Item

Code

Cat

Description

COIDA 2019

AK

ABOVE KNEE  PROSTHESIS

AK040

A21540

1,2

AK prosthesis - exoskeletal CAT 1&2

ea

44174.98

AK060

A21560

1, 2

AK prosthesis - endoskeletal CAT 1&2

ea

66556.68

AK080

A21580

3

AK prosthesis endoskeletal CAT 3

ea

72444.33

AK120

A21620

AK test socket - diagnostic

ea

4441.71

Refit of above knee prosthesis

NOTE: Refit includes new cosmetic cover

AK151

A21751

Refit AK exoskeletal CAT 1&2

ea

32396.07

AK153

A21753

Refit AK endoskeletal CAT 1&2

ea

45939.65

AK155

A21755

Refit AK endoskeletal CAT 3

ea

57130.50

Additions and repairs to AK prosthesis

AK716

A21716

AK - Cosmetic cover - replaced

ea

8220.60

AK720

A21720

AK - cosmetic stocking

ea

413.48

AK724

A21724

AK - flexible inner socket

ea

8153.17

AK725

A21725

AK - laminate shin CRA

ea

4860.10

AK732

A21732

AK - laminate thigh CRA

ea

5824.01

AK740

A21740

AK - socket lined with leather

ea

1990.47

AK800

A21800

AK - prosthetic skin

ea

5301.22