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Corresponding NIINs: 26
|
| Number |
CAGE |
FSC |
NIIN |
Item Name |
RN CC |
RN VC |
ISC |
|
56296 |
75859 |
6515 |
01-353-2555
|
BRACE,FRACTURE,TIBIAL |
3 |
2 |
5 |
|
56296 LARGE LEFT |
75859 |
6515 |
01-353-2555
|
BRACE,FRACTURE,TIBIAL |
3 |
1 |
5 |
|
56297 |
75859 |
6515 |
01-353-5932
|
BRACE,FRACTURE,TIBIAL |
3 |
2 |
5 |
|
56297 LARGE RIGHT |
75859 |
6515 |
01-353-5932
|
BRACE,FRACTURE,TIBIAL |
3 |
1 |
5 |
|
56299 |
75859 |
6515 |
01-353-2556
|
BRACE,FRACTURE,TIBIAL |
3 |
2 |
5 |
|
56299 MEDIUM RIGHT |
75859 |
6515 |
01-353-2556
|
BRACE,FRACTURE,TIBIAL |
3 |
1 |
5 |
|
56301 |
75859 |
6515 |
01-353-4989
|
BRACE,FRACTURE,TIBIAL |
3 |
2 |
5 |
|
56301 SMALL RIGHT |
75859 |
6515 |
01-353-4989
|
BRACE,FRACTURE,TIBIAL |
3 |
1 |
5 |
|
56327 |
75859 |
6515 |
01-353-4991
|
INSERT,SHOE |
3 |
2 |
5 |
|
56327 LARGE LEFT |
75859 |
6515 |
01-353-4991
|
INSERT,SHOE |
3 |
1 |
5 |
|
56328 |
75859 |
6515 |
01-353-4990
|
INSERT,SHOE |
3 |
2 |
5 |
|
56328 LARGE RIGHT |
75859 |
6515 |
01-353-4990
|
INSERT,SHOE |
3 |
1 |
5 |
|
56329 |
75859 |
6515 |
01-353-4995
|
INSERT,SHOE |
3 |
2 |
5 |
|
56329 MEDIUM LEFT |
75859 |
6515 |
01-353-4995
|
INSERT,SHOE |
3 |
1 |
5 |
|
56330 |
75859 |
6515 |
01-353-4994
|
INSERT,SHOE |
3 |
2 |
5 |
|
56330 MEDIUM RIGHT |
75859 |
6515 |
01-353-4994
|
INSERT,SHOE |
3 |
1 |
5 |
|
56331 |
75859 |
6515 |
01-353-4993
|
INSERT,SHOE |
3 |
2 |
5 |
|
56331 SMALL LEFT |
75859 |
6515 |
01-353-4993
|
INSERT,SHOE |
3 |
1 |
5 |
|
56332 |
75859 |
6515 |
01-353-4992
|
INSERT,SHOE |
3 |
2 |
5 |
|
56332 SMALL RIGHT |
75859 |
6515 |
01-353-4992
|
INSERT,SHOE |
3 |
1 |
5 |
|
962-LARGE |
75859 |
6515 |
01-396-0005
|
SUPPORT,LUMBAR |
3 |
1 |
5 |
|
962-MEDIUM |
75859 |
6515 |
01-396-0134
|
SUPPORT,LUMBAR |
3 |
1 |
5 |
|
962-SMALL |
75859 |
6515 |
01-396-0150
|
SUPPORT,LUMBAR |
3 |
1 |
5 |
|
SPINAL CHAIR-BACK ORTHOSIS |
75859 |
6515 |
01-396-0005
|
SUPPORT,LUMBAR |
5 |
1 |
5 |
|
SPINAL CHAIR-BACK ORTHOSIS |
75859 |
6515 |
01-396-0134
|
SUPPORT,LUMBAR |
5 |
1 |
5 |
|
SPINAL CHAIR-BACK ORTHOSIS |
75859 |
6515 |
01-396-0150
|
SUPPORT,LUMBAR |
5 |
1 |
5 |
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