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fee schedule 2009 new - DE Medical Assistance Program

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K0585 O OST PCH CLSD FOR BAR W LK FL 0.00<br />

K0586 O OST PCH FOR BAR W LK FL/FLTR 0.00<br />

K0587 O OST PCH DRAIN W BAR & FILTER 0.00<br />

K0588 O OST PCH DRAIN FOR BARRIER FL 0.00<br />

K0589 O OST PCH DRAIN 2 PIECE SYSTEM 0.00<br />

K0590 O OST PCH DRAIN/BARR LK FLNG/F 0.00<br />

K0591 O URINE OST POUCH W FAUCET/TAP 0.00<br />

K0592 O URINE OST POUCH W BLTINCONV 0.00<br />

K0593 O OST URINE PCH W B/BLTIN CONV 0.00<br />

K0594 O OST PCH URINE W BARRIER/TAPV 0.00<br />

K0595 O OS PCH URINE W BAR/FANGE/TAP 0.00<br />

K0596 O URINE OST PCH BAR W LOCK FLN 0.00<br />

K0597 O OST PCH URINE W LOCK FLNG/FT 0.00<br />

K0600 O FUNCTIONAL NEUROMUSCULARSTIM 0.00<br />

K0601 6 REPL BATT SILVER OXI<strong>DE</strong> 1.5 V 0.00<br />

K0602 6 REPL BATT SILVER OXI<strong>DE</strong> 3 V 0.00<br />

K0603 6 REPL BATT ALKALINE 1.5 V 0.00<br />

K0604 6 REPL BATT LITHIUM 3.6 V 0.00<br />

K0605 6 REPL BATT LITHIUM 4.5 V 0.00<br />

K0606 6 AED GARMENT W ELEC ANALYSIS 0.00<br />

K0607 6 REPL BATT FOR AED 0.00<br />

K0608 6 REPL GARMENT FOR AED 0.00<br />

K0609 6 REPL ELECTRO<strong>DE</strong> FOR AED 0.00<br />

K0618 O TLSO 2 PIECE RIGID SHELL 0.00<br />

K0619 O TLSO 3 PIECE RIGID SHELL 0.00<br />

K0620 O TUBULAR ELASTIC DRESSING 0.00<br />

K0627 O CERVICAL PNEUM TRAC EQUIP 0.00<br />

K0628 O MULT <strong>DE</strong>NS INSERT DIRECT FORM 0.00<br />

K0629 O MULT <strong>DE</strong>NS INSERT CUSTOM MOLD 0.00<br />

K0630 O SIO FLEX PELVISACRAL PREFAB 0.00<br />

K0631 O SIO FLEX PELVISACRAL CUSTOM 0.00<br />

K0632 O SIO PANEL PREFAB 0.00<br />

K0633 O SIO PANEL CUSTOM 0.00<br />

K0634 O LO FLEXIBLE L1 BELOW L5 PRE 0.00<br />

K0635 O LO SAG STAYS/PANELS PRE-FAB 0.00<br />

K0636 O LO SAGITT RIGID PANEL PREFAB 0.00<br />

K0637 O LO FLEX W/O RIGID STAYS PRE 0.00<br />

K0638 O LSO FLEX W/RIGID STAYS CUST 0.00<br />

K0639 O LSO POST RIGID PANEL PRE 0.00<br />

K0640 O LSO SAG-CORO RIGID FRAME PRE 0.00<br />

K0641 O LSO SAG-COR RIGID FRAME CUST 0.00<br />

K0642 O LSO FLEXION CONTROL PREFAB 0.00<br />

K0643 O LSO FLEXION CONTROL CUSTOM 0.00<br />

K0644 O LSO SAGIT RIGID PANEL PREFAB 0.00<br />

K0645 O LSO SAGITTAL RIGID PANEL CUS 0.00<br />

K0646 O LSO SAG-CORONAL PANEL PREFAB 0.00<br />

K0647 O LSO SAG-CORONAL PANEL CUSTOM 0.00<br />

K0648 O LSO S/C SHELL/PANEL PREFAB 0.00<br />

K0649 O LSO S/C SHELL/PANEL CUSTOM 0.00<br />

K0650 O GEN W/C CUSHION WIDTH LESS THAN 22 0.00

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