Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 334.00 - Rates for Prostheses, Prosthetic Devices, and Orthotic Devices
Section 334.03 - General Rate Provisions
Current through Register 1531, September 27, 2024
(1) General Rate Provisions for the Purchase of Prostheses, Prosthetic Devices, and Orthotic Devices. Payment to provider of prosthetic or orthotic devices or services are the lower of:
(2) Rates for New Codes. New codes that have established Medicare fees as of the date of the Administrative Bulletin will have rates established at:
(3) Effect of Rates. The rates of payment contained in 101 CMR 334.00 are maximum allowable rates that a governmental unit or purchaser under M.G.L. c. 152 may pay for prostheses, prosthetic devices, or orthotic devices. A governmental unit may pay less than the rates established for a provider under 101 CMR 334.00 provided that any such discount or reduction in charge by the provider is equally available to all governmental units purchasing prostheses, prosthetic devices and orthotic devices from the provider. No rate of payment under 101 CMR 334.00 may exceed the provider's usual and customary charge for the same or similar device.
(4) Terms and Warranties. All terms and warranties, expressed and implied, that are customarily extended by the provider or manufacturer must apply to purchases made under 130 CMR 334.00. A purchaser will not pay for replacement or repair of any item or service covered by such terms or warranties.
(5) Repairs. For repair services providers must maintain and submit adequate documentation on the repair performed as indicated by the purchasing governmental unit. Repair may be billed using codes for the labor component (L7520 for prosthetics or L4205 for orthotic devices) and the parts used in the repair (L7510 for prosthetics or L4210 for orthotic devices).
(6) Modifiers. The following list of letter modifiers must be added, where appropriate, to Healthcare Common Procedure Coding System (HCPCS) procedure codes to determine the percent fee to be paid on claims. Refer to purchasers' manuals for specific coding instructions.
(7) Recall Provisions. Whenever an orthotic or prosthetic is subject to recall, the provider will fully address the recall as specified in the manufacturer's recall instructions. For recalls of potentially dangerous or defective orthotic or prosthetic that predictably could cause serious health problems, including death, the provider must provide the publicly aided individual with a copy of the recall notice and fully address the recall as specified in the recall instructions no later than five business days from the date the provider receives the recall notice. Any costs not covered by the manufacturer or other third party for activity associated with amelioration, repair or replacement of recalled equipment is included in the general rate provision.
(8) AAC Methodology and Documentation.
(9) Individual Consideration. Except where otherwise stipulated in 101 CMR 334.03, payment to an eligible provider for individual consideration will be the lower of:
(10)
Payment Rates. For code descriptions,
see the O&P service code spreadsheet at
Code |
Rate |
Description (see the O&P
service code spreadsheet at
|
A5500 |
$79.50 | |
A5501 |
$238.41 | |
A5503 |
$40.48 | |
A5504 |
$40.48 | |
A5505 |
$40.48 | |
A5506 |
$40.48 | |
A5507 |
$40.48 | |
A5508 |
AAC + 70% | |
A5510 |
AAC + 50% | |
A5512 |
$32.42 | |
A5513 |
$48.38 | |
A5514 |
$48.38 | |
A6530 |
$49.64 | |
A6531 |
$47.17 | |
A6532 |
$66.48 | |
A6533 |
$85.10 | |
A6534 |
$85.10 | |
A6535 |
$73.77 | |
A6536 |
$94.57 | |
A6540 |
AAC + 50% | |
A6541 |
$191.49 | |
A6544 |
$28.36 | |
A6545 |
AAC + 40% | |
A6549 |
AAC + 50% | |
A8000 |
$167.25 | |
A8001 |
$167.25 | |
A8002 |
AAC + 70% | |
A8003 |
AAC + 70% | |
A8004 |
AAC + 40% | |
A9283 |
AAC + 70% | |
A9285 |
AAC + 40% | |
K0672 |
$77.82 | |
K1007 |
AAC + 70% | |
K1014 |
$7,931.58 | |
K1015 |
AAC + 50% | |
K1022 |
$743.36 | |
L0112 |
$1,472.63 | |
L0113 |
$261.74 | |
L0120 |
$20.14 | |
L0130 |
$171.62 | |
L0140 |
$72.77 | |
L0150 |
$124.26 | |
L0160 |
$183.61 | |
L0170 |
$828.94 | |
L0172 |
$111.63 | |
L0174 |
$322.06 | |
L0180 |
$434.40 | |
L0190 |
$526.44 | |
L0200 |
$493.70 | |
L0220 |
$134.08 | |
L0450 CG |
$176.59 | |
L0452 |
AAC + 70% | |
L0454 CG |
$366.51 | |
L0455 |
$203.81 | |
L0456 |
$1,046.46 | |
L0457 |
$584.47 | |
L0458 |
$818.56 | |
L0460 |
$1,056.17 | |
L0462 |
$1,146.01 | |
L0464 |
$1,364.30 | |
L0466 |
$434.47 | |
L0467 |
$233.32 | |
L0468 |
$489.73 | |
L0469 |
$346.23 | |
L0470 |
$695.52 | |
L0472 |
$423.77 | |
L0480 |
$1,678.68 | |
L0482 |
$1,751.64 | |
L0484 |
$2,388.39 | |
L0486 |
$2,533.96 | |
L0488 |
$921.34 | |
L0490 |
$259.65 | |
L0491 |
$704.90 | |
L0492 |
$463.87 | |
L0621CG |
$95.41 | |
L0622 |
$347.20 | |
L0623 |
AAC + 50% | |
L0624 |
AAC + 70% | |
L0625CG |
$50.77 | |
L0626 |
$71.53 | |
L0627 |
$377.30 | |
L0628CG |
$77.35 | |
L0629 |
AAC + 70% | |
L0630 |
$148.65 | |
L0631 |
$942.24 | |
L0632 |
AAC + 70% | |
L0633 |
$263.20 | |
L0634 |
AAC + 70% | |
L0635 |
$860.03 | |
L0636 |
$1,588.01 | |
L0637 |
$1,074.72 | |
L0638 |
$1,387.69 | |
L0639 |
$1,074.72 | |
L0640 |
$1,101.01 | |
L0641 |
$53.09 | |
L0642 |
$279.98 | |
L0643 |
$95.19 | |
L0648 |
$699.21 | |
L0649 |
$168.54 | |
L0650 |
$694.79 | |
L0651 |
$805.16 | |
L0700 |
$2,264.04 | |
L0710 |
$2,442.73 | |
L0810 |
$3,408.91 | |
L0820 |
$2,903.06 | |
L0830 |
$3,775.52 | |
L0859 |
$1,304.52 | |
L0861 |
$197.83 | |
L0970 |
$100.50 | |
L0972 |
$90.50 | |
L0974 |
$198.36 | |
L0976 |
$150.29 | |
L0978 |
$182.02 | |
L0980 |
$20.48 | |
L0982 |
$19.09 | |
L0984 |
$60.14 | |
L0999 U1 |
AAC + 40% | |
L0999 U2 |
AAC + 50% | |
L0999 U3 |
AAC + 70% | |
L1000 |
$2,593.50 | |
L1001 |
AAC + 50% | |
L1005 |
$2,937.69 | |
L1010 |
$74.66 | |
L1020 |
$87.13 | |
L1025 |
$134.98 | |
L1030 |
$64.12 | |
L1040 |
$78.63 | |
L1050 |
$83.92 | |
L1060 |
$100.23 | |
L1070 |
$90.70 | |
L1080 |
$59.39 | |
L1085 |
$155.16 | |
L1090 |
$92.39 | |
L1100 |
$194.97 | |
L1110 |
$303.81 | |
L1120 |
$40.03 | |
L1200 |
$1,874.70 | |
L1210 |
$263.75 | |
L1220 |
$223.31 | |
L1230 |
$644.28 | |
L1240 |
$85.08 | |
L1250 |
$85.03 | |
L1260 |
$85.08 | |
L1270 |
$85.08 | |
L1280 |
$115.94 | |
L1290 |
$85.08 | |
L1300 |
$1,791.08 | |
L1310 |
$1,927.64 | |
L1499 U1 |
AAC + 40% | |
L1499 U2 |
AAC + 50% | |
L1499U3 |
AAC + 70% | |
L1600 |
$156.08 | |
L1610 |
$41.72 | |
L1620 |
$158.89 | |
L1630 |
$227.73 | |
L1640 |
$620.14 | |
L1650 |
$269.27 | |
L1652 |
$327.17 | |
L1660 |
$185.00 | |
L1680 |
$1,228.13 | |
L1681 |
$1,768.59 | |
L1685 |
$1,598.62 | |
L1686 |
$884.30 | |
L1690 |
$1,774.87 | |
L1700 |
$1,955.97 | |
L1710 |
$2,402.52 | |
L1720 |
$1,358.65 | |
L1730 |
$1,428.41 | |
L1755 |
$2,127.81 | |
L1810 |
$104.20 | |
L1812 |
$61.25 | |
L1820 |
$133.85 | |
L1830 |
$54.12 | |
L1831 |
$270.14 | |
L1832 |
$697.99 | |
L1833 |
$420.86 | |
L1834 |
$1,043.26 | |
L1836 |
$92.10 | |
L1840 |
$983.21 | |
L1843 |
$823.54 | |
L1844 |
$1,721.52 | |
L1845 |
$765.77 | |
L1846 |
$1,306.54 | |
L1847 |
$527.92 | |
L1848 |
$455.55 | |
L1850 |
$189.35 | |
L1851 |
$534.42 | |
L1852 |
$505.54 | |
L1860 |
$1,143.56 | |
L1900 |
$320.15 | |
L1902 |
$80.85 | |
L1904 |
$631.98 | |
L1906 |
$118.42 | |
L1907 |
$592.04 | |
L1910 |
$278.78 | |
L1920 |
$468.35 | |
L1930 |
$240.06 | |
L1932 |
$819.04 | |
L1940 |
$664.66 | |
L1945 |
$1,244.09 | |
L1950 |
$961.29 | |
L1951 |
$770.82 | |
L1960 |
$744.94 | |
L1970 |
$956.32 | |
L1971 |
$430.21 | |
L1980 |
$478.53 | |
L1990 |
$569.28 | |
L2000 |
$1,160.64 | |
L2005 |
$4,311.44 | |
L2006 |
$35,630.23 | |
L2010 |
$1,054.93 | |
L2020 |
$1,503.49 | |
L2030 |
$1,214.08 | |
L2034 |
$2,114.58 | |
L2035 |
$161.71 | |
L2036 |
$2,493.47 | |
L2037 |
$2,238.49 | |
L2038 |
$1,921.50 | |
L2040 |
$228.81 | |
L2050 |
$640.21 | |
L2060 |
$651.69 | |
L2070 |
$157.31 | |
L2080 |
$483.40 | |
L2090 |
$464.57 | |
L2106 |
$913.78 | |
L2108 |
$1,388.14 | |
L2112 |
$497.06 | |
L2114 |
$600.35 | |
L2116 |
$771.01 | |
L2126 |
$1,447.41 | |
L2128 |
$2,304.52 | |
L2132 |
$742.76 | |
L2134 |
$1,045.57 | |
L2136 |
$1,168.68 | |
L2180 |
$121.47 | |
L2182 |
$123.13 | |
L2184 |
$129.26 | |
L2186 |
$156.01 | |
L2188 |
$330.39 | |
L2190 |
$102.39 | |
L2192 |
$378.71 | |
L2200 |
$47.92 | |
L2210 |
$67.76 | |
L2220 |
$82.54 | |
L2230 |
$77.34 | |
L2232 |
$104.72 | |
L2240 |
$103.72 | |
L2250 |
$358.16 | |
L2260 |
$202.05 | |
L2265 |
$158.28 | |
L2270 |
$63.30 | |
L2275 |
$132.71 | |
L2280 |
$503.60 | |
L2300 |
$271.39 | |
L2310 |
$124.00 | |
L2320 |
$254.22 | |
L2330 |
$442.90 | |
L2335 |
$302.57 | |
L2340 |
$450.50 | |
L2350 |
$898.15 | |
L2360 |
$52.15 | |
L2370 |
$258.75 | |
L2375 |
$122.01 | |
L2380 |
$124.09 | |
L2385 |
$172.10 | |
L2387 |
$222.41 | |
L2390 |
$147.12 | |
L2395 |
$210.28 | |
L2397 |
$108.41 | |
L2405 |
$91.73 | |
L2415 |
$127.79 | |
L2425 |
$150.81 | |
L2430 |
$150.81 | |
L2492 |
$119.58 | |
L2500 |
$423.99 | |
L2510 |
$815.37 | |
L2520 |
$600.62 | |
L2525 |
$1,638.27 | |
L2526 |
$890.29 | |
L2530 |
$268.61 | |
L2540 |
$568.20 | |
L2550 |
$289.49 | |
L2570 |
$480.11 | |
L2580 |
$521.97 | |
L2600 |
$207.02 | |
L2610 |
$244.79 | |
L2620 |
$359.34 | |
L2622 |
$411.94 | |
L2624 |
$333.78 | |
L2627 |
$2,303.94 | |
L2628 |
$1,969.34 | |
L2630 |
$309.48 | |
L2640 |
$443.58 | |
L2650 |
$121.29 | |
L2660 |
$250.16 | |
L2670 |
$171.94 | |
L2680 |
$157.73 | |
L2750 |
$112.33 | |
L2755 |
$137.44 | |
L2760 |
$61.24 | |
L2768 |
$137.07 | |
L2780 |
$90.95 | |
L2785 |
$34.55 | |
L2795 |
$114.20 | |
L2800 |
$143.36 | |
L2810 |
$104.97 | |
L2820 |
$116.24 | |
L2830 |
$126.26 | |
L2840 |
$38.54 | |
L2850 |
$69.70 | |
L2999 U1 |
AAC + 40% | |
L2999 U2 |
AAC + 50% | |
L2999 U3 |
AAC + 70% | |
L3000 |
$330.51 | |
L3001 |
$139.17 | |
L3002 |
$169.93 | |
L3003 |
$183.37 | |
L3010 |
$183.37 | |
L3020 |
$208.74 | |
L3030 |
$80.30 | |
L3031 |
$128.87 | |
L3040 |
$43.19 | |
L3050 |
$43.19 | |
L3060 |
$67.68 | |
L3070 |
$29.16 | |
L3080 |
$29.16 | |
L3090 |
$37.37 | |
L3100 |
$34.24 | |
L3140 |
$81.73 | |
L3150 |
$74.71 | |
L3160 |
AAC + 50% | |
L3170 |
$40.30 | |
L3201 |
$73.33 | |
L3202 |
$64.17 | |
L3203 |
$77.38 | |
L3204 |
AAC + 50% | |
L3206 |
AAC + 50% | |
L3207 |
AAC + 50% | |
L3208 |
AAC + 50% | |
L3209 |
AAC + 50% | |
L3211 |
AAC + 50% | |
L3212 |
AAC + 50% | |
L3213 |
AAC + 50% | |
L3214 |
AAC + 50% | |
L3215 |
AAC + 50% | |
L3216 |
AAC + 50% | |
L3217 |
AAC + 50% | |
L3219 |
AAC + 50% | |
L3221 |
AAC + 50% | |
L3222 |
$146.67 | |
L3224 |
$75.13 | |
L3225 |
$90.92 | |
L3230 |
AAC + 70% | |
L3250 |
$460.51 | |
L3251 |
AAC + 70% | |
L3252 |
$467.17 | |
L3253 |
AAC + 50% | |
L3254 |
AAC + 70% | |
L3255 |
AAC + 70% | |
L3257 |
AAC + 70% | |
L3260 |
AAC + 70% | |
L3265 |
AAC + 50% | |
L3300 |
$54.86 | |
L3310 |
$85.64 | |
L3320 |
$70.92 | |
L3330 |
$595.47 | |
L3332 |
$77.59 | |
L3334 |
$40.16 | |
L3340 |
$89.69 | |
L3350 |
$24.10 | |
L3360 |
$37.47 | |
L3370 |
$52.15 | |
L3380 |
$52.15 | |
L3390 |
$52.15 | |
L3400 |
$42.84 | |
L3410 |
$97.68 | |
L3420 |
$57.56 | |
L3430 |
$168.61 | |
L3440 |
$80.30 | |
L3450 |
$111.09 | |
L3455 |
$42.84 | |
L3460 |
$36.10 | |
L3465 |
$61.54 | |
L3470 |
$65.56 | |
L3480 |
$65.56 | |
L3485 |
$21.27 | |
L3500 |
$30.78 | |
L3510 |
$30.78 | |
L3520 |
$33.43 | |
L3530 |
$33.43 | |
L3540 |
$53.54 | |
L3550 |
$9.34 | |
L3560 |
$24.10 | |
L3570 |
$89.69 | |
L3580 |
$68.24 | |
L3590 |
$56.20 | |
L3595 |
$44.14 | |
L3600 |
$80.30 | |
L3610 |
$105.71 | |
L3620 |
$80.30 | |
L3630 |
$105.71 | |
L3640 |
$45.49 | |
L3649 |
AAC + 70% | |
L3650 |
$63.24 | |
L3660 |
$117.92 | |
L3670 |
$97.29 | |
L3671 |
$862.84 | |
L3674 |
$1,131.86 | |
L3675 |
$168.04 | |
L3677 |
AAC + 50% | |
L3678 |
AAC + 40% | |
L3702 |
$276.49 | |
L3710 |
$133.57 | |
L3720 |
$645.15 | |
L3730 |
$1,185.52 | |
L3740 |
$1,405.54 | |
L3760 |
$417.72 | |
L3761 |
$417.72 | |
L3762 |
$90.22 | |
L3763 |
$696.74 | |
L3764 |
$910.47 | |
L3765 |
$1,227.82 | |
L3766 |
$1,300.17 | |
L3806 |
$434.99 | |
L3807 |
$208.88 | |
L3808 |
$404.52 | |
L3809 |
$208.88 | |
L3900 |
$1,283.23 | |
L3901 |
$1,585.08 | |
L3904 |
$3,039.43 | |
L3905 |
$949.63 | |
L3906 |
$462.71 | |
L3908 |
$68.73 | |
L3912 |
$81.60 | |
L3913 |
$259.35 | |
L3915 |
$444.02 | |
L3916 |
$444.02 | |
L3917 |
$88.28 | |
L3918 |
$88.28 | |
L3919 |
$259.35 | |
L3921 |
$307.58 | |
L3923 |
$99.79 | |
L3924 |
$99.79 | |
L3925 |
$44.90 | |
L3927 |
$29.18 | |
L3929 |
$67.26 | |
L3930 |
$67.26 | |
L3931 |
$177.58 | |
L3933 |
$204.28 | |
L3935 |
$211.53 | |
L3956 |
AAC+ 50% | |
L3960 |
$751.31 | |
L3961 |
$1,403.42 | |
L3962 |
$823.14 | |
L3967 |
$1,899.46 | |
L3971 |
$1,803.04 | |
L3973 |
$1,899.46 | |
L3975 |
$1,608.80 | |
L3976 |
$1,608.80 | |
L3977 |
$1,803.04 | |
L3978 |
$1,899.46 | |
L3980 |
$354.67 | |
L3981 |
$840.80 | |
L3982 |
$373.81 | |
L3984 |
$371.86 | |
L3995 |
$37.52 | |
L3999 U1 |
AAC + 40% | |
L3999 U2 |
AAC + 50% | |
L3999 U3 |
AAC + 70% | |
L4000 |
$1,540.53 | |
L4002 |
AAC + 70% | |
L4010 |
$676.46 | |
L4020 |
$876.97 | |
L4030 |
$508.91 | |
L4040 |
$450.48 | |
L4045 |
$440.86 | |
L4050 |
$506.83 | |
L4055 |
$359.29 | |
L4060 |
$335.50 | |
L4070 |
$317.57 | |
L4080 |
$135.94 | |
L4090 |
$105.90 | |
L4100 |
$118.99 | |
L4110 |
$102.27 | |
L4130 |
$500.08 | |
L4205 |
$22.86 | |
L4210 |
AAC + 70% | |
L4350 |
$91.31 | |
L4360 |
$324.62 | |
L4361 |
$324.62 | |
L4370 |
$221.33 | |
L4386 |
$145.51 | |
L4387 |
$125.56 | |
L4392 |
$22.55 | |
L4394 |
$16.47 | |
L4396 |
$160.91 | |
L4397 |
$138.85 | |
L4398 |
$74.08 | |
L4631 |
$1,725.88 | |
L5000 |
$542.58 | |
L5010 |
$1,315.14 | |
L5020 |
$2,237.48 | |
L5050 |
$2,925.61 | |
L5060 |
$2,966.02 | |
L5100 |
$2,999.95 | |
L5105 |
$4,569.22 | |
L5150 |
$3,857.52 | |
L5160 |
$4,523.68 | |
L5200 |
$4,498.53 | |
L5210 |
$2,832.68 | |
L5220 |
$3,040.23 | |
L5230 |
$4,286.17 | |
L5250 |
$5,983.14 | |
L5270 |
$6,423.67 | |
L5280 |
$6,434.58 | |
L5301 |
$2,634.23 | |
L5312 |
$3,542.14 | |
L5321 |
$3,716.15 | |
L5331 |
$5,537.58 | |
L5341 |
$5,427.27 | |
L5400 |
$1,292.43 | |
L5410 |
$493.53 | |
L5420 |
$1,632.29 | |
L5430 |
$565.38 | |
L5450 |
$437.49 | |
L5460 |
$643.25 | |
L5500 |
$1,570.76 | |
L5505 |
$2,198.75 | |
L5510 |
$1,958.30 | |
L5520 |
$2,051.00 | |
L5530 |
$2,235.01 | |
L5535 |
$2,033.91 | |
L5540 |
$2,216.92 | |
L5560 |
$2,111.42 | |
L5570 |
$2,546.41 | |
L5580 |
$2,640.91 | |
L5585 |
$2,578.76 | |
L5590 |
$2,978.07 | |
L5595 |
$5,310.67 | |
L5600 |
$6,279.68 | |
L5610 |
$2,656.61 | |
L5611 |
$2,306.91 | |
L5613 |
$3,508.95 | |
L5614 |
$1,778.94 | |
L5616 |
$1,646.51 | |
L5617 |
$619.62 | |
L5618 |
$402.69 | |
L5620 |
$398.07 | |
L5622 |
$485.27 | |
L5624 |
$520.54 | |
L5626 |
$619.91 | |
L5628 |
$587.35 | |
L5629 |
$455.03 | |
L5630 |
$548.80 | |
L5631 |
$629.11 | |
L5632 |
$271.76 | |
L5634 |
$424.99 | |
L5636 |
$364.82 | |
L5637 |
$357.17 | |
L5638 |
$522.60 | |
L5639 |
$1,605.32 | |
L5640 |
$686.66 | |
L5642 |
$665.33 | |
L5643 |
$2,228.54 | |
L5644 |
$832.28 | |
L5645 |
$954.27 | |
L5646 |
$784.51 | |
L5647 |
$1,138.96 | |
L5648 |
$707.00 | |
L5649 |
$2,044.57 | |
L5650 |
$524.25 | |
L5651 |
$1,719.50 | |
L5652 |
$578.50 | |
L5653 |
$654.48 | |
L5654 |
$474.86 | |
L5655 |
$338.99 | |
L5656 |
$402.21 | |
L5658 |
$454.03 | |
L5661 |
$871.33 | |
L5665 |
$733.12 | |
L5666 |
$91.75 | |
L5668 |
$133.04 | |
L5670 |
$309.50 | |
L5671 |
$534.16 | |
L5672 |
$376.50 | |
L5673 |
$847.18 | |
L5676 |
$509.74 | |
L5677 |
$705.96 | |
L5678 |
$42.64 | |
L5679 |
$705.96 | |
L5680 |
$371.06 | |
L5681 |
$1,386.70 | |
L5682 |
$895.44 | |
L5683 |
$1,386.70 | |
L5684 |
$64.74 | |
L5685 |
$135.03 | |
L5686 |
$64.67 | |
L5688 |
$76.25 | |
L5690 |
$140.11 | |
L5692 |
$168.76 | |
L5694 |
$259.76 | |
L5695 |
$197.17 | |
L5696 |
$254.62 | |
L5697 |
$114.94 | |
L5698 |
$129.02 | |
L5699 |
$259.02 | |
L5700 |
$3,129.15 | |
L5701 |
$3,881.97 | |
L5702 |
$4,892.64 | |
L5703 |
$2,538.85 | |
L5704 |
$638.04 | |
L5705 |
$1,169.72 | |
L5706 |
$1,140.92 | |
L5707 |
$1,532.83 | |
L5710 |
$436.08 | |
L5711 |
$731.56 | |
L5712 |
$581.28 | |
L5714 |
$523.34 | |
L5716 |
$940.24 | |
L5718 |
$1,129.38 | |
L5722 |
$1,059.62 | |
L5724 |
$1,949.13 | |
L5726 |
$2,421.29 | |
L5728 |
$3,407.01 | |
L5780 |
$1,310.33 | |
L5781 |
$4,218.07 | |
L5782 |
$4,446.79 | |
L5785 |
$743.91 | |
L5790 |
$1,029.51 | |
L5795 |
$1,537.32 | |
L5810 |
$697.09 | |
L5811 |
$1,044.25 | |
L5812 |
$789.97 | |
L5814 |
$3,915.16 | |
L5816 |
$984.77 | |
L5818 |
$1,375.00 | |
L5822 |
$2,438.25 | |
L5824 |
$1,913.41 | |
L5826 |
$3,348.20 | |
L5828 |
$4,043.36 | |
L5830 |
$2,716.93 | |
L5840 |
$3,978.32 | |
L5845 |
$1,889.54 | |
L5848 |
$1,133.62 | |
L5850 |
$137.37 | |
L5855 |
$331.64 | |
L5856 |
$25,595.62 | |
L5857 |
$9,268.37 | |
L5858 |
$19,592.72 | |
L5859 |
$11,514.22 | |
L5910 |
$518.57 | |
L5920 |
$759.72 | |
L5925 |
$360.83 | |
L5930 |
$3,727.46 | |
L5940 |
$538.66 | |
L5950 |
$1,049.03 | |
L5960 |
$1,153.87 | |
L5961 |
$4,901.22 | |
L5962 |
$631.21 | |
L5964 |
$1,143.58 | |
L5966 |
$1,473.11 | |
L5968 |
$3,830.93 | |
L5969 |
$14,203.36 | |
L5970 |
$290.79 | |
L5971 |
$290.79 | |
L5972 |
$441.17 | |
L5973 |
$18,495.80 | |
L5974 |
$326.25 | |
L5975 |
$488.72 | |
L5976 |
$737.86 | |
L5978 |
$398.85 | |
L5979 |
$2,543.48 | |
L5980 |
$4,674.05 | |
L5981 |
$3,480.96 | |
L5982 |
$824.28 | |
L5984 |
$743.36 | |
L5985 |
$312.71 | |
L5986 |
$696.57 | |
L5987 |
$7,583.69 | |
L5988 |
$2,106.01 | |
L5990 |
$1,912.58 | |
L5991 |
$7,761.83 | |
L5999 U1 |
AAC + 40% | |
L5999 U2 |
AAC + 50% | |
L5999 U3 |
AAC + 70% | |
L6000 |
$1,426.84 | |
L6010 |
$1,587.83 | |
L6020 |
$1,480.40 | |
L6026 |
$4,543.03 | |
L6050 |
$2,259.92 | |
L6055 |
$3,567.70 | |
L6100 |
$2,274.11 | |
L6110 |
$2,270.25 | |
L6120 |
$2,868.95 | |
L6130 |
$3,117.94 | |
L6200 |
$3,569.39 | |
L6205 |
$4,947.99 | |
L6250 |
$2,958.43 | |
L6300 |
$5,331.17 | |
L6310 |
$3,258.75 | |
L6320 |
$1,843.60 | |
L6350 |
$4,206.25 | |
L6360 |
$3,420.45 | |
L6370 |
$2,249.89 | |
L6380 |
$1,259.88 | |
L6382 |
$1,641.98 | |
L6384 |
$2,047.44 | |
L6386 |
$485.69 | |
L6388 |
$629.46 | |
L6400 |
$2,491.79 | |
L6450 |
$4,335.92 | |
L6500 |
$3,737.44 | |
L6550 |
$4,395.15 | |
L6570 |
$5,969.55 | |
L6580 |
$1,741.88 | |
L6582 |
$1,541.44 | |
L6584 |
$2,549.35 | |
L6586 |
$2,228.51 | |
L6588 |
$3,748.15 | |
L6590 |
$3,309.05 | |
L6600 |
$201.43 | |
L6605 |
$198.89 | |
L6610 |
$178.79 | |
L6611 |
$434.06 | |
L6615 |
$186.55 | |
L6616 |
$67.25 | |
L6620 |
$345.95 | |
L6621 |
$2,411.30 | |
L6623 |
$757.48 | |
L6624 |
$3,970.28 | |
L6625 |
$761.51 | |
L6628 |
$610.86 | |
L6629 |
$162.24 | |
L6630 |
$308.58 | |
L6632 |
$74.98 | |
L6635 |
$193.52 | |
L6637 |
$525.75 | |
L6638 |
$2,636.31 | |
L6640 |
$300.80 | |
L6641 |
$204.17 | |
L6642 |
$285.60 | |
L6645 |
$342.81 | |
L6646 |
$3,324.98 | |
L6647 |
$547.38 | |
L6648 |
$3,429.23 | |
L6650 |
$396.37 | |
L6655 |
$88.28 | |
L6660 |
$125.04 | |
L6665 |
$60.14 | |
L6670 |
$54.99 | |
L6672 |
$181.07 | |
L6675 |
$171.95 | |
L6676 |
$136.22 | |
L6677 |
$312.73 | |
L6680 |
$253.53 | |
L6682 |
$308.50 | |
L6684 |
$461.37 | |
L6686 |
$845.30 | |
L6687 |
$619.41 | |
L6688 |
$601.20 | |
L6689 |
$739.37 | |
L6690 |
$775.42 | |
L6691 |
$494.24 | |
L6692 |
$668.72 | |
L6693 |
$2,992.91 | |
L6694 |
$847.18 | |
L6695 |
$705.96 | |
L6696 |
$1,386.70 | |
L6697 |
$1,386.70 | |
L6698 |
$534.16 | |
L6703 |
$415.51 | |
L6704 |
$628.90 | |
L6706 |
$429.50 | |
L6707 |
$1,546.96 | |
L6708 |
$930.54 | |
L6709 |
$1,301.03 | |
L6711 |
$618.27 | |
L6712 |
$1,138.37 | |
L6713 |
$1,436.76 | |
L6714 |
$1,216.91 | |
L6715 |
$3,328.28 | |
L6721 |
$2,162.92 | |
L6722 |
$1,864.61 | |
L6805 |
$388.31 | |
L6810 |
$200.51 | |
L6880 |
$25,187.74 | |
L6881 |
$4,309.88 | |
L6882 |
$3,269.24 | |
L6883 |
$1,704.09 | |
L6884 |
$2,418.11 | |
L6885 |
$3,420.45 | |
L6890 |
$176.19 | |
L6895 |
$799.51 | |
L6900 |
$1,622.04 | |
L6905 |
$1,576.66 | |
L6910 |
$1,535.99 | |
L6915 |
$721.72 | |
L6920 |
$8,190.34 | |
L6925 |
$9,522.22 | |
L6930 |
$7,985.51 | |
L6935 |
$9,296.88 | |
L6940 |
$10,192.40 | |
L6945 |
$11,601.32 | |
L6950 |
$10,716.32 | |
L6955 |
$12,974.04 | |
L6960 |
$14,300.88 | |
L6965 |
$16,853.00 | |
L6970 |
$17,960.63 | |
L6975 |
$20,243.74 | |
L7007 |
$3,893.14 | |
L7008 |
$6,578.20 | |
L7009 |
$4,081.25 | |
L7040 |
$3,120.07 | |
L7045 |
$1,735.72 | |
L7170 |
$6,357.81 | |
L7180 |
$40,421.00 | |
L7181 |
$42,240.23 | |
L7185 |
$6,622.39 | |
L7186 |
$10,450.86 | |
L7190 |
$8,875.04 | |
L7191 |
$11,002.10 | |
L7259 |
$4,528.70 | |
L7360 |
$289.11 | |
L7362 |
$298.81 | |
L7364 |
$540.69 | |
L7366 |
$736.07 | |
L7367 |
$410.43 | |
L7368 |
$532.05 | |
L7400 |
$323.11 | |
L7401 |
$361.72 | |
L7402 |
$390.64 | |
L7403 |
$388.21 | |
L7404 |
$585.96 | |
L7405 |
$766.34 | |
L7499 U1 |
AAC + 40% | |
L7499 U2 |
AAC + 50% | |
L7499 U3 |
AAC + 70% | |
L7510 |
AAC + 70% | |
L7520 |
$31.88 | |
L7600 |
AAC + 70% | |
L7700 |
$117.41 | |
L7900 |
$557.55 | |
L7902 |
AAC + 70% | |
L8000 |
$34.83 | |
L8001 |
$115.37 | |
L8002 |
$151.71 | |
L8010 |
$57.99 | |
L8015 |
$55.13 | |
L8020 |
$187.93 | |
L8030 |
$340.04 | |
L8031 |
$340.04 | |
L8032 |
$31.09 | |
L8033 |
AAC + 70% | |
L8035 |
$3,862.24 | |
L8039 |
AAC + 50% | |
L8300 |
$79.02 | |
L8310 |
$124.76 | |
L8320 |
$66.32 | |
L8330 |
$61.66 | |
L8400 |
$16.79 | |
L8410 |
$25.87 | |
L8415 |
$26.77 | |
L8417 |
$69.06 | |
L8420 |
$19.48 | |
L8430 |
$22.81 | |
L8435 |
$25.42 | |
L8440 |
$44.06 | |
L8460 |
$71.83 | |
L8465 |
$55.04 | |
L8470 |
$6.25 | |
L8480 |
$10.92 | |
L8485 |
$10.95 | |
L8499 U1 |
AAC + 40% | |
L8499 U2 |
AAC + 50% | |
L8499 U3 |
AAC + 70% | |
L8600 |
$590.06 | |
L8603 |
$353.98 | |
L8604 |
AAC + 40% | |
L8605 |
$568.39 | |
L8606 |
$173.97 | |
L8609 |
$5,991.81 | |
L8610 |
$548.31 | |
L8612 |
$672.13 | |
L8613 |
$292.68 | |
L8614 |
$17,935.61 | |
L8701 |
AAC + 70% | |
L8702 |
AAC + 70% | |
S1040 |
$1,848.89 |