L0120 Durable Medical Equipment Prosthetic Devices CERV FLEX N/ADJ FOAM PRE OTS CERV FLEX N/ADJ FOAM PRE OTS
L0174 Durable Medical Equipment Prosthetic Devices CERV SR 2PC THOR EXT PRE OTS CERV SR 2PC THOR EXT PRE OTS
L0625 Durable Medical Equipment Prosthetic Devices LO FLEX L1-BELOW L5 PRE OTS LO FLEX L1-BELOW L5 PRE OTS
L0641 Durable Medical Equipment Prosthetic Devices LO RIG POS PNL L1-L5 PRE OTS LO RIG POS PNL L1-L5 PRE OTS
L0642 Durable Medical Equipment Prosthetic Devices LO SAG RI AN/POS PNL PRE OTS LO SAG RI AN/POS PNL PRE OTS
L0648 Durable Medical Equipment Prosthetic Devices LSO SAG R AN/POS PNL PRE OTS LSO SAG R AN/POS PNL PRE OTS
L1852 Durable Medical Equipment Prosthetic Devices KO DOUBLE UPRIGHT PREFAB OTS KO DOUBLE UPRIGHT PREFAB OTS
L1971 Durable Medical Equipment Prosthetic Devices AFO W/ANKLE JOINT, PREFAB AFO W/ANKLE JOINT, PREFAB