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fee schedule 2009 new - DE Medical Assistance Program

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K0651 O GEN W/C CUSHION WIDTH GREATER THAN 0.00<br />

K0652 O SKIN PROTECT W/C CUS WD LESS THAN2 0.00<br />

K0653 O SKIN PROTECT W/C CUS WD GREATER TH 0.00<br />

K0654 O POSITION W/C CUSH WIDTH LESS THAN2 0.00<br />

K0655 O POSITION W/C CUSH WIDTH GREATER TH 0.00<br />

K0656 O SKIN PRO/POS W/C CUS WD LESS THAN2 0.00<br />

K0657 O SKIN PRO/POS W/C CUS WD GREATER TH 0.00<br />

K0658 O CUSTOM FABRICATE W/C CUSHION 0.00<br />

K0659 O POWERED W/C CUSHION 0.00<br />

K0660 O GEN USE BACK CUSH WIDTH LESS THAN2 0.00<br />

K0661 O GEN USE BACK CUSH WIDTH GREATER TH 0.00<br />

K0662 O POSITION BACK CUSH WDTH LESS THAN2 0.00<br />

K0663 O POSITION BACK CUSH WDTH GREATER TH 0.00<br />

K0664 O POS BACK POST/LAT WIDTH LESS THAN2 0.00<br />

K0665 O POS BACK POST/LAT WIDTH GREATER TH 0.00<br />

K0666 O CUSTOM FAB W/C BACK CUSHION 0.00<br />

K0667 O MT HARDWRE MAN/LIGHT PWR W/C 0.00<br />

K0668 O REP ACE COVER W/C SEAT CUSH 0.00<br />

K0669 6 SEAT/BACK CUS NO SADMERC VER 0.00<br />

K0670 O STANCE PHASE ONLY 0.00<br />

K0672 6 REMOVABLE SOFT INTERFACE LE 0.00<br />

K0730 6 CTRL DOSE INH DRUG <strong>DE</strong>LIV SYS 0.00<br />

K0733 6 12-24HR SEALED LEAD ACID 0.00<br />

K0734 6 ADJ SKIN PRO W/C CUS WD=22IN 0.00<br />

K0736 6 ADJ SKIN PRO/POS WC CUS=22Ê 0.00<br />

K0738 6 PORTABLE GAS OXYGEN SYSTEM 0.00<br />

K0800 6 POV GROUP 1 STD UP TO 300LBS 0.00<br />

K0801 6 POV GROUP 1 HD 301-450 LBS 0.00<br />

K0802 6 POV GROUP 1 VHD 451-600 LBS 0.00<br />

K0806 6 POV GROUP 2 STD UP TO 300LBS 0.00<br />

K0807 6 POV GROUP 2 HD 301-450 LBS 0.00<br />

K0808 6 POV GROUP 2 VHD 451-600 LBS 0.00<br />

K0812 6 POWER OPERATED VEHICLE NOC 0.00<br />

K0813 6 PWC GP 1 STD PORT SEAT/BACK 0.00<br />

K0814 6 PWC GP 1 STD PORT CAP CHAIR 0.00<br />

K0815 6 PWC GP 1 STD SEAT/BACK 0.00<br />

K0816 6 PWC GP 1 STD CAP CHAIR 0.00<br />

K0820 6 PWC GP 2 STD PORT SEAT/BACK 0.00<br />

K0821 6 PWC GP 2 STD PORT CAP CHAIR 0.00<br />

K0822 6 PWC GP 2 STD SEAT/BACK 0.00<br />

K0823 6 PWC GP 2 STD CAP CHAIR 0.00<br />

K0824 6 PWC GP 2 HD SEAT/BACK 0.00<br />

K0825 6 PWC GP 2 HD CAP CHAIR 0.00<br />

K0826 6 PWC GP 2 VHD SEAT/BACK 0.00<br />

K0827 6 PWC GP VHD CAP CHAIR 0.00<br />

K0828 6 PWC GP 2 XTRA HD SEAT/BACK 0.00<br />

K0829 6 PWC GP 2 XTRA HD CAP CHAIR 0.00<br />

K0830 6 PWC GP2 STD SEAT ELEVATE S/B 0.00

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