KVÅKVÅE2621 — Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
KVÅKVÅE2625 — Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
KVÅKVÅA6561 — Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each
KVÅKVÅB4152 — Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
KVÅKVÅB4160 — Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
KVÅKVÅE1390 — Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate
KVÅKVÅE1391 — Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
KVÅKVÅE2608 — Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth
KVÅKVÅE2612 — General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware
KVÅKVÅE2614 — Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
KVÅKVÅE2616 — Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
KVÅKVÅE2623 — Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
