fee schedule 2009 new - DE Medical Assistance Program

L5814 3 ENDO KNEE-SHIN HYDRAL SWG PH 2,788.88
L5816 3 ENDO KNEE-SHIN POLYC MCH STA 650.54
L5818 3 ENDO KNEE-SHIN FRCT SWG & ST 734.59
L5822 3 ENDO KNEE-SHIN PNEUM SWG FRC 1,425.17
L5824 3 ENDO KNEE-SHIN FLUID SWING P 1,173.08
L5826 3 MINIATURE KNEE JOINT 2,368.56
L5828 3 ENDO KNEE-SHIN FLUID SWG/STA 2,236.15
L5830 3 ENDO KNEE-SHIN PNEUM/SWG PHA 1,588.87
L5840 3 MULTI-AXIAL KNEE/SHIN SYSTEM 2,801.79
L5845 3 KNEE-SHIN SYS STANCE FLEXION 1,345.96
L5846 O KNEE-SHIN SYS MICROPROCESSOR 0.00
L5847 O MICROPROCESSOR CNTRL FEATURE 0.00
L5848 5 KNEE-SHIN SYS HYDRAUL STANCE 0.00
L5850 3 ENDO AK/HIP KNEE EXTENS ASSI 101.61
L5855 3 MECH HIP EXTENSION ASSIST 236.23
L5856 6 ELEC KNEE-SHIN SWING/STANCE 0.00
L5857 6 ELEC KNEE-SHIN SWING ONLY 0.00
L5858 6 STANCE PHASE ONLY 0.00
L5910 3 ENDO BELOW KNEE ALIGNABLE SY 279.01
L5920 3 ENDO AK/HIP ALIGNABLE SYSTEM 405.87
L5925 3 ABOVE KNEE MANUAL LOCK 257.02
L5930 3 HIGH ACTIVITY KNEE FRAME 2,527.60
L5940 3 ENDO BK ULTRA-LIGHT MATERIAL 383.70
L5950 3 ENDO AK ULTRA-LIGHT MATERIAL 648.20
L5960 3 ENDO HIP ULTRA-LIGHT MATERIA 776.46
L5962 3 BELOW KNEE FLEX COVER SYSTEM 449.63
L5964 3 ABOVE KNEE FLEX COVER SYSTEM 805.38
L5966 3 HIP FLEXIBLE COVER SYSTEM 1,037.45
L5968 3 MULTIAXIAL ANKLE W DORSIFLEX 2,728.85
L5970 3 FOOT EXTERNAL KEEL SACH FOOT 167.93
L5971 6 SACH FOOT, REPLACEMENT 0.00
L5972 3 FLEXIBLE KEEL FOOT 269.59
L5974 3 FOOT SINGLE AXIS ANKLE/FOOT 227.45
L5975 3 COMBO ANKLE/FOOT PROSTHESIS 348.14
L5976 3 ENERGY STORING FOOT 428.39
L5978 3 FT PROSTH MULTIAXIAL ANKL/FT 223.23
L5979 3 MULTI-AXIAL ANKLE/FT PROSTH 1,791.29
L5980 3 FLEX FOOT SYSTEM 2,836.17
L5981 3 FLEX-WALK SYS LOW EXT PROSTH 2,451.49
L5982 3 EXOSKELETAL AXIAL ROTATION U 442.22
L5984 3 ENDOSKELETAL AXIAL ROTATION 438.30
L5985 3 LWR EXT DYNAMIC PROSTH PYLON 212.05
L5986 3 MULTI-AXIAL ROTATION UNIT 487.29
L5987 3 SHANK FT W VERT LOAD PYLON 5,402.07
L5988 3 VERTICAL SHOCK REDUCING PYLO 1,500.16
L5989 O PYLON W ELCTRNC FORCE SENSOR 0.00
L5990 5 USER ADJUSTABLE HEEL HEIGHT 0.00
L5993 O HEAVY DUTY FEATURE, FOOT 0.00
L5994 O HEAVY DUTY FEATURE, KNEE 0.00
L5995 O LOWER EXT PROS HEAVYDUTY FEA 0.00