CAIB CAIB 2019-05-25 es 4924 2019-05-22 ![CDATA[<p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><strong>Antecedentes</strong></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">1 .La Ley 14/1986, de 25 de abril, general de sanidad, establece los principios y los criterios sustantivos que deben configurar el Sistema Nacional de Salud, y señala que el acceso a las prestaciones sanitarias debe ser en condiciones de igualdad efectiva.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">2. La Ley 16/2003, de 28 de mayo, de cohesión y calidad del Sistema Nacional de Salud, recoge y amplía los principios de la Ley 14/1986 y define el catálogo de prestaciones del sistema sanitario público de salud disponiendo una cartera común de servicios.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">3. La prestación ortoprotésica constituye una de las prestaciones del Sistema Nacional de Salud regulada en el anexo VI del Real decreto 1030/2006, de 15 de septiembre, por el que se establece la cartera de servicios comunes del Sistema Nacional de Salud y el procedimiento para su actualización. Esta norma establece que los servicios de salud deben facilitar la prestación ortoprotésica u otorgar ayudas económicas en los casos y de acuerdo con lo que reglamentariamente establezcan las administraciones sanitarias competentes.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">4. El Decreto 41/2009, de 26 de junio, por el que se regula la prestación ortoprotésica, establece el catálogo de material ortoprotésico externo y regula el modo en que el Servicio de Salud de las Islas Baleares debe facilitar los artículos que contiene el catálogo a los pacientes incluidos en su ámbito de cobertura.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">5. Se plantea la necesidad de revisar y actualizar el catálogo con la finalidad de lograr un consenso, una igualdad y una equidad mayores con las otras administraciones públicas y también para adaptarlo a la Orden SCB/45/2019, de 22 de enero, del Ministerio de Sanidad, Consumo y Bienestar Social, por la que se modifica el anexo VI del Real decreto 1030/2006.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">6. Así pues, en el catálogo se introducen nuevos tipos de productos que ofrecen unas ventajas asistenciales a los usuarios y se excluyen algunos otros considerados obsoletos, dado que se dispone de alternativas mejores para los usuarios que los necesitan. Se recogen los avances tecnológicos y las cambiantes necesidades de los usuarios detectadas de acuerdo con&nbsp; los datos recogidos en el seguimiento de la prestación ortoprotésica a lo largo de estos últimos diez años, y también unos nuevos importes máximos de financiación, más coherentes con la realidad actual del mercado y adaptados a la Orden SCB/45/2019, que tiene como objetivo actualizar la prestación ortoprotésica para racionalizar el gasto sanitario.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">En virtud de las consideraciones anteriores y haciendo uso de las atribuciones que me confiere la disposición final primera del Decreto 41/2009, de 26 de junio, por el que se regula la prestación ortoprotésica, dicto la siguiente</span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:12px"><strong>Resolución</strong></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">1. Actualizar el contenido del catálogo de productos ortoprotésicos aprobado por el Decreto 41/2009, de 26 de junio, que se publica como anexo.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">2. Determinar que esta resolución tiene efecto a partir del día siguiente a la fecha de publicación en el <em>Boletín Oficial de las Islas Baleares</em>.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><strong>Interposición de recursos</strong></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">Contra esta resolución —que agota la vía administrativa— puede interponerse un recurso contencioso-administrativo ante la Sala de lo Contencioso-Administrativo del Tribunal Superior de Justicia de las Islas Baleares en el plazo de dos meses a contar desde el día siguiente a la publicación de esta resolución, de acuerdo con los artículos 10 y 46 de la Ley 29/1998, de 13 de julio, reguladora de la jurisdicción contencioso-administrativa. También puede interponerse cualquier otro recurso que se considere procedente.</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">No obstante, las personas interesadas pueden optar por interponer contra esta resolución un recurso de reposición ante el mismo órgano que la dicta en el plazo de un mes a contar desde el día siguiente a la fecha de publicación. En este caso no se podrá interponer el recurso contencioso-administrativo hasta que se haya dictado una resolución expresa o presunta sobre el recurso de reposición, de acuerdo con los artículos 123 y 124 de la Ley 39/2015, de 1 de octubre, del procedimiento administrativo común de las administraciones públicas.</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">&nbsp;&nbsp;</span></p> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:12px">Palma, 25 de abril de 2019</span></p> <p style="margin-bottom:0px; margin-left:0px; margin-right:0px; margin-top:0px; text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:12px"><strong>La consejera de Salud</strong></span></p> <p style="margin-bottom:0px; margin-left:0px; margin-right:0px; margin-top:0px; text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:12px">Patricia Juana Gómez i Picard</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">&nbsp;</span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p style="margin-bottom:0px; margin-left:0px; margin-right:0px; margin-top:0px; text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:12px"><strong>Anexo</strong></span></p> <p style="margin-bottom:0px; margin-left:0px; margin-right:0px; margin-top:0px; text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:12px">Catálogo de material ortoprotésico</span></strong></p> <p><strong><span style="font-family:Times New Roman,Times,serif; font-size:12px">Términos generales</span></strong></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">1. Requisitos asistenciales para la financiación</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Las ayudas económicas y la financiación para los artículos que figuran en este catálogo solamente son aplicables cuando estos artículos hayan sido prescritos por profesionales prescriptores dependientes de centros sanitarios propios del Servicio de Salud de las Islas Baleares y de centros concertados con la autorización expresa del Servicio de Salud.</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">2. Prescripción</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">La prescripción tienen que hacerla los profesionales prescriptores dependientes de alguno de los centros indicados en el punto anterior y deben hacerla en los documentos establecidos a tal efecto, cuya validez será de tres meses a partir de la fecha de la prescripción.</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">3. Prescripción especial (PE)</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">La prescripción de los artículos señalados con la anotación PE ha de ir acompañada de un informe clínico que justifique que se cumplen las indicaciones establecidas a tal efecto; requiere el visado previo de la Inspección Médica del Servicio de Salud.</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">4. Prescripción por protocolo (PP)</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:115%"><span style="line-height:115%">La prescripción de los artículos señalados con la anotación PP se ha de ajustar a lo que disponen los protocolos elaborados a este efecto por el&nbsp; Servei de Salut. Con el documento de Prescripción se ha de adjuntar un informe clínico que justifique que se cumplen las condiciones establecidas en los protocolos correspondientes.</span></span></span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">5. Tipo de producto</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Las abreviaciones E, A y M que aparecen en el catálogo corresponden a los artículos que tienen la consideración de “estándar”, “adaptado” y “a medida”, respectivamente.</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">6. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Periodo de renovación</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:&quot;Times New Roman&quot;,Times,serif">6.1. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">El tiempo medio de vida expresado en meses corresponde a la duración de un producto en condiciones normales de uso.</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:&quot;Times New Roman&quot;,Times,serif">6.2. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">El periodo de renovación es el que establezcan las personas responsables de la prestación ortoprotésica para todos los productos, excepto para los que sean de uso temporal que no requieran renovación.</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:&quot;Times New Roman&quot;,Times,serif">6.3. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Una vez vencido, se puede renovar si ha perdido la funcionalidad y esta no puede recuperarse con el recambio correspondiente. Siempre debe justificarse documentalmente.</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:&quot;Times New Roman&quot;,Times,serif">6.4. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">En los casos de los niños a causa del crecimiento o de los adultos a causa de modificaciones de volumen, el período de renovación puede ser inferior al que establece el catálogo, siempre con un informe justificativo del especialista prescriptor y con el visto bueno de la Inspección Médica del Servicio de Salud.</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">7. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Importe máximo financiable (IMF)</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Incluye el precio del artículo y los impuestos correspondientes.</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">8. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Plazo de garantía</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Es la garantía que expresan los fabricantes, sin perjuicio de lo que establece el Texto refundido de la Ley general para la defensa de los consumidores y usuarios (aprobado por el Real Decreto Legislativo 1/2007, de 16 de noviembre).</span></p> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">9. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Establecimientos sanitarios</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:&quot;Times New Roman&quot;,Times,serif">9.1. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Los establecimientos sanitarios que elaboren ortoprótesis a medida y que las adapten individualmente han de cumplir los requisitos que en cada momento establezca la administración sanitaria competente con la finalidad de mantener la elaboración y la adecuación correctas de la prestación prescrita al paciente.</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:&quot;Times New Roman&quot;,Times,serif">9.2. </span><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Cuando se trate de productos hechos a medida o que requieran una adaptación específica al paciente, hay que tener en cuenta estos aspectos:</span></p> <p style="margin-bottom:0px; margin-left:80px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">a. Son a cargo del establecimiento todas las rectificaciones imputables a la elaboración y a la adaptación necesaria.</span></span></p> <p style="margin-bottom:0px; margin-left:80px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">b. En la elaboración de los productos, el establecimiento debe ajustarse siempre a las indicaciones consignadas por el facultativo que los haya prescrito.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>Prótesis externas</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 18&nbsp;&nbsp; Prótesis de miembro superior</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 24&nbsp;&nbsp; Prótesis de miembro inferior</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 90&nbsp;&nbsp; Ortoprótesis para agenesias</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 30&nbsp;&nbsp; Prótesis distintas a las prótesis de miembros</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">22 06&nbsp;&nbsp; Prótesis auditivas</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">22 03&nbsp;&nbsp; Prótesis de apoyo a la visión</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>Sillas de ruedas</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">12 21&nbsp;&nbsp; Sillas de ruedas de propulsión manual</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">12 23&nbsp;&nbsp; Sillas de ruedas motorizadas</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">12 24&nbsp;&nbsp; Accesorios para sillas de ruedas</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>Ortesis</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 03&nbsp;&nbsp; Ortesis de la columna vertebral</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 06&nbsp;&nbsp; Ortesis de miembro superior</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 12&nbsp;&nbsp; Ortesis de miembro inferior</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 33&nbsp;&nbsp; Calzados ortopédicos</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">06 40&nbsp;&nbsp; Ortesis para corrección del cráneo</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>Ortoprótesis especiales</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">12 03&nbsp;&nbsp; Productos de apoyo para caminar manejados por un brazo</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">12 06&nbsp;&nbsp; Productos de apoyo para caminar manejados por los dos brazos</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">04 06&nbsp;&nbsp; Productos para la terapia del linfedema</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">04 07&nbsp;&nbsp; Productos para la prevención y el tratamiento de cicatrices patológicas</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">04 90&nbsp;&nbsp; Complementos para las prendas de compresión</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">04 33&nbsp;&nbsp; Productos de apoyo para la prevención de las úlceras por presión (productos antidecúbitos)</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">04 48&nbsp;&nbsp; Equipo para el entrenamiento del movimiento, la fuerza y el equilibrio</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 18&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRÓTESIS DE LOS MIEMBROS SUPERIORES</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">Exclusiones:</span></p> <ul> <li><span style="font-family:Times New Roman,Times,serif; font-size:12px">Estructura y articulaciones elaboradas con titanio.</span></li> <li><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">Estructuras y articulaciones elaboradas con fibra de carbono.</span></span></li> <li><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">Estructuras y articulaciones con control por microprocesador.</span></span></li> <li><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">Elementos para prótesis de uso deportivo.</span></span></li> <li><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="line-height:normal">Prótesis mioeléctricas, excepto en los casos de amputación bilateral de los miembros superiores (las baterías y el cargador están incluidos).</span></span></li> </ul> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">No se consideran incluidas las prótesis mioeléctricas de los miembros superiores excepto en los casos de amputación bilateral de los miembros superiores. En las prótesis mioeléctricas están incluidas las baterías y el cargador. Los encajes deben ser de resina acrílica o de termoconformado si no se especifica lo contrario.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 18 03&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis parciales de la mano, incluidas las prótesis de dedos</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 03 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para amputación parcial de la mano, incluido el pulgar, con guante estético incluido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">500,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 03 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para amputación parcial de la mano y de varios dedos (excluido el pulgar), con guante estético incluido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">650,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 03 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis no funcional o estética para amputación de la mano</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">420,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 18 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis para desarticulación de la muñeca</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.3pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.85pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.1pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.3pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva para desarticulación de la muñeca con encaje infracondíleo del antebrazo y de la mano incluido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.109,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70.85pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:69.1pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 06 001</span></span></p> </td> <td style="height:11.35pt; width:269.3pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva para desarticulación de la muñeca con encaje supracondíleo del antebrazo y de la mano incluido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.296,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70.85pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:69.1pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 06 100</span></span></p> </td> <td style="height:11.35pt; width:269.3pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional para desarticulación de la muñeca con encaje infracondíleo del antebrazo y sistema de suspensión. Terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.032,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70.85pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:69.1pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 06 101</span></span></p> </td> <td style="height:11.35pt; width:269.3pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional para desarticulación de muñeca con encaje supracondíleo del antebrazo. Terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.307,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70.85pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:69.1pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 06 200</span></span></p> </td> <td style="height:11.35pt; width:269.3pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica para desarticulación de la muñeca con encaje infracondíleo de antebrazo. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70.85pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:69.1pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 06 201</span></span></p> </td> <td style="height:11.35pt; width:269.3pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica para desarticulación de la muñeca con encaje supracondíleo del antebrazo. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70.85pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:69.1pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 06 900</span></span></p> </td> <td style="height:11.35pt; width:269.3pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de un encaje (incluye adaptación y nueva alineación)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">700,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.8pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70.85pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:69.1pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos al efecto.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 18 09&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis transradiales (por debajo del codo)</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:none; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:14.2pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:14.2pt; width:269.3pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:14.2pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:14.2pt; width:63.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:14.2pt; width:63.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td colspan="2" style="background-color:#f2f2f2; height:14.2pt; width:70.85pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:14.2pt; width:69.1pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 000</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva transradial con encaje infracondíleo, estructura endoesquelética. Muñeca y mano incluidos</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.040,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 001</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva transradial con encaje supracondíleo, estructura endoesquelética, muñeca y mano incluidos</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.040,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 010</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva transradial con encaje infracondíleo, estructura exoesquelética. Muñeca y mano incluidos</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.040,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 011</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva transradial con encaje supracondíleo, estructura exoesquelética. Muñeca y mano incluidos</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.040,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 100</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional transradial con encaje infracondíleo, estructura exoesquelética y sistema de suspensión. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">975,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 101</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional transradial con encaje supracondíleo, estructura exoesquelética. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.133,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 900</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional transradial con encaje supracondíleo, estructura exoesquelética, con encaje doble. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.291,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 200</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica transradial con encaje infracondíleo, estructura exoesquelética. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"> </p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 201</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica transradial con encaje supracondíleo, estructura exoesquelética. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"> </p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 901</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de encaje supracondíleo/infracondíleo</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.000,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 902</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de baterías</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">344,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 903</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis funcional transradial con encaje infracondíleo y encaje interior de silicona, estructura exoesquelética y sistema de suspensión. Muñeca y terminal a elegir</span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.291,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 904</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de funda para prótesis de antebrazo</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">172,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:14.2pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 09 905</span></span></p> </td> <td style="height:14.2pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de media para prótesis de antebrazo</span></span></p> </td> <td style="height:14.2pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">25,00 €</span></span></p> </td> <td style="height:14.2pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:14.2pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td colspan="2" style="height:14.2pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 18 12&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de desarticulación del codo</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><span style="color:black"><em><span style="line-height:106%">Código</span></em></span></span></span></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><span style="color:black"><em><span style="line-height:106%">Tipo de producto</span></em></span></span></span></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><em><span style="line-height:106%"><span style="color:black">Elaboración</span></span></em></span></span></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><em><span style="line-height:106%"><span style="color:black">IMF</span></span></em></span></span></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><em><span style="line-height:106%"><span style="color:black">Aportación</span></span></em></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><em><span style="line-height:106%"><span style="color:black">del usuario</span></span></em></span></span></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><em><span style="line-height:106%"><span style="color:black">Periodo de renovación</span></span></em></span></span></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="line-height:106%"><em><span style="line-height:106%"><span style="color:black">Observaciones</span></span></em></span></span></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 12 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva para desarticulación de codo con encaje, estructura endoesquelética, codo de desarticulación. Muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.506,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 12 001</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva para desarticulación de codo con encaje, estructura exoesquelética, codo de desarticulación. Muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.506,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 12 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional para desarticulación de codo con encaje, estructura exoesquelética, codo de desarticulación. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.922,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 12 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica para desarticulación de codo con encaje, estructura exoesquelética, codo de desarticulación. Muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 12 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de encaje</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">700,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <p><strong>06 18 15&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis transhumerales (por encima del codo)</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva transhumeral con encaje, estructura endoesquelética, suspensión. Codo, muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.542,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 001</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva transhumeral con encaje, estructura exoesquelética, suspensión. Codo, muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.542,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional transhumeral con encaje, estructura exoesquelética, suspensión. Codo, muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.554,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional transhumeral con encaje, estructura exoesquelética, suspensión de silicona. Codo, muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.785,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica transhumeral con encaje, estructura exoesquelética, electrodos, baterías, cargador, suspensión. Codo, muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de encaje</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">600,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 902</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de funda estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">172,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 903</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de baterías</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">344,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 15 904</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de cargador de baterías</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">322,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>06 18 18&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de desarticulación de hombro (PDE)</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 18 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva para desarticulación de hombro con encaje, estructura endoesquelética, suspensión. Hombro, codo, muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.721,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 18 001</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva para desarticulación de hombro con encaje, estructura exoesquelética, suspensión. Hombro, codo, muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.721,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 18 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional para desarticulación de hombro con encaje, estructura exoesquelética, suspensión. Hombro, codo, muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.140,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 18 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica para desarticulación de hombro con encaje, estructura exoesquelética, suspensión. Hombro, codo, muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 18 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de encaje</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">700,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <p><strong><span style="font-size:12px">06 18 21&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de amputación del cuarto superior (interescapulotorácicas) (P</span>ACS)</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 21 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva interescapulotorácica con encaje, estructura endoesquelética, suspensión. Hombro, codo, muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.700,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 21 001</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis pasiva interescapulotorácica con encaje, estructura exoesquelética, suspensión. Hombro, codo, muñeca y mano incluidos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.700,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 21 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis funcional interescapulotorácica con encaje, estructura exoesquelética, suspensión. Hombro, codo, muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.288,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 21 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis eléctrica interescapulotorácica con encaje, estructura exoesquelética, suspensión. Hombro, codo, muñeca y terminal a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 21 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de encaje</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">702,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>06 18 24&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de mano</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 24 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis de mano pasiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">210,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 24 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis de mano funcional (apertura bidigital)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">452,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 24 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis de mano funcional con apertura bidigital y bloqueo de apertura</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">547,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 24 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis de mano eléctrica de función constante</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.256,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 24 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis de mano eléctrica de función variable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.982,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <p><strong>06 18 27&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Pinzas y útiles funcionales</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 27 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pinza funcional de duraluminio para adultos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">681,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 27 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pinza funcional de duraluminio para niños</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">416,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 27 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pinza funcional con estructura reforzada de acero</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.075,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 27 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pinza eléctrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">5.060,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 18 30&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de muñeca</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 30 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de muñeca para terminal pasivo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">86,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 30 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de muñeca para terminal funcional que permite la flexión dorsal y palmar y la desviación cubital y radial pasiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">272,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 30 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de muñeca para terminal funcional con sistema de bayoneta y fijación en 12 posiciones</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">473,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 30 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de muñeca para terminal funcional con sistema de bayoneta y fijación multiposicional</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">562,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 30 902</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de muñeca para terminal funcional para pronosupinación activa</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">480,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 30 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de muñeca para terminal eléctrico</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.290,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <p><strong>06 18 33&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de codo</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 33 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo pasiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">304,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 33 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo funcional</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">367,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 33 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo funcional con bloqueo en 12 posiciones o multiposicional</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.020,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 33 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo funcional para prótesis funcional de desarticulación del codo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">717,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 33 902</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo funcional con bloqueo multiposicional y flexión asistida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.020,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 33 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo eléctrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">5.210,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE, PP, CE (*)</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Indicaciones: solamente para pacientes con amputación bilateral que cumplan los requisitos de los protocolos establecidos a tal efecto.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 18 36&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de hombro</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 36 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de hombro pasiva multiposicional</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">194,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 18 36 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de hombro pasiva de flexoextensión y abducción/aducción</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">337,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 24&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRÓTESIS DE LOS MIEMBROS INFERIORES</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">Exclusiones:</span></span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Estructuras y articulaciones elaboradas con titanio</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Estructuras y articulaciones elaboradas con fibra de carbono</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Estructuras y articulaciones con control por microprocesador</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Elementos para prótesis de uso deportivo</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Pies de gran almacenamiento de energía y similares</span></p> <p><strong>06 24 03&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis parciales del pie, incluyendo prótesis de dedos</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para amputación parcial o total de dedos del pie. Plantilla protésica para sustituir el segmento amputado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">147,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para amputación transmetatarsiana. Plantilla protésica para sustituir el segmento amputado y reconstrucción del arco transverso y longitudinal</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">175,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para amputación transmetatarsiana o para desarticulación de Lisfranc. Botín con plantilla de reconstrucción del arco interno y relleno de antepié con fleje metálico</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">322,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para amputación transmetatarsiana o para desarticulación de Lisfranc, con ortesis posterior dinámica y relleno protésico anterior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">264,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para la amputación de Chopart. Botín y relleno anterior con material flexible</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">571,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 902</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para la amputación de Chopart. Ortesis posterior dinámica con solapas anteriores de cierre y relleno anterior con material flexible</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">348,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 903</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para la amputación de Chopart. Hemivalva anterior, laminada de resina acrílica, apoyo PTB, con cierre posterior y puntera flexible</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">692,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 300</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para la amputación de Pirogoff. Laminada con apoyo PTB y ventana. Pie especial incluido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">843,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 03 904</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para la amputación de Pirogoff. Laminada con apoyo PTB, encaje interior de espuma termoplástica. Pie especial incluido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">914,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 24 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de desarticulación de tobillo</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para desarticulación de tobillo de tipo Syme. Laminada, con apoyo PTB y ventana. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">913,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 06 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para desarticulación de tobillo de tipo Syme. Laminada de resina acrílica, con apoyo PTB y encaje interior en espuma termoplástica. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">985,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>06 24 09&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis transtibiales (por debajo de la rodilla)</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje PTB, estructura endoesquelética y suspensión. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.400,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 001</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje PTB, estructura exoesquelética y suspensión. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.200,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje PTS, estructura endoesquelética. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.400,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 101</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje PTS, estructura exoesquelética. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.200,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje KBM, estructura endoesquelética. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.400,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 201</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje KBM, estructura exoesquelética. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.200,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 300</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje 3S, estructura endoesquelética. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.000,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 301</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transtibial con encaje 3S, estructura exoesquelética. Pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.800,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de funda estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">225,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 09 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de media estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">13,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Están incluidas la funda y la media cosmética.</span></span></p> <p><strong>06 24 12&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis para desarticulación de rodilla</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 12 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para desarticulación de rodilla con apoyo distal, estructura endoesquelética. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.900,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 12 001</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para desarticulación de rodilla con apoyo distal, estructura exoesquelética. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.400,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 12 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para desarticulación de rodilla con apoyo isquiático, estructura endoesquelética. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.000,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 12 101</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para desarticulación de rodilla con apoyo isquiático, estructura exoesquelética. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.450,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Están incluidas la funda y la media cosmética.</span></span></p> <p><strong>06 24 15&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis transfemorales (por encima de la rodilla)</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje cuadrangular laminado o termoconformado al vacío, estructura endoesquelética y suspensión. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.900,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 001</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje cuadrangular laminado o termoconformado al vacío, estructura exoesquelética y suspensión. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.300,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje cuadrangular ISNY, estructura endoesquelética y suspensión. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.100,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 101</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje cuadrangular ISNY, estructura exoesquelética y suspensión. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.500,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje CAT-CAM, estructura endoesquelética y suspensión. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.200,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 201</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje CAT-CAM, estructura exoesquelética y suspensión. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.613,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 300</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje de contacto total de silicona, estructura endoesquelética. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.500,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*) (**)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 301</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje de contacto total de silicona, estructura exoesquelética. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.800,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*) (**)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 903</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje 3S, estructura endoesquelética. Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.500,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*) (**)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 904</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis transfemoral con encaje 3S,estructura exoesqueletica .Rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.000,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*) (**)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de funda estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">323,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de media estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">11,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 15 902</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio sistema de suspensión</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">121,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Están incluidas la funda y la media cosmética.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(**) Está incluido el encaje interno de silicona.</span></span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>06 24 18&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis para desarticulación de cadera</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 18 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para desarticulación de cadera con encaje pélvico laminado o termoconformado al vacío, estructura endoesquelética. Cadera, rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.851,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 18 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de funda estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">306,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 18 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de media estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">11,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Están incluidas la funda y la media cosmética.</span></span></p> <p><strong>06 24 21&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis para hemipelvectomía</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 21 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis para hemipelvectomía con encaje pélvico laminado o termoconformado al vacío, estructura endoesquelética. Cadera, rodilla y pie a elegir</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.898,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 21 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de funda estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">289,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 21 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de media estética</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">25,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) Están incluidas la funda y la media cosmética.</span></span></p> <p><strong>06 24 27&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Pies protésicos, excepto pies de gran almacenamiento de energía y similares</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 27 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pie no articulado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">157,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 27 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pie articulado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">236,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 27 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pie con eje múltiple</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">410,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 27 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pie dinámico</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">436,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 24 30&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rotadores</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 30 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Rotador</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">436,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 24 33&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de rodilla</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 33 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla monocéntrica (incluye las que llevan sistema de bloqueo)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">490,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 33 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla policéntrica de 2 ejes (incluye sistemas de ayuda a la extensión o de control de la oscilación)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">518,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 33 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla policéntrica de 4 ejes (incluye sistemas de ayuda a la extensión o de control de la oscilación)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.157,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 33 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla con control neumático</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.800,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 33 300</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla con control hidráulico</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">3.200,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 33 400</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla por barras externas</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">200,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 33 500</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla para desarticulación</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.157,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 24 36&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de cadera</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 36 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de cadera endoesquelética (se incluye con bloqueo, con impulsor o libre)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">570,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 24 39&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Encajes tibiales</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 39 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Encaje tibial (están incluidos los tipos PTB, KBM, PTS)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">580,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 39 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Encaje tibial 3S</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">645,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 39 902</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de encaje interno de silicona</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">584,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 39 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Adaptación y alineación de cambio de encaje</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">320,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong><span style="color:black">06 24 42&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Encajes femorales</span></strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 42 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Encaje femoral cuadrangular</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">681,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 42 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Encaje femoral ISNY</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">896,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 42 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Encaje femoral CAT-CAM</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">932,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 42 902</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Encaje femoral con contacto total silicona</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.018,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 42 903</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Adaptación y alineación de cambio de encaje</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">366,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 42 904</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cambio de encaje interno de silicona</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">584,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prescribir</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">solo como recambio</span></span></p> </td> </tr> </tbody> </table> <p><strong>06 24 48&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis provisionales para movilización precoz de los amputados de miembros inferiores</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 48 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis provisional para desarticulación de tobillo. Pie a elegir, aprovechable para la prótesis definitiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">450,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">No renovable</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 48 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis provisional para amputación de tibia. Pie a elegir, aprovechable para la prótesis definitiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">510,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">No renovable</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 48 200</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis provisional para desarticulación de rodilla. Pie y rodilla a elegir, aprovechables para la prótesis definitiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">631,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">No renovable</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 48 300</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis provisional para amputación femoral. Pie y rodilla a elegir, aprovechables para la prótesis definitiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">661,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">No renovable</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 24 48 400</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Prótesis provisional para desarticulación de cadera. Pie, rodilla y cadera a elegir, aprovechables para la prótesis definitiva</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">691,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">No renovable</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">(*)</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">(*) Se considera la prótesis inicial para un primer amputado. En el código está incluido el encaje interno de silicona, si es necesario.</span></p> <p><strong><span style="color:black">06 90&nbsp;&nbsp; ORTOPRÓTESIS PARA AGENESIAS</span></strong></p> <p><span style="color:black; font-family:&quot;Times New Roman&quot;,Times,serif">Exclusiones:</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Estructuras y articulaciones elaboradas con titanio</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Estructuras y articulaciones elaboradas con fibra de carbono</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Estructuras y articulaciones con control por microprocesador</span></p> <p><span style="color:black; font-family:&quot;Times New Roman&quot;,Times,serif">Son dispositivos combinados entre una ortesis y una prótesis adaptados a pacientes afectados de una ausencia congénita de uno o varios segmentos de la extremidad.</span></p> <p><span style="color:black; font-family:&quot;Times New Roman&quot;,Times,serif">Del miembro deficiente se aprovechan las partes que puedan actuar como muñón de amputación, para adaptar un encaje. El resto de la ortoprótesis se construye como una prótesis o una ortesis, según el tipo de deficiencia y si la extremidad es inferior o superior.</span></p> <p><span style="color:black; font-family:&quot;Times New Roman&quot;,Times,serif">Según la OMS, las malformaciones congénitas se dividen así:</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Transversales: es la detención del desarrollo en un nivel determinado. La ortoprotetización se realiza utilizando las mismas prótesis que para las amputaciones de cualquier otra etiología. Por tanto, la prescripción debe hacerse con los artículos incluidos en los capítulos de prótesis de miembro inferior y superior.</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">– </span>Longitudinales: es la falta de desarrollo de uno o varios elementos óseos siguiendo el eje longitudinal de la extremidad</span></p> <p><strong>06 90 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortoprótesis para agenesias</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 90 00 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortoprótesis para agenesias de miembro superior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 90 00 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortoprótesis para agenesias de miembro inferior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">S/P</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 30&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRÓTESIS DISTINTAS A LAS PRÓTESIS DE MIEMBROS</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 30 18&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de mama</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">En casos de traumatismo, enfermedad o malformación congénita (No se considera incluido el sujetador postoperatorio)</span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:103px"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:389px"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:103px"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 18 000</span></p> </td> <td style="height:11.35pt; width:389px"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis externa de mama, de silicona sólida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">186,49 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:103px"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 18 900</span></p> </td> <td style="height:11.35pt; width:389px"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis externa de mama, de silicona ligera</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">200,52 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:103px"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 18 931</span></p> </td> <td style="height:11.35pt; width:389px"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis externa de mama, de silicona ultraligera</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">212,87 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:103px"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 18 301</span></p> </td> <td style="height:11.35pt; width:389px"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis parcial externa de mama</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">161,70 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 30 30 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de restauración facial, incluyendo las de nariz y/o los pabellones auriculares y/o globos oculares en casos de traumatismo, enfermedad o malformación congénita</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 000</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis ocular externa para cavidad anoftálmica, a medida (enucleación o evisceración)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.033,65 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 001</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis ocular externa para cavidad no anoftálmica tipo cascarilla, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.215,84 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 002</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis de restauración de órbita no implantosoportada, a medida (incluye prótesis ocular)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.067,35 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 301</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis de restauración de órbita implantosoportada con dos implantes, a medida (incluye prótesis ocular)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">3.075,05 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 003</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Lente corneal protésica</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">556,37 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 100</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis de pabellón auricular no implantosoportada, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.503,95 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 302</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis de pabellón auricular implantosoportada con dos implantes, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.512,35 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 200</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis nasal no implantosoportada, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.989,38 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 303</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis nasal implantosoportada con tres implantes, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">3.484,88 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 304</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis facial no implantosoportada para pequeños defectos, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">550,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 305</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis facial orbitonasopalatina no implantosoportada, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">SP</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 306</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Epítesis facial orbitonasopalatina implantosoportada, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">M</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">SP</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 30 931</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Conformador nasal</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">200,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">En el caso de las epítesis implantosoportadas al IMF se le sumará el valor de cada implante adicional que precise (500 € por implante mecánico y 800 € por implante magnético).</span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>06 30 33&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de maxilares</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 33 000</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis de maxilar superior no implantosoportada para malformaciones congénitas, grandes traumatismos y procesos oncológicos que afectan a la cavidad oral, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">SP</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 33 301</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis de maxilar superior implantosoportada para pacientes con procesos oncológicos que afectan a la cavidad oral y que impliquen la pérdida de dientes relacionada directamente con la patología o su tratamiento, y pacientes con malformaciones congénitas que cursan con anodoncia (fisurados, malformaciones linfáticas, displasia ectodérmica, síndromes craneofaciales, etc.), a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">SP</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 33 302</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis de maxilar inferior no implantosoportada para malformaciones congénitas, grandes traumatismos y procesos oncológicos que afectan a la cavidad oral, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">SP</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">06 30 33 303</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Prótesis de maxilar inferior implantosoportada para pacientes con procesos oncológicos que afectan a la cavidad oral que impliquen la pérdida de dientes relacionada directamente con la patología o su tratamiento, y pacientes con malformaciones congénitas que cursan con anodoncia (fisurados, malformaciones linfáticas, displasia ectodérmica, síndromes craneofaciales, etc.), a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">SP</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><strong>2206&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRÓTESIS AUDITIVAS</strong></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>22 06 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Audífonos</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">Para pacientes hipoacúsicos de hasta 20 años de edad (se incorporarán tramos de edad anuales de dos en dos años hasta alcanzar los 26), afectados de hipoacusia bilateral neurosensorial, transmisiva o mixta, permanente, no susceptible de otros tratamientos, con una pérdida de audición superior a 40 dB en el mejor oído (valor obtenido promediando las frecuencias de 500, 1.000 y 2.000 Hz). Las administraciones sanitarias competentes vincularán la financiación de los audífonos y de los moldes adaptadores a programas de detección precoz, tratamiento completo y seguimiento de la hipoacusia.</span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 301</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Audífono intraauricular IIC (<em>invisible in the canal</em>)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.500,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 302</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Audífono intraauricular CIC (<em>completely in the canal</em>)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.500,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 303</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Audífono intraauricular ITC (<em>in the canal</em>)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.500,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 304</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Audífono intraauricular ITE (<em>in the ear</em>)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.500,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 305</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Audífono retroauricular RITE/RIC (<em>receiver in the ear/canal</em>)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.200,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">60 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 000</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Audífono retroauricular BTE (<em>behind the ear</em>)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.200,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 306</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Audífono retroauricular BTE super potente (<em>power</em>)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.200,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 307</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Sistema <em>bi-cross</em> de audífono intra-auricular</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">2.250,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 308</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Sistema <em>bi-cross</em> de audífono retro-auricular</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.800,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">60 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 309</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Varilla o diadema auditiva aérea/ósea </span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">1.200,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">60 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 66 00 310</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Banda elástica suave con procesador de conducción ósea incorporado para niños, previo a cirugía </span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">5.171,25 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">84 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE*</span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">(*) PE limitada al servicio de otorrinolaringología.</span></span></p> <p><span style="color:black; font-family:&quot;Times New Roman&quot;,Times,serif">Se facilitarán los audífonos con telebobina con capacidad de conexión con sistemas de inducción magnética, integrada en los mismos, en caso de que el paciente lo solicite y las características del dispositivo lo permitan.</span></p> <p><strong>22 06 90&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Moldes adaptadores y otros componentes para audífonos para pacientes que cumplan los requisitos para recibir audífonos</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 06 90 000</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Molde adaptador para audífono retro-auricular BTE (unidad) </span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">E</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">33,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 06 90 301</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Micromolde para audífono retro-auricular RITE/RIC (unidad)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">E</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">44,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 06 90 302</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Molde con auricular integrado para audífono retro-auricular RITE/RIC (unidad)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">E</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">121,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE</span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 06 90 303</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Tubo auricular para audífono retro-auricular RITE/RIC (incluye adaptador estándar)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">E</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">77,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">12 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE</span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>22 03&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRÓTESIS DE APOYO A LA VISIÓN</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>22 03 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prótesis de apoyo a la visión para corrección de la afaquia</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">22 03 00 931</span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Lentes de contacto para niños para corrección de la afaquia en catarata congénita o en afaquia congénita</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">A</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">495,00 €</span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px">0,00 €</span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">12 meses</span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">PE</span></p> </td> </tr> </tbody> </table> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><strong>SILLAS DE RUEDAS Y ACCESORIOS</strong></span></p> <p><strong>Exclusiones:</strong></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Sillas de ruedas manuales con ruedas grandes delanteras maniobradas por los dos brazos</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Sillas de ruedas propulsadas con el pie</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Sillas de ruedas con motor, salvo las incluidas en el grupo 12 23</span></p> <p><strong>12 22&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; SILLAS DE RUEDAS DE PROPULSIÓN MANUAL</strong></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>12 22 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Sillas de ruedas manuales para personas con patologías o discapacidades que les impidan la marcha funcional de forma permanente</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable no plegable (rígida), con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">258,15 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">48 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 301</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable no plegable (rígida), con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, para usuarios de más de 130 kg</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">549,87 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">48 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 010</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">258,15 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 302</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, con respaldo reclinable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">358,15 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 303</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, para usuarios de más de 130 kg</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">549,87 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 900</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable plegable, infantil, para alteraciones funcionales, tipo paraguas</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">515,17 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 931</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable, desmontable, de plegado en libro, basculante, infantil, ajustable al crecimiento del niño</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.618,94 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 932</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual no autopropulsable, plegable o rígida, basculante, infantil, para alteraciones neurológicas graves</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.146,79 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 100</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable no plegable (rígida), con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">258,15 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 304</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable no plegable (rígida), con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, para usuarios de más de 130 kg</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">549,87 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 305</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable no plegable (rígida) de verticalización, con sistema de sujeción en la rodilla, para usuarios activos con lesión medular congénita o adquirida y antecedentes de úlcera por decúbito recidivante a pesar del tratamiento quirúrgico </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">3.157,55 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 110</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">258,15 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 306</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable y plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, con respaldo reclinable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">478,85 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 307</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, para usuarios de más de 130 kg</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">549,87 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 308</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, con ruedas de desmontaje rápido, de material ligero</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">413,23 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 933</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable plegable, con reposabrazos desmontables y/o abatibles y reposapiés abatibles y regulables, con ruedas de desmontaje rápido, de material ligero, infantil</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">900,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 309</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas manual autopropulsable plegable, con reposabrazos desmontables y/o abatibles, reposapiés abatibles y regulables, con ruedas de desmontaje rápido, de material ligero para usuarios activos, con patología medular de cualquier etiología o enfermedades neuromusculares </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.000,85 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 901</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Chasis posicionador basculante, incluyendo ruedas y frenos, susceptible de adaptaciones especiales, para alteraciones neurológicas graves</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.604,07 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 934</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Chasis posicionador basculante, de material ligero, incluyendo ruedas y frenos, susceptible de adaptaciones especiales, para alteraciones neurológicas graves </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.936,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 22 00 935</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla basculante, con asiento y respaldo reclinable, reposacabezas, reposabrazos extraíbles, reposapiés elevables y control postural de tronco, para alteraciones neurológicas graves </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.574,79 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">00,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">A las personas que sufren obesidad mórbida y que por ello no puedan utilizar sillas de los tipos 12 22 00 301, 12 22 00 303, 12 22 00 304 y 12 22 00 307, se les puede prescribir una silla de ruedas a medida, con importe según el presupuesto.</span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>12 23&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; SILLAS DE RUEDAS MOTORIZADAS</strong></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>12 23 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Sillas de ruedas de propulsión eléctrica y dirección eléctrica para personas con limitaciones funcionales graves del aparato locomotor por enfermedad, malformación o accidente que cumplan todos los requisitos siguientes:</strong></span></span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">- Incapacidad permanente para la marcha independiente.</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">- Incapacidad funcional permanente para la propulsión de sillas de ruedas manuales con las extremidades superiores.</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">- Suficiente capacidad visual, mental y de control que les permita manejar sillas de ruedas eléctricas y ello no suponga un riesgo añadido para su integridad y la de otras personas.</span></p> <p> </p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; width:100%"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.35pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 23 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas eléctrica estándar</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">3.520,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">48 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 23 06 301</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas eléctrica infantil</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.015,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">48 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 23 06 302</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas eléctrica para usuarios de más de 130 kg</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.725,72 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">60 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 23 06 303</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas eléctrica con basculación manual</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.125,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">60 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 23 06 304</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas eléctrica con basculación manual, infantil</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.620,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">60 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 23 06 305</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas eléctrica con basculación electrónica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.455,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">60 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 23 06 306</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Silla de ruedas eléctrica con basculación electrónica, infantil</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">4.950,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">60 meses</span></span></p> </td> <td style="height:11.35pt; width:70.35pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:&quot;Times New Roman&quot;,Times,serif">Para prescribir sillas de propulsión eléctrica hay que tener en cuenta los criterios que recojan los protocolos que se establezcan al efecto.</span></p> <p><strong>12 24&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ACCESORIOS PARA SILLAS DE RUEDAS</strong></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">Para personas con enfermedades o discapacidades que les impidan la marcha funcional de forma permanente.</span></p> <p><strong>12 24 15&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Mesas o bandejas portátiles</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.75pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.15pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:69.95pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.6pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.75pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 15 000</span></span></p> </td> <td style="height:11.35pt; width:269.15pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bandeja desmontable especial</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">117,29 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:69.95pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.6pt"> <p> </p> </td> </tr> </tbody> </table> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>12 24 24&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Baterías</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">12 24 24 000</span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Batería para silla de ruedas eléctrica (par) de menos de 50A</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">416,05 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">12 24 24 301</span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Batería para silla de ruedas eléctrica (par) de 50 A</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">460,05 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">12 24 24 302</span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Batería para silla de ruedas eléctrica (par) de 60 A</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">566,37 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px">12 24 24 303</span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Batería para silla de ruedas eléctrica (par) de 70 A</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">668,23 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><strong>12 24 89&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Otros accesorios para sillas de ruedas</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Apoyos laterales para la cabeza (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">156,06 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Apoyos laterales para el tronco, fijos (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">127,05 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Apoyos laterales para el tronco, abatibles (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">166,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cuña niveladora de la pelvis (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">59,33 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 304</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Taco abductor (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">70,93 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 305</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cincha para la cabeza</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">63,87 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 306</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Chaleco de fijación</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">101,92 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 307</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Arnés de hombros</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">90,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 308 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cinturón de 4 puntos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">88,07 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 309</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cinturón o arnés pélvico </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">125,09 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 310</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cinchas para los pies (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">53,76 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 311</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte de fluido (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">62,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 001 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposacabezas fijo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">85,01 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 313</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposacabezas con apoyo occipital o total, fijo u orientable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">187,14 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 314 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposacabezas con apoyo occipital o total, orientable con brazo de una articulación ajustable en altura y profundidad</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">495,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 315</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposacabezas con apoyo occipital o total, orientable con brazo acodado de dos articulaciones, ajustable en altura y profundidad</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">610,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">24 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 002</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Sistema de doble aro para autopropulsión con un solo brazo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">383,70 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 316</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Palanca</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">431,25 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 317</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Mando especial de mentón para silla de ruedas eléctrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.552,57 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 318</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Otro mando especial para silla de ruedas eléctrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">SP</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 319</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Sistema doble amputado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">65,85 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 320</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Dispositivo especial para respirador</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">162,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 321</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Dispositivo para bombona de oxígeno</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">83,78 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 322</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Subebordillos para silla de ruedas eléctrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">216,84 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">48 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 323</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Rueda antivuelco para silla de ruedas manual</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">49,62 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 324</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Alargador de freno</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">20,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 89 325</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Base rígida para silla de ruedas</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">51,49 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">36 meses</span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong><span style="color:black">12 24 90 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Recambios y componentes para sillas de ruedas</span></strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 000</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposabrazos de cazoleta</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">108,63 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 301</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposabrazos envolvente con soporte palmar</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">151,75 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 302</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposabrazos regulable en altura</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">129,38 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 001</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposapiés único</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">103,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 303</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposapiés con cazoleta (par)</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">193,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 304</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposapiés con elevación manual para silla de ruedas manual o eléctrica (par)</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">313,92 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 305</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Reposapiés con elevación eléctrica para silla de ruedas eléctrica (par)</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">843,79 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 003</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Asiento-respaldo postural con carcasa, a medida previo molde</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.500,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 306</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Asiento postural con carcasa, a medida previo molde</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.291,64 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 307</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Respaldo postural con carcasa, a medida previo molde</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.320,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 308</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Plataforma rígida ajustable para asiento postural modular</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">238,50 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 004</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Asiento postural modular</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">754,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; vertical-align:top; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 24 90 309</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Respaldo postural modular</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">847,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; vertical-align:top; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>ORTESIS</strong></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 03&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ORTESIS DE COLUMNA VERTEBRAL</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">Exclusiones:</span></span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Fajas preventivas</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos destinados a uso deportivo</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos utilizados con finalidad estética que no guarden relación con ningún accidente, enfermedad o malformación congénita</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos de los que se realice publicidad dirigida al público en general</span></p> <p><strong>06 03 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis lumbosacras</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra semirrígida elástica con flejes posteriores</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">68,28 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra semirrígida de tejido no elástico</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">88,20 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra semirrígida de tejido elástico o no elástico para abdomen péndulo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">99,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra semirrígida para eventración y/u ostomía</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">99,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 304</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra semirrígida para usuarios con características especiales que no permiten adaptar las prefabricadas, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">290,95 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra rígida, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">277,31 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra rígida en termoplástico, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">538,49 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 101</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra Knight</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">186,30 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 06 305</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis lumbosacra con armazón rígido posterior y tejido elástico</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">218,10 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 03 09&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis toracolumbares (dorso lumbares)</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar semirrígida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">104,50 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 311</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar semirrígida para abdomen péndulo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">104,50 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 312</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar semirrígida para usuarios con características especiales que no permiten adaptar las prefabricadas, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">242,18 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 020</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé para <em>pectus carinatum</em> (tórax en quilla) o <em>pectus excavatum</em>, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">647,65 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 313</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para <em>pectus carinatum</em> (tórax en quilla), prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">495,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 314</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar rígida monovalva para inmovilización en termoplástico, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">275,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 315</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar rígida bivalva con apoyo esternal para inmovilización en termoplástico, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">448,13 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar rígida para inmovilización en termoplástico, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">688,57 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 101</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar de Taylor, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">214,19 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 316</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis toracolumbar con armazón rígido posterior y tejido elástico</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">341,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé rígido de corrección progresiva para cifolordosis, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">988,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 317</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé rígido de corrección progresiva para cifolordosis articulado, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">988,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 120</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de Stagnara o Lyones, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">977,66 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 122</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de Cheneau, con almohadillas de presión, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.048,49 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 121</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de Michel, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">910,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 123</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de tipo Boston, de termoplástico con aperturas de expansión y almohadillas de presión, con módulo prefabricado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">880,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 318</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de tipo Boston, de termoplástico con aperturas de expansión y almohadillas de presión, talla especial</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">894,83 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 319</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de tipo Boston blando</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">816,42 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 320</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de tipo Boston, de termoplástico con aperturas de expansión y almohadillas de presión, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">909,65 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 124</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de inclinación lateral de uso nocturno, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.024,89 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 321</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Corsé de termoplástico con sistema de presión en 3 puntos y zonas de expansión de uso nocturno, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.049,07 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 125</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de Kallabis de tres puntos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">188,99 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 200</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de hiperextensión de Jewett</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">216,37 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 322</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de hiperextensión cruciforme</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">225,37 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 323</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de hiperextensión basculante</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">234,37 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 300</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Lecho postural Denis Browne para escoliosis del lactante</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">442,63 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 09 310</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Lecho postural en termoplástico, a medida previo molde</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">600,46 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 03 12&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis cervicales</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 12 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Soporte cervical semirrígido de termoplástico blando con refuerzo, bivalvo, con apoyo para el mentón</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">43,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 12 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Ortesis cervical rígida de termoplástico, con apoyo occipital y para el mentón, regulable o no</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">179,28 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 03 15&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis cervicotorácicas</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 15 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte cervical de tipo Somi</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">289,10 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 15 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Minerva larga hecha a medida, con molde previo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">592,63 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 15 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Minerva larga, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">410,56 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 15 200</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Chaleco para halo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">273,85 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 03 18&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis cervicotoracolumbosacras</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 18 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Corsé de Milwaukee con cesta pélvica de cuero y placas correctoras, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.190,97 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 18 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Corsé de Milwaukee con cesta pélvica de termoplástico y placas correctoras, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">822,82 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 18 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Supraestructura de corsé de Milwaukee adaptada a otro tipo de corsé</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">340,02 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 18 200</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Cesta pélvica de cuero para corsé de Milwaukee, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">850,95 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 03 18 201</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px">Cesta pélvica de termoplástico para corsé de Milwaukee, a medida</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">482,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ORTESIS DE MIEMBRO SUPERIOR</strong></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">Exclusiones:</span></span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos destinados a uso deportivo</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos utilizados con finalidad estética que no guarden relación con ningún accidente, enfermedad o malformación congénita</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos de los que se realice publicidad dirigida al público en general</span></p> <p><strong>06 06 03&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de dedo</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 03 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva rígida para mantener el pulgar en oposición o abducción, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">68,50 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 03 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de termoplástico para mantener el pulgar en oposición o abducción, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">87,60 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 03 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva rígida para inmovilización de dedo, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">25,29 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 03 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de termoplástico para inmovilización de dedo, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">44,29 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 03 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa para dedo pulgar, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">73,16 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 03 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa extensora para dedo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">42,64 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 03 111</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa flexora para dedo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">42,64 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de mano</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para mantener las articulaciones metacarpofalángicas en una posición determinada, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">107,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para mantener las articulaciones metacarpofalángicas en una posición determinada, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">116,13 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva progresiva para llevar las articulaciones metacarpofalángicas a una posición determinada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">121,97 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa extensora de articulaciones metacarpofalángicas</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">122,55 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa flexora de articulaciones metacarpofalángicas</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">122,55 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 120</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa flexora de articulaciones metacarpofalángicas y aditamento extensor de dedo(s)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">146,56 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 130</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa extensora de articulaciones metacarpofalángicas y aditamento extensor/abductor del pulgar</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">148,90 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 06 131</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa flexora de articulaciones metacarpofalángicas y aditamento extensor/abductor del pulgar</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">148,90 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06 12&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de muñeca y mano</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 12 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de muñeca</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">61,60 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 12 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa de muñeca</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">140,31 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 12 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa flexora de las articulaciones metacarpofalángicas con estabilización de la articulación de la muñeca</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">199,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 12 111</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa extensora de las articulaciones metacarpofalángicas con estabilización de la articulación de la muñeca</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">199,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06 13&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de muñeca, mano y dedos</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 13 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de muñeca, mano y dedo(s), prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">125,92 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 13 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de muñeca, mano y dedo(s), a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">168,98 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 13 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa para flexión dorsal de muñeca, extensión o flexión de articulaciones metacarpofalángicas e interfalángicas, con o sin dispositivo abductor del pulgar, prefabricada </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">247,12 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 13 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa para flexión dorsal de muñeca, extensión o flexión de articulaciones metacarpofalángicas e interfalángicas, con o sin dispositivo abductor del pulgar, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">370,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06 15&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de codo</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 15 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de codo sin articulación, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">165,57 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 15 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de codo sin articulación, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">205,78 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 15 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa de codo para flexión y/o extensión con articulación regulable incluida, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">331,89 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 15 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis activa de codo para flexión y/o extensión, a medida (hay que prescribir, además, una articulación regulable a elegir)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">368,39 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 06 20&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de antebrazo</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 20 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de antebrazo, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">111,24 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 20 000 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de antebrazo, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">169,28 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06 24&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de hombro y codo</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 24 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para inmovilización ósea de brazo, de termoplástico, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">151,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 24 900</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para inmovilización ósea de brazo, de termoplástico, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">239,91 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06 27&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de hombro, codo y muñeca</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 27 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para mantener hombro, codo y muñeca en una posición determinada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">270,60 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 27 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para subluxación de hombro</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">132,48 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 27 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva de hombro, codo y muñeca con articulación de codo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">322,73 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 27 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis multiarticulada pasiva para control de articulaciones de hombro, codo y muñeca</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">496,56 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 27 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis multiarticulada activa para control de articulaciones de hombro, codo y muñeca</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">737,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 27 304 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para parálisis del plexo braquial, obstétrica o infantil, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">231,50 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 27 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para parálisis del plexo braquial, obstétrica o infantil, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">376,17 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 06 36&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones del codo</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 36 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo mecánica monocéntrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">72,73 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 36 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo mecánica policéntrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">128,32 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 36 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo de tipo tornillo sin fin</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">87,45 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 36 002</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo de tipo cremallera o rueda dentada </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">195,84 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 06 36 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de codo dinámica y activa</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">364,73 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 12&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ORTESIS DE MIEMBRO INFERIOR</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">Exclusiones:</span></span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Ortesis de pie</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Rodilleras de tejido elástico sin flejes</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos destinados a uso deportivo</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos utilizados con finalidad estética que no guarden relación con ningún accidente, enfermedad o malformación congénita</span></p> <p style="margin-bottom:0px; margin-left:40px; margin-right:0px; margin-top:0px"><span style="font-family:Times New Roman,Times,serif; font-size:12px">– Artículos ortoprotésicos de los que se realice publicidad dirigida al público en general</span></p> <p><strong>06 12 06 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de tobillo y pie (tibiales)</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis posterior pasiva tibial</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">136,06 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 002</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de Denis Browne, para menores de 3 años (hay que prescribir, además, un botín o una bota)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">57,90 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de Denis Browne articulada, para menores de 3 años (hay que prescribir, además, un botín o una bota)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">96,54 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 005</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Botín multiarticulado (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">111,14 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis no articulada para inmovilización mediolateral y de la flexoextención de la articulación tibiotarsiana</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">110,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 111</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis tibial de marcha en descarga</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">259,26 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 112</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de control mediolateral de la articulación tibiotarsiana con dos hemivalvas y cámara de aire o gel</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">99,72 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 113</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de control mediolateral de la articulación tibiotarsiana con sistema de contención</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">53,90 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 114</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis dinámica para ligamentos laterales del tobillo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">89,73 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 101</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis posterior antiequina “Rancho de los Amigos”, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">127,26 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis posterior antiequina “Rancho de los Amigos”, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">246,85 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis antiequina dinámica, de alambre de acero anclada al zapato</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">168,30 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis antiequina dinámica con tensor elástico anterior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">124,98 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 122</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor de Klenzack, a medida (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">433,58 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 304</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis tibial antiequina termoconformada, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">233,48 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 305</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis tibial antiequina termoconformada con valva anterior, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">285,03 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 901</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis posterior dinámica antiequina, con fleje lateral y plantilla termoplástica para el interior del zapato</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">234,66 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 306</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente para el control de la pronosupinación, con o sin dorsiflexión, para paciente neurológico infantil, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">407,61 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 307</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente en medio-pie flexible para el bloqueo de la flexión plantar, para paciente neurológico infantil, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">407,61 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 308</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente en medio-pie flexible con botín interior para el bloqueo de la flexión plantar, para paciente neurológico infantil, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">493,72 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 309</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente en medio-pie flexible con botín interior para el bloqueo de la flexión plantar y apoyo prepatelar, para paciente neurológico infantil, a medida </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">640,93 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 310</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente en medio-pie, flexible con botín interior, para el bloqueo de la flexión plantar, articulada, para paciente neurológico infantil, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">503,54 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 311</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente en medio-pie, flexible con botín interior, para el bloqueo de la flexión plantar, articulada, para paciente neurológico infantil con hiperextensión de rodilla, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">572,04 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 312</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente para el control de la pronosupinación, con o sin dorsiflexión, para paciente neurológico infantil, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">154,35 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 313</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis supramaleolar de tipo DAFO envolvente para el control de la pronosupinación, con bloqueo de la flexión plantar y articulación de Tamarack, que asiste a la dorsiflexión, para paciente neurológico infantil, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">677,40 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 900</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor corto, a medida (unidad) (además, hay que prescribir una articulación de tobillo a elegir, si es necesaria)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">325,20 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 020</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Polaina desde el tobillo hasta debajo de la rodilla, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">212,56 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 314</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis funcional de tipo PTB (<em>patellar tendon bearing</em>), prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">207,28 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis funcional de tipo PTB (<em>patellar tendon bearing</em>), a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">422,72 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 124</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para la descarga del pie, con apoyo en el tendón rotuliano y estribo deslizante, con alza contralateral, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">469,69 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 200</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Botín de cuero moldeado para adaptar a ortesis, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">270,96 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 931</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Botín de Denis Browne para menores de 3 años</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">78,11 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 932</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bota de tipo <em>boxer</em> para adaptar a ortesis de marcha, hasta el número 23 (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">132,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 933</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bota de tipo <em>boxer</em> para adaptar a ortesis de marcha, números 24-29 (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">137,50 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 934</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bota de tipo <em>boxer</em> para adaptar a ortesis de marcha, números 30-33 (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">145,20 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 935</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bota de tipo <em>boxer</em> para adaptar a ortesis de marcha, números 34-37 (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">152,90 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 936</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bota de tipo <em>boxer</em> para adaptar a ortesis de marcha, número 38 y superiores (par)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">159,50 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 06 321</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Correa en T para antivalgo o antivaro</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">50,29 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 12 09&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de rodilla</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para la inmovilización de rodilla sin articulación</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">98,45 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis pasiva para la inmovilización de rodilla con articulación</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">137,39 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para la articulación de la rodilla, con sistema de estabilización</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">75,90 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 104</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para la articulación de la rodilla, con sistema de estabilización y rodete rotuliano de compresión intermitente</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">87,59 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 102</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de rodilla estabilizadora con articulación monocéntrica graduable de flexoextensión</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">210,10 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 103</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de rodilla estabilizadora con articulación policéntrica graduable de flexoextensión</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">272,59 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 303 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de rodilla para control de <em>genu recurvatum</em></span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">377,30 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 304</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de rodilla para el control de la inestabilidad mediolateral (varo-valgo)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">390,17 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 305</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para el control mediolateral y de flexoextensión de la rodilla (ligamento cruzado anterior y/o posterior)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">417,52 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 09 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para el control mediolateral y/o de flexoextensión de la rodilla, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">575,04 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 12 12 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de rodilla, tobillo y pie (femorales)</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 003</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para extensión de rodilla mediante valva posterior de muslo, pierna y pie, con galápago de tracción sobre la rodilla, de termoplástico, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">350,09 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para extensión de rodilla mediante valva posterior de muslo,pierna y pie, con dispositivo de tracción dinámica sobre rodilla, en termoplástico, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">436,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de abducción del tobillo al muslo con pletina graduable, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">419,79 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 011</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Muslera conformada en termoplástico, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">215,19 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de rodilla a pie con apoyo anterior en tendón rotuliano y supracondíleo, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">381,49 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 101</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de <em>genu</em> valgo o varo, con barra externa o interna unida a una bota, aro de muslo y galápago elástico para corrección dinámica, a medida (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">356,94 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de Grenier con dos valvas mediales de muslo, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">326,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 12 111</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis funcional QTB (<em>quadrilateral thigh bearing</em>) de termoplástico, a medida (además, hay que prescribir una articulación de rodilla y una articulación de tobillo a elegir)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">551,86 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 12 15&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de cadera, incluyendo ortesis de abducción</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de inmovilización de cadera sin articulación, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">513,12 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de inmovilización de cadera sin articulación, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">353,41 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para mantener las caderas en abducción (de tipo Frejka o similar) </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">96,06 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 004</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis para mantener las caderas en abducción y la rotación externa por medio de un arnés con tirantes (arnés de Pavlik)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">132,63 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis multiarticulada para mantener las caderas en abducción y la rotación externa de forma independiente</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">733,07 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 005</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis modular desrotadora de la cadera, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">331,46 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de Atlanta (o del Hospital Scottish Rite, de Atlanta), a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">660,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 15 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis modular de abducción de la cadera regulable con control de la flexoextensión</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">579,87 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 12 18&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ortesis de cadera, rodilla, tobillo y pie</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor femoral metálico con aros, a medida (unidad) (hay que prescribir, además, una articulación de rodilla y una de tobillo a elegir y, si es necesario, un botín)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">891,12 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor femoral metálico con muslera de apoyo isquiático, a medida (unidad) (hay que prescribir, además, una articulación de rodilla y una de tobillo a elegir y, si es necesario, un botín)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">991,99 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 002 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor femoral metálico, con encaje cuadrangular, a medida (unidad) (hay que prescribir, además, una articulación de rodilla y una de tobillo a elegir y, si es necesario, un botín)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.107,88 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor femoral metálico con cinturón pélvico, a medida (unidad) (hay que prescribir, además, una articulación de cadera, una de rodilla y una de tobillo a elegir y, si es necesario, un botín)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.009,04 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 020</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor femoral metálico con muslera de apoyo isquiático y cinturón pélvico, a medida (unidad) (hay que prescribir, además, una articulación de cadera, una de rodilla y una de tobillo a elegir y, si es necesario, un botín)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.109,91 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 012</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bitutor femoral metálico con encaje cuadrangular y cinturón pélvico, a medida (unidad) (hay que prescribir, además, una articulación de cadera, una de rodilla y una de tobillo a elegir y, si es necesario, un botín)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.225,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Monotutor femoral laminado de resina, con articulación de rodilla y articulación de tobillo, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">3.410,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 004</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis termoconformada al vacío desde el pie hasta el tercio proximal de muslo, a medida (TPV) (hay que prescribir, además, una articulación de rodilla y una de tobillo a elegir)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">790,96 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis de abducción variable desrotadora femoral (de tipo Swash), infantil</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">956,97 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 006</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis femoral de abducción de Tachdjian (unilateral) de acero, con encaje trilateral, articulación en la rodilla, control de rotación, estribo de marcha, mecanismo distractor del pie y alza contralateral, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.200,03 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 013</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis desrotadora femoral (de tipo <em>twister</em>) (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">252,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Ortesis desrotadora femoral de tejido elástico (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">40,70 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 18 007</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Dispositivo estabilizador y reciprocador para adaptar a ortesis de marcha bilateral (hay que prescribir, además, una ortesis de marcha bilateral a elegir)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.750,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 12 21&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de tobillo</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 21 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación rígida de tobillo libre</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">125,40 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 21 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación rígida de tobillo, con control del movimiento dorsal y plantar</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">140,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 21 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación flexible de tobillo con asistencia del movimiento de flexión dorsal y/o plantar</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">129,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 21 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación rígida de tobillo con asistencia dinámica del movimiento de flexión dorsal y/o plantar de tipo Klenzack</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">129,01 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 21 304</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación flexible de tobillo con asistencia del movimiento de flexión dorsal y/o plantar variable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">264,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 21 305</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación flexible de tobillo con asistencia del movimiento de flexión dorsal y/o plantar con tope posterior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">135,30 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 12 24&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de rodilla</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 24 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla libre</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">163,19 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 24 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla libre con eje desplazado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">278,40 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 24 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla libre con asistencia a la extensión</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">554,65 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 24 002</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla con cierre de anillas</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">301,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 24 003</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla con cierre suizo con o sin sistema de amortiguación</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">435,11 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 24 004</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla policéntrica</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">484,37 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 24 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de rodilla progresiva dentada con bloqueo de la flexión</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">580,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 12 27 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Articulaciones de la cadera</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 27 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de cadera libre, de acero</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">264,29 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 27 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de cadera libre, de acero, con movimiento de abducción</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">324,86 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 27 003</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de cadera con cierre de anillas</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">254,43 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 27 004</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Articulación de cadera con cierre de anillas y movimiento de abducción</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">324,86 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>06 12 90&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Recambios y componentes para ortesis de miembro inferior</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 90 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cinturón pélvico para ortesis de miembro inferior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">117,92 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 90 101</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Barra para ortesis de miembro inferior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">23,61 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 90 102</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Estribo para ortesis de miembro inferior</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">63,27 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 90 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cinturón pélvico con soporte glúteo</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">160,36 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 90 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Galápago, prefabricado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">17,07 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 12 90 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Galápago, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">110,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 33&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; CALZADOS ORTOPÉDICOS</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 33 90&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Calzados ortopédicos para grandes deformidades</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 33 90 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Calzado ortopédico de espuma de polietileno (Plastazote^®), licra, fibra elástica o similar para deformidades de pie diabético, artrítico o neuropático (par)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">97,93 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 33 90 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px">Calzado ortopédico a medida, con molde previo, para grandes deformidades (de piña estructurada, equinos importantes y otras deformidades graves que impidan adaptar el calzado convencional o de espuma de polietileno [Plastazote^®]). Incorpora zapatos o botas con alza incluida, si se necesita (par)</span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">728,56 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 40&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ORTESIS PARA CORRECCIÓN DEL CRÁNEO</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>06 40 00 Ortesis para corrección de cráneo (plagiocefalia)</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">06 40 00 931</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Casco para corrección de la plagiocefalia en bebés</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.100,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">3 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>ORTOPRÓTESIS ESPECIALES</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>12 03&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRODUCTOS DE APOYO PARA CAMINAR MANEJADOS POR UN BRAZO</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>12 03 09&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Muletas de codo con soporte en antebrazo</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 03 09 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Muleta con apoyo en el antebrazo y empuñadura anatómica con o sin abrazadera (unidad)</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">23,82 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>12 03 16&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Muletas con tres o más patas</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 03 16 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Muleta con tres patas o más</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">44,97 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>12 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRODUCTOS DE APOYO PARA CAMINAR MANEJADOS POR AMBOS BRAZOS</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>12 06 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Andadores</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador fijo de altura regulable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">75,53 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador plegable de altura regulable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">82,40 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador deambulador plegable de altura regulable</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">104,46 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador con ruedas delanteras y tacos traseros, para niños y adultos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">93,91 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador con ruedas delanteras y tacos traseros con asiento, para niños y adultos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">101,48 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 304</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador con ruedas delanteras giratorias y traseras con freno, con o sin asiento (de tipo <em>rollator</em>), para niños y adultos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">130,52 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 305</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador con control postural del tronco y de la pelvis, de altura graduable y con freno, para niños y adultos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.414,01 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">12 06 00 306 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Andador anteroposterior de altura graduable, con asiento abatible y freno, para niños y adultos</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">837,36 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRODUCTOS PARA LA TERAPIA DEL LINFEDEMA</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 06 06&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prendas de compresión para brazos, piernas y otras partes del cuerpo para linfedemas de miembros superiores, linfedemas graves de miembros inferiores y linfedemas del tronco (pueden indicarse dos unidades de cada producto en cada prescripción)</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte de cuello para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">132,41 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Máscara abierta para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">313,98 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 011</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Máscara abierta con banda labial para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">334,36 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 012</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Máscara con apertura para ojos, nariz y boca para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">421,27 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 110</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Camiseta sin mangas para linfedema del tronco, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">278,93 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 102</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Camiseta con mangas largas para linfedema del tronco, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">469,49 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 321</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte de mama para afectación linfática, prefabricado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">140,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 322</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guantelete para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">52,53 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 323</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guantelete para linfedema, prefabricado&nbsp;&nbsp; </span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">31,74 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 211</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante sin protección distal para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">150,07 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 324</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante sin protección distal para linfedema, prefabricado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">125,85 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 210</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante con protección distal para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">157,61 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 212</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante hasta el codo sin protección distal para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">175,25 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 325</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante hasta el codo con protección distal para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">181,21 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 200</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">108,70 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 326</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga para linfedema, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">105,60 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 201</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga con guantelete para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">147,94 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 327</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga con guantelete para linfedema, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">109,69 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 328</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga con guante para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">232,57 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 202</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga que abarca el hombro para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">154,47 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 329</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga que abarca el hombro para linfedema, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">121,79 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 203</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga que abarca el hombro con guantelete para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">213,66 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 330 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga que abarca el hombro con guantelete para linfedema, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">174,96 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 331</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga que abarca el hombro con guante para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">298,73 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 332</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante sin protección distal para pie para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">149,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 333</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante con protección distal para pie para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">152,14 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 300</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media hasta la rodilla para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">106,82 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 334</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media hasta la rodilla para linfedema, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">84,44 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media entera para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">165,44 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 335</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media entera para linfedema, prefabricada</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">109,14 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media entera con sujeción a la cintura para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">173,03 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 336</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Panty de una extremidad para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">282,15 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 337</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Panty de una extremidad para linfedema, prefabricado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">246,63 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 338</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Panty (de dos piernas) para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">353,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 339</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Panty (de dos piernas) para linfedema, prefabricado</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">A</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">319,06 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 310</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pantalón de pernera corta para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">251,82 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 06 06 311</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pantalón para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">309,79 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px">El IMF de los tipos de productos a medida del subgrupo 04 06 06 hace referencia a la fabricación de dichos productos con tejido circular. Si se prescribe tejido plano, el IMF correspondiente debe incrementarse un 15&nbsp;%.</span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 07&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRODUCTOS PARA LA PREVENCIÓN Y EL TRATAMIENTO DE CICATRICES PATOLÓGICAS</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 07 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prendas de compresión para brazos, piernas y otras partes del cuerpo para quemados y grandes queloides</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>(pueden indicarse dos unidades de cada producto en cada prescripción)</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte de cuello para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">132,41 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte de mentón para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">174,10 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 002</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte de cuello y mentón para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">245,50 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 010</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Máscara abierta para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">313,98 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 011</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Máscara abierta con banda labial para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">334,36 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 012</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Máscara con apertura para los ojos, la nariz y la boca para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">421,27 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 013</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Máscara de termoplástico con silicona para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.277,46 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 110 </span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Camiseta sin mangas para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">278,93 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 101</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Camiseta con mangas cortas para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">419,54 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 112</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Camiseta con mangas largas para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">469,49 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 100</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Tronco sin mangas para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">472,20 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 101</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Tronco con mangas cortas para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">567,47 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 102</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Tronco con mangas largas para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">580,35 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 321</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guantelete para quemados y grandes quemados, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">52,53 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 211</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante sin protección distal para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">150,07 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 210</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante con protección distal para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">157,61 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 212</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante hasta el codo sin protección distal para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">175,25 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 322</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante hasta el codo con protección distal para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">181,21 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 200</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">108,70 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 201</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga con guantelete para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">147,94 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 323</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga con guante para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">232,57 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 202</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga abarcando el hombro para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">154,47 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 203</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga abarcando el hombro con guantelete para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">213,66 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 324</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Manga abarcando el hombro con guante para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">298,73 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 211</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante con dedos sin protección distal para pie para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">149,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 210</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Guante con dedos con protección distal para pie para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">152,14 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 300</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media hasta la rodilla para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">106,82 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media entera para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">165,44 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Media entera con sujeción a la cintura para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">173,03 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 325</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Panty de una extremidad para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">282,15 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 326</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Panty (de dos piernas) para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">353,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 310</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pantalón de pernera corta para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">251,82 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 311</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Pantalón para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">309,79 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 07 00 320</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Tobillera para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">82,96 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">El IMF de los tipos de productos con código 04 07 00, excepto en el caso de la máscara de termoplástico, hace referencia a la fabricación de dicho producto con tejido circular. Si se prescribe tejido plano, el IMF correspondiente debe incrementarse un 15&nbsp;%.</span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 90&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; COMPLEMENTOS PARA LAS PRENDAS DE COMPRESIÓN</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 90 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Complementos para las prendas de compresión (para linfedema, quemados y grandes queloides)</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cierre de cremallera, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,42 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 302</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cierre de corchetes, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18,46 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 303</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cierre de velcro, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">17,99 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 304</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Apertura de mamas, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">18,46 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 305</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Confección de copas, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">14,47 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 306</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Confección de bolsa escrotal, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">55,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 307</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Adaptación anatómica articular, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">23,67 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 308</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Adaptación textil, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">34,13 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 309</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Inserción de bolsillo, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">35,00 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 310</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Almohadillas linfáticas, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">33,69 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 311</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Banda proximal de sujeción para prendas de compresión para linfedema, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36,52 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 90 00 312</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Soporte de silicona para quemados y grandes queloides, a medida</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">M</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">16,96 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">0,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">6 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p> </p> </td> </tr> </tbody> </table> <p><strong>04 33&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; PRODUCTOS DE APOYO PARA PREVENIR LAS ÚLCERAS POR PRESIÓN (PRODUCTOS ANTIDECÚBITOS)</strong></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 33 00&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Cojines para prevenir las úlceras por presión</strong></span></span></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 33 00 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cojín para prevenir las úlceras por presión, de una sola pieza de silicona, gel u otros materiales, para usuarios de sillas de ruedas con riesgo alto de sufrir úlceras por presión</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">115,97 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 33 00 001</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cojín para prevenir las úlceras por presión, modular, de diferentes materiales con base firme, para usuarios de sillas de ruedas con una patología medular de cualquier etiología o daño cerebral adquirido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">355,47 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 33 00 002</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p style="text-align:left"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Cojín para prevenir las úlceras por presión, con múltiples celdas de aire u otros materiales, independientes unidas por una base, para usuarios de sillas de ruedas con una patología medular de cualquier etiología o daño cerebral adquirido</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">677,77 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00 €</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black"><strong>04 48&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; EQUIPO PARA EL ENTRENAMIENTO DEL MOVIMIENTO, LA FUERZA Y EL EQUILIBRIO</strong></span></span></p> <p><span style="font-family:Times New Roman,Times,serif; font-size:12px"><span style="color:black">Para pacientes con lesiones medulares, parálisis cerebral, traumatismos craneoencefálicos, mielomeningocele, distrofias musculares progresivas o enfermedades neurodegenerativas</span></span></p> <div style="page-break-after:always"><span style="display:none">&nbsp;</span></div> <p><strong>04 48 06 Aparatos de bipedestación</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 48 06 301</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bipedestador de niño</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.705,80 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">24 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 48 06 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Bipedestador de adulto</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">2.282,91 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> <p><strong>04 48 21&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Planos inclinables</strong></p> <table border="1" cellspacing="0" class="Table" style="border-collapse:collapse; border:solid gray 1pt; margin-left:-0.25pt; width:895px"> <thead> <tr> <td style="background-color:#f2f2f2; height:11.35pt; width:77.8pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Código</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:269.25pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black"><em>Tipo de producto</em></span></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:2cm"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Elaboración</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">IMF</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:63.7pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Aportación</span></em></span></strong></p> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">del usuario</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Periodo de renovación</span></em></span></strong></p> </td> <td style="background-color:#f2f2f2; height:11.35pt; width:70.4pt"> <p style="text-align:center"><strong><span style="font-family:Times New Roman,Times,serif; font-size:10px"><em><span style="color:black">Observaciones</span></em></span></strong></p> </td> </tr> </thead> <tbody> <tr> <td style="height:11.35pt; width:77.8pt"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">04 48 21 000</span></span></p> </td> <td style="height:11.35pt; width:269.25pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">Plano inclinado prono/supino para niños</span></span></p> </td> <td style="height:11.35pt; width:2cm"> <p style="text-align:center"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">E</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">1.769,27 €</span></span></p> </td> <td style="height:11.35pt; width:63.7pt"> <p style="text-align:right"><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">30,00</span></span></p> </td> <td style="height:11.35pt; width:70pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">36 meses</span></span></p> </td> <td style="height:11.35pt; width:70.4pt"> <p><span style="font-family:Times New Roman,Times,serif; font-size:10px"><span style="color:black">PE</span></span></p> </td> </tr> </tbody> </table> ]] 622327 ![CDATA[Resolución de la consejera de Salud de 25 de abril de 2019 por la que se actualiza el contenido del catálogo de productos ortoprotésicos aprobado por el Decreto 41/2009, de 26 de junio]] text/html CAIB 24831 2019-05-25 es 24786 430