fee schedule 2009 new - DE Medical Assistance Program

L5611 3 AK 4 BAR LINK W/FRIC SWING 1,232.45
L5613 3 AK 4 BAR LING W/HYDRAUL SWIG 1,874.64
L5614 3 4-BAR LINK ABOVE KNEE W/SWNG 1,267.18
L5616 3 AK UNIV MULTIPLEX SYS FRICT 1,038.91
L5617 3 AK/BK SELF-ALIGNING UNIT EA 420.17
L5618 3 TEST SOCKET SYMES 242.04
L5620 3 TEST SOCKET BELOW KNEE 212.67
L5622 3 TEST SOCKET KNEE DISARTICULA 324.80
L5624 3 TEST SOCKET ABOVE KNEE 309.88
L5626 3 TEST SOCKET HIP DISARTICULAT 435.56
L5628 3 TEST SOCKET HEMIPELVECTOMY 412.54
L5629 3 BELOW KNEE ACRYLIC SOCKET 315.05
L5630 3 SYME TYP EXPANDABL WALL SCKT 343.30
L5631 3 AK/KNEE DISARTIC ACRYLIC SOC 410.52
L5632 3 SYMES TYPE PTB BRIM DESIGN S 169.85
L5634 3 SYMES TYPE POSTER OPENING SO 232.68
L5636 3 SYMES TYPE MEDIAL OPENING SO 194.91
L5637 3 BELOW KNEE TOTAL CONTACT 260.35
L5638 3 BELOW KNEE LEATHER SOCKET 372.27
L5639 3 BELOW KNEE WOOD SOCKET 873.31
L5640 3 KNEE DISARTICULAT LEATHER SO 531.69
L5642 3 ABOVE KNEE LEATHER SOCKET 476.00
L5643 3 HIP FLEX INNER SOCKET EXT FR 1,190.58
L5644 3 ABOVE KNEE WOOD SOCKET 451.81
L5645 3 BK FLEX INNER SOCKET EXT FRA 610.34
L5646 3 BELOW KNEE CUSHION SOCKET 419.12
L5647 3 BELOW KNEE SUCTION SOCKET 608.48
L5648 3 ABOVE KNEE CUSHION SOCKET 503.62
L5649 3 ISCH CONTAINMT/NARROW M-L SO 1,528.91
L5650 3 TOT CONTACT AK/KNEE DISART S 373.43
L5651 3 AK FLEX INNER SOCKET EXT FRA 918.63
L5652 3 SUCTION SUSP AK/KNEE DISART 333.50
L5653 3 KNEE DISART EXPAND WALL SOCK 445.19
L5654 3 SOCKET INSERT SYMES 253.68
L5655 3 SOCKET INSERT BELOW KNEE 214.80
L5656 3 SOCKET INSERT KNEE ARTICULAT 302.59
L5658 3 SOCKET INSERT ABOVE KNEE 294.67
L5660 O SOCK INSRT SYME SILICONE GEL 0.00
L5661 3 MULTI-DUROMETER SYMES 512.05
L5662 O SOCKET INSERT BK SILICONE GE 0.00
L5663 O SOCK KNEE DISARTIC SILICONE 0.00
L5664 O SOCKET INSERT AK SILICONE GE 0.00
L5665 3 MULTI-DUROMETER BELOW KNEE 391.67
L5666 3 BELOW KNEE CUFF SUSPENSION 58.20
L5667 O SOCKET INSERT W LOCK LOWER 0.00
L5668 3 SOCKET INSERT W/O LOCK LOWER 77.71
L5669 O BELOW KNEE SOCKET W/O LOCK 0.00
L5670 3 BK MOLDED SUPRACONDYLAR SUSP 236.56
L5671 5 BK/AK LOCKING MECHANISM 0.00
L5672 3 BK REMOVABLE MEDIAL BRIM SUS 289.06