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E2609 — Custom fabricated wheelchair seat cushion, any size
E2617 — Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
A6548 — Accessory to custom gradient compression garment, silicone band, any size
A6565 — Gradient compression gauntlet, custom, each
A6579 — Gradient compression glove, custom, medium weight, each
A6580 — Gradient compression glove, custom, heavy weight, each
A8002 — Helmet, protective, soft, custom fabricated, includes all components and accessories
A8003 — Helmet, protective, hard, custom fabricated, includes all components and accessories
A5513 — For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
A6502 — Compression burn garment, chin strap, custom fabricated
