Item

Code

Cat

Description

COIDA 2018

AK

ABOVE KNEE  PROSTHESIS

AK040

A21540

1,2

AK prosthesis - exoskeletal CAT 1&2

ea

41517.84

AK060

A21560

1, 2

AK prosthesis - endoskeletal CAT 1&2

ea

62553.27

AK080

A21580

3

AK prosthesis endoskeletal CAT 3

ea

68086.77

AK120

A21620

AK test socket - diagnostic

ea

4174.54

Refit of above knee prosthesis

NOTE: Refit includes new cosmetic cover

AK151

A21751

Refit AK exoskeletal CAT 1&2

ea

30447.44

AK153

A21753

Refit AK endoskeletal CAT 1&2

ea

43176.36

AK155

A21755

Refit AK endoskeletal CAT 3

ea

53694.08

Additions and repairs to AK prosthesis

AK716

A21716

AK - Cosmetic cover - replaced

ea

7726.12

AK720

A21720

AK - cosmetic stocking

ea

388.61

AK724

A21724

AK - flexible inner socket

ea

7662.76

AK724

A21725

AK - laminate shin CRA

ea

4567.76

AK732

A21732

AK - laminate thigh CRA

ea

5473.69

AK740

A21740

AK - socket lined with leather

ea

1870.74

AK800

A21800

AK - prosthetic skin

EA

4982.35