Item

Code

Cat

Description

2020 COIDA

AK

ABOVE KNEE  PROSTHESIS

AK060

A21560

1, 2

AK prosthesis - endoskeletal CAT 1&2

ea

70283.85

AK080

A21580

3

AK prosthesis endoskeletal CAT 3

ea

76501.21

AK120

A21620

AK test socket - diagnostic

ea

4690.45

Refit of above knee prosthesis

NOTE: Refit includes new cosmetic cover

AK153

A21753

Refit AK endoskeletal CAT 1&2

ea

48512.27

AK155

A21755

Refit AK endoskeletal CAT 3

ea

60329.81

Additions and repairs to AK prosthesis

AK716

A21716

AK - Cosmetic cover - (replaced)

ea

8680.95

AK720

A21720

AK - cosmetic stocking

ea

436.63

AK724

A21724

AK - flexible inner socket

ea

8609.75

AK725

A21725

AK - laminate shin CRA

ea

5132.26

AK732

A21732

AK - laminate thigh CRA

ea

6150.15

AK740

A21740

AK - socket lined with leather

ea

2101.93