2010 HCPCS Schedule - DE Medical Assistance Program

L3860 WHFO ADJ M.P. FLEX CTRL & I. O $0.00
L3890 TORSION MECHANISM WRIST/ELBO O $0.00
L3891 TORSION MECHANISM WRIST/ELBO 6 $0.00
L3900 HINGE EXTENSION/FLEX WRIST/F 3 $994.57
L3901 HINGE EXT/FLEX WRIST FINGER 3 $1,129.43
L3902 WHFO EXT POWER COMPRESS GAS O $0.00
L3904 WHFO ELECTRIC CUSTOM FITTED 3 $2,057.53
L3905 WHO W/NONTORSION JNT(S) CF 6 $0.00
L3906 WHO W/O JOINTS CF 3 $300.34
L3907 WHFO WRST GAUNTLT THMB SPICA O $0.00
L3908 WRIST COCK-UP NON-MOLDED 3 $47.27
L3909 PREFAB WRIST ORTHOSIS O $0.00
L3910 WHFO SWANSON DESIGN O $0.00
L3911 PREFAB HAND FINGER ORTHOSIS O $0.00
L3912 FLEX GLOVE W/ELASTIC FINGER 3 $81.88
L3913 HFO W/O JOINTS CF 6 $0.00
L3914 WHO WRIST EXTENSION COCK-UP O $0.00
L3915 WHO W NONTOR JNT(S) PREFAB 6 $0.00
L3916 WHFO WRIST EXTENS W/ OUTRIGG O $0.00
L3917 PREFAB METACARPL FX ORTHOSIS 6 $0.00
L3918 HFO KNUCKLE BENDER O $0.00
L3919 HO W/O JOINTS CF 6 $0.00
L3920 KNUCKLE BENDER WITH OUTRIGGE O $0.00
L3921 HFO W/JOINT(S) CF 6 $0.00
L3922 KNUCKLE BEND 2 SEG TO FLEX J O $0.00
L3923 HFO W/O JOINTS PF 3 $25.99
L3924 OPPENHEIMER O $0.00
L3925 FO PIP/DIP WITH JOINT/SPRING 6 $0.00
L3926 THOMAS SUSPENSION O $0.00
L3927 FO PIP/DIP W/O JOINT/SPRING 6 $0.00
L3928 FINGER EXTENSION W/ CLOCK SP O $0.00
L3929 HFO NONTORSION JOINT, PREFAB 6 $0.00
L3930 FINGER EXTENSION WITH WRIST O $0.00
L3931 WHFO NONTORSION JOINT PREFAB 6 $0.00
L3932 SAFETY PIN SPRING WIRE O $0.00
L3933 FO W/O JOINTS CF 6 $0.00
L3934 SAFETY PIN MODIFIED O $0.00
L3935 FO NONTORSION JOINT CF 6 $0.00
L3936 PALMER O $0.00
L3938 DORSAL WRIST O $0.00
L3940 DORSAL WRIST W/ OUTRIGGER AT O $0.00
L3942 REVERSE KNUCKLE BENDER O $0.00
L3944 REVERSE KNUCKLE BEND W/ OUTR O $0.00
L3946 HFO COMPOSITE ELASTIC O $0.00
L3948 FINGER KNUCKLE BENDER O $0.00
L3950 OPPENHEIMER W/ KNUCKLE BEND O $0.00
L3952 OPPENHEIMER W/ REV KNUCKLE 2 O $0.00
L3954 SPREADING HAND O $0.00
L3956 ADD JOINT UPPER EXT ORTHOSIS 5 $0.00