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Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens
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PROC:HCPCS |
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Addition to lower extremity, below knee, thigh lacer, nonmolded
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PROC:HCPCS |
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Bk thigh lacer non-molded
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PROC:HCPCS |
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Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded
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PROC:HCPCS |
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Bk thigh lacer glut/ischia m
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PROC:HCPCS |
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Addition to lower extremity, below knee, fork strap
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PROC:HCPCS |
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Addition to lower extremity, below knee, back check (extension control)
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PROC:HCPCS |
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Addition to lower extremity, below knee, waist belt, webbing
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PROC:HCPCS |
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Addition to lower extremity, below knee, waist belt, padded and lined
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PROC:HCPCS |
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Bk waist belt padded and lin
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PROC:HCPCS |
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Addition to lower extremity, above knee, pelvic control belt, light
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PROC:HCPCS |
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Ak pelvic control belt light
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PROC:HCPCS |
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