> Reimbursement Amounts




All Products are PDAC & Medicare Approved








BACK BRACES

PDAC
Code

Reimb.up to


Aspen Evergreen, Cybertech Multi Endevour LSO

LO631/L0648

$933.00


Aspen Evergreen, Cybertech Multi Endevour LSO

LO637/L0650

$1,238.00



Aspen Evergreen, Cybertech Multi Endevour LSO

LO627/L0642

$385.00






Knee Braces


PDAC
Code

Reimb.up to





Dual ROM Knee Brace (CK-111)

L1832/L1833

$650.00


Universal Comfort Hinged Knee Brace (CK-110)

L1832/L1833

$650


Hinged Wraparound Knee Support (CK-108)

L1820

$140


Universal Hinged Wrap Around (CK-120)

L1820

$140






Wrist/ Thumb Brace


PDAC
Code

Reimb.up to

Optima Wrist Brace
L3916
$460.00

Universal Wrist Splint (31-106)
L3908
$ 70.00

Universal Wrist & Thumb Splint (31-200)

L3809
$ 215.00

Shoulder/ Elbow



Reimb.up to

ABD Shoulder Pillow II (21-202)

L3660

$120.00


Shoulder Immobilizer w/strap (21-101)

L3660

$120.00






Air Walkers

PDAC
Code

Reimb.up to


Premium high top air walker (CK-323)

L4360/L4361

$330.00


Premium low top air walker (61-324)

L4360/L4361

$330.00






Cervical Traction


PDAC
Code

Reimb.up to

Body Sport Trac Collar
E0856 check state rates

Theratrac Cervical Traction

E0849

check state rates