fee schedule 2009 new - DE Medical Assistance Program

L6715 O TERMINAL DEVICE MODEL #5XA 0.00
L6720 O TERMINAL DEVICE MODEL #6 0.00
L6721 6 HOOK/HAND, HVY DTY, VOL OPEN 0.00
L6722 6 HOOK/HAND, HVY DTY, VOL CLOS 0.00
L6725 O TERMINAL DEVICE MODEL #7 0.00
L6730 O TERMINAL DEVICE MODEL #7LO 0.00
L6735 O TERMINAL DEVICE MODEL #8 0.00
L6740 O TERMINAL DEVICE MODEL #8X 0.00
L6745 O TERMINAL DEVICE MODEL #88X 0.00
L6750 O TERMINAL DEVICE MODEL #10P 0.00
L6755 O TERMINAL DEVICE MODEL #10X 0.00
L6765 O TERMINAL DEVICE MODEL #12P 0.00
L6770 O TERMINAL DEVICE MODEL #99X 0.00
L6775 O TERMINAL DEVICE MODEL#555 0.00
L6780 O TERMINAL DEVICE MODEL #SS555 0.00
L6790 O HOOKS-ACCU HOOK OR EQUAL 0.00
L6795 O HOOKS-2 LOAD OR EQUAL 0.00
L6800 O HOOKS-APRL VC OR EQUAL 0.00
L6805 3 TERM DEV MODIFIER WRIST UNIT 275.35
L6806 O TRS GRIP VC OR EQUAL 0.00
L6807 O TERM DEVICE GRIP1/2 OR EQUAL 0.00
L6808 O TERM DEVICE INFANT OR CHILD 0.00
L6809 O TRS SUPER SPORT PASSIVE 0.00
L6810 3 TERM DEV PRECISION PINCH DEV 150.10
L6825 O HANDS DORRANCE VO 0.00
L6830 O HAND APRL VC 0.00
L6835 O HAND SIERRA VO 0.00
L6840 O HAND BECKER IMPERIAL 0.00
L6845 O HAND BECKER LOCK GRIP 0.00
L6850 O TERM DVC-HAND BECKER PLYLITE 0.00
L6855 O HAND ROBIN-AIDS VO 0.00
L6860 O HAND ROBIN-AIDS VO SOFT 0.00
L6865 O HAND PASSIVE HAND 0.00
L6867 O HAND DETROIT INFANT HAND 0.00
L6868 O PASSIVE INF HAND STEEPER/HOS 0.00
L6870 O HAND CHILD MITT 0.00
L6872 O HAND NYU CHILD HAND 0.00
L6873 O HAND MECH INF STEEPER OR EQU 0.00
L6875 O HAND BOCK VC 0.00
L6880 O HAND BOCK VO 0.00
L6881 5 TERM DEV AUTO GRASP FEATURE 0.00
L6882 9 MICROPROCESSOR CONTROL UPLMB 0.00
L6883 6 REPLC SOCKT BELOW E/W DISA 0.00
L6884 6 REPLC SOCKT ABOVE ELBOW DISA 0.00
L6885 6 REPLC SOCKT SHLDR DIS/INTERC 0.00
L6890 3 PREFAB GLOVE FOR TERM DEVICE 130.10
L6895 3 CUSTOM GLOVE FOR TERM DEVICE 473.54
L6900 3 HAND RESTORAT THUMB/1 FINGER 1,228.99
L6905 3 HAND RESTORATION MULTIPLE FI 1,206.52
L6910 3 HAND RESTORATION NO FINGERS 1,238.56