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DME-ORTHOTIC-PROSTHETIC FEE SCHEDULE …

CodeCode StatusPADescriptionMin AgeMax AgeBegin DateEnd DateMax UnitsFeeB9002KR-Fee on FileYesENTERAL NUTRITION INFUSION PUMP, ANY TYPE099907/01/201712/31 on FileYesENTERAL NUTRITION INFUSION PUMP, ANY TYPE099907/01/201712/31 on FileYesENTERAL NUTRITION INFUSION PUMP, ANY TYPE099907/01/201712/31 on FileYesENTERAL NUTRITION INFUSION PUMP, ANY TYPE099907/01/201712/31 on FileYesPARENTERAL NUTRITION INFUSION PUMP, PORTABLE099907/01/201812/31 on FileYesPARENTERAL NUTRITION INFUSION PUMP, PORTABLE099907/01/201812/31/999912, on FileYesPARENTERAL NUTRITION INFUSION PUMP, PORTABLE099907/01/201812/31 on FileYesPARENTERAL NUTRITION INFUSION PUMP, PORTABLE099907/01/201812/31/999911, on FileYesPARENTERAL NUTRITION INFUSION PUMP, STATIONARY099907/01/201812/31 on FileYesPARENTERAL NUTRITION INFUSION PUMP, STATIONARY099907/01/201812/31/999912, on FileYesPARENTERAL NUTRITION INFUSION PUMP, STATIONARY099907/01/201812/31 on FileYesPARENTERAL NUTR

yes; walker, heavy duty, multiple braking system, variable wheel resistance 0 999; 07/01/2018 12/31/9999; 1 338.22; e0147 rr-fee on file; yes walker, heavy duty, multiple

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DME-ORTHOTIC-PROSTHETIC FEE SCHEDULE Effective …

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Code Code Status PA Description Min Age Max Age Begin Date End Date Max Units Fee E0135 NU-Fee on File Yes WALKER, FOLDING (PICKUP), ADJUSTABLE OR FIXED HEIGHT

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