HCPCS Range Supply, Initial Prosthesis

• 1 Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, direct formed ( L5505 )

• 2 Initial, below knee 'PTB' type socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, direct formed ( L5500 )