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Durable Medical Equipment (DME), Prosthetics, Corrective ...

• Vertebral Axial Decompression (VAX-D) (NCD 160.16) Durable Medical Equipment (DME), Prosthetics, Corrective Appliances/Orthotics (Non-Foot Orthotics) and Medical Supplies Grid Page 2 of 35 UnitedHealthcare Medicare Advantage Coverage Summary Approved 08/17/2021

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