A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Adhesive strips, generic, for external catheters
Adhesive tape, non-hypoallergenic
Adhesive Tapes & Dressing Strips
Alginates/Hydrofibres dressing
Bathing & Toileting Aid Benefit Repairs
Breathing Apparatus and Supplies
Brief/diaper disposable, child over 2 years of age
Brief/diaper disposable, large/extra large, child over 2 years of age
Brief/diaper disposable, large adult
Brief/diaper disposable, medium, adult
Brief/diaper disposable, small, youth, adult
Built-up (padded) handle OR universal cuff
Cane, aluminium adjustable, quad
Catheter Adaptors/connectors/closures
Catheter tray, catheterization
Catheters external, disposable
Catheters intermittent, disposable
Cervical/thoracic/lumbar/sacral, custom
Cervical/thoracic/lumbar/sacral, rigid
Compression glove 20-30/30-40mmHg
Compression stocking/sleeve 20-30, 30-40mmHg
Compression stocking/sleeve 40mmHg & up
Compression/band, hi-sustained 35mmHg, reuseable, left
CPAP, breathing circuit tube, bi-level
CPAP cool humidifier, purchase
CPAP circuit, humidifier, integrator, rental
CPAP circuit, humidifier, integrator, purchase
Crutches, axillary - purchase, pair
Crutches, axillary - rental, pair
Crutches, specialized, purchase, pair (forearm)
Custom-made Internal Footwear Device
Custom-made internal footwear device, left
Custom-made internal footwear device, right
Custom-made internal footwear devices, pair
Custom-made internal footwear devices, repairs
Diaper pull-up, child over 2 years of age
Diaper tabs, child over 2 years of age
Diaper washable, child over 2 years of age
Distilled water (for tracheostomy care)
Drainage night bags, disposable
Drainage night bottle, reusable
Elevated (raised) toilet seat (standard)
Elevated (raised) toilet seat (with arms)
Enteral feeding supplies, adaptors/plugs
Enteral feeding supplies, extension sets
Enteral feeding supplies, gastrostomy catheters/tubes
Enteral feeding supplies, nasogastric tube
Filters (for purchased concentrator)
Foam dressing medicated/non-medicated
Footwear Custom-made internal device, left
Footwear Custom-made internal device, right
Footwear Modifications to stock (this does not include the price of the shoe)
Footwear Winter overshoes (Only with custom footwear)
Gauze, non-sterile dressing, 2x2
Gauze, non-sterile dressing, 3x3
Gauze, non-sterile dressing, 4x4
Gauze, non-sterile dressing, 6x8
Grab bar for tub (non-permanent)
Gravity feeding supplies, delivery sets without bags
Gravity feeding supplies, delivery sets w/bags
Gravity feeding supplies, rigid containers
Head-Torso-Spine Orthoses - Repairs
Hearing aid accessories/supplies
Hearing aid batteries, left hearing aid
Hearing aid batteries, right hearing aid
Hearing aid, BTE ear mold (new aid), left
Hearing aid, BTE ear mold (new aid), right
Hearing Aid, Digital Processing
Hearing Aid in office service fee, left
Hearing Aid in office service fee, right
Hearing Aid Performance Check/left ear
Hearing Aid Performance Check/right ear
Hearing aid repairs and/or remake by manufacturer, left aid
Hearing aid repairs and/or remake by manufacturer, right aid
Hearing Aid Repairs, out of office, service fee, left
Hearing Aid Repairs, out of office, dispenser service fee, right
Hearing Aid Replacement ear mould & impression fee, left, adult
Hearing Aid Replacement ear mould & impression fee, left, child
Hearing Aid Replacement ear mould & impression fee, right, adult
Hearing Aid Replacement ear mould & impression fee, right, child
Hearing aid, assessment/fitting/dispensing fee, left ear
Hearing aid, assessment/fitting/dispensing fee, right ear
Hearing aid, bone conduction, left
Hearing aid, bone conduction, right
Hearing aid, conventional, behind the ear, left
Hearing aid, conventional, behind the ear, right
Hearing aid, conventional, custom, left
Hearing aid, conventional, custom, right
Hearing aid, programmable, behind left ear
Hearing aid, programmable, behind right ear
Hearing aid, programmable, custom, left
Hearing aid, programmable, custom, right
Hearing aids, BICROS (specify better hearing ear)
Hearing Aids, Conventional Analog
Hearing aids, CROS (specify better hearing ear)
Hearing Aids, Programmable, Analog
Hearing re-assessment (partial)
Hi-sustained bandage 35mmHg/1use, left
Hi-sustained bandage 35mmHg/1 use, right
Hi-sustained bandage 35mmHg, reuseable, left
Hi-sustained bandage 35mmHg, reuseable, right
Hi-sustained compression/band 35mmHg
Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Head
Chin strap, modified (extended behind the ears)
Ear flap attached to mask or modified chin strap
Lip covering attached to mask or chin strap
Other garment (provide name of item)
Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Limb
Arm sleeve and gauntlet with enclosed extended thumb
Arm sleeve with attached gauntlet
Arm sleeve with attached shoulder flap
Arm sleeve with gauntlet and shoulder flap
Arm sleeve/gauntlet/shoulder flap with enclosed extended thumb
Half sleeve and gauntlet with enclosed extended thumb
Half sleeve with gauntlet metacarpals to elbow
Half sleeve with shoulder flap
Reinforced palm on glove or gauntlet
Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Trunk
Body suit with sleeves and legs (to distal measurement above knees)
Body suit, sleeveless with legs (to distal measurement above knees)
Impregnated venous ulcer bandages
Irrigation solution (large volume, pour bottle)
Irrigation syringe (60cc funnel tip)
Leg bags, w/out tubing, disposable (see Drainage bags)
Leg bags, w/tubing, reusable (see Drainage bags)
Leg straps for drainage bags (see Drainage bags)
Lifting/transfer Aid Benefit Repairs
Limb Orthoses - Lower Extremities
Hip knee ankle foot, custom, left
Hip knee ankle foot, custom, right
Hip knee ankle foot, rigid, left
Hip knee ankle foot, rigid, right
Knee ankle foot, custom, right
Patella tendon bearing knee, custom, left
Patella tendon bearing knee, custom, right
Repairs - Lower extremity limb orthosis
Thoracic hip knee ankle foot reciprocating gait mechanism), custom
Limb Orthoses - Upper Extremity
Finger, multiple digits, custom, left
Finger, multiple digits, custom, right
Finger, multiple digits, rigid, left
Finger, multiple digits, rigid, right
Finger, multiple digits, soft, left
Finger, multiple digits, soft, right
Finger, single digit soft, right
Finger, single digit, custom, left
Finger, single digit, custom, right
Finger, single digit, rigid, right
Finger, single digit, rigid, left
Finger, single digit, soft, left
Repairs - Upper extremity limb orthosis
Shoulder, elbow, wrist, hand, custom, left
Shoulder, elbow, wrist, hand, custom, right
Wrist hand finger, custom, left
Wrist hand finger, custom, right
Wrist hand finger, rigid, left
Wrist hand finger, rigid, right
Wrist hand finger, soft, right
Lubricating jelly/box, single use
Medic Alert Bracelet (standard)
Modifications to Stock Footwear - Repairs
Modifications to Stock Footwear
Non-Adherent dressing, non-impregnated
Odor control product concentrate
Orthosis - Head - Torso - Spine Repairs
Orthosis - Lower Extremity (see Limb Orthoses )
Orthosis - Upper Extremity (see Limb Orthoses)
Orthotic and Custom Footwear Benefit List
Adaptor/connector/clamp ostomy/cat
Closed pouch two-piece colostomy/ileostomy system
Continent diversion dressing - 4"x 4" - clean gauze
Drainable pouch two-piece colostomy/ileostomy system
Flange for two-piece ostomy system
Flange, convex for two-piece ostomy system
Odor control product concentrate
One-piece closed-end colostomy pouch with seal
One-piece drainable colostomy/ileostomy pouch convex
One-piece drainable colostomy/ileostomy pouch with adhesive or Karaya
One-piece urostomy pouch, convex
Urostomy pouch for two-piece system
Oxygen (additional) cylinder without content, regulator, holder, cart, shoulder pouch
Cylinder S or M (5260 L), rental
Cylinder H or K (6900 L), rental
Concentrator with back up cylinder, rental
Dual system, without content, rental
Dual system with content, rental
Liquid oxygen system (without content) include portable & cart, rental
Maintenance agreement, for purchased oxygen systems
Portable concentrator, purchase, 1 battery
Portable concentrator, rental, 1 battery
Oxygen cylinder with content, regulator, holder, cart, shoulder pouch c/s straps
Cylinder S or M (5260 L), rental
Cylinder H or K (6900 L), rental
Replacement battery, portable concentrator
Oxygen systems, maintenance agreement
Oxygen, connectors and adaptors
Pressure Garment and Pressure Orthotics Benefit List
Pressure Garments and Pressure Orthoses Accessories
Pressure Garments and Pressure Orthoses
Prosthesis, liners, pin system suspension
Prosthesis, socks, filler cotton, 1 ply
Prosthesis, stump socks, regular
Prosthesis, suction seal suspension sleeve
Prosthetics - Limbs - Lower Extremity - Definitive
Hemi-pelvectomy or Hip disarticulation, left
Hemi-pelvectomy or Hip disarticulation, right
Knee disarticulation (through knee), left
Knee disarticulation (through knee), right
Partial foot - shoe insert, left
Partial foot - shoe insert, right
Partial foot - tibial tubercle height, left
Partial foot - tibial tubercle height, right
Partial foot, patella tendon bearing, left
Partial foot, patella tendon bearing, right
Prosthetic Repairs, lower limb
Trans femoral - above knee, left
Trans femoral - above knee, right
Trans tibial - below knee, left
Trans tibial - below knee, right
Prosthetics - Limbs - Lower Extremity - Preparatory
Hemi-pelvectomy or Hip disarticulation, left
Hemi-pelvectomy or Hip disarticulation, right
Replace foot for AK & BK, left
Replace foot for AK & BK, right
Replace socket for AK & BK, left
Replace socket for AK & BK, right
Prosthetics - Limbs - Upper Extremity
Finger, multiple digits, right
Partial hand, finger remaining, left
Partial hand, finger remaining, right
Partial hand, thumb remaining, left
Partial hand, thumb remaining, right
Prosthesis Repairs, upper limb
Shoulder disarticulation, left
Shoulder disarticulation, right
Transhumeral above elbow, left
Transhumeral above elbow, right
Transradial below elbow, right
Recycled lift hydraulic, powered
Respiratory equipment, Repairs
Respiratory Secretion Clearance
Respiratory Therapy Benefit List
Sequential extremity pump, purchase
Sequential extremity pump, rental
Sequential Pump accessories, boots
Sequential Pump accessories, sleeves
Sock/stocking aid (previously quad grip aid)
Specialized utensils, fork OR spork
Symmetrical Breast Prothesis, left
Symmetrical Breast Prothesis, right
Syringe Luer Lock, disposable, 3cc
Syringe Luer Lock, disposable, 5cc
Syringe Luer Lock, disposable, 10cc
Syringe Luer Lock, disposable, 20cc
Tracheostomy Supplies and Equipment
Transparent film dressings, (adhesive)
Transparent film dressings, (spray-on)
Undergarments/diapers reusable, child over 2 years of age
Illuminated magnifier - handle
Wheelchair Cushions & Parts (Back Support)
Wheelchair Cushions & Parts (Seats)
Pelvic stabilizer, pair, adult
Pelvic stabilizer, pair, child
Wheelchair cushions (back & seat) repairs
Wheelchair Cushions & Parts (Wheelchair Parts)
Arm rest, fixed support, multi component
Arm rest, fixed support, multi components, hardware
Arm rest, fixed support, multi components, pad
Arm rest, fixed support, one piece
Arm rest, fixed support, one piece, hardware
Arm rest, fixed support, one piece, pads
Batteries power wheelchair, pair
Head rest flat, adjustable, adult
Head rest flat, adjustable, child
Head rest, complex designed, adult
Head rest, complex designed, child
Interfacing/mounting, simple back
Interfacing/mounting, simple seat
Interfacing/mounting, strap, children only
Neck rest with headrest, adjustable, adult
Neck rest with headrest, adjustable, child
Positioning/pelvic belt, adult
Positioning/pelvic belt, child
Wheelchair, power wheelchair, purchase
Wheelchair, recycled power, purchase
Winter overshoes (only for clients with custom footwear)