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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
Ultrasonic
760085
97035
75
0
Whirlpool one part
760086
100
0
Above Elbow U.L. Prostheses (Cosmetic Hand)
760002
5,000.00
0
Above Elbow U.L. Prostheses (Dynamic Hand)
760003
10035
6,000.00
0
Above Knee L.L. Prosthesis (Hydraulic)
760004
10047
20,000.00
0
Above Knee Lower Limb Prosthesis (Hydraulic w/ poly ethylene socket)
760005
10045
20,000.00
0
Above Knee Lower Limb Prosthesis (Modular)
760006
12,000.00
0
Above Knee Lower Limb Prosthesis (Wood)
760007
6,000.00
0
Adult Plastic Splint Orthoplast
96092-00[1870]
760008
9609200
600
0
Adult Plastic Splint Polypropylene
96092-00[1870]
760009
9609200
400
0
ALL BEDSIDE THERAPY
760010
100
0
ANTI-NATAL EXERCISE.
760011
50
No plans availableOnce there are plans available for purchase, you’ll see them here.
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