2029700|A5061|||Pouch drainable w barrier at|5.08
56-2029700|A5062|||Drnble ostomy pouch w/o barr|3.21
56-2029700|A5063|||Drain ostomy pouch w/flange|3.89
56-2029700|A5071|||Urinary pouch w/barrier|8.65
56-2029700|A5072|||Urinary pouch w/o barrier|5.08
56-2029700|A5073|||Urinary pouch on barr w/flng|4.58
56-2029700|A5081|||Stoma plug or seal -  any type|4.06
56-2029700|A5082|||Continent stoma catheter|17.13
56-2029700|A5083|||Stoma absorptive cover|0.93
56-2029700|A5093|||Ostomy accessory convex inse|2.81
56-2029700|A5102|||Bedside drain btl w/wo tube|32.49
56-2029700|A5105|||Urinary suspensory|58.69
56-2029700|A5112|||Urinary leg bag|49.83
56-2029700|A5113|||Latex leg strap|6.79
56-2029700|A5114|||Foam/fabric leg strap|10.95
56-2029700|A5120|AU||Skin barrier -  wipe or swab|0.35
56-2029700|A5120|AV||Skin barrier -  wipe or swab|0.34
56-2029700|A5121|||Solid skin barrier 6x6|9.11
56-2029700|A5122|||Solid skin barrier 8x8|18.49
56-2029700|A5126|||Disk/foam pad +or- adhesive|1.89
56-2029700|A5131|||Appliance cleaner|22.81
56-2029700|A5200|||Percutaneous catheter anchor|16.28
56-2029700|A5500|||Diab shoe for density insert|91.51
56-2029700|A5501|||Diabetic custom molded shoe|274.49
56-2029700|A5503|||Diabetic shoe w/roller/rockr|45.3
56-2029700|A5504|||Diabetic shoe with wedge|45.3
56-2029700|A5505|||Diab shoe w/metatarsal bar|45.3
56-2029700|A5506|||Diabetic shoe w/off set heel|45.3
56-2029700|A5507|||Modification diabetic shoe|45.3
56-2029700|A5512|||Multi den insert direct form|37.33
56-2029700|A5513|||Multi den insert custom mold|55.7
56-2029700|A5514|||Mult den insert dir carv/cam|55.7
56-2029700|A6010|||Collagen based wound filler|44.58
56-2029700|A6011|||Collagen gel/paste wound fil|3.29
56-2029700|A6021|||Collagen dressing <=16 sq in|30.25
56-2029700|A6022|||Collagen drsg>16<=48 sq in|30.25
56-2029700|A6023|||Collagen dressing >48 sq in|273.9
56-2029700|A6024|||Collagen dsg wound filler|8.91
56-2029700|A6154|||Wound pouch each|20.7
56-2029700|A6196|||Alginate dressing <=16 sq in|10.59
56-2029700|A6197|||Alginate drsg >16 <=48 sq in|23.66
56-2029700|A6199|||Alginate drsg wound filler|7.61
56-2029700|A6203|||Composite drsg <= 16 sq in|4.85
56-2029700|A6204|||Composite drsg >16<=48 sq in|8.96
56-2029700|A6207|||Contact layer >16<= 48 sq in|10.56
56-2029700|A6209|||Foam drsg <=16 sq in w/o bdr|10.75
56-2029700|A6210|||Foam drg >16<=48 sq in w/o b|28.68
56-2029700|A6211|||Foam drg > 48 sq in w/o brdr|42.28
56-2029700|A6212|||Foam drg <=16 sq in w/border|13.98
56-2029700|A6214|||Foam drg > 48 sq in w/border|14.81
56-2029700|A6216|||Non-sterile gauze<=16 sq in|0.06
56-2029700|A6217|||Non-sterile gauze>16<=48 sq|0
56-2029700|A6219|||Gauze <= 16 sq in w/border|1.38
56-2029700|A6220|||Gauze >16 <=48 sq in w/bordr|3.73
56-2029700|A6222|||Gauze <=16 in no w/sal w/o b|3.08
56-2029700|A6223|||Gauze >16<=48 no w/sal w/o b|3.49
56-2029700|A6224|||Gauze > 48 in no w/sal w/o b|5.19
56-2029700|A6229|||Gauze >16<=48 sq in watr/sal|5.19
56-2029700|A6231|||Hydrogel dsg<=16 sq in|6.75
56-2029700|A6232|||Hydrogel dsg>16<=48 sq in|9.88
56-2029700|A6233|||Hydrogel dressing >48 sq in|27.6
56-2029700|A6234|||Hydrocolld drg <=16 w/o bdr|9.41
56-2029700|A6235|||Hydrocolld drg >16<=48 w/o b|24.21
56-2029700|A6236|||Hydrocolld drg > 48 in w/o b|39.23
56-2029700|A6237|||Hydrocolld drg <=16 in w/bdr|11.39
56-2029700|A6238|||Hydrocolld drg >16<=48 w/bdr|32.81
56-2029700|A6240|||Hydrocolld drg filler paste|17.63
56-2029700|A6241|||Hydrocolloid drg filler dry|3.7
56-2029700|A6242|||Hydrogel drg <=16 in w/o bdr|8.73
56-2029700|A6243|||Hydrogel drg >16<=48 w/o bdr|17.74
56-2029700|A6244|||Hydrogel drg >48 in w/o bdr|56.54
56-2029700|A6245|||Hydrogel drg <= 16 in w/bdr|10.46
56-2029700|A6246|||Hydrogel drg >16<=48 in w/b|14.3
56-2029700|A6247|||Hydrogel drg > 48 sq in w/b|34.23
56-2029700|A6248|||Hydrogel drsg gel filler|23.39
56-2029700|A6251|||Absorpt drg <=16 sq in w/o b|2.86
56-2029700|A6252|||Absorpt drg >16 <=48 w/o bdr|4.69
56-2029700|A6253|||Absorpt drg > 48 sq in w/o b|9.11
56-2029700|A6254|||Absorpt drg <=16 sq in w/bdr|1.73
56-2029700|A6255|||Absorpt drg >16<=48 in w/bdr|4.38
56-2029700|A6257|||Transparent film <= 16 sq in|2.21
56-2029700|A6258|||Transparent film >16<=48 in|6.2
56-2029700|A6259|||Transparent film > 48 sq in|15.74
56-2029700|A6266|||Impreg gauze no h20/sal/yard|2.76
56-2029700|A6402|||Sterile gauze <= 16 sq in|0.16
56-2029700|A6403|||Sterile gauze>16 <= 48 sq in|0.61
56-2029700|A6407|||Packing strips -  non-impreg|2.7
56-2029700|A6410|||Sterile eye pad|0.55
56-2029700|A6411|||Non-sterile eye pad|0
56-2029700|A6441|||"Pad band w>=3"" <5""/yd"|0.99
56-2029700|A6442|||"Conform band n/s w<3""/yd"|0.23
56-2029700|A6443|||"Conform band n/s w>=3""<5""/yd"|0.4
56-2029700|A6444|||"Conform band n/s w>=5""/yd"|0.8
56-2029700|A6445|||"Conform band s w <3""/yd"|0.46
56-2029700|A6446|||"Conform band s w>=3"" <5""/yd"|0.58
56-2029700|A6447|||"Conform band s w >=5""/yd"|0.99
56-2029700|A6448|||"Lt compres band <3""/yd"|1.66
56-2029700|A6449|||"Lt compres band >=3"" <5""/yd"|2.53
56-2029700|A6450|||"Lt compres band >=5""/yd"|2.53
56-2029700|A6451|||"Mod compres band w>=3""<5""/yd"|2.53
56-2029700|A6452|||"High compres band w>=3""<5""yd"|8.5
56-2029700|A6453|||"Self-adher band w <3""/yd"|0.9
56-2029700|A6454|||"Self-adher band w>=3"" <5""/yd"|1.13
56-2029700|A6455|||"Self-adher band >=5""/yd"|2.01
56-2029700|A6456|||"Zinc paste band w >=3""<5""/yd"|1.83
56-2029700|A6457|||Tubular dressing|1.64
56-2029700|A6501|||Compres burngarment bodysuit|0
56-2029700|A6502|||Compres burngarment chinstrp|0
56-2029700|A6503|||Compres burngarment facehood|0
56-2029700|A6504|||Cmprsburngarment glove-wrist|0
56-2029700|A6505|||Cmprsburngarment glove-elbow|0
56-2029700|A6506|||Cmprsburngrmnt glove-axilla|0
56-2029700|A6507|||Cmprs burngarment foot-knee|0
56-2029700|A6508|||Cmprs burngarment foot-thigh|0
56-2029700|A6509|||Compres burn garment jacket|0
56-2029700|A6510|||Compres burn garment leotard|0
56-2029700|A6511|||Compres burn garment panty|0
56-2029700|A6513|||Compress burn mask face/neck|0
56-2029700|A6531|AW||Compression stocking bk30-40|62.26
56-2029700|A6532|AW||Compression stocking bk40-50|87.74
56-2029700|A6545|||Grad comp non-elastic bk|0
56-2029700|A6545|AW||Grad comp non-elastic bk|122.6
56-2029700|A6550|||Neg pres wound ther drsg set|30.6
56-2029700|A7000|NU||Disposable canister for pump|10.25
56-2029700|A7000|NU|KE|Disposable canister for pump|0
56-2029700|A7001|NU||Nondisposable pump canister|41.63
56-2029700|A7002|NU||Tubing used w suction pump|4.69
56-2029700|A7003|NU||Nebulizer administration set|1.84
56-2029700|A7004|NU||Disposable nebulizer sml vol|1.55
56-2029700|A7005|NU||Nondisposable nebulizer set|14.66
56-2029700|A7006|NU||Filtered nebulizer admin set|9.34
56-2029700|A7007|NU||Lg vol nebulizer disposable|4.08
56-2029700|A7008|NU||Disposable nebulizer prefill|13.45
56-2029700|A7009|NU||Nebulizer reservoir bottle|58.45
56-2029700|A7010|NU||Disposable corrugated tubing|19.7
56-2029700|A7012|NU||Nebulizer water collec devic|3.61
56-2029700|A7013|NU||Disposable compressor filter|0.71
56-2029700|A7014|NU||Compressor nondispos filter|4
56-2029700|A7015|NU||Aerosol mask used w nebulize|1.6
56-2029700|A7016|NU||Nebulizer dome & mouthpiece|9.71
56-2029700|A7017|NU||Nebulizer not used w oxygen|152.59
56-2029700|A7017|RR||Nebulizer not used w oxygen|15.26
56-2029700|A7017|UE||Nebulizer not used w oxygen|114.44
56-2029700|A7018|||Water distilled w/nebulizer|0.4
56-2029700|A7020|NU||Interface -  cough stim device|20.84
56-2029700|A7025|RR||Replace chest compress vest|62.61
56-2029700|A7026|NU||Replace chst cmprss sys hose|41.36
56-2029700|A7027|NU||Combination oral/nasal mask|150.01
56-2029700|A7028|NU||Repl oral cushion combo mask|41.95
56-2029700|A7029|NU||Repl nasal pillow comb mask|18.75
56-2029700|A7030|NU||Cpap full face mask|107.91
56-2029700|A7031|NU||Replacement facemask interfa|41.85
56-2029700|A7032|NU||Replacement nasal cushion|23.48
56-2029700|A7033|NU||Replacement nasal pillows|18.9
56-2029700|A7034|NU||Nasal application device|68.09
56-2029700|A7035|NU||Pos airway press headgear|22.35
56-2029700|A7036|NU||Pos airway press chinstrap|13
56-2029700|A7037|NU||Pos airway pressure tubing|14.43
56-2029700|A7038|NU||Pos airway pressure filter|2.51
56-2029700|A7039|NU||Filter -  non disposable w pap|7.39
56-2029700|A7040|||One way chest drain valve|58.54
56-2029700|A7041|||Water seal drain container|110
56-2029700|A7044|NU||Pap oral interface|103.69
56-2029700|A7045|NU||Repl exhalation port for pap|14.28
56-2029700|A7045|RR||Repl exhalation port for pap|1.43
56-2029700|A7045|UE||Repl exhalation port for pap|10.71
56-2029700|A7046|NU||Repl water chamber -  pap dev|16.61
56-2029700|A7047|NU||Resp suction oral interface|174.01
56-2029700|A7048|||Vacuum drain bottle/tube kit|61.23
56-2029700|A7501|||Tracheostoma valve w diaphra|151.15
56-2029700|A7502|||Replacement diaphragm/fplate|71.85
56-2029700|A7503|||Hmes filter holder or cap|16.33
56-2029700|A7504|||Tracheostoma hmes filter|0.99
56-2029700|A7505|||Hmes or trach valve housing|6.75
56-2029700|A7506|||Hmes/trachvalve adhesivedisk|0.48
56-2029700|A7507|||Integrated filter & holder|3.58
56-2029700|A7508|||Housing & integrated adhesiv|4.13
56-2029700|A7509|||Heat & moisture exchange sys|2.04
56-2029700|A7520|||Trach/laryn tube non-cuffed|68.34
56-2029700|A7521|||Trach/laryn tube cuffed|67.7
56-2029700|A7522|||Trach/laryn tube stainless|65
56-2029700|A7524|||Tracheostoma stent/stud/bttn|111.41
56-2029700|A7525|||Tracheostomy mask|2.98
56-2029700|A7526|||Tracheostomy tube collar|4.88
56-2029700|A7527|||Trach/laryn tube plug/stop|5.15
56-2029700|A8000|NU||Soft protect helmet prefab|220.73
56-2029700|A8000|RR||Soft protect helmet prefab|22.08
56-2029700|A8000|UE||Soft protect helmet prefab|165.58
56-2029700|A8001|NU||Hard protect helmet prefab|220.73
56-2029700|A8001|RR||Hard protect helmet prefab|22.08
56-2029700|A8001|UE||Hard protect helmet prefab|165.58
56-2029700|A8002|NU||Soft protect helmet custom|0
56-2029700|A8002|RR||Soft protect helmet custom|0
56-2029700|A8002|UE||Soft protect helmet custom|0
56-2029700|A8003|NU||Hard protect helmet custom|0
56-2029700|A8003|RR||Hard protect helmet custom|0
56-2029700|A8003|UE||Hard protect helmet custom|0
56-2029700|A8004|NU||Repl soft interface -  helmet|0
56-2029700|A8004|RR||Repl soft interface -  helmet|0
56-2029700|A8004|UE||Repl soft interface -  helmet|0
56-2029700|E0100|NU||Cane adjust/fixed with tip|30.34
56-2029700|E0100|RR||Cane adjust/fixed with tip|7.26
56-2029700|E0100|UE||Cane adjust/fixed with tip|24.04
56-2029700|E0105|NU||Cane adjust/fixed quad/3 pro|70.69
56-2029700|E0105|RR||Cane adjust/fixed quad/3 pro|10.85
56-2029700|E0105|UE||Cane adjust/fixed quad/3 pro|54.48
56-2029700|E0110|NU||Crutch forearm pair|94.93
56-2029700|E0110|RR||Crutch forearm pair|19.55
56-2029700|E0110|UE||Crutch forearm pair|71.16
56-2029700|E0111|NU||Crutch forearm each|70.79
56-2029700|E0111|RR||Crutch forearm each|10.31
56-2029700|E0111|UE||Crutch forearm each|53.11
56-2029700|E0112|NU||Crutch underarm pair wood|45.28
56-2029700|E0112|RR||Crutch underarm pair wood|12.16
56-2029700|E0112|UE||Crutch underarm pair wood|34.54
56-2029700|E0113|NU||Crutch underarm each wood|25.86
56-2029700|E0113|RR||Crutch underarm each wood|6.29
56-2029700|E0113|UE||Crutch underarm each wood|19.39
56-2029700|E0114|NU||Crutch underarm pair no wood|57.74
56-2029700|E0114|RR||Crutch underarm pair no wood|10.48
56-2029700|E0114|UE||Crutch underarm pair no wood|43.65
56-2029700|E0116|NU||Crutch underarm each no wood|33.95
56-2029700|E0116|RR||Crutch underarm each no wood|6.63
56-2029700|E0116|UE||Crutch underarm each no wood|25.55
56-2029700|E0117|RR||Underarm springassist crutch|27.73
56-2029700|E0130|NU||Walker rigid adjust/fixed ht|56
56-2029700|E0130|RR||Walker rigid adjust/fixed ht|5.6
56-2029700|E0130|UE||Walker rigid adjust/fixed ht|42
56-2029700|E0135|NU||Walker folding adjust/fixed|56.25
56-2029700|E0135|RR||Walker folding adjust/fixed|5.63
56-2029700|E0135|UE||Walker folding adjust/fixed|42.19
56-2029700|E0140|RR||Walker w trunk support|35.16
56-2029700|E0141|NU||Rigid wheeled walker adj/fix|59.44
56-2029700|E0141|RR||Rigid wheeled walker adj/fix|5.95
56-2029700|E0141|UE||Rigid wheeled walker adj/fix|44.58
56-2029700|E0143|NU||Walker folding wheeled w/o s|59.44
56-2029700|E0143|RR||Walker folding wheeled w/o s|5.95
56-2029700|E0143|UE||Walker folding wheeled w/o s|44.58
56-2029700|E0144|RR||Enclosed walker w rear seat|33.54
56-2029700|E0147|NU||Walker variable wheel resist|495.13
56-2029700|E0147|RR||Walker variable wheel resist|49.51
56-2029700|E0147|UE||Walker variable wheel resist|371.35
56-2029700|E0148|NU||Heavyduty walker no wheels|102.79
56-2029700|E0148|RR||Heavyduty walker no wheels|10.28
56-2029700|E0148|UE||Heavyduty walker no wheels|77.09
56-2029700|E0149|RR||Heavy duty wheeled walker|15.31
56-2029700|E0153|NU||Forearm crutch platform atta|86.89
56-2029700|E0153|RR||Forearm crutch platform atta|9.6
56-2029700|E0153|UE||Forearm crutch platform atta|65.13
56-2029700|E0154|NU||Walker platform attachment|58.1
56-2029700|E0154|RR||Walker platform attachment|5.81
56-2029700|E0154|UE||Walker platform attachment|43.58
56-2029700|E0155|NU||Walker wheel attachment - pair|24.79
56-2029700|E0155|RR||Walker wheel attachment - pair|2.48
56-2029700|E0155|UE||Walker wheel attachment - pair|18.59
56-2029700|E0156|NU||Walker seat attachment|19.6
56-2029700|E0156|RR||Walker seat attachment|1.96
56-2029700|E0156|UE||Walker seat attachment|14.7
56-2029700|E0157|NU||Walker crutch attachment|70.1
56-2029700|E0157|RR||Walker crutch attachment|7.01
56-2029700|E0157|UE||Walker crutch attachment|52.58
56-2029700|E0158|NU||Walker leg extenders set of4|26.3
56-2029700|E0158|RR||Walker leg extenders set of4|2.63
56-2029700|E0158|UE||Walker leg extenders set of4|19.73
56-2029700|E0159|NU||Brake for wheeled walker|18.26
56-2029700|E0159|RR||Brake for wheeled walker|1.83
56-2029700|E0159|UE||Brake for wheeled walker|13.7
56-2029700|E0160|NU||Sitz type bath or equipment|32.6
56-2029700|E0160|RR||Sitz type bath or equipment|3.26
56-2029700|E0160|UE||Sitz type bath or equipment|24.45
56-2029700|E0161|NU||Sitz bath/equipment w/faucet|30.54
56-2029700|E0161|RR||Sitz bath/equipment w/faucet|3.05
56-2029700|E0161|UE||Sitz bath/equipment w/faucet|22.9
56-2029700|E0162|NU||Sitz bath chair|178.25
56-2029700|E0162|RR||Sitz bath chair|18.7
56-2029700|E0162|UE||Sitz bath chair|138.21
56-2029700|E0163|NU||Commode chair with fixed arm|66.61
56-2029700|E0163|RR||Commode chair with fixed arm|6.66
56-2029700|E0163|UE||Commode chair with fixed arm|49.96
56-2029700|E0165|RR||Commode chair with detacharm|15.34
56-2029700|E0167|NU||Commode chair pail or pan|12.33
56-2029700|E0167|RR||Commode chair pail or pan|1.24
56-2029700|E0167|UE||Commode chair pail or pan|9.25
56-2029700|E0168|NU||Heavyduty/wide commode chair|146.91
56-2029700|E0168|RR||Heavyduty/wide commode chair|14.69
56-2029700|E0168|UE||Heavyduty/wide commode chair|110.19
56-2029700|E0170|RR||Commode chair electric|197.18
56-2029700|E0171|RR||Commode chair non-electric|36.24
56-2029700|E0175|NU||Commode chair foot rest|95.33
56-2029700|E0175|RR||Commode chair foot rest|9.53
56-2029700|E0175|UE||Commode chair foot rest|70.16
56-2029700|E0181|RR||Press pad alternating w/ pum|19.3
56-2029700|E0182|RR||Replace pump -  alt press pad|23.94
56-2029700|E0184|NU||Dry pressure mattress|197.33
56-2029700|E0184|RR||Dry pressure mattress|19.74
56-2029700|E0184|UE||Dry pressure mattress|148
56-2029700|E0185|NU||Gel pressure mattress pad|210.7
56-2029700|E0185|RR||Gel pressure mattress pad|21.08
56-2029700|E0185|UE||Gel pressure mattress pad|158.03
56-2029700|E0186|RR||Air pressure mattress|21.99
56-2029700|E0187|RR||Water pressure mattress|23.98
56-2029700|E0188|NU||Synthetic sheepskin pad|29.34
56-2029700|E0188|RR||Synthetic sheepskin pad|2.94
56-2029700|E0188|UE||Synthetic sheepskin pad|22
56-2029700|E0189|NU||Lambswool sheepskin pad|60.93
56-2029700|E0189|RR||Lambswool sheepskin pad|6.09
56-2029700|E0189|UE||Lambswool sheepskin pad|45.69
56-2029700|E0191|NU||Protector heel or elbow|12.23
56-2029700|E0191|RR||Protector heel or elbow|1.26
56-2029700|E0191|UE||Protector heel or elbow|9.11
56-2029700|E0193|RR||Powered air flotation bed|844.19
56-2029700|E0194|RR||Air fluidized bed|3981.15
56-2029700|E0196|RR||Gel pressure mattress|36.81
56-2029700|E0197|RR||Air pressure pad for mattres|20.61
56-2029700|E0198|RR||Water pressure pad for mattr|27.1
56-2029700|E0199|NU||Dry pressure pad for mattres|36.06
56-2029700|E0199|RR||Dry pressure pad for mattres|3.61
56-2029700|E0199|UE||Dry pressure pad for mattres|27.05
56-2029700|E0200|NU||Heat lamp without stand|114.1
56-2029700|E0200|RR||Heat lamp without stand|15.49
56-2029700|E0200|UE||Heat lamp without stand|85.63
56-2029700|E0202|RR||Phototherapy light w/ photom|76.6
56-2029700|E0205|NU||Heat lamp with stand|279.3
56-2029700|E0205|RR||Heat lamp with stand|30.73
56-2029700|E0205|UE||Heat lamp with stand|209.48
56-2029700|E0210|NU||Electric heat pad standard|41.94
56-2029700|E0210|RR||Electric heat pad standard|4.19
56-2029700|E0210|UE||Electric heat pad standard|31.44
56-2029700|E0215|NU||Electric heat pad moist|86.66
56-2029700|E0215|RR||Electric heat pad moist|9.06
56-2029700|E0215|UE||Electric heat pad moist|65.01
56-2029700|E0217|NU||Water circ heat pad w pump|710.64
56-2029700|E0217|RR||Water circ heat pad w pump|71.03
56-2029700|E0217|UE||Water circ heat pad w pump|532.96
56-2029700|E0225|NU||Hydrocollator unit|559.35
56-2029700|E0225|RR||Hydrocollator unit|55.14
56-2029700|E0225|UE||Hydrocollator unit|419.51
56-2029700|E0235|RR||Paraffin bath unit portable|24.83
56-2029700|E0236|RR||Pump for water circulating p|56.7
56-2029700|E0239|NU||Hydrocollator unit portable|647.4
56-2029700|E0239|RR||Hydrocollator unit portable|64.75
56-2029700|E0239|UE||Hydrocollator unit portable|485.56
56-2029700|E0249|NU||Pad water circulating heat u|143.36
56-2029700|E0249|RR||Pad water circulating heat u|15.75
56-2029700|E0249|UE||Pad water circulating heat u|107.51
56-2029700|E0250|RR||Hosp bed fixed ht w/ mattres|75.11
56-2029700|E0251|RR||Hosp bed fixd ht w/o mattres|69.43
56-2029700|E0255|RR||Hospital bed var ht w/ mattr|76.08
56-2029700|E0256|RR||Hospital bed var ht w/o matt|72.4
56-2029700|E0260|RR||Hosp bed semi-electr w/ matt|76.3
56-2029700|E0261|RR||Hosp bed semi-electr w/o mat|76
56-2029700|E0265|RR||Hosp bed total electr w/ mat|179.61
56-2029700|E0266|RR||Hosp bed total elec w/o matt|156.29
56-2029700|E0271|NU||Mattress innerspring|154.86
56-2029700|E0271|RR||Mattress innerspring|15.49
56-2029700|E0271|UE||Mattress innerspring|116.15
56-2029700|E0272|NU||Mattress foam rubber|173.91
56-2029700|E0272|RR||Mattress foam rubber|17.39
56-2029700|E0272|UE||Mattress foam rubber|130.44
56-2029700|E0275|NU||Bed pan standard|16.64
56-2029700|E0275|RR||Bed pan standard|1.66
56-2029700|E0275|UE||Bed pan standard|12.49
56-2029700|E0276|NU||Bed pan fracture|13.88
56-2029700|E0276|RR||Bed pan fracture|1.39
56-2029700|E0276|UE||Bed pan fracture|10.4
56-2029700|E0277|RR||Powered pres-redu air mattrs|245.55
56-2029700|E0280|NU||Bed cradle|37.26
56-2029700|E0280|RR||Bed cradle|3.73
56-2029700|E0280|UE||Bed cradle|27.95
56-2029700|E0290|RR||Hosp bed fx ht w/o rails w/m|68.91
56-2029700|E0291|RR||Hosp bed fx ht w/o rail w/o|52.46
56-2029700|E0292|RR||Hosp bed var ht no sr w/matt|73.01
56-2029700|E0293|RR||Hosp bed var ht no sr no mat|66.56
56-2029700|E0294|RR||Hosp bed semi-elect w/ mattr|76.16
56-2029700|E0295|RR||Hosp bed semi-elect w/o matt|76
56-2029700|E0296|RR||Hosp bed total elect w/ matt|140.14
56-2029700|E0297|RR||Hosp bed total elect w/o mat|123.68
56-2029700|E0300|RR||Enclosed ped crib hosp grade|312.28
56-2029700|E0301|RR||Hd hosp bed -  350-600 lbs|204.91
56-2029700|E0302|RR||Ex hd hosp bed > 600 lbs|589.29
56-2029700|E0303|RR||Hosp bed hvy dty xtra wide|208.81
56-2029700|E0304|RR||Hosp bed xtra hvy dty x wide|612.14
56-2029700|E0305|RR||Rails bed side half length|13.41
56-2029700|E0310|NU||Rails bed side full length|141.79
56-2029700|E0310|RR||Rails bed side full length|14.18
56-2029700|E0310|UE||Rails bed side full length|106.35
56-2029700|E0316|RR||Bed safety enclosure|242.64
56-2029700|E0325|NU||Urinal male jug-type|10.75
56-2029700|E0325|RR||Urinal male jug-type|1.08
56-2029700|E0325|UE||Urinal male jug-type|8.06
56-2029700|E0326|NU||Urinal female jug-type|11.51
56-2029700|E0326|RR||Urinal female jug-type|1.15
56-2029700|E0326|UE||Urinal female jug-type|8.64
56-2029700|E0371|RR||Nonpower mattress overlay|245.55
56-2029700|E0372|RR||Powered air mattress overlay|245.55
56-2029700|E0373|RR||Nonpowered pressure mattress|245.55
56-2029700|E0424|RR||Stationary compressed gas 02|91.53
56-2029700|E0424|RR|QB|Stationary compressed gas 02|91.53
56-2029700|E0424|RR|QF|Stationary compressed gas 02|91.53
56-2029700|E0431|RR||Portable gaseous 02|20.23
56-2029700|E0431|RR|QB|Portable gaseous 02|45.76
56-2029700|E0431|RR|QF|Portable gaseous 02|45.76
56-2029700|E0433|RR||Portable liquid oxygen sys|43.79
56-2029700|E0433|RR|QB|Portable liquid oxygen sys|45.76
56-2029700|E0433|RR|QF|Portable liquid oxygen sys|45.76
56-2029700|E0434|RR||Portable liquid 02|43.79
56-2029700|E0434|RR|QB|Portable liquid 02|45.76
56-2029700|E0434|RR|QF|Portable liquid 02|45.76
56-2029700|E0439|RR||Stationary liquid 02|91.53
56-2029700|E0439|RR|QB|Stationary liquid 02|91.53
56-2029700|E0439|RR|QF|Stationary liquid 02|91.53
56-2029700|E0441|||Stationary o2 contents -  gas|62.36
56-2029700|E0442|||Stationary o2 contents -  liq|62.36
56-2029700|E0443|||Portable 02 contents -  gas|56.5
56-2029700|E0444|||Portable 02 contents -  liquid|56.5
56-2029700|E0447|||Port o2 cont -  liq over 4 lpm|84.75
56-2029700|E0462|RR||Rocking bed w/ or w/o side r|419.4
56-2029700|E0465|RR||Home vent invasive interface|1373.78
56-2029700|E0466|RR||Home vent non-invasive inter|1373.78
56-2029700|E0467|RR||Home vent multi-function|1597.61
56-2029700|E0470|RR||Rad w/o backup non-inv intfc|130.75
56-2029700|E0471|RR||Rad w/backup non inv intrfc|322
56-2029700|E0472|RR||Rad w backup invasive intrfc|486.78
56-2029700|E0480|RR||Percussor elect/pneum home m|62.18
56-2029700|E0482|RR||Cough stimulating device|600.33
56-2029700|E0483|RR||Hi freq chest wall oscil sys|1530.09
56-2029700|E0484|NU||Non-elec oscillatory pep dvc|53.16
56-2029700|E0484|RR||Non-elec oscillatory pep dvc|5.31
56-2029700|E0484|UE||Non-elec oscillatory pep dvc|39.88
56-2029700|E0485|NU||Oral device/appliance prefab|0
56-2029700|E0485|RR||Oral device/appliance prefab|0
56-2029700|E0485|UE||Oral device/appliance prefab|0
56-2029700|E0486|NU||Oral device/appliance cusfab|0
56-2029700|E0486|RR||Oral device/appliance cusfab|0
56-2029700|E0486|UE||Oral device/appliance cusfab|0
56-2029700|E0500|RR||Ippb all types|134.26
56-2029700|E0550|RR||Humidif extens supple w ippb|72.15
56-2029700|E0560|NU||Humidifier supplemental w/ i|180.84
56-2029700|E0560|RR||Humidifier supplemental w/ i|22.83
56-2029700|E0560|UE||Humidifier supplemental w/ i|135.64
56-2029700|E0561|NU||Humidifier nonheated w pap|90.03
56-2029700|E0561|RR||Humidifier nonheated w pap|9
56-2029700|E0561|UE||Humidifier nonheated w pap|67.53
56-2029700|E0562|NU||Humidifier heated used w pap|169.68
56-2029700|E0562|RR||Humidifier heated used w pap|16.96
56-2029700|E0562|UE||Humidifier heated used w pap|127.26
56-2029700|E0565|RR||Compressor air power source|50.74
56-2029700|E0570|RR||Nebulizer with compression|7.19
56-2029700|E0572|RR||Aerosol compressor adjust pr|38.5
56-2029700|E0574|RR||Ultrasonic generator w svneb|56.54
56-2029700|E0575|RR||Nebulizer ultrasonic|145.04
56-2029700|E0580|NU||Nebulizer for use w/ regulat|162.99
56-2029700|E0580|RR||Nebulizer for use w/ regulat|16.3
56-2029700|E0580|UE||Nebulizer for use w/ regulat|122.25
56-2029700|E0585|RR||Nebulizer w/ compressor & he|36.31
56-2029700|E0600|RR||Suction pump portab hom modl|58.61
56-2029700|E0601|RR||Cont airway pressure device|50.7
56-2029700|E0602|NU||Manual breast pump|42.48
56-2029700|E0602|RR||Manual breast pump|4.28
56-2029700|E0602|UE||Manual breast pump|31.86
56-2029700|E0605|NU||Vaporizer room type|32.33
56-2029700|E0605|RR||Vaporizer room type|3.76
56-2029700|E0605|UE||Vaporizer room type|26.65
56-2029700|E0606|RR||Drainage board postural|33.04
56-2029700|E0607|NU||Blood glucose monitor home|96.16
56-2029700|E0607|RR||Blood glucose monitor home|9.6
56-2029700|E0607|UE||Blood glucose monitor home|72.11
56-2029700|E0610|NU||Pacemaker monitr audible/vis|302.84
56-2029700|E0610|RR||Pacemaker monitr audible/vis|30.69
56-2029700|E0610|UE||Pacemaker monitr audible/vis|227.09
56-2029700|E0615|NU||Pacemaker monitr digital/vis|689.1
56-2029700|E0615|RR||Pacemaker monitr digital/vis|84.19
56-2029700|E0615|UE||Pacemaker monitr digital/vis|516.88
56-2029700|E0617|RR||Automatic ext defibrillator|437.58
56-2029700|E0617|RR|KF|Automatic ext defibrillator|485.85
56-2029700|E0618|RR||Apnea monitor|403.51
56-2029700|E0619|RR||Apnea monitor w recorder|0
56-2029700|E0620|RR||Cap bld skin piercing laser|125.83
56-2029700|E0621|NU||Patient lift sling or seat|97.39
56-2029700|E0621|RR||Patient lift sling or seat|9.74
56-2029700|E0621|UE||Patient lift sling or seat|73.04
56-2029700|E0627|NU||Seat lift mech -  electric any|316.41
56-2029700|E0627|RR||Seat lift mech -  electric any|31.64
56-2029700|E0627|UE||Seat lift mech -  electric any|237.31
56-2029700|E0629|NU||Seat lift mech -  non-electric|314.99
56-2029700|E0629|RR||Seat lift mech -  non-electric|31.5
56-2029700|E0629|UE||Seat lift mech -  non-electric|236.24
56-2029700|E0630|RR||Patient lift hydraulic|72.3
56-2029700|E0635|RR||Patient lift electric|141.45
56-2029700|E0636|RR||Pt support & positioning sys|1195.3
56-2029700|E0639|RR||Moveable patient lift system|158.1
56-2029700|E0640|RR||Fixed patient lift system|158.1
56-2029700|E0650|NU||Pneuma compresor non-segment|881.06
56-2029700|E0650|RR||Pneuma compresor non-segment|114.94
56-2029700|E0650|UE||Pneuma compresor non-segment|660.79
56-2029700|E0651|NU||Pneum compressor segmental|1321.8
56-2029700|E0651|RR||Pneum compressor segmental|135.04
56-2029700|E0651|UE||Pneum compressor segmental|991.38
56-2029700|E0652|NU||Pneum compres w/cal pressure|7629.98
56-2029700|E0652|RR||Pneum compres w/cal pressure|754.06
56-2029700|E0652|UE||Pneum compres w/cal pressure|5717.36
56-2029700|E0655|NU||Pneumatic appliance half arm|135.86
56-2029700|E0655|RR||Pneumatic appliance half arm|15.53
56-2029700|E0655|UE||Pneumatic appliance half arm|116.65
56-2029700|E0656|RR||Segmental pneumatic trunk|83.18
56-2029700|E0657|RR||Segmental pneumatic chest|78.13
56-2029700|E0660|NU||Pneumatic appliance full leg|229.93
56-2029700|E0660|RR||Pneumatic appliance full leg|23.45
56-2029700|E0660|UE||Pneumatic appliance full leg|172.44
56-2029700|E0665|NU||Pneumatic appliance full arm|192.91
56-2029700|E0665|RR||Pneumatic appliance full arm|19.3
56-2029700|E0665|UE||Pneumatic appliance full arm|148.05
56-2029700|E0666|NU||Pneumatic appliance half leg|198.75
56-2029700|E0666|RR||Pneumatic appliance half leg|20.48
56-2029700|E0666|UE||Pneumatic appliance half leg|149.09
56-2029700|E0667|NU||Seg pneumatic appl full leg|465.98
56-2029700|E0667|RR||Seg pneumatic appl full leg|52.63
56-2029700|E0667|UE||Seg pneumatic appl full leg|349.49
56-2029700|E0668|NU||Seg pneumatic appl full arm|635.96
56-2029700|E0668|RR||Seg pneumatic appl full arm|62.76
56-2029700|E0668|UE||Seg pneumatic appl full arm|476.99
56-2029700|E0669|NU||Seg pneumatic appli half leg|260.55
56-2029700|E0669|RR||Seg pneumatic appli half leg|26.08
56-2029700|E0669|UE||Seg pneumatic appli half leg|195.44
56-2029700|E0670|NU||Seg pneum int legs/trunk|1809.18
56-2029700|E0670|RR||Seg pneum int legs/trunk|193.68
56-2029700|E0670|UE||Seg pneum int legs/trunk|1356.81
56-2029700|E0671|NU||Pressure pneum appl full leg|597.79
56-2029700|E0671|RR||Pressure pneum appl full leg|59.81
56-2029700|E0671|UE||Pressure pneum appl full leg|448.31
56-2029700|E0672|NU||Pressure pneum appl full arm|464.46
56-2029700|E0672|RR||Pressure pneum appl full arm|46.48
56-2029700|E0672|UE||Pressure pneum appl full arm|348.38
56-2029700|E0673|NU||Pressure pneum appl half leg|385.95
56-2029700|E0673|RR||Pressure pneum appl half leg|38.6
56-2029700|E0673|UE||Pressure pneum appl half leg|289.51
56-2029700|E0675|RR||Pneumatic compression device|553.45
56-2029700|E0691|NU||Uvl pnl 2 sq ft or less|1293.26
56-2029700|E0691|RR||Uvl pnl 2 sq ft or less|129.33
56-2029700|E0691|UE||Uvl pnl 2 sq ft or less|969.96
56-2029700|E0692|NU||Uvl sys panel 4 ft|1624
56-2029700|E0692|RR||Uvl sys panel 4 ft|162.38
56-2029700|E0692|UE||Uvl sys panel 4 ft|1217.99
56-2029700|E0693|NU||Uvl sys panel 6 ft|2001.93
56-2029700|E0693|RR||Uvl sys panel 6 ft|200.2
56-2029700|E0693|UE||Uvl sys panel 6 ft|1501.45
56-2029700|E0694|NU||Uvl md cabinet sys 6 ft|6371.94
56-2029700|E0694|RR||Uvl md cabinet sys 6 ft|637.19
56-2029700|E0694|UE||Uvl md cabinet sys 6 ft|4778.99
56-2029700|E0705|NU||Transfer device|60
56-2029700|E0705|NU|KU|Transfer device|79.35
56-2029700|E0705|RR||Transfer device|6
56-2029700|E0705|RR|KU|Transfer device|8.08
56-2029700|E0705|UE||Transfer device|45
56-2029700|E0705|UE|KU|Transfer device|58.09
56-2029700|E0720|NU||Tens two lead|89.2
56-2029700|E0730|NU||Tens four lead|90.14
56-2029700|E0731|NU||Conductive garment for tens/|111.74
56-2029700|E0740|RR||Non-implant pelv flr e-stim|75.26
56-2029700|E0744|RR||Neuromuscular stim for scoli|131.79
56-2029700|E0745|RR||Neuromuscular stim for shock|128.84
56-2029700|E0747|NU|KF|Elec osteogen stim not spine|5636.1
56-2029700|E0747|RR|KF|Elec osteogen stim not spine|560.06
56-2029700|E0747|UE|KF|Elec osteogen stim not spine|4187.53
56-2029700|E0748|NU|KF|Elec osteogen stim spinal|5599.6
56-2029700|E0748|RR|KF|Elec osteogen stim spinal|559.93
56-2029700|E0748|UE|KF|Elec osteogen stim spinal|4199.7
56-2029700|E0749|RR|KF|Elec osteogen stim implanted|347.88
56-2029700|E0760|NU|KF|Osteogen ultrasound stimltor|4653.16
56-2029700|E0760|RR|KF|Osteogen ultrasound stimltor|465.33
56-2029700|E0760|UE|KF|Osteogen ultrasound stimltor|3489.84
56-2029700|E0762|RR||Trans elec jt stim dev sys|158.25
56-2029700|E0764|RR|KF|Functional neuromuscularstim|1592.74
56-2029700|E0765|NU||Nerve stimulator for tx n&v|121.09
56-2029700|E0765|RR||Nerve stimulator for tx n&v|12.13
56-2029700|E0765|UE||Nerve stimulator for tx n&v|90.84
56-2029700|E0776|NU||Iv pole|175.14
56-2029700|E0776|RR||Iv pole|18
56-2029700|E0776|UE||Iv pole|128.86
56-2029700|E0779|RR||Amb infusion pump mechanical|23.35
56-2029700|E0780|NU||Mech amb infusion pump <8hrs|14.85
56-2029700|E0781|RR||External ambulatory infus pu|302.99
56-2029700|E0782|NU|KF|Non-programble infusion pump|6179.19
56-2029700|E0782|RR|KF|Non-programble infusion pump|617.94
56-2029700|E0782|UE|KF|Non-programble infusion pump|4634.39
56-2029700|E0783|NU|KF|Programmable infusion pump|11782.78
56-2029700|E0783|RR|KF|Programmable infusion pump|1178.31
56-2029700|E0783|UE|KF|Programmable infusion pump|8837.11
56-2029700|E0784|RR||Ext amb infusn pump insulin|546.31
56-2029700|E0785|KF||Replacement impl pump cathet|680.05
56-2029700|E0786|NU|KF|Implantable pump replacement|11493.38
56-2029700|E0786|RR|KF|Implantable pump replacement|1149.31
56-2029700|E0786|UE|KF|Implantable pump replacement|8620.04
56-2029700|E0791|RR||Parenteral infusion pump sta|359.95
56-2029700|E0840|NU||Tract frame attach headboard|102.26
56-2029700|E0840|RR||Tract frame attach headboard|23.5
56-2029700|E0840|UE||Tract frame attach headboard|76.66
56-2029700|E0849|RR||Cervical pneum trac equip|74.18
56-2029700|E0850|NU||Traction stand free standing|128.51
56-2029700|E0850|RR||Traction stand free standing|17.65
56-2029700|E0850|UE||Traction stand free standing|96.39
56-2029700|E0855|RR||Cervical traction equipment|72.34
56-2029700|E0856|RR||Cervic collar w air bladders|22.15
56-2029700|E0860|NU||Tract equip cervical tract|52.08
56-2029700|E0860|RR||Tract equip cervical tract|7.98
56-2029700|E0860|UE||Tract equip cervical tract|39.03
56-2029700|E0870|NU||Tract frame attach footboard|142.29
56-2029700|E0870|RR||Tract frame attach footboard|16.4
56-2029700|E0870|UE||Tract frame attach footboard|107.2
56-2029700|E0880|NU||Trac stand free stand extrem|153.59
56-2029700|E0880|RR||Trac stand free stand extrem|24.11
56-2029700|E0880|UE||Trac stand free stand extrem|116.25
56-2029700|E0890|NU||Traction frame attach pelvic|147.29
56-2029700|E0890|RR||Traction frame attach pelvic|47
56-2029700|E0890|UE||Traction frame attach pelvic|118.65
56-2029700|E0900|NU||Trac stand free stand pelvic|156.75
56-2029700|E0900|RR||Trac stand free stand pelvic|33.8
56-2029700|E0900|UE||Trac stand free stand pelvic|117.6
56-2029700|E0910|RR||Trapeze bar attached to bed|13.63
56-2029700|E0911|RR||Hd trapeze bar attach to bed|51.75
56-2029700|E0912|RR||Hd trapeze bar free standing|103.88
56-2029700|E0920|RR||Fracture frame attached to b|59.01
56-2029700|E0930|RR||Fracture frame free standing|55.88
56-2029700|E0935|RR||Cont pas motion exercise dev|27.83
56-2029700|E0940|RR||Trapeze bar free standing|25.7
56-2029700|E0941|RR||Gravity assisted traction de|62.46
56-2029700|E0942|NU||Cervical head harness/halter|24.75
56-2029700|E0942|RR||Cervical head harness/halter|2.88
56-2029700|E0942|UE||Cervical head harness/halter|18.53
56-2029700|E0944|NU||Pelvic belt/harness/boot|64.51
56-2029700|E0944|RR||Pelvic belt/harness/boot|6.45
56-2029700|E0944|UE||Pelvic belt/harness/boot|48.38
56-2029700|E0945|NU||Belt/harness extremity|54.23
56-2029700|E0945|RR||Belt/harness extremity|5.43
56-2029700|E0945|UE||Belt/harness extremity|41.98
56-2029700|E0946|RR||Fracture frame dual w cross|72.38
56-2029700|E0947|NU||Fracture frame attachmnts pe|773.24
56-2029700|E0947|RR||Fracture frame attachmnts pe|78.29
56-2029700|E0947|UE||Fracture frame attachmnts pe|579.9
56-2029700|E0948|NU||Fracture frame attachmnts ce|773.24
56-2029700|E0948|RR||Fracture frame attachmnts ce|77.34
56-2029700|E0948|UE||Fracture frame attachmnts ce|579.9
56-2029700|E0950|NU||Tray|92.25
56-2029700|E0950|NU|KE|Tray|0
56-2029700|E0950|NU|KU|Tray|109.61
56-2029700|E0950|RR||Tray|9.23
56-2029700|E0950|RR|KE|Tray|0
56-2029700|E0950|RR|KU|Tray|10.99
56-2029700|E0950|UE||Tray|69.19
56-2029700|E0950|UE|KE|Tray|0
56-2029700|E0950|UE|KU|Tray|82.2
56-2029700|E0951|NU||Loop heel|15.96
56-2029700|E0951|NU|KE|Loop heel|0
56-2029700|E0951|NU|KU|Loop heel|23.55
56-2029700|E0951|RR||Loop heel|1.6
56-2029700|E0951|RR|KE|Loop heel|0
56-2029700|E0951|RR|KU|Loop heel|2.41
56-2029700|E0951|UE||Loop heel|11.98
56-2029700|E0951|UE|KE|Loop heel|0
56-2029700|E0951|UE|KU|Loop heel|17.65
56-2029700|E0952|NU||Toe loop/holder -  each|19.86
56-2029700|E0952|NU|KE|Toe loop/holder -  each|0
56-2029700|E0952|NU|KU|Toe loop/holder -  each|19.88
56-2029700|E0952|RR||Toe loop/holder -  each|2.03
56-2029700|E0952|RR|KE|Toe loop/holder -  each|0
56-2029700|E0952|RR|KU|Toe loop/holder -  each|2.05
56-2029700|E0952|UE||Toe loop/holder -  each|14.9
56-2029700|E0952|UE|KE|Toe loop/holder -  each|0
56-2029700|E0952|UE|KU|Toe loop/holder -  each|14.91
56-2029700|E0953|NU||W/C LATERAL THIGH/KNEE SUP|91.13
56-2029700|E0953|NU|KU|W/C LATERAL THIGH/KNEE SUP|122.28
56-2029700|E0953|RR||W/C LATERAL THIGH/KNEE SUP|9.11
56-2029700|E0953|RR|KU|W/C LATERAL THIGH/KNEE SUP|12.23
56-2029700|E0953|UE||W/C LATERAL THIGH/KNEE SUP|68.35
56-2029700|E0953|UE|KU|W/C LATERAL THIGH/KNEE SUP|91.71
56-2029700|E0954|NU||FOOT BOX -  ANY TYPE EACH FOOT|64.61
56-2029700|E0954|NU|KU|FOOT BOX -  ANY TYPE EACH FOOT|73.54
56-2029700|E0954|RR||FOOT BOX -  ANY TYPE EACH FOOT|6.5
56-2029700|E0954|RR|KU|FOOT BOX -  ANY TYPE EACH FOOT|7.35
56-2029700|E0954|UE||FOOT BOX -  ANY TYPE EACH FOOT|48.46
56-2029700|E0954|UE|KU|FOOT BOX -  ANY TYPE EACH FOOT|55.15
56-2029700|E0955|RR||Cushioned headrest|17.29
56-2029700|E0955|RR|KE|Cushioned headrest|0
56-2029700|E0955|RR|KU|Cushioned headrest|25.09
56-2029700|E0956|NU||W/c lateral trunk/hip suppor|91.13
56-2029700|E0956|NU|KE|W/c lateral trunk/hip suppor|0
56-2029700|E0956|NU|KU|W/c lateral trunk/hip suppor|122.28
56-2029700|E0956|RR||W/c lateral trunk/hip suppor|9.11
56-2029700|E0956|RR|KE|W/c lateral trunk/hip suppor|0
56-2029700|E0956|RR|KU|W/c lateral trunk/hip suppor|12.23
56-2029700|E0956|UE||W/c lateral trunk/hip suppor|68.35
56-2029700|E0956|UE|KE|W/c lateral trunk/hip suppor|0
56-2029700|E0956|UE|KU|W/c lateral trunk/hip suppor|91.71
56-2029700|E0957|NU||W/c medial thigh support|144.58
56-2029700|E0957|NU|KE|W/c medial thigh support|0
56-2029700|E0957|NU|KU|W/c medial thigh support|171.11
56-2029700|E0957|RR||W/c medial thigh support|14.46
56-2029700|E0957|RR|KE|W/c medial thigh support|0
56-2029700|E0957|RR|KU|W/c medial thigh support|17.13
56-2029700|E0957|UE||W/c medial thigh support|108.44
56-2029700|E0957|UE|KE|W/c medial thigh support|0
56-2029700|E0957|UE|KU|W/c medial thigh support|128.33
56-2029700|E0958|RR||Whlchr att- conv 1 arm drive|49.33
56-2029700|E0959|NU||Amputee adapter|51.65
56-2029700|E0959|RR||Amputee adapter|5.16
56-2029700|E0959|UE||Amputee adapter|38.74
56-2029700|E0960|NU||W/c shoulder harness/straps|87.59
56-2029700|E0960|NU|KE|W/c shoulder harness/straps|0
56-2029700|E0960|NU|KU|W/c shoulder harness/straps|112.86
56-2029700|E0960|RR||W/c shoulder harness/straps|8.76
56-2029700|E0960|RR|KE|W/c shoulder harness/straps|0
56-2029700|E0960|RR|KU|W/c shoulder harness/straps|11.31
56-2029700|E0960|UE||W/c shoulder harness/straps|65.7
56-2029700|E0960|UE|KE|W/c shoulder harness/straps|0
56-2029700|E0960|UE|KU|W/c shoulder harness/straps|84.66
56-2029700|E0961|NU||Wheelchair brake extension|24.04
56-2029700|E0961|RR||Wheelchair brake extension|2.4
56-2029700|E0961|UE||Wheelchair brake extension|18.03
56-2029700|E0966|NU||Wheelchair head rest extensi|82.91
56-2029700|E0966|RR||Wheelchair head rest extensi|8.29
56-2029700|E0966|UE||Wheelchair head rest extensi|62.19
56-2029700|E0967|NU||Man wc rim/projection rep ea|86.5
56-2029700|E0967|RR||Man wc rim/projection rep ea|8.65
56-2029700|E0967|UE||Man wc rim/projection rep ea|64.88
56-2029700|E0968|RR||Wheelchair commode seat|24.8
56-2029700|E0969|NU||Wheelchair narrowing device|225.43
56-2029700|E0969|RR||Wheelchair narrowing device|22.31
56-2029700|E0969|UE||Wheelchair narrowing device|169.09
56-2029700|E0971|NU||Wheelchair anti-tipping devi|37.43
56-2029700|E0971|RR||Wheelchair anti-tipping devi|3.75
56-2029700|E0971|UE||Wheelchair anti-tipping devi|28.08
56-2029700|E0973|NU||W/ch access det adj armrest|68.9
56-2029700|E0973|NU|KE|W/ch access det adj armrest|0
56-2029700|E0973|NU|KU|W/ch access det adj armrest|142.63
56-2029700|E0973|RR||W/ch access det adj armrest|6.89
56-2029700|E0973|RR|KE|W/ch access det adj armrest|0
56-2029700|E0973|RR|KU|W/ch access det adj armrest|13.58
56-2029700|E0973|UE||W/ch access det adj armrest|51.68
56-2029700|E0973|UE|KE|W/ch access det adj armrest|0
56-2029700|E0973|UE|KU|W/ch access det adj armrest|106.96
56-2029700|E0974|NU||W/ch access anti-rollback|87.46
56-2029700|E0974|RR||W/ch access anti-rollback|8.75
56-2029700|E0974|UE||W/ch access anti-rollback|65.6
56-2029700|E0978|NU||W/c acc - saf belt pelv strap|30.21
56-2029700|E0978|NU|KE|W/c acc - saf belt pelv strap|0
56-2029700|E0978|NU|KU|W/c acc - saf belt pelv strap|52.96
56-2029700|E0978|RR||W/c acc - saf belt pelv strap|3.03
56-2029700|E0978|RR|KE|W/c acc - saf belt pelv strap|0
56-2029700|E0978|RR|KU|W/c acc - saf belt pelv strap|5.31
56-2029700|E0978|UE||W/c acc - saf belt pelv strap|22.66
56-2029700|E0978|UE|KE|W/c acc - saf belt pelv strap|0
56-2029700|E0978|UE|KU|W/c acc - saf belt pelv strap|39.28
56-2029700|E0980|NU||Wheelchair safety vest|40.44
56-2029700|E0980|RR||Wheelchair safety vest|4.06
56-2029700|E0980|UE||Wheelchair safety vest|30.15
56-2029700|E0981|NU||Seat upholstery -  replacement|50.74
56-2029700|E0981|NU|KE|Seat upholstery -  replacement|0
56-2029700|E0981|NU|KU|Seat upholstery -  replacement|56.56
56-2029700|E0981|RR||Seat upholstery -  replacement|5.08
56-2029700|E0981|RR|KE|Seat upholstery -  replacement|0
56-2029700|E0981|RR|KU|Seat upholstery -  replacement|5.65
56-2029700|E0981|UE||Seat upholstery -  replacement|38.05
56-2029700|E0981|UE|KE|Seat upholstery -  replacement|0
56-2029700|E0981|UE|KU|Seat upholstery -  replacement|44.14
56-2029700|E0982|NU||Back upholstery -  replacement|56.18
56-2029700|E0982|NU|KE|Back upholstery -  replacement|0
56-2029700|E0982|NU|KU|Back upholstery -  replacement|63.9
56-2029700|E0982|RR||Back upholstery -  replacement|5.61
56-2029700|E0982|RR|KE|Back upholstery -  replacement|0
56-2029700|E0982|RR|KU|Back upholstery -  replacement|6.38
56-2029700|E0982|UE||Back upholstery -  replacement|42.14
56-2029700|E0982|UE|KE|Back upholstery -  replacement|0
56-2029700|E0982|UE|KU|Back upholstery -  replacement|47.95
56-2029700|E0983|RR||Add pwr joystick|349.6
56-2029700|E0984|RR||Add pwr tiller|274.96
56-2029700|E0985|RR||W/c seat lift mechanism|25.34
56-2029700|E0985|RR|KU|W/c seat lift mechanism|29.23
56-2029700|E0986|RR||Man w/c push-rim powr system|700.09
56-2029700|E0988|RR||Lever-activated wheel drive|430.84
56-2029700|E0990|NU||Wheelchair elevating leg res|90.9
56-2029700|E0990|NU|KE|Wheelchair elevating leg res|0
56-2029700|E0990|NU|KU|Wheelchair elevating leg res|145.66
56-2029700|E0990|RR||Wheelchair elevating leg res|9.09
56-2029700|E0990|RR|KE|Wheelchair elevating leg res|0
56-2029700|E0990|RR|KU|Wheelchair elevating leg res|14.58
56-2029700|E0990|UE||Wheelchair elevating leg res|68.18
56-2029700|E0990|UE|KE|Wheelchair elevating leg res|0
56-2029700|E0990|UE|KU|Wheelchair elevating leg res|113.83
56-2029700|E0992|NU||Wheelchair solid seat insert|98.21
56-2029700|E0992|RR||Wheelchair solid seat insert|9.83
56-2029700|E0992|UE||Wheelchair solid seat insert|73.66
56-2029700|E0994|NU||Wheelchair arm rest|21.58
56-2029700|E0994|RR||Wheelchair arm rest|2.18
56-2029700|E0994|UE||Wheelchair arm rest|16.18
56-2029700|E0995|NU||Wc calf rest -  pad replacemnt|32.6
56-2029700|E0995|NU|KE|Wc calf rest -  pad replacemnt|0
56-2029700|E0995|NU|KU|Wc calf rest -  pad replacemnt|37.7
56-2029700|E0995|RR||Wc calf rest -  pad replacemnt|3.26
56-2029700|E0995|RR|KE|Wc calf rest -  pad replacemnt|0
56-2029700|E0995|RR|KU|Wc calf rest -  pad replacemnt|3.79
56-2029700|E0995|UE||Wc calf rest -  pad replacemnt|24.45
56-2029700|E0995|UE|KE|Wc calf rest -  pad replacemnt|0
56-2029700|E0995|UE|KU|Wc calf rest -  pad replacemnt|28.25
56-2029700|E1002|RR||Pwr seat tilt|452.38
56-2029700|E1002|RR|KE|Pwr seat tilt|0
56-2029700|E1002|RR|KU|Pwr seat tilt|502.76
56-2029700|E1003|RR||Pwr seat recline|529.5
56-2029700|E1003|RR|KE|Pwr seat recline|0
56-2029700|E1003|RR|KU|Pwr seat recline|544.74
56-2029700|E1004|RR||Pwr seat recline mech|581.99
56-2029700|E1004|RR|KE|Pwr seat recline mech|0
56-2029700|E1004|RR|KU|Pwr seat recline mech|603.98
56-2029700|E1005|RR||Pwr seat recline pwr|636.65
56-2029700|E1005|RR|KE|Pwr seat recline pwr|0
56-2029700|E1005|RR|KU|Pwr seat recline pwr|653.76
56-2029700|E1006|RR||Pwr seat combo w/o shear|784.98
56-2029700|E1006|RR|KE|Pwr seat combo w/o shear|0
56-2029700|E1006|RR|KU|Pwr seat combo w/o shear|800.79
56-2029700|E1007|RR||Pwr seat combo w/shear|974.38
56-2029700|E1007|RR|KE|Pwr seat combo w/shear|0
56-2029700|E1007|RR|KU|Pwr seat combo w/shear|1084.34
56-2029700|E1008|RR||Pwr seat combo pwr shear|999.45
56-2029700|E1008|RR|KE|Pwr seat combo pwr shear|0
56-2029700|E1008|RR|KU|Pwr seat combo pwr shear|1084.41
56-2029700|E1009|NU||Add mech leg elevation|0
56-2029700|E1009|RR||Add mech leg elevation|0
56-2029700|E1009|UE||Add mech leg elevation|0
56-2029700|E1010|RR||Add pwr leg elevation|135.83
56-2029700|E1010|RR|KE|Add pwr leg elevation|0
56-2029700|E1010|RR|KU|Add pwr leg elevation|141.89
56-2029700|E1011|NU||Ped wc modify width adjustm|0
56-2029700|E1011|RR||Ped wc modify width adjustm|0
56-2029700|E1011|UE||Ped wc modify width adjustm|0
56-2029700|E1012|RR||Ctr mount pwr elev leg rest|135.83
56-2029700|E1012|RR|KU|Ctr mount pwr elev leg rest|141.89
56-2029700|E1014|RR||Reclining back add ped w/c|52.58
56-2029700|E1015|NU||Shock absorber for man w/c|142.86
56-2029700|E1015|RR||Shock absorber for man w/c|14.29
56-2029700|E1015|UE||Shock absorber for man w/c|107.15
56-2029700|E1016|NU||Shock absorber for power w/c|130.34
56-2029700|E1016|NU|KE|Shock absorber for power w/c|0
56-2029700|E1016|NU|KU|Shock absorber for power w/c|162.91
56-2029700|E1016|RR||Shock absorber for power w/c|13.04
56-2029700|E1016|RR|KE|Shock absorber for power w/c|0
56-2029700|E1016|RR|KU|Shock absorber for power w/c|16.31
56-2029700|E1016|UE||Shock absorber for power w/c|97.75
56-2029700|E1016|UE|KE|Shock absorber for power w/c|0
56-2029700|E1016|UE|KU|Shock absorber for power w/c|122.16
56-2029700|E1017|NU||Hd shck absrbr for hd man wc|0
56-2029700|E1017|RR||Hd shck absrbr for hd man wc|0
56-2029700|E1017|UE||Hd shck absrbr for hd man wc|0
56-2029700|E1018|NU||Hd shck absrber for hd powwc|0
56-2029700|E1018|RR||Hd shck absrber for hd powwc|0
56-2029700|E1018|UE||Hd shck absrber for hd powwc|0
56-2029700|E1020|RR||Residual limb support system|21.89
56-2029700|E1020|RR|KE|Residual limb support system|0
56-2029700|E1020|RR|KU|Residual limb support system|30.18
56-2029700|E1028|RR||W/c manual swingaway|16.78
56-2029700|E1028|RR|KE|W/c manual swingaway|0
56-2029700|E1028|RR|KU|W/c manual swingaway|25.61
56-2029700|E1029|RR||W/c vent tray fixed|45.76
56-2029700|E1029|RR|KE|W/c vent tray fixed|0
56-2029700|E1029|RR|KU|W/c vent tray fixed|45.83
56-2029700|E1030|RR||W/c vent tray gimbaled|142.93
56-2029700|E1030|RR|KE|W/c vent tray gimbaled|0
56-2029700|E1030|RR|KU|W/c vent tray gimbaled|144.55
56-2029700|E1031|RR||Rollabout chair with casters|51.39
56-2029700|E1035|RR||Patient transfer system <300|715.91
56-2029700|E1036|RR||Patient transfer system >300|1019.13
56-2029700|E1037|RR||Transport chair -  ped size|126.58
56-2029700|E1038|RR||Transport chair pt wt<=300lb|18.59
56-2029700|E1039|RR||Transport chair pt wt >300lb|39.5
56-2029700|E1050|RR||Whelchr fxd full length arms|124.59
56-2029700|E1060|RR||Wheelchair detachable arms|154.21
56-2029700|E1070|RR||Wheelchair detachable foot r|134
56-2029700|E1083|RR||Hemi-wheelchair fixed arms|96.33
56-2029700|E1084|RR||Hemi-wheelchair detachable a|141.19
56-2029700|E1087|RR||Wheelchair lightwt fixed arm|154.8
56-2029700|E1088|RR||Wheelchair lightweight det a|198.15
56-2029700|E1092|RR||Wheelchair wide w/ leg rests|184.96
56-2029700|E1093|RR||Wheelchair wide w/ foot rest|135.2
56-2029700|E1100|RR||Whchr s-recl fxd arm leg res|126.98
56-2029700|E1110|RR||Wheelchair semi-recl detach|124.35
56-2029700|E1150|RR||Wheelchair standard w/ leg r|107.7
56-2029700|E1160|RR||Wheelchair fixed arms|76.46
56-2029700|E1161|RR||Manual adult wc w tiltinspac|340.53
56-2029700|E1170|RR||Whlchr ampu fxd arm leg rest|109.26
56-2029700|E1171|RR||Wheelchair amputee w/o leg r|102.04
56-2029700|E1172|RR||Wheelchair amputee detach ar|141
56-2029700|E1180|RR||Wheelchair amputee w/ foot r|123.96
56-2029700|E1190|RR||Wheelchair amputee w/ leg re|143.23
56-2029700|E1195|RR||Wheelchair amputee heavy dut|153.68
56-2029700|E1200|RR||Wheelchair amputee fixed arm|106.44
56-2029700|E1221|RR||Wheelchair spec size w foot|68.39
56-2029700|E1222|RR||Wheelchair spec size w/ leg|96.71
56-2029700|E1223|RR||Wheelchair spec size w foot|106.53
56-2029700|E1224|RR||Wheelchair spec size w/ leg|116.79
56-2029700|E1225|RR||Manual semi-reclining back|45.7
56-2029700|E1226|NU||Manual fully reclining back|482.23
56-2029700|E1226|RR||Manual fully reclining back|48.23
56-2029700|E1226|UE||Manual fully reclining back|361.66
56-2029700|E1227|NU||Wheelchair spec sz spec ht a|399.39
56-2029700|E1227|RR||Wheelchair spec sz spec ht a|39.95
56-2029700|E1227|UE||Wheelchair spec sz spec ht a|299.58
56-2029700|E1228|RR||Wheelchair spec sz spec ht b|34.29
56-2029700|E1230|NU||Power operated vehicle|3255.24
56-2029700|E1230|RR||Power operated vehicle|320.15
56-2029700|E1230|UE||Power operated vehicle|2465.1
56-2029700|E1231|NU||Rigid ped w/c tilt-in-space|0
56-2029700|E1231|RR||Rigid ped w/c tilt-in-space|0
56-2029700|E1231|UE||Rigid ped w/c tilt-in-space|0
56-2029700|E1232|RR||Folding ped wc tilt-in-space|307.79
56-2029700|E1233|RR||Rig ped wc tltnspc w/o seat|318.89
56-2029700|E1234|RR||Fld ped wc tltnspc w/o seat|277.63
56-2029700|E1235|RR||Rigid ped wc adjustable|267.35
56-2029700|E1236|RR||Folding ped wc adjustable|235.85
56-2029700|E1237|RR||Rgd ped wc adjstabl w/o seat|237.91
56-2029700|E1238|RR||Fld ped wc adjstabl w/o seat|235.85
56-2029700|E1240|RR||Whchr litwt det arm leg rest|148.28
56-2029700|E1270|RR||Wheelchair lightweight leg r|113.61
56-2029700|E1280|RR||Whchr h-duty det arm leg res|164.54
56-2029700|E1295|RR||Wheelchair heavy duty fixed|174.81
56-2029700|E1296|NU||Wheelchair special seat heig|707.6
56-2029700|E1296|RR||Wheelchair special seat heig|71.89
56-2029700|E1296|UE||Wheelchair special seat heig|530.71
56-2029700|E1297|NU||Wheelchair special seat dept|150.56
56-2029700|E1297|RR||Wheelchair special seat dept|16.73
56-2029700|E1297|UE||Wheelchair special seat dept|112.9
56-2029700|E1298|NU||Wheelchair spec seat depth/w|609.75
56-2029700|E1298|RR||Wheelchair spec seat depth/w|62.39
56-2029700|E1298|UE||Wheelchair spec seat depth/w|457.3
56-2029700|E1310|NU||Whirlpool non-portable|3090.6
56-2029700|E1310|RR||Whirlpool non-portable|264.33
56-2029700|E1310|UE||Whirlpool non-portable|2317.95
56-2029700|E1353|||Oxygen supplies regulator|40.76
56-2029700|E1355|||Oxygen supplies stand/rack|30.71
56-2029700|E1372|NU||Oxy suppl heater for nebuliz|159.15
56-2029700|E1372|RR||Oxy suppl heater for nebuliz|15.91
56-2029700|E1372|UE||Oxy suppl heater for nebuliz|119.36
56-2029700|E1390|RR||Oxygen concentrator|91.53
56-2029700|E1390|RR|QB|Oxygen concentrator|91.53
56-2029700|E1390|RR|QF|Oxygen concentrator|91.53
56-2029700|E1391|RR||Oxygen concentrator -  dual|91.53
56-2029700|E1391|RR|QB|Oxygen concentrator -  dual|91.53
56-2029700|E1391|RR|QF|Oxygen concentrator -  dual|91.53
56-2029700|E1392|RR||Portable oxygen concentrator|43.79
56-2029700|E1392|RR|QB|Portable oxygen concentrator|45.76
56-2029700|E1392|RR|QF|Portable oxygen concentrator|45.76
56-2029700|E1405|RR||O2/water vapor enrich w/heat|127.84
56-2029700|E1406|RR||O2/water vapor enrich w/o he|98.7
56-2029700|E1700|RR||Jaw motion rehab system|49.64
56-2029700|E1701|||Repl cushions for jaw motion|14.5
56-2029700|E1702|||Repl measr scales jaw motion|29.11
56-2029700|E1800|RR||Adjust elbow ext/flex device|149.86
56-2029700|E1801|RR||Sps elbow device|180.11
56-2029700|E1802|RR||Adjst forearm pro/sup device|470.35
56-2029700|E1805|RR||Adjust wrist ext/flex device|154.58
56-2029700|E1806|RR||Sps wrist device|147.85
56-2029700|E1810|RR||Adjust knee ext/flex device|152.41
56-2029700|E1811|RR||Sps knee device|187.26
56-2029700|E1812|RR||Knee ext/flex w act res ctrl|123.76
56-2029700|E1815|RR||Adjust ankle ext/flex device|154.58
56-2029700|E1816|RR||Sps ankle device|190.18
56-2029700|E1818|RR||Sps forearm device|194.13
56-2029700|E1820|NU||Soft interface material|117.65
56-2029700|E1820|RR||Soft interface material|11.75
56-2029700|E1820|UE||Soft interface material|88.25
56-2029700|E1821|NU||Replacement interface spsd|151.46
56-2029700|E1821|RR||Replacement interface spsd|15.11
56-2029700|E1821|UE||Replacement interface spsd|113.64
56-2029700|E1825|RR||Adjust finger ext/flex devc|154.58
56-2029700|E1830|RR||Adjust toe ext/flex device|154.58
56-2029700|E1831|RR||Static str toe dev ext/flex|95.1
56-2029700|E1840|RR||Adj shoulder ext/flex device|532.59
56-2029700|E1841|RR||Static str shldr dev rom adj|651.96
56-2029700|E2000|RR||Gastric suction pump hme mdl|72.34
56-2029700|E2100|NU||Bld glucose monitor w voice|786.84
56-2029700|E2100|RR||Bld glucose monitor w voice|78.7
56-2029700|E2100|UE||Bld glucose monitor w voice|590.14
56-2029700|E2101|NU||Bld glucose monitor w lance|271.38
56-2029700|E2101|RR||Bld glucose monitor w lance|27.14
56-2029700|E2101|UE||Bld glucose monitor w lance|203.53
56-2029700|E2120|RR||Pulse gen sys tx endolymp fl|408.05
56-2029700|E2201|NU||"Man w/ch acc seat w>=20""<24"""|383.71
56-2029700|E2201|RR||"Man w/ch acc seat w>=20""<24"""|38.38
56-2029700|E2201|UE||"Man w/ch acc seat w>=20""<24"""|287.79
56-2029700|E2202|NU||Seat width 24-27 in|539.3
56-2029700|E2202|RR||Seat width 24-27 in|53.94
56-2029700|E2202|UE||Seat width 24-27 in|404.48
56-2029700|E2203|NU||Frame depth less than 22 in|520.94
56-2029700|E2203|RR||Frame depth less than 22 in|52.1
56-2029700|E2203|UE||Frame depth less than 22 in|390.7
56-2029700|E2204|NU||Frame depth 22 to 25 in|899.35
56-2029700|E2204|RR||Frame depth 22 to 25 in|89.94
56-2029700|E2204|UE||Frame depth 22 to 25 in|674.51
56-2029700|E2205|NU||Manual wc accessory -  handrim|41.76
56-2029700|E2205|RR||Manual wc accessory -  handrim|4.18
56-2029700|E2205|UE||Manual wc accessory -  handrim|31.33
56-2029700|E2206|NU||Man wc whl lock comp repl ea|45.79
56-2029700|E2206|RR||Man wc whl lock comp repl ea|4.58
56-2029700|E2206|UE||Man wc whl lock comp repl ea|34.34
56-2029700|E2207|NU||Crutch and cane holder|52.91
56-2029700|E2207|NU|KU|Crutch and cane holder|62.39
56-2029700|E2207|RR||Crutch and cane holder|5.29
56-2029700|E2207|RR|KU|Crutch and cane holder|6.25
56-2029700|E2207|UE||Crutch and cane holder|39.69
56-2029700|E2207|UE|KU|Crutch and cane holder|46.8
56-2029700|E2208|NU||Cylinder tank carrier|96.56
56-2029700|E2208|NU|KE|Cylinder tank carrier|0
56-2029700|E2208|NU|KU|Cylinder tank carrier|147.35
56-2029700|E2208|RR||Cylinder tank carrier|9.66
56-2029700|E2208|RR|KE|Cylinder tank carrier|0
56-2029700|E2208|RR|KU|Cylinder tank carrier|14.73
56-2029700|E2208|UE||Cylinder tank carrier|72.43
56-2029700|E2208|UE|KE|Cylinder tank carrier|0
56-2029700|E2208|UE|KU|Cylinder tank carrier|110.51
56-2029700|E2209|NU||Arm trough each|98.35
56-2029700|E2209|NU|KE|Arm trough each|0
56-2029700|E2209|NU|KU|Arm trough each|132.93
56-2029700|E2209|RR||Arm trough each|9.84
56-2029700|E2209|RR|KE|Arm trough each|0
56-2029700|E2209|RR|KU|Arm trough each|13.31
56-2029700|E2209|UE||Arm trough each|73.76
56-2029700|E2209|UE|KE|Arm trough each|0
56-2029700|E2209|UE|KU|Arm trough each|99.71
56-2029700|E2210|NU||Wheelchair bearings|6.31
56-2029700|E2210|NU|KE|Wheelchair bearings|0
56-2029700|E2210|NU|KU|Wheelchair bearings|8.11
56-2029700|E2210|RR||Wheelchair bearings|0.64
56-2029700|E2210|RR|KE|Wheelchair bearings|0
56-2029700|E2210|RR|KU|Wheelchair bearings|0.81
56-2029700|E2210|UE||Wheelchair bearings|4.74
56-2029700|E2210|UE|KE|Wheelchair bearings|0
56-2029700|E2210|UE|KU|Wheelchair bearings|6.11
56-2029700|E2211|NU||Pneumatic propulsion tire|41.08
56-2029700|E2211|RR||Pneumatic propulsion tire|4.11
56-2029700|E2211|UE||Pneumatic propulsion tire|30.81
56-2029700|E2212|NU||Pneumatic prop tire tube|7.33
56-2029700|E2212|RR||Pneumatic prop tire tube|0.74
56-2029700|E2212|UE||Pneumatic prop tire tube|5.5
56-2029700|E2213|NU||Pneumatic prop tire insert|34.91
56-2029700|E2213|RR||Pneumatic prop tire insert|3.49
56-2029700|E2213|UE||Pneumatic prop tire insert|26.19
56-2029700|E2214|NU||Pneumatic caster tire each|37.18
56-2029700|E2214|RR||Pneumatic caster tire each|3.73
56-2029700|E2214|UE||Pneumatic caster tire each|27.89
56-2029700|E2215|NU||Pneumatic caster tire tube|12.05
56-2029700|E2215|RR||Pneumatic caster tire tube|1.2
56-2029700|E2215|UE||Pneumatic caster tire tube|9.04
56-2029700|E2216|NU||Foam filled propulsion tire|53.76
56-2029700|E2216|RR||Foam filled propulsion tire|5.39
56-2029700|E2216|UE||Foam filled propulsion tire|40.31
56-2029700|E2217|NU||Foam filled caster tire each|47.58
56-2029700|E2217|RR||Foam filled caster tire each|4.76
56-2029700|E2217|UE||Foam filled caster tire each|35.68
56-2029700|E2218|NU||Foam propulsion tire each|53.76
56-2029700|E2218|RR||Foam propulsion tire each|5.39
56-2029700|E2218|UE||Foam propulsion tire each|40.31
56-2029700|E2219|NU||Foam caster tire any size ea|47.58
56-2029700|E2219|RR||Foam caster tire any size ea|4.76
56-2029700|E2219|UE||Foam caster tire any size ea|35.68
56-2029700|E2220|NU||Solid propuls tire -  repl -  ea|35.35
56-2029700|E2220|RR||Solid propuls tire -  repl -  ea|3.54
56-2029700|E2220|UE||Solid propuls tire -  repl -  ea|26.51
56-2029700|E2221|NU||Solid caster tire repl -  each|31.4
56-2029700|E2221|RR||Solid caster tire repl -  each|3.14
56-2029700|E2221|UE||Solid caster tire repl -  each|23.55
56-2029700|E2222|NU||Solid caster integ whl -  repl|26.56
56-2029700|E2222|RR||Solid caster integ whl -  repl|2.66
56-2029700|E2222|UE||Solid caster integ whl -  repl|19.93
56-2029700|E2224|NU||Propulsion whl excl tire rep|112.64
56-2029700|E2224|RR||Propulsion whl excl tire rep|11.26
56-2029700|E2224|UE||Propulsion whl excl tire rep|84.49
56-2029700|E2225|NU||Caster wheel excludes tire|21.79
56-2029700|E2225|RR||Caster wheel excludes tire|2.18
56-2029700|E2225|UE||Caster wheel excludes tire|16.35
56-2029700|E2226|NU||Caster fork replacement only|46.4
56-2029700|E2226|RR||Caster fork replacement only|4.64
56-2029700|E2226|UE||Caster fork replacement only|34.8
56-2029700|E2227|RR||Gear reduction drive wheel|269.25
56-2029700|E2228|RR||Mwc acc -  wheelchair brake|112.41
56-2029700|E2231|NU||Solid seat support base|170.23
56-2029700|E2231|RR||Solid seat support base|17.03
56-2029700|E2231|UE||Solid seat support base|127.68
56-2029700|E2310|RR||Electro connect btw control|132.46
56-2029700|E2310|RR|KE|Electro connect btw control|0
56-2029700|E2310|RR|KU|Electro connect btw control|145.14
56-2029700|E2311|RR||Electro connect btw 2 sys|267.3
56-2029700|E2311|RR|KE|Electro connect btw 2 sys|0
56-2029700|E2311|RR|KU|Electro connect btw 2 sys|293.9
56-2029700|E2312|RR||Mini-prop remote joystick|290.24
56-2029700|E2312|RR|KC|Mini-prop remote joystick|370.16
56-2029700|E2313|RR||Pwc harness -  expand control|46.13
56-2029700|E2321|RR||Hand interface joystick|179.99
56-2029700|E2321|RR|KC|Hand interface joystick|293.16
56-2029700|E2321|RR|KE|Hand interface joystick|0
56-2029700|E2321|RR|KU|Hand interface joystick|321.13
56-2029700|E2322|RR||Mult mech switches|170.04
56-2029700|E2322|RR|KC|Mult mech switches|330.53
56-2029700|E2322|RR|KE|Mult mech switches|0
56-2029700|E2322|RR|KU|Mult mech switches|340.04
56-2029700|E2323|NU||Special joystick handle|82.89
56-2029700|E2323|NU|KE|Special joystick handle|0
56-2029700|E2323|NU|KU|Special joystick handle|85.8
56-2029700|E2323|RR||Special joystick handle|8.29
56-2029700|E2323|RR|KE|Special joystick handle|0
56-2029700|E2323|RR|KU|Special joystick handle|8.56
56-2029700|E2323|UE||Special joystick handle|62.16
56-2029700|E2323|UE|KE|Special joystick handle|0
56-2029700|E2323|UE|KU|Special joystick handle|64.34
56-2029700|E2324|NU||Chin cup interface|54.35
56-2029700|E2324|NU|KE|Chin cup interface|0
56-2029700|E2324|NU|KU|Chin cup interface|54.35
56-2029700|E2324|RR||Chin cup interface|5.41
56-2029700|E2324|RR|KE|Chin cup interface|0
56-2029700|E2324|RR|KU|Chin cup interface|5.41
56-2029700|E2324|UE||Chin cup interface|40.76
56-2029700|E2324|UE|KE|Chin cup interface|0
56-2029700|E2324|UE|KU|Chin cup interface|40.76
56-2029700|E2325|RR||Sip and puff interface|162.53
56-2029700|E2325|RR|KE|Sip and puff interface|0
56-2029700|E2325|RR|KU|Sip and puff interface|167.09
56-2029700|E2326|RR||Breath tube kit|42.63
56-2029700|E2326|RR|KE|Breath tube kit|0
56-2029700|E2326|RR|KU|Breath tube kit|43.08
56-2029700|E2327|RR||Head control interface mech|317.9
56-2029700|E2327|RR|KC|Head control interface mech|482.99
56-2029700|E2327|RR|KE|Head control interface mech|0
56-2029700|E2327|RR|KU|Head control interface mech|492.33
56-2029700|E2328|RR||Head/extremity control inter|600.03
56-2029700|E2328|RR|KE|Head/extremity control inter|0
56-2029700|E2328|RR|KU|Head/extremity control inter|614.69
56-2029700|E2329|RR||Head control nonproportional|216.69
56-2029700|E2329|RR|KE|Head control nonproportional|0
56-2029700|E2329|RR|KU|Head control nonproportional|219.08
56-2029700|E2330|RR||Head control proximity switc|416.03
56-2029700|E2330|RR|KE|Head control proximity switc|0
56-2029700|E2330|RR|KU|Head control proximity switc|424.48
56-2029700|E2340|NU||W/c wdth 20-23 in seat frame|515.76
56-2029700|E2340|RR||W/c wdth 20-23 in seat frame|51.6
56-2029700|E2340|UE||W/c wdth 20-23 in seat frame|386.86
56-2029700|E2341|NU||W/c wdth 24-27 in seat frame|773.7
56-2029700|E2341|RR||W/c wdth 24-27 in seat frame|77.36
56-2029700|E2341|UE||W/c wdth 24-27 in seat frame|580.29
56-2029700|E2342|NU||W/c dpth 20-21 in seat frame|644.76
56-2029700|E2342|RR||W/c dpth 20-21 in seat frame|64.48
56-2029700|E2342|UE||W/c dpth 20-21 in seat frame|483.58
56-2029700|E2343|NU||W/c dpth 22-25 in seat frame|1031.63
56-2029700|E2343|RR||W/c dpth 22-25 in seat frame|103.15
56-2029700|E2343|UE||W/c dpth 22-25 in seat frame|773.7
56-2029700|E2351|NU||Electronic sgd interface|861.81
56-2029700|E2351|NU|KE|Electronic sgd interface|0
56-2029700|E2351|NU|KU|Electronic sgd interface|866.64
56-2029700|E2351|RR||Electronic sgd interface|86.18
56-2029700|E2351|RR|KE|Electronic sgd interface|0
56-2029700|E2351|RR|KU|Electronic sgd interface|86.7
56-2029700|E2351|UE||Electronic sgd interface|646.38
56-2029700|E2351|UE|KE|Electronic sgd interface|0
56-2029700|E2351|UE|KU|Electronic sgd interface|649.95
56-2029700|E2359|NU||Gr34 sealed leadacid battery|199.78
56-2029700|E2359|NU|KU|Gr34 sealed leadacid battery|250.64
56-2029700|E2359|RR||Gr34 sealed leadacid battery|19.98
56-2029700|E2359|RR|KU|Gr34 sealed leadacid battery|25.06
56-2029700|E2359|UE||Gr34 sealed leadacid battery|149.84
56-2029700|E2359|UE|KU|Gr34 sealed leadacid battery|187.95
56-2029700|E2360|NU||22nf nonsealed leadacid|136.23
56-2029700|E2360|NU|KU|22nf nonsealed leadacid|137.45
56-2029700|E2360|RR||22nf nonsealed leadacid|13.63
56-2029700|E2360|RR|KU|22nf nonsealed leadacid|13.81
56-2029700|E2360|UE||22nf nonsealed leadacid|102.18
56-2029700|E2360|UE|KU|22nf nonsealed leadacid|103.06
56-2029700|E2361|NU||22nf sealed leadacid battery|136.1
56-2029700|E2361|NU|KE|22nf sealed leadacid battery|0
56-2029700|E2361|NU|KU|22nf sealed leadacid battery|173
56-2029700|E2361|RR||22nf sealed leadacid battery|13.61
56-2029700|E2361|RR|KE|22nf sealed leadacid battery|0
56-2029700|E2361|RR|KU|22nf sealed leadacid battery|17.3
56-2029700|E2361|UE||22nf sealed leadacid battery|102.08
56-2029700|E2361|UE|KE|22nf sealed leadacid battery|0
56-2029700|E2361|UE|KU|22nf sealed leadacid battery|129.78
56-2029700|E2362|NU||Gr24 nonsealed leadacid|124.68
56-2029700|E2362|NU|KU|Gr24 nonsealed leadacid|132.39
56-2029700|E2362|RR||Gr24 nonsealed leadacid|12.46
56-2029700|E2362|RR|KU|Gr24 nonsealed leadacid|13.24
56-2029700|E2362|UE||Gr24 nonsealed leadacid|93.51
56-2029700|E2362|UE|KU|Gr24 nonsealed leadacid|99.28
56-2029700|E2363|NU||Gr24 sealed leadacid battery|175.98
56-2029700|E2363|NU|KE|Gr24 sealed leadacid battery|0
56-2029700|E2363|NU|KU|Gr24 sealed leadacid battery|230.74
56-2029700|E2363|RR||Gr24 sealed leadacid battery|17.6
56-2029700|E2363|RR|KE|Gr24 sealed leadacid battery|0
56-2029700|E2363|RR|KU|Gr24 sealed leadacid battery|23.06
56-2029700|E2363|UE||Gr24 sealed leadacid battery|131.99
56-2029700|E2363|UE|KE|Gr24 sealed leadacid battery|0
56-2029700|E2363|UE|KU|Gr24 sealed leadacid battery|173.04
56-2029700|E2364|NU||U1nonsealed leadacid battery|131.49
56-2029700|E2364|NU|KU|U1nonsealed leadacid battery|137.45
56-2029700|E2364|RR||U1nonsealed leadacid battery|13.15
56-2029700|E2364|RR|KU|U1nonsealed leadacid battery|13.81
56-2029700|E2364|UE||U1nonsealed leadacid battery|98.63
56-2029700|E2364|UE|KU|U1nonsealed leadacid battery|103.06
56-2029700|E2365|NU||U1 sealed leadacid battery|93.16
56-2029700|E2365|NU|KE|U1 sealed leadacid battery|0
56-2029700|E2365|NU|KU|U1 sealed leadacid battery|139.14
56-2029700|E2365|RR||U1 sealed leadacid battery|9.31
56-2029700|E2365|RR|KE|U1 sealed leadacid battery|0
56-2029700|E2365|RR|KU|U1 sealed leadacid battery|13.9
56-2029700|E2365|UE||U1 sealed leadacid battery|69.88
56-2029700|E2365|UE|KE|U1 sealed leadacid battery|0
56-2029700|E2365|UE|KU|U1 sealed leadacid battery|104.4
56-2029700|E2366|NU||Battery charger -  single mode|198.9
56-2029700|E2366|NU|KE|Battery charger -  single mode|0
56-2029700|E2366|NU|KU|Battery charger -  single mode|277.96
56-2029700|E2366|RR||Battery charger -  single mode|19.89
56-2029700|E2366|RR|KE|Battery charger -  single mode|0
56-2029700|E2366|RR|KU|Battery charger -  single mode|27.88
56-2029700|E2366|UE||Battery charger -  single mode|149.18
56-2029700|E2366|UE|KE|Battery charger -  single mode|0
56-2029700|E2366|UE|KU|Battery charger -  single mode|208.49
56-2029700|E2367|NU||Battery charger -  dual mode|421.14
56-2029700|E2367|NU|KE|Battery charger -  dual mode|0
56-2029700|E2367|NU|KU|Battery charger -  dual mode|519.85
56-2029700|E2367|RR||Battery charger -  dual mode|42.11
56-2029700|E2367|RR|KE|Battery charger -  dual mode|0
56-2029700|E2367|RR|KU|Battery charger -  dual mode|51.98
56-2029700|E2367|UE||Battery charger -  dual mode|315.85
56-2029700|E2367|UE|KE|Battery charger -  dual mode|0
56-2029700|E2367|UE|KU|Battery charger -  dual mode|389.9
56-2029700|E2368|RR||Pwr wc drivewheel motor repl|48.81
56-2029700|E2368|RR|KE|Pwr wc drivewheel motor repl|0
56-2029700|E2368|RR|KU|Pwr wc drivewheel motor repl|64.08
56-2029700|E2369|RR||Pwr wc drivewheel gear repl|45.6
56-2029700|E2369|RR|KE|Pwr wc drivewheel gear repl|0
56-2029700|E2369|RR|KU|Pwr wc drivewheel gear repl|55.84
56-2029700|E2370|RR||Pwr wc dr wh motor/gear comb|64.71
56-2029700|E2370|RR|KE|Pwr wc dr wh motor/gear comb|0
56-2029700|E2370|RR|KU|Pwr wc dr wh motor/gear comb|99.6
56-2029700|E2371|NU||Gr27 sealed leadacid battery|165.26
56-2029700|E2371|NU|KE|Gr27 sealed leadacid battery|0
56-2029700|E2371|NU|KU|Gr27 sealed leadacid battery|186.99
56-2029700|E2371|RR||Gr27 sealed leadacid battery|16.53
56-2029700|E2371|RR|KE|Gr27 sealed leadacid battery|0
56-2029700|E2371|RR|KU|Gr27 sealed leadacid battery|18.71
56-2029700|E2371|UE||Gr27 sealed leadacid battery|123.95
56-2029700|E2371|UE|KE|Gr27 sealed leadacid battery|0
56-2029700|E2371|UE|KU|Gr27 sealed leadacid battery|140.25
56-2029700|E2372|NU||Gr27 non-sealed leadacid|0
56-2029700|E2372|RR||Gr27 non-sealed leadacid|0
56-2029700|E2372|UE||Gr27 non-sealed leadacid|0
56-2029700|E2373|RR||Hand/chin ctrl spec joystick|96.5
56-2029700|E2373|RR|KC|Hand/chin ctrl spec joystick|148.91
56-2029700|E2373|RR|KE|Hand/chin ctrl spec joystick|0
56-2029700|E2373|RR|KU|Hand/chin ctrl spec joystick|156.1
56-2029700|E2374|RR||Hand/chin ctrl std joystick|61.04
56-2029700|E2374|RR|KE|Hand/chin ctrl std joystick|0
56-2029700|E2374|RR|KU|Hand/chin ctrl std joystick|66.26
56-2029700|E2375|RR||Non-expandable controller|82.05
56-2029700|E2375|RR|KE|Non-expandable controller|0
56-2029700|E2375|RR|KU|Non-expandable controller|106.23
56-2029700|E2376|RR||Expandable controller -  repl|151.64
56-2029700|E2376|RR|KE|Expandable controller -  repl|0
56-2029700|E2376|RR|KU|Expandable controller -  repl|166.53
56-2029700|E2377|RR||Expandable controller -  initl|56.18
56-2029700|E2377|RR|KE|Expandable controller -  initl|0
56-2029700|E2377|RR|KU|Expandable controller -  initl|60.23
56-2029700|E2378|RR||Pw actuator replacement|68.48
56-2029700|E2378|RR|KU|Pw actuator replacement|73.65
56-2029700|E2381|NU||Pneum drive wheel tire|71.8
56-2029700|E2381|NU|KE|Pneum drive wheel tire|0
56-2029700|E2381|NU|KU|Pneum drive wheel tire|94.49
56-2029700|E2381|RR||Pneum drive wheel tire|7.18
56-2029700|E2381|RR|KE|Pneum drive wheel tire|0
56-2029700|E2381|RR|KU|Pneum drive wheel tire|9.48
56-2029700|E2381|UE||Pneum drive wheel tire|53.85
56-2029700|E2381|UE|KE|Pneum drive wheel tire|0
56-2029700|E2381|UE|KU|Pneum drive wheel tire|70.86
56-2029700|E2382|NU||Tube -  pneum wheel drive tire|22.25
56-2029700|E2382|NU|KE|Tube -  pneum wheel drive tire|0
56-2029700|E2382|NU|KU|Tube -  pneum wheel drive tire|25.75
56-2029700|E2382|RR||Tube -  pneum wheel drive tire|2.23
56-2029700|E2382|RR|KE|Tube -  pneum wheel drive tire|0
56-2029700|E2382|RR|KU|Tube -  pneum wheel drive tire|2.56
56-2029700|E2382|UE||Tube -  pneum wheel drive tire|16.69
56-2029700|E2382|UE|KE|Tube -  pneum wheel drive tire|0
56-2029700|E2382|UE|KU|Tube -  pneum wheel drive tire|19.33
56-2029700|E2383|NU||Insert -  pneum wheel drive|146.49
56-2029700|E2383|NU|KE|Insert -  pneum wheel drive|0
56-2029700|E2383|NU|KU|Insert -  pneum wheel drive|188.4
56-2029700|E2383|RR||Insert -  pneum wheel drive|14.65
56-2029700|E2383|RR|KE|Insert -  pneum wheel drive|0
56-2029700|E2383|RR|KU|Insert -  pneum wheel drive|18.84
56-2029700|E2383|UE||Insert -  pneum wheel drive|109.86
56-2029700|E2383|UE|KE|Insert -  pneum wheel drive|0
56-2029700|E2383|UE|KU|Insert -  pneum wheel drive|141.29
56-2029700|E2384|NU||Pneumatic caster tire|74.14
56-2029700|E2384|NU|KE|Pneumatic caster tire|0
56-2029700|E2384|NU|KU|Pneumatic caster tire|100.38
56-2029700|E2384|RR||Pneumatic caster tire|7.41
56-2029700|E2384|RR|KE|Pneumatic caster tire|0
56-2029700|E2384|RR|KU|Pneumatic caster tire|10.06
56-2029700|E2384|UE||Pneumatic caster tire|55.6
56-2029700|E2384|UE|KE|Pneumatic caster tire|0
56-2029700|E2384|UE|KU|Pneumatic caster tire|75.29
56-2029700|E2385|NU||Tube -  pneumatic caster tire|53.39
56-2029700|E2385|NU|KE|Tube -  pneumatic caster tire|0
56-2029700|E2385|NU|KU|Tube -  pneumatic caster tire|61.4
56-2029700|E2385|RR||Tube -  pneumatic caster tire|5.34
56-2029700|E2385|RR|KE|Tube -  pneumatic caster tire|0
56-2029700|E2385|RR|KU|Tube -  pneumatic caster tire|6.16
56-2029700|E2385|UE||Tube -  pneumatic caster tire|40.05
56-2029700|E2385|UE|KE|Tube -  pneumatic caster tire|0
56-2029700|E2385|UE|KU|Tube -  pneumatic caster tire|46.04
56-2029700|E2386|NU||Foam filled drive wheel tire|128.98
56-2029700|E2386|NU|KE|Foam filled drive wheel tire|0
56-2029700|E2386|NU|KU|Foam filled drive wheel tire|186.69
56-2029700|E2386|RR||Foam filled drive wheel tire|12.9
56-2029700|E2386|RR|KE|Foam filled drive wheel tire|0
56-2029700|E2386|RR|KU|Foam filled drive wheel tire|18.68
56-2029700|E2386|UE||Foam filled drive wheel tire|96.74
56-2029700|E2386|UE|KE|Foam filled drive wheel tire|0
56-2029700|E2386|UE|KU|Foam filled drive wheel tire|140.03
56-2029700|E2387|NU||Foam filled caster tire|60.2
56-2029700|E2387|NU|KE|Foam filled caster tire|0
56-2029700|E2387|NU|KU|Foam filled caster tire|83.71
56-2029700|E2387|RR||Foam filled caster tire|6.03
56-2029700|E2387|RR|KE|Foam filled caster tire|0
56-2029700|E2387|RR|KU|Foam filled caster tire|8.38
56-2029700|E2387|UE||Foam filled caster tire|45.15
56-2029700|E2387|UE|KE|Foam filled caster tire|0
56-2029700|E2387|UE|KU|Foam filled caster tire|62.84
56-2029700|E2388|NU||Foam drive wheel tire|58.1
56-2029700|E2388|NU|KE|Foam drive wheel tire|0
56-2029700|E2388|NU|KU|Foam drive wheel tire|62.49
56-2029700|E2388|RR||Foam drive wheel tire|5.81
56-2029700|E2388|RR|KE|Foam drive wheel tire|0
56-2029700|E2388|RR|KU|Foam drive wheel tire|6.25
56-2029700|E2388|UE||Foam drive wheel tire|43.58
56-2029700|E2388|UE|KE|Foam drive wheel tire|0
56-2029700|E2388|UE|KU|Foam drive wheel tire|46.89
56-2029700|E2389|NU||Foam caster tire|32.48
56-2029700|E2389|NU|KE|Foam caster tire|0
56-2029700|E2389|NU|KU|Foam caster tire|33.95
56-2029700|E2389|RR||Foam caster tire|3.25
56-2029700|E2389|RR|KE|Foam caster tire|0
56-2029700|E2389|RR|KU|Foam caster tire|3.41
56-2029700|E2389|UE||Foam caster tire|24.36
56-2029700|E2389|UE|KE|Foam caster tire|0
56-2029700|E2389|UE|KU|Foam caster tire|25.44
56-2029700|E2390|NU||Solid drive wheel tire|50.28
56-2029700|E2390|NU|KE|Solid drive wheel tire|0
56-2029700|E2390|NU|KU|Solid drive wheel tire|53.08
56-2029700|E2390|RR||Solid drive wheel tire|5.03
56-2029700|E2390|RR|KE|Solid drive wheel tire|0
56-2029700|E2390|RR|KU|Solid drive wheel tire|5.31
56-2029700|E2390|UE||Solid drive wheel tire|37.71
56-2029700|E2390|UE|KE|Solid drive wheel tire|0
56-2029700|E2390|UE|KU|Solid drive wheel tire|39.79
56-2029700|E2391|NU||Solid caster tire|20.71
56-2029700|E2391|NU|KE|Solid caster tire|0
56-2029700|E2391|NU|KU|Solid caster tire|25.43
56-2029700|E2391|RR||Solid caster tire|2.08
56-2029700|E2391|RR|KE|Solid caster tire|0
56-2029700|E2391|RR|KU|Solid caster tire|2.55
56-2029700|E2391|UE||Solid caster tire|15.54
56-2029700|E2391|UE|KE|Solid caster tire|0
56-2029700|E2391|UE|KU|Solid caster tire|19.06
56-2029700|E2392|NU||Solid caster tire -  integrate|50
56-2029700|E2392|NU|KE|Solid caster tire -  integrate|0
56-2029700|E2392|NU|KU|Solid caster tire -  integrate|66.83
56-2029700|E2392|RR||Solid caster tire -  integrate|5
56-2029700|E2392|RR|KE|Solid caster tire -  integrate|0
56-2029700|E2392|RR|KU|Solid caster tire -  integrate|6.73
56-2029700|E2392|UE||Solid caster tire -  integrate|37.5
56-2029700|E2392|UE|KE|Solid caster tire -  integrate|0
56-2029700|E2392|UE|KU|Solid caster tire -  integrate|50.14
56-2029700|E2394|NU||Drive wheel excludes tire|69.35
56-2029700|E2394|NU|KE|Drive wheel excludes tire|0
56-2029700|E2394|NU|KU|Drive wheel excludes tire|95.23
56-2029700|E2394|RR||Drive wheel excludes tire|6.94
56-2029700|E2394|RR|KE|Drive wheel excludes tire|0
56-2029700|E2394|RR|KU|Drive wheel excludes tire|9.54
56-2029700|E2394|UE||Drive wheel excludes tire|52.01
56-2029700|E2394|UE|KE|Drive wheel excludes tire|0
56-2029700|E2394|UE|KU|Drive wheel excludes tire|71.41
56-2029700|E2395|NU||Caster wheel excludes tire|52.18
56-2029700|E2395|NU|KE|Caster wheel excludes tire|0
56-2029700|E2395|NU|KU|Caster wheel excludes tire|67.66
56-2029700|E2395|RR||Caster wheel excludes tire|5.23
56-2029700|E2395|RR|KE|Caster wheel excludes tire|0
56-2029700|E2395|RR|KU|Caster wheel excludes tire|6.79
56-2029700|E2395|UE||Caster wheel excludes tire|39.14
56-2029700|E2395|UE|KE|Caster wheel excludes tire|0
56-2029700|E2395|UE|KU|Caster wheel excludes tire|50.75
56-2029700|E2396|NU||Caster fork|62.75
56-2029700|E2396|NU|KE|Caster fork|0
56-2029700|E2396|NU|KU|Caster fork|82.49
56-2029700|E2396|RR||Caster fork|6.28
56-2029700|E2396|RR|KE|Caster fork|0
56-2029700|E2396|RR|KU|Caster fork|8.75
56-2029700|E2396|UE||Caster fork|47.08
56-2029700|E2396|UE|KE|Caster fork|0
56-2029700|E2396|UE|KU|Caster fork|61.89
56-2029700|E2397|NU||Pwc acc -  lith-based battery|516.03
56-2029700|E2397|NU|KU|Pwc acc -  lith-based battery|596.03
56-2029700|E2397|RR||Pwc acc -  lith-based battery|51.6
56-2029700|E2397|RR|KU|Pwc acc -  lith-based battery|59.61
56-2029700|E2397|UE||Pwc acc -  lith-based battery|387.03
56-2029700|E2397|UE|KU|Pwc acc -  lith-based battery|446.99
56-2029700|E2402|RR||Neg press wound therapy pump|860.9
56-2029700|E2500|NU||Sgd digitized pre-rec <=8min|562.8
56-2029700|E2500|RR||Sgd digitized pre-rec <=8min|56.29
56-2029700|E2500|UE||Sgd digitized pre-rec <=8min|422.1
56-2029700|E2502|NU||Sgd prerec msg >8min <=20min|1721
56-2029700|E2502|RR||Sgd prerec msg >8min <=20min|172.11
56-2029700|E2502|UE||Sgd prerec msg >8min <=20min|1290.79
56-2029700|E2504|NU||Sgd prerec msg>20min <=40min|2270.25
56-2029700|E2504|RR||Sgd prerec msg>20min <=40min|227.05
56-2029700|E2504|UE||Sgd prerec msg>20min <=40min|1702.7
56-2029700|E2506|NU||Sgd prerec msg > 40 min|3328.86
56-2029700|E2506|RR||Sgd prerec msg > 40 min|332.86
56-2029700|E2506|UE||Sgd prerec msg > 40 min|2496.59
56-2029700|E2508|NU||Sgd spelling phys contact|5147.54
56-2029700|E2508|RR||Sgd spelling phys contact|514.75
56-2029700|E2508|UE||Sgd spelling phys contact|3860.66
56-2029700|E2510|NU||Sgd w multi methods msg/accs|9741.03
56-2029700|E2510|RR||Sgd w multi methods msg/accs|974.11
56-2029700|E2510|UE||Sgd w multi methods msg/accs|7305.75
56-2029700|E2511|NU||Sgd sftwre prgrm for pc/pda|0
56-2029700|E2511|RR||Sgd sftwre prgrm for pc/pda|0
56-2029700|E2511|UE||Sgd sftwre prgrm for pc/pda|0
56-2029700|E2512|NU||Sgd accessory -  mounting sys|0
56-2029700|E2512|RR||Sgd accessory -  mounting sys|0
56-2029700|E2512|UE||Sgd accessory -  mounting sys|0
56-2029700|E2601|NU||Gen w/c cushion wdth < 22 in|48.06
56-2029700|E2601|NU|KE|Gen w/c cushion wdth < 22 in|0
56-2029700|E2601|NU|KU|Gen w/c cushion wdth < 22 in|75.86
56-2029700|E2601|RR||Gen w/c cushion wdth < 22 in|4.81
56-2029700|E2601|RR|KE|Gen w/c cushion wdth < 22 in|0
56-2029700|E2601|RR|KU|Gen w/c cushion wdth < 22 in|7.61
56-2029700|E2601|UE||Gen w/c cushion wdth < 22 in|36.05
56-2029700|E2601|UE|KE|Gen w/c cushion wdth < 22 in|0
56-2029700|E2601|UE|KU|Gen w/c cushion wdth < 22 in|56.9
56-2029700|E2602|NU||Gen w/c cushion wdth >=22 in|103.25
56-2029700|E2602|NU|KE|Gen w/c cushion wdth >=22 in|0
56-2029700|E2602|NU|KU|Gen w/c cushion wdth >=22 in|148.1
56-2029700|E2602|RR||Gen w/c cushion wdth >=22 in|10.33
56-2029700|E2602|RR|KE|Gen w/c cushion wdth >=22 in|0
56-2029700|E2602|RR|KU|Gen w/c cushion wdth >=22 in|14.83
56-2029700|E2602|UE||Gen w/c cushion wdth >=22 in|77.44
56-2029700|E2602|UE|KE|Gen w/c cushion wdth >=22 in|0
56-2029700|E2602|UE|KU|Gen w/c cushion wdth >=22 in|111.1
56-2029700|E2603|NU||Skin protect wc cus wd <22in|128.61
56-2029700|E2603|NU|KE|Skin protect wc cus wd <22in|0
56-2029700|E2603|NU|KU|Skin protect wc cus wd <22in|188.03
56-2029700|E2603|RR||Skin protect wc cus wd <22in|12.86
56-2029700|E2603|RR|KE|Skin protect wc cus wd <22in|0
56-2029700|E2603|RR|KU|Skin protect wc cus wd <22in|18.81
56-2029700|E2603|UE||Skin protect wc cus wd <22in|96.46
56-2029700|E2603|UE|KE|Skin protect wc cus wd <22in|0
56-2029700|E2603|UE|KU|Skin protect wc cus wd <22in|141.04
56-2029700|E2604|NU||Skin protect wc cus wd>=22in|176.05
56-2029700|E2604|NU|KE|Skin protect wc cus wd>=22in|0
56-2029700|E2604|NU|KU|Skin protect wc cus wd>=22in|233.73
56-2029700|E2604|RR||Skin protect wc cus wd>=22in|17.6
56-2029700|E2604|RR|KE|Skin protect wc cus wd>=22in|0
56-2029700|E2604|RR|KU|Skin protect wc cus wd>=22in|23.38
56-2029700|E2604|UE||Skin protect wc cus wd>=22in|132.04
56-2029700|E2604|UE|KE|Skin protect wc cus wd>=22in|0
56-2029700|E2604|UE|KU|Skin protect wc cus wd>=22in|175.31
56-2029700|E2605|NU||Position wc cush wdth <22 in|250.71
56-2029700|E2605|NU|KE|Position wc cush wdth <22 in|0
56-2029700|E2605|NU|KU|Position wc cush wdth <22 in|333.91
56-2029700|E2605|RR||Position wc cush wdth <22 in|25.08
56-2029700|E2605|RR|KE|Position wc cush wdth <22 in|0
56-2029700|E2605|RR|KU|Position wc cush wdth <22 in|33.4
56-2029700|E2605|UE||Position wc cush wdth <22 in|188.04
56-2029700|E2605|UE|KE|Position wc cush wdth <22 in|0
56-2029700|E2605|UE|KU|Position wc cush wdth <22 in|250.48
56-2029700|E2606|NU||Position wc cush wdth>=22 in|402.95
56-2029700|E2606|NU|KE|Position wc cush wdth>=22 in|0
56-2029700|E2606|NU|KU|Position wc cush wdth>=22 in|520.91
56-2029700|E2606|RR||Position wc cush wdth>=22 in|40.3
56-2029700|E2606|RR|KE|Position wc cush wdth>=22 in|0
56-2029700|E2606|RR|KU|Position wc cush wdth>=22 in|52.1
56-2029700|E2606|UE||Position wc cush wdth>=22 in|302.21
56-2029700|E2606|UE|KE|Position wc cush wdth>=22 in|0
56-2029700|E2606|UE|KU|Position wc cush wdth>=22 in|390.65
56-2029700|E2607|NU||Skin pro/pos wc cus wd <22in|252.36
56-2029700|E2607|NU|KE|Skin pro/pos wc cus wd <22in|0
56-2029700|E2607|NU|KU|Skin pro/pos wc cus wd <22in|359.55
56-2029700|E2607|RR||Skin pro/pos wc cus wd <22in|25.24
56-2029700|E2607|RR|KE|Skin pro/pos wc cus wd <22in|0
56-2029700|E2607|RR|KU|Skin pro/pos wc cus wd <22in|35.96
56-2029700|E2607|UE||Skin pro/pos wc cus wd <22in|189.28
56-2029700|E2607|UE|KE|Skin pro/pos wc cus wd <22in|0
56-2029700|E2607|UE|KU|Skin pro/pos wc cus wd <22in|269.66
56-2029700|E2608|NU||Skin pro/pos wc cus wd>=22in|312.31
56-2029700|E2608|NU|KE|Skin pro/pos wc cus wd>=22in|0
56-2029700|E2608|NU|KU|Skin pro/pos wc cus wd>=22in|431.79
56-2029700|E2608|RR||Skin pro/pos wc cus wd>=22in|31.23
56-2029700|E2608|RR|KE|Skin pro/pos wc cus wd>=22in|0
56-2029700|E2608|RR|KU|Skin pro/pos wc cus wd>=22in|43.18
56-2029700|E2608|UE||Skin pro/pos wc cus wd>=22in|234.24
56-2029700|E2608|UE|KE|Skin pro/pos wc cus wd>=22in|0
56-2029700|E2608|UE|KU|Skin pro/pos wc cus wd>=22in|323.84
56-2029700|E2611|NU||Gen use back cush wdth <22in|198.76
56-2029700|E2611|NU|KE|Gen use back cush wdth <22in|0
56-2029700|E2611|NU|KU|Gen use back cush wdth <22in|387.46
56-2029700|E2611|RR||Gen use back cush wdth <22in|19.88
56-2029700|E2611|RR|KE|Gen use back cush wdth <22in|0
56-2029700|E2611|RR|KU|Gen use back cush wdth <22in|38.74
56-2029700|E2611|UE||Gen use back cush wdth <22in|149.08
56-2029700|E2611|UE|KE|Gen use back cush wdth <22in|0
56-2029700|E2611|UE|KU|Gen use back cush wdth <22in|290.63
56-2029700|E2612|NU||Gen use back cush wdth>=22in|379.25
56-2029700|E2612|NU|KE|Gen use back cush wdth>=22in|0
56-2029700|E2612|NU|KU|Gen use back cush wdth>=22in|524.15
56-2029700|E2612|RR||Gen use back cush wdth>=22in|37.93
56-2029700|E2612|RR|KE|Gen use back cush wdth>=22in|0
56-2029700|E2612|RR|KU|Gen use back cush wdth>=22in|52.41
56-2029700|E2612|UE||Gen use back cush wdth>=22in|284.44
56-2029700|E2612|UE|KE|Gen use back cush wdth>=22in|0
56-2029700|E2612|UE|KU|Gen use back cush wdth>=22in|393.1
56-2029700|E2613|NU||Position back cush wd <22in|373.63
56-2029700|E2613|NU|KE|Position back cush wd <22in|0
56-2029700|E2613|NU|KU|Position back cush wd <22in|487.56
56-2029700|E2613|RR||Position back cush wd <22in|37.36
56-2029700|E2613|RR|KE|Position back cush wd <22in|0
56-2029700|E2613|RR|KU|Position back cush wd <22in|48.76
56-2029700|E2613|UE||Position back cush wd <22in|280.23
56-2029700|E2613|UE|KE|Position back cush wd <22in|0
56-2029700|E2613|UE|KU|Position back cush wd <22in|365.68
56-2029700|E2614|NU||Position back cush wd>=22in|537.14
56-2029700|E2614|NU|KE|Position back cush wd>=22in|0
56-2029700|E2614|NU|KU|Position back cush wd>=22in|674.75
56-2029700|E2614|RR||Position back cush wd>=22in|53.71
56-2029700|E2614|RR|KE|Position back cush wd>=22in|0
56-2029700|E2614|RR|KU|Position back cush wd>=22in|67.46
56-2029700|E2614|UE||Position back cush wd>=22in|402.86
56-2029700|E2614|UE|KE|Position back cush wd>=22in|0
56-2029700|E2614|UE|KU|Position back cush wd>=22in|506.08
56-2029700|E2615|NU||Pos back post/lat wdth <22in|422.55
56-2029700|E2615|NU|KE|Pos back post/lat wdth <22in|0
56-2029700|E2615|NU|KU|Pos back post/lat wdth <22in|561.08
56-2029700|E2615|RR||Pos back post/lat wdth <22in|42.26
56-2029700|E2615|RR|KE|Pos back post/lat wdth <22in|0
56-2029700|E2615|RR|KU|Pos back post/lat wdth <22in|56.13
56-2029700|E2615|UE||Pos back post/lat wdth <22in|316.91
56-2029700|E2615|UE|KE|Pos back post/lat wdth <22in|0
56-2029700|E2615|UE|KU|Pos back post/lat wdth <22in|420.8
56-2029700|E2616|NU||Pos back post/lat wdth>=22in|567.85
56-2029700|E2616|NU|KE|Pos back post/lat wdth>=22in|0
56-2029700|E2616|NU|KU|Pos back post/lat wdth>=22in|754.93
56-2029700|E2616|RR||Pos back post/lat wdth>=22in|56.79
56-2029700|E2616|RR|KE|Pos back post/lat wdth>=22in|0
56-2029700|E2616|RR|KU|Pos back post/lat wdth>=22in|75.5
56-2029700|E2616|UE||Pos back post/lat wdth>=22in|425.89
56-2029700|E2616|UE|KE|Pos back post/lat wdth>=22in|0
56-2029700|E2616|UE|KU|Pos back post/lat wdth>=22in|566.2
56-2029700|E2619|NU||Replace cover w/c seat cush|59.83
56-2029700|E2619|NU|KE|Replace cover w/c seat cush|0
56-2029700|E2619|NU|KU|Replace cover w/c seat cush|63.64
56-2029700|E2619|RR||Replace cover w/c seat cush|5.99
56-2029700|E2619|RR|KE|Replace cover w/c seat cush|0
56-2029700|E2619|RR|KU|Replace cover w/c seat cush|6.35
56-2029700|E2619|UE||Replace cover w/c seat cush|44.86
56-2029700|E2619|UE|KE|Replace cover w/c seat cush|0
56-2029700|E2619|UE|KU|Replace cover w/c seat cush|47.79
56-2029700|E2620|NU||Wc planar back cush wd <22in|466.6
56-2029700|E2620|NU|KE|Wc planar back cush wd <22in|0
56-2029700|E2620|NU|KU|Wc planar back cush wd <22in|679.39
56-2029700|E2620|RR||Wc planar back cush wd <22in|46.66
56-2029700|E2620|RR|KE|Wc planar back cush wd <22in|0
56-2029700|E2620|RR|KU|Wc planar back cush wd <22in|67.95
56-2029700|E2620|UE||Wc planar back cush wd <22in|349.95
56-2029700|E2620|UE|KE|Wc planar back cush wd <22in|0
56-2029700|E2620|UE|KU|Wc planar back cush wd <22in|509.58
56-2029700|E2621|NU||Wc planar back cush wd>=22in|545.05
56-2029700|E2621|NU|KE|Wc planar back cush wd>=22in|0
56-2029700|E2621|NU|KU|Wc planar back cush wd>=22in|712.98
56-2029700|E2621|RR||Wc planar back cush wd>=22in|54.51
56-2029700|E2621|RR|KE|Wc planar back cush wd>=22in|0
56-2029700|E2621|RR|KU|Wc planar back cush wd>=22in|71.3
56-2029700|E2621|UE||Wc planar back cush wd>=22in|408.79
56-2029700|E2621|UE|KE|Wc planar back cush wd>=22in|0
56-2029700|E2621|UE|KU|Wc planar back cush wd>=22in|534.74
56-2029700|E2622|NU||Adj skin pro w/c cus wd<22in|379.48
56-2029700|E2622|NU|KE|Adj skin pro w/c cus wd<22in|0
56-2029700|E2622|NU|KU|Adj skin pro w/c cus wd<22in|411.18
56-2029700|E2622|RR||Adj skin pro w/c cus wd<22in|37.95
56-2029700|E2622|RR|KE|Adj skin pro w/c cus wd<22in|0
56-2029700|E2622|RR|KU|Adj skin pro w/c cus wd<22in|41.13
56-2029700|E2622|UE||Adj skin pro w/c cus wd<22in|284.6
56-2029700|E2622|UE|KE|Adj skin pro w/c cus wd<22in|0
56-2029700|E2622|UE|KU|Adj skin pro w/c cus wd<22in|308.38
56-2029700|E2623|NU||Adj skin pro wc cus wd>=22in|479.86
56-2029700|E2623|NU|KE|Adj skin pro wc cus wd>=22in|0
56-2029700|E2623|NU|KU|Adj skin pro wc cus wd>=22in|523.2
56-2029700|E2623|RR||Adj skin pro wc cus wd>=22in|47.99
56-2029700|E2623|RR|KE|Adj skin pro wc cus wd>=22in|0
56-2029700|E2623|RR|KU|Adj skin pro wc cus wd>=22in|52.34
56-2029700|E2623|UE||Adj skin pro wc cus wd>=22in|359.9
56-2029700|E2623|UE|KE|Adj skin pro wc cus wd>=22in|0
56-2029700|E2623|UE|KU|Adj skin pro wc cus wd>=22in|392.39
56-2029700|E2624|NU||Adj skin pro/pos cus<22in|385.6
56-2029700|E2624|NU|KE|Adj skin pro/pos cus<22in|0
56-2029700|E2624|NU|KU|Adj skin pro/pos cus<22in|414.56
56-2029700|E2624|RR||Adj skin pro/pos cus<22in|38.56
56-2029700|E2624|RR|KE|Adj skin pro/pos cus<22in|0
56-2029700|E2624|RR|KU|Adj skin pro/pos cus<22in|41.46
56-2029700|E2624|UE||Adj skin pro/pos cus<22in|289.2
56-2029700|E2624|UE|KE|Adj skin pro/pos cus<22in|0
56-2029700|E2624|UE|KU|Adj skin pro/pos cus<22in|310.94
56-2029700|E2625|NU||Adj skin pro/pos wc cus>=22|477.23
56-2029700|E2625|NU|KE|Adj skin pro/pos wc cus>=22|0
56-2029700|E2625|NU|KU|Adj skin pro/pos wc cus>=22|524.8
56-2029700|E2625|RR||Adj skin pro/pos wc cus>=22|47.73
56-2029700|E2625|RR|KE|Adj skin pro/pos wc cus>=22|0
56-2029700|E2625|RR|KU|Adj skin pro/pos wc cus>=22|52.46
56-2029700|E2625|UE||Adj skin pro/pos wc cus>=22|357.93
56-2029700|E2625|UE|KE|Adj skin pro/pos wc cus>=22|0
56-2029700|E2625|UE|KU|Adj skin pro/pos wc cus>=22|393.6
56-2029700|E2626|NU||Seo mobile arm sup att to wc|750.33
56-2029700|E2626|NU|KU|Seo mobile arm sup att to wc|893.95
56-2029700|E2626|RR||Seo mobile arm sup att to wc|75.04
56-2029700|E2626|RR|KU|Seo mobile arm sup att to wc|89.36
56-2029700|E2626|UE||Seo mobile arm sup att to wc|562.74
56-2029700|E2626|UE|KU|Seo mobile arm sup att to wc|670.38
56-2029700|E2627|NU||Arm supp att to wc rancho ty|1160.96
56-2029700|E2627|NU|KU|Arm supp att to wc rancho ty|1426.45
56-2029700|E2627|RR||Arm supp att to wc rancho ty|116.1
56-2029700|E2627|RR|KU|Arm supp att to wc rancho ty|142.69
56-2029700|E2627|UE||Arm supp att to wc rancho ty|870.73
56-2029700|E2627|UE|KU|Arm supp att to wc rancho ty|1069.81
56-2029700|E2628|NU||Mobile arm supports reclinin|907.1
56-2029700|E2628|NU|KU|Mobile arm supports reclinin|1074.6
56-2029700|E2628|RR||Mobile arm supports reclinin|90.71
56-2029700|E2628|RR|KU|Mobile arm supports reclinin|107.45
56-2029700|E2628|UE||Mobile arm supports reclinin|680.33
56-2029700|E2628|UE|KU|Mobile arm supports reclinin|805.94
56-2029700|E2629|NU||Friction dampening arm supp|1145.01
56-2029700|E2629|NU|KU|Friction dampening arm supp|1359.88
56-2029700|E2629|RR||Friction dampening arm supp|114.5
56-2029700|E2629|RR|KU|Friction dampening arm supp|135.98
56-2029700|E2629|UE||Friction dampening arm supp|858.76
56-2029700|E2629|UE|KU|Friction dampening arm supp|1019.89
56-2029700|E2630|NU||Monosuspension arm/hand supp|771.91
56-2029700|E2630|NU|KU|Monosuspension arm/hand supp|950.95
56-2029700|E2630|RR||Monosuspension arm/hand supp|77.19
56-2029700|E2630|RR|KU|Monosuspension arm/hand supp|95.1
56-2029700|E2630|UE||Monosuspension arm/hand supp|578.94
56-2029700|E2630|UE|KU|Monosuspension arm/hand supp|713.21
56-2029700|E2631|NU||Elevat proximal arm support|336.68
56-2029700|E2631|NU|KU|Elevat proximal arm support|380.41
56-2029700|E2631|RR||Elevat proximal arm support|33.66
56-2029700|E2631|RR|KU|Elevat proximal arm support|38.03
56-2029700|E2631|UE||Elevat proximal arm support|252.5
56-2029700|E2631|UE|KU|Elevat proximal arm support|285.29
56-2029700|E2632|NU||Offset/lat rocker arm w/ela|202.48
56-2029700|E2632|NU|KU|Offset/lat rocker arm w/ela|241.88
56-2029700|E2632|RR||Offset/lat rocker arm w/ela|20.25
56-2029700|E2632|RR|KU|Offset/lat rocker arm w/ela|24.2
56-2029700|E2632|UE||Offset/lat rocker arm w/ela|151.86
56-2029700|E2632|UE|KU|Offset/lat rocker arm w/ela|181.4
56-2029700|E2633|NU||Mobile arm support supinator|164.04
56-2029700|E2633|NU|KU|Mobile arm support supinator|205.16
56-2029700|E2633|RR||Mobile arm support supinator|16.4
56-2029700|E2633|RR|KU|Mobile arm support supinator|20.53
56-2029700|E2633|UE||Mobile arm support supinator|123.04
56-2029700|E2633|UE|KU|Mobile arm support supinator|153.89
56-2029700|G0068||||173.44
56-2029700|G0069||||270.74
56-2029700|G0070||||295.08
56-2029700|K0001|RR||Standard wheelchair|30.33
56-2029700|K0002|RR||Stnd hemi (low seat) whlchr|52.84
56-2029700|K0003|RR||Lightweight wheelchair|45.88
56-2029700|K0004|RR||High strength ltwt whlchr|56.56
56-2029700|K0005|NU||Ultralightweight wheelchair|2660.8
56-2029700|K0005|RR||Ultralightweight wheelchair|266.05
56-2029700|K0005|UE||Ultralightweight wheelchair|1995.54
56-2029700|K0006|RR||Heavy duty wheelchair|83.64
56-2029700|K0007|RR||Extra heavy duty wheelchair|117.9
56-2029700|K0009|RR||Other manual wheelchair/base|107.01
56-2029700|K0010|RR||Stnd wt frame power whlchr|521.14
56-2029700|K0011|RR||Stnd wt pwr whlchr w control|737.25
56-2029700|K0011|RR|KF|Stnd wt pwr whlchr w control|818.54
56-2029700|K0012|RR||Ltwt portbl power whlchr|453.59
56-2029700|K0015|RR||Detach non-adj ht armrst rep|17.13
56-2029700|K0015|RR|KE|Detach non-adj ht armrst rep|0
56-2029700|K0015|RR|KU|Detach non-adj ht armrst rep|22.54
56-2029700|K0017|NU||Detach adjust armrest base|57.59
56-2029700|K0017|NU|KE|Detach adjust armrest base|0
56-2029700|K0017|NU|KU|Detach adjust armrest base|63.39
56-2029700|K0017|RR||Detach adjust armrest base|5.76
56-2029700|K0017|RR|KE|Detach adjust armrest base|0
56-2029700|K0017|RR|KU|Detach adjust armrest base|6.33
56-2029700|K0017|UE||Detach adjust armrest base|43.19
56-2029700|K0017|UE|KE|Detach adjust armrest base|0
56-2029700|K0017|UE|KU|Detach adjust armrest base|47.55
56-2029700|K0018|NU||Detach adjust armrst upper|32.55
56-2029700|K0018|NU|KE|Detach adjust armrst upper|0
56-2029700|K0018|NU|KU|Detach adjust armrst upper|35.41
56-2029700|K0018|RR||Detach adjust armrst upper|3.26
56-2029700|K0018|RR|KE|Detach adjust armrst upper|0
56-2029700|K0018|RR|KU|Detach adjust armrst upper|3.53
56-2029700|K0018|UE||Detach adjust armrst upper|24.43
56-2029700|K0018|UE|KE|Detach adjust armrst upper|0
56-2029700|K0018|UE|KU|Detach adjust armrst upper|26.58
56-2029700|K0019|NU||Arm pad repl -  each|15.39
56-2029700|K0019|NU|KE|Arm pad repl -  each|0
56-2029700|K0019|NU|KU|Arm pad repl -  each|21.08
56-2029700|K0019|RR||Arm pad repl -  each|1.54
56-2029700|K0019|RR|KE|Arm pad repl -  each|0
56-2029700|K0019|RR|KU|Arm pad repl -  each|2.11
56-2029700|K0019|UE||Arm pad repl -  each|11.54
56-2029700|K0019|UE|KE|Arm pad repl -  each|0
56-2029700|K0019|UE|KU|Arm pad repl -  each|15.81
56-2029700|K0020|NU||Fixed adjust armrest pair|56.43
56-2029700|K0020|NU|KE|Fixed adjust armrest pair|0
56-2029700|K0020|NU|KU|Fixed adjust armrest pair|57.64
56-2029700|K0020|RR||Fixed adjust armrest pair|5.64
56-2029700|K0020|RR|KE|Fixed adjust armrest pair|0
56-2029700|K0020|RR|KU|Fixed adjust armrest pair|5.76
56-2029700|K0020|UE||Fixed adjust armrest pair|42.33
56-2029700|K0020|UE|KE|Fixed adjust armrest pair|0
56-2029700|K0020|UE|KU|Fixed adjust armrest pair|43.23
56-2029700|K0037|NU||Hi mount flip-up footrest ea|54.19
56-2029700|K0037|NU|KE|Hi mount flip-up footrest ea|0
56-2029700|K0037|NU|KU|Hi mount flip-up footrest ea|59.74
56-2029700|K0037|RR||Hi mount flip-up footrest ea|5.33
56-2029700|K0037|RR|KE|Hi mount flip-up footrest ea|0
56-2029700|K0037|RR|KU|Hi mount flip-up footrest ea|5.34
56-2029700|K0037|UE||Hi mount flip-up footrest ea|40.64
56-2029700|K0037|UE|KE|Hi mount flip-up footrest ea|0
56-2029700|K0037|UE|KU|Hi mount flip-up footrest ea|44.83
56-2029700|K0038|NU||Leg strap each|28.79
56-2029700|K0038|NU|KE|Leg strap each|0
56-2029700|K0038|NU|KU|Leg strap each|30.11
56-2029700|K0038|RR||Leg strap each|2.88
56-2029700|K0038|RR|KE|Leg strap each|0
56-2029700|K0038|RR|KU|Leg strap each|3.01
56-2029700|K0038|UE||Leg strap each|21.59
56-2029700|K0038|UE|KE|Leg strap each|0
56-2029700|K0038|UE|KU|Leg strap each|22.56
56-2029700|K0039|NU||Leg strap h style each|61.8
56-2029700|K0039|NU|KE|Leg strap h style each|0
56-2029700|K0039|NU|KU|Leg strap h style each|66.83
56-2029700|K0039|RR||Leg strap h style each|6.18
56-2029700|K0039|RR|KE|Leg strap h style each|0
56-2029700|K0039|RR|KU|Leg strap h style each|6.73
56-2029700|K0039|UE||Leg strap h style each|46.36
56-2029700|K0039|UE|KE|Leg strap h style each|0
56-2029700|K0039|UE|KU|Leg strap h style each|50.14
56-2029700|K0040|NU||Adjustable angle footplate|63.9
56-2029700|K0040|NU|KE|Adjustable angle footplate|0
56-2029700|K0040|NU|KU|Adjustable angle footplate|92.64
56-2029700|K0040|RR||Adjustable angle footplate|6.39
56-2029700|K0040|RR|KE|Adjustable angle footplate|0
56-2029700|K0040|RR|KU|Adjustable angle footplate|9.25
56-2029700|K0040|UE||Adjustable angle footplate|47.93
56-2029700|K0040|UE|KE|Adjustable angle footplate|0
56-2029700|K0040|UE|KU|Adjustable angle footplate|69.44
56-2029700|K0041|NU||Large size footplate each|59.06
56-2029700|K0041|NU|KE|Large size footplate each|0
56-2029700|K0041|NU|KU|Large size footplate each|65.64
56-2029700|K0041|RR||Large size footplate each|5.91
56-2029700|K0041|RR|KE|Large size footplate each|0
56-2029700|K0041|RR|KU|Large size footplate each|6.63
56-2029700|K0041|UE||Large size footplate each|44.3
56-2029700|K0041|UE|KE|Large size footplate each|0
56-2029700|K0041|UE|KU|Large size footplate each|49.23
56-2029700|K0042|NU||Standard size ftplate rep ea|37.93
56-2029700|K0042|NU|KE|Standard size ftplate rep ea|0
56-2029700|K0042|NU|KU|Standard size ftplate rep ea|45.19
56-2029700|K0042|RR||Standard size ftplate rep ea|3.8
56-2029700|K0042|RR|KE|Standard size ftplate rep ea|0
56-2029700|K0042|RR|KU|Standard size ftplate rep ea|4.51
56-2029700|K0042|UE||Standard size ftplate rep ea|28.45
56-2029700|K0042|UE|KE|Standard size ftplate rep ea|0
56-2029700|K0042|UE|KU|Standard size ftplate rep ea|33.89
56-2029700|K0043|NU||Ftrst lowr exten tube rep ea|23.41
56-2029700|K0043|NU|KE|Ftrst lowr exten tube rep ea|0
56-2029700|K0043|NU|KU|Ftrst lowr exten tube rep ea|24.23
56-2029700|K0043|RR||Ftrst lowr exten tube rep ea|2.34
56-2029700|K0043|RR|KE|Ftrst lowr exten tube rep ea|0
56-2029700|K0043|RR|KU|Ftrst lowr exten tube rep ea|2.4
56-2029700|K0043|UE||Ftrst lowr exten tube rep ea|17.56
56-2029700|K0043|UE|KE|Ftrst lowr exten tube rep ea|0
56-2029700|K0043|UE|KU|Ftrst lowr exten tube rep ea|18.2
56-2029700|K0044|NU||Ftrst upr hanger brac rep ea|20.38
56-2029700|K0044|NU|KE|Ftrst upr hanger brac rep ea|0
56-2029700|K0044|NU|KU|Ftrst upr hanger brac rep ea|20.65
56-2029700|K0044|RR||Ftrst upr hanger brac rep ea|2.04
56-2029700|K0044|RR|KE|Ftrst upr hanger brac rep ea|0
56-2029700|K0044|RR|KU|Ftrst upr hanger brac rep ea|2.08
56-2029700|K0044|UE||Ftrst upr hanger brac rep ea|15.28
56-2029700|K0044|UE|KE|Ftrst upr hanger brac rep ea|0
56-2029700|K0044|UE|KU|Ftrst upr hanger brac rep ea|15.48
56-2029700|K0045|NU||Ftrst compl assembly repl ea|67.01
56-2029700|K0045|NU|KE|Ftrst compl assembly repl ea|0
56-2029700|K0045|NU|KU|Ftrst compl assembly repl ea|70.24
56-2029700|K0045|RR||Ftrst compl assembly repl ea|6.7
56-2029700|K0045|RR|KE|Ftrst compl assembly repl ea|0
56-2029700|K0045|RR|KU|Ftrst compl assembly repl ea|7.24
56-2029700|K0045|UE||Ftrst compl assembly repl ea|50.26
56-2029700|K0045|UE|KE|Ftrst compl assembly repl ea|0
56-2029700|K0045|UE|KU|Ftrst compl assembly repl ea|52.69
56-2029700|K0046|NU||Elev lgrst lwr exten repl ea|23.58
56-2029700|K0046|NU|KE|Elev lgrst lwr exten repl ea|0
56-2029700|K0046|NU|KU|Elev lgrst lwr exten repl ea|24.23
56-2029700|K0046|RR||Elev lgrst lwr exten repl ea|2.36
56-2029700|K0046|RR|KE|Elev lgrst lwr exten repl ea|0
56-2029700|K0046|RR|KU|Elev lgrst lwr exten repl ea|2.4
56-2029700|K0046|UE||Elev lgrst lwr exten repl ea|17.69
56-2029700|K0046|UE|KE|Elev lgrst lwr exten repl ea|0
56-2029700|K0046|UE|KU|Elev lgrst lwr exten repl ea|18.2
56-2029700|K0047|NU||Elev legrst upr hangr rep ea|83.29
56-2029700|K0047|NU|KE|Elev legrst upr hangr rep ea|0
56-2029700|K0047|NU|KU|Elev legrst upr hangr rep ea|94.88
56-2029700|K0047|RR||Elev legrst upr hangr rep ea|8.33
56-2029700|K0047|RR|KE|Elev legrst upr hangr rep ea|0
56-2029700|K0047|RR|KU|Elev legrst upr hangr rep ea|9.51
56-2029700|K0047|UE||Elev legrst upr hangr rep ea|62.48
56-2029700|K0047|UE|KE|Elev legrst upr hangr rep ea|0
56-2029700|K0047|UE|KU|Elev legrst upr hangr rep ea|71.13
56-2029700|K0050|NU||Ratchet assembly replacement|38.65
56-2029700|K0050|NU|KE|Ratchet assembly replacement|0
56-2029700|K0050|RR||Ratchet assembly replacement|3.86
56-2029700|K0050|RR|KE|Ratchet assembly replacement|0
56-2029700|K0050|UE||Ratchet assembly replacement|28.99
56-2029700|K0050|UE|KE|Ratchet assembly replacement|0
56-2029700|K0051|NU||Cam rel asm ft/legrst rep ea|61.14
56-2029700|K0051|NU|KE|Cam rel asm ft/legrst rep ea|0
56-2029700|K0051|NU|KU|Cam rel asm ft/legrst rep ea|65.25
56-2029700|K0051|RR||Cam rel asm ft/legrst rep ea|6.11
56-2029700|K0051|RR|KE|Cam rel asm ft/legrst rep ea|0
56-2029700|K0051|RR|KU|Cam rel asm ft/legrst rep ea|6.58
56-2029700|K0051|UE||Cam rel asm ft/legrst rep ea|45.85
56-2029700|K0051|UE|KE|Cam rel asm ft/legrst rep ea|0
56-2029700|K0051|UE|KU|Cam rel asm ft/legrst rep ea|48.93
56-2029700|K0052|NU||Swingaway detach ftrest repl|86.08
56-2029700|K0052|NU|KE|Swingaway detach ftrest repl|0
56-2029700|K0052|NU|KU|Swingaway detach ftrest repl|114.69
56-2029700|K0052|RR||Swingaway detach ftrest repl|8.61
56-2029700|K0052|RR|KE|Swingaway detach ftrest repl|0
56-2029700|K0052|RR|KU|Swingaway detach ftrest repl|11.46
56-2029700|K0052|UE||Swingaway detach ftrest repl|64.56
56-2029700|K0052|UE|KE|Swingaway detach ftrest repl|0
56-2029700|K0052|UE|KU|Swingaway detach ftrest repl|85.98
56-2029700|K0053|NU||Elevate footrest articulate|99.91
56-2029700|K0053|NU|KE|Elevate footrest articulate|0
56-2029700|K0053|NU|KU|Elevate footrest articulate|126.55
56-2029700|K0053|RR||Elevate footrest articulate|9.99
56-2029700|K0053|RR|KE|Elevate footrest articulate|0
56-2029700|K0053|RR|KU|Elevate footrest articulate|12.65
56-2029700|K0053|UE||Elevate footrest articulate|74.94
56-2029700|K0053|UE|KE|Elevate footrest articulate|0
56-2029700|K0053|UE|KU|Elevate footrest articulate|94.91
56-2029700|K0056|NU||Seat ht <17 or >=21 ltwt wc|114.24
56-2029700|K0056|NU|KU|Seat ht <17 or >=21 ltwt wc|136.88
56-2029700|K0056|RR||Seat ht <17 or >=21 ltwt wc|11.43
56-2029700|K0056|RR|KU|Seat ht <17 or >=21 ltwt wc|13.7
56-2029700|K0056|UE||Seat ht <17 or >=21 ltwt wc|85.68
56-2029700|K0056|UE|KU|Seat ht <17 or >=21 ltwt wc|102.68
56-2029700|K0065|NU||Spoke protectors|54.39
56-2029700|K0065|NU|KU|Spoke protectors|63.96
56-2029700|K0065|RR||Spoke protectors|5.44
56-2029700|K0065|RR|KU|Spoke protectors|6.4
56-2029700|K0065|UE||Spoke protectors|40.79
56-2029700|K0065|UE|KU|Spoke protectors|47.99
56-2029700|K0069|NU||Rr whl compl sol tire rep ea|112.96
56-2029700|K0069|NU|KU|Rr whl compl sol tire rep ea|143.83
56-2029700|K0069|RR||Rr whl compl sol tire rep ea|11.3
56-2029700|K0069|RR|KU|Rr whl compl sol tire rep ea|14.98
56-2029700|K0069|UE||Rr whl compl sol tire rep ea|84.73
56-2029700|K0069|UE|KU|Rr whl compl sol tire rep ea|107.86
56-2029700|K0070|RR||Rr whl compl pne tire rep ea|19.89
56-2029700|K0070|RR|KU|Rr whl compl pne tire rep ea|26.38
56-2029700|K0071|NU||Fr cstr comp pne tire rep ea|128.4
56-2029700|K0071|NU|KU|Fr cstr comp pne tire rep ea|157.24
56-2029700|K0071|RR||Fr cstr comp pne tire rep ea|12.84
56-2029700|K0071|RR|KU|Fr cstr comp pne tire rep ea|15.73
56-2029700|K0071|UE||Fr cstr comp pne tire rep ea|96.31
56-2029700|K0071|UE|KU|Fr cstr comp pne tire rep ea|117.89
56-2029700|K0072|NU||Fr cstr semi-pne tire rep ea|80.49
56-2029700|K0072|NU|KU|Fr cstr semi-pne tire rep ea|94.66
56-2029700|K0072|RR||Fr cstr semi-pne tire rep ea|8.05
56-2029700|K0072|RR|KU|Fr cstr semi-pne tire rep ea|9.46
56-2029700|K0072|UE||Fr cstr semi-pne tire rep ea|60.38
56-2029700|K0072|UE|KU|Fr cstr semi-pne tire rep ea|70.98
56-2029700|K0073|NU||Caster pin lock each|41.91
56-2029700|K0073|NU|KU|Caster pin lock each|50.1
56-2029700|K0073|RR||Caster pin lock each|4.19
56-2029700|K0073|RR|KU|Caster pin lock each|5.01
56-2029700|K0073|UE||Caster pin lock each|31.44
56-2029700|K0073|UE|KU|Caster pin lock each|37.56
56-2029700|K0077|NU||Fr cstr asmb sol tire rep ea|65.48
56-2029700|K0077|NU|KU|Fr cstr asmb sol tire rep ea|84.71
56-2029700|K0077|RR||Fr cstr asmb sol tire rep ea|6.55
56-2029700|K0077|RR|KU|Fr cstr asmb sol tire rep ea|8.45
56-2029700|K0077|UE||Fr cstr asmb sol tire rep ea|49.11
56-2029700|K0077|UE|KU|Fr cstr asmb sol tire rep ea|63.5
56-2029700|K0098|NU||Drive belt for pwc -  repl|28.31
56-2029700|K0098|NU|KE|Drive belt for pwc -  repl|0
56-2029700|K0098|NU|KU|Drive belt for pwc -  repl|33.76
56-2029700|K0098|RR||Drive belt for pwc -  repl|2.84
56-2029700|K0098|RR|KE|Drive belt for pwc -  repl|0
56-2029700|K0098|RR|KU|Drive belt for pwc -  repl|3.39
56-2029700|K0098|UE||Drive belt for pwc -  repl|21.24
56-2029700|K0098|UE|KE|Drive belt for pwc -  repl|0
56-2029700|K0098|UE|KU|Drive belt for pwc -  repl|25.29
56-2029700|K0105|NU||Iv hanger|118.21
56-2029700|K0105|NU|KU|Iv hanger|143.1
56-2029700|K0105|RR||Iv hanger|11.83
56-2029700|K0105|RR|KU|Iv hanger|14.31
56-2029700|K0105|UE||Iv hanger|88.66
56-2029700|K0105|UE|KU|Iv hanger|107.33
56-2029700|K0195|RR||Elevating whlchair leg rests|13.28
56-2029700|K0195|RR|KE|Elevating whlchair leg rests|0
56-2029700|K0455|RR||Pump uninterrupted infusion|369.79
56-2029700|K0552|||Sup/ext non-ins inf pump syr|3.4
56-2029700|K0553|||Ther cgm supply allowance|275.98
56-2029700|K0553|KF||Ther cgm supply allowance|321.11
56-2029700|K0554|NU||Ther cgm receiver/monitor|286.75
56-2029700|K0554|NU|KF|Ther cgm receiver/monitor|318.34
56-2029700|K0554|RR||Ther cgm receiver/monitor|28.68
56-2029700|K0554|RR|KF|Ther cgm receiver/monitor|31.84
56-2029700|K0554|UE||Ther cgm receiver/monitor|215.06
56-2029700|K0554|UE|KF|Ther cgm receiver/monitor|238.75
56-2029700|K0601|NU||Repl batt silver oxide 1.5 v|1.54
56-2029700|K0602|NU||Repl batt silver oxide 3 v|8.69
56-2029700|K0603|NU||Repl batt alkaline 1.5 v|0.78
56-2029700|K0604|NU||Repl batt lithium 3.6 v|8.39
56-2029700|K0605|NU||Repl batt lithium 4.5 v|20.04
56-2029700|K0606|RR|KF|Aed garment w elec analysis|3624.38
56-2029700|K0607|RR||Repl batt for aed|27.96
56-2029700|K0607|RR|KF|Repl batt for aed|31.04
56-2029700|K0608|NU||Repl garment for aed|174.44
56-2029700|K0608|NU|KF|Repl garment for aed|193.7
56-2029700|K0608|RR||Repl garment for aed|17.48
56-2029700|K0608|RR|KF|Repl garment for aed|19.4
56-2029700|K0608|UE||Repl garment for aed|130.83
56-2029700|K0608|UE|KF|Repl garment for aed|145.26
56-2029700|K0609|||Repl electrode for aed|1160.14
56-2029700|K0609|KF||Repl electrode for aed|1288.06
56-2029700|K0672|||Removable soft interface le|105.81
56-2029700|K0730|RR||Ctrl dose inh drug deliv sys|248.11
56-2029700|K0733|NU||12-24hr sealed lead acid|33.46
56-2029700|K0733|NU|KE|12-24hr sealed lead acid|0
56-2029700|K0733|NU|KU|12-24hr sealed lead acid|37.46
56-2029700|K0733|RR||12-24hr sealed lead acid|3.35
56-2029700|K0733|RR|KE|12-24hr sealed lead acid|0
56-2029700|K0733|RR|KU|12-24hr sealed lead acid|3.78
56-2029700|K0733|UE||12-24hr sealed lead acid|25.1
56-2029700|K0733|UE|KE|12-24hr sealed lead acid|0
56-2029700|K0733|UE|KU|12-24hr sealed lead acid|28.13
56-2029700|K0738|RR||Portable gas oxygen system|43.79
56-2029700|K0738|RR|QB|Portable gas oxygen system|45.76
56-2029700|K0738|RR|QF|Portable gas oxygen system|45.76
56-2029700|K0800|NU||Pov group 1 std up to 300lbs|1032.99
56-2029700|K0800|RR||Pov group 1 std up to 300lbs|103.3
56-2029700|K0800|UE||Pov group 1 std up to 300lbs|774.75
56-2029700|K0801|NU||Pov group 1 hd 301-450 lbs|1856.6
56-2029700|K0801|RR||Pov group 1 hd 301-450 lbs|185.66
56-2029700|K0801|UE||Pov group 1 hd 301-450 lbs|1392.45
56-2029700|K0802|NU||Pov group 1 vhd 451-600 lbs|2456.38
56-2029700|K0802|RR||Pov group 1 vhd 451-600 lbs|245.64
56-2029700|K0802|UE||Pov group 1 vhd 451-600 lbs|1842.29
56-2029700|K0806|NU||Pov group 2 std up to 300lbs|1707.1
56-2029700|K0806|RR||Pov group 2 std up to 300lbs|170.71
56-2029700|K0806|UE||Pov group 2 std up to 300lbs|1280.33
56-2029700|K0807|NU||Pov group 2 hd 301-450 lbs|2645.58
56-2029700|K0807|RR||Pov group 2 hd 301-450 lbs|264.55
56-2029700|K0807|UE||Pov group 2 hd 301-450 lbs|1984.18
56-2029700|K0808|NU||Pov group 2 vhd 451-600 lbs|4089.61
56-2029700|K0808|RR||Pov group 2 vhd 451-600 lbs|408.96
56-2029700|K0808|UE||Pov group 2 vhd 451-600 lbs|3067.21
56-2029700|K0813|RR||Pwc gp 1 std port seat/back|313.99
56-2029700|K0814|RR||Pwc gp 1 std port cap chair|329.06
56-2029700|K0815|RR||Pwc gp 1 std seat/back|365.63
56-2029700|K0816|RR||Pwc gp 1 std cap chair|341.45
56-2029700|K0820|RR||Pwc gp 2 std port seat/back|321.14
56-2029700|K0821|RR||Pwc gp 2 std port cap chair|341.79
56-2029700|K0822|RR||Pwc gp 2 std seat/back|366
56-2029700|K0823|RR||Pwc gp 2 std cap chair|341.95
56-2029700|K0824|RR||Pwc gp 2 hd seat/back|533.21
56-2029700|K0825|RR||Pwc gp 2 hd cap chair|482.81
56-2029700|K0826|RR||Pwc gp 2 vhd seat/back|891.13
56-2029700|K0827|RR||Pwc gp vhd cap chair|784.51
56-2029700|K0828|RR||Pwc gp 2 xtra hd seat/back|1038.83
56-2029700|K0829|RR||Pwc gp 2 xtra hd cap chair|1041.99
56-2029700|K0835|RR||Pwc gp2 std sing pow opt s/b|438.63
56-2029700|K0836|RR||Pwc gp2 std sing pow opt cap|454.94
56-2029700|K0837|RR||Pwc gp 2 hd sing pow opt s/b|562.59
56-2029700|K0838|RR||Pwc gp 2 hd sing pow opt cap|498.64
56-2029700|K0839|RR||Pwc gp2 vhd sing pow opt s/b|747.3
56-2029700|K0840|RR||Pwc gp2 xhd sing pow opt s/b|1147.35
56-2029700|K0841|RR||Pwc gp2 std mult pow opt s/b|494.29
56-2029700|K0842|RR||Pwc gp2 std mult pow opt cap|493.58
56-2029700|K0843|RR||Pwc gp2 hd mult pow opt s/b|585.94
56-2029700|K0848|RR||Pwc gp 3 std seat/back|983.29
56-2029700|K0849|RR||Pwc gp 3 std cap chair|945.35
56-2029700|K0850|RR||Pwc gp 3 hd seat/back|1140.55
56-2029700|K0851|RR||Pwc gp 3 hd cap chair|1096.65
56-2029700|K0852|RR||Pwc gp 3 vhd seat/back|1317.84
56-2029700|K0853|RR||Pwc gp 3 vhd cap chair|1353.76
56-2029700|K0854|RR||Pwc gp 3 xhd seat/back|1793.44
56-2029700|K0855|RR||Pwc gp 3 xhd cap chair|1694.16
56-2029700|K0856|RR||Pwc gp3 std sing pow opt s/b|1055.43
56-2029700|K0857|RR||Pwc gp3 std sing pow opt cap|1076.59
56-2029700|K0858|RR||Pwc gp3 hd sing pow opt s/b|1309.49
56-2029700|K0859|RR||Pwc gp3 hd sing pow opt cap|1248.85
56-2029700|K0860|RR||Pwc gp3 vhd sing pow opt s/b|1870.78
56-2029700|K0861|RR||Pwc gp3 std mult pow opt s/b|1057.11
56-2029700|K0862|RR||Pwc gp3 hd mult pow opt s/b|1309.49
56-2029700|K0863|RR||Pwc gp3 vhd mult pow opt s/b|1870.78
56-2029700|K0864|RR||Pwc gp3 xhd mult pow opt s/b|2226.23
56-2029700|L0112|||Cranial cervical orthosis|1746.49
56-2029700|L0113|||Cranial cervical torticollis|355.86
56-2029700|L0120|||Cerv flex n/adj foam pre ots|34.91
56-2029700|L0130|||Flex thermoplastic collar mo|252.44
56-2029700|L0140|||Cervical semi-rigid adjustab|87.11
56-2029700|L0150|||Cerv semi-rig adj molded chn|145.26
56-2029700|L0160|||Cerv sr wire occ/man pre ots|206.83
56-2029700|L0170|||Cervical collar molded to pt|875.23
56-2029700|L0172|||Cerv col sr foam 2pc pre ots|177.45
56-2029700|L0174|||Cerv sr 2pc thor ext pre ots|318.79
56-2029700|L0180|||Cer post col occ/man sup adj|433.55
56-2029700|L0190|||Cerv collar supp adj cerv ba|652.65
56-2029700|L0200|||Cerv col supp adj bar & thor|599.28
56-2029700|L0220|||Thor rib belt custom fabrica|142.13
56-2029700|L0450|||Tlso flex trunk/thor pre ots|234.64
56-2029700|L0452|||Tlso flex custom fab thoraci|0
56-2029700|L0454|||Tlso trnk sj-t9 pre cst|432.76
56-2029700|L0455|||Tlso flex trnk sj-t9 pre ots|432.76
56-2029700|L0456|||Tlso flex trnk sj-ss pre cst|1241.06
56-2029700|L0457|||Tlso flex trnk sj-ss pre ots|1241.06
56-2029700|L0458|||Tlso 2mod symphis-xipho pre|1112.86
56-2029700|L0460|||Tlso 2 shl symphys-stern cst|1252.64
56-2029700|L0462|||Tlso 3mod sacro-scap pre|1558.04
56-2029700|L0464|||Tlso 4mod sacro-scap pre|1854.81
56-2029700|L0466|||Tlso r fram soft ant pre cst|476.95
56-2029700|L0467|||Tlso r fram soft pre ots|476.95
56-2029700|L0468|||Tlso rig fram pelvic pre cst|597.99
56-2029700|L0469|||Tlso rig fram pelvic pre ots|597.99
56-2029700|L0470|||Tlso rigid frame pre subclav|851.34
56-2029700|L0472|||Tlso rigid frame hyperex pre|534.39
56-2029700|L0480|||Tlso rigid plastic custom fa|1652.45
56-2029700|L0482|||Tlso rigid lined custom fab|1894.33
56-2029700|L0484|||Tlso rigid plastic cust fab|2208.74
56-2029700|L0486|||Tlso rigidlined cust fab two|2188.03
56-2029700|L0488|||Tlso rigid lined pre one pie|1252.64
56-2029700|L0490|||Tlso rigid plastic pre one|352.98
56-2029700|L0491|||Tlso 2 piece rigid shell|958.3
56-2029700|L0492|||Tlso 3 piece rigid shell|621.08
56-2029700|L0621|||Sio flex pelvic/sacr pre ots|111.28
56-2029700|L0622|||Sio flex pelvisacral custom|301.71
56-2029700|L0623|||Sio rig pnl pelv/sac pre ots|220.85
56-2029700|L0624|||Sio panel custom|0
56-2029700|L0625|||Lo flex l1-below l5 pre ots|68.78
56-2029700|L0626|||Lo sag rig pnl stays pre cst|97.28
56-2029700|L0627|||Lo sag ri an/pos pnl pre cst|512.95
56-2029700|L0628|||Lso flex no ri stays pre ots|104.65
56-2029700|L0629|||Lso flex w/rigid stays cust|0
56-2029700|L0630|||Lso r post pnl sj-t9 pre cst|202.06
56-2029700|L0631|||Lso sag r an/pos pnl pre cst|1281
56-2029700|L0632|||Lso sag rigid frame cust|0
56-2029700|L0633|||Lso sc r pos/lat pnl pre cst|357.83
56-2029700|L0634|||Lso flexion control custom|0
56-2029700|L0635|||Lso sagit rigid panel prefab|1326.9
56-2029700|L0636|||Lso sagittal rigid panel cus|1957.93
56-2029700|L0637|||Lso sc r ant/pos pnl pre cst|1698.74
56-2029700|L0638|||Lso sag-coronal panel custom|1645.78
56-2029700|L0639|||Lso s/c shell/panel prefab|1698.74
56-2029700|L0640|||Lso s/c shell/panel custom|1305.74
56-2029700|L0641|||Lo rig pos pnl l1-l5 pre ots|97.28
56-2029700|L0642|||Lo sag ri an/pos pnl pre ots|512.95
56-2029700|L0643|||Lso sag ctr rigi pos pre ots|202.06
56-2029700|L0648|||Lso sag r an/pos pnl pre ots|1281
56-2029700|L0649|||Lso sc r pos/lat pnl pre ots|357.83
56-2029700|L0650|||Lso sc r ant/pos pnl pre ots|1698.74
56-2029700|L0651|||Lso sag-co shell pnl pre ots|1698.74
56-2029700|L0700|||Ctlso a-p-l control molded|2686.61
56-2029700|L0710|||Ctlso a-p-l control w/ inter|2932.61
56-2029700|L0810|||Halo cervical into jckt vest|3115.48
56-2029700|L0820|||Halo cervical into body jack|2520.28
56-2029700|L0830|||Halo cerv into milwaukee typ|3639.01
56-2029700|L0859|||Mri compatible system|1413.74
56-2029700|L0861|||Halo repl liner/interface|268.96
56-2029700|L0970|||Tlso corset front|132.64
56-2029700|L0972|||Lso corset front|135.58
56-2029700|L0974|||Tlso full corset|277.01
56-2029700|L0976|||Lso full corset|247.41
56-2029700|L0978|||Axillary crutch extension|223.39
56-2029700|L0980|||Peroneal straps pair pre ots|20.26
56-2029700|L0982|||Stocking sup grips 4 pre ots|22.09
56-2029700|L0984|||Protect body sock ea pre ots|70.46
56-2029700|L1000|||Ctlso milwauke initial model|2356.04
56-2029700|L1001|||Ctlso infant immobilizer|0
56-2029700|L1005|||Tension based scoliosis orth|3993.89
56-2029700|L1010|||Ctlso axilla sling|94.89
56-2029700|L1020|||Kyphosis pad|129.64
56-2029700|L1025|||Kyphosis pad floating|147.34
56-2029700|L1030|||Lumbar bolster pad|98.43
56-2029700|L1040|||Lumbar or lumbar rib pad|118.48
56-2029700|L1050|||Sternal pad|102.56
56-2029700|L1060|||Thoracic pad|115.7
56-2029700|L1070|||Trapezius sling|118.31
56-2029700|L1080|||Outrigger|81.98
56-2029700|L1085|||Outrigger bil w/ vert extens|227.73
56-2029700|L1090|||Lumbar sling|106.38
56-2029700|L1100|||Ring flange plastic/leather|187.78
56-2029700|L1110|||Ring flange plas/leather mol|318.05
56-2029700|L1120|||Covers for upright each|50.66
56-2029700|L1200|||Furnsh initial orthosis only|2016.76
56-2029700|L1210|||Lateral thoracic extension|303.65
56-2029700|L1220|||Anterior thoracic extension|257.1
56-2029700|L1230|||Milwaukee type superstructur|659.68
56-2029700|L1240|||Lumbar derotation pad|113.53
56-2029700|L1250|||Anterior asis pad|111.79
56-2029700|L1260|||Anterior thoracic derotation|114.89
56-2029700|L1270|||Abdominal pad|114.75
56-2029700|L1280|||Rib gusset (elastic) each|102.28
56-2029700|L1290|||Lateral trochanteric pad|115.96
56-2029700|L1300|||Body jacket mold to patient|1938.5
56-2029700|L1310|||Post-operative body jacket|1994.71
56-2029700|L1600|||Ho flex frejka w/cov pre cst|149.54
56-2029700|L1610|||Ho frejka cov only pre cst|50.94
56-2029700|L1620|||Ho flex pavlik harns pre cst|167.76
56-2029700|L1630|||Abduct control hip semi-flex|200.2
56-2029700|L1640|||Pelv band/spread bar thigh c|535.48
56-2029700|L1650|||Ho abduction hip adjustable|283.99
56-2029700|L1652|||Ho bi thighcuffs w sprdr bar|444.83
56-2029700|L1660|||Ho abduction static plastic|198.6
56-2029700|L1680|||Pelvic & hip control thigh c|1632.78
56-2029700|L1685|||Post-op hip abduct custom fa|1722.86
56-2029700|L1686|||Ho post-op hip abduction|1155.8
56-2029700|L1690|||Combination bilateral ho|2413
56-2029700|L1700|||Leg perthes orth toronto typ|2007.46
56-2029700|L1710|||Legg perthes orth newington|2359.65
56-2029700|L1720|||Legg perthes orthosis trilat|1743.08
56-2029700|L1730|||Legg perthes orth scottish r|1315.1
56-2029700|L1755|||Legg perthes patten bottom t|1914.18
56-2029700|L1810|||Ko elastic with joints|151.08
56-2029700|L1812|||Ko elastic w/joints pre ots|151.08
56-2029700|L1820|||Ko elas w/ condyle pads & jo|150.46
56-2029700|L1830|||Ko immob canvas long pre ots|125.86
56-2029700|L1831|||Knee orth pos locking joint|367.24
56-2029700|L1832|||Ko adj jnt pos r sup pre cst|940.71
56-2029700|L1833|||Ko adj jnt pos r sup pre ots|940.71
56-2029700|L1834|||Ko w/0 joint rigid molded to|1106.74
56-2029700|L1836|||Ko rigid w/o joints pre ots|166.49
56-2029700|L1840|||Ko derot ant cruciate custom|1163.36
56-2029700|L1843|||Ko single upright pre cst|1119.63
56-2029700|L1844|||Ko w/adj jt rot cntrl molded|1940.05
56-2029700|L1845|||Ko double upright pre cst|1168.78
56-2029700|L1846|||Ko w adj flex/ext rotat mold|1482.99
56-2029700|L1847|||Ko dbl upright w/air pre cst|717.74
56-2029700|L1848|||Ko dbl upright w/air pre ots|717.74
56-2029700|L1850|||Ko swedish type pre ots|334.04
56-2029700|L1851|||Ko single upright prefab ots|1119.63
56-2029700|L1852|||Ko double upright prefab ots|1168.78
56-2029700|L1860|||Ko supracondylar socket mold|1295.59
56-2029700|L1900|||Afo sprng wir drsflx calf bd|350.99
56-2029700|L1902|||Afo ankle gauntlet pre ots|95.33
56-2029700|L1904|||Afo molded ankle gauntlet|545.7
56-2029700|L1906|||Afo multilig ank sup pre ots|159.48
56-2029700|L1907|||Afo supramalleolar custom|702.14
56-2029700|L1910|||Afo sing bar clasp attach sh|310.34
56-2029700|L1920|||Afo sing upright w/ adjust s|405.7
56-2029700|L1930|||Afo plastic|274.53
56-2029700|L1932|||Afo rig ant tib prefab tcf/=|1113.51
56-2029700|L1940|||Afo molded to patient plasti|620.4
56-2029700|L1945|||Afo molded plas rig ant tib|1139.3
56-2029700|L1950|||Afo spiral molded to pt plas|864.38
56-2029700|L1951|||Afo spiral prefabricated|1047.96
56-2029700|L1960|||Afo pos solid ank plastic mo|643.24
56-2029700|L1970|||Afo plastic molded w/ankle j|951.4
56-2029700|L1971|||Afo w/ankle joint -  prefab|584.89
56-2029700|L1980|||Afo sing solid stirrup calf|425.9
56-2029700|L1990|||Afo doub solid stirrup calf|547.23
56-2029700|L2000|||Kafo sing fre stirr thi/calf|1177.06
56-2029700|L2005|||Kafo sng/dbl mechanical act|5113.29
56-2029700|L2010|||Kafo sng solid stirrup w/o j|1073
56-2029700|L2020|||Kafo dbl solid stirrup band/|1355.04
56-2029700|L2030|||Kafo dbl solid stirrup w/o j|1175.61
56-2029700|L2034|||Kafo pla sin up w/wo k/a cus|2562.19
56-2029700|L2035|||Kafo plastic pediatric size|216.16
56-2029700|L2036|||Kafo plas doub free knee mol|2153.06
56-2029700|L2037|||Kafo plas sing free knee mol|1984.18
56-2029700|L2038|||Kafo w/o joint multi-axis an|1659.18
56-2029700|L2040|||Hkafo torsion bil rot straps|211.94
56-2029700|L2050|||Hkafo torsion cable hip pelv|564.4
56-2029700|L2060|||Hkafo torsion ball bearing j|724.38
56-2029700|L2070|||Hkafo torsion unilat rot str|208.09
56-2029700|L2080|||Hkafo unilat torsion cable|443.78
56-2029700|L2090|||Hkafo unilat torsion ball br|546.99
56-2029700|L2106|||Afo tib fx cast plaster mold|789.04
56-2029700|L2108|||Afo tib fx cast molded to pt|1239.91
56-2029700|L2112|||Afo tibial fracture soft|588.74
56-2029700|L2114|||Afo tib fx semi-rigid|673.58
56-2029700|L2116|||Afo tibial fracture rigid|887.45
56-2029700|L2126|||Kafo fem fx cast thermoplas|1579.03
56-2029700|L2128|||Kafo fem fx cast molded to p|1989.91
56-2029700|L2132|||Kafo femoral fx cast soft|936.14
56-2029700|L2134|||Kafo fem fx cast semi-rigid|1122.39
56-2029700|L2136|||Kafo femoral fx cast rigid|1372.38
56-2029700|L2180|||Plas shoe insert w ank joint|135.9
56-2029700|L2182|||Drop lock knee|106.36
56-2029700|L2184|||Limited motion knee joint|191.68
56-2029700|L2186|||Adj motion knee jnt lerman t|212.4
56-2029700|L2188|||Quadrilateral brim|463.4
56-2029700|L2190|||Waist belt|120.36
56-2029700|L2192|||Pelvic band & belt thigh fla|413.78
56-2029700|L2200|||Limited ankle motion ea jnt|55.18
56-2029700|L2210|||Dorsiflexion assist each joi|89.53
56-2029700|L2220|||Dorsi & plantar flex ass/res|102.79
56-2029700|L2230|||Split flat caliper stirr & p|89.04
56-2029700|L2232|||Rocker bottom -  contact afo|120.56
56-2029700|L2240|||Round caliper and plate atta|97.06
56-2029700|L2250|||Foot plate molded stirrup at|412.35
56-2029700|L2260|||Reinforced solid stirrup|232.63
56-2029700|L2265|||Long tongue stirrup|136.66
56-2029700|L2270|||Varus/valgus strap padded/li|62.33
56-2029700|L2275|||Plastic mod low ext pad/line|151.65
56-2029700|L2280|||Molded inner boot|563.34
56-2029700|L2300|||Abduction bar jointed adjust|318
56-2029700|L2310|||Abduction bar-straight|142.76
56-2029700|L2320|||Non-molded lacer|238.78
56-2029700|L2330|||Lacer molded to patient mode|455.68
56-2029700|L2335|||Anterior swing band|268.06
56-2029700|L2340|||Pre-tibial shell molded to p|632.56
56-2029700|L2350|||Prosthetic type socket molde|1034.05
56-2029700|L2360|||Extended steel shank|60.04
56-2029700|L2370|||Patten bottom|297.9
56-2029700|L2375|||Torsion ank & half solid sti|131.13
56-2029700|L2380|||Torsion straight knee joint|142.86
56-2029700|L2385|||Straight knee joint heavy du|155.44
56-2029700|L2387|||Add le poly knee custom kafo|210.94
56-2029700|L2390|||Offset knee joint each|127.04
56-2029700|L2395|||Offset knee joint heavy duty|193.95
56-2029700|L2397|||Suspension sleeve lower ext|136.01
56-2029700|L2405|||Knee joint drop lock ea jnt|108.8
56-2029700|L2415|||Knee joint cam lock each joi|151.6
56-2029700|L2425|||Knee disc/dial lock/adj flex|178.86
56-2029700|L2430|||Knee jnt ratchet lock ea jnt|178.86
56-2029700|L2492|||Knee lift loop drop lock rin|118.34
56-2029700|L2500|||Thi/glut/ischia wgt bearing|366.1
56-2029700|L2510|||Th/wght bear quad-lat brim m|980.2
56-2029700|L2520|||Th/wght bear quad-lat brim c|534.61
56-2029700|L2525|||Th/wght bear nar m-l brim mo|1834.13
56-2029700|L2526|||Th/wght bear nar m-l brim cu|988.61
56-2029700|L2530|||Thigh/wght bear lacer non-mo|272.66
56-2029700|L2540|||Thigh/wght bear lacer molded|490.63
56-2029700|L2550|||Thigh/wght bear high roll cu|333.3
56-2029700|L2570|||Hip clevis type 2 posit jnt|736.99
56-2029700|L2580|||Pelvic control pelvic sling|698.63
56-2029700|L2600|||Hip clevis/thrust bearing fr|238.34
56-2029700|L2610|||Hip clevis/thrust bearing lo|281.83
56-2029700|L2620|||Pelvic control hip heavy dut|310.29
56-2029700|L2622|||Hip joint adjustable flexion|355.88
56-2029700|L2624|||Hip adj flex ext abduct cont|483.8
56-2029700|L2627|||Plastic mold recipro hip & c|1993.23
56-2029700|L2628|||Metal frame recipro hip & ca|2341.4
56-2029700|L2630|||Pelvic control band & belt u|287.36
56-2029700|L2640|||Pelvic control band & belt b|389.99
56-2029700|L2650|||Pelv & thor control gluteal|139.26
56-2029700|L2660|||Thoracic control thoracic ba|216.29
56-2029700|L2670|||Thorac cont paraspinal uprig|197.95
56-2029700|L2680|||Thorac cont lat support upri|181.6
56-2029700|L2750|||Plating chrome/nickel pr bar|97
56-2029700|L2755|||Carbon graphite lamination|163.09
56-2029700|L2760|||Extension per extension per|70.51
56-2029700|L2768|||Ortho sidebar disconnect|162.59
56-2029700|L2780|||Non-corrosive finish|83.41
56-2029700|L2785|||Drop lock retainer each|49.04
56-2029700|L2795|||Knee control full kneecap|98.61
56-2029700|L2800|||Knee cap medial or lateral p|123.79
56-2029700|L2810|||Knee control condylar pad|90.64
56-2029700|L2820|||Soft interface below knee se|100.78
56-2029700|L2830|||Soft interface above knee se|113.33
56-2029700|L2840|||Tibial length sock fx or equ|63.25
56-2029700|L2850|||Femoral lgth sock fx or equa|71.85
56-2029700|L3000|||Ft insert ucb berkeley shell|392
56-2029700|L3001|||Foot insert remov molded spe|165.03
56-2029700|L3002|||Foot insert plastazote or eq|201.53
56-2029700|L3003|||Foot insert silicone gel eac|217.41
56-2029700|L3010|||Foot longitudinal arch suppo|217.41
56-2029700|L3020|||Foot longitud/metatarsal sup|247.58
56-2029700|L3030|||Foot arch support remov prem|95.24
56-2029700|L3031|||Foot lamin/prepreg composite|152.81
56-2029700|L3040|||Ft arch suprt premold longit|58.74
56-2029700|L3050|||Foot arch supp premold metat|58.74
56-2029700|L3060|||Foot arch supp longitud/meta|92.04
56-2029700|L3070|||Arch suprt att to sho longit|39.68
56-2029700|L3080|||Arch supp att to shoe metata|39.68
56-2029700|L3090|||Arch supp att to shoe long/m|50.79
56-2029700|L3100|||Hallus-valgus nt dyn pre ots|53.93
56-2029700|L3140|||Abduction rotation bar shoe|111.11
56-2029700|L3150|||Abduct rotation bar w/o shoe|101.59
56-2029700|L3170|||Foot plas heel stabi pre ots|63.49
56-2029700|L3224|||Woman's shoe oxford brace|68.25
56-2029700|L3225|||Man's shoe oxford brace|78.5
56-2029700|L3300|||Sho lift taper to metatarsal|65.05
56-2029700|L3310|||Shoe lift elev heel/sole neo|101.59
56-2029700|L3330|||Lifts elevation metal extens|706.19
56-2029700|L3332|||Shoe lifts tapered to one-ha|92.04
56-2029700|L3334|||Shoe lifts elevation heel /i|47.61
56-2029700|L3340|||Shoe wedge sach|106.35
56-2029700|L3350|||Shoe heel wedge|28.53
56-2029700|L3360|||Shoe sole wedge outside sole|44.44
56-2029700|L3370|||Shoe sole wedge between sole|61.9
56-2029700|L3380|||Shoe clubfoot wedge|61.9
56-2029700|L3390|||Shoe outflare wedge|61.9
56-2029700|L3400|||Shoe metatarsal bar wedge ro|50.79
56-2029700|L3410|||Shoe metatarsal bar between|115.88
56-2029700|L3420|||Full sole/heel wedge btween|68.23
56-2029700|L3430|||Sho heel count plast reinfor|199.96
56-2029700|L3440|||Heel leather reinforced|95.24
56-2029700|L3450|||Shoe heel sach cushion type|131.69
56-2029700|L3455|||Shoe heel new leather standa|50.79
56-2029700|L3460|||Shoe heel new rubber standar|42.83
56-2029700|L3465|||Shoe heel thomas with wedge|72.99
56-2029700|L3470|||Shoe heel thomas extend to b|77.74
56-2029700|L3480|||Shoe heel pad & depress for|77.74
56-2029700|L3500|||Ortho shoe add leather insol|36.54
56-2029700|L3510|||Orthopedic shoe add rub insl|36.54
56-2029700|L3520|||O shoe add felt w leath insl|39.68
56-2029700|L3530|||Ortho shoe add half sole|39.68
56-2029700|L3540|||Ortho shoe add full sole|63.49
56-2029700|L3550|||O shoe add standard toe tap|11.13
56-2029700|L3560|||O shoe add horseshoe toe tap|28.53
56-2029700|L3570|||O shoe add instep extension|106.35
56-2029700|L3580|||O shoe add instep velcro clo|80.94
56-2029700|L3590|||O shoe convert to sof counte|66.66
56-2029700|L3595|||Ortho shoe add march bar|52.36
56-2029700|L3600|||Trans shoe calip plate exist|95.24
56-2029700|L3610|||Trans shoe caliper plate new|125.36
56-2029700|L3620|||Trans shoe solid stirrup exi|95.24
56-2029700|L3630|||Trans shoe solid stirrup new|125.36
56-2029700|L3640|||Shoe dennis browne splint bo|53.93
56-2029700|L3650|||So 8 abd restraint pre ots|67.98
56-2029700|L3660|||So 8 ab rstr can/web pre ots|116.71
56-2029700|L3670|||So acro/clav can web pre ots|162.68
56-2029700|L3671|||So cap design w/o jnts cf|1023.25
56-2029700|L3674|||So airplane w/wo joint cf|1342.36
56-2029700|L3675|||So vest canvas/web pre ots|199.3
56-2029700|L3702|||Eo w/o joints cf|327.93
56-2029700|L3710|||Eo elas w/metal jnts pre ots|164.65
56-2029700|L3720|||Forearm/arm cuffs free motio|821.45
56-2029700|L3730|||Forearm/arm cuffs ext/flex a|1081.33
56-2029700|L3740|||Cuffs adj lock w/ active con|1215.25
56-2029700|L3760|||Eo adj jt prefab custom fit|567.9
56-2029700|L3761|||Eo -  adj lock joint prefab ot|567.9
56-2029700|L3762|||Eo rigid w/o joints pre ots|122.13
56-2029700|L3763|||Ewho rigid w/o jnts cf|901.64
56-2029700|L3764|||Ewho w/joint(s) cf|899.19
56-2029700|L3765|||Ewhfo rigid w/o jnts cf|1456.16
56-2029700|L3766|||Ewhfo w/joint(s) cf|1541.98
56-2029700|L3806|||Whfo w/joint(s) custom fab|515.85
56-2029700|L3807|||Whfo w/o joints pre cst|283.99
56-2029700|L3808|||Whfo -  rigid w/o joints|379.31
56-2029700|L3809|||Whfo w/o joints pre ots|283.99
56-2029700|L3900|||Hinge extension/flex wrist/f|1774.06
56-2029700|L3901|||Hinge ext/flex wrist finger|1989.2
56-2029700|L3904|||Whfo electric custom fitted|4049.43
56-2029700|L3905|||Who w/nontorsion jnt(s) cf|1126.21
56-2029700|L3906|||Who w/o joints cf|479.08
56-2029700|L3908|||Who cock-up nonmolde pre ots|68.04
56-2029700|L3912|||Hfo flexion glove pre ots|109.14
56-2029700|L3913|||Hfo w/o joints cf|307.59
56-2029700|L3915|||Who nontorsion jnts pre cst|603.69
56-2029700|L3916|||Who nontorsion jnts pre ots|603.69
56-2029700|L3917|||Metacarp fx orthosis pre cst|119.98
56-2029700|L3918|||Metacarp fx orthosis pre ots|119.98
56-2029700|L3919|||Ho w/o joints cf|307.59
56-2029700|L3921|||Hfo w/joint(s) cf|364.74
56-2029700|L3923|||Hfo without joints pre cst|98.78
56-2029700|L3924|||Hfo without joints pre ots|98.78
56-2029700|L3925|||Fo pip dip jnt/sprng pre ots|59.99
56-2029700|L3927|||Fo pip dip no jt spr pre ots|39.74
56-2029700|L3929|||Hfo nontorsion jnts pre cst|95.6
56-2029700|L3930|||Hfo nontorsion jnts pre ots|95.6
56-2029700|L3931|||Whfo nontorsion joint prefab|231.28
56-2029700|L3933|||Fo w/o joints cf|242.31
56-2029700|L3935|||Fo nontorsion joint cf|250.91
56-2029700|L3956|||Add joint upper ext orthosis|0
56-2029700|L3960|||Sewho airplan desig abdu pos|936.08
56-2029700|L3961|||Sewho cap design w/o jnts cf|1908
56-2029700|L3962|||Sewho erbs palsey design abd|974.66
56-2029700|L3967|||Sewho airplane w/o jnts cf|2252.7
56-2029700|L3971|||Sewho cap design w/jnt(s) cf|2138.3
56-2029700|L3973|||Sewho airplane w/jnt(s) cf|2252.7
56-2029700|L3975|||Sewhfo cap design w/o jnt cf|1908
56-2029700|L3976|||Sewhfo airplane w/o jnts cf|1908
56-2029700|L3977|||Sewhfo cap desgn w/jnt(s) cf|2138.3
56-2029700|L3978|||Sewhfo airplane w/jnt(s) cf|2252.7
56-2029700|L3980|||Up ext fx orthos humeral nos|351.06
56-2029700|L3981|||Ue fx orth shoul cap forearm|1143.09
56-2029700|L3982|||Upper ext fx orthosis rad/ul|433.73
56-2029700|L3984|||Upper ext fx orthosis wrist|462.98
56-2029700|L3995|||Sock fracture or equal each|38.85
56-2029700|L4000|||Repl girdle milwaukee orth|1513.89
56-2029700|L4002|||Replace strap -  any orthosis|0
56-2029700|L4010|||Replace trilateral socket br|851.93
56-2029700|L4020|||Replace quadlat socket brim|1064.13
56-2029700|L4030|||Replace socket brim cust fit|585.9
56-2029700|L4040|||Replace molded thigh lacer|473.7
56-2029700|L4045|||Replace non-molded thigh lac|380.68
56-2029700|L4050|||Replace molded calf lacer|479.1
56-2029700|L4055|||Replace non-molded calf lace|310.24
56-2029700|L4060|||Replace high roll cuff|368.8
56-2029700|L4070|||Replace prox & dist upright|351.85
56-2029700|L4080|||Repl met band kafo-afo prox|124.05
56-2029700|L4090|||Repl met band kafo-afo calf/|109.79
56-2029700|L4100|||Repl leath cuff kafo prox th|123.84
56-2029700|L4110|||Repl leath cuff kafo-afo cal|98.41
56-2029700|L4130|||Replace pretibial shell|677.31
56-2029700|L4350|||Ankle control ortho pre ots|122.03
56-2029700|L4360|||Pneumat walking boot pre cst|341.4
56-2029700|L4361|||Pneuma/vac walk boot pre ots|341.4
56-2029700|L4370|||Pneum full leg splnt pre ots|219.09
56-2029700|L4386|||Non-pneum walk boot pre cst|197.84
56-2029700|L4387|||Non-pneum walk boot pre ots|197.84
56-2029700|L4392|||Replace afo soft interface|29.39
56-2029700|L4394|||Replace foot drop spint|21.45
56-2029700|L4396|||Static or dynami afo pre cst|209.45
56-2029700|L4397|||Static or dynami afo pre ots|209.45
56-2029700|L4398|||Foot drop splint pre ots|96.39
56-2029700|L4631|||Afo -  walk boot type -  cus fab|1862.15
56-2029700|L5000|||Sho insert w arch toe filler|654.3
56-2029700|L5010|||Mold socket ank hgt w/ toe f|1580.29
56-2029700|L5020|||Tibial tubercle hgt w/ toe f|2683.68
56-2029700|L5050|||Ank symes mold sckt sach ft|2968.63
56-2029700|L5060|||Symes met fr leath socket ar|3414.8
56-2029700|L5100|||Molded socket shin sach foot|2975.19
56-2029700|L5105|||Plast socket jts/thgh lacer|4295.01
56-2029700|L5150|||Mold sckt ext knee shin sach|4341.66
56-2029700|L5160|||Mold socket bent knee shin s|4722.34
56-2029700|L5200|||Kne sing axis fric shin sach|4522.31
56-2029700|L5210|||No knee/ankle joints w/ ft b|3000.1
56-2029700|L5220|||No knee joint with artic ali|3410.16
56-2029700|L5230|||Fem focal defic constant fri|4703.28
56-2029700|L5250|||Hip canad sing axi cons fric|6414.85
56-2029700|L5270|||Tilt table locking hip sing|6386.39
56-2029700|L5280|||Hemipelvect canad sing axis|6337.49
56-2029700|L5301|||Bk mold socket sach ft endo|3400.84
56-2029700|L5312|||Knee disart -  sach ft -  endo|4868.06
56-2029700|L5321|||Ak open end sach|4929.6
56-2029700|L5331|||Hip disart canadian sach ft|6281.29
56-2029700|L5341|||Hemipelvectomy canadian sach|6538.86
56-2029700|L5400|||Postop dress & 1 cast chg bk|1683.7
56-2029700|L5410|||Postop dsg bk ea add cast ch|516.56
56-2029700|L5420|||Postop dsg & 1 cast chg ak/d|2063.31
56-2029700|L5430|||Postop dsg ak ea add cast ch|622.15
56-2029700|L5450|||Postop app non-wgt bear dsg|506.14
56-2029700|L5460|||Postop app non-wgt bear dsg|674.35
56-2029700|L5500|||Init bk ptb plaster direct|1587.88
56-2029700|L5505|||Init ak ischal plstr direct|2196.09
56-2029700|L5510|||Prep bk ptb plaster molded|1799.96
56-2029700|L5520|||Perp bk ptb thermopls direct|1777.94
56-2029700|L5530|||Prep bk ptb thermopls molded|2135.46
56-2029700|L5535|||Prep bk ptb open end socket|2096.61
56-2029700|L5540|||Prep bk ptb laminated socket|2237.74
56-2029700|L5560|||Prep ak ischial plast molded|2402.94
56-2029700|L5570|||Prep ak ischial direct form|2498.21
56-2029700|L5580|||Prep ak ischial thermo mold|2916.49
56-2029700|L5585|||Prep ak ischial open end|3589.21
56-2029700|L5590|||Prep ak ischial laminated|2972.1
56-2029700|L5595|||Hip disartic sach thermopls|5250.61
56-2029700|L5600|||Hip disart sach laminat mold|5644.16
56-2029700|L5610|||Above knee hydracadence|2559.71
56-2029700|L5611|||Ak 4 bar link w/fric swing|1991.96
56-2029700|L5613|||Ak 4 bar ling w/hydraul swig|3114.39
56-2029700|L5614|||4-bar link above knee w/swng|2109.78
56-2029700|L5616|||Ak univ multiplex sys frict|1682.99
56-2029700|L5617|||Ak/bk self-aligning unit ea|699.53
56-2029700|L5618|||Test socket symes|370.08
56-2029700|L5620|||Test socket below knee|343.73
56-2029700|L5622|||Test socket knee disarticula|448.21
56-2029700|L5624|||Test socket above knee|449.48
56-2029700|L5626|||Test socket hip disarticulat|589.48
56-2029700|L5628|||Test socket hemipelvectomy|630.3
56-2029700|L5629|||Below knee acrylic socket|392.91
56-2029700|L5630|||Syme typ expandabl wall sckt|554.86
56-2029700|L5631|||Ak/knee disartic acrylic soc|543.23
56-2029700|L5632|||Symes type ptb brim design s|303.18
56-2029700|L5634|||Symes type poster opening so|376.08
56-2029700|L5636|||Symes type medial opening so|315.03
56-2029700|L5637|||Below knee total contact|357.16
56-2029700|L5638|||Below knee leather socket|622.18
56-2029700|L5639|||Below knee wood socket|1386.16
56-2029700|L5640|||Knee disarticulat leather so|790.56
56-2029700|L5642|||Above knee leather socket|766
56-2029700|L5643|||Hip flex inner socket ext fr|1924.3
56-2029700|L5644|||Above knee wood socket|730.24
56-2029700|L5645|||Bk flex inner socket ext fra|986.48
56-2029700|L5646|||Below knee cushion socket|677.4
56-2029700|L5647|||Below knee suction socket|983.46
56-2029700|L5648|||Above knee cushion socket|813.98
56-2029700|L5649|||Isch containmt/narrow m-l so|2949.51
56-2029700|L5650|||Tot contact ak/knee disart s|603.56
56-2029700|L5651|||Ak flex inner socket ext fra|1484.75
56-2029700|L5652|||Suction susp ak/knee disart|539.03
56-2029700|L5653|||Knee disart expand wall sock|719.55
56-2029700|L5654|||Socket insert symes|410.03
56-2029700|L5655|||Socket insert below knee|347.48
56-2029700|L5656|||Socket insert knee articulat|466.13
56-2029700|L5658|||Socket insert above knee|449.53
56-2029700|L5661|||Multi-durometer symes|752.38
56-2029700|L5665|||Multi-durometer below knee|633.04
56-2029700|L5666|||Below knee cuff suspension|86.54
56-2029700|L5668|||Bk molded distal cushion|139.59
56-2029700|L5670|||Bk molded supracondylar susp|335.48
56-2029700|L5671|||Bk/ak locking mechanism|710.93
56-2029700|L5672|||Bk removable medial brim sus|368.66
56-2029700|L5673|||Socket insert w lock mech|879.11
56-2029700|L5676|||Bk knee joints single axis p|448.01
56-2029700|L5677|||Bk knee joints polycentric p|609.59
56-2029700|L5678|||Bk joint covers pair|49.09
56-2029700|L5679|||Socket insert w/o lock mech|732.56
56-2029700|L5680|||Bk thigh lacer non-molded|409.79
56-2029700|L5681|||Intl custm cong/latyp insert|1644.6
56-2029700|L5682|||Bk thigh lacer glut/ischia m|773.2
56-2029700|L5683|||Initial custom socket insert|1644.6
56-2029700|L5684|||Bk fork strap|59.5
56-2029700|L5685|||Below knee sus/seal sleeve|160.14
56-2029700|L5686|||Bk back check|63.16
56-2029700|L5688|||Bk waist belt webbing|75.53
56-2029700|L5690|||Bk waist belt padded and lin|120.98
56-2029700|L5692|||Ak pelvic control belt light|164.29
56-2029700|L5694|||Ak pelvic control belt pad/l|224.29
56-2029700|L5695|||Ak sleeve susp neoprene/equa|207.05
56-2029700|L5696|||Ak/knee disartic pelvic join|228.75
56-2029700|L5697|||Ak/knee disartic pelvic band|99.25
56-2029700|L5698|||Ak/knee disartic silesian ba|162.3
56-2029700|L5699|||Shoulder harness|292.38
56-2029700|L5700|||Replace socket below knee|3542.36
56-2029700|L5701|||Replace socket above knee|4254.13
56-2029700|L5702|||Replace socket hip|5382.08
56-2029700|L5703|||Symes ankle w/o (sach) foot|2785.29
56-2029700|L5704|||Custom shape cover bk|662.7
56-2029700|L5705|||Custom shape cover ak|1184.14
56-2029700|L5706|||Custom shape cvr knee disart|1160.75
56-2029700|L5707|||Custom shape cvr hip disart|1530.26
56-2029700|L5710|||Kne-shin exo sng axi mnl loc|462.38
56-2029700|L5711|||Knee-shin exo mnl lock ultra|646.21
56-2029700|L5712|||Knee-shin exo frict swg & st|541.46
56-2029700|L5714|||Knee-shin exo variable frict|556.16
56-2029700|L5716|||Knee-shin exo mech stance ph|901.09
56-2029700|L5718|||Knee-shin exo frct swg & sta|1126.28
56-2029700|L5722|||Knee-shin pneum swg frct exo|1189.86
56-2029700|L5724|||Knee-shin exo fluid swing ph|1866.16
56-2029700|L5726|||Knee-shin ext jnts fld swg e|2150.7
56-2029700|L5728|||Knee-shin fluid swg & stance|2941.88
56-2029700|L5780|||Knee-shin pneum/hydra pneum|1415.51
56-2029700|L5781|||Lower limb pros vacuum pump|5002.54
56-2029700|L5782|||Hd low limb pros vacuum pump|5273.83
56-2029700|L5785|||Exoskeletal bk ultralt mater|795.69
56-2029700|L5790|||Exoskeletal ak ultra-light m|888.96
56-2029700|L5795|||Exoskel hip ultra-light mate|1769.94
56-2029700|L5810|||Endoskel knee-shin mnl lock|601.93
56-2029700|L5811|||Endo knee-shin mnl lck ultra|901.69
56-2029700|L5812|||Endo knee-shin frct swg & st|698.9
56-2029700|L5814|||Endo knee-shin hydral swg ph|4643.34
56-2029700|L5816|||Endo knee-shin polyc mch sta|1057.79
56-2029700|L5818|||Endo knee-shin frct swg & st|1187.29
56-2029700|L5822|||Endo knee-shin pneum swg frc|2105.38
56-2029700|L5824|||Endo knee-shin fluid swing p|1896.01
56-2029700|L5826|||Miniature knee joint|3904.44
56-2029700|L5828|||Endo knee-shin fluid swg/sta|3491.36
56-2029700|L5830|||Endo knee-shin pneum/swg pha|2346.01
56-2029700|L5840|||Multi-axial knee/shin system|4337.79
56-2029700|L5845|||Knee-shin sys stance flexion|2240.98
56-2029700|L5848|||Knee-shin sys hydraul stance|1344.41
56-2029700|L5850|||Endo ak/hip knee extens assi|158.16
56-2029700|L5855|||Mech hip extension assist|424.99
56-2029700|L5856|||Elec knee-shin swing/stance|30013.73
56-2029700|L5857|||Elec knee-shin swing only|10649.96
56-2029700|L5858|||Stance phase only|23236.48
56-2029700|L5859|||Knee-shin pro flex/ext cont|18140.53
56-2029700|L5910|||Endo below knee alignable sy|447.78
56-2029700|L5920|||Endo ak/hip alignable system|656
56-2029700|L5925|||Above knee manual lock|553.9
56-2029700|L5930|||High activity knee frame|4208.26
56-2029700|L5940|||Endo bk ultra-light material|620.16
56-2029700|L5950|||Endo ak ultra-light material|969.66
56-2029700|L5960|||Endo hip ultra-light materia|1191.89
56-2029700|L5961|||Endo poly hip -  pneu/hyd/rot|5683.41
56-2029700|L5962|||Below knee flex cover system|784.39
56-2029700|L5964|||Above knee flex cover system|1157.86
56-2029700|L5966|||Hip flexible cover system|1475.4
56-2029700|L5968|||Multiaxial ankle w dorsiflex|4543.39
56-2029700|L5970|||Foot external keel sach foot|251.09
56-2029700|L5971|||Sach foot -  replacement|251.09
56-2029700|L5972|||Flexible keel foot|469.01
56-2029700|L5973|||Ank-foot sys dors-plant flex|21510.44
56-2029700|L5974|||Foot single axis ankle/foot|288.11
56-2029700|L5975|||Combo ankle/foot prosthesis|579.65
56-2029700|L5976|||Energy storing foot|692.39
56-2029700|L5978|||Ft prosth multiaxial ankl/ft|360.8
56-2029700|L5979|||Multi-axial ankle/ft prosth|2821.05
56-2029700|L5980|||Flex foot system|4584.01
56-2029700|L5981|||Flex-walk sys low ext prosth|3703.26
56-2029700|L5982|||Exoskeletal axial rotation u|714.75
56-2029700|L5984|||Endoskeletal axial rotation|704.31
56-2029700|L5985|||Lwr ext dynamic prosth pylon|353.05
56-2029700|L5986|||Multi-axial rotation unit|783.46
56-2029700|L5987|||Shank ft w vert load pylon|8994.1
56-2029700|L5988|||Vertical shock reducing pylo|2497.65
56-2029700|L5990|||User adjustable heel height|2268.25
56-2029700|L6000|||Part hand thumb rem|1642.73
56-2029700|L6010|||Part hand little/ring|1828.08
56-2029700|L6020|||Part hand no fingers|1704.4
56-2029700|L6026|||Part hand myo exclu term dev|6180.41
56-2029700|L6050|||Wrst mld sck flx hng tri pad|2348.59
56-2029700|L6055|||Wrst mold sock w/exp interfa|3273.34
56-2029700|L6100|||Elb mold sock flex hinge pad|2379.49
56-2029700|L6110|||Elbow mold sock suspension t|2523.84
56-2029700|L6120|||Elbow mold doub splt soc ste|2941.18
56-2029700|L6130|||Elbow stump activated lock h|3200.55
56-2029700|L6200|||Elbow mold outsid lock hinge|3372.86
56-2029700|L6205|||Elbow molded w/ expand inter|4502.24
56-2029700|L6250|||Elbow inter loc elbow forarm|3533.98
56-2029700|L6300|||Shlder disart int lock elbow|4606.16
56-2029700|L6310|||Shoulder passive restor comp|3977.23
56-2029700|L6320|||Shoulder passive restor cap|2172.66
56-2029700|L6350|||Thoracic intern lock elbow|4842.68
56-2029700|L6360|||Thoracic passive restor comp|4355.23
56-2029700|L6370|||Thoracic passive restor cap|2606.03
56-2029700|L6380|||Postop dsg cast chg wrst/elb|1510.14
56-2029700|L6382|||Postop dsg cast chg elb dis/|2271.93
56-2029700|L6384|||Postop dsg cast chg shlder/t|3142.98
56-2029700|L6386|||Postop ea cast chg & realign|496.5
56-2029700|L6388|||Postop applicat rigid dsg on|543.53
56-2029700|L6400|||Below elbow prosth tiss shap|2868.81
56-2029700|L6450|||Elb disart prosth tiss shap|3832.66
56-2029700|L6500|||Above elbow prosth tiss shap|4009.76
56-2029700|L6550|||Shldr disar prosth tiss shap|4819.8
56-2029700|L6570|||Scap thorac prosth tiss shap|5411.34
56-2029700|L6580|||Wrist/elbow bowden cable mol|2065.94
56-2029700|L6582|||Wrist/elbow bowden cbl dir f|1871.19
56-2029700|L6584|||Elbow fair lead cable molded|2934.5
56-2029700|L6586|||Elbow fair lead cable dir fo|2746.23
56-2029700|L6588|||Shdr fair lead cable molded|3608.46
56-2029700|L6590|||Shdr fair lead cable direct|3427.48
56-2029700|L6600|||Polycentric hinge pair|231.91
56-2029700|L6605|||Single pivot hinge pair|228.99
56-2029700|L6610|||Flexible metal hinge pair|219.9
56-2029700|L6611|||Additional switch -  ext power|514.74
56-2029700|L6615|||Disconnect locking wrist uni|236.94
56-2029700|L6616|||Disconnect insert locking wr|87.8
56-2029700|L6620|||Flexion/extension wrist unit|379.09
56-2029700|L6621|||Flex/ext wrist w/wo friction|2859.7
56-2029700|L6623|||Spring-ass rot wrst w/ latch|1057.43
56-2029700|L6624|||Flex/ext/rotation wrist unit|4708.58
56-2029700|L6625|||Rotation wrst w/ cable lock|751.31
56-2029700|L6628|||Quick disconn hook adapter o|592.28
56-2029700|L6629|||Lamination collar w/ couplin|180.89
56-2029700|L6630|||Stainless steel any wrist|266.46
56-2029700|L6632|||Latex suspension sleeve each|92.54
56-2029700|L6635|||Lift assist for elbow|217.76
56-2029700|L6637|||Nudge control elbow lock|464.46
56-2029700|L6638|||Elec lock on manual pw elbow|3126.58
56-2029700|L6640|||Shoulder abduction joint pai|412.63
56-2029700|L6641|||Excursion amplifier pulley t|198.34
56-2029700|L6642|||Excursion amplifier lever ty|268.84
56-2029700|L6645|||Shoulder flexion-abduction j|496.24
56-2029700|L6646|||Multipo locking shoulder jnt|3943.34
56-2029700|L6647|||Shoulder lock actuator|649.19
56-2029700|L6648|||Ext pwrd shlder lock/unlock|4066.96
56-2029700|L6650|||Shoulder universal joint|515.21
56-2029700|L6655|||Standard control cable extra|101.25
56-2029700|L6660|||Heavy duty control cable|113.49
56-2029700|L6665|||Teflon or equal cable lining|56.94
56-2029700|L6670|||Hook to hand cable adapter|62.96
56-2029700|L6672|||Harness chest/shlder saddle|249.84
56-2029700|L6675|||Harness figure of 8 sing con|148.48
56-2029700|L6676|||Harness figure of 8 dual con|171.63
56-2029700|L6677|||Ue triple control harness|370.94
56-2029700|L6680|||Test sock wrist disart/bel e|286.84
56-2029700|L6682|||Test sock elbw disart/above|317.14
56-2029700|L6684|||Test socket shldr disart/tho|430.95
56-2029700|L6686|||Suction socket|973.19
56-2029700|L6687|||Frame typ socket bel elbow/w|713.14
56-2029700|L6688|||Frame typ sock above elb/dis|708.84
56-2029700|L6689|||Frame typ socket shoulder di|849.29
56-2029700|L6690|||Frame typ sock interscap-tho|925.48
56-2029700|L6691|||Removable insert each|428.34
56-2029700|L6692|||Silicone gel insert or equal|691.4
56-2029700|L6693|||Lockingelbow forearm cntrbal|3549.48
56-2029700|L6694|||Elbow socket ins use w/lock|879.11
56-2029700|L6695|||Elbow socket ins use w/o lck|732.56
56-2029700|L6696|||Cus elbo skt in for con/atyp|1644.6
56-2029700|L6697|||Cus elbo skt in not con/atyp|1644.6
56-2029700|L6698|||Below/above elbow lock mech|710.93
56-2029700|L6703|||Term dev -  passive hand mitt|449.45
56-2029700|L6704|||Term dev -  sport/rec/work att|724.05
56-2029700|L6706|||Term dev mech hook vol open|431.39
56-2029700|L6707|||Term dev mech hook vol close|1590.03
56-2029700|L6708|||Term dev mech hand vol open|1039.45
56-2029700|L6709|||Term dev mech hand vol close|1497.88
56-2029700|L6711|||Ped term dev -  hook -  vol open|840.56
56-2029700|L6712|||Ped term dev -  hook -  vol clos|1547.68
56-2029700|L6713|||Ped term dev -  hand -  vol open|1953.26
56-2029700|L6714|||Ped term dev -  hand -  vol clos|1654.46
56-2029700|L6715|||Term device -  multi art digit|3947.29
56-2029700|L6721|||Hook/hand -  hvy dty -  vol open|2940.6
56-2029700|L6722|||Hook/hand -  hvy dty -  vol clos|2535
56-2029700|L6805|||Term dev modifier wrist unit|420.65
56-2029700|L6810|||Term dev precision pinch dev|238.43
56-2029700|L6880|||Elec hand ind art digits|29872.03
56-2029700|L6881|||Term dev auto grasp feature|5111.36
56-2029700|L6882|||Microprocessor control uplmb|3877.26
56-2029700|L6883|||Replc sockt below e/w disa|1961.94
56-2029700|L6884|||Replc sockt above elbow disa|2911.93
56-2029700|L6885|||Replc sockt shldr dis/interc|4355.23
56-2029700|L6890|||Prefab glove for term device|210.29
56-2029700|L6895|||Custom glove for term device|773.59
56-2029700|L6900|||Hand restorat thumb/1 finger|2207.64
56-2029700|L6905|||Hand restoration multiple fi|2195.09
56-2029700|L6910|||Hand restoration no fingers|1877.01
56-2029700|L6915|||Hand restoration replacmnt g|946.36
56-2029700|L6920|||Wrist disarticul switch ctrl|8251.04
56-2029700|L6925|||Wrist disart myoelectronic c|11107.34
56-2029700|L6930|||Below elbow switch control|8302.2
56-2029700|L6935|||Below elbow myoelectronic ct|11279.7
56-2029700|L6940|||Elbow disarticulation switch|10847.38
56-2029700|L6945|||Elbow disart myoelectronic c|13254.19
56-2029700|L6950|||Above elbow switch control|12329.58
56-2029700|L6955|||Above elbow myoelectronic ct|14766.34
56-2029700|L6960|||Shldr disartic switch contro|16726.59
56-2029700|L6965|||Shldr disartic myoelectronic|17839.51
56-2029700|L6970|||Interscapular-thor switch ct|18589.06
56-2029700|L6975|||Interscap-thor myoelectronic|20330.43
56-2029700|L7007|||Adult electric hand|4254.35
56-2029700|L7008|||Pediatric electric hand|6695.9
56-2029700|L7009|||Adult electric hook|4340.79
56-2029700|L7040|||Prehensile actuator|3485.48
56-2029700|L7045|||Pediatric electric hook|1998.34
56-2029700|L7170|||Electronic elbow hosmer swit|9201.14
56-2029700|L7180|||Electronic elbow sequential|40387.86
56-2029700|L7181|||Electronic elbo simultaneous|50095.73
56-2029700|L7185|||Electron elbow adolescent sw|9086.25
56-2029700|L7186|||Electron elbow child switch|10936.18
56-2029700|L7190|||Elbow adolescent myoelectron|9543.66
56-2029700|L7191|||Elbow child myoelectronic ct|11427.65
56-2029700|L7259|||Electronic wrist rotator any|3951.26
56-2029700|L7360|||Six volt bat otto bock/eq ea|295.01
56-2029700|L7362|||Battery chrgr six volt otto|309.76
56-2029700|L7364|||Twelve volt battery utah/equ|492.66
56-2029700|L7366|||Battery chrgr 12 volt utah/e|663.63
56-2029700|L7367|||Replacemnt lithium ionbatter|486.74
56-2029700|L7368|||Lithium ion battery charger|631
56-2029700|L7400|||Add ue prost be/wd -  ultlite|383.2
56-2029700|L7401|||Add ue prost a/e ultlite mat|429
56-2029700|L7402|||Add ue prost s/d ultlite mat|463.23
56-2029700|L7403|||Add ue prost b/e acrylic|460.45
56-2029700|L7404|||Add ue prost a/e acrylic|694.89
56-2029700|L7405|||Add ue prost s/d acrylic|908.84
56-2029700|L7700|||Pros soc insert gasket/seal|139.54
56-2029700|L8000|||Mastectomy bra|54.38
56-2029700|L8001|||Breast prosthesis bra & form|156.81
56-2029700|L8002|||Brst prsth bra & bilat form|206.29
56-2029700|L8015|||Ext breastprosthesis garment|74.94
56-2029700|L8020|||Mastectomy form|281.86
56-2029700|L8030|||Breast prosthes w/o adhesive|407.7
56-2029700|L8031|||Breast prosthesis w adhesive|407.7
56-2029700|L8032|||Reusable nipple prosthesis|48.98
56-2029700|L8035|||Custom breast prosthesis|4580.51
56-2029700|L8040|||Nasal prosthesis|3022.11
56-2029700|L8040|KM||Nasal prosthesis|2871.01
56-2029700|L8040|KN||Nasal prosthesis|1208.86
56-2029700|L8041|||Midfacial prosthesis|3642.59
56-2029700|L8041|KM||Midfacial prosthesis|3460.44
56-2029700|L8041|KN||Midfacial prosthesis|1457.05
56-2029700|L8042|||Orbital prosthesis|4092.76
56-2029700|L8042|KM||Orbital prosthesis|3888.13
56-2029700|L8042|KN||Orbital prosthesis|1637.1
56-2029700|L8043|||Upper facial prosthesis|4583.91
56-2029700|L8043|KM||Upper facial prosthesis|4354.68
56-2029700|L8043|KN||Upper facial prosthesis|1833.55
56-2029700|L8044|||Hemi-facial prosthesis|5075.03
56-2029700|L8044|KM||Hemi-facial prosthesis|4821.3
56-2029700|L8044|KN||Hemi-facial prosthesis|2030.04
56-2029700|L8045|||Auricular prosthesis|3178.13
56-2029700|L8045|KM||Auricular prosthesis|3019.2
56-2029700|L8045|KN||Auricular prosthesis|1271.26
56-2029700|L8046|||Partial facial prosthesis|3274.23
56-2029700|L8046|KM||Partial facial prosthesis|3110.5
56-2029700|L8046|KN||Partial facial prosthesis|1309.66
56-2029700|L8047|||Nasal septal prosthesis|1678.01
56-2029700|L8047|KM||Nasal septal prosthesis|1594.11
56-2029700|L8047|KN||Nasal septal prosthesis|671.21
56-2029700|L8300|||Truss single w/ standard pad|120.41
56-2029700|L8310|||Truss double w/ standard pad|185.15
56-2029700|L8320|||Truss addition to std pad wa|80.86
56-2029700|L8330|||Truss add to std pad scrotal|80.15
56-2029700|L8400|||Sheath below knee|23.44
56-2029700|L8410|||Sheath above knee|26.66
56-2029700|L8415|||Sheath upper limb|26.5
56-2029700|L8417|||Pros sheath/sock w gel cushn|94.01
56-2029700|L8420|||Prosthetic sock multi ply bk|30.99
56-2029700|L8430|||Prosthetic sock multi ply ak|34.06
56-2029700|L8435|||Pros sock multi ply upper lm|30.58
56-2029700|L8440|||Shrinker below knee|64.83
56-2029700|L8460|||Shrinker above knee|90.21
56-2029700|L8465|||Shrinker upper limb|80.41
56-2029700|L8470|||Pros sock single ply bk|8.25
56-2029700|L8480|||Pros sock single ply ak|11.38
56-2029700|L8485|||Pros sock single ply upper l|13.75
56-2029700|L8500|||Artificial larynx|815.94
56-2029700|L8501|||Tracheostomy speaking valve|181.21
56-2029700|L8507|||Trach-esoph voice pros pt in|52.38
56-2029700|L8509|||Trach-esoph voice pros md in|136.56
56-2029700|L8510|||Voice amplifier|315.96
56-2029700|L8511|||Indwelling trach insert|90.94
56-2029700|L8512|||Gel cap for trach voice pros|2.74
56-2029700|L8513|||Trach pros cleaning device|6.53
56-2029700|L8514|||Repl trach puncture dilator|117.9
56-2029700|L8515|||Gel cap app device for trach|78.9
56-2029700|L8600|||Implant breast silicone/eq|772.04
56-2029700|L8603|||Collagen imp urinary 2.5 ml|542.2
56-2029700|L8605|||Inj bulking agent anal canal|895.49
56-2029700|L8606|||Synthetic implnt urinary 1ml|284.61
56-2029700|L8607|||Inj vocal cord bulking agent|53.64
56-2029700|L8609|||Artificial cornea|8146.05
56-2029700|L8610|||Ocular implant|791.93
56-2029700|L8612|||Aqueous shunt prosthesis|835.24
56-2029700|L8613|||Ossicular implant|373.95
56-2029700|L8614|||Cochlear device|23669.53
56-2029700|L8615|||Coch implant headset replace|563.89
56-2029700|L8616|||Coch implant microphone repl|131.34
56-2029700|L8617|||Coch implant trans coil repl|114.75
56-2029700|L8618|||Coch implant tran cable repl|32.78
56-2029700|L8619|||Coch imp ext proc/contr rplc|10153.34
56-2029700|L8621|||Repl zinc air battery|0.76
56-2029700|L8622|||Repl alkaline battery|0.4
56-2029700|L8623|||Lith ion batt cid - non-earlvl|80.86
56-2029700|L8624|||Lith ion batt cid -  ear level|201.59
56-2029700|L8625|||Charger coch impl/aoi battry|236.14
56-2029700|L8627|||Cid ext speech process repl|8606.66
56-2029700|L8628|||Cid ext controller repl|1546.7
56-2029700|L8629|||Cid transmit coil and cable|223.86
56-2029700|L8630|||Metacarpophalangeal implant|416.53
56-2029700|L8631|||Mcp joint repl 2 pc or more|2795.38
56-2029700|L8641|||Metatarsal joint implant|452.09
56-2029700|L8642|||Hallux implant|371.1
56-2029700|L8658|||Interphalangeal joint spacer|387.84
56-2029700|L8659|||Interphalangeal joint repl|2412.6
56-2029700|L8670|||Vascular graft -  synthetic|688.23
56-2029700|L8679|||Imp neurosti pls gn any type|10432.3
56-2029700|L8681|||Pt prgrm for implt neurostim|1412.14
56-2029700|L8682|||Implt neurostim radiofq rec|7453.68
56-2029700|L8683|||Radiofq trsmtr for implt neu|6560.91
56-2029700|L8684|||Radiof trsmtr implt scrl neu|861.58
56-2029700|L8689|||External recharg sys intern|2156.63
56-2029700|L8690|||Aud osseo dev -  int/ext comp|5947.73
56-2029700|L8691|||Aoi snd proc repl excl actua|2153.15
56-2029700|L8693|||Aud osseo dev -  abutment|1895.81
56-2029700|L8694|||Aoi transducer/actuator repl|1180.75
56-2029700|L8695|||External recharg sys extern|20.83
56-2029700|L8696|||Ext antenna phren nerve stim|271.01
56-2029700|Q0477|||Pwr module pt cable lvad rpl|970.05
56-2029700|Q0478|||Power adapter -  combo vad|229.75
56-2029700|Q0479|||Power module combo vad -  rep|14981.65
56-2029700|Q0480|||Driver pneumatic vad -  rep|112604.68
56-2029700|Q0481|||Microprcsr cu elec vad -  rep|18167.48
56-2029700|Q0482|||Microprcsr cu combo vad -  rep|5690.4
56-2029700|Q0483|||Monitor elec vad -  rep|23441.84
56-2029700|Q0484|||Monitor elec or comb vad rep|4552.34
56-2029700|Q0485|||Monitor cable elec vad -  rep|439.53
56-2029700|Q0486|||Mon cable elec/pneum vad rep|365.8
56-2029700|Q0487|||Leads any type vad -  rep only|426.79
56-2029700|Q0489|||Pwr pck base combo vad -  rep|20322.79
56-2029700|Q0490|||Emr pwr source elec vad -  rep|879.08
56-2029700|Q0491|||Emr pwr source combo vad rep|1381.96
56-2029700|Q0492|||Emr pwr cbl elec vad -  rep|111.38
56-2029700|Q0493|||Emr pwr cbl combo vad -  rep|316.98
56-2029700|Q0494|||Emr hd pmp elec/combo -  rep|268.24
56-2029700|Q0495|||Charger elec/combo vad -  rep|5222.49
56-2029700|Q0496|||Battery elec/combo vad -  rep|1874.44
56-2029700|Q0497|||Bat clps elec/comb vad -  rep|585.29
56-2029700|Q0498|||Holster elec/combo vad -  rep|642.19
56-2029700|Q0499|||Belt/vest elec/combo vad rep|208.66
56-2029700|Q0500|||Filters elec/combo vad -  rep|38.19
56-2029700|Q0501|||Shwr cov elec/combo vad -  rep|638.49
56-2029700|Q0502|||Mobility cart pneum vad -  rep|812.89
56-2029700|Q0503|||Battery pneum vad replacemnt|1625.8
56-2029700|Q0504|||Pwr adpt pneum vad -  rep veh|857.88
56-2029700|Q0506|||Lith-ion batt elec/pneum vad|1067.89
56-2029700|Q4001|||Cast sup body cast plaster|62.99
56-2029700|Q4002|||Cast sup body cast fiberglas|237.98
56-2029700|Q4003|||Cast sup shoulder cast plstr|45.21
56-2029700|Q4004|||Cast sup shoulder cast fbrgl|156.56
56-2029700|Q4005|||Cast sup long arm adult plst|16.68
56-2029700|Q4006|||Cast sup long arm adult fbrg|37.58
56-2029700|Q4007|||Cast sup long arm ped plster|8.34
56-2029700|Q4008|||Cast sup long arm ped fbrgls|18.78
56-2029700|Q4009|||Cast sup sht arm adult plstr|11.14
56-2029700|Q4010|||Cast sup sht arm adult fbrgl|25.05
56-2029700|Q4011|||Cast sup sht arm ped plaster|5.55
56-2029700|Q4012|||Cast sup sht arm ped fbrglas|12.55
56-2029700|Q4013|||Cast sup gauntlet plaster|20.26
56-2029700|Q4014|||Cast sup gauntlet fiberglass|34.16
56-2029700|Q4015|||Cast sup gauntlet ped plster|10.15
56-2029700|Q4016|||Cast sup gauntlet ped fbrgls|17.09
56-2029700|Q4017|||Cast sup lng arm splint plst|11.71
56-2029700|Q4018|||Cast sup lng arm splint fbrg|18.68
56-2029700|Q4019|||Cast sup lng arm splnt ped p|5.88
56-2029700|Q4020|||Cast sup lng arm splnt ped f|9.36
56-2029700|Q4021|||Cast sup sht arm splint plst|8.68
56-2029700|Q4022|||Cast sup sht arm splint fbrg|15.64
56-2029700|Q4023|||Cast sup sht arm splnt ped p|4.36
56-2029700|Q4024|||Cast sup sht arm splnt ped f|7.84
56-2029700|Q4025|||Cast sup hip spica plaster|48.6
56-2029700|Q4026|||Cast sup hip spica fiberglas|151.8
56-2029700|Q4027|||Cast sup hip spica ped plstr|24.33
56-2029700|Q4028|||Cast sup hip spica ped fbrgl|75.95
56-2029700|Q4029|||Cast sup long leg plaster|37.19
56-2029700|Q4030|||Cast sup long leg fiberglass|97.88
56-2029700|Q4031|||Cast sup lng leg ped plaster|18.58
56-2029700|Q4032|||Cast sup lng leg ped fbrgls|48.94
56-2029700|Q4033|||Cast sup lng leg cylinder pl|34.69
56-2029700|Q4034|||Cast sup lng leg cylinder fb|86.24
56-2029700|Q4035|||Cast sup lngleg cylndr ped p|17.34
56-2029700|Q4036|||Cast sup lngleg cylndr ped f|43.15
56-2029700|Q4037|||Cast sup shrt leg plaster|21.14
56-2029700|Q4038|||Cast sup shrt leg fiberglass|52.99
56-2029700|Q4039|||Cast sup shrt leg ped plster|10.6
56-2029700|Q4040|||Cast sup shrt leg ped fbrgls|26.5
56-2029700|Q4041|||Cast sup lng leg splnt plstr|25.73
56-2029700|Q4042|||Cast sup lng leg splnt fbrgl|43.91
56-2029700|Q4043|||Cast sup lng leg splnt ped p|12.88
56-2029700|Q4044|||Cast sup lng leg splnt ped f|21.98
56-2029700|Q4045|||Cast sup sht leg splnt plstr|14.94
56-2029700|Q4046|||Cast sup sht leg splnt fbrgl|24.01
56-2029700|Q4047|||Cast sup sht leg splnt ped p|7.44
56-2029700|Q4048|||Cast sup sht leg splnt ped f|12.01
56-2029700|Q4049|||Finger splint -  static|2.71
56-2029700|V2020|||Vision svcs frames purchases|99.65
56-2029700|V2100|||Lens spher single plano 4.00|48.44
56-2029700|V2101|||Single visn sphere 4.12-7.00|51.04
56-2029700|V2102|||Singl visn sphere 7.12-20.00|72.38
56-2029700|V2103|||Spherocylindr 4.00d/12-2.00d|42.05
56-2029700|V2104|||Spherocylindr 4.00d/2.12-4d|46.58
56-2029700|V2105|||Spherocylinder 4.00d/4.25-6d|57.03
56-2029700|V2106|||Spherocylinder 4.00d/>6.00d|57.86
56-2029700|V2107|||Spherocylinder 4.25d/12-2d|60.81
56-2029700|V2108|||Spherocylinder 4.25d/2.12-4d|58.99
56-2029700|V2109|||Spherocylinder 4.25d/4.25-6d|67.8
56-2029700|V2110|||Spherocylinder 4.25d/over 6d|79.14
56-2029700|V2111|||Spherocylindr 7.25d/.25-2.25|69.75
56-2029700|V2112|||Spherocylindr 7.25d/2.25-4d|68.84
56-2029700|V2113|||Spherocylindr 7.25d/4.25-6d|95.1
56-2029700|V2114|||Spherocylinder over 12.00d|84.11
56-2029700|V2115|||Lens lenticular bifocal|91.45
56-2029700|V2118|||Lens aniseikonic single|90.66
56-2029700|V2121|||Lenticular lens -  single|93.6
56-2029700|V2200|||Lens spher bifoc plano 4.00d|63.39
56-2029700|V2201|||Lens sphere bifocal 4.12-7.0|69.08
56-2029700|V2202|||Lens sphere bifocal 7.12-20.|81.29
56-2029700|V2203|||Lens sphcyl bifocal 4.00d/.1|63.95
56-2029700|V2204|||Lens sphcy bifocal 4.00d/2.1|69.34
56-2029700|V2205|||Lens sphcy bifocal 4.00d/4.2|76.08
56-2029700|V2206|||Lens sphcy bifocal 4.00d/ove|92.63
56-2029700|V2207|||Lens sphcy bifocal 4.25-7d/.|77.31
56-2029700|V2208|||Lens sphcy bifocal 4.25-7/2.|78.26
56-2029700|V2209|||Lens sphcy bifocal 4.25-7/4.|86.08
56-2029700|V2210|||Lens sphcy bifocal 4.25-7/ov|110.75
56-2029700|V2211|||Lens sphcy bifo 7.25-12/.25-|94.44
56-2029700|V2212|||Lens sphcyl bifo 7.25-12/2.2|102.76
56-2029700|V2213|||Lens sphcyl bifo 7.25-12/4.2|105.39
56-2029700|V2214|||Lens sphcyl bifocal over 12.|112.96
56-2029700|V2215|||Lens lenticular bifocal|122.24
56-2029700|V2218|||Lens aniseikonic bifocal|125.06
56-2029700|V2219|||Lens bifocal seg width over|55.05
56-2029700|V2220|||Lens bifocal add over 3.25d|44.65
56-2029700|V2221|||Lenticular lens -  bifocal|119.28
56-2029700|V2300|||Lens sphere trifocal 4.00d|82.31
56-2029700|V2301|||Lens sphere trifocal 4.12-7.|95.46
56-2029700|V2302|||Lens sphere trifocal 7.12-20|104.58
56-2029700|V2303|||Lens sphcy trifocal 4.0/.12-|86.65
56-2029700|V2304|||Lens sphcy trifocal 4.0/2.25|90.66
56-2029700|V2305|||Lens sphcy trifocal 4.0/4.25|111.19
56-2029700|V2306|||Lens sphcyl trifocal 4.00/>6|103.66
56-2029700|V2307|||Lens sphcy trifocal 4.25-7/.|102.79
56-2029700|V2308|||Lens sphc trifocal 4.25-7/2.|109.69
56-2029700|V2309|||Lens sphc trifocal 4.25-7/4.|128.33
56-2029700|V2310|||Lens sphc trifocal 4.25-7/>6|141.16
56-2029700|V2311|||Lens sphc trifo 7.25-12/.25-|134.43
56-2029700|V2312|||Lens sphc trifo 7.25-12/2.25|118.5
56-2029700|V2313|||Lens sphc trifo 7.25-12/4.25|161.75
56-2029700|V2314|||Lens sphcyl trifocal over 12|177.18
56-2029700|V2315|||Lens lenticular trifocal|196.7
56-2029700|V2318|||Lens aniseikonic trifocal|181.36
56-2029700|V2319|||Lens trifocal seg width > 28|61.4
56-2029700|V2320|||Lens trifocal add over 3.25d|64.78
56-2029700|V2321|||Lenticular lens -  trifocal|193.88
56-2029700|V2410|||Lens variab asphericity sing|110.86
56-2029700|V2430|||Lens variable asphericity bi|144.33
56-2029700|V2500|||Contact lens pmma spherical|100.49
56-2029700|V2501|||Cntct lens pmma-toric/prism|153.08
56-2029700|V2502|||Contact lens pmma bifocal|188.58
56-2029700|V2503|||Cntct lens pmma color vision|180.44
56-2029700|V2510|||Cntct gas permeable sphericl|137.18
56-2029700|V2511|||Cntct toric prism ballast|197.1
56-2029700|V2512|||Cntct lens gas permbl bifocl|232.9
56-2029700|V2513|||Contact lens extended wear|195.53
56-2029700|V2520|||Contact lens hydrophilic|128.94
56-2029700|V2521|||Cntct lens hydrophilic toric|224.49
56-2029700|V2522|||Cntct lens hydrophil bifocl|218.46
56-2029700|V2523|||Cntct lens hydrophil extend|186.18
56-2029700|V2530|||Contact lens gas impermeable|275.75
56-2029700|V2531|||Contact lens gas permeable|676.96
56-2029700|V2623|||Plastic eye prosth custom|1109.79
56-2029700|V2624|||Polishing artifical eye|75.26
56-2029700|V2625|||Enlargemnt of eye prosthesis|487.53
56-2029700|V2626|||Reduction of eye prosthesis|309.3
56-2029700|V2627|||Scleral cover shell|1770.78
56-2029700|V2628|||Fabrication & fitting|404.86
56-2029700|V2630|||Anter chamber intraocul lens|147.16
56-2029700|V2631|||Iris support intraoclr lens|147.16
56-2029700|V2632|||Post chmbr intraocular lens|147.16
56-2029700|V2700|||Balance lens|54.16
56-2029700|V2710|||Glass/plastic slab off prism|79.28
56-2029700|V2715|||Prism lens/es|14.38
56-2029700|V2718|||Fresnell prism press-on lens|35.3
56-2029700|V2730|||Special base curve|26.08
56-2029700|V2744|||Tint photochromatic lens/es|27.04
56-2029700|V2745|||Tint -  any color/solid/grad|15.34
56-2029700|V2750|||Anti-reflective coating|31.46
56-2029700|V2755|||Uv lens/es|22.74
56-2029700|V2760|||Scratch resistant coating|19.8
56-2029700|V2762|||Polarization -  any lens|74.54
56-2029700|V2770|||Occluder lens/es|25.58
56-2029700|V2780|||Oversize lens/es|20.66
56-2029700|V2782|||Lens -  1.54-1.65 p/1.60-1.79g|80.48
56-2029700|V2783|||Lens -  >= 1.66 p/>=1.80 g|90.75
56-2029700|V2784|||Lens polycarb or equal|59.01
56-2029700|V2786|||Occupational multifocal lens|0