Durable Medical Equipment

Select Sub-section

Indicates Non-Covered Service

-FloridaBlue-

-Medicare-

-Humana-

-FloridaBlue-

-Medicare-

Transtympanic Micropressure Applications as a Treatment of Meniere's Disease

-FloridaBlue-

-Aetna-

-Aetna-

-FloridaBlue-

-UHC-

Noninvasive Home Ventilator Therapy for Respiratory Failure

-FloridaBlue-

-Humana-

-Cigna-

-Aetna-

Upper Limb Prostheses

-Aetna-

-Aetna-

Indicates Non-Covered Service

Home Traction Devices - Cervical & Lumbar

-Cigna-

69930, L8614, L8615, L8616, L8617, L8619, L8625, L8627, L8628, S2235, E0193, E0194, E0265, E0266, E0296, E0329, E0297, 94669, E0483, 97605, 97606, A6550, A9272, E2402, K0743, E0466, 21086, 21088, A9282, L5100, L5105, L5150, L5160, L5200, L5210, L5220, L5230, L5301, L5312, L5321, L5610, L5611, L5613, L5614, L5616, L5645, L5649, L5651, L5673, L5677, L5679, L5681, L5683, L5700, L5701, L5703, L5718, L5722, L5724, L5726, L5728, L5780, L5781, L5782, L5814, L5816, L5818, L5822, L5824, L5826, L5828, L5830, L5840, L5845, L5848, L5856, L5857, L5858, L5859, L5930, L5950, L5960, L5968, L5969, L5973, L5976, L5979, L5980, L5981, L5987, L5988, L5990, L5999, L6000, L6010, L6020, L6026, L6050, L6055, L6100, L6110, L6120, L6130, L6200, L6205, L6250, L6300, L6310, L6320, L6350, L6360, L6370, L6400, L6450, L6500, L6550, L6570, L6580, L6582, L6584, L6586, L6588, L6590, L6600, L6605, L6610, L6611, L6615, L6616, L6620, L6621, L6623, L6624, L6625, L6628, L6629, L6630, L6632, L6635, L6637, L6638, L6640, L6641, L6642, L6645, L6646, L6647, L6648, L6650, L6655, L6660, L6665, L6670, L6672, L6675, L6676, L6677, L6680, L6682, L6684, L6686, L6687, L6688, L6689, L6690, L6691, L6692, L6693, L6694, L6695, L6696, L6697, L6698, L6703, L6704, L6706, L6707, L6708, L6709, L6711, L6712, L6713, L6714, L6715, L6721, L6722, L6805, L6810, L6880, L6881,L6882, L6883, L6884, L6885, L6890, L6895, L6900, L6905, L6910, L6915, L6920, L6925, L6930, L6935, L6940, L6945, L6950, L6955, L6960, L6965, L6970, L6975, L7007, L7008, L7009, L7040, L7045, L7170, L7180, L7181, L7185, L7186, L7190, L7191, L7259, L7400, L7401, L7402, L7403, L7404, L7405, L7499, L7510, L7520, L7600, L8499, E0986, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1009, E1010, E1012, E1015, E1016, E1018, E1161, E1220, E1229, E1230, E1231, E1234, E1235, E1239, E2207, E2213, E2300, E2301, E2310, E2311, E2312, E2321, E2322, E2325, E2327, E2328, E2329, E2330, E2331, E2343, E2351, E2358, E2359, E2360, E2362, E2364, E2367, E2368, E2369, E2370, E2372, E2374, E2375, E2376,, E2383, E2386, E2398, E2610, K0005, K0008, K0009, K0010, K0011, K0012, K0013, K0014, K0669, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898, K0899,

 

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