DME Inventory

Code Manufacturer Name Stocking Unit Manufactoring Size Side Sale Item Logo Classification HCPC Modifier Mod/ICD 9 Unit Cost $ MFG Unit Conversion Factor Issue Unit Conversion Factor Sale Rate $
11-3000-ADV Relief Medical 11-3000-ADV 1 1 LONG U Y N/A L1686 HIP BRACE LOG L1686 N/A 715.95 $325 0 0 $1,830.00
11-3000-ADV-SHORT Relief Medical 11-3000-ADV-SHORT 0 1 SHORT U Y N/A L1686 HIP BRACE LOG L1686 N/A 715.95 $325 0 0 $1,830.00
11-3000-LOGO Relief Medical 11-3000-LOGO 559 1 N/A N/A N N/A VELCRO LOGO LABEL - NORCAL PAIN N/A N/A N/A $5 0 0 $0.00
17H1040 Relief Medical 17H1040 AFO SPRY FLEX - LT - S 0 1 S LT Y N/A L1951 AFO SPRY FLEX - LT - S L1951 LT N/A $385 0 0 $0.00
17H1041 Relief Medical 17H1041 AFO SPRY FLEX - LT - M 1 1 M LT Y N/A L1951 AFO SPRY FLEX - LT - M L1951 LT N/A $385 0 0 $0.00
17H1042 Relief Medical 17H1042 AFO SPRY FLEX - LT - L 1 1 L LT Y N/A L1951 AFO SPRY FLEX - LT - L L1951 LT N/A $385 0 0 $0.00
17H1043 Relief Medical 17H1043 AFO SPRY FLEX - LT - XL 0 1 XL LT Y N/A L1951 AFO SPRY FLEX - LT - XL L1951 LT N/A $385 0 0 $0.00
17H1044 Relief Medical 17H1044 AFO SPRY FLEX - LT - XS 0 1 XS LT Y N/A L1951 AFO SPRY FLEX - LT - XS L1951 LT N/A $385 0 0 $0.00
17H2040 Relief Medical 17H2040 AFO SPRY FLEX - RT - S 0 1 S RT Y N/A L1951 AFO SPRY FLEX - RT - S L1951 RT N/A $385 0 0 $0.00
17H2041 Relief Medical 17H2041 AFO SPRY FLEX - RT - M 0 1 M RT Y N/A L1951 AFO SPRY FLEX - RT - M L1951 RT N/A $385 0 0 $0.00
17H2042 Relief Medical 17H2042 AFO SPRY FLEX - RT - L 0 1 L RT Y N/A L1951 AFO SPRY FLEX - RT - L L1951 RT N/A $385 0 0 $0.00
17H2043 Relief Medical 17H2043 AFO SPRY FLEX - RT - XL 0 1 XL RT Y N/A L1951 AFO SPRY FLEX - RT - XL L1951 RT N/A $385 0 0 $0.00
17H2044 Relief Medical 17H2044 AFO SPRY FLEX - RT - XS 0 1 XS RT Y N/A L1951 AFO SPRY FLEX - RT - XS L1951 RT N/A $385 0 0 $0.00
23870050609801 Relief Medical 23870050609801 Genustart Knee KX 12" - 3XL 0 1 3XL Custom Y N/A L1820 Genustart Knee KX 12" - 3XL L1820 KX N/A $70 0 0 $0.00
23870150509801 Relief Medical 23870150509801 Genustart Knee KX 12" - 2XL 0 1 2XL Custom Y N/A L1820 Genustart Knee KX 12"- 2XL L1820 KX N/A $70 0 0 $0.00
23870250409801 Relief Medical 23870250409801 Genustart Knee KX 12" - XL 1 1 XL Custom Y N/A L1820 Genustart Knee KX 12" - XL L1820 KX N/A $70 0 0 $0.00
23870250409802 Relief Medical 23870250409802 Genustart Knee KX 16" - XL 0 1 XL Custom N N/A L1820 Genustart Knee KX 16" - XL L1820 KX N/A $70 0 0 $0.00
23870250509802 Relief Medical 23870250509802 Genustart Knee KX 16" - 2XL 0 1 2XL Custom Y N/A L1820 Genustart Knee KX 16" - 2XL L1820 KX N/A $70 0 0 $0.00
23870250609802 Relief Medical 23870250609802 Genustart Knee KX 16" - 3XL 0 1 3XL Custom Y N/A L1820 Genustart Knee KX 16" - 3XL L1820 KX N/A $70 0 0 $0.00
23870350009802 Relief Medical 23870350009802 Genustart Knee KX 16" - XS 0 1 XS Custom Y N/A L1820 Genustart Knee KX 16" - XS L1820 KX N/A $70 0 0 $0.00
23870350109802 Relief Medical 23870350109802 Genustart Knee KX 16" - S 0 1 S Custom Y N/A L1820 Genustart Knee KX 16" - XS L1820 KX N/A $70 0 0 $0.00
23870350209802 Relief Medical 23870350209802 Genustart Knee KX 16" - M 0 1 M Custom Y N/A L1820 Genustart Knee KX 16" - M L1820 KX N/A $70 0 0 $0.00
23870350309801 Relief Medical 23870350309801 Genustart Knee KX 12" - L 0 1 L Custom Y N/A L1820 Genustart Knee KX 12" - L L1820 KX N/A $70 0 0 $0.00
23870350309802 Relief Medical 23870350309802 Genustart Knee KX 16" - L 0 1 L Custom Y N/A L1820 Genustart Knee KX 16" - L L1820 KX N/A $70 0 0 $0.00
23870450209801 Relief Medical 23870450209801 Genustart Knee KX 12" - M 1 1 M Custom Y N/A L1820 Genustart Knee KX 12" - M L1820 KX N/A $70 0 0 $0.00
23870550109801 Relief Medical 23870550109801 Genustart Knee KX 12" - S 1 1 S Custom Y N/A L1820 Genustart Knee KX 12" - S L1820 KX N/A $70 0 0 $0.00
23870650009801 Relief Medical 23870650009801 Genustart Knee KX 12" - XS 0 1 XS Custom Y N/A L1820 Genustart Knee KX 12" - XS L1820 KX N/A $70 0 0 $0.00
51331 Bioskin Hinged Knee Sleeve - S 0 1 S Custom N N/A PARTNER PATCH L1820 N/A N/A $0 0 0 $0.00
51332 Bioskin Hinged Knee Sleeve - M 0 1 M Custom N N/A PARTNER PATCH L1820 N/A N/A $0 0 0 $0.00
51333 Bioskin Hinged Knee Sleeve - L 2 1 L Custom N N/A PARTNER PATCH L1820 N/A N/A $0 0 0 $0.00
51800 Bioskin 51800 CrossFire ROM - Wraparound - XS 1 1 XS U Y N/A L1832 CrossFire ROM - Wraparound - XS L1832 KX 715.16 $118 0 0 $1,095.00
51801 Bioskin 51801 CrossFire ROM - Wraparound - S 2 1 S U Y N/A L1832 CrossFire ROM - Wraparound - S L1832 KX 715.16 $118 0 0 $1,095.00
51802 Bioskin 51802 CrossFire ROM - Wraparound - M 5 1 M U Y N/A L1832 CrossFire ROM - Wraparound - M L1832 KX 715.16 $118 0 0 $1,095.00
51803 Bioskin 51803 CrossFire ROM - Wraparound - L 3 1 L U Y N/A L1832 CrossFire ROM - Wraparound - L L1832 KX 715.16 $118 0 0 $1,095.00
51804 Bioskin 51804 CrossFire ROM - Wraparound - XL 3 1 XL U Y N/A L1832 CrossFire ROM - Wraparound - XL L1832 KX 715.16 $118 0 0 $1,095.00
51805 Bioskin 81505 CrossFire ROM - Wraparound - XXL 3 1 XXL U Y N/A L1832 CrossFire ROM - Wraparound - XXL L1832 KX 715.16 $118 0 0 $1,095.00
51806 Bioskin 51806 CrossFire ROM - Wraparound -3XL 4 1 3XL U Y N/A L1832 CrossFire ROM - Wraparound -3XL L1832 KX 715.16 $118 0 0 $1,095.00
51807 Bioskin 51807 CrossFire ROM - Wraparound - 4XL 2 1 4XL U Y N/A L1832 CrossFire ROM - Wraparound - 4XL L1832 KX 715.16 $118 0 0 $1,095.00
51808 Bioskin 51808 CrossFire ROM - Wraparound - 5XL 0 1 5XL U Y N/A L1832 CrossFire ROM - Wraparound - 5XL L1832 KX 715.36 $118 0 0 $1,095.00
51900L Bioskin 51900L CrossFire OA - LT MED/RT LAT - XS 1 1 XS LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51900R Bioskin 51900R CrossFire OA - RT MED/LT LAT - XS 2 1 XS RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51901L Bioskin 51901L CrossFire OA - LT MED/RT LAT - S 1 1 S LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51901R Bioskin 51901R CrossFire OA - RT MED/LT LAT - S 1 1 S RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51902L Bioskin 51902L CrossFire OA - LT MED/RT LAT - M 1 1 M LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51902R Bioskin 51902R CrossFire OA - RT MED/LT LAT - M 1 1 M RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51903L Bioskin 51903L CrossFire OA - LT MED/RT LAT - L 2 1 L LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51903R Bioskin 51903R CrossFire OA - RT MED/LT LAT - L 1 1 L RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51904L Bioskin 51904L CrossFire OA - LT MED/RT LAT - XL 1 1 XL LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51904R Bioskin 51904R CrossFire OA - RT MED/LT LAT - XL 1 1 XL RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51905L Bioskin 51905L CrossFire OA - LT MED/RT LAT - 2XL 1 1 2XL LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51905R Bioskin 51905R CrossFire OA - RT MED/LT LAT - 2XL 1 1 2XL RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51906L Bioskin 51906L CrossFire OA - LT MED/RT LAT - 3XL 1 1 3XL LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51906R Bioskin 51906R CrossFire OA - RT MED/LT LAT - 3XL 1 1 3XL RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51907L Bioskin 51907L CrossFire OA - LT MED/RT LAT - 4XL 0 1 4XL LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51907R Bioskin 51907R CrossFire OA - RT MED/LT LAT - 4XL 0 1 4XL RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
51908L Bioskin 51908L CrossFire OA - LT MED/RT LAT - 5XL 0 1 5XL LT Y N/A L1843 CrossFire OA - LT MED/RT LAT - Dynamic Unloader L1843 KX, LT 715.16 $223 0 0 $1,410.00
51908R Bioskin 51908R CrossFire OA - RT MED/LT LAT - 5XL 0 1 5XL RT Y N/A L1843 CrossFire OA - RT MED/LT LAT - Dynamic Unloader L1843 KX, RT 715.16 $223 0 0 $1,410.00
BCKBRACEEXT Relief Medical N/A 64 1 N/A N/A N N/A Back brace extension panel, 8 N/A N/A N/A $12 0 0 $0.00
CL-301-2-L Relief Medical L1906 Small Left Ankle (M up to 8, W up to 9) 0 1 S L Y N/A L1906 Small Left Ankle (M up to 8, W up to 9) L1906 LT 718.87 $70 0 0 $945.72
CL-301-2-R Relief Medical L1906 Small Right Ankle (M up to 8, W up to 9) 0 1 S R Y N/A L1906 Small Right Ankle (M up to 8, W up to 9) L1906 RT 718.87 $70 0 0 $945.72
CL-301-3-L Relief Medical L1906 Medium Left Ankle (M 8.5- 12, W 9.5- 13) 0 1 M L Y N/A L1906 Medium Left Ankle (M 8.5- 12, W 9.5- 13) L1906 LT 718.87 $70 0 0 $945.72
CL-301-3-R Relief Medical L1906 Medium Right Ankle (M 8.5- 12, W 9.5- 13) 0 1 M R Y N/A L1906 Medium Right Ankle (M 8.5- 12, W 9.5- 13) L1906 RT 718.87 $70 0 0 $945.72
CL-301-4-L Relief Medical L1906 Large Left Ankle (M 12+, W 13.5+) 2 1 L L Y N/A L1906 Large Left Ankle (M 12+, W 13.5+) L1906 LT 718.87 $70 0 0 $945.72
CL-301-4-R Relief Medical L1906 Large Right Ankle (M 12+, W 13.5+) 0 1 L R Y N/A L1906 Large Right Ankle (M 12+, W 13.5+) L1906 RT 718.87 $70 0 0 $945.72
DCT-0901-2-L Relief Medical L1843 DCT-0901-2-L KNEE 4 1 U L Y N/A L1843 LEFT UNLOADER PRO L1843 KX, LT 715.36 $130 0 0 $1,410.00
DCT-0901-2-R Relief Medical L1843 DCT-0901-2-R KNEE 2 1 U R Y N/A L1843 RIGHT UNLOADER PRO L1843 KX, RT 715.36 $130 0 0 $1,410.00
DCT-37 Relief Medical L0637 DCT-37 LSO 0 1 U U Y Y L0637 TREND PRO LSO L0637 N/A 721.3 $150 0 0 $1,900.00
DCT-3915 Relief Medical L3915 DCT-3915 PROWRIST 0 1 U U Y N/A L3915 PRO WRIST L3915 N/A 354 $55 0 0 $760.00
DCT-3916 Relief Medical L3916 DCT-3916 PROWRIST 10 1 U U Y N/A L3916 PRO WRIST L3916 N/A 354 $55 0 0 $760.00
DCT-50 Relief Medical L0650 DCT-50 LSO 25 1 U U Y N/A L0650 RELIEF LSO REVEL PLUS L0650 N/A 721.3 $135 0 0 $1,900.00
DCT-5657 Relief Medical L0456 DCT-5657 13 1 U N/A Y N/A L0456 TREND CORREX TLSO L0456 N/A 721.3, 724.1 $180 0 0 $1,560.00
DCT-QF21 Relief Medical DCT-QF21 SI Belt 13 1 U U Y N/A L0621 SI Belt L0621 N/A 724.6 $45 0 0 $312.67
DCT-QF37 Medi-cal Relief Medical L0637 Relief LSO Revel (Medi-cal LSO) 30 1 U U Y N/A L0637 TREND RELIEF LSO REVEL L0637 N/A 721.3 $75 0 0 $1,900.00
KNEESLEEVE Relief Medical N/A 0 1 N/A N/A N N/A UNDER KNEE SLEEVE N/A N/A N/A $10 0 0 $124.04
L0180 Relief Medical L0180 Cervical Collar 13 1 U U Y N/A L0180 Medical Vista Cervical Collar L0180 N/A 721 $100 0 0 $715.00
L0621 Breg Breg SI Belt Large 0 1 L U Y N/A Breg SI Belt Large N/A N/A N/A $0 0 0 $0.00
L1005 Relief Medical L1005 Aspen Scoliosis Brace 1 1 N/A U Y N/A L1005 Aspen Scoliosis Brace L1005 N/A 737.3 $895 0 0 $5,017.41
LSE-31 Relief Medical LSE-31 LSO Revel Extend KX - U 0 1 U Custom Y N/A L0639 LSO Revel Extend KX - U L0639/L0651 KX N/A $160 0 0 $0.00
N/A Aspen Aspen 457 0 1 U U Y N/A Aspen 457 N/A N/A N/A $0 0 0 $0.00
RM-NCPP001 Relief Medical RM-NCPP001 0 1 N/A N/A N N/A PARTNER PATCH N/A N/A N/A $5 0 0 $0.00
SA702401 Breg Hinged Wraptor with Speed Laces - XSmall 1 1 XS N/A N N/A PARTNER PATCH N/A N/A N/A $0 0 0 $0.00
SA702403 Breg Hinged Wraptor with Speed Laces - Small 0 1 S N/A N N/A N/A N/A N/A N/A $0 0 0 $0.00
SA702405 Breg Hinged Wraptor with Speed Laces - Medium 1 1 M N/A N N/A N/A N/A N/A N/A $0 0 0 $0.00
SA702407 Breg Hinged Wraptor with Speed Laces - Large 2 1 N/A N/A N N/A N/A N/A N/A N/A $0 0 0 $0.00
SA702409 Breg Hinged Wraptor with Speed Laces - X-Large 3 1 XL N/A N N/A N/A N/A N/A N/A $0 0 0 $0.00
SA702411 Breg Hinged Wraptor with Speed Laces - 2X-Large 1 1 2XL N/A N N/A PARTNER PATCH N/A N/A N/A $0 0 0 $0.00
SPINALQ-M2XL SpinalQ SPINALQ-M2XL 2 1 2XL U Y N/A L0457 MENS SPINAL Q 2XL L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-M3XL SpinalQ SPINALQ-M3XL 1 1 3XL U Y N/A L0457 MENS SPINAL Q 3XL L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-M4XL SpinalQ SPINALQ-M4XL 1 1 4XL U Y N/A L0457 MENS SPINAL Q 4XL L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-ML SpinalQ SPINALQ-ML 3 1 L U Y N/A L0457 MENS SPINAL Q L L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-MM SpinalQ SPINALQ-MM 3 1 M U Y N/A L0457 MENS SPINAL Q M L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-MS SpinalQ SPINALQ-MS 3 1 S U Y N/A L0457 MENS SPINAL Q S L0457 N/A 721.3, 724.1 $210 0 0 $780.00
SPINALQ-MXL SpinalQ SPINALQ-MXL 5 1 XL U Y N/A L0457 MENS SPINAL Q XL L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-W2XL SPINALQ-W2XL 0 1 2XL U Y N/A L0457 WOMENS SPINAL Q 2XL L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-WL SPINALQ-WL 0 1 L U Y N/A L0457 WOMENS SPINAL Q L L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-WM SPINALQ-WM 0 1 M U Y N/A L0457 WOMENS SPINAL Q M L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-WS SPINALQ-WS 0 1 S U Y N/A L0457 WOMENS SPINAL Q S L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-WXL SPINALQ-WXL 0 1 XL U Y N/A L0457 WOMENS SPINAL XL L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
SPINALQ-WXS SPINALQ-WXS 0 1 XS U Y N/A L0457 WOMENS SPINAL Q XS L0457 N/A 721.3, 724.1 $210 0 0 $1,560.00
TESTING-DME Bioskin TESTING-DME 5 1 2XL Custom Y Y PARTNER PATCH L0180 KX 354 $0 0 0 $0.00