SLEEVE/LINER FOR BRACE

SLEEVE/LINER FOR BRACE

Benefit Code Number
508015
Program of Choice
11 - Prosthetics and orthotics
Province
Alberta
Recommender Required
No
Preauthorization Required
Yes
Limit
$100.00
Frequency
$100/BRACE/CY
Provincial Coverage
No
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES