fee schedule 2009 new - DE Medical Assistance Program

L3900 3 HINGE EXTENSION/FLEX WRIST/F 994.57
L3901 3 HINGE EXT/FLEX WRIST FINGER 1,129.43
L3902 O WHFO EXT POWER COMPRESS GAS 0.00
L3904 3 WHFO ELECTRIC CUSTOM FITTED 2,057.53
L3905 6 WHO W/NONTORSION JNT(S) CF 0.00
L3906 3 WHO W/O JOINTS CF 300.34
L3907 O WHFO WRST GAUNTLT THMB SPICA 0.00
L3908 3 WRIST COCK-UP NON-MOLDED 47.27
L3909 5 PREFAB WRIST ORTHOSIS 0.00
L3910 O WHFO SWANSON DESIGN 0.00
L3911 5 PREFAB HAND FINGER ORTHOSIS 0.00
L3912 3 FLEX GLOVE W/ELASTIC FINGER 81.88
L3913 6 HFO W/O JOINTS CF 0.00
L3914 O WHO WRIST EXTENSION COCK-UP 0.00
L3915 6 WHO W NONTOR JNT(S) PREFAB 0.00
L3916 O WHFO WRIST EXTENS W/ OUTRIGG 0.00
L3917 6 PREFAB METACARPL FX ORTHOSIS 0.00
L3918 O HFO KNUCKLE BENDER 0.00
L3919 6 HO W/O JOINTS CF 0.00
L3920 O KNUCKLE BENDER WITH OUTRIGGE 0.00
L3921 6 HFO W/JOINT(S) CF 0.00
L3922 O KNUCKLE BEND 2 SEG TO FLEX J 0.00
L3923 3 HFO W/O JOINTS PF 25.99
L3924 O OPPENHEIMER 0.00
L3925 6 FO PIP/DIP WITH JOINT/SPRING 0.00
L3926 O THOMAS SUSPENSION 0.00
L3927 6 FO PIP/DIP W/O JOINT/SPRING 0.00
L3928 O FINGER EXTENSION W/ CLOCK SP 0.00
L3929 6 HFO NONTORSION JOINT, PREFAB 0.00
L3930 O FINGER EXTENSION WITH WRIST 0.00
L3931 6 WHFO NONTORSION JOINT PREFAB 0.00
L3932 O SAFETY PIN SPRING WIRE 0.00
L3933 6 FO W/O JOINTS CF 0.00
L3934 O SAFETY PIN MODIFIED 0.00
L3935 6 FO NONTORSION JOINT CF 0.00
L3936 O PALMER 0.00
L3938 O DORSAL WRIST 0.00
L3940 O DORSAL WRIST W/ OUTRIGGER AT 0.00
L3942 O REVERSE KNUCKLE BENDER 0.00
L3944 O REVERSE KNUCKLE BEND W/ OUTR 0.00
L3946 O HFO COMPOSITE ELASTIC 0.00
L3948 O FINGER KNUCKLE BENDER 0.00
L3950 O OPPENHEIMER W/ KNUCKLE BEND 0.00
L3952 O OPPENHEIMER W/ REV KNUCKLE 2 0.00
L3954 O SPREADING HAND 0.00
L3956 5 ADD JOINT UPPER EXT ORTHOSIS 0.00
L3960 3 SEWHO AIRPLAN DESIG ABDU POS 516.83
L3961 6 SEWHO CAP DESIGN W/O JNTS CF 0.00
L3962 3 SEWHO ERBS PALSEY DESIGN ABD 504.11
L3963 O MOLDED W/ ARTICULATING ELBOW 0.00