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Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model

  • Effective Date: 1988-01-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Prosthestic/Orthotic devices

Medicare Fees (ceiling): $2699.27

L6582       L6586