Eighth Amendment dated March 12, 2007 to Managed Care Alliance Agreement



 Exhibit 10.29 
 EIGHTH AMENDMENT TO 
 MANAGED CARE ALLIANCE AGREEMENT 
 THIS AMENDMENT (the “Amendment”) is entered into this 12th day of March, 2007 by and between CIGNA Health Corporation, for and on behalf of its CIGNA Affiliates (individually and collectively, “CIGNA”) and Gentiva CareCentrix,
Inc. (“MCA”). 
 WITNESSETH 
 WHEREAS, CIGNA and MCA entered into a Managed Care Alliance Agreement which became effective January 1, 2004, as amended from time to time, (the “Agreement”) whereby MCA agreed to provide or arrange for the provision of
certain home health care services to Participants, as that term is defined in the Agreement; 
 WHEREAS, the parties wish to amend the Agreement to adjust
DME/HME Respiratory rates to reflect a change in the Disetronics Insulin Pump effective March 15, 2007. 
 NOW THEREFORE, CIGNA and MCA agree to amend
the Agreement as follows: 
  

	 	1.	This Amendment shall be effective on March 15, 2007. 

  

	 	2.	DME/HME Respiratory Rates: HMO Rates effective February 1, 2006 – January 31, 2009 of Exhibit A HMO Program Attachment – Fee for Service Reimbursement For Other
Services is hereby deleted and replaced with a new DME/HME Respiratory Rates: HMO Rates effective March 15, 2007 – January 31, 2009 of Exhibit A HMO Program Attachment – Fee for Service Reimbursement For Other Services attached
hereto. These rates shall be effective through January 31, 2009 or the date that the Agreement is amended to reflect new rates, whichever is later. 

  

	 	3.	DME/HME Respiratory Rates: PPO and Indemnity Rates effective February 1, 2006 – January 31, 2009 of Exhibit A PPO & Indemnity Program Attachment
– Fee for Service Reimbursement For Other Services is hereby deleted and replaced with a new DME/HME Respiratory Rates: PPO and Indemnity Rates Effective March 15, 2007 – January 31, 2009 of Exhibit A PPO & Indemnity
Program Attachment Reimbursement For Other Services attached hereto. These rates shall be effective through January 31, 2009 or the date that the Agreement is amended to reflect new rates, whichever is later. 

  

	 	4.	 DME/HME Respiratory Rates: Gatekeeper Rates effective February 1, 2006 – January 31, 2009 of Exhibit A Gatekeeper Program Attachment – Fee for
Service Reimbursement For Other Services is hereby deleted and replaced with a new DME/HME Respiratory Rates: Gatekeeper Rates effective March 15, 2007 











	 	 
– January 31, 2009 of Exhibit A Gatekeeper Program Attachment – Fee for Service Reimbursement For Other Services attached hereto. These rates
shall be effective through January 31, 2009 or the date that the Agreement is amended to reflect new rates, whichever is later. 


  

	 	5.	To the extent that the provisions in the Agreement, including any prior amendments, conflict with the terms of this Amendment (including the exhibits and schedules hereto), the
terms in this Amendment shall supersede and control. All other terms and conditions of the Agreement, including the Program Attachments and the Exhibits attached thereto, shall remain the same and in full force and effect. Capitalized terms not
defined herein but defined in the Agreement shall have the same meaning as defined in the Agreement. 

 IN WITNESS WHEREOF, CIGNA and MCA have
caused their duly authorized representatives to execute this Amendment as of the date first written above. 
  

			
	CIGNA HEALTH CORPORATION
		
	By:	 	 /s/ Joseph E. Turgeon, III

	Its:	 	VP Network Strategy & Development
	Dated:	 	03/14/2007
	
	GENTIVA CARECENTRIX, INC.
		
	By:	 	 /s/ Robert Creamer

	Its:	 	Sr. Vice President
	Dated:	 	03/09/2007








 DME / HME RESPIRATORY RATES: 
 HMO RATES EFFECTIVE MARCH 15, 2007 
  

																	
	 CAT
	  	 TYPE
	  	 HCPCS
CODE
	  	 CHC
 CODE
	  	 CareCentrix
Code
	  	 DESCRIPTION
	  	 PURCHASE
PRICE
	  	 RENTAL
PRICE
	  	 DAILY
PRICE

	 HME
	  	DIAB	  	A4230	  	A4230	  	8009	  	INFUSION SET FOR EXT INSULIN PUMP, NON NEEDLE TYPE (A4230)	  	**	  		  	
	 HME
	  	DIAB	  	A4231	  	A4231	  	8012	  	INFUSION SET FOR EXTERNAL INSULIN PUMP, NEEDLE TYPE (A4231)	  	**	  		  	
	 HME
	  	DIAB	  	A4232	  	A4232	  	8013	  	SYRINGE WITH NEEDLE FOR EXT INSULIN PUMP, STERILE, 3CC (A4232)	  	**	  		  	
	 HME
	  	DIAB	  	A4632	  	A4632	  	8528	  	REPLACEMENT BATTERY FOR EXT INFUSION PUMP, ANY TYPE, EA (A4632)	  	**	  		  	
	 HME
	  	DIAB	  	A4245	  	A4245	  	8527	  	ALCOHOL SWAB / SKIN BARRIER WIPES, BOX 50 (A4245)	  	**	  		  	
	 HME
	  	DIAB	  	A6257	  	A6257	  	8529	  	DRESSING <=16 SQ IN TRANSPARENT FILM, EA (A6257)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	2158	  	PUMP (E0784), EXT AMBULATORY INFUSION, MINIMED, INSULIN	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	8563	  	PUMP DISETRONIC ACCU-CHEK SPIRIT, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7704	  	PUMP, EXT INFUSION, DANA DIABECARE, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7731	  	PUMP, EXT INFUSION, ANIMAS, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7773	  	PUMP (E0784), EXT AMBULATORY INFUSION, DELTEC, INSULIN	  	**	  		  	
	 HME
	  	OTHER	  	E0746	  	DM570	  	2109	  	ELECTROMYOGRAPHY (EMG) (E0746), BIOFEEDBACK DEVICE	  	**	  	**	  	
	 HME
	  	OTHER	  	E0935	  	E0935	  	2125	  	PASSIVE MOTION (E0935) EXERCISE DEVICE	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2857	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, HAND	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2858	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, SHOULDER	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2859	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, ANKLE	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2860	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, ELBOW	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2861	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, WRIST	  		  		  	**
	 HME
	  	OTHER	  	E1300	  	DM570	  	2062	  	WHIRLPOOL (E1300), PORT (OVERTUB TYPE)	  	**	  		  	
	 HME
	  	OTHER	  	E1310	  	DM570	  	2061	  	WHIRLPOOL (E1399), NON-PORT (BUILT-IN TYPE)	  	**	  		  	
	 HME
	  	OTHER	  	E1399	  	E1399	  	2327	  	DURABLE MEDICAL EQUIP (E1399), MISCELLANEOUS	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	6875	  	STIMULATOR, OSTEOGENIC, ULTRASOUND	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8386	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, EBI	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8387	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, ORTHOFIX	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8388	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, ORTHOLOGIC	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	2124	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL APPLICATIONS	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8389	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, EBI	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8390	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, ORTHOFIX	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8391	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, ORTHOLOGIC	  	**	  		  	
	 HME
	  	WDSUCT	  	K0538	  	DM570	  	6873	  	WOUND SUCTION DEVICE (K0538)	  		  		  	**
	 HME
	  	WDSUCT	  	K0539	  	DM570	  	7914	  	DRESSING SET, FOR WOUND SUCTION DEVICE (K0539)	  	**	  		  	
	 HME
	  	WDSUCT	  	K0540	  	DM570	  	7915	  	CANISTER SET, FOR WOUND SUCTION DEVICE (K0540)	  	**	  		  	
	
	 The following may be charged under extraordinary circumstances:

									
	 HME
	  	SUP	  	E1399	  	E1399	  	4551	  	LABOR/SERVICE/SHIPPING CHARGES	  	**	  		  	
	 HME
	  	SUP	  	E1399	  	E1399	  	2731	  	SHIPPING AND HANDLING FEES	  	**	  		  	
	
	 The following may be charged if over and above routine on rental equipment:

									
	 RESP
	  	EQUIP	  	E1350	  	E1350	  	2382	  	REPAIR OR NON-ROUTINE (E1350) SERVICE REQUIRING SKILL OF A TECH	  	**	  		  	
	 HME
	  	SUP	  	E1399	  	E1399	  	4552	  	MISCELLANEOUS SUPPLIES	  	**	  		  	**

  
 NOTES: 
  

	1.	Whether rental or purchase, rates include all shipping, labor and set-up. 


	2.	If item is rented, rates include all supplies to enable the equipment to function effectively with the exception Suction and CPM. Such exception supplies will be billed at **.



	3.	If item is rented, rates include repair and maintenance costs. 


	**	Confidential Treatment Requested. 








 DME / HME RESPIRATORY RATES: 
 PPO and INDEMNITY RATES EFFECTIVE MARCH 15, 2007 
  

																	
	 CAT
	  	 TYPE
	  	 HCPCS
CODE
	  	 CHC
CODE
	  	 CareCentrix
Code
	  	 DESCRIPTION
	  	 PURCHASE
PRICE
	  	 RENTAL
PRICE
	  	 DAILY
PRICE

	 HME
	  	DIAB	  	A4230	  	A4230	  	8009	  	INFUSION SET FOR EXT INSULIN PUMP, NON NEEDLE TYPE (A4230)	  	**	  		  	
	 HME
	  	DIAB	  	A4231	  	A4231	  	8012	  	INFUSION SET FOR EXTERNAL INSULIN PUMP, NEEDLE TYPE (A4231)	  	**	  		  	
	 HME
	  	DIAB	  	A4232	  	A4232	  	8013	  	SYRINGE WITH NEEDLE FOR EXTINSULIN PUMP, STERILE, 3CC (A4232)	  	**	  		  	
	 HME
	  	DIAB	  	A4632	  	A4632	  	8528	  	REPLACEMENT BATTERY FOR EXT INFUSION PUMP, ANY TYPE, EA (A4632)	  	**	  		  	
	 HME
	  	DIAB	  	A4245	  	A4245	  	8527	  	ALCOHOL SWAB / SKIN BARRIER WIPES, BOX 50 (A4245)	  	**	  		  	
	 HME
	  	DIAB	  	A6257	  	A6257	  	8529	  	DRESSING <=16 SQ IN TRANSPARENT FILM, EA (A6257)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	2158	  	PUMP (E0784), EXT AMBULATORY INFUSION, MINIMED, INSULIN	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	8563	  	PUMP DISETRONIC ACCU-CHEK SPIRIT, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7704	  	PUMP, EXT INFUSION, DANA DIABECARE, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7731	  	PUMP, EXT INFUSION, ANIMAS, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7773	  	PUMP (E0784), EXT AMBULATORY INFUSION, DELTEC, INSULIN	  	**	  		  	
	 HME
	  	OTHER	  	E0746	  	DM570	  	2109	  	ELECTROMYOGRAPHY (EMG) (E0746), BIOFEEDBACK DEVICE	  	**	  	**	  	
	 HME
	  	OTHER	  	E0935	  	E0935	  	2125	  	PASSIVE MOTION (E0935) EXERCISE DEVICE	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2857	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, HAND	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2858	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, SHOULDER	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2859	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, ANKLE	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2860	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, ELBOW	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2861	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, WRIST	  		  		  	**
	 HME
	  	OTHER	  	E1300	  	DM570	  	2062	  	WHIRLPOOL (E1300), PORT (OVERTUB TYPE)	  	**	  		  	
	 HME
	  	OTHER	  	E1310	  	DM570	  	2061	  	WHIRLPOOL (E1399), NON-PORT (BUILT-IN TYPE)	  	**	  		  	
	 HME
	  	OTHER	  	E1399	  	E1399	  	2327	  	DURABLE MEDICAL EQUIP (E1399), MISCELLANEOUS	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	6875	  	STIMULATOR, OSTEOGENIC, ULTRASOUND	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8386	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, EBI	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8387	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, ORTHOFIX	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8388	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, ORTHOLOGIC	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	2124	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL APPLICATIONS	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8389	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, EBI	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8390	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, ORTHOFIX	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8391	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, ORTHOLOGIC	  	**	  		  	
	 HME
	  	WDSUCT	  	K0538	  	DM570	  	6873	  	WOUND SUCTION DEVICE (K0538)	  		  		  	**
	 HME
	  	WDSUCT	  	K0539	  	DM570	  	7914	  	DRESSING SET, FOR WOUND SUCTION DEVICE (K0539)	  	**	  		  	
	 HME
	  	WDSUCT	  	K0540	  	DM570	  	7915	  	CANISTER SET, FOR WOUND SUCTION DEVICE (K0540)	  	**	  		  	
	
	 The following may be charged under extraordinary circumstances:

									
	 HME
	  	SUP	  	E1399	  	E1399	  	4551	  	LABOR/SERVICE/SHIPPING CHARGES	  	**	  		  	
	 HME
	  	SUP	  	E1399	  	E1399	  	2731	  	SHIPPING AND HANDLING FEES	  	**	  		  	
	
	 The following may be charged if over and above routine on rental equipment:

									
	 RESP
	  	EQUIP	  	E1350	  	E1350	  	2382	  	REPAIR OR NON-ROUTINE (E1350) SERVICE REQUIRING SKILL OF A TECH	  	**	  		  	
	HME	  	SUP	  	E1399	  	E1399	  	4552	  	MISCELLANEOUS SUPPLIES	  	**	  		  	**

  
 NOTES: 
  

	1.	Whether rental or purchase, rates include all shipping, labor and set-up. 


	2.	If item is rented, rates include all supplies to enable the equipment to function effectively with the exception Suction and CPM. Such exception supplies will be billed at **.



	3.	If item is rented, rates include repair and maintenance costs. 


	**	Confidential Treatment Requested. 








 DME / HME RESPIRATORY RATES: 
 GATEKEEPER RATES EFFECTIVE MARCH 15, 2007 
  

																	
	 CAT
	  	 TYPE
	  	 HCPCS
CODE
	  	 CHC
CODE
	  	 CareCentrix
Code
	  	 DESCRIPTION
	  	 PURCHASE
PRICE
	  	 RENTAL
PRICE
	  	 DAILY
PRICE

	 HME
	  	DIAB	  	A4230	  	A4230	  	8009	  	INFUSION SET FOR EXT INSULIN PUMP, NON NEEDLE TYPE (A4230)	  	**	  		  	
	 HME
	  	DIAB	  	A4231	  	A4231	  	8012	  	INFUSION SET FOR EXTERNAL INSULIN PUMP, NEEDLE TYPE (A4231)	  	**	  		  	
	 HME
	  	DIAB	  	A4232	  	A4232	  	8013	  	SYRINGE WITH NEEDLE FOR EXTINSULIN PUMP, STERILE, 3CC (A4232)	  	**	  		  	
	 HME
	  	DIAB	  	A4632	  	A4632	  	8528	  	REPLACEMENT BATTERY FOR EXT INFUSION PUMP, ANY TYPE, EA (A4632)	  	**	  		  	
	 HME
	  	DIAB	  	A4245	  	A4245	  	8527	  	ALCOHOL SWAB / SKIN BARRIER WIPES, BOX 50 (A4245)	  	**	  		  	
	 HME
	  	DIAB	  	A6257	  	A6257	  	8529	  	DRESSING <=16 SQ IN TRANSPARENT FILM, EA (A6257)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	2158	  	PUMP (E0784), EXT AMBULATORY INFUSION, MINIMED, INSULIN	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	8563	  	PUMP DISETRONIC ACCU-CHEK SPIRIT, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7704	  	PUMP, EXT INFUSION, DANA DIABECARE, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7731	  	PUMP, EXT INFUSION, ANIMAS, INSULIN (E0784)	  	**	  		  	
	 HME
	  	INSULPP	  	E0784	  	E0784	  	7773	  	PUMP (E0784), EXT AMBULATORY INFUSION, DELTEC, INSULIN	  	**	  		  	
	 HME
	  	OTHER	  	E0746	  	DM570	  	2109	  	ELECTROMYOGRAPHY (EMG) (E0746), BIOFEEDBACK DEVICE	  	**	  	**	  	
	 HME
	  	OTHER	  	E0935	  	E0935	  	2125	  	PASSIVE MOTION (E0935) EXERCISE DEVICE	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2857	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, HAND	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2858	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, SHOULDER	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2859	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, ANKLE	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2860	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, ELBOW	  		  		  	**
	 HME
	  	OTHER	  	E0935	  	E0935	  	2861	  	PASSIVE MOTION (E0935) EXERCISE DEVICE, WRIST	  		  		  	**
	 HME
	  	OTHER	  	E1300	  	DM570	  	2062	  	WHIRLPOOL (E1300), PORT (OVERTUB TYPE)	  	**	  		  	
	 HME
	  	OTHER	  	E1310	  	DM570	  	2061	  	WHIRLPOOL (E1399), NON-PORT (BUILT-IN TYPE)	  	**	  		  	
	 HME
	  	OTHER	  	E1399	  	E1399	  	2327	  	DURABLE MEDICAL EQUIP (E1399), MISCELLANEOUS	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	6875	  	STIMULATOR, OSTEOGENIC, ULTRASOUND	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8386	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, EBI	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8387	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, ORTHOFIX	  	**	  		  	
	 HME
	  	STIM_BO	  	E0747	  	DM570	  	8388	  	STIMULATOR (E0747), OSTEOGENIC, NON-INVASIVE, ORTHOLOGIC	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	2124	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL APPLICATIONS	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8389	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, EBI	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8390	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, ORTHOFIX	  	**	  		  	
	 HME
	  	STIM_BO	  	E0748	  	DM570	  	8391	  	STIMULATOR (E0748), OSTEOGENIC NON-INVASIVE, SPINAL, ORTHOLOGIC	  	**	  		  	
	 HME
	  	WDSUCT	  	K0538	  	DM570	  	6873	  	WOUND SUCTION DEVICE (K0538)	  		  		  	**
	 HME
	  	WDSUCT	  	K0539	  	DM570	  	7914	  	DRESSING SET, FOR WOUND SUCTION DEVICE (K0539)	  	**	  		  	
	 HME
	  	WDSUCT	  	K0540	  	DM570	  	7915	  	CANISTER SET, FOR WOUND SUCTION DEVICE (K0540)	  	**	  		  	
	
	 The following may be charged under extraordinary circumstances:

									
	 HME
	  	SUP	  	E1399	  	E1399	  	4551	  	LABOR/SERVICE/SHIPPING CHARGES	  	**	  		  	
	 HME
	  	SUP	  	E1399	  	E1399	  	2731	  	SHIPPING AND HANDLING FEES	  	**	  		  	
	
	 The following may be charged if over and above routine on rental equipment:

									
	 RESP
	  	EQUIP	  	E1350	  	E1350	  	2382	  	REPAIR OR NON-ROUTINE (E1350) SERVICE REQUIRING SKILL OF A TECH	  	**	  		  	
	 HME
	  	SUP	  	E1399	  	E1399	  	4552	  	MISCELLANEOUS SUPPLIES	  	**	  		  	**

  
 NOTES: 
  

	1.	Whether rental or purchase, rates include all shipping, labor and set-up. 


	2.	If item is rented, rates include all supplies to enable the equipment to function effectively with the exception Suction and CPM. Such exception supplies will be billed at **.



	3.	If item is rented, rates include repair and maintenance costs. 


	**	Confidential Treatment Requested.