Item

Code

Cat

Description

COIDA 2021

AK

ABOVE KNEE  PROSTHESIS

AK060

A21560

1, 2

AK prosthesis - endoskeletal CAT 1&2

ea

74128.38

AK080

A21580

3

AK prosthesis endoskeletal CAT 3

ea

80685.83

AK120

A21620

AK test socket - diagnostic

ea

4947.01

Refit of above knee prosthesis

NOTE: Refit includes new cosmetic cover

AK153

A21753

Refit AK endoskeletal CAT 1&2

ea

51165.89

AK155

A21755

Refit AK endoskeletal CAT 3

ea

63629.85

Additions and repairs to AK prosthesis

AK716

A21716

AK - Cosmetic cover - (replaced)

ea

9155.80

AK720

A21720

AK - cosmetic stocking

ea

460.52

AK724

A21724

AK - flexible inner socket

ea

9080.71

AK725

A21725

AK - laminate shin CRA

ea

5413.00

AK732

A21732

AK - laminate thigh CRA

ea

6486.56

AK740

A21740

AK - socket lined with leather

ea

2216.91