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“ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW” has been added to your cart.
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Product
Price
Quantity
Subtotal
Blue Jay Universal Back Support Brace
$
45.00
Blue Jay Universal Back Support Brace quantity
$
45.00
Semi-Solid Ankle Foot Orthosis Drop Foot Brace Medium Right
$
34.59
Semi-Solid Ankle Foot Orthosis Drop Foot Brace Medium Right quantity
$
69.18
OPTIFLEX S SHOULDER CPM
$
0.00
OPTIFLEX S SHOULDER CPM quantity
$
0.00
Hinged Knee Brace with Medial and Lateral Support
$
0.00
Hinged Knee Brace with Medial and Lateral Support quantity
$
0.00
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW
$
0.00
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW quantity
$
0.00
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Order Summery
Subtotal
$
114.18
Total
$
114.18
Proceed to checkout
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Medicaid
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Medicare Claim Insurance Purchase Request
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Agree
Medicaid Claim Insurance Purchase Request
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(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
No Fault Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
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(Required)
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(Required)
DD dash MM dash YYYY
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Medicare
Mediciad
No Fault
Workers Comp
Other
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(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Workers Comp Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Other Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Best Sellers
Hinged Knee Brace with Medial and Lateral Support
$
0.00
OPTIFLEX S SHOULDER CPM
$
0.00
KINETIC MAESTRA HAND & WRIST CPM
$
0.00
Toe Alignment Splint
$
20.11
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