SLEEVE FOR PROSTHESIS

SLEEVE FOR PROSTHESIS

Benefit Code Number
502600
Program of Choice
11 - Prosthetics and orthotics
Province
Alberta
Recommender Required
No
Preauthorization Required
Yes
Limit
$800.00
Frequency
4/1 CY
Provincial Coverage
No
Comments
SEE NOTE 1
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES