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An Entity of Type : prov:Entity, within Data Space : webisadb.webdatacommons.org associated with source dataset(s)

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  • Contact the plan for a list of non-preferred and preferred manufacturers/vendors.Out-of-Network30% of the cost for Medicare-covered durable medical equipmentPreventive ServicesProsthetic DevicesGeneralAuthorization rules may apply.In-Network15% of the cost for Medicare-covered prosthetic devices15% of the cost for Medicare-covered medical supplies related to prosthetics, splints, and other devices
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