HME Databank®

Provider Share

PROVIDER SHARE is a database of the top 1,000 HME providers, as measured by total Medicare reimbursement, in 670 key product categories. For 2025, users can track reimbursement information for more than 27,415 unique home medical equipment providers, representing roughly $13.1 billion in total reimbursement.

Provider Share Sample:

HME Databank - Provider Share Sample

List of included codes

Product CodeProduct description
A4216Sterile water/saline, 10 ml (A4216)
A4221Supp non-insulin inf cath/wk (A4221)
A4222Infusion supplies with pump (A4222)
A4233Alkalin batt for glucose mon (A4233)
A4234J-cell batt for glucose mon (A4234)
A4235Lithium batt for glucose mon (A4235)
A4236Silvr oxide batt glucose mon (A4236)
A4238Adju cgm supply allowance (A4238)
A4239Non-adju cgm supply allow (A4239)
A4253Blood glucose/reagent strips (A4253)
A4255Glucose monitor platforms (A4255)
A4256Calibrator solution/chips (A4256)
A4258Lancet device each (A4258)
A4259Lancets per box (A4259)
A4310Insert tray w/o bag/cath (A4310)
A4311Catheter w/o bag 2-way latex (A4311)
A4312Cath w/o bag 2-way silicone (A4312)
A4314Cath w/drainage 2-way latex (A4314)
A4320Irrigation tray (A4320)
A4322Irrigation syringe (A4322)
A4326Male external catheter (A4326)
A4331Extension drainage tubing (A4331)
A4332Lube sterile packet (A4332)
A4334Urinary cath leg strap (A4334)
A4338Indwelling catheter latex (A4338)
A4344Cath indw foley 2 way silicn (A4344)
A4349Disposable male external cat (A4349)
A4351Straight tip urine catheter (A4351)
A4352Coude tip urinary catheter (A4352)
A4353Intermittent urinary cath (A4353)
A4354Cath insertion tray w/bag (A4354)
A4357Bedside drainage bag (A4357)
A4358Urinary leg or abdomen bag (A4358)
A4361Ostomy face plate (A4361)
A4362Solid skin barrier (A4362)
A4363Ostomy clamp, replacement (A4363)
A4365Adhesive remover wipes (A4365)
A4367Ostomy belt (A4367)
A4368Ostomy filter (A4368)
A4369Skin barrier liquid per oz (A4369)
A4371Skin barrier powder per oz (A4371)
A4373Skin barrier with flange (A4373)
A4385Ost skn barrier sld ext wear (A4385)
A4388Drainable pch w ex wear barr (A4388)
A4389Drainable pch w st wear barr (A4389)
A4390Drainable pch ex wear convex (A4390)
A4391Urinary pouch w ex wear barr (A4391)
A4392Urinary pouch w st wear barr (A4392)
A4393Urine pch w ex wear bar conv (A4393)
A4394Ostomy pouch liq deodorant (A4394)
A4396Peristomal hernia supprt blt (A4396)
A4399Ostomy irrig cone/cath w brs (A4399)
A4402Lubricant per ounce (A4402)
A4404Ostomy ring each (A4404)
A4405Nonpectin based ostomy paste (A4405)
A4406Pectin based ostomy paste (A4406)
A4407Ext wear ost skn barr <=4sq" (A4407)
A4408Ext wear ost skn barr >4sq" (A4408)
A4409Ost skn barr convex =<4 sq i (A4409)
A4410Ost skn barr extnd >4 sq (A4410)
A4411Ost skn barr extnd =4sq (A4411)
A44132 pc drainable ost pouch (A4413)
A4414Ost sknbar w/o conv<=4 sq in (A4414)
A4415Ost skn barr w/o conv >4 sqi (A4415)
A4416Ost pch clsd w barrier/filtr (A4416)
A4417Ost pch w bar/bltinconv/fltr (A4417)
A4419Ost pch for bar w flange/flt (A4419)
A4421Ostomy supply misc (A4421)
A4423Ost pch for bar w lk fl/fltr (A4423)
A4424Ost pch drain w bar & filter (A4424)
A4425Ost pch drain for barrier fl (A4425)
A4426Ost pch drain 2 piece system (A4426)
A4427Ost pch drain/barr lk flng/f (A4427)
A4432Os pch urine w bar/fange/tap (A4432)
A4433Urine ost pch bar w lock fln (A4433)
A4436Irr supply sleev reus per mo (A4436)
A4437Irr supply sleev disp per mo (A4437)
A4450Non-waterproof tape (A4450)
A4452Waterproof tape (A4452)
A4453Rec cath any transanal, each (A4453)
A4455Adhesive remover per ounce (A4455)
A4456Adhesive remover, wipes (A4456)
A4520Incontinence garment anytype (A4520)
A4556Electrodes, pair (A4556)
A4557Lead wires, pair (A4557)
A4595Tens suppl 2 lead per month (A4595)
A4604Tubing with heating element (A4604)
A4608Transtracheal oxygen cath (A4608)
A4615Cannula nasal (A4615)
A4616Tubing (oxygen) per foot (A4616)
A4617Mouth piece (A4617)
A4619Face tent (A4619)
A4620Variable concentration mask (A4620)
A4623Tracheostomy inner cannula (A4623)
A4624Tracheal suction tube (A4624)
A4628Oropharyngeal suction cath (A4628)
A4636Handgrip for cane etc (A4636)
A4637Repl tip cane/crutch/walker (A4637)
A4640Alternating pressure pad (A4640)
A4927Non-sterile gloves (A4927)
A5055Stoma cap (A5055)
A50561 pc ost pouch w filter (A5056)
A50571 pc ost pou w built-in conv (A5057)
A5061Pouch drainable w barrier at (A5061)
A5063Drain ostomy pouch w/flange (A5063)
A5071Urinary pouch w/barrier (A5071)
A5073Urinary pouch on barr w/flng (A5073)
A5112Urinary leg bag (A5112)
A5120Skin barrier, wipe or swab (A5120)
A5121Solid skin barrier 6x6 (A5121)
A5122Solid skin barrier 8x8 (A5122)
A5131Appliance cleaner (A5131)
A5500Diab shoe for density insert (A5500)
A5512Multi den insert direct form (A5512)
A5513Multi den insert custom mold (A5513)
A5514Mult den insert dir carv/cam (A5514)
A6010Collagen based wound filler (A6010)
A6021Collagen dressing <=16 sq in (A6021)
A6022Collagen drsg>16<=48 sq in (A6022)
A6024Collagen dsg wound filler (A6024)
A6154Wound pouch each (A6154)
A6196Alginate dressing <=16 sq in (A6196)
A6197Alginate drsg >16 <=48 sq in (A6197)
A6199Alginate drsg wound filler (A6199)
A6203Composite drsg <= 16 sq in (A6203)
A6209Foam drsg =<16 sq in w/o bdr (A6209)
A6210Foam drg >16<=48 sq in w/o b (A6210)
A6212Foam drg <=16 sq in w/border (A6212)
A6222Gauze <=16 in no w/sal w/o b (A6222)
A6223Gauze >16<=48 no w/sal w/o b (A6223)
A6234Hydrocolld drg <=16 w/o bdr (A6234)
A6235Hydrocolld drg >6<=48 w/o b (A6235)
A6250Skin seal protect moisturizr (A6250)
A6252Absorpt drg >16 <=48 w/o bdr (A6252)
A6253Absorpt drg > 48 sq in w/o b (A6253)
A6257Transparent film <= 16 sq in (A6257)
A6262Wound filler dry form / gram (A6262)
A6266Impreg gauze no h20/sal/yard (A6266)
A6402Sterile gauze <= 16 sq in (A6402)
A6441Pad band w>=3" <5"/yd (A6441)
A6442Conform band n/s w<3"/yd (A6442)
A6443Conform band n/s w>=3"<5"/yd (A6443)
A6444Conform band n/s w>=5"/yd (A6444)
A6445Conform band s w <3"/yd (A6445)
A6446Conform band s w=>3" <5"/yd (A6446)
A6447Conform band s w >=5"/yd (A6447)
A6448Lt compres band <3"/yd (A6448)
A6449Lt compres band >=3" <5"/yd (A6449)
A6450Lt compres band >=5"/yd (A6450)
A6451Mod compres band w=>3"<5"/yd (A6451)
A6452High compres band w>=3"<5"yd (A6452)
A6453Self-adher band w <3"/yd (A6453)
A6454Self-adher band w>=3" <5"/yd (A6454)
A6455Self-adher band =>5"/yd (A6455)
A6550Neg pres wound ther drsg set (A6550)
A6590Urinary cath disp suc pump (A6590)
A6591Urinary cath suc pump (A6591)
A7000Disposable canister for pump (A7000)
A7001Nondisposable pump canister (A7001)
A7002Tubing used w suction pump (A7002)
A7003Nebulizer administration set (A7003)
A7004Disposable nebulizer sml vol (A7004)
A7005Nondisposable nebulizer set (A7005)
A7006Filtered nebulizer admin set (A7006)
A7007Lg vol nebulizer disposable (A7007)
A7010Disposable corrugated tubing (A7010)
A7012Nebulizer water collec devic (A7012)
A7013Disposable compressor filter (A7013)
A7014Compressor nondispos filter (A7014)
A7015Aerosol mask used w nebulize (A7015)
A7017Nebulizer not used w oxygen (A7017)
A7018Water distilled w/nebulizer (A7018)
A7027Combination oral/nasal mask (A7027)
A7028Repl oral cushion combo mask (A7028)
A7029Repl nasal pillow comb mask (A7029)
A7030Cpap full face mask (A7030)
A7031Replacement facemask interfa (A7031)
A7032Replacement nasal cushion (A7032)
A7033Replacement nasal pillows (A7033)
A7034Nasal application device (A7034)
A7035Pos airway press headgear (A7035)
A7036Pos airway press chinstrap (A7036)
A7037Pos airway pressure tubing (A7037)
A7038Pos airway pressure filter (A7038)
A7039Filter, non disposable w pap (A7039)
A7044Pap oral interface (A7044)
A7045Repl exhalation port for pap (A7045)
A7046Repl water chamber, pap dev (A7046)
A7526Tracheostomy tube collar (A7526)
A9276Disposable sensor, cgm sys (A9276)
A9900Supply/accessory/service (A9900)
A9999Dme supply or accessory, nos (A9999)
B4034Enter feed supkit syr by day (B4034)
B4035Enteral feed supp pump per d (B4035)
B4036Enteral feed sup kit grav by (B4036)
B4081Enteral ng tubing w/ stylet (B4081)
B4082Enteral ng tubing w/o stylet (B4082)
B4083Enteral stomach tube levine (B4083)
B4086Gastrostomy/jejunostomy tube (B4086)
B4087Gastro/jejuno tube, std (B4087)
B4088Gastro/jejuno tube, low-pro (B4088)
B4149Ef blenderized foods (B4149)
B4150Ef complet w/intact nutrient (B4150)
B4152Ef calorie dense>/=1.5kcal (B4152)
B4153Ef hydrolyzed/amino acids (B4153)
B4154Ef spec metabolic noninherit (B4154)
B4155Ef incomplete/modular (B4155)
B4160Ef ped caloric dense>/=0.7kc (B4160)
B4193Parenteral sol 52-73 gm prot (B4193)
B4197Parenteral sol 74-100 gm pro (B4197)
B4199Parenteral sol > 100gm prote (B4199)
B9000Enter infusion pump w/o alrm (B9000)
B9002Enter nutr inf pump any type (B9002)
E0100Cane adjust/fixed with tip (E0100)
E0114Crutch underarm pair no wood (E0114)
E0130Walker rigid adjust/fixed ht (E0130)
E0135Walker folding adjust/fixed (E0135)
E0140Walker w trunk support (E0140)
E0141Rigid wheeled walker adj/fix (E0141)
E0143Walker folding wheeled w/o s (E0143)
E0144Enclosed walker w rear seat (E0144)
E0147Walker variable wheel resist (E0147)
E0148Heavyduty walker no wheels (E0148)
E0149Heavy duty wheeled walker (E0149)
E0154Walker platform attachment (E0154)
E0155Walker wheel attachment,pair (E0155)
E0156Walker seat attachment (E0156)
E0157Walker crutch attachment (E0157)
E0158Walker leg extenders set of4 (E0158)
E0159Brake for wheeled walker (E0159)
E0160Sitz type bath or equipment (E0160)
E0161Sitz bath/equipment w/faucet (E0161)
E0163Commode chair with fixed arm (E0163)
E0165Commode chair with detacharm (E0165)
E0167Commode chair pail or pan (E0167)
E0168Heavyduty/wide commode chair (E0168)
E0170Commode chair electric (E0170)
E0171Commode chair non-electric (E0171)
E0181Press pad alternating w/ pum (E0181)
E0182Replace pump, alt press pad (E0182)
E0184Dry pressure mattress (E0184)
E0185Gel pressure mattress pad (E0185)
E0186Air pressure mattress (E0186)
E0187Water pressure mattress (E0187)
E0188Synthetic sheepskin pad (E0188)
E0189Lambswool sheepskin pad (E0189)
E0193Powered air flotation bed (E0193)
E0194Air fluidized bed (E0194)
E0196Gel pressure mattress (E0196)
E0197Air pressure pad for mattres (E0197)
E0199Dry pressure pad for mattres (E0199)
E0202Phototherapy light w/ photom (E0202)
E0217Water circ heat pad w pump (E0217)
E0218Fluid circ cold pad w pump (E0218)
E0250Hosp bed fixed ht w/ mattres (E0250)
E0251Hosp bed fixd ht w/o mattres (E0251)
E0255Hospital bed var ht w/ mattr (E0255)
E0256Hospital bed var ht w/o matt (E0256)
E0260Hosp bed semi-electr w/ matt (E0260)
E0261Hosp bed semi-electr w/o mat (E0261)
E0265Hosp bed total electr w/ mat (E0265)
E0266Hosp bed total elec w/o matt (E0266)
E0271Mattress innerspring (E0271)
E0272Mattress foam rubber (E0272)
E0275Bed pan standard (E0275)
E0276Bed pan fracture (E0276)
E0277Powered pres-redu air mattrs (E0277)
E0280Bed cradle (E0280)
E0290Hosp bed fx ht w/o rails w/m (E0290)
E0291Hosp bed fx ht w/o rail w/o (E0291)
E0292Hosp bed var ht no sr w/matt (E0292)
E0293Hosp bed var ht no sr no mat (E0293)
E0294Hosp bed semi-elect w/ mattr (E0294)
E0295Hosp bed semi-elect w/o matt (E0295)
E0296Hosp bed total elect w/ matt (E0296)
E0297Hosp bed total elect w/o mat (E0297)
E0300Enclosed ped crib hosp grade (E0300)
E0301Hd hosp bed, 350-600 lbs (E0301)
E0302Ex hd hosp bed > 600 lbs (E0302)
E0303Hosp bed hvy dty xtra wide (E0303)
E0304Hosp bed xtra hvy dty x wide (E0304)
E0305Rails bed side half length (E0305)
E0310Rails bed side full length (E0310)
E0316Bed safety enclosure (E0316)
E0325Urinal male jug-type (E0325)
E0326Urinal female jug-type (E0326)
E0371Nonpower mattress overlay (E0371)
E0372Powered air mattress overlay (E0372)
E0373Nonpowered pressure mattress (E0373)
E0424Stationary compressed gas 02 (E0424)
E0431Portable gaseous 02 (E0431)
E0433Portable liquid oxygen sys (E0433)
E0434Portable liquid 02 (E0434)
E0439Stationary liquid 02 (E0439)
E0441Stationary o2 contents, gas (E0441)
E0442Stationary o2 contents, liq (E0442)
E0443Portable 02 contents, gas (E0443)
E0444Portable 02 contents, liquid (E0444)
E0447Port o2 cont, liq over 4 lpm (E0447)
E0450Vol control vent invasiv int (E0450)
E0461Vol control vent noninv int (E0461)
E0463Press supp vent invasive int (E0463)
E0464Press supp vent noninv int (E0464)
E0465Home vent invasive interface (E0465)
E0466Home vent non-invasive inter (E0466)
E0467Home vent multi-function (E0467)
E0470Rad w/o backup non-inv intfc (E0470)
E0471Rad w/backup non inv intrfc (E0471)
E0472Rad w backup invasive intrfc (E0472)
E0482Cough stimulating device (E0482)
E0483Hi freq chest wall oscil sys (E0483)
E0560Humidifier supplemental w/ i (E0560)
E0561Humidifier nonheated w pap (E0561)
E0562Humidifier heated used w pap (E0562)
E0565Compressor air power source (E0565)
E0570Nebulizer with compression (E0570)
E0572Aerosol compressor adjust pr (E0572)
E0580Nebulizer for use w/ regulat (E0580)
E0585Nebulizer w/ compressor & he (E0585)
E0600Suction pump portab hom modl (E0600)
E0601Cont airway pressure device (E0601)
E0607Blood glucose monitor home (E0607)
E0617Automatic ext defibrillator (E0617)
E0621Patient lift sling or seat (E0621)
E0625Patient lift bathroom or toi (E0625)
E0627Seat lift mech, electric any (E0627)
E0628Seat lift for pt furn-electr (E0628)
E0629Seat lift mech, non-electric (E0629)
E0630Patient lift hydraulic (E0630)
E0635Patient lift electric (E0635)
E0636Pt support & positioning sys (E0636)
E0639Moveable patient lift system (E0639)
E0640Fixed patient lift system (E0640)
E0650Pneuma compresor non-segment (E0650)
E0651Pneum compressor segmental (E0651)
E0652Pneum compres w/cal pressure (E0652)
E0655Pneumatic appliance half arm (E0655)
E0656Segmental pneumatic trunk (E0656)
E0657Segmental pneumatic chest (E0657)
E0660Pneumatic appliance full leg (E0660)
E0665Pneumatic appliance full arm (E0665)
E0666Pneumatic appliance half leg (E0666)
E0667Seg pneumatic appl full leg (E0667)
E0668Seg pneumatic appl full arm (E0668)
E0669Seg pneumatic appli half leg (E0669)
E0675Pneumatic compression device (E0675)
E0676Inter limb compress dev nos (E0676)
E0705Transfer device (E0705)
E0720Tens two lead (E0720)
E0730Tens four lead (E0730)
E0731Conductive garment for tens/ (E0731)
E0748Elec osteogen stim spinal (E0748)
E0776Iv pole (E0776)
E0779Amb infusion pump mechanical (E0779)
E0780Mech amb infusion pump <8hrs (E0780)
E0781External ambulatory infus pu (E0781)
E0784Ext amb infusn pump insulin (E0784)
E0791Parenteral infusion pump sta (E0791)
E0849Cervical pneum trac equip (E0849)
E0855Cervical traction equipment (E0855)
E0910Trapeze bar attached to bed (E0910)
E0911Hd trapeze bar attach to bed (E0911)
E0912Hd trapeze bar free standing (E0912)
E0935Cont pas motion exercise dev (E0935)
E0936Cpm device, other than knee (E0936)
E0940Trapeze bar free standing (E0940)
E0950Tray (E0950)
E0951Loop heel (E0951)
E0952Toe loop/holder, each (E0952)
E0953W/c lateral thigh/knee sup (E0953)
E0954Foot box, any type each foot (E0954)
E0955Cushioned headrest (E0955)
E0956W/c lateral trunk/hip suppor (E0956)
E0957W/c medial thigh support (E0957)
E0958Whlchr att- conv 1 arm drive (E0958)
E0959Amputee adapter (E0959)
E0960W/c shoulder harness/straps (E0960)
E0961Wheelchair brake extension (E0961)
E0966Wheelchair head rest extensi (E0966)
E0967Man wc rim/projection rep ea (E0967)
E0971Wheelchair anti-tipping devi (E0971)
E0973W/ch access det adj armrest (E0973)
E0974W/ch access anti-rollback (E0974)
E0978W/c acc,saf belt pelv strap (E0978)
E0981Seat upholstery, replacement (E0981)
E0982Back upholstery, replacement (E0982)
E0985W/c seat lift mechanism (E0985)
E0986Man w/c push-rim powr system (E0986)
E0990Wheelchair elevating leg res (E0990)
E0992Wheelchair solid seat insert (E0992)
E0995Wc calf rest, pad replacemnt (E0995)
E1002Pwr seat tilt (E1002)
E1003Pwr seat recline (E1003)
E1004Pwr seat recline mech (E1004)
E1005Pwr seat recline pwr (E1005)
E1006Pwr seat combo w/o shear (E1006)
E1007Pwr seat combo w/shear (E1007)
E1008Pwr seat combo pwr shear (E1008)
E1010Add pwr leg elevation (E1010)
E1015Shock absorber for man w/c (E1015)
E1016Shock absorber for power w/c (E1016)
E1020Residual limb support system (E1020)
E1028W/c manual swingaway (E1028)
E1029W/c vent tray fixed (E1029)
E1030W/c vent tray gimbaled (E1030)
E1031Rollabout chair with casters (E1031)
E1035Patient transfer system <300 (E1035)
E1036Patient transfer system >300 (E1036)
E1037Transport chair, ped size (E1037)
E1038Transport chair pt wt<300lb (E1038)
E1039Transport chair pt wt >300lb (E1039)
E1161Manual adult wc w tiltinspac (E1161)
E1225Manual semi-reclining back (E1225)
E1226Manual fully reclining back (E1226)
E1230Power operated vehicle (E1230)
E1232Folding ped wc tilt-in-space (E1232)
E1234Fld ped wc tltnspc w/o seat (E1234)
E1236Folding ped wc adjustable (E1236)
E1238Fld ped wc adjstabl w/o seat (E1238)
E1353Oxygen supplies regulator (E1353)
E1355Oxygen supplies stand/rack (E1355)
E1372Oxy suppl heater for nebuliz (E1372)
E1390Oxygen concentrator (E1390)
E1391Oxygen concentrator, dual (E1391)
E1392Portable oxygen concentrator (E1392)
E2000Gastric suction pump hme mdl (E2000)
E2103Non-adju cgm receiver/mon (E2103)
E2201Man w/ch acc seat w>=20"<24" (E2201)
E2202Seat width 24-27 in (E2202)
E2203Frame depth less than 22 in (E2203)
E2204Frame depth 22 to 25 in (E2204)
E2205Manual wc accessory, handrim (E2205)
E2206Man wc whl lock comp repl ea (E2206)
E2207Crutch and cane holder (E2207)
E2208Cylinder tank carrier (E2208)
E2209Arm trough each (E2209)
E2210Wheelchair bearings (E2210)
E2211Pneumatic propulsion tire (E2211)
E2212Pneumatic prop tire tube (E2212)
E2213Pneumatic prop tire insert (E2213)
E2214Pneumatic caster tire each (E2214)
E2215Pneumatic caster tire tube (E2215)
E2216Foam filled propulsion tire (E2216)
E2217Foam filled caster tire each (E2217)
E2218Foam propulsion tire each (E2218)
E2219Foam caster tire any size ea (E2219)
E2220Solid propuls tire, repl, ea (E2220)
E2221Solid caster tire repl, each (E2221)
E2222Solid caster integ whl, repl (E2222)
E2224Propulsion whl excl tire rep (E2224)
E2225Caster wheel excludes tire (E2225)
E2226Caster fork replacement only (E2226)
E2228Mwc acc, wheelchair brake (E2228)
E2231Solid seat support base (E2231)
E2291Planar back for ped size wc (E2291)
E2292Planar seat for ped size wc (E2292)
E2310Electro connect btw control (E2310)
E2311Electro connect btw 2 sys (E2311)
E2321Hand interface joystick (E2321)
E2322Mult mech switches (E2322)
E2323Special joystick handle (E2323)
E2324Chin cup interface (E2324)
E2325Sip and puff interface (E2325)
E2326Breath tube kit (E2326)
E2327Head control interface mech (E2327)
E2328Head/extremity control inter (E2328)
E2329Head control nonproportional (E2329)
E2330Head control proximity switc (E2330)
E2351Electronic sgd interface (E2351)
E2359Gr34 sealed leadacid battery (E2359)
E236022nf nonsealed leadacid (E2360)
E236122nf sealed leadacid battery (E2361)
E2362Gr24 nonsealed leadacid (E2362)
E2363Gr24 sealed leadacid battery (E2363)
E2364U1nonsealed leadacid battery (E2364)
E2365U1 sealed leadacid battery (E2365)
E2366Battery charger, single mode (E2366)
E2367Battery charger, dual mode (E2367)
E2368Pwr wc drivewheel motor repl (E2368)
E2369Pwr wc drivewheel gear repl (E2369)
E2370Pwr wc dr wh motor/gear comb (E2370)
E2371Gr27 sealed leadacid battery (E2371)
E2373Hand/chin ctrl spec joystick (E2373)
E2374Hand/chin ctrl std joystick (E2374)
E2375Non-expandable controller (E2375)
E2376Expandable controller, repl (E2376)
E2377Expandable controller, initl (E2377)
E2378Pw actuator replacement (E2378)
E2381Pneum drive wheel tire (E2381)
E2382Tube, pneum wheel drive tire (E2382)
E2383Insert, pneum wheel drive (E2383)
E2384Pneumatic caster tire (E2384)
E2385Tube, pneumatic caster tire (E2385)
E2386Foam filled drive wheel tire (E2386)
E2387Foam filled caster tire (E2387)
E2388Foam drive wheel tire (E2388)
E2389Foam caster tire (E2389)
E2390Solid drive wheel tire (E2390)
E2391Solid caster tire (E2391)
E2392Solid caster tire, integrate (E2392)
E2394Drive wheel excludes tire (E2394)
E2395Caster wheel excludes tire (E2395)
E2396Caster fork (E2396)
E2397Pwc acc, lith-based battery (E2397)
E2402Neg press wound therapy pump (E2402)
E2601Gen w/c cushion wdth > 22 in (E2601)
E2602Gen w/c cushion wdth <=22 in (E2602)
E2603Skin protect wc cus wd <22in (E2603)
E2604Skin protect wc cus wd>22in (E2604)
E2605Position wc cush wdth <22 in (E2605)
E2606Position wc cush wdth>=22 in (E2606)
E2607Skin pro/pos wc cus wd <22in (E2607)
E2608Skin pro/pos wc cus wd>=22in (E2608)
E2609Custom fabricate w/c cushion (E2609)
E2611Gen use back cush wdth <22in (E2611)
E2612Gen use back cush wdth>=22in (E2612)
E2613Position back cush wd <2in (E2613)
E2614Position back cush wd>22in (E2614)
E2615Pos back post/lat wdth 2<2in (E2615)
E2616Pos back post/lat wdth>=22in (E2616)
E2617Custom fab w/c back cushion (E2617)
E2618Wc acc solid seat supp base (E2618)
E2619Replace cover w/c seat cush (E2619)
E2620Wc planar back cush wd 2<2in (E2620)
E2621Wc planar back cush wd>=22in (E2621)
E2622Adj skin pro w/c cus wd<22in (E2622)
E2623Adj skin pro wc cus wd>=22in (E2623)
E2624Adj skin pro/pos cus<22in (E2624)
E2625Adj skin pro/pos wc cus>=22 (E2625)
E2626Seo mobile arm sup att to wc (E2626)
E2627Arm supp att to wc rancho ty (E2627)
E2628Mobile arm supports reclinin (E2628)
E2629Friction dampening arm supp (E2629)
E2630Monosuspension arm/hand supp (E2630)
E2631Elevat proximal arm support (E2631)
E2632Offset/lat rocker arm w/ela (E2632)
E2633Mobile arm support supinator (E2633)
J7613Albuterol non-comp unit (J7613)
J7614Levalbuterol non-comp unit (J7614)
J7626Budesonide non-comp unit (J7626)
J7644Ipratropium bromide non-comp (J7644)
K0001Standard wheelchair (K0001)
K0002Stnd hemi (low seat) whlchr (K0002)
K0003Lightweight wheelchair (K0003)
K0004High strength ltwt whlchr (K0004)
K0005Ultralightweight wheelchair (K0005)
K0006Heavy duty wheelchair (K0006)
K0007Extra heavy duty wheelchair (K0007)
K0009Other manual wheelchair/base (K0009)
K0015Detach non-adj ht armrst rep (K0015)
K0017Detach adjust armrest base (K0017)
K0018Detach adjust armrst upper (K0018)
K0019Arm pad repl, each (K0019)
K0020Fixed adjust armrest pair (K0020)
K0037Hi mount flip-up footrest ea (K0037)
K0038Leg strap each (K0038)
K0039Leg strap h style each (K0039)
K0040Adjustable angle footplate (K0040)
K0041Large size footplate each (K0041)
K0042Standard size ftplate rep ea (K0042)
K0043Ftrst lowr exten tube rep ea (K0043)
K0044Ftrst upr hanger brac rep ea (K0044)
K0045Ftrst compl assembly repl ea (K0045)
K0046Elev lgrst lwr exten repl ea (K0046)
K0047Elev legrst upr hangr rep ea (K0047)
K0050Ratchet assembly replacement (K0050)
K0051Cam rel asm ft/legrst rep ea (K0051)
K0052Swingaway detach ftrest repl (K0052)
K0053Elevate footrest articulate (K0053)
K0056Seat ht <17 or >=21 ltwt wc (K0056)
K0065Spoke protectors (K0065)
K0069Rr whl compl sol tire rep ea (K0069)
K0070Rr whl compl pne tire rep ea (K0070)
K0071Fr cstr comp pne tire rep ea (K0071)
K0072Fr cstr semi-pne tire rep ea (K0072)
K0073Caster pin lock each (K0073)
K0077Fr cstr asmb sol tire rep ea (K0077)
K0098Drive belt for pwc, repl (K0098)
K0105Iv hanger (K0105)
K0108W/c component-accessory nos (K0108)
K0195Elevating whlchair leg rests (K0195)
K0552Sup/ext non-ins inf pump syr (K0552)
K0553Ther cgm supply allowance (K0553)
K0554Ther cgm receiver/monitor (K0554)
K0601Repl batt silver oxide 1.5 v (K0601)
K0603Repl batt alkaline 1.5 v (K0603)
K0604Repl batt lithium 3.6 v (K0604)
K0605Repl batt lithium 4.5 v (K0605)
K073312-24hr sealed lead acid (K0733)
K0734Adj skin pro w/c cus wd2<2in (K0734)
K0735Adj skin pro wc cus wd>22in (K0735)
K0736Adj skin pro/pos wc cus<2in (K0736)
K0737Adj skin pro/pos wc cus>=22" (K0737)
K0738Portable gas oxygen system (K0738)
K0800Pov group 1 std up to 300lbs (K0800)
K0801Pov group 1 hd 301-450 lbs (K0801)
K0802Pov group 1 vhd 451-600 lbs (K0802)
K0806Pov group 2 std up to 300lbs (K0806)
K0807Pov group 2 hd 301-450 lbs (K0807)
K0808Pov group 2 vhd 451-600 lbs (K0808)
K0813Pwc gp 1 std port seat/back (K0813)
K0814Pwc gp 1 std port cap chair (K0814)
K0815Pwc gp 1 std seat/back (K0815)
K0816Pwc gp 1 std cap chair (K0816)
K0820Pwc gp 2 std port seat/back (K0820)
K0821Pwc gp 2 std port cap chair (K0821)
K0822Pwc gp 2 std seat/back (K0822)
K0823Pwc gp 2 std cap chair (K0823)
K0824Pwc gp 2 hd seat/back (K0824)
K0825Pwc gp 2 hd cap chair (K0825)
K0826Pwc gp 2 vhd seat/back (K0826)
K0827Pwc gp vhd cap chair (K0827)
K0828Pwc gp 2 xtra hd seat/back (K0828)
K0829Pwc gp 2 xtra hd cap chair (K0829)
K0835Pwc gp2 std sing pow opt s/b (K0835)
K0836Pwc gp2 std sing pow opt cap (K0836)
K0837Pwc gp 2 hd sing pow opt s/b (K0837)
K0838Pwc gp 2 hd sing pow opt cap (K0838)
K0839Pwc gp2 vhd sing pow opt s/b (K0839)
K0840Pwc gp2 xhd sing pow opt s/b (K0840)
K0841Pwc gp2 std mult pow opt s/b (K0841)
K0842Pwc gp2 std mult pow opt cap (K0842)
K0843Pwc gp2 hd mult pow opt s/b (K0843)
K0848Pwc gp 3 std seat/back (K0848)
K0849Pwc gp 3 std cap chair (K0849)
K0850Pwc gp 3 hd seat/back (K0850)
K0851Pwc gp 3 hd cap chair (K0851)
K0852Pwc gp 3 vhd seat/back (K0852)
K0853Pwc gp 3 vhd cap chair (K0853)
K0854Pwc gp 3 xhd seat/back (K0854)
K0855Pwc gp 3 xhd cap chair (K0855)
K0856Pwc gp3 std sing pow opt s/b (K0856)
K0857Pwc gp3 std sing pow opt cap (K0857)
K0858Pwc gp3 hd sing pow opt s/b (K0858)
K0859Pwc gp3 hd sing pow opt cap (K0859)
K0860Pwc gp3 vhd sing pow opt s/b (K0860)
K0861Pwc gp3 std mult pow opt s/b (K0861)
K0862Pwc gp3 hd mult pow opt s/b (K0862)
K0863Pwc gp3 vhd mult pow opt s/b (K0863)
K0864Pwc gp3 xhd mult pow opt s/b (K0864)
L0120Cerv flex n/adj foam pre ots (L0120)
L0174Cerv sr 2pc thor ext pre ots (L0174)
L0450Tlso flex trunk/thor pre ots (L0450)
L0455Tlso flex trnk sj-t9 pre ots (L0455)
L0456Tlso flex trnk sj-ss pre cst (L0456)
L0457Tlso flex trnk sj-ss pre ots (L0457)
L0464Tlso 4mod sacro-scap pre (L0464)
L0467Tlso r fram soft pre ots (L0467)
L0469Tlso rig fram pelvic pre ots (L0469)
L0621Sio flex pelvic/sacr pre ots (L0621)
L0623Sio rig pnl pelv/sac pre ots (L0623)
L0625Lo flex l1-below l5 pre ots (L0625)
L0627Lo sag ri an/pos pnl pre cst (L0627)
L0628Lso flex no ri stays pre ots (L0628)
L0631Lso sag r an/pos pnl pre cst (L0631)
L0637Lso sc r ant/pos pnl pre cst (L0637)
L0641Lo rig pos pnl l1-l5 pre ots (L0641)
L0642Lo sag ri an/pos pnl pre ots (L0642)
L0643Lso sag ctr rigi pos pre ots (L0643)
L0648Lso sag r an/pos pnl pre ots (L0648)
L0649Lso sc r pos/lat pnl pre ots (L0649)
L0650Lso sc r ant/pos pnl pre ots (L0650)
L0651Lso sag-co shell pnl pre ots (L0651)
L1652Ho bi thighcuffs w sprdr bar (L1652)
L1810Ko elastic with joints (L1810)
L1812Ko elastic w/joints pre ots (L1812)
L1830Ko immob canvas long pre ots (L1830)
L1831Knee orth pos locking joint (L1831)
L1832Ko adj jnt pos r sup pre cst (L1832)
L1833Ko adj jnt pos r sup pre ots (L1833)
L1836Ko rigid w/o joints pre ots (L1836)
L1843Ko single upright pre cst (L1843)
L1845Ko double upright pre cst (L1845)
L1850Ko swedish type pre ots (L1850)
L1851Ko single upright prefab ots (L1851)
L1852Ko double upright prefab ots (L1852)
L1902Afo ankle gauntlet pre ots (L1902)
L1930Afo plastic (L1930)
L1932Afo rig ant tib prefab tcf/= (L1932)
L1951Afo spiral prefab custom (L1951)
L1960Afo pos solid ank plastic mo (L1960)
L2397Suspension sleeve lower ext (L2397)
L2810Knee control condylar pad (L2810)
L3216Orthoped ladies shoes dpth i (L3216)
L3221Orthopedic mens shoes dpth i (L3221)
L3670So acro/clav can web pre ots (L3670)
L3760Eo adj jt prefab custom fit (L3760)
L3807Whfo w/o joints pre cst (L3807)
L3809Whfo w/o joints pre ots (L3809)
L3908Who cock-up nonmolde pre ots (L3908)
L4350Ankle control ortho pre ots (L4350)
L4360Pneumat walking boot pre cst (L4360)
L4361Pneuma/vac walk boot pre ots (L4361)
L4386Non-pneum walk boot pre cst (L4386)
L4387Non-pneum walk boot pre ots (L4387)
L4396Static or dynami afo pre cst (L4396)
L4397Static or dynami afo pre ots (L4397)
L4398Foot drop splint pre ots (L4398)
L5812Endo knee-shin frct swg & st (L5812)
L5828Endo knee-shin fluid swg/sta (L5828)
L5856Elec knee-shin swing/stance (L5856)
L5976Energy storing foot (L5976)
L5979Multi-axial ankle/ft prosth (L5979)
L5980Flex foot system (L5980)
L5981Flex-walk sys low ext prosth (L5981)
L5986Multi-axial rotation unit (L5986)
L5987Shank ft w vert load pylon (L5987)
L7900Male vacuum erection system (L7900)
L8000Mastectomy bra (L8000)
L8015Ext breastprosthesis garment (L8015)
L8020Mastectomy form (L8020)
L8030Breast prosthes w/o adhesive (L8030)
L8031Breast prosthesis w adhesive (L8031)
L8035Custom breast prosthesis (L8035)
Q0513Disp fee inhal drugs/30 days (Q0513)
E2101Adjunctive CGM receiver
A9276CGM supply components
A9277CGM supply components
A9278CGM supply components
A9274External insulin delivery system
E0785Replacement insulin pump
A4224Infusion pump supplies
A4225Infusion pump supplies
A4313Intermitten catheter variant
A4315Intermitten catheter variant
A4316Intermitten catheter variant
A4321Irrigation related supplies
A4323Irrigation related supplies
A4336Misc catheter components
A4340Specialty indwelling catheter
A4372Skin barrier variants
A4374Skin barrier variants
A4375Skin barrier variants
A4403Adhesive related accessory
A4418Additional pouching system variations
A4420Additional pouching system variations
A4422Additional pouching system variations
A4428Additional pouching system variations
L23650Shoulder orthoses
L3660Shoulder orthoses
L1820Custom fitted, elastic knee brace w/ pads and joints
L1821Pre-fabricated, OTS elastic knee orthosis w/pads and joints
A4244Alcohol or peroxide, per pint
A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, each

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