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HAD142 Cap.376 New Application - Home Affairs Department??????????????????????????????????. ?????????????????????????????????????. ????( ??????) ???????. ????????????????? ????????2 ?3 ?????????????????. ?????? ?????????? Arkansas Department of Human ServicesA5052. NU. Ostomy pouch, closed; without barrier attached (one piece), each. A5053. NU. Ostomy pouch, closed; for use on faceplate, each. A5054. NU. Ostomy Michigan Department of Health and Human Services Medical ...A5052. Clsd Ostomy Pouch W/O Barr. $1.11. A5053. Clsd Ostomy Pouch Faceplate. $0.93. A5054. Clsd Ostomy Pouch W/Flange. $1.26. A5055. Stoma Cap. $0.97. A5056. 1 10 17 DMEPOSRates.xlsx - AHCCCSA5052. A5052 - OSTOMY POUCH, CLOSED; WITHOUT BARRIER ATTACHED (1 PIECE), EACH. $1.65 10/01/2016. A5053. A5053 - OSTOMY POUCH, CLOSED; FOR USE ON FACEPLATE, EACH. Medical Equipment and Supplies Billing GuideA5052. Clsd ostomy pouch w/o barr Max of 60 allowed per client, per month. A5053. Clsd ostomy pouch faceplate Max of 60 allowed per client HCPCS Code - VA.govA5052. CLSD OSTOMY POUCH W/O BARR. $4.31 HCPCS - Non-Drugs. A5053. CLSD OSTOMY POUCH FACEPLATE. $4.78 HCPCS - Non-Drugs. A5054. CLSD OSTOMY POUCH W/FLANGE. DMS_DME Fee Sch 1.1.2025 (1) (3).xlsxA5052 Clsd ostomy pouch w/o barr. Y/12 mos. 100 per mo. 1/1/25. $. 1.77. Y. A5053 Closed ostomy pouch faceplate. Y/12 mos. 30 per mo. 1/1/25. $. Proposed July 2025 DME Services Fee ScheduleA5052. - CLSD OSTOMY POUCH W/O BARR. 1/1/2025 MEDICARE. $2.08. $2.08 E0935 RR CONT PAS MOTION EXERCISE DEV. 1/1/2025 MEDICARE. $27.01. Durable Medical Equipment (DME) Fee Schedule Effective 04/01/25A5052 Clsd ostomy pouch w/o barr. 1.66. $. A5053 Clsd ostomy pouch faceplate. 1.93. $. A5054 Clsd ostomy pouch w/flange. 2.01. $. A5055 Stoma ??????????????????????????1870??????????. ??????????????????????. ???????????????1980???. 2011 ?6 ?15 ????????????????????????? ...??????????????????????????. ????????????????????????????. ??????
