Item

Code

K Level

Description

AK

ABOVE KNEE PROSTHESIS

AK060

A21560

1,2,3,4

Refit AK prosthesis - endoskeletal CAT 1-4 (carbon reinforced)

ea

93751.25

AK080

A21580

1,2,3,4

AK prosthesis endoskeletal CAT 1-4 (carbon reinforced)

ea

93751.25

ADDITIONS TO ABOVE KNEE PROSTHESIS

AK120

A21620

AK test socket - diagnostic

ea

5748.08

TK075

A21075

TK test socket - diagnostic

ea

6782.68

TK076

A21076

AK/TK foam cover

ea

9574.55

AK720

A21720

AK/TK - cosmetic stocking

ea

535.09

AK724

A21724

AK/TK - flexible inner socket (not Pelite)

ea

10551.14

AK725

A21725

AK - laminate shin CRA

ea

6289.52

AK732

A21732

AK - laminate thigh CRA

ea

7536.93